Relationship between both cardiorespiratory and muscular fitness and health-related quality of life in children and adolescents: a systematic review and meta-analysis of observational studies

Abstract Background No review to date has evaluated the association between physical fitness and health-related quality of life (HRQoL) in healthy children and adolescents. The aims of this systematic review and meta-analysis were to examine the relationship between both cardiorespiratory fitness (C...

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Main Authors: Alberto Bermejo-Cantarero, Celia Álvarez-Bueno, Vicente Martínez-Vizcaino, Andrés Redondo-Tébar, Diana P. Pozuelo-Carrascosa, Mairena Sánchez-López
Format: Article
Language:English
Published: BMC 2021-04-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s12955-021-01766-0
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author Alberto Bermejo-Cantarero
Celia Álvarez-Bueno
Vicente Martínez-Vizcaino
Andrés Redondo-Tébar
Diana P. Pozuelo-Carrascosa
Mairena Sánchez-López
author_facet Alberto Bermejo-Cantarero
Celia Álvarez-Bueno
Vicente Martínez-Vizcaino
Andrés Redondo-Tébar
Diana P. Pozuelo-Carrascosa
Mairena Sánchez-López
author_sort Alberto Bermejo-Cantarero
collection DOAJ
description Abstract Background No review to date has evaluated the association between physical fitness and health-related quality of life (HRQoL) in healthy children and adolescents. The aims of this systematic review and meta-analysis were to examine the relationship between both cardiorespiratory fitness (CRF) and muscular fitness (MF) and HRQoL in healthy subjects under 18 years of age and to describe the dimensions of HRQoL in which these relationships are more robust. Methods The Medline, Embase, Cochrane Library, SCIELO, SPORTDiscus and PEDro databases were systematically searched to collect observational studies that examined the relationship between CRF and HRQoL and between MF and HRQoL in participants under 18 years of age without any diagnosed medical condition. Pooled effect sizes (ES) were estimated for the associations between both CRF and MF and the various HRQoL dimensions. Results The pooled ES (95% CI) estimates for the relationship between CRF and HRQoL were as follows: 0.19 (0.10 to 0.27) for physical well-being, 0.19 (0.07 to 0.32) for psychological well-being, 0.20 (− 0.14 to 0.55) for perceived health status, 0.10 (0.00 to 0.20) for self-perception/self-esteem, 0.07 (− 0.05 to 0.19) for quality of family relationship, 0.14 (0.04 to 0.25) for quality of peer relationship, 0.17 (0.04 to 0.29) for everyday functioning at school and 0.20 (0.12 to 0.28) for total HRQoL score. The pooled ES (95% CI) estimates for the relationship between MF and HRQoL were: 0.25 (0.12 to 0.37) for physical well-being, 0.11 (0.04 to 0.17) for psychological well-being, 0.08 (0.01 to 0.15) for quality of family relationship, 0.14 (0.03 to 0.25) for quality of peer relationship, and 0.09 (0.03 to 0.14) for total HRQoL score. Conclusions Our data suggest that both CRF and MF are positively associated with HRQoL, mainly in physical, psychological and peer relationships. Moreover, CRF is positively associated with school dimensions and MF is positively associated with family relationships. Trail registration Protocol PROSPERO registration number: CRD42015025823.
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spelling doaj.art-0142d464bad94dcfa2ae8492b07029152022-12-21T23:18:16ZengBMCHealth and Quality of Life Outcomes1477-75252021-04-0119111510.1186/s12955-021-01766-0Relationship between both cardiorespiratory and muscular fitness and health-related quality of life in children and adolescents: a systematic review and meta-analysis of observational studiesAlberto Bermejo-Cantarero0Celia Álvarez-Bueno1Vicente Martínez-Vizcaino2Andrés Redondo-Tébar3Diana P. Pozuelo-Carrascosa4Mairena Sánchez-López5Universidad de Castilla-La Mancha, Health and Social Research CenterUniversidad de Castilla-La Mancha, Health and Social Research CenterUniversidad de Castilla-La Mancha, Health and Social Research CenterUniversidad de Castilla-La Mancha, Health and Social Research CenterUniversidad de Castilla-La Mancha, Health and Social Research CenterUniversidad de Castilla-La Mancha, Health and Social Research CenterAbstract Background No review to date has evaluated the association between physical fitness and health-related quality of life (HRQoL) in healthy children and adolescents. The aims of this systematic review and meta-analysis were to examine the relationship between both cardiorespiratory fitness (CRF) and muscular fitness (MF) and HRQoL in healthy subjects under 18 years of age and to describe the dimensions of HRQoL in which these relationships are more robust. Methods The Medline, Embase, Cochrane Library, SCIELO, SPORTDiscus and PEDro databases were systematically searched to collect observational studies that examined the relationship between CRF and HRQoL and between MF and HRQoL in participants under 18 years of age without any diagnosed medical condition. Pooled effect sizes (ES) were estimated for the associations between both CRF and MF and the various HRQoL dimensions. Results The pooled ES (95% CI) estimates for the relationship between CRF and HRQoL were as follows: 0.19 (0.10 to 0.27) for physical well-being, 0.19 (0.07 to 0.32) for psychological well-being, 0.20 (− 0.14 to 0.55) for perceived health status, 0.10 (0.00 to 0.20) for self-perception/self-esteem, 0.07 (− 0.05 to 0.19) for quality of family relationship, 0.14 (0.04 to 0.25) for quality of peer relationship, 0.17 (0.04 to 0.29) for everyday functioning at school and 0.20 (0.12 to 0.28) for total HRQoL score. The pooled ES (95% CI) estimates for the relationship between MF and HRQoL were: 0.25 (0.12 to 0.37) for physical well-being, 0.11 (0.04 to 0.17) for psychological well-being, 0.08 (0.01 to 0.15) for quality of family relationship, 0.14 (0.03 to 0.25) for quality of peer relationship, and 0.09 (0.03 to 0.14) for total HRQoL score. Conclusions Our data suggest that both CRF and MF are positively associated with HRQoL, mainly in physical, psychological and peer relationships. Moreover, CRF is positively associated with school dimensions and MF is positively associated with family relationships. Trail registration Protocol PROSPERO registration number: CRD42015025823.https://doi.org/10.1186/s12955-021-01766-0Health-related quality of lifeHRQoLPhysical fitnessStrengthPhysical well-beingPsychological well-being
spellingShingle Alberto Bermejo-Cantarero
Celia Álvarez-Bueno
Vicente Martínez-Vizcaino
Andrés Redondo-Tébar
Diana P. Pozuelo-Carrascosa
Mairena Sánchez-López
Relationship between both cardiorespiratory and muscular fitness and health-related quality of life in children and adolescents: a systematic review and meta-analysis of observational studies
Health and Quality of Life Outcomes
Health-related quality of life
HRQoL
Physical fitness
Strength
Physical well-being
Psychological well-being
title Relationship between both cardiorespiratory and muscular fitness and health-related quality of life in children and adolescents: a systematic review and meta-analysis of observational studies
title_full Relationship between both cardiorespiratory and muscular fitness and health-related quality of life in children and adolescents: a systematic review and meta-analysis of observational studies
title_fullStr Relationship between both cardiorespiratory and muscular fitness and health-related quality of life in children and adolescents: a systematic review and meta-analysis of observational studies
title_full_unstemmed Relationship between both cardiorespiratory and muscular fitness and health-related quality of life in children and adolescents: a systematic review and meta-analysis of observational studies
title_short Relationship between both cardiorespiratory and muscular fitness and health-related quality of life in children and adolescents: a systematic review and meta-analysis of observational studies
title_sort relationship between both cardiorespiratory and muscular fitness and health related quality of life in children and adolescents a systematic review and meta analysis of observational studies
topic Health-related quality of life
HRQoL
Physical fitness
Strength
Physical well-being
Psychological well-being
url https://doi.org/10.1186/s12955-021-01766-0
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