心肺和肌肉健康与儿童和青少年健康相关生活质量的关系：系统评价和观察性研究的荟萃分析。

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.

机构信息

Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Castilla-La Mancha, Spain.

Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay.

出版信息

Health Qual Life Outcomes. 2021 Apr 21;19(1):127. doi: 10.1186/s12955-021-01766-0.

DOI:10.1186/s12955-021-01766-0

PMID:33882937

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8059195/

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.

摘要

背景

目前尚无研究评估身体健康的儿童和青少年的心肺适能和肌肉适能与健康相关生活质量（HRQoL）之间的关系。本系统评价和荟萃分析的目的是检验心肺适能（CRF）和肌肉适能（MF）与 18 岁以下健康受试者的 HRQoL 之间的关系，并描述这些关系更为稳健的 HRQoL 维度。

方法

系统检索了 Medline、Embase、Cochrane 图书馆、SCIELO、SPORTDiscus 和 PEDro 数据库，以收集观察性研究，这些研究检查了在没有任何诊断性医疗条件的情况下，参与者的 CRF 与 HRQoL 之间以及 MF 与 HRQoL 之间的关系。为 CRF 和 MF 与各种 HRQoL 维度之间的关联估计了汇总效应大小（ES）。

结果

CRF 与 HRQoL 之间关系的汇总 ES（95%CI）估计值如下：身体幸福感为 0.19（0.10 至 0.27），心理幸福感为 0.19（0.07 至 0.32），感知健康状况为 0.20（-0.14 至 0.55），自我认知/自尊为 0.10（0.00 至 0.20），家庭关系质量为 0.07（-0.05 至 0.19），同伴关系质量为 0.14（0.04 至 0.25），学校日常功能为 0.17（0.04 至 0.29），总 HRQoL 评分为 0.20（0.12 至 0.28）。MF 与 HRQoL 之间关系的汇总 ES（95%CI）估计值为：身体幸福感为 0.25（0.12 至 0.37），心理幸福感为 0.11（0.04 至 0.17），家庭关系质量为 0.08（0.01 至 0.15），同伴关系质量为 0.14（0.03 至 0.25），总 HRQoL 评分为 0.09（0.03 至 0.14）。