Association between physical activity, sedentary behavior, and fitness with health related quality of life in healthy children and adolescents

Abstract

Background:Health related quality of life (HRQoL) is a subjective, multidimensional and changing over time construct. When HRQoL is decreased, a child is less likely to be able to develop normally and mature into a healthy adult. Physical inactivity is a priority public health problem. Evidence suggests how even moderate levels of physical activity or high fitness levels are associated with benefits for the health in children and adolescents. The aims of this systematic review are to examine the evidence about the relationship between physical activity, sedentary behavior, and fitness with HRQoL, and estimate the effects of interventions that have tested the effectiveness of the increase of the physical activity, the improvement of the physical fitness or the avoidance of sedentary behaviors in HRQoL in healthy subjects aged under 18 years old.Methods:This systematic review and meta-analysis protocol was conducted following the preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) statement. To identify relevant studies, the following electronic databases will be searched: MEDLINE, EMBASE, Cochrane Database, Web of Science, and PEDro. Reference lists of relevant studies will be examined for links to potential related articles. The methodological quality of the observational included studies will be scored using a quality assessment checklist. For the intervention studies, the risk of bias will be estimated using The Cochrane Collaboration tool for assessing risk of bias. Reviewers will determine whether a meta-analysis is possible when data have been extracted. If it is, subgroup analyses will be carried out by age and socioeconomic status, and by the different dimensions of the HRQoL. If is not possible, a descriptive analysis will be conducted.Conclusion:To our knowledge, this systematic review and meta-analysis will be the first that synthesizes the existing results about the relationship between physical activity, sedentary behavior, physical fitness, and HRQoL, and the effect of physical activity interventions on HRQoL, in healthy subjects under 18 years old. This study will clarify this relationship and will provide evidence for decision-making. Limitations may include the quality of the selected studies and their characteristics. Only studies published in English and Spanish will be included.Systematic review registration:PROSPERO CRD42015025823.

Mediating effects of exercise capacity on the association between physical activity and health‐related quality of life among adolescents with complex congenital heart disease

“…Furthermore, HRQOL may be favorably influenced by increased lifestyle physical activity (eg, less sedentary behaviors and increased leisure time activities) and improved functional capacity (Biddle & Asare, ; Ortega, Ruiz, Castillo, & Sjöström, ). Importantly, strong associations of physical activity and sedentary behavior with HRQOL among children and adolescents have been previously reported (Bermejo‐Cantarero et al, ; Wu et al, ). Systematic reviews and primary studies of physical activity and health outcomes have shown that children and adolescents who engaged in increased levels of habitual physical activity exhibit better physical and psychosocial well‐being than their sedentary counterparts (Bermejo‐Cantarero et al, ; Wu et al, ).…”

“…Importantly, strong associations of physical activity and sedentary behavior with HRQOL among children and adolescents have been previously reported (Bermejo‐Cantarero et al, ; Wu et al, ). Systematic reviews and primary studies of physical activity and health outcomes have shown that children and adolescents who engaged in increased levels of habitual physical activity exhibit better physical and psychosocial well‐being than their sedentary counterparts (Bermejo‐Cantarero et al, ; Wu et al, ). Therefore, promoting physical activity among children may benefit a number of positive health outcomes among adolescents with CHD.…”

Comparação da aptidão física e qualidade de vida entre adolescentes praticantes e não praticantes de esporte

“…The practice of physical activities is related to improvement of healthrelated physical fitness (AFRS), which includes components associated with health promotion or disease prevention, better performance in daily activities, including cardiorespiratory fitness, strength and muscular resistance, flexibility and body composition. High levels of physical fitness are associated with benefits, especially for adolescents, such as positive association with academic performance [5][6][7] .…”

Körperliche Aktivität im Kontext der betrieblichen Gesundheitsförderung – ein systematisches Review zur Effektivität software- gegenüber personalgestützter Interventionen

“…Im Umkehrschluss existieren hohe Evidenzen zu den Effekten von körperlicher Aktivität auf die physische sowie psychische Gesundheit. So wirkt sich regelmäßige körperliche Aktivität nachweislich auf die Verringerung chronischer Erkrankungen [1], das subjektive Wohlbefinden [2] und auf ein verringertes Sterblichkeitsrisiko [3][4][5] aus. Neben anderen lebensweltlichen Ansätzen wird der Arbeitsplatz in den Gesundheitswissenschaften als ein geeignetes Setting eingestuft, um eine effektive Förderung der individuellen Gesundheit zu ermöglichen.…”