SynthesisHealth and quality of life outcomes2021
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.
Synthesis in Health and quality of life outcomes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
57 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.
- Is greater adherence to the Mediterranean diet related to higher health-related quality of life among children and adolescents? A systematic review and meta-analysis.European journal of pediatrics · 2025Pooled it
- A 12-week afterschool game-based physical activity program improves physical fitness of 9-10-year-old children: a randomized controlled study.Scientific reports · 2025Trial
- Efficacy of combined Kinesio-taping with chest physiotherapy program on pain, pulmonary function, respiratory muscle strength and quality of life after mastectomy: a randomized controlled trial.Frontiers in medicine · 2025Trial
- Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness.International journal of environmental research and public health · 2021Trial
- Physiological determinants of endurance capacity in individuals with cerebral palsy: a narrative review.Journal of rehabilitation medicine · 2026Review
- Physical Activity, Sleep Quality, Physical Fitness, and Academic Performance as Factors Associated with Health-Related Quality of Life in Primary and Secondary School Students from the Canary Islands.Healthcare (Basel, Switzerland) · 2026Article
- Effects of Ecological Dynamics Approach in Physical Education on Physical Fitness and Types of Physical Activity in Middle School Students: An Exploratory Study.Journal of functional morphology and kinesiology · 2026Article
- Physical Literacy-Focused Education Improves Fitness Markers in Preadolescents: Implications for School-Based Health Promotion.Healthcare (Basel, Switzerland) · 2026Article
- The Health-Related Quality of Life and Putative Factors of Icelandic and American Youth with Multiple Disabilities Including Visual Impairments: A Preliminary Investigation.Children (Basel, Switzerland) · 2026Article
- Is Standing Long Jump Performance More Strongly Associated with Health-Related Outcomes than Maximal Isometric Handgrip Strength in Adolescents?Children (Basel, Switzerland) · 2026Article
- Effects of a Physical-Literacy-Based Educational Intervention on Physical Activity and Body Composition in Preadolescent Children: A School-Based Controlled Trial.Sports (Basel, Switzerland) · 2026Article
- Physical fitness as a predictor of health-related quality of life in children.Frontiers in sports and active living · 2026Article
- Screen time and cardiorespiratory fitness in school-aged children: a sex-specific association independent of physical activity-evidence from Croatia.Frontiers in public health · 2026Article
- Cross-sectional associations between accelerometry-measured physical activity and physical fitness among elementary school children.Frontiers in sports and active living · 2026Article
- The Impact of Sibling Presence on Motor Competence and Physical Fitness: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Impact of physical activity and BMI on health-related quality of life in overweight Indian adolescents: A randomized controlled study.Obesity pillars · 2025Article
- Association Between Physical Fitness and Quality of Life in Children and Adolescents with Down Syndrome.Children (Basel, Switzerland) · 2025Article
- A study of the relationship and drivers between participation in sports program diversity and physical fitness.Scientific reports · 2025Article
- Body Composition, Fitness, and Mental Health in Preadolescent Children.JAMA network open · 2025Article
- Associations between physical fitness and different aspects of screen time in children and adolescents.Scientific reports · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNo 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.
methodsThe 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.
resultsThe 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.
conclusionsOur 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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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.