身体活动改善儿童青少年健康相关生活质量Meta分析

刘善杰; 李改; 宋云峰; 欧阳灵青; 徐驰

doi:10.16835/j.cnki.1000-9817.2025192

身体活动改善儿童青少年健康相关生活质量Meta分析

doi: 10.16835/j.cnki.1000-9817.2025192

1.
国家体育总局运动员科学选材及机能评定重点实验室(湖北省体育科学研究所)，武汉 430205
2.
华中师范大学体育学院

基金项目:

湖北省自然科学基金体育创新发展联合基金项目 2025AFD668

中央高校基本科研业务费专项资金项目 CCNU23CS035

详细信息

作者简介:
刘善杰(1998-)，男，山东济南人，硕士，研究实习员，主要研究方向为运动心理学

通讯作者:
徐驰，E-mail：44666108@qq.com

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G806 G479
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- 被引次数: 0
出版历程
- 收稿日期: 2025-03-20
- 修回日期: 2025-04-15
- 网络出版日期: 2025-07-04
- 刊出日期: 2025-06-25

Meta-analysis of physical activity on the improvement of health-related quality of life among children and adolescents

1.
Key Laboratory of Selection and Functional Assessment of Athletes, General Administration of Sport (Hubei Institute of Sports Science), Wuhan (430205), Hubei Province, China

摘要

摘要: 目的系统评价身体活动(PA)对儿童青少年健康相关生活质量(HRQoL)的影响及其关联程度，为优化儿童青少年健康促进策略提供循证依据。方法检索Medline(PubMed)、EMBASE、the Cochrane Library、SCIELO、PEDro、中国知网、万方和维普数据库，收集建库至2025年1月1日关于儿童青少年PA与HRQoL的文献。根据Cochrane ROB工具及特定评价体系评估文献质量，Stata 16.0软件用于Meta分析。描述性研究采用相关值(r)及95%置信区间(CI)为效应指标，借助倒方差法进行合并，标准化均数差(SMD)和95%CI计算干预性研究的合并效应量。结果共纳入22篇文献(27 303名健康儿童青少年)，包括9篇描述性研究和13篇干预性研究。描述性研究分析结果显示，PA水平与HRQoL呈正相关(r=0.27，95%CI=0.21~0.32，P＜0.01)。干预性研究分析表明，PA对总体HRQoL(SMD=0.10，95%CI=0.05~0.16)、生理功能(SMD=0.16，95%CI=0.08~0.23)和心理功能(SMD=0.17，95%CI=0.10~0.25)均有改善效果(P值均＜0.01)。亚组分析发现，身体活动对儿童青少年总体HRQoL、生理功能和心理功能方面的影响，在干预时长＜6个月(SMD值分别为0.13，0.18，0.20)、频率≥5次/周(SMD值分别为0.13，0.19，0.24)、有补充方案(SMD值分别为0.10，0.18，0.23)时达到改善效益最大化(P值均＜0.01)。结论 PA是影响健康儿童青少年HRQoL的重要因素，系统化的PA干预对提升HRQoL具有促进作用。
- 运动活动 /
- 生活质量 /
- 健康促进 /
- Meta分析 /
- 儿童 /
- 青少年
Abstract: Objective To systematically review the effect of physical activity (PA) on health-related quality of life (HRQoL) among children and adolescents and the magnitude of association, so as to provide an evidence-based support for optimizing health promotion strategies for children and adolescents. Methods Medline (PubMed), EMBASE, the Cochrane Library, SCIELO, PEDro, CNKI, Wanfang and VIP databases were searched to collect literature on PA and HRQoL in children and adolescents, which were published up to January 1, 2025. Cochrane ROB tool and specific evaluation system were used to assess literature quality, Stata 16.0 software was used for Meta-analysis. For descriptive studies, correlation(r) and 95% confidence interval(CI) were used as effect indicators, and the inverse variance method was used to merge the data. Standardized mean difference(SMD) and 95%CI were used to calculate the combined effect size of intervention studies. Results A total of 22 studies involving 27 303 healthy children and adolescents were included, including 9 descriptive studies and 13 intervention studies. The results of descriptive analysis showed that PA level was positively correlated with HRQoL (r=0.27, 95%CI=0.21-0.32, P < 0.01). The analysis of intervention studies showed that PA had significant effects on overall HRQoL (SMD=0.10, 95%CI=0.05-0.16), physical functioning (SMD=0.16, 95%CI=0.08-0.23), and mental functioning (SMD=0.17, 95%CI=0.10-0.25)(P < 0.01). Subgroup analysis found that the effects of physical activity on overall HRQoL, physiological function, and psychological function in children and adolescents were maximized when the intervention duration was less than 6 months (SMD=0.13, 0.18, 0.20), the frequency was≥5 times per week (SMD=0.13, 0.19, 0.24) and there was a supplementary plan(SMD=0.10, 0.18, 0.23)(P < 0.01). Conclusion PA is an important factor affecting the HRQoL of healthy children and adolescents, and the systematic PA intervention has a effect on improving the HRQoL.
- Motor activity /
- Quality of life /
- Health promotion /
- Meta-analysis /
- Child /
- Adolescent
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

图 1 儿童青少年PA与HRQoL关系

Figure 1. Relationship between PA and HRQoL among children and adolescents

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图 2 PA对儿童青少年总体HRQoL影响

Figure 2. Effect of PA on overall HRQoL of children and adolescents

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图 3 PA对儿童青少年生理功能影响

Figure 3. Effect of PA on physiological functioning among children and adolescents

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图 4 PA对儿童青少年心理功能影响

Figure 4. Effect of PA on mental functioning of children and adolescents

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