Sports Health-A Multidisciplinary Approach最新文献

{"title":"Fatal Exertional Heat Stroke Trends in Secondary School Sports From 1982 Through 2022.","authors":"Rebecca L Stearns, Kristen L Kucera, Yuri Hosokawa, Erica M Filep, Aleksis Grace, Randi DeLong, Robert Cantu, Douglas J Casa","doi":"10.1177/19417381241298293","DOIUrl":"10.1177/19417381241298293","url":null,"abstract":"<p><strong>Background: </strong>Exertional heat stroke (EHS) is a leading cause of secondary school sport-related death; however, a longitudinal analysis on observed trends is lacking. Our purpose was to describe EHS deaths in United States secondary school athletes since the 1982/1983 academic year.</p><p><strong>Hypothesis: </strong>EHS deaths will be primarily represented by football athletes and have a stable or increasing trend across a decade-by-decade analysis.</p><p><strong>Study design: </strong>Descriptive epidemiology study.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>EHS deaths in secondary school sports from July 1, 1982 through June 30, 2022 captured in the National Center for Catastrophic Sports Injury Research database were included (n = 67). Chi-square test of goodness of fit (alpha = 0.05), incidence rate ratios, and 95% CIs of differences in number of deaths between the 4 decades are reported.</p><p><strong>Results: </strong>Of 67 deaths, 66 (98.5%) were male. Ages ranged from 13 to 18 years. Football accounted for 63 (94%) of deaths, with basketball (n = 2), soccer (n = 1), and track and field (n = 1) accounting for the remainder. The southern region had the largest number of deaths, n = 50 (74.6%). Most deaths occurred in August (n = 38), followed by July (n = 15) and September (n = 9). Stratified into 4 separate 10-year periods, the proportion of EHS deaths differed significantly across time (<i>χ</i>²(3, n = 67) = 8.72; <i>P</i> = 0.03). The period 2002-2011 had the highest number of EHS deaths (n = 26), 1982-1991 had 9, while both 1992-2011 and 2012-2021 had 16 deaths.</p><p><strong>Conclusion: </strong>The most recent decade shows a 38% reduction from the peak decade (2002-2011, n = 26), but remains similar to 1982-1991.</p><p><strong>Clinical relevance: </strong>Continued efforts are required to prevent catastrophic sport-related death due to EHS. Secondary school EHS deaths are overwhelmingly represented by football, most commonly in August, and in the south. This emphasizes the need for secondary schools to be equipped with basic tools and policies to saves lives.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381241298293"},"PeriodicalIF":2.7,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11635796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142815022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"Differences in Abdominal Muscle Thickness, Strength, and Endurance in Persons Who Are Runners, Active, and Inactive\".","authors":"","doi":"10.1177/19417381241303176","DOIUrl":"10.1177/19417381241303176","url":null,"abstract":"","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381241303176"},"PeriodicalIF":2.7,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11577323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Society News.","authors":"","doi":"10.1177/19417381241300103","DOIUrl":"10.1177/19417381241300103","url":null,"abstract":"","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"19417381241300103"},"PeriodicalIF":2.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary School Athletic Trainers' Perceptions of How Youth Sport Specialization Impacts Workload.","authors":"David R Bell, Madison N Renner, Mayrena I Hernandez, Kevin M Biese, Stephanie Adler, Emily Srygler","doi":"10.1177/19417381241231589","DOIUrl":"10.1177/19417381241231589","url":null,"abstract":"<p><strong>Background: </strong>Youth sport specialization is a growing trend in youth sports and is associated with an increased risk of injuries and burnout. However, it is unknown how sport specialization is perceived to be affecting the working environment of secondary school athletic trainers (ATs). The purpose of this paper is to describe how ATs perceive youth sport specialization impacting their workload and whether they perceive it to impact patient safety.</p><p><strong>Hypothesis: </strong>ATs will perceive that youth sport specialization impacts their workload and could impact patient safety.</p><p><strong>Study design: </strong>A sequential, explanatory mixed methods design with 2 phases: (1) cross-sectional surveys and (2) individual interviews.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>A total of 487 secondary school ATs completed the online survey (access rate, 8.4%; completion rate, 85.4%). The survey consisted of Likert questions and included sections about aspects of workload impacted by specialization, impacts on patient safety, demographics. Ten participants were selected to complete a semi-structured interview via video conference.</p><p><strong>Results: </strong>Approximately two-thirds of ATs perceive that sport specialization impacts their workload. (Somewhat, 38.6%; Quite a bit, 25.5%; A great deal, 5.5%) Attempts to reduce or modify patient activity and a patient's time for rehabilitation were the highest rated aspects of workload impacted by sport specialization. Approximately 30% ATs (29.9%) perceive that sport specialization impacts their workload to where it may influence patient safety (Somewhat, 21.6%; Quite a bit, 6.4%; A great deal, 1.9%). Three themes and subsequent subthemes were identified from the qualitative interviews: (1) current youth sport expectations, (2) conflict between school and club sports, and (3) AT job impacts.</p><p><strong>Conclusion: </strong>Secondary school ATs perceive their workload to be negatively impacted by youth sport specialization and some believe it may impact patient safety.</p><p><strong>Clinical relevance: </strong>Youth sport specialization is impacting youth sport stakeholders, including ATs, in a variety of ways.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"886-894"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing of Outcomes and Expectations After Knee Surgery in the US Military: A Systematic Review.","authors":"Benjamin G Adams, Daniel I Rhon, Kenneth L Cameron, Kristen L Zosel, Brittany R Hotaling, Richard B Westrick","doi":"10.1177/19417381231217449","DOIUrl":"10.1177/19417381231217449","url":null,"abstract":"<p><strong>Context: </strong>Knee injury and subsequent surgery are widespread in the military setting. Associations between knee surgery and expected outcomes over time have not been consolidated and characterized systematically by procedure type across the body of literature, and the temporal expectations of these outcomes remain unclear.</p><p><strong>Objective: </strong>To summarize common postoperative follow-up times and associated outcomes that determine clinical or surgical failure in US service members after elective knee surgery.</p><p><strong>Data sources: </strong>A systematic search was conducted with 3 bibliographic databases of published research reports from 2010 through 2021.</p><p><strong>Study selection: </strong>Studies in US military service members undergoing elective knee surgery, with a minimum of 1-year follow-up, and reporting on a functional/occupational outcome were included. Three reviewers screened all abstracts and full-text articles to determine eligibility.</p><p><strong>Study design: </strong>Systematic review of longitudinal cohort studies.</p><p><strong>Level of evidence: </strong>Level 2a.</p><p><strong>Data extraction: </strong>Extracted data included military demographics, surgical procedure variables, surveillance period, and outcome measures. The Newcastle-Ottawa Scale and the Grading of Recommendations Assessment, Development, and Evaluation approach were used to determine study quality and risk of bias.</p><p><strong>Results: </strong>A total of 22 studies (mean follow-up time of 40.7 months) met the inclusion criteria. For cruciate ligament repair, approximately one-third of patients required a second surgery or were medically separated from military service by 2 years from surgery; 100% were reinjured by 4 years, and 85% sustained a new injury within 5 years of surgery. For meniscal repair, nearly one-third of patients were medically separated, and half were placed on activity restrictions within 3 years of surgery. For articular cartilage repair, within 5 years, 39% of patients required a second surgery, 30% were placed on activity restrictions, and 36% were medically separated. For patellar repair, 37% of patients were medically separated and over half were placed on activity restrictions within 5 years.</p><p><strong>Conclusion: </strong>Common knee surgeries can have long-term implications for military careers that may not become apparent with shorter follow-up periods (<2 years). When longer surveillance periods are used (eg, up to 5 years), additional surgical procedures are more common and the likelihood of being injured or medically separated from military service is higher.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"1009-1020"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity of the Star Excursion Balance Test for Evaluating Dynamic Balance of Upper Extremities.","authors":"Qi-Hao Yang, Yong-Hui Zhang, Shu-Hao Du, Yu-Chen Wang, Hao-Ran Xu, Ji-Wei Chen, Yuan Mao, Xue-Qiang Wang","doi":"10.1177/19417381231221716","DOIUrl":"10.1177/19417381231221716","url":null,"abstract":"<p><strong>Background: </strong>Upper extremity (UE) dynamic balance is a significant physical fitness ability, which includes high-level neuromuscular proprioception, joint mobility, force, and coordination. The evaluation methods of UE dynamic balance are insufficient and lack experimental support. The Star Excursion Balance Test (SEBT) is a reliable assessment of dynamic balance and injury risk of the lower extremity.</p><p><strong>Hypothesis: </strong>The UE-SEBT is a reliable and reproducible approach for evaluating dynamic balance of UEs.</p><p><strong>Study design: </strong>Observational study.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>This cross-sectional study recruited 65 healthy adults. All participants were required to complete UE-SEBT, UE Y-balance test (UE-YBT), maximal voluntary isometric contraction (MVIC) of UE, closed kinetic chain UE stability test (CKCUEST), trunk flexor endurance test (TFET), trunk extensor endurance test (TEET), and lateral trunk endurance test (LTET). Intra- and inter-rater reliability and the correlation of UE-SEBT with other outcomes were measured.</p><p><strong>Results: </strong>Among the participants, the intra- and interoperator reliability of UE-SEBT in all directions and composite score achieved a moderate-to-excellent (intraclass correlation coefficients [ICC], 0.729-0.946) reliability. For validity, the UE-SEBT had a moderate to very strong correlation with UE-YBT (<i>r</i> = 0.315-0.755, <i>P</i> < 0.01) and a strong correlation with CKCUEST (<i>r</i> = 0.4-0.67, <i>P</i> < 0.01). Furthermore, the UE-SEBT performance showed weak-to-strong correlations with MVIC (<i>r</i> = 0.26-0.43, <i>P</i> < 0.05). UE-SEBT was also correlated with LTET, TEET, and TFET to varying degrees.</p><p><strong>Conclusion: </strong>UE-SEBT has good reliability and validity to assess UE dynamic balance compared with other tests.</p><p><strong>Clinical relevance: </strong>UE-SEBT can be used as a clinical assessment method to evaluate UE dynamic balance and injury prevention.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"923-930"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139479175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Higher Eccentric Hamstring Muscle Fatigue After Participation in a Soccer Match in Young Female Athletes.","authors":"Sebastiano Nutarelli, Jacopo Emanuele Rocchi, Manuela Salerno, Alessandro Sangiorgio, Luca Deabate, Giuseppe Filardo","doi":"10.1177/19417381241230613","DOIUrl":"10.1177/19417381241230613","url":null,"abstract":"<p><strong>Background: </strong>Hamstring (HS) strength deficits and imbalances have been identified as risk factors for sustaining anterior cruciate ligament (ACL) injuries and muscular strains, with HS injuries being the most prevalent muscle injuries in soccer athletes. The aim of this study was to investigate HS eccentric strength before and after a soccer match in both male and female soccer athletes.</p><p><strong>Hypothesis: </strong>Soccer athletes have changes in eccentric HS strength after a soccer game.</p><p><strong>Study design: </strong>Cohort observational study.</p><p><strong>Level of evidence: </strong>Level 3.</p><p><strong>Methods: </strong>HS eccentric strength (mean and absolute peak torque and total work) was measured in 64 healthy male and female competitive football athletes (14-25 years) with an automatic device during the execution of the Nordic hamstring exercise (NHE) test before and after a 90-minute soccer match. The anterior-knee laxity (AKL) was quantified with an arthrometer.</p><p><strong>Results: </strong>Mean and absolute eccentric HS peak torque decreased by 24.5 N.m (-12.34%; <i>P</i> < 0.01) and 21.9 N.m (-10.08%; <i>P</i> < 0.01) in female athletes, whereas their male peers improved by 19.9 N.m (+9.01%; <i>P</i> = 0.01) and by 20.9 N.m (+8.51%; <i>P</i> = 0.02), respectively. HS total work in female athletes decreased by 831.1 J (<i>P</i> < 0.01) compared with the male athlete reduction of 235.3 J. Both the pre- versus postmatch intersex mean and absolute eccentric HS peak torque changes were significant (<i>P</i> < 0.01), as were the changes in HS total work (<i>P</i> < 0.01). The pre- versus postmatch AKL difference and the dominant versus nondominant limb comparison of the strength parameters were not significantly different. Younger female athletes (14-19 years old) presented a greater decrease in mean and absolute peak HS eccentric strength compared with those in older female athletes and men.</p><p><strong>Conclusion: </strong>HS eccentric strength and work differ based on athlete sex, as measured by the NHE test. Mean peak, absolute peak, and total work showed greater reductions in female athletes than those in their male peers. The subgroup of 14- to 19-year-old female athletes experienced the highest reduction in strength parameters.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"903-912"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Differences in Knee Extensor Neuromuscular Function in Individuals With and Without Patellofemoral Pain.","authors":"Sungwan Kim, Neal R Glaviano, Jihong Park","doi":"10.1177/19417381231209318","DOIUrl":"10.1177/19417381231209318","url":null,"abstract":"<p><strong>Background: </strong>Impaired knee extensor neuromuscular function has been frequently observed in individuals with patellofemoral pain (PFP); however, few researchers have aimed to understand the influence of sex on knee extensor neuromuscular function in this pathological population. The authors aimed to determine whether there are differences in knee extensor neuromuscular function between sexes in individuals with and without PFP.</p><p><strong>Hypothesis: </strong>Women with PFP would exhibit greater deficits in knee extensor neuromuscular function than men with PFP, compared with sex-matched individuals without PFP.</p><p><strong>Study design: </strong>Cross-sectional, case-control study.</p><p><strong>Level of evidence: </strong>Level 4.</p><p><strong>Methods: </strong>A total of 110 individuals were classified into 4 groups: women with PFP (n = 25); men with PFP (n = 30); women without PFP (n = 25); and men without PFP (n = 30). Knee extensor strength (isometric peak torque [PT]), activation (central activation ratio), early, late, and total phase rate of torque development (RTD_0-100, RTD_100-200, and RTD_20-80%), and endurance (isokinetic average PT) were assessed using an isokinetic dynamometer. Group differences were assessed using a 2-way multivariate analysis of variance (sex by PFP).</p><p><strong>Results: </strong>Both women and men with PFP exhibited lower knee extensor strength, activation, early, late, and total phase RTD, and endurance versus sex-matched individuals without PFP (<i>P</i> < 0.05 for all comparisons). Women with PFP exhibited lower early phase (7.91 ± 2.02 versus 9.78 ± 2.43 N·m/s/kg; <i>P</i> < 0.01; Cohen <i>d</i> = 0.83), late phase (5.34 ± 1.02 versus 7.28±2.28 N·m/s/kg; <i>P</i> < 0.01; Cohen <i>d</i> = 1.37), and total phase (7.40 ± 2.57 versus 8.72 ± 2.57 N·m/s/kg; <i>P</i> = 0.03; Cohen <i>d</i> = 0.51) RTD than men with PFP.</p><p><strong>Conclusion: </strong>Compared with sex-matched pain-free individuals, women with PFP displayed lower RTD than men with PFP. Clinicians should note that among individuals with PFP, women are more likely to experience a greater impairment in their knee extensor torque-generating capacity than men.</p><p><strong>Clinical relevance: </strong>Additional treatment strategies that effectively improve the ability to rapidly generate torque should be developed and implemented, especially when treating women with PFP.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"1000-1008"},"PeriodicalIF":4.6,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531066/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136400250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marketing of Unproven and Unapproved Regenerative Medicine Therapy From the Perspective of Developing Countries.","authors":"Arben Boshnjaku, Ermira Krasniqi","doi":"10.1177/19417381241287764","DOIUrl":"10.1177/19417381241287764","url":null,"abstract":"","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":"16 6","pages":"875"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Physical Activity Interventions Effective in Improving Health-Related Quality of Life in Children and Adolescents? A Systematic Review and Meta-Analysis.","authors":"Alberto Bermejo-Cantarero, Mairena Sánchez-López, Celia Álvarez-Bueno, Andres Redondo-Tébar, Antonio García-Hermoso, Vicente Martínez-Vizcaino","doi":"10.1177/19417381231190885","DOIUrl":"10.1177/19417381231190885","url":null,"abstract":"<p><strong>Context: </strong>Physical activity (PA) interventions improve well-being and positive mental health in children and adolescents, but the results of previous systematic reviews included participants with chronic medical conditions and did not accurately assess the multidimensional nature of health-related quality of life (HRQoL).</p><p><strong>Objective: </strong>The aims of this meta-analysis were to (1) evaluate the effects of PA interventions on several domains of HRQoL in healthy <18-year-olds and (2) examine the effectiveness of interventions on HRQoL according to whether they were successful in increasing PA, the type of intervention delivered, and the duration of the intervention.</p><p><strong>Data sources: </strong>PubMed (Medline), EMBASE, the Cochrane Library, SCIELO, SPORTDiscus, and PEDro databases were systematically searched from inception to September 30, 2022.</p><p><strong>Study selection: </strong>Experimental studies that examined the effectiveness of PA interventions on HRQoL participants aged <18 years.</p><p><strong>Study design: </strong>Systematic review with meta-analysis and meta-regression.</p><p><strong>Level of evidence: </strong>Level 1.</p><p><strong>Methods: </strong>Random-effects models were used to calculate pooled effect size (ES) for total HRQoL score and its dimensions. Subgroup analyses were conducted to examine the effect of PA program characteristics.</p><p><strong>Results: </strong>A total of 17 studies were included. Pooled ES (95% CI) estimations were as follows: 0.179 (0.045, 0.002) for total HRQoL score, 0.192 (0.077, 0.306) for physical well-being, 0.158 (0.080, 0.237) for psychological well-being, 0.118 (0.044, 0.192) for autonomy and parent relation, 0.135 (0.043, 0.227) for social support and peers, and 0.129 (-0.013, 0.270) for school environment. Subgroup analyses suggested there were no differences in the effectiveness of the interventions by category of PA increase or by type and duration of intervention.</p><p><strong>Conclusion: </strong>Exercise interventions are an effective strategy for improving overall HRQoL and its most significant domains in children and adolescents.</p>","PeriodicalId":54276,"journal":{"name":"Sports Health-A Multidisciplinary Approach","volume":" ","pages":"877-885"},"PeriodicalIF":2.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11531020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}