PMID- 30234348 OWN - NLM STAT- MEDLINE DCOM- 20181022 LR - 20201208 IS - 1930-7810 (Electronic) IS - 0278-6133 (Linking) VI - 37 IP - 10 DP - 2018 Oct TI - Physical activity and health-related quality of life in children and adolescents: A systematic review and meta-analysis. PG - 893-903 LID - 10.1037/hea0000653 [doi] AB - OBJECTIVE: The purpose of this study was to quantify the effect of physical activity (in both descriptive and intervention studies) on health-related quality of life (HRQOL) in children and adolescents from both healthy and chronic illness populations. METHOD: A systematic review of PubMed, PsycINFO, and ProQuest identified 33 studies of physical activity and HRQOL in youth, including descriptive and prepost intervention designs. RESULTS: In descriptive studies (N = 14), there was a small, positive association between physical activity and HRQOL based on child-reports (Hedges' g = .302, p < .001, 95% confidence interval, CI [.178, .426]) and a negligible association based on parent-proxy reports (Hedges' g = .115, p = .101, 95% CI [-.023, .253]). Intervention studies (N = 19) yielded a small, positive effect of physical activity intervention on HRQOL based on child-reports (Hedges' g = .279, p = .014, 95% CI [.057, .500]) and a medium, positive effect based on parent-proxy reports (Hedges' g = .522, p = .012, 95% CI [.117, .928]). Intervention effects were attenuated by removal of a single study. Hypothesized and exploratory moderators did not moderate the relationship between physical activity and HRQOL. CONCLUSIONS: Findings supported the primary hypothesis that physical activity was related to better HRQOL in youth, although the magnitude of these effects did not represent a minimal clinically important difference (MCID) in most studies. Future studies are needed to assess HRQOL in youth before and after exercise interventions to quantify the type, frequency, duration, and intensity of physical activity needed to change HRQOL. (PsycINFO Database Record CI - (c) 2018 APA, all rights reserved). FAU - Marker, Arwen M AU - Marker AM AD - Clinical Child Psychology Program, University of Kansas. FAU - Steele, Ric G AU - Steele RG AUID- ORCID: 0000-0002-1201-0770 AD - Clinical Child Psychology Program, University of Kansas. FAU - Noser, Amy E AU - Noser AE AD - Clinical Child Psychology Program, University of Kansas. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review PL - United States TA - Health Psychol JT - Health psychology : official journal of the Division of Health Psychology, American Psychological Association JID - 8211523 SB - IM MH - Adolescent MH - Child MH - Chronic Disease MH - Exercise/*psychology MH - Humans MH - *Psychology, Adolescent MH - *Psychology, Child MH - Quality of Life/*psychology EDAT- 2018/09/21 06:00 MHDA- 2018/10/23 06:00 CRDT- 2018/09/21 06:00 PHST- 2018/09/21 06:00 [entrez] PHST- 2018/09/21 06:00 [pubmed] PHST- 2018/10/23 06:00 [medline] AID - 2018-46854-001 [pii] AID - 10.1037/hea0000653 [doi] PST - ppublish SO - Health Psychol. 2018 Oct;37(10):893-903. doi: 10.1037/hea0000653.