Cited by 512Physical Activity and HealthObesity, Physical Activity, DietChildren's Physical and Motor Development

Is muscular fitness associated with future health benefits in children and adolescents? A systematic review and meta-analysis of longitudinal studies

García-Hermoso, Antonio, Ramírez-Campillo, Rodrigo, Izquierdo, Mikel·2019·Sports Medicine

Abstract

Background No previous systematic review has quantitatively examined the association between muscular fitness during childhood and adolescence and health parameters later in life.Objective The aim was to systematically review and meta-analyze the current evidence for a prospective association between muscular fitness in childhood and adolescence and future health status.Methods Two authors systematically searched MEDLINE, EMBASE and SPORTDiscus electronic databases and conducted manual searching of reference lists of selected articles. Relevant articles were identified by the following criteria: apparently healthy children and adolescents aged 3-18 years with muscular fitness assessed at baseline (e.g., handgrip, standing long jump, sit-ups, among others), and a follow-up period of ≥ 1 year. The outcome measures were anthropometric and adiposity measurements and cardiometabolic, bone and musculoskeletal health parameters. Two authors independently extracted data.Results Thirty studies were included in the meta-analysis, yielding a total of 21,686 participants. The meta-analysis found a significant, moderate-large (p < 0.05) effect size between muscular fitness at baseline and body mass index (r = - 0.14; 95% confidence interval (CI) - 0.21 to - 0.07), skinfold thickness (r = - 0.32; 95% CI - 0.40 to - 0.23), homeostasis model assessment estimated insulin resistance (r = - 0.10; 95% CI - 0.16 to - 0.05), triglycerides (r = - 0.22; 95% CI - 0.30 to - 0.13), cardiovascular disease risk score (r = - 0.29; 95% CI - 0.39 to - 0.18), and bone mineral density (r = 0.166; 95% CI 0.086 to 0.243) at follow-up.Conclusion A prospective negative association was observed between muscular fitness in childhood/adolescence and adiposity and cardiometabolic parameters in later life, together with a positive association for bone health. There is inconclusive evidence for low back pain benefits.

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Crossref · 10.1007/s40279-019-01098-6

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  • Children and adolescents with better muscular fitness (eg, gained through exercises involving hand grip, standing, long jump and sit-ups) were shown to have better health outcomes (ie, lower levels of BMI and body fat, improvement in insulin resistance and lower levels of cardiovascular disease risk) in later life.

    “Children and adolescents with better muscular fitness (eg, gained through exercises involving hand grip, standing, long jump and sit-ups) were shown to have better health outcomes (ie, lower levels of BMI and body fat, improvement in insulin resistance and lower levels of cardiovascular disease risk) in later life.68”

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Authors
García-Hermoso, A., Ramírez-Campillo, R., & Izquierdo, M.
Venue
Sports Medicine
Published
2019-04-05
Volume
49
Issue
7
Pages
1079-1094
ISSN
  • 0112-1642 (ISSN-L)
  • 1179-2035
OpenAlex
W2935554824
Cited by
512
References
82
Citations by year
2026: 45 · 2025: 56 · 2024: 81 · 2023: 75 · 2022: 90 · 2021: 93 · 2020: 57 · 2019: 14 · 2018: 1
FWCI
7.46
Type
journal article
Language
en
Open access
closed
Locations
  • Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Academica-e (Universidad Pública de Navarra) (acceptedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
Keywords
muscular fitness, childhood, adolescence, body mass index, adiposity, cardiometabolic health, insulin resistance, triglycerides, cardiovascular risk, bone mineral density, musculoskeletal health, low back pain, grip strength, sit-ups, standing long jump, skinfold thickness
MeSH terms
Adolescent, Anthropometry, Child, Health Status, Humans, Physical Fitness, Bone Density, Body Mass Index, Adiposity, Muscle Strength

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