The influence of body mass index on physical activity engagement following anterior cruciate ligament reconstruction: A systematic literature review

Srdjan Ninkovic; Marko Manojlovic; Roberto Roklicer; Antonino Bianco; Attilio Carraro; Radenko Matic; Tatjana Trivic; Patrik Drid

Heliyon (Dec 2023)

The influence of body mass index on physical activity engagement following anterior cruciate ligament reconstruction: A systematic literature review

Srdjan Ninkovic,
Marko Manojlovic,
Roberto Roklicer,
Antonino Bianco,
Attilio Carraro,
Radenko Matic,
Tatjana Trivic,
Patrik Drid

Affiliations

Srdjan Ninkovic: Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia; Department of Orthopedic Surgery and Traumatology, Clinical Center of Vojvodina, Novi Sad, Serbia
Marko Manojlovic: Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
Roberto Roklicer: Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia; Faculty of Education, Free University of Bozen-Bolzano, Brixen-Bressanone, Italy
Antonino Bianco: Sport and Exercise Sciences Research Unit, University of Palermo, Palermo, Italy
Attilio Carraro: Faculty of Education, Free University of Bozen-Bolzano, Brixen-Bressanone, Italy
Radenko Matic: Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
Tatjana Trivic: Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
Patrik Drid: Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia; Corresponding author.

Journal volume & issue: Vol. 9, no. 12
p. e22994

Abstract

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Background: The objective of this study was to summarize available literature that explored the impact of body mass index (BMI) on physical activity participation among individuals who were subjected to the anterior cruciate ligament reconstruction (ACLR). Methods: A total of three electronic databases, including Web of Science, Scopus, and PubMed, were comprehensively searched to identify relevant investigations. The following inclusion criteria were applied: (1) study design was observational; (2) participants underwent the ACLR; (3) BMI was estimated as a predictor variable; and (4) outcomes evaluated referred to physical activity. The risk of bias was assessed with the National Institutes of Health Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Results: After a database search, 787 studies were found, and only 10 of them met each of the eligibility criteria and were included in the qualitative analysis. Regarding respondents' characteristics, 7171 individuals underwent ACLR, 4080 males and 3091 females, with a mean age of 25.5 years. Most importantly, the average BMI of the examined population was 24.9 kg/m2. In all studies, physical activity was evaluated subjectively using the Tegner activity scale and the Marx activity scale. The main findings unambiguously demonstrated that a negative relationship between BMI and physical activity engagement was observed. More specifically, there is convincing evidence that BMI over 25 kg/m2 harmfully affected subjectively assessed physical activity in individuals with a history of ACLR. Conclusion: The results obtained in the presented research indicated that increased values of BMI were a factor that correlated with reduced physical activity levels in the ACLR population. Hence, taking into account the clinical and health implications of reduced physical activity participation, stimulation of a healthy lifestyle, such as a combination of adequately designed physical exercise and nutrition, seems necessary for the analyzed population.

Published in Heliyon

ISSN: 2405-8440 (Online)
Publisher: Elsevier
Country of publisher: United Kingdom
LCC subjects: Science: Science (General); Social Sciences: Social sciences (General)
Website: https://www.cell.com/heliyon/home

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