Interplay between sex, age, BMI, health-related quality of life, and coping strategies in amateur and professional athletes

Background/ObjectivesThe psychological well-being of athletes has garnered increasing interest due to its strong association with physical performance. While somatic indicators such as Body Mass Index (BMI) are routinely monitored in sports, the role of psychological resources—especially coping stra...

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Main Authors: Walter Sapuppo, Davide Giacconi, Antonietta Monda, Antonietta Messina, Daniele Saccenti, Claudia Maria Mineo, Maria Casillo, Salvatore Allocca, Giovanni Michelini, Regina Gregori Grgič, Vincenzo Monda, Jacopo Lamanna, Mattia Ferro, Girolamo Di Maio, Marcellino Monda, Marco La Marra
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Physiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2025.1626037/full
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author Walter Sapuppo
Walter Sapuppo
Walter Sapuppo
Davide Giacconi
Davide Giacconi
Antonietta Monda
Antonietta Messina
Daniele Saccenti
Claudia Maria Mineo
Claudia Maria Mineo
Maria Casillo
Salvatore Allocca
Giovanni Michelini
Giovanni Michelini
Regina Gregori Grgič
Vincenzo Monda
Jacopo Lamanna
Mattia Ferro
Girolamo Di Maio
Marcellino Monda
Marco La Marra
author_facet Walter Sapuppo
Walter Sapuppo
Walter Sapuppo
Davide Giacconi
Davide Giacconi
Antonietta Monda
Antonietta Messina
Daniele Saccenti
Claudia Maria Mineo
Claudia Maria Mineo
Maria Casillo
Salvatore Allocca
Giovanni Michelini
Giovanni Michelini
Regina Gregori Grgič
Vincenzo Monda
Jacopo Lamanna
Mattia Ferro
Girolamo Di Maio
Marcellino Monda
Marco La Marra
author_sort Walter Sapuppo
collection DOAJ
description Background/ObjectivesThe psychological well-being of athletes has garnered increasing interest due to its strong association with physical performance. While somatic indicators such as Body Mass Index (BMI) are routinely monitored in sports, the role of psychological resources—especially coping strategies—in shaping Health-Related Quality of Life (HRQoL) remains underexplored. This study aimed to investigate the influence of psychological and physical factors on HRQoL among amateur and professional athletes, controlling for sex, age, and BMI.MethodsA cross-sectional design was adopted, involving 537 athletes (326 males, 211 females; mean age = 32.44, SD = 13.64), aged 18–76 years. Participants were recruited via online platforms and sports organizations and completed a battery of self-report questionnaires, including the SF-36 to assess HRQoL and the COPE-NVI-25 to evaluate coping strategies. BMI was calculated from self-reported height and weight. Hierarchical multiple regression analyses were performed to assess the relative contributions of demographic, anthropometric, and psychological variables to HRQoL.ResultsDemographic variables and BMI explained a limited proportion of the variance in HRQoL. In contrast, coping strategies significantly contributed to HRQoL outcomes, accounting for up to 22.5% of the variance in the global SF-36 score. Positive attitude and social support were associated with better physical and mental health, while avoidance strategies showed consistent negative associations across all HRQoL dimensions.ConclusionAdaptive coping strategies, particularly positive attitude and social support, play a pivotal role in enhancing athletes’ HRQoL, surpassing the influence of BMI, sex, and age. These findings support the development of tailored psychological interventions to foster athlete wellbeing across competitive levels.
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spelling doaj-art-d0a1e149bf4240eb849a4f0f91ba76892025-08-20T03:24:21ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2025-06-011610.3389/fphys.2025.16260371626037Interplay between sex, age, BMI, health-related quality of life, and coping strategies in amateur and professional athletesWalter Sapuppo0Walter Sapuppo1Walter Sapuppo2Davide Giacconi3Davide Giacconi4Antonietta Monda5Antonietta Messina6Daniele Saccenti7Claudia Maria Mineo8Claudia Maria Mineo9Maria Casillo10Salvatore Allocca11Giovanni Michelini12Giovanni Michelini13Regina Gregori Grgič14Vincenzo Monda15Jacopo Lamanna16Mattia Ferro17Girolamo Di Maio18Marcellino Monda19Marco La Marra20Department of Psychology, Sigmund Freud University Wien, Milan, ItalyStudi Cognitivi, Cognitive Psychotherapy School and Research Center, Milan, ItalyDepartment of Psychology, INSPIRE Lab, Sigmund Freud University Wien, Milan, ItalyDepartment of Psychology, Sigmund Freud University Wien, Milan, ItalyDepartment of Psychology, INSPIRE Lab, Sigmund Freud University Wien, Milan, ItalyDepartment of Human Science and Quality of Life Promotion, San Raffaele Telematic University, Rome, ItalyDepartment of Precision Medicine, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment of Psychology, Sigmund Freud University Wien, Milan, ItalyDepartment of Psychology, Sigmund Freud University Wien, Milan, ItalyDepartment of Psychology, INSPIRE Lab, Sigmund Freud University Wien, Milan, ItalyDepartment of Experimental Medicine, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment of Experimental Medicine, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment of Psychology, Sigmund Freud University Wien, Milan, ItalyDepartment of Disabilities, Fondazione Istituto Ospedaliero di Sospiro, Sospiro, ItalyDepartment of Psychology, Sigmund Freud University Wien, Milan, ItalyDepartment of Economics, Law, Cybersecurity, and Sports Sciences, University of Naples “Parthenope”, Naples, ItalyFaculty of Psychology, Vita-Salute San Raffaele University, Milan, ItalyDepartment of Psychology, Sigmund Freud University Wien, Milan, Italy0Department of Psychology and Health Sciences, Pegaso Telematic University, Naples, ItalyDepartment of Experimental Medicine, University of Campania “Luigi Vanvitelli”, Naples, ItalyDepartment of Experimental Medicine, University of Campania “Luigi Vanvitelli”, Naples, ItalyBackground/ObjectivesThe psychological well-being of athletes has garnered increasing interest due to its strong association with physical performance. While somatic indicators such as Body Mass Index (BMI) are routinely monitored in sports, the role of psychological resources—especially coping strategies—in shaping Health-Related Quality of Life (HRQoL) remains underexplored. This study aimed to investigate the influence of psychological and physical factors on HRQoL among amateur and professional athletes, controlling for sex, age, and BMI.MethodsA cross-sectional design was adopted, involving 537 athletes (326 males, 211 females; mean age = 32.44, SD = 13.64), aged 18–76 years. Participants were recruited via online platforms and sports organizations and completed a battery of self-report questionnaires, including the SF-36 to assess HRQoL and the COPE-NVI-25 to evaluate coping strategies. BMI was calculated from self-reported height and weight. Hierarchical multiple regression analyses were performed to assess the relative contributions of demographic, anthropometric, and psychological variables to HRQoL.ResultsDemographic variables and BMI explained a limited proportion of the variance in HRQoL. In contrast, coping strategies significantly contributed to HRQoL outcomes, accounting for up to 22.5% of the variance in the global SF-36 score. Positive attitude and social support were associated with better physical and mental health, while avoidance strategies showed consistent negative associations across all HRQoL dimensions.ConclusionAdaptive coping strategies, particularly positive attitude and social support, play a pivotal role in enhancing athletes’ HRQoL, surpassing the influence of BMI, sex, and age. These findings support the development of tailored psychological interventions to foster athlete wellbeing across competitive levels.https://www.frontiersin.org/articles/10.3389/fphys.2025.1626037/fullhealth-related quality of lifecoping strategiesathletesBody Mass Indexphysical activityamateur and professional sports
spellingShingle Walter Sapuppo
Walter Sapuppo
Walter Sapuppo
Davide Giacconi
Davide Giacconi
Antonietta Monda
Antonietta Messina
Daniele Saccenti
Claudia Maria Mineo
Claudia Maria Mineo
Maria Casillo
Salvatore Allocca
Giovanni Michelini
Giovanni Michelini
Regina Gregori Grgič
Vincenzo Monda
Jacopo Lamanna
Mattia Ferro
Girolamo Di Maio
Marcellino Monda
Marco La Marra
Interplay between sex, age, BMI, health-related quality of life, and coping strategies in amateur and professional athletes
Frontiers in Physiology
health-related quality of life
coping strategies
athletes
Body Mass Index
physical activity
amateur and professional sports
title Interplay between sex, age, BMI, health-related quality of life, and coping strategies in amateur and professional athletes
title_full Interplay between sex, age, BMI, health-related quality of life, and coping strategies in amateur and professional athletes
title_fullStr Interplay between sex, age, BMI, health-related quality of life, and coping strategies in amateur and professional athletes
title_full_unstemmed Interplay between sex, age, BMI, health-related quality of life, and coping strategies in amateur and professional athletes
title_short Interplay between sex, age, BMI, health-related quality of life, and coping strategies in amateur and professional athletes
title_sort interplay between sex age bmi health related quality of life and coping strategies in amateur and professional athletes
topic health-related quality of life
coping strategies
athletes
Body Mass Index
physical activity
amateur and professional sports
url https://www.frontiersin.org/articles/10.3389/fphys.2025.1626037/full
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