Effects of aerobic exercise on executive function in children and adolescents with attention deficit hyperactivity disorder: a systematic review and meta-analysis of randomized controlled trials.

IF 2.8 3区 医学 Q1 REHABILITATION
Pengfei Wang, Fengshuo Rao, Zikang Xu, Kailin Xing, Yuhang Gao, Dong Li
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引用次数: 0

Abstract

Background: The benefits of aerobic exercise on the executive function of children and adolescents have been confirmed to a certain extent. However, the effects of such interventions on the executive function of children and adolescents with attention deficit hyperactivity disorder (ADHD) require further exploration. This study is a systematic review of randomized controlled trials (RCTs) of aerobic exercise interventions for children and adolescents with ADHD, aiming to provide valuable intervention suggestions to enhance the executive function of children and adolescents with ADHD.

Method: A comprehensive search was conducted across multiple databases, including PubMed, Web of Science, EMbase, Cochrane Library, ProQuest, Scopus, CNKI, Wanfang, and VIP databases, to identify relevant RCTs. We established detailed inclusion and exclusion criteria, followed by literature screening, data extraction, quality assessment, and data analysis conducted by two independent researchers. Literature screening was performed using EndNote X9. Risk of bias assessment (RoB1) and meta-analysis were conducted using Review Manager 5.4. Network meta-analysis was performed using Stata 17.0.

Results: A total of 16 studies were included in the analysis, involving 668 participants diagnosed with ADHD, including 343 in the experimental group and 325 in the control group. The age range of the participants was between 6 and 18 years. The results of the meta-analysis show that aerobic exercise interventions have a moderate effect size positive impact on inhibitory control (SMD = - 0.69, 95% CI: -1.04, - 0.34, p < 0.05), working memory (SMD = - 0.52, 95% CI: -0.82, - 0.21, p < 0.05), and cognitive flexibility (SMD = - 0.64, 95% CI: -0.83, - 0.45, p < 0.05) in children and adolescents with ADHD. Subgroup analyses indicate that the effectiveness of aerobic exercise interventions is moderated by factors such as intervention period, frequency, session duration, intensity and the choice between acute or chronic exercise. The results of the network meta-analysis showed that ball-based aerobic exercise [SMD = - 1.00, 95% CI = (- 1.98, - 0.03)] performed the best in improving inhibitory control among children and adolescents with ADHD, with a SUCRA value of 65.1%. It is important to note that most of the measurement tools for executive function employed reaction time as the evaluation criterion, which means that a more negative effect size corresponds to greater improvement.

Conclusion: Aerobic exercise interventions can significantly improve the executive functions of children and adolescents with ADHD. To achieve the best intervention effects, it is recommended to engage in chronic aerobic exercise, with a period lasting no less than 12 weeks, scheduled 3 to 5 times per week, each session lasting 60 min or more, and maintaining intensity at moderate or moderate-to-vigorous levels. Additionally, different types of aerobic exercise have varying effects on the inhibitory control abilities of this population, which requires attention.

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有氧运动对儿童和青少年注意缺陷多动障碍执行功能的影响:随机对照试验的系统回顾和荟萃分析。
背景:有氧运动对儿童和青少年执行功能的益处已在一定程度上得到证实。然而,这些干预措施对儿童和青少年注意缺陷多动障碍(ADHD)执行功能的影响需要进一步探索。本研究对有氧运动干预儿童青少年ADHD的随机对照试验(RCTs)进行系统综述,旨在为提高儿童青少年ADHD的执行功能提供有价值的干预建议。方法:综合检索PubMed、Web of Science、EMbase、Cochrane Library、ProQuest、Scopus、CNKI、万方、VIP等数据库,筛选相关rct。我们建立了详细的纳入和排除标准,然后由两位独立的研究人员进行文献筛选、数据提取、质量评估和数据分析。使用EndNote X9进行文献筛选。使用Review Manager 5.4进行偏倚风险评估(RoB1)和meta分析。使用Stata 17.0进行网络meta分析。结果:共纳入16项研究,共涉及668名被诊断为ADHD的参与者,其中实验组343名,对照组325名。参与者的年龄范围在6到18岁之间。meta分析结果显示,有氧运动干预对抑制控制有中等效应量的正向影响(SMD = - 0.69, 95% CI: -1.04, - 0.34, p)。结论:有氧运动干预可以显著改善儿童青少年ADHD的执行功能。为达到最佳干预效果,建议进行慢性有氧运动,持续时间不少于12周,每周安排3 ~ 5次,每次持续60分钟以上,强度保持在中等或中高强度水平。此外,不同类型的有氧运动对该人群的抑制控制能力有不同的影响,这需要引起注意。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Sports Science Medicine and Rehabilitation
BMC Sports Science Medicine and Rehabilitation Medicine-Orthopedics and Sports Medicine
CiteScore
3.00
自引率
5.30%
发文量
196
审稿时长
26 weeks
期刊介绍: BMC Sports Science, Medicine and Rehabilitation is an open access, peer reviewed journal that considers articles on all aspects of sports medicine and the exercise sciences, including rehabilitation, traumatology, cardiology, physiology, and nutrition.
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