Effectiveness of Interventions to Increase Physical Activity and Reduce Sedentary Behaviour in Children and Adolescents With Intellectual Disabilities: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

IF 2.4 2区医学 Q1 EDUCATION, SPECIAL

Journal of Intellectual Disability Research Pub Date : 2026-06-05 Epub Date: 2026-02-20 DOI:10.1111/jir.70093

Aiwei Wang, Poyong Yan, Wei Tuo, Yagang Song, Yang Gao, Chenxi Liu, Danran Bu

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引用次数: 0

Abstract

Background

Children and adolescents with intellectual disabilities often do not meet the recommended guidelines for physical activity (PA) and sedentary behaviour (SB). Evidence-based recommendations for effective interventions are lacking. This study aimed to review existing interventions and identify effective components for this population.

Methods

A systematic search of Web of Science, Medline, ERIC, Ovid and SPORTDiscus was conducted from their inception to February 2023, to identify eligible articles according to a series of inclusion and exclusion criteria. The Revised Tool to Assess Risk of Bias in Randomized Trials (RoB 2.0) was used to assess risk of bias in the included studies. The random-effects model was used to pool the weighted results and the I² statistic was applied to assess heterogeneity of the included studies.

Results

Five randomized controlled trials were included in this review. Regarding intervention components, four trials exclusively used exercise, whilst the other one combined exercise with health education and diet. The meta-analysis demonstrated that interventions were effective at increasing PA (3.73 min, Z = 4.44, 95% CI [2.09, 5.38], p < 0.00001) and decreasing SB (−15.31 min, Z = 2.59, 95% CI [−26.90, −3.72], p = 0.01), compared with control groups.

Conclusions

Exercise was an effective intervention component in promoting PA and reducing SB in children and adolescents with intellectual disabilities. The findings of this study provided preliminary evidence for decision-making in PA promotion and SB reduction in the target population.

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智力残疾儿童和青少年增加体力活动和减少久坐行为的干预措施的有效性：随机对照试验的系统回顾和荟萃分析。

背景：患有智力残疾的儿童和青少年通常不符合身体活动（PA）和久坐行为（SB）的推荐指南。缺乏有效干预措施的循证建议。本研究旨在回顾现有的干预措施，并确定对这一人群的有效成分。方法：系统检索Web of Science、Medline、ERIC、Ovid和SPORTDiscus自成立至2023年2月的数据库，根据一系列纳入和排除标准筛选出符合条件的文章。采用修订后的随机试验偏倚风险评估工具（RoB 2.0）评估纳入研究的偏倚风险。采用随机效应模型对加权结果进行汇总，采用I2统计量评价纳入研究的异质性。结果：本综述纳入了5项随机对照试验。在干预成分方面，4项试验单独使用运动，另一项试验将运动与健康教育和饮食相结合。荟萃分析表明，干预措施可有效提高儿童和青少年智力障碍患者的PA （3.73 min, Z = 4.44, 95% CI [2.09, 5.38], p）。结论：运动是促进儿童和青少年智力障碍患者PA和降低SB的有效干预成分。本研究结果为目标人群促进PA和降低SB的决策提供了初步依据。

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

Journal of Intellectual Disability Research Multiple-

CiteScore

5.60

自引率

5.60%

发文量

期刊介绍： The Journal of Intellectual Disability Research is devoted exclusively to the scientific study of intellectual disability and publishes papers reporting original observations in this field. The subject matter is broad and includes, but is not restricted to, findings from biological, educational, genetic, medical, psychiatric, psychological and sociological studies, and ethical, philosophical, and legal contributions that increase knowledge on the treatment and prevention of intellectual disability and of associated impairments and disabilities, and/or inform public policy and practice. Expert reviews on themes in which recent research has produced notable advances will be included. Such reviews will normally be by invitation.