Fenghua Sun , Yuan Fang , Ying Fung Ho , Gary Chi-Ching Chow , Yaxi Yang , Kunyi Huang , Clare Chung-Wah Yu , Duo Liu , Stephen Heung-Sang Wong , Parco Ming-Fai Siu , Simon B. Cooper
{"title":"基于游戏的高强度间歇训练对多动症儿童执行功能和其他健康指标的影响：三臂部分盲法随机对照试验","authors":"Fenghua Sun , Yuan Fang , Ying Fung Ho , Gary Chi-Ching Chow , Yaxi Yang , Kunyi Huang , Clare Chung-Wah Yu , Duo Liu , Stephen Heung-Sang Wong , Parco Ming-Fai Siu , Simon B. Cooper","doi":"10.1016/j.jesf.2024.09.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Children with ADHD demand for effective intervention with minimum side effect to improve executive function (EF) and health well-being.</p></div><div><h3>Method</h3><p>This study used a three-arm partially-blinded randomized controlled trial to test the effects of two different kinds of 8-week game-based training programs (game-based HIIT program, GameHIIT; and game-based structured aerobic exercise program, GameSAE) on EF and other health indicators of children with ADHD, which was compared with a non-treatment control group.</p></div><div><h3>Results</h3><p>A total of 49 children with ADHD completed the program. Analyses of EF tests and parental survey indicated that (i) there is no significant intragroup difference among all measures between pre-/post-intervention tests for two game-based intervention groups. The only significant intergroup difference was observed in self-monitor score of parent-reported child's EF between GameSAE group and the control (large effect). Similarly, cerebral hemodynamic responses also found no significant group effect for all EF tests. However, the time effects were observed in several channels in the GameHIIT group in two EF tests (Color Words Stroop Test and Tower of London Test). No significant change of participants' overall ADHD symptoms was found in the pre-/post-tests for three groups. Nonetheless, further analyses revealed that both of two game-based training programs exhibited the significant positive effects on child's PA levels and the large effects on levels of physical fitness, when they were compared to the control.</p></div><div><h3>Conclusion</h3><p>By this study, a significant enhancement in physical fitness and PA levels were found in both game-based PA interventions when they were compared with control group. However, the effectiveness of game-based PA interventions on improving EF or reducing ADHD symptoms remains unclear. This implies that a larger intervention dosage or a tailored intervention design may be warranted to improve the EF of children with ADHD.</p></div>","PeriodicalId":15793,"journal":{"name":"Journal of Exercise Science & Fitness","volume":"22 4","pages":"Pages 408-416"},"PeriodicalIF":2.4000,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1728869X24000601/pdfft?md5=7272fa95f5e97e9a7235146ea774d3f4&pid=1-s2.0-S1728869X24000601-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of a game-based high-intensity interval training on executive function and other health indicators of children with ADHD: A three-arm partially-blinded randomized controlled trial\",\"authors\":\"Fenghua Sun , Yuan Fang , Ying Fung Ho , Gary Chi-Ching Chow , Yaxi Yang , Kunyi Huang , Clare Chung-Wah Yu , Duo Liu , Stephen Heung-Sang Wong , Parco Ming-Fai Siu , Simon B. Cooper\",\"doi\":\"10.1016/j.jesf.2024.09.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Children with ADHD demand for effective intervention with minimum side effect to improve executive function (EF) and health well-being.</p></div><div><h3>Method</h3><p>This study used a three-arm partially-blinded randomized controlled trial to test the effects of two different kinds of 8-week game-based training programs (game-based HIIT program, GameHIIT; and game-based structured aerobic exercise program, GameSAE) on EF and other health indicators of children with ADHD, which was compared with a non-treatment control group.</p></div><div><h3>Results</h3><p>A total of 49 children with ADHD completed the program. Analyses of EF tests and parental survey indicated that (i) there is no significant intragroup difference among all measures between pre-/post-intervention tests for two game-based intervention groups. The only significant intergroup difference was observed in self-monitor score of parent-reported child's EF between GameSAE group and the control (large effect). Similarly, cerebral hemodynamic responses also found no significant group effect for all EF tests. However, the time effects were observed in several channels in the GameHIIT group in two EF tests (Color Words Stroop Test and Tower of London Test). No significant change of participants' overall ADHD symptoms was found in the pre-/post-tests for three groups. Nonetheless, further analyses revealed that both of two game-based training programs exhibited the significant positive effects on child's PA levels and the large effects on levels of physical fitness, when they were compared to the control.</p></div><div><h3>Conclusion</h3><p>By this study, a significant enhancement in physical fitness and PA levels were found in both game-based PA interventions when they were compared with control group. However, the effectiveness of game-based PA interventions on improving EF or reducing ADHD symptoms remains unclear. This implies that a larger intervention dosage or a tailored intervention design may be warranted to improve the EF of children with ADHD.</p></div>\",\"PeriodicalId\":15793,\"journal\":{\"name\":\"Journal of Exercise Science & Fitness\",\"volume\":\"22 4\",\"pages\":\"Pages 408-416\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2024-09-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1728869X24000601/pdfft?md5=7272fa95f5e97e9a7235146ea774d3f4&pid=1-s2.0-S1728869X24000601-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Exercise Science & Fitness\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1728869X24000601\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Exercise Science & Fitness","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1728869X24000601","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
摘要
方法本研究采用三臂部分盲法随机对照试验，测试了两种不同类型的为期8周的游戏式训练计划（游戏式HIIT计划，GameHIIT；游戏式结构化有氧运动计划，GameSAE）对多动症儿童执行功能（EF）和其他健康指标的影响，并与非治疗对照组进行了比较。对EF测试和家长调查的分析表明：(i) 两个以游戏为基础的干预组在干预前/后测试的所有指标中没有显著的组内差异。唯一显著的组间差异是 GameSAE 组和对照组之间在家长报告的儿童 EF 自我监测得分方面的差异（大效应）。同样，在所有 EF 测试中，脑血流动力学反应也没有发现明显的组间效应。然而，在两项 EF 测试（颜色词 Stroop 测试和伦敦塔测试）中，GameHIIT 组的多个通道观察到了时间效应。在三组的前后测试中，参与者的整体多动症症状没有发现明显变化。尽管如此，进一步的分析表明，与对照组相比，两个游戏式培训项目都对儿童的PA水平产生了显著的积极影响，并对体能水平产生了较大影响。然而，游戏性活动量干预对改善EF或减少ADHD症状的效果仍不明确。这意味着，要改善多动症儿童的EF，可能需要更大的干预剂量或量身定制的干预设计。
Effectiveness of a game-based high-intensity interval training on executive function and other health indicators of children with ADHD: A three-arm partially-blinded randomized controlled trial
Background
Children with ADHD demand for effective intervention with minimum side effect to improve executive function (EF) and health well-being.
Method
This study used a three-arm partially-blinded randomized controlled trial to test the effects of two different kinds of 8-week game-based training programs (game-based HIIT program, GameHIIT; and game-based structured aerobic exercise program, GameSAE) on EF and other health indicators of children with ADHD, which was compared with a non-treatment control group.
Results
A total of 49 children with ADHD completed the program. Analyses of EF tests and parental survey indicated that (i) there is no significant intragroup difference among all measures between pre-/post-intervention tests for two game-based intervention groups. The only significant intergroup difference was observed in self-monitor score of parent-reported child's EF between GameSAE group and the control (large effect). Similarly, cerebral hemodynamic responses also found no significant group effect for all EF tests. However, the time effects were observed in several channels in the GameHIIT group in two EF tests (Color Words Stroop Test and Tower of London Test). No significant change of participants' overall ADHD symptoms was found in the pre-/post-tests for three groups. Nonetheless, further analyses revealed that both of two game-based training programs exhibited the significant positive effects on child's PA levels and the large effects on levels of physical fitness, when they were compared to the control.
Conclusion
By this study, a significant enhancement in physical fitness and PA levels were found in both game-based PA interventions when they were compared with control group. However, the effectiveness of game-based PA interventions on improving EF or reducing ADHD symptoms remains unclear. This implies that a larger intervention dosage or a tailored intervention design may be warranted to improve the EF of children with ADHD.
期刊介绍：
The Journal of Exercise Science and Fitness is the official peer-reviewed journal of The Society of Chinese Scholars on Exercise Physiology and Fitness (SCSEPF), the Physical Fitness Association of Hong Kong, China (HKPFA), and the Hong Kong Association of Sports Medicine and Sports Science (HKASMSS). It is published twice a year, in June and December, by Elsevier.
The Journal accepts original investigations, comprehensive reviews, case studies and short communications on current topics in exercise science, physical fitness and physical education.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
