摘要
目的运用网状Meta分析评价不同运动干预措施对注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童执行功能、运动技能和ADHD核心症状改善效果的影响,为ADHD儿童的治疗提供循证依据。方法计算机检索Web of Science、PubMed、Cochrane Library、Embase、PsycINFO、中国知网(CNKI)、万方、维普、中国生物医学文献数据库收录的运动干预对ADHD儿童执行功能、运动技能和ADHD核心症状改善效果的随机对照研究,检索时限为各数据库建库至2023年5月。采用Cochrane质量评价手册对纳入的文献进行质量评价,采用Stata 17.0进行数据的网状Meta分析。结果最终纳入24项研究,包括有氧运动、多元运动、运动游戏、高强度间歇训练(high intensity interval training,HIIT)、传统低至中等强度运动疗法(traditional low-to-moderate intensity exercise therapy,TRAD)5种运动干预类型。网状Meta分析结果显示,在改善ADHD儿童执行功能(工作记忆、抑制控制和认知灵活性)、运动技能和核心症状方面,最优的运动干预措施为有氧运动(累积排序曲线下面积分别是78.9%、73.0%、88.7%、77.9%和69.9%)。结论运动可以改善ADHD儿童执行功能,提升运动技能,减轻ADHD核心症状,其中有氧运动在改善ADHD儿童执行功能、运动技能和核心症状方面有较好的效果。
Objective To evaluate the effects of different exercises on executive function,moter skills and core symptoms in children with attention deficit hyperactivity disorder(ADHD)using network Meta-analysis,and to provide evidence-based basis for the treatment of children with ADHD.Methods The randomized controlled trails(RCTs)of exercises on children with ADHD were searched in Web of Science,PubMed,Cochrane Library,Embase,PsycINFO,CNKI,Wanfang Data,VIP and CBM databases.The retrieval time limit was from the establishment of each database to May 2023.The Cochrane quality review manual was used to evaluate the quality of the included literatures.Stata 17.0 software was used to perform network Meta-analysis.Results Finally,twenty-four studies were enrolled including five types of exercise intervention,such as aerobic exercise,multicomponent exercise,exergaming,high intensity interval training(HIIT)and traditional low-to-moderate intensity exercise therapy(TRAD).The results of network Meta-analysis showed that:in terms of improving executive function(working memory,inhibitory control,and cognitive flexibility),motor skills and core symptoms of children with ADHD,the optimal exercise intervention was aerobic exercises(surface under the cumulative ranking were 78.9%,73.0%,88.7%,77.9%and 69.9%respectively).ConclusionExercises can improve executive function,improve motor skills,and alleviate ADHD core symptoms.Aerobic exercise has a better effect on improving executive function,motor skills and core symptoms of ADHD children.
作者
肖玲蓉
吴洪梅
赵刚
金翊思
吴晓雪
刘思妍
李君茹
Xiao Lingrong;Wu Hongmei;Zhao Gang;Jin Yisi;Wu Xiaoxue;Liu Siyan;Li Junru(School of Nursing,Harbin Medical University,Harbin 163319,China;Department of Child Health,Shenzhen Nanshan Maternal and Child Health Hospital,Shenzhen 518000,China;Children's Rehabilitation Department of Daqing People's Hospital,Daqing 163316,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2024年第8期727-735,共9页
Chinese Journal of Behavioral Medicine and Brain Science
基金
国家自然科学基金(81803255)
黑龙江省自然科学基金(LH2023H021)。
关键词
注意缺陷多动障碍
运动
执行功能
网状Meta分析
Attention deficit hyperactivity disorder
Exercise
Executive function
Network Meta-analysis
