目的 系统评价认知参与型身体活动(CEPA)对儿童青少年执行功能的干预效果.方法 检索Web of Science、PubMed、Medline、EBSCO和中国知网等自建库至2023年11月30日的中、英文文献.根据纳入排除标准筛选出符合要求的文献,并对其做质量评价后进行系统综述.结果 最终纳入15篇文献,发表于2014年至2023年之间,来自8个国家,涉及1 806例年龄在4～16岁的研究对象.PEDro量表评分平均为6.6分.纳入分析的CEPA干预运动强度为64%～93%HRmax,单次干预的持续时间10～60 min,干预频率为每周2～5次,干预周期为4～24周.CEPA的具体形式包括结合认知任务的足球、篮球和地板球,结合认知任务的跑、跳、蹲、坐、旋转和保持平衡,以及结合认知任务的体感游戏.纳入的15项研究中有11项在执行功能的至少1种成分上表现出积极效果,但涉及工作记忆的7项研究有6项未能验证积极效应.在12项对比分析CEPA和身体活动或常规体育课的干预效果差异研究中,有9项发现CEPA对执行功能的干预效果更佳.结论 CEPA对儿童青少年的认知灵活性有积极影响,对抑制控制的影响有争议,而对工作记忆的影响未得到验证.CEPA的干预类型分为结合认知任务的球类运动、基本动作技能训练和体感游戏.
Effect of cognitively engaging physical activity on developing executive function of children and adolescents:a sys-tematic review based on ICF
Objective To systematically review the intervention effect of cognitively engaging physical activity(CEPA)on execu-tive function of children and adolescents.Methods Literatures in Chinese and English were retrieved from databases of Web of Science,PubMed,Medline,EB-SCO and CNKI,from the establishment to November 30th,2023.According to the inclusion and exclusion crite-ria,the literatures that met the requirements were screened,and their quality was evaluated and systematically re-viewed.Results A total of 15 literatures were included,published between 2014 and 2023,from eight countries,involving 1 806 subjects aged four to 16 years.The average score of PEDro scale was 6.6.The intensity of the CEPA intervention ranged from 64%to 93%HRmax,the duration of a single session ranged from ten to 60 minutes,and the frequency of the intervention was two to five sessions a week,for four to 24 weeks.Specific forms of CEPA included foot-ball,basketball and floorball combined with cognitive tasks;running,jumping,squatting,sitting,spinning and balancing combined with cognitive tasks;and exergaming combined with cognitive tasks.Eleven researches showed positive effects of CEPA intervention on at least one component of executive function.However,six of the seven researches involving working memory failed to verify the positive effects.Twelve researches compared the intervention effects of CEPA and rutine exercise or regular physical education classes,and nine researches found that CEPA was more effective on executive function.Conclusion The CEPA is effective on the executive function of children and adolescents,specifically on cognitive flexi-bility;it shows inconsistent effects on inhibitory control,and its effect on working memory has not been verified.The intervention types of CEPA are divided into ball games combined with cognitive tasks,basic motor skills training combined with cognitive tasks,and exergaming combined with cognitive tasks.
万方数据
维普
