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 defi-cit 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.
Abstract
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 Me-ta-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 ofexercise 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 exerci-ses(surface under the cumulative ranking were 78.9％,73.0％,88.7％,77.9％and 69.9％respectively).Conclusion Exercises 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 symp-toms of ADHD children.
维普
万方数据