Network Meta-analysis of the effects of different types of exercises on children with attention deficit hyperactivity disorder
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.