Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis

IF 2.9 2区医学 Q1 EDUCATION, SPECIAL Research in Developmental Disabilities Pub Date : 2024-11-16 DOI:10.1016/j.ridd.2024.104880

Yuan Fang , Fenghua Sun , Zixin Wang , Yaxi Yang , Man Lau , Kunyi Huang , Michael Kin-Chung Yeung , Georg S. Kranz , Chetwyn C.H. Chan

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Abstract

Background

Cognitively combined/engaged physical activity (CC/CE-PA) has been used as an intervention for children/adolescents with attention-deficit/hyperactivity disorder (ADHD).

Method

This review aimed to quantify the effects of CC/CE-PAs on enhancing executive and physical function and alleviating ADHD symptoms in children/adolescents with ADHD. An extensive literature search of online databases identified 32 studies (75 % high-quality studies), of which 22 (pooled n=968) were included in the meta-analysis.

Results

The included studies covered five PA types with varying intervention periods, frequencies, and exercise durations. The CC/CE-PAs showed an overall significant effect on improving executive function (standardized mean difference [SMD]: 1.10) and motor competence (SMD: 0.52) and alleviating ADHD symptoms (SMD: -0.75). Program design and participants’ medication status were found to significantly moderate the effect of CC/CE-PA.

Conclusion

More evidence is needed to support the effect of CC/CE-PA by comparing it with other interventions and using a rigorous experimental design.

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认知结合/参与体育活动对患有注意力缺陷/多动障碍的儿童和青少年的执行功能、症状学和运动能力的影响：系统回顾和荟萃分析。

背景：认知结合/参与性体育活动（CC/CE-PA）已被用作对注意力缺陷/多动障碍（ADHD）儿童/青少年的干预措施：本综述旨在量化CC/CE-PA对增强注意力缺陷障碍儿童/青少年的执行功能和身体机能以及缓解注意力缺陷障碍症状的效果。通过对在线数据库进行广泛的文献检索，确定了 32 项研究（75% 为高质量研究），其中 22 项（合计 n=968）被纳入荟萃分析：结果：纳入的研究涵盖五种类型的 PA，干预时间、频率和运动持续时间各不相同。CC/CE-PA在改善执行功能（标准化平均差[SMD]：1.10）和运动能力（SMD：0.52）以及缓解ADHD症状（SMD：-0.75）方面显示出整体显著效果。研究发现，项目设计和参与者的用药情况对CC/CE-PA的效果有显著的调节作用：结论：需要更多的证据来支持CC/CE-PA的效果，将其与其他干预措施进行比较，并采用严格的实验设计。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Developmental Disabilities Multiple-

CiteScore

5.50

自引率

6.50%

发文量

178

期刊介绍： Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.