Comparative effects of moderate-intensity continuous training and high-intensity interval training on ADHD symptoms and behavioral inhibition in children.

IF 2.6 3区 医学 Q1 PEDIATRICS European Journal of Pediatrics Pub Date : 2025-02-07 DOI:10.1007/s00431-025-06022-x
Ayoob Sabaghi, Behrooz Ebrahimi, Namdar Yousofvand, Rastegar Hoseini
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Abstract

Attention-deficit/hyperactivity disorder (ADHD) is a prevalent neurodevelopmental condition in children, characterized by inattention, hyperactivity, and impulsivity. Recent studies have investigated the potential role of physical exercise as a complementary intervention to traditional ADHD treatments. This study aimed to compare the effects of moderate-intensity continuous training (MICT) and high-intensity interval training (HIIT) on ADHD symptoms and behavioral inhibition in children diagnosed with ADHD. In a randomized controlled trial, 60 male participants aged 7-10 years were allocated into three groups: control, MICT, and HIIT. The intervention lasted 12 weeks, with the MICT group performing 20 min of running at 70-75% of their individual VO2 max and the HIIT group performing alternating intervals of running at 100% and 50% of their VO2 max for 1 min each. The control group received no exercise intervention. Cognitive and symptomatic assessments were conducted using the Children's Symptom Questionnaire (CIS-4) and go/no-go tasks before and 48 h post-intervention. Both MICT and HIIT demonstrated significant improvements in behavioral components, including attention deficit, hyperactivity, and impulsivity (all P < 0.0001). HIIT showed superior effects on attention deficit compared to MICT (P = 0.008). Both HIIT (P < 0.0001) and MICT (P = 0.028) improved correct responses (CR) in the Go task compared to the control group. HIIT also outperformed the control group in erroneous responses (ER) (P = 0.022) and correct reaction time (P = 0.027) in the Go task. In the No-Go task, HIIT showed superiority over the control group in both CR (P = 0.013) and ER components.

Conclusion: This study highlights the comparative efficacy of MICT and HIIT as nonpharmacological interventions for children with ADHD. HIIT, in particular, demonstrated superior benefits for attention deficits, suggesting its potential as a targeted adjunctive treatment. These findings may inform the development of exercise programs to enhance the quality of life and daily functioning of children with ADHD.

What is known: • Physical exercise has been explored as a complementary intervention for ADHD, with evidence suggesting its potential to improve symptoms such as inattention, hyperactivity, and impulsivity. • Moderate-intensity continuous training (MICT) has shown positive effects on cognitive and behavioral outcomes in children with ADHD.

What is new: • High-intensity interval training (HIIT) demonstrated superior benefits over MICT in improving attention deficits in children with ADHD. • Both HIIT and MICT significantly improved behavioral inhibition, with HIIT showing additional advantages in reducing erroneous responses and enhancing reaction times in cognitive tasks.

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中等强度连续训练与高强度间歇训练对儿童ADHD症状和行为抑制的比较效果。
注意缺陷/多动障碍(ADHD)是儿童中一种普遍的神经发育疾病,以注意力不集中、多动和冲动为特征。最近的研究调查了体育锻炼作为传统ADHD治疗的补充干预的潜在作用。本研究旨在比较中等强度连续训练(MICT)和高强度间歇训练(HIIT)对诊断为ADHD的儿童ADHD症状和行为抑制的影响。在一项随机对照试验中,60名7-10岁的男性参与者被分为三组:对照组、MICT组和HIIT组。干预持续了12周,MICT组以其最大摄氧量的70-75%进行20分钟的跑步,HIIT组以最大摄氧量的100%和50%交替进行1分钟的跑步。对照组不进行运动干预。在干预前和干预后48小时采用儿童症状问卷(CIS-4)和go/no-go任务进行认知和症状评估。结论:本研究强调了MICT和HIIT作为ADHD儿童非药物干预的比较疗效。特别是HIIT对注意力缺陷的治疗效果更好,这表明它有可能成为一种有针对性的辅助治疗方法。这些发现可能为运动项目的发展提供信息,以提高ADHD儿童的生活质量和日常功能。•体育锻炼作为ADHD的一种辅助干预手段已被探索,有证据表明它有可能改善注意力不集中、多动和冲动等症状。•中等强度连续训练(MICT)对多动症儿童的认知和行为结果有积极影响。新发现:•高强度间歇训练(HIIT)在改善多动症儿童的注意力缺陷方面优于间歇训练(MICT)。•HIIT和MICT都能显著改善行为抑制,HIIT在减少错误反应和提高认知任务的反应时间方面表现出额外的优势。
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来源期刊
CiteScore
5.90
自引率
2.80%
发文量
367
审稿时长
3-6 weeks
期刊介绍: The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics. The editors encourage authors to submit original articles, reviews, short communications, and correspondence on all relevant themes and topics. EJPE is particularly committed to the publication of articles on important new clinical research that will have an immediate impact on clinical pediatric practice. The editorial office very much welcomes ideas for publications, whether individual articles or article series, that fit this goal and is always willing to address inquiries from authors regarding potential submissions. Invited review articles on clinical pediatrics that provide comprehensive coverage of a subject of importance are also regularly commissioned. The short publication time reflects both the commitment of the editors and publishers and their passion for new developments in the field of pediatrics. EJPE is active on social media (@EurJPediatrics) and we invite you to participate. EJPE is the official journal of the European Academy of Paediatrics (EAP) and publishes guidelines and statements in cooperation with the EAP.
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