不同运动方式对注意缺陷多动障碍儿童抑制控制影响的网状Meta分析  

A network Meta-analysis of the effects of different exercise modalities on inhibitory control in children with attention deficit hyperactivity disorder

作　　者：李华 张萍[1] 甄志平[2] LI Hua;ZHANG Ping;ZHEN Zhiping(Graduate School,Harbin Sport University,Harbin(150008),Heilongjiang Province,China;不详)

机构地区：[1]哈尔滨体育学院研究生院,黑龙江150008 [2]北京师范大学体育与运动学院

出　　处：《中国学校卫生》2024年第4期497-502,共6页Chinese Journal of School Health

基　　金：黑龙江省高等教育教学改革一般项目(SJGY20210491);哈尔滨体育学院博士人才科研启动项目(RCYJ-2109)。

摘　　要：目的比较不同运动方式影响注意缺陷多动障碍(ADHD)儿童抑制控制的相对效果,为制定有效的运动处方提供循证依据。方法检索中国知网(CNKI)、Pubmed、Web of Science、Embase、Cochrane等数据库,筛选运动干预ADHD儿童抑制控制的随机对照实验文献,检索时间从数据库创建到2022年12月31日。运用Cochrane偏倚风险评估工具进行方法学质量评价,采用Stata 17.0软件进行网状Meta分析,以标准均数差(SMD)及95%CI为效应指标,比较各干预措施之间的效果差异,并进行排序。结果最终纳入22篇文献,共计1134名6~14.5岁参与者。网状Meta分析结果显示,身心练习[SMD(95%CI)=1.08(0.50~1.66)]、认知+运动[SMD(95%CI)=0.81(0.13~1.48)]、球类运动[SMD(95%CI)=1.54(0.99~2.09)]的影响效果均优于对照组,且球类运动的影响效果优于单一有氧运动[SMD(95%CI)=1.02(0.20~1.84)]、组合练习[SMD(95%CI)=1.08(0.28~1.88)](P值均<0.05)。累计概率排名曲线下面积(SUCRA)结果显示,球类运动可能是改善ADHD儿童抑制控制的最佳手段(SUCRA=95.3)。结论应在体育活动中适当增加球类运动,以更有效地改善ADHD儿童的抑制控制。Objective To compare the relative effectiveness of different exercise modalities on inhibitory control in children with attention deficit hyperactivity disorder(ADHD),so as to provide an evidence-based basis for the development of effective exercise prescriptions.Methods The databases of China National Knowledge Internet(CNKI),Pubmed,Web of Science,Embase,and Cochrane were searched to screen the literature of randomized controlled trials of exercise interventions for inhibitory control in children with ADHD up to December 31,2022.The Cochrane risk of bias assessment tool was used for methodological quality assessment,and Stata 17.0 software was used for network Meta-analysis,standardized mean difference(SMD)and 95%CI were used as the effect indicators to compare the difference in effect between interventions and rank the effect.Results Twenty-two papers with a total of 1134 participants aged 6-14.5 years were finally included.Network Meta-analysis showed that the impact effects of physical and mental exercises[SMD(95%CI)=1.08(0.50-1.66)],cognition+exercise[SMD(95%CI)=0.81(0.13-1.48)],and ball games[SMD(95%CI)=1.54(0.99-2.09)]were significantly superior to that of control group,and the ball games had a significantly better effect than single aerobic exercise[SMD(95%CI)=1.02(0.20-1.84)],and combined exercises[SMD(95%CI)=1.08(0.28-1.88)](P<0.05).The results of surface under the cumulative ranking(SUCRA)showed that ball games might be the best means to improve inhibitory control in children with ADHD(SUCRA=95.3).Conclusion It is recommended to appropriately increase ball sports in sports activities to more effectively improve the inhibitory control of children with ADHD.

关 键 词：运动活动 抑制(心理学) 注意力缺陷障碍伴多动 META分析 儿童 

分 类 号：R179[医药卫生—妇幼卫生保健] G806[医药卫生—公共卫生与预防医学] B844.1[文化科学—运动人体科学] Q427[文化科学—体育学]