儿童青少年24 h活动行为与认知功能关联性的系统评价  

Systematic review of association between 24 h movement behavior and cognitive function in children and adolescents

作　　者：杨杰 郑淑淇 吴华[1] 周文龙 阮辉[1] YANG Jie;ZHENG Shuqi;WU Hua;ZHOU Wenlong;RUAN Hui(School of Physical Education,Hainan Normal University,Haikou(571127),Hainan Province,China)

机构地区：[1]海南师范大学体育学院,海口571127 [2]海南省儿童认知与行为发展重点实验室 [3]琼台师范学院体育学院

出　　处：《中国学校卫生》2025年第2期244-248,254,共6页Chinese Journal of School Health

基　　金：2023年度海南省哲学社会科学规划课题项目[HNSK(YB)23-57];海南省儿童认知与行为发展重点实验室开放课题项目(2023KF01);海南省研究生创新科研课题项目(Qhys2024-375)。

摘　　要：目的 分析儿童青少年24 h活动行为与认知功能的相关关系及其等时替代效益,为制定儿童青少年认知发展干预策略提供参考依据。方法 在Web of Science、PubMed、Embase、EBSCO、中国知网数据库检索发表于建库至2024年11月30日的相关文献,通过筛选、数据提取及质量评估后进行系统评价。结果 共纳入24篇高质量文献,3~18岁儿童青少年总样本量为35 295名。遵循24 h活动指南建议的儿童青少年认知表现更优(19篇);以5~30 min/d的中高强度身体活动(MVPA)或睡眠(SLP)替代久坐行为(SB)或低强度身体活动(LPA)时,认知功能明显改善(7篇)。不同类型SB(如学习型或娱乐型)对认知功能的影响存在不一致性。结论 遵循24 h活动指南建议有助于儿童青少年认知功能的发展,MVPA和SLP是有效干预的关键;应提升24 h活动行为MVPA占比、保障充足SLP,控制娱乐型SB和屏幕时间,提升3种行为的综合效益。Objective To analyze the relationship between 24 h movement behaviors and cognitive function in children and adolescents,as well as the isotemporal substitution benefits,in order to provide a basis for developing cognitive development intervention strategies among children and adolescents.Methods Relevant studies were searched in the Web of Science,PubMed,Embase,EBSCO,and China National Knowledge Infrastructure databases from their inception to November 30,2024.Systematic evaluation was performed after document screening,data extraction and quality assessment.Results A total of 24 high-quality studies were included,comprising 35295 children and adolescents aged 3-18 years.Adhering to the 24 h activity guidelines was associated with better cognitive performance(19 studies).Additionally,substituting 5-30 minutes per day of moderate to vigorous physical activity(MVPA)or sleep(SLP)for sedentary behavior(SB)or light physical activity(LPA)were associated with improvements in cognitive function(7 studies).There were inconsistencies in the effects of different types of SB(learning or entertainment)on cognitive function.Conclusions Adherence to the 24 h activity guidelines supports cognitive development in children and adolescents,with MVPA and SLP as key intervention targets.Increasing the proportion of MVPA,ensuring adequate SLP,and limiting recreational SB and screen time might be helpful to enhance the combined benefits of these three behaviors.

关 键 词：运动活动 认知 生长和发育 数据库 文献型 儿童 青少年 

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] Q427[文化科学—运动人体科学]