Could physical activity promote indicators of physical and psychological health among children and adolescents?An umbrella review of meta-analyses of randomized controlled trials  

作　　者：Shan Cai Huan Wang Yi-Hang Zhang Tian-Ming Zhao Xin Yuan Hui-Wen Deng Yi-Pu Chen Yun-Fei Liu Jia-Jia Dang Di Shi Zi-Yue Chen Jia-Xin Li Tian-Yu Huang Yang-Mu Huang Yi-Fei Hu Ya-Jun Chen Gang He Mei Wang Jie Xu Shi Chen Zhi-Yong Zou Yi Song 

机构地区：[1]Institute of Child and Adolescent Health,School of Public Health,Peking University,Beijing,China [2]National Health Commission Key Laboratory of Reproductive Health,Beijing,China [3]School of Public Health,Peking University,Beijing,China [4]Department of Global Health,School of Public Health,Peking University,Beijing,China [5]Department of Child,Adolescent Health and Maternal Care,School of Public Health,Capital Medical University,Beijing,China [6]Department of Maternal and Child Health,School of Public Health,Sun Yat-Sen University,Guangzhou,China [7]School of Kinesiology and Health,Capital University of Physical Education and Sports,Beijing,China [8]Tianjin University of Sport,Tianjin,China [9]General Administration of Sport of China,Beijing,China

出　　处：《World Journal of Pediatrics》2025年第2期159-173,共15页世界儿科杂志(英文版)

基　　金：supported by grants from the General Administration of Sport of China,the National Natural Science Foundation of China(grant number 82273654 to YS);Natural Science Foundation of Beijing(grant number 7222247 to YS);Beijing Office for Education Sciences Planning(grant number BBAA22027 to YS).

摘　　要：Background We performed an umbrella review to synthesize evidence on the effects of physical activity(PA)interventions on indicators of physical and psychological health among children and adolescents,including body mass index(BMI),blood pressure(BP),depressive symptoms,and cognitive function.Methods PubMed,Embase,Web of Science,and the Cochrane Library were systematically searched from inception through 31 July 2023.We included meta-analyses of randomized controlled trials exploring the effects of PA interventions on BMI,BP,depressive symptoms,or cognitive function in healthy or general children and adolescents.Standard Mean Difference(SMD)was calculated for continuous outcome indicators,while Relative Risk(RR)was calculated for categorical outcome indicators.Results A total of 21 meta-analyses were included.The evidence for the effects of PA interventions on reducing BMI[n=68,368,SMD=-0.04,95%confidence interval(CI)=-0.07 to-0.01,P=0.012,P=46.6%],relieving diastolic BP(n=8204,SMD=-1.16,95%CI=-2.12 to-0.20,P=0.018,P=83.1%),preventing depressive symptoms(n=5146,SMD=-0.21,95%CI=-0.31 to-0.12,P<0.001,P=29.0%),and promoting cognitive function(n=19,955,SMD=0.40,95%CI=0.27-0.54,P<0.001,P?=88.0%)was all weak but significant(class IV evidence).Subgroup analyses demonstrated that school-based and after-school PA interventions,curricular PA interventions,and PA interventions emphasizing enjoyment were more effective in reducing BMI,while curricular PA and sports programs achieved greater executive function.Conclusion PA interventions could weakly reduce BMI,relieve BP,prevent depressive symptoms,and promote cognitive function in general children and adolescents.Targeted interventions on PA should be a priority to promote physical and psychological health for children and adolescents,especially the curricular PA emphasizing enjoyment in the school settings.

关 键 词：Adolescence Childhood Mental health Physical activity Physical health 

分 类 号：R179[医药卫生—妇幼卫生保健]