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

李华; 张萍; 甄志平

doi:10.16835/j.cnki.1000-9817.2024100

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

doi: 10.16835/j.cnki.1000-9817.2024100

李华¹,
张萍^1, ,,
甄志平²

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

基金项目:

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

详细信息

作者简介:
李华(1989-)，男，山东临沂人，在读博士，主要研究方向为学校体育学与运动健康促进

通讯作者:
张萍，E-mail: zhangping@hrbipe.edu.cn

利益冲突声明 所有作者声明无利益冲突。
中图分类号: R179 G806 B844.1 Q427
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- 文章访问数: 528
- HTML全文浏览量: 233
- PDF下载量: 69
- 被引次数: 0
出版历程
- 收稿日期: 2023-08-24
- 修回日期: 2024-01-20
- 网络出版日期: 2024-04-25
- 刊出日期: 2024-04-25

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

1.
Graduate School, Harbin Sport University, Harbin (150008), Heilongjiang Province, China

摘要

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1 134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。
- 运动活动 /
- 抑制(心理学) /
- 注意力缺陷障碍伴多动 /
- Meta分析 /
- 儿童
Abstract: 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 1 134 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.
- Motor activity /
- Inhibition(psychology) /
- Attention deficit disorder with hyperactivity /
- Meta-analysis /
- Child
注释:

1) 利益冲突声明 所有作者声明无利益冲突。

HTML全文

图 1 文献筛选流程

Figure 1. Flow of literature selection

下载: 全尺寸图片幻灯片

图 2 不同运动方式影响ADHD儿童抑制控制的网状证据

注：点与点之间连线表明2种运动方式存在直接比较，无连线说明2种运动方式无直接比较。圆圈的大小代表此种干预方法纳入的样本量，线条宽度代表 2种运动方式对比的频率。

Figure 2. Network evidence of different exercise patterns affecting inhibitory control in children with ADHD

下载: 全尺寸图片幻灯片

图 3 不同运动方式对ADHD儿童抑制控制影响的Meta分析

Figure 3. Meta-analysis of the effects of different exercise modalities on inhibitory control in children with ADHD

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图 4 纳入的不同运动方式对ADHD儿童抑制控制影响文献的发表偏倚

Figure 4. Publication bias of the literature on influence of different exercise methods on inhibition control in children with ADHD

下载: 全尺寸图片幻灯片

表 1 纳入文献的基本特征

Table 1. Basic characteristics of included literature

第一作者与年份	样本量		年龄/岁		干预形式	干预时间/min	每周干预频率/次	干预周期	质量评分
第一作者与年份	对照组	实验组	对照组	实验组	干预形式	干预时间/min	每周干预频率/次	干预周期	质量评分
Nejati^[12](2021)^a	15	15			认知+运动	40~50	3	4~5周	6
Pan^[17](2019)	15	15	8.90±1.66	9.08±1.43	球类运动	70	2	12周	5
Chang^[18](2014)	15	15	8.78	8.19	水上运动	90	2	8周	5
Kadri^[19](2019)	10	10	14.2	14.5	单一有氧运动	50	2	1.5年	4
Pan^[14](2016)	16	16	8.87±1.56	8.93±1.49	球类运动	70	2	12周	5
Memarmoghaddam^[20](2016)	17	19	8.29 ±1.31	8.31±1.29	组合练习	90	3	8周	5
Benzing^[21](2019)	23	28	10.39±1.44	10.46±1.30	认知+运动	30	3	8周	4
Bustamante^[22](2016)	16	19	8.73±2.0	9.4±2.2	组合练习	90	5	10周	5
Hattabi^[23](2019)	20	20	9.75±1.33	9.95±1.31	水上运动	90	3	12周	4
Liang^[24](2022)	39	39	8.29±1.27	8.37±1.42	认知+运动	60	3	12周	5
Chang^[9](2022)^b	16	16/16	8.38±1.31	8.31±1.30/8.38±1.20	球类运动/球类运动	60	3	12周	4
Chou^[25](2017)	25	24	10.30±1.07	10.71±1.00	单一有氧运动	40	2	8周	4
Lee^[13](2017)	6	6	8.83±0.98	8.83±0.98	组合练习	60	3	12周	3
Meysam^[10](2018)	7	7	7~11	7~11	单一有氧运动	45	3	8周	4
Jensen^[26](2004)	8	11	9.35±1.70	10.63±1.78	单一有氧运动	60	2~3	8周	3
Hoza^[27](2015)^a	45	49			组合练习	31	5	12周	5
孔久春^[28](2012)^c	30	30/30/30	6~7	6~7/6~7/6~7	球类运动/单一有氧运动/身心练习	40	3	16周	4
陈玉民^[29](2016)	18	18	8.51±0.50	8.48±0.52	身心练习	60	3	16周	5
陈小明^[30](2022)	32	32	7.89±2.13	8.37±1.68	认知+运动	20	3	12周	5
宋以玲^[11](2022)	8	8	7.53±0.79	7.68±0.56	球类运动	40	4	6周	5
连洪振^[31](2022)	20	20	8.73±1.93	8.77±1.94	组合练习	35	3	12周	5
李宇萃^[32](2021)	45	45	9.21±1.13	9.32±1.11	组合练习	50	2	16周	5
注：a文中未描述分组的年龄；b实验组分实验1组和实验2组；c实验组分实验1组、实验2组和实验3组。

下载: 导出CSV

表 2 不同运动方式间交叉对比的结果[SMD值(95%CI)]

Table 2. Results of cross comparison among different exercise modalities[SMD(95%CI)]

变量	水上运动	球类运动	组合练习	认知+运动	身心练习
球类运动	-0.67(-1.85~0.52)
组合练习	0.41(-0.79~1.61)	1.08(0.28~1.88)^*
认知+运动	0.07(-1.18~1.32)	0.73(-0.14~1.60)	-0.35(-1.24~0.54)
身心练习	-0.21(-1.40~0.99)	0.46(-0.25~1.17)	-0.62(-1.44~0.20)	-0.27(-1.16~0.62)
单一有氧运动	0.36(-0.94~1.66)	1.02(0.20~1.84)^*	-0.06(-1.02~0.91)	0.29(-0.73~1.31)	0.56(-0.27~1.40)
注：*P < 0.05。

下载: 导出CSV

表 3 各运动方式有效性的SUCRA值和效应量

Table 3. SUCRA values and effect sizes for effectiveness of different exercise modalities

运动方式	SUCRA值	最优概率/%	ES(95%CI)	排序
球类运动	95.3	78.3	1.54(0.99~2.09)	1
身心练习	71.9	6.1	1.08(0.50~1.66)	2
水上运动	56.3	12.0	0.87(-0.18~1.93)	3
认知+运动	54.6	3.2	0.81(0.13~1.48)	4
单一有氧运动	35.4	0.4	0.52(-0.24~1.28)	5
组合练习	32.3	0.0	0.46(-0.12~1.04)	6
对照组	4.2	0.0	—	7

下载: 导出CSV

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