《身体活动对注意缺陷多动障碍儿童疗效的荟萃分析：随机对照试验研究》
The Efficacy of Physical Activity for Children with Attention Deficit Hyperactivity Disorder: A Meta-Analysis of Randomized Controlled Trials.
机构信息
University of Tuebingen, Department of Clinical Psychology and Psychotherapy, Tuebingen, Germany.
University of Tuebingen, Department of Education & Health Research, Tuebingen, Germany.
出版信息
J Atten Disord. 2022 Mar;26(5):656-673. doi: 10.1177/10870547211017982. Epub 2021 May 27.
BACKGROUND
This systematic review and meta-analysis assesses the efficacy of regular, moderate to vigorous physical activity (MVPA) for attention deficit hyperactivity disorder (ADHD) in children and adolescents in randomized controlled trials (RCTs).
METHODS
RCTs including children and adolescents with clinically diagnosed ADHD, implementing regular MVPA, and assessing ADHD core-symptoms on a valid rating scale post-intervention (primary outcome) were included. Outcomes were pooled through random-effects meta-analysis. Prospero registration: CRD42019142166.
RESULTS
MVPA had a small effect on total ADHD core symptoms ( = 11; = -0.33; 95% CI [-0.63; -0.02]; = .037).
CONCLUSIONS
MVPA could serve as an alternative treatment for ADHD. New RCTs are necessary to increase the understanding of the effect regarding frequency, intensity, type of MVPA interventions, and differential effects on age groups.
背景
本系统评价和荟萃分析评估了在随机对照试验（RCT）中，规律的、适度至剧烈的身体活动（MVPA）对儿童和青少年注意缺陷多动障碍（ADHD）的疗效。
方法
纳入了包括临床诊断为 ADHD 的儿童和青少年、实施规律的 MVPA 以及在干预后使用有效评定量表评估 ADHD 核心症状（主要结局）的 RCT。通过随机效应荟萃分析汇总结果。前瞻性注册：CRD42019142166。
结果
MVPA 对 ADHD 核心症状的总体影响较小（ = 11； = -0.33；95%CI [-0.63； -0.02]； = .037）。
结论
MVPA 可以作为 ADHD 的替代治疗方法。需要新的 RCT 来增加对干预的频率、强度、MVPA 类型以及对不同年龄组的差异影响的理解。
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