Department of Special Education, National Taipei University of Education, Taipei, Taiwan.
Graduate Institute of Athletics and Coaching Science, National Taiwan Sport University, Taoyuan, Taiwan.
Biomed J. 2022 Apr;45(2):265-270. doi: 10.1016/j.bj.2021.11.011. Epub 2021 Nov 29.
Attention deficit hyperactivity disorder (ADHD) is one of the most commonly neurodevelopmental disorders with a complex symptomatology in children, and frequently suffer from deficits in executive functions and motor abilities. Although medication-based treatments usually have a positive effect, possible side effects may result in a need for an adjunctive intervention. Present studies show positive effect of physical exercise on cognitive function. Therefore, the purpose of the current study is thoroughly examine the effects of physical exercise in children with ADHD. Preliminary evidence shows both acute and chronic physical exercise are beneficial to ADHD symptoms, executive function, and motor abilities. Benefits of acute exercise may gradually accumulate over time. Such benefits reflect the positive correlation between cognition and physical activity, and these benefits will also lead to changes in executive function after long-term training. Aerobic could induce to increase the neurotransmitter ie. serotonin, dopamine, brain-derived neurotrophic factor (BDNF) and brain blood flow. Perceptual motor and meditation could lead to neuroplasticity in nerve cells and synaptic connections; furthermore, strengthening the sensory-motor base contributes to the improvement of attention. An exercise program for children with ADHD include to moderate to high intensity interval training and cognitive tasks are suitable. The preliminary state of the evidence supports physical exercise as an adjunctive treatment for ADHD at this time.
注意缺陷多动障碍(ADHD)是儿童中最常见的神经发育障碍之一,其症状复杂,常伴有执行功能和运动能力缺陷。尽管基于药物的治疗通常有积极的效果,但可能的副作用可能导致需要辅助干预。目前的研究表明,体育锻炼对认知功能有积极影响。因此,本研究的目的是深入研究体育锻炼对 ADHD 儿童的影响。初步证据表明,急性和慢性体育锻炼都有益于 ADHD 症状、执行功能和运动能力。急性运动的益处可能会随着时间的推移逐渐积累。这些益处反映了认知和身体活动之间的正相关,这些益处也将导致长期训练后执行功能的变化。有氧运动可以诱导增加神经递质,如 5-羟色胺、多巴胺、脑源性神经营养因子(BDNF)和脑血流量。感知运动和冥想可以导致神经细胞和突触连接的神经可塑性;此外,增强感觉运动基础有助于提高注意力。针对 ADHD 儿童的锻炼计划包括中等至高强度间歇训练和认知任务,这些都是合适的。目前的证据状况支持在此时将体育锻炼作为 ADHD 的辅助治疗。