Department of Health and Physical Education, The Education University of Hong Kong, Taipo, Hong Kong.
Division of Health and Physical Education, Faculty of Education, Chulalongkorn University, Bangkok, Thailand.
Int J Behav Nutr Phys Act. 2023 Feb 9;20(1):13. doi: 10.1186/s12966-023-01421-5.
High-intensity interval training (HIIT) has been promoted as a time-efficient exercise strategy to improve health and fitness in children and adolescents. However, there remains little consensus in the literature regarding its efficacy in children and adolescents with special educational needs (SEN). This study aimed to examine HIIT as a means of improving key health and fitness parameters in children and adolescents with SEN.
A systematic search was conducted on eight databases (MEDLINE, Embase, SPORTDiscus, Web of Science, Scopus, PsycINFO, CINAHL, and Cochrane Library). Studies were eligible if they 1) included an HIIT protocol, 2) examined parameters related to both physical and mental aspects of health and fitness, and 3) examined children and adolescents with SEN aged 5-17 years.
Of the 1727 studies yielded by the database search, 13 (453 participants) were included and reviewed. We found that HIIT generally improved body composition, physical fitness, and cardiometabolic risk biomarkers across a spectrum of SEN (e.g., attention deficit hyperactivity disorder, cerebral palsy, developmental coordination disorder, and mental illness). Improvements in mental health and cognitive performance following HIIT have also been observed.
This review provides up-to-date evidence for HIIT as a viable exercise strategy for children and adolescents with SEN. Further research investigating the benefits of HIIT in a wider range of SEN populations is warranted.
This study was registered in the International Prospective Register of Systematic Review (PROSPERO; registration number CRD42022352696).
高强度间歇训练 (HIIT) 已被推广为一种高效的运动策略，可改善儿童和青少年的健康和体能。然而，在有特殊教育需求 (SEN) 的儿童和青少年中，其效果仍存在很大争议。本研究旨在探讨 HIIT 作为改善 SEN 儿童和青少年关键健康和体能参数的方法。
对八个数据库（MEDLINE、Embase、SPORTDiscus、Web of Science、Scopus、PsycINFO、CINAHL 和 Cochrane Library）进行了系统搜索。符合条件的研究包括：1）采用 HIIT 方案；2）检测与身心健康相关的参数；3）研究对象为 5-17 岁 SEN 儿童和青少年。
从数据库搜索中得到的 1727 项研究中，有 13 项（453 名参与者）符合纳入标准并进行了综述。我们发现，HIIT 通常可以改善身体成分、体能和心血管代谢风险生物标志物，涵盖了一系列 SEN 疾病（如注意力缺陷多动障碍、脑瘫、发育协调障碍和精神疾病）。HIIT 还可以改善心理健康和认知表现。
本综述为 HIIT 作为 SEN 儿童和青少年可行的运动策略提供了最新证据。有必要进一步研究 HIIT 在更广泛的 SEN 人群中的益处。
本研究在国际前瞻性系统评价注册库（PROSPERO；注册号 CRD42022352696）进行了注册。
