College of Physical Education, Yangzhou University, Yangzhou, China.
Institute of Sports, Exercise and Brain, Yangzhou University, Yangzhou, China.
Autism Res. 2023 Sep;16(9):1811-1824. doi: 10.1002/aur.3004. Epub 2023 Aug 4.
In this paper, systematic review and meta-analysis were used to demonstrate the effectiveness of physical activity intervention on core symptoms of autism spectrum disorder (ASD). Physical activity intervention for core symptoms of ASD were retrieved by computer from the PubMed Cochrane Library, Web of Science, APA PsycNet, and CNKI database during December 1, 2022. Two researchers evaluated the quality of the included literature and extracted the data. Sixteen studies were eventually included, with a total of 587 patients with ASD. Meta-analysis showed that the core symptoms of ASD patients decreased after physical activity intervention, ES(g) = 0.681(95% CI: 0.380-0.982, p = 0.000), specifically, physical activity improved the reduction of social disorder ES(g) = 0.749(95% CI: 0.524-0.973) and repeated rigid behavior ES(g) = 0.553 (95% CI: -0.079 to 1.186). Subgroup analysis showed that preschool children with ASD who were 3-6 years old, exercised for more than 12 weeks, more than 3 times a week, and exercised for more than 90 min per session had better improvement in core symptoms after participating in physical activity. The conclusion of this paper is that physical activity intervention can improve the core symptoms of ASD, especially the reduction of social disorders and repetitive behaviors.
本研究采用系统综述和荟萃分析的方法，旨在展示身体活动干预对自闭症谱系障碍（ASD）核心症状的有效性。通过计算机检索 PubMed、Cochrane 图书馆、Web of Science、APA PsycNet 和中国知网（CNKI）数据库，于 2022 年 12 月 1 日获取 ASD 核心症状的身体活动干预研究。由 2 位研究者评价纳入文献的质量并提取数据。最终纳入 16 项研究，共 587 例 ASD 患者。Meta 分析结果显示，身体活动干预后 ASD 患者的核心症状减少，ES(g)=0.681(95%CI: 0.380-0.982，p=0.000)，具体而言，身体活动改善了社会障碍的减少 ES(g)=0.749(95%CI: 0.524-0.973)和重复刻板行为 ES(g)=0.553 (95%CI: -0.079 to 1.186)。亚组分析显示，3-6 岁的学龄前 ASD 儿童，锻炼时间超过 12 周、每周超过 3 次、每次超过 90 min，在参加身体活动后核心症状改善更好。本研究的结论是，身体活动干预可以改善 ASD 的核心症状，尤其是社会障碍和重复行为的减少。
