Riis Kathryn, Samulski Brittany, Neely Kristina A, Laverdure Patricia
Department of Kinesiology, Auburn University, 301 Wire Rd, Auburn, AL, 36830, USA.
Department of Kinesiology and Rehabilitation, Old Dominion University, Norfolk, VA, USA.
J Autism Dev Disord. 2024 May 16. doi: 10.1007/s10803-024-06356-9.
Clinical anxiety is a common comorbidity in autistic people. Due to the prevalence of anxiety in the autism population and the adverse effects it causes, there is a critical need to develop effective interventions which address anxiety symptoms for autistic people. Therefore, the purpose of this systematic review was to examine the effectiveness of the use of physical activity as an intervention to reduce anxiety in autistic people. Three databases PubMed, PsychInfo, and Cochrane RCTs, were searched utilizing key terms. PRISMA systematic search procedures identified 44 studies meeting predetermined inclusion criteria. Participant characteristics, the type of physical activity performed, the nature of the physical activity program/delivery, anxiety-related outcomes, and research methodology was evaluated for each study. Each paper included was appraised and scored for risk of bias using Cochrane Handbook for Systematic Reviews of Interventions risk of bias tool. Titles and abstracts of 44 articles were reviewed and 8 articles met inclusion criteria which evaluated interventions. Evidence from 8 studies suggests that yoga, a community-based football program, an app-assisted walking program, group exercise programs, and horseback riding interventions reduced anxiety for autistic people. The studies included in this systematic review provide strong-to-moderate evidence that physical activity can reduce anxiety for autistic children and adults. However, additional research is needed to identify which mode of physical activity is most beneficial for anxiety reduction. Further, future research should evaluate frequency, duration, and intensity and their effects on anxiety for autistic people.
临床焦虑症是自闭症患者中常见的共病情况。由于自闭症人群中焦虑症的普遍性及其造成的不良影响，迫切需要开发有效的干预措施来解决自闭症患者的焦虑症状。因此，本系统评价的目的是检验将体育活动作为一种干预措施来减轻自闭症患者焦虑的有效性。使用关键词在三个数据库（PubMed、PsychInfo和Cochrane随机对照试验库）中进行了检索。PRISMA系统检索程序确定了44项符合预定纳入标准的研究。对每项研究的参与者特征、所进行的体育活动类型、体育活动计划/实施的性质、与焦虑相关的结果以及研究方法进行了评估。使用《Cochrane系统评价干预措施手册》中的偏倚风险工具对纳入的每篇论文进行偏倚风险评估和评分。对44篇文章的标题和摘要进行了审查，8篇文章符合纳入标准，这些文章评估了干预措施。8项研究的证据表明，瑜伽、一项基于社区的足球项目、一个应用程序辅助的步行项目、团体锻炼项目和骑马干预措施可减轻自闭症患者的焦虑。本系统评价纳入的研究提供了强有力到中等程度的证据，表明体育活动可以减轻自闭症儿童和成人的焦虑。然而，需要更多的研究来确定哪种体育活动模式对减轻焦虑最有益。此外，未来的研究应评估频率、持续时间和强度及其对自闭症患者焦虑的影响。
