Yamaguchi Rio, Kawahara Takuya, Kotani Tokiko, Yazawa Rina, Suzuki Akane, Kano Yukiko, Ishii-Takahashi Ayaka
Department of Child Neuropsychiatry Graduate School of Medicine Tokyo Japan.
Clinical Research Promotion Center The University of Tokyo Hospital Tokyo Japan.
PCN Rep. 2023 May 25;2(2):e103. doi: 10.1002/pcn5.103. eCollection 2023 Jun.
The current systematic review and meta-analysis aimed to explore the evidence base to date for exercise interventions/interventions that aim to increase physical activity using a modality that can be accessed from home (i.e., online or video-based programs), and its effects on anxiety and depression in children and adolescents.
A broad search was conducted using six databases (PubMed, Web of Science, CINAHL, PsychINFO, ERIC and Scopus) on February 23, 2022. Studies with children or adolescents between the ages 5 and 18 years were included. Of the 2527 records that were identified, nine studies met the full-inclusion criteria. Their quality was assessed by two independent researchers using the Cochrane risk-of-bias tool for randomized trials (RoB 2) and Quality Assessment Tool for Before-After (Pre-Post) Studies with No Control Group. Meta analyses were conducted for studies that specifically assessed anxiety and depression.
The overall results indicated that there is some evidence suggesting the positive effects of exercise interventions delivered online in reducing children's and adolescents' anxiety ( = -0.99, 95% confidence interval [CI]: -1.12 to -0.86). Meanwhile, there seems to be insufficient evidence for its efficacy in reducing low mood ( = -0.42; 95% CI: -0.84 to 0.01). Motivational and coaching based interventions to increase levels of physical activity may be limited in their efficacy, whilst having children exercise along with a video or live sessions online appears promising.
The current preliminary review revealed potential benefits of at-home interventions that had children and adolescents exercise along with a video in improving anxiety.
当前的系统评价和荟萃分析旨在探索迄今为止关于运动干预/旨在通过可在家中使用的方式（即在线或基于视频的项目）增加身体活动的干预措施及其对儿童和青少年焦虑和抑郁影响的证据基础。
于2022年2月23日使用六个数据库（PubMed、科学网、护理学与健康领域数据库、心理学文摘数据库、教育资源信息中心数据库和Scopus）进行了广泛检索。纳入了年龄在5至18岁之间的儿童或青少年的研究。在识别出的2527条记录中，有9项研究符合完全纳入标准。两名独立研究人员使用Cochrane随机试验偏倚风险工具（RoB 2）和无对照组前后研究质量评估工具对其质量进行了评估。对专门评估焦虑和抑郁的研究进行了荟萃分析。
总体结果表明，有一些证据表明在线提供的运动干预对减轻儿童和青少年的焦虑有积极作用（标准化均数差=-0.99，95%置信区间[CI]：-1.12至-0.86）。同时，似乎没有足够的证据证明其在减轻情绪低落方面的疗效（标准化均数差=-0.42；95%CI：-0.84至0.01）。基于动机和指导的增加身体活动水平的干预措施疗效可能有限，而让儿童与视频或在线直播课程一起锻炼似乎很有前景。
当前的初步评价揭示了让儿童和青少年与视频一起锻炼的家庭干预措施在改善焦虑方面的潜在益处。
