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智力和发育障碍个体联合训练的效果:随机对照试验的系统评价和荟萃分析

Effects of combined training in individual with Intellectual and Developmental Disabilities: a systematic review and meta-analysis of randomized controlled trials.

作者信息

Jacinto Miguel, Rodrigues Filipe, Monteiro Diogo, Diz Susana, Morquecho Sánchez Raquel, Morales-Sánchez Veronica, Matos Rui, Amaro Nuno, Antunes Raul

机构信息

ESECS, Polytechnique of Leiria, Leiria, Portugal.

Research Center in Sport, Health, and Human Development (CIDESD), Covilhã, Portugal.

出版信息

Disabil Rehabil. 2025 Apr;47(7):1615-1630. doi: 10.1080/09638288.2024.2381598. Epub 2024 Jul 24.

Abstract

PURPOSE OF THE ARTICLE

This study aims to evaluate the literature, peer-reviewed clinical trials investigating the effects of combined exercise interventions on individuals with Intellectual and Developmental Disabilities.

MATERIALS AND METHODS

Various databases, using various descriptors and Boolean operators were utilized.

RESULTS

Eight studies meet the eligibility criteria. Regarding the anthropometric measures/body composition variable, the meta-analysis revealed that combined physical exercise did not have a significant effect (standard mean difference (SMD) = -0.16; 95% CI, -0.34 to 0.03;  = 1.68;  = 0.09). For the lipid profile variable, the combined exercise interventions did not show a significant effect (SMD = -0.07; 95% CI, -0.43 to 0.29;  = 0.38;  = 0.71). Combined exercise training had a significant effect on increasing functional capacity (SMD = 0.28; 95% CI, 0.01 to 0.54;  = 2.03;  = 0.04), cardiorespiratory function (SMD = 0.80; 95% CI, 0.34 to 1.26;  = 3.41;  ≤ 0.001), and strength (SMD = 0.77; 95% CI, 0.45 to 1.08;  = 4.78;  ≤ 0.001).

CONCLUSIONS

Participants from the intervention group that took part in combined exercise training showed a higher probability of improving their functional, cardiorespiratory, and strength capacity compared to the control group.

摘要

文章目的

本研究旨在评估有关联合运动干预对智力和发育障碍个体影响的文献及同行评审的临床试验。

材料与方法

使用了各种数据库,运用了各种描述符和布尔运算符。

结果

八项研究符合纳入标准。关于人体测量指标/身体成分变量,荟萃分析显示联合体育锻炼没有显著效果(标准化均数差(SMD)=-0.16;95%置信区间,-0.34至0.03;I²=1.68;P=0.09)。对于血脂谱变量,联合运动干预未显示出显著效果(SMD=-0.07;95%置信区间,-0.43至0.29;I²=0.38;P=0.71)。联合运动训练对提高功能能力(SMD=0.28;95%置信区间,0.01至0.54;I²=2.03;P=0.04)、心肺功能(SMD=0.80;95%置信区间,0.34至1.26;I²=3.41;P≤0.001)和力量(SMD=0.77;95%置信区间,0.45至1.08;I²=4.78;P≤0.001)有显著效果。

结论

与对照组相比,参与联合运动训练的干预组参与者在改善功能、心肺和力量能力方面的可能性更高。

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