Wang Tong, Li Weicheng, Deng Jiaxin, Zhang Qiubo, Liu Yongfeng, Zheng Haoyu
School of Sports Training, Chengdu Sport University, Chengdu, Sichuan, China.
Front Neurol. 2024 Aug 13;15:1438786. doi: 10.3389/fneur.2024.1438786. eCollection 2024.
The purpose of this review was to synthesize the current literature on the relationship between sleep and physical activity in children and adolescents with neurodevelopmental disorders.
Articles were searched in PubMed, Web of Science, EBSCO, Cochrane, and Embase until April 2024. The meta-analysis was performed using Review Manager 5.3.
Our results show that measuring sleep parameters by means of different measuring tools yields different results. Most studies have found no association between sleep and physical activity in children with neurodevelopmental disorders, especially when measured subjectively, such as parent reports and sleep logs. Physical activity interventions had a significant effect on sleep efficiency, wake after sleep onset, and sleep duration when measured objectively using instruments such as wrist actigraphy. Meta-analysis showed that children and adolescents with neurodevelopmental disorders who participated in mind-body activities (SMD = -3.01, 95%CI = -4.15-1.87, < 0.001, I = 99%) showed significant improvements in sleep, which were sessions lasting more than 12 weeks (SMD = -1.01, < 0.01, I = 97%), performed at least 3 times per week (SMD = -0.81, 95%CI = -1.53-0.10, = 0.03, I = 95%), and lasted for more than 60 min per session (SMD = -1.55, 95%CI = -2.67~-0.43, = 0.007, I = 97%). However, the results of these subgroup analyses must be interpreted with caution because of the small number of studies included.
Our results show that measuring sleep parameters by means of different measuring tools yields different results. There was difficulty in interpreting many of the studies included in this meta-analysis, in view of the non-standardization of protocol, especially the ability range of the cohort, duration of the study, recommended exercises, whether the caregivers or researchers supervised the exercise regime/activity, and the practicality of continuing the exercise long-term by caregivers.
Identifier, CRD42024541300.
本综述旨在综合当前关于神经发育障碍儿童和青少年睡眠与身体活动之间关系的文献。
在PubMed、科学网、EBSCO、Cochrane和Embase中检索截至2024年4月的文章。使用Review Manager 5.3进行荟萃分析。
我们的结果表明，使用不同测量工具测量睡眠参数会产生不同结果。大多数研究发现，神经发育障碍儿童的睡眠与身体活动之间没有关联，尤其是在主观测量时，如家长报告和睡眠日志。当使用腕部活动记录仪等工具进行客观测量时，身体活动干预对睡眠效率、睡眠开始后觉醒和睡眠时间有显著影响。荟萃分析表明，参与身心活动的神经发育障碍儿童和青少年（标准化均数差[SMD]=-3.01，95%置信区间[CI]=-4.15-1.87，P<0.001，I²=99%）睡眠有显著改善，即活动持续超过12周（SMD=-1.01，P<0.01，I²=97%）、每周至少进行3次（SMD=-0.81，95%CI=-1.53-0.10，P=0.03，I²=95%）且每次持续超过60分钟（SMD=-1.55，95%CI=-2.67~-0.43，P=0.007，I²=97%）。然而，由于纳入研究数量较少，这些亚组分析结果的解释必须谨慎。
我们的结果表明，使用不同测量工具测量睡眠参数会产生不同结果。鉴于研究方案的不标准化，尤其是队列的能力范围、研究持续时间、推荐的运动、照顾者或研究人员是否监督运动方案/活动以及照顾者长期持续运动的可行性，本荟萃分析中纳入的许多研究难以解释。
标识符，CRD42024541300。
