Department of Health and Physical Education, The Education University of Hong Kong, Hong Kong SAR, China.
Centre for Health Behaviours Research, JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR, China.
Res Dev Disabil. 2024 Dec;155:104880. doi: 10.1016/j.ridd.2024.104880. Epub 2024 Nov 16.
Cognitively combined/engaged physical activity (CC/CE-PA) has been used as an intervention for children/adolescents with attention-deficit/hyperactivity disorder (ADHD).
This review aimed to quantify the effects of CC/CE-PAs on enhancing executive and physical function and alleviating ADHD symptoms in children/adolescents with ADHD. An extensive literature search of online databases identified 32 studies (75 % high-quality studies), of which 22 (pooled n=968) were included in the meta-analysis.
The included studies covered five PA types with varying intervention periods, frequencies, and exercise durations. The CC/CE-PAs showed an overall significant effect on improving executive function (standardized mean difference [SMD]: 1.10) and motor competence (SMD: 0.52) and alleviating ADHD symptoms (SMD: -0.75). Program design and participants' medication status were found to significantly moderate the effect of CC/CE-PA.
More evidence is needed to support the effect of CC/CE-PA by comparing it with other interventions and using a rigorous experimental design.
认知结合/参与的身体活动（CC/CE-PA）已被用作注意力缺陷/多动障碍（ADHD）儿童/青少年的干预措施。
本综述旨在量化 CC/CE-PA 对增强执行功能和身体功能以及减轻 ADHD 症状的影响。通过对在线数据库进行广泛的文献检索，确定了 32 项研究（75%为高质量研究），其中 22 项（汇总 n=968）纳入荟萃分析。
纳入的研究涵盖了五种不同干预期、频率和运动持续时间的 PA 类型。CC/CE-PA 对改善执行功能（标准化均数差 [SMD]：1.10）和运动能力（SMD：0.52）以及减轻 ADHD 症状（SMD：-0.75）具有总体显著效果。发现方案设计和参与者的用药状况对 CC/CE-PA 的效果有显著的调节作用。
需要更多的证据来支持 CC/CE-PA 的效果，方法是将其与其他干预措施进行比较，并采用严格的实验设计。
