Wang Jiaju, Li Jiangyan, Wang Feifei, You Yang
School of Physical Education, Changchun Normal University, Erdao District, Jilin Province, China.
Department of Physical Education, China University of Petroleum (East China), Huang Dao District, Qingdao City, China.
Neuropediatrics. 2025 Mar 31. doi: 10.1055/a-2561-8487.
Related issues, such as sleep disturbance, are also frequently reported by children with autism spectrum disorder (ASD). This study systematically reviewed the influences of exercise on sleep and anxiety in children with ASD.Search for eligible studies through four databases, and then proceed with screening. The inclusion criteria are as follows: 1) children with ASD; 2) age 3 to 14 years; 3) randomized controlled trial (RCT); 4) the intervention group received exercise training; 5) conducted pre-and posttest, which includes sleep and anxiety. Use the Cochrane bias risk assessment tool to evaluate the quality of the selected study. Select standardized mean difference (SMD) as the appropriate effect scale index, and use Revman 5.4 software to analyze the mean difference of the selected article data.A total of seven studies fulfilled the inclusion criteria and were selected for the meta-analysis. The included studies involved 387 males and 79 females. The results demonstrated that the EXP group benefited from improved sleep (SMD, -1.05 [-1.25, -0.85], < 0.05, I = 27%, for heterogeneity = 0.22) and anxiety (SMD, -1.14 [-1.56, -0.72], < 0.05, I = 95%, for heterogeneity < 0.01) than the CON group.According to the findings, physical activities could offer nonpharmacological interventions for improving sleep and anxiety in children diagnosed with ASD. Sports training could also be considered to promote the rehabilitation of children patients with ASD, which might provide valuable insights.
自闭症谱系障碍（ASD）儿童也经常报告有睡眠障碍等相关问题。本研究系统回顾了运动对ASD儿童睡眠和焦虑的影响。通过四个数据库搜索符合条件的研究，然后进行筛选。纳入标准如下：1）ASD儿童；2）年龄3至14岁；3）随机对照试验（RCT）；4）干预组接受运动训练；5）进行前后测，包括睡眠和焦虑方面。使用Cochrane偏倚风险评估工具评估所选研究的质量。选择标准化均数差（SMD）作为合适的效应量表指标，并使用Revman 5.4软件分析所选文章数据的均数差。共有七项研究符合纳入标准并被选入荟萃分析。纳入的研究涉及387名男性和79名女性。结果表明，与对照组相比，运动组在睡眠（SMD，-1.05 [-1.25, -0.85]，P < 0.05，异质性I² = 27%，异质性检验P = 0.22）和焦虑（SMD，-1.14 [-1.56, -0.72]，P < 0.05，异质性I² = 95%，异质性检验P < 0.01）方面有改善。根据研究结果，体育活动可为改善ASD诊断儿童的睡眠和焦虑提供非药物干预。运动训练也可被视为促进ASD儿童患者的康复，这可能提供有价值的见解。
