背景:执行功能在儿童的认知发展中起着至关重要的作用,学业成绩,以及他们的身心健康。这项研究旨在评估运动对儿科人群执行功能的影响。
方法:纳入标准是对4-12岁儿童进行运动干预和执行功能评估的随机对照试验。在中国国家知识基础设施(中文)数据库中进行了荟萃分析,万方(中文),WebofScience,Embase,和PubMed,从2010年1月到2023年2月,遵循PRISMA指南。通过Jadad量表评估偏倚风险,Cochrane偏差风险评估工具,漏斗图,和基于回归的Egger检验。ReviewManager5.3用于使用随机效应模型分析所包含的文章,效果计算为标准化平均差(SMD)。
结果:包括11项儿童实验研究(n=508)。运动游戏被发现对儿童的认知灵活性有积极影响(SMD=0.34,95CI[0.17,0.52],P<0.01),抑制对照(SMD=0.57,95CI[0.31,0.83],P<0.01),和工作记忆(SMD=0.26,95CI[0.02,0.51],P<0.05)。观察到发表偏倚。
结论:运动游戏有可能改善儿童的执行功能。有必要进行更多设计严谨的研究来探索游戏干预的具体效果。本研究在PROSPERO(CRD42023401526)上注册。
BACKGROUND: Executive function plays a crucial role in children\'s cognitive development, academic performance, as well as their physical and mental health. This study aims to assess the impact of exergaming on executive functions in pediatric populations.
METHODS: The criteria of inclusion were randomized controlled trials of exergaming intervention and evaluation of executive function in children aged 4-12 years. A meta-analysis was performed in databases of China National Knowledge Infrastructure (in Chinese), Wan Fang (in Chinese), Web of Science, Embase, and PubMed, from January 2010 to February 2023, following the PRISMA guidelines. Risk of bias was assessed by the Jadad scale, the Cochrane risk of bias assessment tool, funnel plot, and regression-based Egger test. The
Review Manager 5.3 was used to analyze the included articles using a random-effects model, and the effects were calculated as standardized mean difference (SMD).
RESULTS: Eleven experimental studies with children (n = 508) were included. Exergaming was found to have a positive impact on children\'s cognitive flexibility (SMD = 0.34, 95%CI [0.17,0.52], P < 0.01), inhibitory control (SMD = 0.57, 95%CI [0.31,0.83], P < 0.01), and working memory (SMD = 0.26, 95%CI [0.02,0.51], P < 0.05). The publication bias were observed.
CONCLUSIONS: Exergaming has the potential to improve executive functions in children. More studies with rigorous designs are warranted to explore the specific effects of exergaming intervention. This study was registered on the PROSPERO (CRD42023401526).