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Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis

Forfatter(e)
Fang, Y., Sun, F., Wang, Z., Yang, Y., Lau, M., Huang, K., Yeung, M. K., Kranz, G. S., Chan, C. C. H.
År
2024
DOI
10.1016/j.ridd.2024.104880
Tidsskrift
Research in Developmental Disabilities
Volum
155
Sider
104880
Kategori(er)
ADHDKognisjon (hukommelse, oppmerksomhet og eksekutive funksjoner) Språk og motorikkSosiale ferdigheter (inkl. vennerelasjoner)
Tiltakstype(r)
Kognitiv atferdsterapi, atferdsterapi og kognitiv terapiFysisk aktivitet
Abstract

BACKGROUND

Cognitively combined/engaged physical activity (CC/CE-PA) has been used as an intervention for children/adolescents with attention-deficit/hyperactivity disorder (ADHD).

METHOD

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.

RESULTS

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.

CONCLUSION

More evidence is needed to support the effect of CC/CE-PA by comparing it with other interventions and using a rigorous experimental design.