A network Meta analysis of the effects of different exercise modalities on inhibitory control in children with attention deficit hyperactivity disorder / 中国学校卫生

ABSTRACT

Objective@#To compare the relative effectiveness of different exercise modalities on inhibitory control in children with attention deficit hyperactivity disorder (ADHD), so as to provide an evidence based basis for the development of effective exercise prescriptions.@*Methods@#The databases of China National Knowledge Internet (CNKI), Pubmed, Web of Science, Embase, and Cochrane were searched to screen the literature of randomized controlled trials of exercise interventions for inhibitory control in children with ADHD up to December 31, 2022. The Cochrane risk of bias assessment tool was used for methodological quality assessment, and Stata 17.0 software was used for network Meta analysis, standardized mean difference ( SMD ) and 95% CI were used as the effect indicators to compare the difference in effect between interventions and rank the effect.@*Results@#Twenty two papers with a total of 1 134 participants aged 6-14.5 years were finally included. Network Meta analysis showed that the impact effects of physical and mental exercises [ SMD (95% CI )=1.08(0.50-1.66)], cognition+exercise [ SMD (95% CI ) =0.81(0.13-1.48)], and ball games [ SMD (95% CI )= 1.54(0.99-2.09)] were significantly superior to that of control group, and the ball games had a significantly better effect than single aerobic exercise [ SMD (95% CI )=1.02(0.20-1.84)], and combined exercises [ SMD (95% CI )=1.08( 0.28 -1.88)]( P < 0.05 ). The results of surface under the cumulative ranking (SUCRA) showed that ball games might be the best means to improve inhibitory control in children with ADHD(SUCRA=95.3).@*Conclusion@#It is recommended to appropriately increase ball sports in sports activities to more effectively improve the inhibitory control of children with ADHD.