中国全科医学2025，Vol.28Issue(27)：3422-3431,10.DOI:10.12114/j.issn.1007-9572.2024.0626
运动方式对超重或肥胖儿童青少年执行功能改善效果的网状Meta分析
Research on the Improvement Effect of Exercise Modes on the Executive Function of Overweight or Obese Children or Adolescents:a Network Meta-analysis
摘要
Abstract
Background Overweight or obese children and adolescents have been shown to exhibit executive function deficits when compared to healthy populations with normal body mass.These deficits may serve to exacerbate existing overweight or obesity and,in some cases,may serve to predispose the individual to the development of other diseases.A growing body of research has demonstrated that exercise can positively impact executive function;however,the specific benefits and drawbacks of different exercise modalities require further investigation.Objective To explore the most effective exercise methods for improving executive function in overweight or obese children and adolescents.Methods A comprehensive search of the CNKI,Wanfang Data,Cochrane Library,PubMed,Embase,and Web of Science databases was conducted to identify randomized controlled trials of exercise interventions for executive function in adolescents and young adults with overweight or obesity.This search was conducted from database construction to October 2024.The literature was screened and the data was extracted by two independent researchers.A network meta-analysis was performed using RevMan 5.4 and Stata 18.0 software to compare the differences between exercise modalities as well as to calculate and rank cumulative probability ranked area under the curve(SUCRA)values.The standardized mean difference(SMD)and its 95%confidence interval(CI)were used as an effect indicator.The Cochrane risk of bias assessment tool was used for risk of bias assessment,and Egger's test was used for publication bias analysis.Results A total of 10 papers in English and Chinese were included,encompassing 675 overweight or obese children and adolescents,aged 8 to 15 years old,with outcome indicators of inhibitory control,working memory,and cognitive flexibility.A total of four movement style groups(sports games,ball games,martial arts practice,and physical training)were included with the no-exercise group.With respect to the enhancement of inhibitory control,sports games(SMD=-1.75,95%CI=-2.83 to-0.68,P<0.05),ball games(SMD=-1.93,95%CI=-3.87 to-0.10,P<0.05),and physical training(SMD=-1.20,95%CI=-2.40 to-0.05,P<0.05)all significantly increased the level of inhibitory control in overweight or obese children and adolescents,with ball sports having the largest SUCRA value(82.8)and being ranked first.In terms of enhancing working memory,ball sports demonstrated superiority over physical training(SMD=-1.02,95%CI=-1.68 to-0.36,P<0.05).Similarly,in the context of promoting cognitive flexibility,ball sports exhibited greater efficacy in comparison to physical training(SMD=-1.22,95%CI=-1.90 to-0.54,P<0.05).Conclusion A comparison of ball games with other exercise modalities has demonstrated that the former is superior in improving executive function in overweight or obese children and adolescents.A comprehensive consideration of the synergistic integration of ball games with intensity,periodization,frequency,and volume is imperative during practice interventions.Further evidence is necessary to develop more accurate and efficient exercise prescriptions for overweight or obese children and adolescents.关键词
超重/肥胖/执行功能/儿童/青少年/运动/网状Meta分析Key words
Overweight/Obesity/Executive function/Child/Adolescent/Exercise/Network meta-analysis分类
医药卫生引用本文复制引用
全家霖,朱琳,苏煜,陈泽恺,陈梓淇,张卓凡..运动方式对超重或肥胖儿童青少年执行功能改善效果的网状Meta分析[J].中国全科医学,2025,28(27):3422-3431,10.基金项目
国家社会科学基金重点项目(23ATY007) （23ATY007）
