1.A network meta-analysis of effect of exercise intervention on executive function in children
Hua LI ; Zhiping ZHEN ; Ping ZHANG
Chinese Mental Health Journal 2025;39(1):68-74
Objective:To compare the effects of various exercise intervention programs on executive function in children.Methods:Experimental studies on the impact of exercise intervention on children's executive function were searched from CNKI,Wanfang,Pubmed,Web of Science,Embase and Cochrane repositories until December 2022,and the quality of included literatures was assessed with Cochrane bias risk assessment tool.The inclusion and exclusion criteria were developed according to the PICOS principle,and standardized mean difference(SMD)was used as the effect indicator.Results:A total of 43 literatures(n=5 333)were included.The results of meta-analysis showed that the ball game with single exercise time≥51 min,twice a week,intervention cycle ≥ 17 weeks was the first choice for promoting children's inhibition control(SUCRA=86.8);the ball game with a single exercise time of 10-30 min,twice a week,intervention period of 5-8 weeks was the first choice for promoting children's work-ing memory(SUCRA=75.6).The ball game with a single exercise time of 31-50 minutes,twice a week,inter-vention period of 5-8 weeks was the first choice for promoting children's cognitive flexibility(SUCRA=89.4).Conclusion:Different exercise intervention programs have different effects on executive function in children.
2.A network meta-analysis of effect of exercise intervention on executive function in children
Hua LI ; Zhiping ZHEN ; Ping ZHANG
Chinese Mental Health Journal 2025;39(1):68-74
Objective:To compare the effects of various exercise intervention programs on executive function in children.Methods:Experimental studies on the impact of exercise intervention on children's executive function were searched from CNKI,Wanfang,Pubmed,Web of Science,Embase and Cochrane repositories until December 2022,and the quality of included literatures was assessed with Cochrane bias risk assessment tool.The inclusion and exclusion criteria were developed according to the PICOS principle,and standardized mean difference(SMD)was used as the effect indicator.Results:A total of 43 literatures(n=5 333)were included.The results of meta-analysis showed that the ball game with single exercise time≥51 min,twice a week,intervention cycle ≥ 17 weeks was the first choice for promoting children's inhibition control(SUCRA=86.8);the ball game with a single exercise time of 10-30 min,twice a week,intervention period of 5-8 weeks was the first choice for promoting children's work-ing memory(SUCRA=75.6).The ball game with a single exercise time of 31-50 minutes,twice a week,inter-vention period of 5-8 weeks was the first choice for promoting children's cognitive flexibility(SUCRA=89.4).Conclusion:Different exercise intervention programs have different effects on executive function in children.
3.A network Meta analysis of the effects of different exercise modalities on inhibitory control in children with attention deficit hyperactivity disorder
LI Hua, ZHANG Ping, ZHEN Zhiping
Chinese Journal of School Health 2024;45(4):497-502
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.


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