Meta-analysis of the effect of exercise on motor skills in children with attention deficit hyperactivity disorder

BI Xiaoyu; ZHU Xiaotong; ZHU Feilong; KUANG Dongqing; SHENG Siying; REN Yuanchun

doi:10.11852/zgetbjzz2023-0275

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (12) : 1345-1352. DOI: 10.11852/zgetbjzz2023-0275

Meta Analysis

Meta-analysis of the effect of exercise on motor skills in children with attention deficit hyperactivity disorder

BI Xiaoyu, ZHU Xiaotong, ZHU Feilong, KUANG Dongqing, SHENG Siying, REN Yuanchun

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Abstract

Objective To explore the effect of exercise intervention on motor skills in children with attention deficit hyperactivity disorder (ADHD), in order to provide theoretical reference for exercise intervention of ADHD. Methods Literature on the effects of exercise interventions on motor skills in ADHD children was searched in five databases from January 2002 to September 2022, including PubMed, Web of Science, Cochrane Library, China Knowledge Base and Wanfang Database. Reviewer Manager 5.4.1 software was used for analysis, and standardized mean differences (SMD) and 95% confidence intervals (CI) were used to assess the effectiveness of exercise interventions in improving motor skills in ADHD children. A Meta-analysis was conducted using fixed or random effects models according to the heterogeneity of the studies, and subgroup analysis was performed. Results Eleven articles were eventually included in the literature. The cumulative study population was 1 190, including 602 cases in the ADHD exercise intervention group and 588 cases in the ADHD control group. Overall effect analysis showed that exercise intervention had a positive effect on the improvement of gross motor skills (SMD=1.04, 95%CI: 0.53 - 1.54, P<0.05) and fine motor skills (SMD=0.48, 95% CI: 0.24 - 0.71, P<0.05) in children with ADHD. Subgroup analysis showed that open motor skill-based and closed motor skill-based motor interventions had positive effects on children's gross motor skills (SMD=0.55, 1.68, 95% CI: 0.08 - 1.02, 0.76 - 2.60, both P<0.05) and fine motor skills (SMD=0.46, 0.54, 95% CI: 0.21 - 0.71, 0.15 - 0.93, both P<0.05). The gross motor skills and fine motor skills in children with total motor interventions ≥720 min improved better than those of the control group (SMD=0.88, 0.67, 95%CI: 0.59 - 1.17, 0.38 - 0.95, both P<0.05), while those with total motor interventions ＜720 min only improved gross motor skills better than the control group (SMD=1.24, 95%CI: 0.40 - 2.08, P<0.05). Conclusions Exercise can improve the development of motor skills in ADHD children. Different total intervention amount of exercise, frequency and duration have a varied influence on the improvement of both gross motor skills and fine motor skills in ADHD children.

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attention deficit hyperactivity disorder / children / motor skill / exercise intervention / Meta-analysis

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BI Xiaoyu, ZHU Xiaotong, ZHU Feilong, KUANG Dongqing, SHENG Siying, REN Yuanchun. Meta-analysis of the effect of exercise on motor skills in children with attention deficit hyperactivity disorder[J]. Chinese Journal of Child Health Care. 2023, 31(12): 1345-1352 https://doi.org/10.11852/zgetbjzz2023-0275

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