Associations between accelerometer-measured physical activity and sleep duration and health indicators in children and adolescents with attention-deficit hyperactivity disorder: A systematic review and meta-analysis

作者：Xiao Liang, Hui Qiu, Justin A. Haegele, Li Xiao, Minghui Li, Jiayue Li, Shirley Xin Li · 发表于：Journal of Exercise Science & Fitness · 年份：2025 · DOI：10.1016/j.jesf.2025.200429 · 被引用次数：2 · 研究领域：Attention Deficit Hyperactivity Disorder、Sleep and related disorders、Children's Physical and Motor Development

This systematic review and meta-analysis synthesized available studies to explore relationships between accelerometer-measured physical activity (PA) levels or sleep duration and health-related outcomes in children and adolescents with attention-deficit hyperactivity disorder (ADHD). Following the Preferred Reporting Items for Systematic Review and Meta-analyses guidelines, the six databases APA PsychInfo, CINAHL Ultimate, Embase, MEDLINE, SPORTDiscus with Full Text and Web of Science were searched from inception through July 2024. The correlation coefficient ( r ) was employed to determine the effect size in the meta-analysis. A random-effects model was utilised to estimate the potentially heterogeneously distributed effect sizes with a 95 % confidence interval (CI) between groups. Statistical heterogeneity was assessed using I 2 , with a p-value derived from Q statistics. Thirteen eligible studies were included, involving 738 children and adolescents with ADHD (71.1 % boys). The health indicators assessed were executive functions (EFs), motor development, psychological health, and core ADHD symptoms. We found that higher PA levels (i.e., moderate-to-vigorous physical activity [MVPA]) (k = 9, r = 0.36, 95 %CI 0.22 to 0.49) with medium heterogeneity (Q = 13.006, I 2 = 38 %, p = 0.112), and longer sleep duration (k = 6, r = 0.20, 95 %CI 0.06 to 0.35) with medium heterogeneity (Q = 7.495, I 2 = 33 %, p = 0.186), were significantly correlated with better overall EFs. Additionall...