患有先天性心脏缺陷的儿童和青少年的体力活动和执行功能:一个范围审查
Amanda Clifton1,2, Neva Kirk-Sanchez2, Gerson Cipriano3
1Nicklaus Children's Hospital, Miami, FL 33155, USA.
Journal of cardiovascular development and disease
|October 25, 2024
概括
身体活动干预措施有望改善先天性心脏缺陷 (CHD) 的儿童的执行功能 (EF). 一项研究发现,有氧运动改善了这一群体的认知和社会功能.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 患有先天性心脏缺陷 (CHD) 的儿童和青少年经常表现出功能能力和执行功能 (EF) 的降低.
- 大脑异常和大脑输液受损与这些缺陷有关.
- 身体活动 (PA) 是通过认知刺激和改善大脑血流来增强EF的潜在途径.
研究的目的:
- 系统地审查现有证据,关于体育活动 (PA) 干预措施对具有先天性心脏缺陷 (CHD) 的儿童和青少年 (C&As) 执行功能 (EF) 的影响.
主要方法:
- 从2000年到2024年,在六个数据库 (MEDLINE,EMBASE,CINAHL,Scopus,CENTRAL,PsycInfo) 中进行了全面的文献搜索.
- 纳入标准侧重于C&A (出生至18岁) 与CHD,PA干预和EF结果.
- 在选了613篇初始文章后,只有一项研究符合所有纳入标准.
主要成果:
- 单个包含的研究表明,自我报告的认知功能和父母报告的社会功能显著改善.
- 在12周的有氧运动计划后,在10-15岁的患有心血管疾病的儿童中观察到这些改善.
- 确定的主题突出显示了整个寿命的持续EF损害和儿科患者群体的独特需求.
结论:
- 目前关于在CHD患者的C&A中对EF的PA干预措施的研究显著有限.
- 有氧运动可能会对这一群体的认知和社会功能产生积极的影响.
- 需要进一步的研究,以充分理解PA对CHD的C&A中PA对EF的影响.
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