打破循环:身体活动对自闭症睡眠障碍的影响 - - 五年纵向分析
Eman A Toraih1,2, Jason Zeleny3,4, Carol Sames5
1Department of Cardiovascular Perfusion, College of Health Professions, Upstate Medical University, Syracuse, NY 13210, USA.
Children (Basel, Switzerland)
|January 28, 2026
概括
结构化的体育活动干预措施有望改善自闭症谱系障碍 (ASD) 的儿童和青少年的睡眠障碍. 这些干预措施与更好的睡眠结果有关,特别是在青少年和焦虑症患者中.
科学领域:
- 儿科睡眠医学 儿科睡眠医学
- 自闭症谱系障碍 (ASD) 研究研究
- 行为干预行为干预
背景情况:
- 睡眠障碍是患有自闭症的儿童和青少年的一个重要问题,影响他们的整体幸福感.
- 身体活动已被公认为可以在一般儿科患者群体中治疗睡眠问题,但其在ASD患者群体中的有效性不太清楚.
研究的目的:
- 确定ASD儿童和青少年睡眠障碍的患病率.
- 评估体育活动干预措施对睡眠障碍解决和药物使用在这个人群中的影响.
主要方法:
- 追溯性队列研究分析了超过1.55亿人的电子健康记录.
- 确定了248,940名患有自闭症的儿童和青少年 (5-18岁),其中38,976人被诊断患有睡眠障碍.
- 使用倾向性匹配得分来比较干预和对照组,随访1年和5年.
主要成果:
- 睡眠障碍的患病率在ASD (19.25%) 显著高于非ASD同龄人 (3.37%).
- 身体活动干预措施显示,睡眠障碍在1年 (-59.9% vs. -5.05%) 和5年 (-49.83% vs. +7.26%) 后的解决率显著更高.
- 青少年 (12-18岁) 和焦虑症患者在睡眠结果中表现出最持久的改善.
结论:
- 结构化的体力活动干预措施与ASD儿童和青少年睡眠障碍的持续改善有关.
- 研究结果表明,在ASD的综合护理计划中,应该考虑体育活动.
- 进一步的前性随机试验是必要的,以确认因果关系和优化干预方案.
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