幼儿身体活动课程对学龄前儿童粗大动作发展影响的Meta分析

Effects of early childhood physical activity program on gross motor development in preschool children: a meta-analysis

目的 系统评价幼儿身体活动课程对学龄前儿童粗大动作发展的影响。方法 计算机检索Web of Science、PubMed、Cochrane Library、EBSCO SPORTDiscus with Full Text、CNKI、WanFang Data和VIP数据库,搜集有关幼儿身体活动课程对学龄前儿童粗大动作发展影响的随机对照试验(RCT),检索时限均从建库至2022年8月8日。由2位评价员独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.4.1和Stata 15.0软件进行Meta分析。结果 共纳入18个RCT,包括幼儿身体活动课程组1 141例,对照组1 135例。Meta分析结果显示:幼儿身体活动课程组被试粗大动作发展得分[SMD=1.96,95%CI(1.44,2.49)]、移动性技能得分[SMD=1.15,95%CI(0.83,1.46)]和操作性技能得分[SMD=1.25,95%CI(0.84,1.65)]均高于对照组(P<0.05)。结论 幼儿身体活动课程对学龄前儿童粗大动作技发展有积极作用。受纳入研究数量和质量限制,上述结论尚需更多高质量研究予以验证。

Objective To systematically review the effects of the early childhood physical activity program(ECPAP)on gross motor skill(GMS)in preschool children.MethodsWe searched Web of Science,PubMed,Cochrane Library,EBSCO SPORTDiscus with Full Text,CNKI,WanFangData and VIP databases to collect randomized controlled trails(RCT)about ECPAP for improving GMS in preschool children from the establishment of the database to August 8,2022.Two reviewers independently screened the literature,extracted data,and assessed the risk of bias of the included studies.Meta-analysis was then performed using RevMan 5.4.1 and Stata 15.0 software.ResultsA total of 18 studies including 1141 children in experimental group and 1135 children in control group were included.The results of meta-analysis showed that after ECPAP,the GMS(SMD=1.96,95%CI 1.44 to 2.49),locomotor skills(SMD=1.15,95%CI 0.83 to 1.46)and manipulative skills(SMD=1.25,95%CI 0.84 to 1.65)of the experimental group were significantly better than those of the control group(P<0.05).Conclusion nECPAC is considered to significantly promote the GMS of preschool children.Due to the limited quantity and quality of the included studies,more high-quality studies are needed to verify the above conclusion.