《中国康复理论与实践》

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (8): 879-888.doi: 10.3969/j.issn.1006-9771.2022.08.002

• 专题 儿童与青少年功能康复 • 上一篇    下一篇

电竞活动对青少年健康和功能的影响及康复干预的系统综述

郭彤彤1,2,杨剑1,2(),吴铭3,郭正茂4   

  1. 1.华东师范大学青少年健康评价与运动干预教育部重点实验室,上海市 200241
    2.华东师范大学体育与健康学院,上海市 200241
    3.郑州大学体育学院（校本部）,河南郑州市 450001
    4.上海师范大学体育学院,上海市 200234
  • 收稿日期:2022-08-04 修回日期:2022-08-08 出版日期:2022-08-25 发布日期:2022-08-30
  • 通讯作者: 杨剑 E-mail:yangjianxz@sina.com
  • 作者简介:郭彤彤(1992-),女,汉族,浙江金华市人,博士研究生,主要研究方向：体育运动心理学,体育与健康,康复心理学,身体活动与健康行为。|杨剑(1970-),男,汉族,江苏徐州市人,博士,教授,世界卫生组织国际分类家族合作中心专家委员,主要研究方向：儿童青少年体育与健康,儿童青少年健康,ICF,康复科学,健康心理学,锻炼心理学,康复心理学,残疾研究。
  • 基金资助:
    上海高校"立德树人"人文社科重点研究基地子项目(1100-41222-16057);青少年体育教育研究上海市社会科学创新研究基地子项目(11001-412321-17006);华东师范大学青少年运动促进健康研究院子项目

Impact of e-sports activity on adolescents' health, and rehabilitation interventions: a systematic review

GUO Tongtong1,2,YANG Jian1,2(),WU Ming3,GUO Zhengmao4   

  1. 1. Key Laboratory of Adolescent Health Assessment and Exercise Intervention of Ministry of Education, East China Normal University, Shanghai 200241, China
    2. College of Physical Education and Health, East China Normal University, Shanghai 200241, China
    3. School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, Henan 450001, China
    4. Shanghai Normal University, Shanghai 200234, China
  • Received:2022-08-04 Revised:2022-08-08 Published:2022-08-25 Online:2022-08-30
  • Contact: YANG Jian E-mail:yangjianxz@sina.com
  • Supported by:
    Sub-project of Shanghai University "Strengthening Morality" Humanities and Social Sciences Key Research Base(1100-41222-16057);Sub-project of Adolescents Physical Education Research Shanghai Social Science Innovation Research Base(11001-412321-17006);Sub-project of East China Normal University Adolescents Sports and Health Promotion Research Institute

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摘要：

目的 基于《国际功能、残疾和健康分类》(ICF),探究电竞活动对青少年的健康影响,并对健康状况和功能、干预策略和康复结局进行系统综述。

方法 运用ICF对青少年从事电竞活动的身心健康和功能影响进行系统分析。采用关键词和主题检索的方式,在中国知网、维普、万方数据库、PubMed、Web of Science、EBSCO等数据库检索电竞活动、健康状况、功能、功能康复(干预)和康复结局的相关文献,检索时间为建库至2022年2月。对纳入文献进行筛选、质量评价和综述,采用ICF架构和WHO-FICs编码分析从事电竞活动的健康状况和相关的功能、干预策略以及康复(健康状况和功能)结局。

结果与结论 最终纳入文献8篇,来自6个国家,主要涉及临床医学、康复科学、运动康复、运动心理学和康复心理学等研究领域,其发表日期主要集中在2015年之后,物理治疗证据数据库(PEDro)量表平均分为6.88分。根据ICF分类,青少年从事电竞活动面临的主要健康问题涉及身体层面、个体层面和环境层面。身体层面包括精神功能、感觉功能和疼痛、神经肌肉骨骼和运动有关的功能,常见的有认知障碍、情绪障碍、疲劳、睡眠障碍、抑郁和焦虑、肥胖症、骨骼肌肉疼痛等;个体层面包括活动与参与领域中的健康行为(如久坐行为和身体活动不足)、饮食与营养不良、其他健康行为等;环境层面主要包括支持和相互联系、态度、服务、体制和政策表现。干预策略分为身体层面(如身体干预、心理干预)和活动与参与层面(如社交干预、认知干预、社交媒体的使用、中高强度身体活动)两类。康复结局涉及认知、活动性、自我照护、与人相处、生活活动、参与和健康影响6个维度,通过康复干预可以改善情绪和认知状况、提升日常身体活动水平、迅速增加轻度到中度身体活动,中断久坐,增加身体活动;增加社交活动,获得社会支持,形成健康的生活习惯,提升生活质量和福祉。

关键词: 国际功能、残疾和健康分类, 电竞活动, 健康, 康复, 系统综述

Abstract:

Objective To explore the impact of e-sports activities on adolescents' health based on International Classification of Functioning, Disability and Health (ICF), and conduct a systematic review of health condition and functioning, interventions and outcomes.

Methods The ICF was used to systematically analyze the physical and mental health and functional impact of adolescents engaging in e-sports activities. Using the keywords and subject heading search method, articles about e-sports, health condition, functioning, functional rehabilitation (intervention) and outcome were searched in CNKI, VIP, Wanfang Database, PubMed, Web of Science and EBSCO from establishment to February, 2022. Systematic review had been adopted for literatures scanning, selection, quality review, and literature synthesis. ICF framework and WHO-FICs coding system were used to analyze the literatures in the fields of e-sport participants' main health condition and health-related conditions, functioning, interventions, and outcomes (health conditions and functioning).

Results and Conclusion Eight literatures from six countries had been finally included, mainly in the fields of clinical medicine, rehabilitation sciences, sports psychology and rehabilitation psychology. The literatures published mainly after 2015. The average scores on Physiotherapy Evidence Database (PEDro) were 6.88. Using ICF framework, adolescent e-sport participants had main health conditions and functioning at the levels of body, activity and participation, and environment. At body level, the health conditions and functioning involved in the fields of mental function, sensory function and pain, neuromusculoskeletal and motor-related functions, mainly manifested impairments or disorders such as cognitive impairment, emotional disturbance, fatigue, sleep disturbance, depression and anxiety, obesity and musculoskeletal pain. At the individual level, main health conditions and functioning included healthy behaviors (such as sedentary behaviors, insufficient physical activity), diet and malnutrition, and other healthy behaviors. At the level of environment, main factors included support and personal relation, attitudes, services, institutional and policy performance. There were two categories of interventions: interventions at body level, such as physical intervention, psychological intervention; and intervention at activity and participation level, such as social intervention, cognitive-behaviors intervention, social media and moderate-to-high-intensity physical activity. Adolescent participants can get health benefits from interventions in the six dimensions of WHODAS2.0 of cognition, mobility, self-care, getting along with others, life activities, participation and health impact, and specifically manifested improvement in the fields of emotional and cognitive conditions, daily physical activity level, rapidly increasing from light to moderate physical activity; interruption sedentary, increasing in physical activity; enhancement of social relations, accessing to social support; and forming healthy living habits and improving the quality of life and well-being.

Key words: International Classification of Functioning, Disability and Health, e-sports, health, rehabilitation, systematic review

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