Meta-analysis of the effects of physical activity on executive function in children and adolescents with attention deficit hyperactivity disorder

Meta-analysis of the effects of physical activity on executive function in children and adolescents with attention deficit hyperactivity disorder

Executive function is a core deficit in children with attention deficit hyperactivity disorder (ADHD). This study systematically reviewed the evidence for the effects of physical activity (PA) interventions on executive function in children and adolescents with ADHD and explored the moderating effec...

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Bibliographic Details
Published in:PloS one Vol. 18; no. 8; p. e0289732
Main Authors: Song, Yiling, Fan, Biyao, Wang, Chunshun, Yu, Hongjun
Format: Journal Article
Language:English
Published: San Francisco Public Library of Science 17-08-2023
Subjects:
Adolescents
Analysis
Attention deficit hyperactivity disorder
Bias
Biology and Life Sciences
Care and treatment
Children
Cognition & reasoning
Cognitive ability
Data analysis
Diagnosis
Executive function
Exercise
Flexibility
Health aspects
Heterogeneity
Hyperactivity
Information management
Intervention
Mathematical analysis
Medical ethics
Medical research
Medicine and Health Sciences
Medicine, Experimental
Memory
Mental disorders
Mental health
Meta-analysis
Motor skill learning
People and Places
Physical activity
Physical fitness
Physical Sciences
Physical training
Physiological aspects
Psychological aspects
Research and Analysis Methods
Researchers
Science Policy
Sensitivity analysis
Short term memory
Subgroups
Teenagers
Youth
China
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Summary:Executive function is a core deficit in children with attention deficit hyperactivity disorder (ADHD). This study systematically reviewed the evidence for the effects of physical activity (PA) interventions on executive function in children and adolescents with ADHD and explored the moderating effects of key variables of PA on executive function. Relevant literature in four electronic databases, Pubmed, Web of Science, Cochrane Library, and Embase, were systematically searched. Revman 5.4 was used for data analysis, and combined effect sizes, heterogeneity tests, subgroup analyses, and sensitivity analyses were calculated. Egger's test in Stata 15.0 was used for publication bias testing. A total of 24 articles with 914 participants were included. Meta-analysis showed that PA interventions improved inhibitory control (SMD = -0.50, 95%CI [-0.71, -0.29], P < 0.00001), working memory (SMD = -0.50, 95%CI [-0.83, -0.16], P = 0.004) and cognitive flexibility in children and adolescents with ADHD (SMD = -0.45, 95%CI [-0.81, -0.09], P = 0.01). Subgroup analysis revealed a moderating effect of intervention intensity, motor skill type, sessions of PA, and weekly exercise volume on executive function. PA interventions had positive effects on improvements in core executive functions in children and adolescents with ADHD and were influenced by intervention intensity, type of motor skill, sessions of PA, and amount of exercise. This has practical implications for the formulation of PA interventions programs.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0289732