Evidence map›Paper›PMID 26829000›Full record

Trial reportMedicine and science in sports and exercise2016

Randomized Controlled Trial of Exercise for ADHD and Disruptive Behavior Disorders.

Eduardo Esteban Bustamante, Catherine Lucy Davis, Stacy Lynn Frazier, Dana Rusch, Louis F Fogg, Marc S Atkins, David Xavier Marquez

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Medicine and science in sports and exercise, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 21 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 21 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Eduardo Esteban Bustamante1Department of Kinesiology and Nutrition, University of Illinois at Chicago, Chicago, IL; 2Georgia Prevention Institute, Medical College of Georgia, Georgia Regents University, Augusta, GA; 3Center for Children and Families, Department of Psychology, Florida International University, Miami, FL; 4Institute for Juvenile Research, Department of Psychiatry, University of Illinois at Chicago, Chicago, IL; and 5Department of Community Systems and Mental Health Nursing, College of Nursing, Rush University, Chicago, IL.
Catherine Lucy Davis
Stacy Lynn Frazier
Dana Rusch
Louis F Fogg
Marc S Atkins
David Xavier Marquez

Funding

Exercise & Overweight Children's CognitionR01HL087923 · NHLBI · AUGUSTA UNIVERSITY · PI DAVIS, CATHERINE LUCY, MCDOWELL, JENNIFER E · 2008 to 2012
$5.2M
Physical Activity Intervention for ADHD and DBDR36MH093152 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BUSTAMANTE, EDUARDO ESTEBAN · 2011 to 2012
$78k
NHLBI NIH HHS R01 HL087923NIMH NIH HHS R36 MH093152
6 · The paper itself

Abstract

purposeThe objective of this study is to test the feasibility and impact of a 10-wk after-school exercise program for children with attention deficit hyperactivity disorder and/or disruptive behavior disorders living in an urban poor community.

methodsChildren were randomized to an exercise program (n = 19) or a comparable but sedentary attention control program (n = 16). Cognitive and behavioral outcomes were collected pre-/posttest. Intent-to-treat mixed models tested group-time and group-time-attendance interactions. Effect sizes were calculated within and between groups.

resultsFeasibility was evidenced by 86% retention, 60% attendance, and average 75% maximum HR. Group-time results were null on the primary outcome, parent-reported executive function. Among secondary outcomes, between-group effect sizes favored exercise on hyperactive symptoms (d = 0.47) and verbal working memory (d = 0.26), and controls on visuospatial working memory (d = -0.21) and oppositional defiant symptoms (d = -0.37). In each group, within-group effect sizes were moderate to large on most outcomes (d = 0.67 to 1.60). A group-time-attendance interaction emerged on visuospatial working memory (F[1,33] = 7.42, P < 0.05), such that attendance to the control program was related to greater improvements (r = 0.72, P < 0.01), whereas attendance to the exercise program was not (r = 0.25, P = 0.34).

conclusionsAlthough between-group findings on the primary outcome, parent-reported executive function, were null, between-group effect sizes on hyperactivity and visuospatial working memory may reflect adaptations to the specific challenges presented by distinct formats. Both groups demonstrated substantial within-group improvements on clinically relevant outcomes. Findings underscore the importance of programmatic features, such as routines, engaging activities, behavior management strategies, and adult attention, and highlight the potential for after-school programs to benefit children with attention deficit hyperactivity disorder and disruptive behavior disorder living in urban poverty where health needs are high and services resources few.

Indexed as

ExerciseAttention Deficit and Disruptive Behavior DisordersAttention Deficit Disorder with HyperactivityBehavior TherapyChildExecutive FunctionFemaleHumansMaleMemory, Short-Term

Identifiers

PMID26829000
PMCPMC4911251

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.