ArticleBMJ open sport & exercise medicine2018
Systematic review of acute physically active learning and classroom movement breaks on children's physical activity, cognition, academic performance and classroom behaviour: understanding critical design features.
Article in BMJ open sport & exercise medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers, 15 of them syntheses that pooled 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.
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.
Who cites it
129 citing papers in PubMed, 15 syntheses or guidelines pooled it.
- Classroom Movement Breaks in Relation to Health and Academic Outcomes: An Umbrella Review.The Journal of school health · 2026Pooled it
- Effectiveness of school-based active breaks on classroom behavior, executive functions and physical fitness in children and adolescent: a systematic review.Frontiers in public health · 2025Pooled it
- The impact of using simulation-based learning to further develop communication skills of pharmacy students and pharmacists: a systematic review.BMC medical education · 2024Pooled it
- Is adherence to the 24-h movement guidelines associated with greater academic-related outcomes in children and adolescents? A systematic review and meta-analysis.European journal of pediatrics · 2024Pooled it
- Acute effect of physical activity on academic outcomes in school-aged youth: A systematic review and multivariate meta-analysis.Scandinavian journal of medicine & science in sports · 2024Pooled it
- The effects of acute exercise on long-term episodic memory: a systematic review and meta-analysis.Frontiers in cognition · 2024Pooled it
- Effects of Resistance Training on Academic Outcomes in School-Aged Youth: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2023Pooled it
- Evaluation of feasibility, effectiveness, and sustainability of school-based physical activity "active break" interventions in pre-adolescent and adolescent students: a systematic review.Canadian journal of public health = Revue canadienne de sante publique · 2022Pooled it
- Effects of In-Classroom Physical Activity Breaks on Children's Academic Performance, Cognition, Health Behaviours and Health Outcomes: A Systematic Review and Meta-Analysis of Randomised Controlled Trials.International journal of environmental research and public health · 2022Pooled it
- Classroom Movement Breaks and Physically Active Learning Are Feasible, Reduce Sedentary Behaviour and Fatigue, and May Increase Focus in University Students: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Does Learning Through Movement Improve Academic Performance in Primary Schoolchildren? A Systematic Review.Frontiers in pediatrics · 2022Pooled it
- Physical Activity and Academic Achievement: An Umbrella Review.International journal of environmental research and public health · 2020Pooled it
- Effects of Acute and Chronic Exercises on Executive Function in Children and Adolescents: A Systemic Review and Meta-Analysis.Frontiers in psychology · 2020Pooled it
- Children's Physical Activity, Academic Performance, and Cognitive Functioning: A Systematic Review and Meta-Analysis.Frontiers in public health · 2020Pooled it
- Effects of school-based physical activity on mathematics performance in children: a systematic review.The international journal of behavioral nutrition and physical activity · 2019Pooled it
- Acute physical activity supports inhibitory control in primary school children: a randomised cross-over trial.Scientific reports · 2026Trial
- Effect of physically active learning on physical activity levels in secondary school students: The ACTIVE CLASS Study.BMC public health · 2026Trial
- Cognitively engaging running enhances inhibitory control and prefrontal activation in children with ADHD: the moderating role of physical self-efficacy.Scientific reports · 2025Trial
- Feasibility and acceptability of an implementation strategy to enhance use of classroom-based physical activity approaches in elementary schools: a mixed methods study.BMC public health · 2025Trial
- Scalable physical activity intervention for youth with disability: Burn 2 Learn adapted cluster randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2025Trial
69 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the impact of acute classroom movement break (CMB) and physically active learning (PAL) interventions on physical activity (PA), cognition, academic performance and classroom behaviour.
designSystematic review. DATA SOURCES: PubMed, EBSCO, Academic Search Complete, Education Resources Information Center, PsycINFO, SPORTDiscus, SCOPUS and Web of Science. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Studies investigating school-based acute bouts of CMB or PAL on (PA), cognition, academic performance and classroom behaviour. The Downs and Black checklist assessed risk of bias.
resultsTen PAL and eight CMB studies were identified from 2929 potentially relevant articles. Risk of bias scores ranged from 33% to 64.3%. Variation in study designs drove specific, but differing, outcomes. Three studies assessed PA using objective measures. Interventions replaced sedentary time with either light PA or moderate-to-vigorous PA dependent on design characteristics (mode, duration and intensity). Only one study factored individual PA outcomes into analyses. Classroom behaviour improved after longer moderate-to-vigorous (>10 min), or shorter more intense (5 min), CMB/PAL bouts (9 out of 11 interventions). There was no support for enhanced cognition or academic performance due to limited repeated studies.
conclusionLow-to-medium quality designs predominate in investigations of the acute impacts of CMB and PAL on PA, cognition, academic performance and classroom behaviour. Variable quality in experimental designs, outcome measures and intervention characteristics impact outcomes making conclusions problematic. CMB and PAL increased PA and enhanced time on task. To improve confidence in study outcomes, future investigations should combine examples of good practice observed in current studies. PROSPERO REGISTRATION NUMBER: CRD42017070981.
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Registered trials
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.