ArticleFrontiers in pediatrics2021
Physical Activity and Executive Function in Children With ADHD: The Mediating Role of Sleep.
Article in Frontiers in pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sleep dysregulation in ADHD children: a systematic review and meta-analysis.Psychological medicine · 2025Pooled it
- Change in Sleep Latency as a Mediator of the Effect of Physical Activity Intervention on Executive Functions Among Children with ADHD: A Secondary Analysis from a Randomized Controlled Trial.Journal of autism and developmental disorders · 2024Trial
- Screen exposure and mediators of executive function in children with ADHD.Pediatric research · 2026Article
- The Effects of Physical Activity Timing and Adherence to Physical Activity Guidelines on Sleep in Children With ADHD.Scandinavian journal of medicine & science in sports · 2026Article
- Sleep Problems in Children with ADHD: Associations with Internalizing Symptoms and Physical Activity.Journal of autism and developmental disorders · 2026Article
- miRNAs mediated Hsa21 gene suppression as potential therapeutic agent for Down syndrome: molecular dynamics and MM/PBSA-based study.Journal of molecular modeling · 2026Article
- Associations between accelerometer-measured physical activity and sleep duration and health indicators in children and adolescents with attention-deficit hyperactivity disorder: A systematic review and meta-analysis.Journal of exercise science and fitness · 2026Review
- Tic severity and executive functioning in children and adolescents: a moderated mediation model of premonitory urges and comorbidity.Child and adolescent psychiatry and mental health · 2025Article
- The Potential Mediating Role of Good Mental Health on the Relationship Between Low Physical Activity and High Screen Time with Executive Functions in Chilean Children and Adolescents.Children (Basel, Switzerland) · 2025Article
- Relationship Between Sleep and Immunology in Attention Deficit Hyperactivity Disorder.International journal of molecular sciences · 2025Review
- Effectiveness of Exercise on Sleep Quality in Attention Deficit Hyperactivity Disorder: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2025Review
- Physical activity and executive function in Chinese preschool children: the mediating role of sleep problems.Frontiers in psychology · 2025Article
- Effect of Hit-Sport-Game Exercise Training on Self-Control and Regulation in Children With Attention Deficit Hyperactivity Disorder (ADHD).Global pediatric health · 2024Article
- Problematic mobile phone use and time management disposition in Chinese college students: the chain mediating role of sleep quality and cognitive flexibility.BMC psychology · 2023Article
- The association between physical activity and sleep in adult ADHD patients with stimulant medication use.Frontiers in psychiatry · 2023Article
- [Influence of sleep quality on symptoms in children with attention deficit hyperactivity disorder: the mediating role of working memory].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study examined the mediating role of sleep in the relationship between physical activity and executive function in children with attention deficit hyperactivity disorder (ADHD). Fifty-six children with ADHD were recruited from Shenzhen Children's Hospital. Participants wore an accelerometer for seven consecutive days to measure physical activity and sleep quality. Activity counts were analyzed to measure moderate-to-vigorous physical activity (MVPA). Four sleep parameters, including sleep latency (SL), sleep efficiency, total sleep time, and wake after sleep onset were recorded from the actigraph. Three core executive functions, inhibitory control; working memory (WM); and cognitive flexibility (CF), were assessed from computer-based tasks: the flanker task, and the Tower of London and Trail Making Tests, respectively. The regression results showed that MVPA was negatively associated with SL (-0.169; 95%CI [-0.244, -0.112]). WM (total scores) was positively related to MVPA (0.028, 95%CI [0.008, 0.048]), but negatively related to SL (-0.105, 95%CI [-0.167, -0.030]). CF (part B errors) was negatively associated with MVPA (-0.031, 95%CI [-0.055, -0.005]) and positively correlated with SL (0.184, 95%CI [0.092, -0.260]). The indirect effect of SL was found for MVPA and WM (0.018, 95%CI [0.015, 0.034]), supporting the indirect partial mediation. Similarly, the indirect effect of SL was found between MVPA and CF (-0.031, 95%CI [-0.060, -0.012]), supporting the indirect partial mediation. The mediating role of SL in children with ADHD suggests that the intensity of physical activity plays a key role in linking sleep quality and executive function in this group.
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