Evidence map›Paper›PMID 37856191›Full record

ArticleJMIR serious games2023

Effects of Commercial Exergames and Conventional Exercises on Improving Executive Functions in Children and Adolescents: Meta-Analysis of Randomized Controlled Trials.

Jinlong Wu, Zhuang Xu, Haowei Liu, Xiaoke Chen, Li Huang, Qiuqiong Shi, Linman Weng, Yemeng Ji, Hao Zeng, Li Peng

Erratum issuedAbstract read
In one paragraph

Article in JMIR serious games, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Review
  7. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Jinlong Wu *College of Physical Education, Southwest University, Chongqing, China.ORCID 0000-0002-0694-3144
Zhuang Xu *College of Physical Education, Southwest University, Chongqing, China.ORCID 0000-0002-8830-5911
Haowei LiuCollege of Physical Education, Southwest University, Chongqing, China.ORCID 0000-0002-6706-5373
Xiaoke ChenDepartment of Physical Education, Tsinghua University, Beijing, China.ORCID 0000-0002-5157-3138
Li HuangCollege of Physical Education, Southwest University, Chongqing, China.ORCID 0000-0002-1066-2476
Qiuqiong ShiLaboratory for Artificial Intelligence in Design, Hong Kong, China.ORCID 0000-0002-6790-9310
Linman WengFaculty of Psychology, Southwest University, Chongqing, China.ORCID 0000-0003-0671-3872
Yemeng JiCollege of Physical Education, Southwest University, Chongqing, China.ORCID 0000-0002-1833-4354
Hao ZengCollege of Physical Education, Nanchang University, Nanchang, China.ORCID 0009-0007-3491-2402
Li PengCollege of Physical Education, Southwest University, Chongqing, China.ORCID 0000-0001-8097-9260

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExergames are promising exercise tools for improving health. To the best of our knowledge, no systematic review has compared the effects of commercial exergames and conventional exercises on improving executive functions (EFs) in children and adolescents.

objectiveThis study aimed to investigate the effects of commercial exergames and conventional exercises on improving EFs in children and adolescents.

methodsFollowing the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, 5 randomized controlled trial (RCT) databases (PubMed, Web of Science, Scopus, PsycINFO, and SPORTDiscus) were searched from their inception to July 7, 2022, to identify relevant RCTs. The Cochrane Collaboration tool was used to evaluate the risk of bias for each study. GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) was used to evaluate the overall quality of evidence.

resultsIn total, 8 RCTs including 435 children and adolescents were included in the analysis. Commercial exergames had no significant benefit on overall EFs compared to conventional exercises (Hedges g=1.464, 95% CI -0.352 to 3.280; P=.06). For core EFs, there was no evidence to suggest that commercial exergames are more beneficial for improving cognitive flexibility (g=0.906, 95% CI -0.274 to 2.086; P=.13), inhibitory control (g=1.323, 95% CI -0.398 to 3.044; P=.13), or working memory (g=2.420, 95% CI -1.199 to 6.038; P=.19) than conventional exercises. We rated the evidence for overall EFs, cognitive flexibility, inhibitory control, and working memory as being of very low quality due to inconsistency (large heterogeneity) and imprecision (low number of people). Additionally, no effects of the intervention were observed in the acute and chronic groups.

conclusionsWe do not have strong evidence to support the benefit of commercial exergaming on EFs because we did not observe a Hedges g close to 0 with tight CIs. Further research is needed to confirm this hypothesis.

trial registrationPROSPERO CRD42022324111; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=324111.

Indexed as

adolescentchildrencommercial exergamesconventional exercisesexecutive functionexergameexergamingmeta analysesmeta-analysispediatricrandomizedrandomized controlled trialRCTreview methodsystematic reviewyouth

Identifiers

PMID37856191
PMCPMC10623224

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.