Evidence map›Paper›PMID 40639796›Full record

ArticleJournal of physical activity & health2025

Adherence to 24-Hour Movement Guidelines and Behavioral Health in Children With Attention Deficit Hyperactivity Disorder in the United States.

McKenna Parnes, Erin Gonzalez, Nguyen Tran, Mark A Stein, Jason Mendoza, Pooja Tandon

Abstract read
In one paragraph

Article in Journal of physical activity & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

6 authors.

McKenna ParnesTreuman Katz Center for Pediatrics Bioethics and Palliative Care, Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA, USA.ORCID 0000-0003-2974-9712
Erin GonzalezCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA.ORCID 0000-0001-6374-3360
Nguyen TranCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA.ORCID 0009-0001-4658-7826
Mark A SteinCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA.ORCID 0000-0002-4475-8871
Jason MendozaCenter for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, USA.ORCID 0000-0003-0833-4358
Pooja TandonDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA.ORCID 0000-0001-7180-838X

Funding

Paying Attention to Physical Activity in ADHDR21AT010041 · NCCIH · SEATTLE CHILDREN'S HOSPITAL · PI SCHOENFELDER, ERIN NICOLE, TANDON, POOJA SARIN · 2018 to 2019
$482k
NCCIH NIH HHS R21 AT010041
6 · The paper itself

Abstract

backgroundAttention deficit hyperactivity disorder (ADHD) is a 24-hour disorder that both impacts, and, is impacted by, daily activity and sleep. Children with ADHD are less likely to meet recommended 24-hour movement guidelines (ie, on average 60 min of moderate to vigorous physical activity and several hours of light activity per day, less than 2 h of screen time, and 9-11 h of sleep). The current study examined associations between meeting 24-hour movement guidelines with ADHD symptoms, sleep problems, and media use.

methodsAccelerometer data measured physical activity and sleep among a sample of 93 children with ADHD (mean age = 8.10, SDage = 1.37, 58.9% male). Parent-report measures assessed ADHD symptoms, sleep difficulties, and media use. Multivariate analysis of covariance analyses explored associations between meeting 24-hour movement guidelines and outcomes. Latent class analysis (LCA) identified unique combinations of 24-hour movement guideline adherence. Associations were examined between classes and outcomes.

resultsOverall, 41.5% of children met physical activity guidelines, 23.4% met sedentary behavior guidelines, and 45.7% met sleep guidelines. Multivariate analysis of covariance analyses found that meeting more guidelines was associated with less sleep difficulties and problematic media use. LCA revealed 2 classes: Hypoactive children who were unlikely to meet activity guidelines and Work Hard, Play Hard children who were likely to meet activity and sleep guidelines. Children in the Work Hard, Play Hard class had less bedtime resistance compared with the Hypoactive class.

conclusionFindings have implications for clinicians and caregivers supporting children with ADHD to take a holistic approach to improve health behaviors throughout the whole day.

Indexed as

Attention Deficit Disorder with HyperactivityExerciseGuideline AdherenceAccelerometryChildFemaleHumansMaleScreen TimeSedentary BehaviorSleepSleep Wake DisordersUnited Statesmovement behaviorspediatricsscreen usesleep

Identifiers

PMID40639796
PMCPMC13078659

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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.