Evidence map›Paper›PMID 41034843›Full record

SynthesisBMC public health2025

Effects of exercise interventions on executive function in school-aged children with ADHD: a systematic review and meta-analysis.

Ruinan Liu, Zehui Wen, Dong Han, Ji Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
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

4 authors.

Ruinan LiuSchool of Athletic Performance, Shanghai University of Sport, Shanghai, 200438, China.
Zehui WenSchool of Physical Education and Sport, Henan University, Kaifeng, 475001, China.
Dong HanSchool of Athletic Performance, Shanghai University of Sport, Shanghai, 200438, China.
Ji WangGuangzhou Vocational University of Science and Technology, Guangzhou, 510555, China. 18811515109@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExecutive function deficits are a core deficit among school-aged children with ADHD. Although exercise interventions have received increasing attention in recent years, many existing studies have overlooked potential biases introduced by differences in measurement paradigms and scoring methods, which may compromise the validity and consistency of the findings. This meta-analysis aimed to evaluate the effects of exercise interventions on executive function in school-aged children with ADHD and to explore the moderating effects of measurement paradigms under different scoring methods.

methodsA systematic search was conducted in PubMed, Embase, Web of Science, Cochrane Library, Scopus, CNKI, and Wanfang, covering publications from database inception to December 28, 2024. A total of 16 randomized controlled trials were included. Meta-analysis was performed using Stata 17.0.

resultsThe meta-analysis revealed that exercise interventions had significant overall effects on improving inhibitory control(positive scoring: g = 0.60, 95% CI [0.34, 0.87], P < 0.001; reverse scoring: g=-0.69, 95% CI [-0.91, -0.46], P < 0.001) and working memory (positive scoring: g = 0.51, 95% CI [0.30, 0.70], P < 0.001; reverse scoring: g=-0.55, 95% CI [-0.74, -0.36], P < 0.001) in school-aged children with ADHD under both positive and reverse scoring conditions. However, the overall effect on cognitive flexibility was significant only under the reverse scoring condition (g=-0.54, 95% CI [-0.75, -0.33], P < 0.001), and not under the positive scoring condition (g = 0.28, 95% CI [-0.01, 0.56], P = 0.10). Subgroup analyses further indicated that the effects of exercise interventions on inhibitory control, working memory, and cognitive flexibility varied depending on the measurement paradigms and scoring methods used.

conclusionExercise interventions can significantly improve inhibitory control and working memory in school-aged children with ADHD. However, their effect on cognitive flexibility appears to be limited. Moreover, the observed intervention effects are influenced by the measurement paradigms and scoring. METHODS EMPLOYED: .

Indexed as

Attention Deficit Disorder with HyperactivityExecutive FunctionExerciseExercise TherapyChildHumansRandomized Controlled Trials as TopicADHDExecutive functionExercise interventionsMeta-analysisSchool-aged children

Identifiers

PMID41034843
PMCPMC12487183

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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.