Evidence map›Paper›PMID 41111160›Full record

SynthesisScandinavian journal of medicine & science in sports2025

The Effectiveness of School-Based Physical Activity Promotion on Mental Health Among Children and Adolescents: A Systematic Review.

Tia Viskari, Terhi Koivumäki, Kaija Appelqvist-Schmidlechner, Timo Ståhl, Alberto Ruiz-Ariza, Sari Fröjd

Abstract readSystematic Review
In one paragraph

Synthesis in Scandinavian journal of medicine & science in sports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. 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.

Tia ViskariUnit of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.ORCID https://orcid.org/0000-0003-1483-2118
Terhi KoivumäkiUnit of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.
Kaija Appelqvist-SchmidlechnerDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.
Timo StåhlDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland.
Alberto Ruiz-ArizaFaculty of Humanities and Educational Sciences, University of Jaén, Jaén, Spain.
Sari FröjdUnit of Health Sciences, Faculty of Social Sciences, Tampere University, Tampere, Finland.

Funding

Jenny ja Antti Wihurin RahastoKristillinen Suojakoti FoundationOtto A. Malm LahjoitusrahastoRehabilitation Foundation Peurunka
6 · The paper itself

Abstract

Increasing evidence highlights the importance of schools in promoting both physical activity (PA) and mental health. However, previous findings on the effects of school-based PA on the mental health of children and adolescents are mostly based on short-term interventions. A synthesis of evidence is needed on the mental health effects of long-term PA promotion, which is more sustainably integrated into the school structures. In addition, a more comprehensive examination of mental health, considering internalizing symptoms, externalizing symptoms, mental well-being, and social well-being, is needed. The aim of this systematic review was to investigate the effects of long-term school-based PA promotion on the mental health of 7-16-year-old children and adolescents. A literature search was conducted in six electronic databases. A total of 8795 unique articles were found, of which 38 articles describing 34 studies met the inclusion criteria. Regarding internalizing symptoms, externalizing symptoms, and mental well-being, mixed results were found. However, the review showed a positive effect on social well-being. Regarding the type of PA promotion, environmental modifications and PA promotion implemented by an external actor outside the school staff were found to be effective on mental health. PA promotion implemented by school staff without a specific protocol had no effect, while PA promotion implemented by school staff following a predefined protocol showed mixed results. Based on the results, it is recommended that schools invest in promoting PA to enhance the social well-being of children and adolescents. Trial Registration: PROSPERO registration number: CRD42022355274.

Indexed as

ExerciseHealth PromotionMental HealthSchool Health ServicesSchoolsAdolescentChildHumansadolescentschildrenmental healthphysical activityschoolsystematic review

Identifiers

PMID41111160
PMCPMC12536061

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.