Evidence map›Paper›PMID 41137907›Full record

SynthesisEuropean child & adolescent psychiatry2026

Effects of physical activity on sleep in children and adolescents: a systematic review and meta-analysis of randomised controlled trials.

Hehe Song, Xu Jiang, Yali Li, Yiwei Cao, Changshuang He, Huiwu Zuo, Tao Liu, Meng Zhang

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

8 authors.

Hehe Song *College of Sports and Health Sciences, Xi'an Physical Education University, Xi'an, 710068, China.
Xu Jiang *School of Exercise and Health, Shanghai University of Sport, No. 399, Changhai Road, Yangpu District, Shanghai, 200438, China.
Yali LiSchool of Exercise and Health, Shanghai University of Sport, No. 399, Changhai Road, Yangpu District, Shanghai, 200438, China.
Yiwei CaoCollege of Sports and Health Sciences, Xi'an Physical Education University, Xi'an, 710068, China.
Changshuang HeSchool of Exercise and Health, Shanghai University of Sport, No. 399, Changhai Road, Yangpu District, Shanghai, 200438, China.
Huiwu ZuoSchool of Exercise and Health, Shanghai University of Sport, No. 399, Changhai Road, Yangpu District, Shanghai, 200438, China.
Tao LiuCollege of Sports and Health Sciences, Xi'an Physical Education University, Xi'an, 710068, China. liutaoedu123@163.com.
Meng ZhangSchool of Exercise and Health, Shanghai University of Sport, No. 399, Changhai Road, Yangpu District, Shanghai, 200438, China. zhangmeng1623@163.com.

Funding

Shaanxi Provincial Key Research and Development Program General Project 2024SF-YBXM-680
6 · The paper itself

Abstract

Sleep problems are common among children and adolescents; however, the potential role of exercise in mitigating these issues is often overlooked. To examine the relationship between exercise interventions and sleep parameters in children and adolescents. The review adhered to the PRISMA 2020 guidelines. A comprehensive literature search was conducted on 8 databases from inception to February 2025. Randomised controlled trials of children and adolescents aged 6-18 years who applied exercise interventions and reported at least one sleep parameter were included. Data include participant characteristics, intervention details, and sleep parameter. Evidence quality graded by GRADE. 27 studies were used for meta-analysis. The results of the studies showed that exercise had a significant effect on sleep quality (standardized mean difference [SMD] =-1.06; 95% CI=-1.76 to -0.36), sleep efficiency (SMD=-2.17; 95% CI=-3.69 to -0.65), sleep duration (SMD=-0.70; 95% CI=-1.27 to -0.13), wake after sleep onset (SMD=-0.53; 95% CI=-0.91 to -0.15), sleep anxiety (SMD=-0.54; 95% CI=-0.98 to -0.10), sleep resistance (SMD=-0.33; 95% CI=-0.75 to -0.10), sleep latency (SMD=-1.05; 95% CI=-3.29 to 1.19), parasomnias (SMD=-0.67; 95% CI=-1.74 to 0.40), sleep onset delay (SMD=-0.30; 95% CI=-0.60 to -0.00), sleep-disordered breathing (SMD=-0.19; 95% CI=-0.50 to 0.13), and daytime dysfunction (SMD=-0.30; 95% CI=- 0.72 to 0.11) had an effect, but not on total sleep time (SMD = 0.02; 95% CI=-0.23 to 0.27). The findings emphasize the role of exercise in sleep among children and adolescents. Exercise interventions balancing effectiveness and efficiency may serve as an additional approach to sleep issues beyond sleep hygiene education.

Indexed as

ExerciseExercise TherapySleepSleep QualitySleep Wake DisordersAdolescentChildHumansRandomized Controlled Trials as TopicChildren and adolescentsPhysical activitySleep

Identifiers

PMID41137907

What OpenQuestion holds

Textmetadata
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.