Evidence map›Paper›PMID 41908540›Full record

ReviewFrontiers in pediatrics2026

Physical activity intervention improves executive function in children with autism spectrum disorder: a meta-analysis.

Yongjing Li, Chungang Gao, Shuhua Song

Abstract readReview
In one paragraph

Review in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Yongjing Li *School of Physical Education, Yunnan Normal University, Kunming, Yunnan, China.
Chungang Gao *School of Physical Education, Yunnan Normal University, Kunming, Yunnan, China.
Shuhua SongSchool of Physical Education, Yunnan Normal University, Kunming, Yunnan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This systematic review and meta-analysis evaluated the effects of various physical activities on executive function (EF) and its components-inhibition, working memory, and cognitive flexibility-in children with ASD. Methods: Six databases (Cochrane Library, PubMed, Embase, Web of Science, ScienceDirect, CBMdisc) were searched from inception to December 2025. Additional studies were identified through reference list screening. We used RevMan 5.4 and the GRADE framework to assess risk of bias and quality grades, and Stata 18 to generate forest and funnel plots for data analysis. Results: Fourteen RCTs met the inclusion criteria. Physical activity resulted in at least moderate improvements in EF and all subdomains. Notably, FMS training administered four times per week for 18 weeks produced a large effect on EF [SMD = 2.62, 95% CI = 1.50-3.74]. In comparison, digital motion-sensing games showed the largest effects on inhibition [SMD = 1.38, 95% CI = 0.52-2.25], working memory [SMD = 0.89, 95% CI = 0.08-1.70], and cognitive flexibility [SMD = 0.88, 95% CI = 0.36-1.39]. A protocol of 15 min per session, two to three sessions per week for 18 weeks, achieved at least moderate improvements in inhibition and cognitive flexibility, while working memory showed a large effect by eight weeks. Conclusions: FMS training conducted four times per week for 18 weeks provides the greatest overall benefit. Fifteen-minute digital motion-sensing game sessions, two to three times per week for 18 weeks, are most effective for improving inhibition and cognitive flexibility, and working-memory improvements are observable within four weeks. Further research with larger sample sizes is recommended. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251130511, PROSPERO CRD420251130511.

Indexed as

autism spectrum disordercognitive flexibilityexecutive functioninhibitionmeta-analysisphysical activityworking memory

Identifiers

PMID41908540
PMCPMC13017923

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.