Evidence map›Paper›PMID 42257889›Full record

ReviewEuropean child & adolescent psychiatry2026

Impact of school physical activity on physical and mental health in children and adolescents: A Meta-analysis based on RE-AIM.

Congcong Li, Yezheng Wang, Wei Zhao, Xu Yan, Kaihang Liu, Jingyi Zhong, Liyan Wang, Hongbiao Wang, Lijuan Wang

Abstract readReview
PubMed Publisher
In one paragraph

Review 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 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

9 authors.

Congcong LiCollege of Sports Science, Shenyang Normal University, Shenyang, China.
Yezheng WangCollege of Sports Science, Shenyang Normal University, Shenyang, China.
Wei ZhaoCollege of Sports Science, Shenyang Normal University, Shenyang, China.
Xu YanCollege of Sports Science, Shenyang Normal University, Shenyang, China.
Kaihang LiuCollege of Sports Science, Shenyang Normal University, Shenyang, China.
Jingyi ZhongCollege of Sports Science, Shenyang Normal University, Shenyang, China.
Liyan WangCollege of Rehabilitation, Shanghai University of Medicine & Health Science, Shanghai, China.
Hongbiao WangDepartment of Physical Education, Shanghai University of Medicine & Health Science, Shanghai, China.
Lijuan WangCollege of Sports Science, Shenyang Normal University, Shenyang, China. wlj_sunny@synu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The RE-AIM framework was used to assess and analyze the impact of school physical activity on children and adolescents' physical and mental health. A search of PubMed, Cochrane Library, Embase, Scopus, EBSCO, and Web of Science was conducted from when the databases were created until December 2024. Articles included studies on school-based physical activity interventions and physical and mental health of children and adolescents. The screened literature was evaluated for quality, data extraction, standardized mean difference (SMD), Mean difference(MD) and confidence intervals (95% CI) were used as effect indicators. Two researchers independently screened the literature, extracted data, and assessed the risk of bias for the included studies. Preferred reporting items were used using systematic evaluation and meta-analysis guidelines combined with meta-analysis with the RE-AIM framework. A total of 19 studies that met the inclusion criteria were included in the meta-analysis, and the results of the meta-analysis showed that school physical activity improved adolescents' and children's athletic ability (SMD = 0.33, 95% CI = 0.23 ~ 0.43), reduced BMI (MD=-0.50, 95% CI=-0.81~-0.19) and improved Fitness self-perceptions (SMD = 0.31, 95% CI = 0.22 ~ 0.40). In terms of mental health, school physical activity improved children and adolescents' self-reported questionnaire scores (SMD = 0.21,95%CI = 0.12 ~ 0.30) and reduced anxiety, depression and stress levels (MD=-0.53,95%CI=-0.85~-0.22). That is, school physical activity is associated with improvements in both physical health and the mental health of adolescents and children. In addition, the RE-AIM framework reported the effectiveness of sports interventions on health, with higher proportions of the Reach, Efficacy, and Adoption dimensions in the RE-AIM framework than in Implementation and Maintenance. A comprehensive assessment of the impact of school physical activity was conducted through meta-analysis and RE-AIM framework, which showed that school physical activity is associated with improvements in both the physical and mental health of children and adolescents and that RE-AIM framework reported the quality of physical activity interventions to improve the physical and mental health of children and adolescents, achieving a balance of internal and external validity in comparison.

Indexed as

AdolescentsChildrenMental healthPhysical activityPhysical healthSchool interventions

Identifiers

What OpenQuestion holds

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Read underepoch 390

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.