Evidence map›Paper›PMID 42841540›Full record

SynthesisThe Journal of school health2026

Classroom Movement Breaks in Relation to Health and Academic Outcomes: An Umbrella Review.

Nan Dou, Hao Lei, Raquel Arbaiza, Leah E Chapman, Ann Kuhn, Juliana F W Cohen, Erin R Hager

Abstract readSystematic Review
In one paragraph

Synthesis in The Journal of school health, 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

7 authors.

Nan DouDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID https://orcid.org/0000-0002-3966-4336
Hao LeiDepartment of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York, USA.ORCID https://orcid.org/0009-0007-0348-5639
Raquel ArbaizaDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.ORCID https://orcid.org/0009-0006-1012-1270
Leah E ChapmanDepartment of Health Sciences and Nutrition & Center for Health Innovation, Research, and Policy (CHIRP), Merrimack College, North Andover, Massachusetts, USA.
Ann KuhnDepartment of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York, USA.
Juliana F W CohenDepartment of Health Sciences and Nutrition & Center for Health Innovation, Research, and Policy (CHIRP), Merrimack College, North Andover, Massachusetts, USA.ORCID https://orcid.org/0000-0002-3145-6014
Erin R HagerDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

Funding

NCCDPHP CDC HHS U48 DP006381
6 · The paper itself

Abstract

backgroundClassroom movement breaks (CMBs) reduce school-day sedentary time. This umbrella review synthesized evidence on health and academic benefits of CMBs among school-aged children and explored outcomes by race, ethnicity, and socioeconomic status (SES).

methodsA systematic search of systematic reviews and meta-analyses up to April 2024 was conducted in five databases. Reviews examining CMBs' impacts on health and/or academic outcomes were included. Study quality was assessed using AMSTAR2.

findingsSixteen reviews examined PA (physical activity; n = 12), classroom behaviors (n = 5), academics (n = 9, 4-overall and 6-domain-specific academics), cognition (n = 8), and health (n = 5). All PA-outcome reviews reported benefits. Most reviews reported improved classroom behaviors (3/5), cognition (6/8), and overall academics (3/4). Findings were mixed for domain-specific academics and inconclusive for health. Methodological quality of all reviews was rated as low/critically low. Few reviews assessed differences by race, ethnicity, or SES. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Although CMBs showed potential benefits, recommendations for school implementation should be made with caution. Equity impacts remain understudied.

conclusionsCMBs may benefit students' activity, classroom behaviors, overall academics, and cognition, but evidence for subject-specific academics and health remained mixed or inconclusive. Current findings should be interpreted cautiously. Future research should address low methodological quality, utilize long-term designs, incorporate uniform CMBs interventions/outcome measures, and address equity gaps.

Indexed as

ExerciseHealth StatusSchoolsStudentsChildHumansSedentary Behavioractivity disparitiesclassroom movement breakstudent well‐being

Identifiers

PMID42841540
PMCPMC13644376

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.