Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis

Yuan Fang; Fenghua Sun; Zixin Wang; Yaxi Yang; Man Lau; Kunyi Huang; Michael Kin Chung Yeung; Georg S. Kranz; Chetwyn C.H. Chan

doi:10.1016/j.ridd.2024.104880

Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis

Yuan Fang, Fenghua Sun (Corresponding Author), Zixin Wang, Yaxi Yang, Man Lau, Kunyi Huang, Michael Kin Chung Yeung, Georg S. Kranz, Chetwyn C.H. Chan

Research output: Journal article publication › Review article › Academic research › peer-review

2 Citations (Scopus)

Abstract

Background: Cognitively combined/engaged physical activity (CC/CE-PA) has been used as an intervention for children/adolescents with attention-deficit/hyperactivity disorder (ADHD). Method: This review aimed to quantify the effects of CC/CE-PAs on enhancing executive and physical function and alleviating ADHD symptoms in children/adolescents with ADHD. An extensive literature search of online databases identified 32 studies (75 % high-quality studies), of which 22 (pooled n=968) were included in the meta-analysis. Results: The included studies covered five PA types with varying intervention periods, frequencies, and exercise durations. The CC/CE-PAs showed an overall significant effect on improving executive function (standardized mean difference [SMD]: 1.10) and motor competence (SMD: 0.52) and alleviating ADHD symptoms (SMD: -0.75). Program design and participants’ medication status were found to significantly moderate the effect of CC/CE-PA. Conclusion: More evidence is needed to support the effect of CC/CE-PA by comparing it with other interventions and using a rigorous experimental design.

Original language	English
Article number	104880
Journal	Research in Developmental Disabilities
Volume	155
DOIs	https://doi.org/10.1016/j.ridd.2024.104880
Publication status	Published - Dec 2024

Keywords

ADHD symptoms
Executive function
Meta-analysis
Motor competence
Systematic review
Young individuals

ASJC Scopus subject areas

Developmental and Educational Psychology
Clinical Psychology

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10.1016/j.ridd.2024.104880

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Fang, Y., Sun, F., Wang, Z., Yang, Y., Lau, M., Huang, K., Yeung, M. K. C., Kranz, G. S., & Chan, C. C. H. (2024). Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. Research in Developmental Disabilities, 155, Article 104880. https://doi.org/10.1016/j.ridd.2024.104880

@article{637c5f1ea6294bae8cf340f1ea2a12c4,

title = "Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis",

abstract = "Background: Cognitively combined/engaged physical activity (CC/CE-PA) has been used as an intervention for children/adolescents with attention-deficit/hyperactivity disorder (ADHD). Method: This review aimed to quantify the effects of CC/CE-PAs on enhancing executive and physical function and alleviating ADHD symptoms in children/adolescents with ADHD. An extensive literature search of online databases identified 32 studies (75 \% high-quality studies), of which 22 (pooled n=968) were included in the meta-analysis. Results: The included studies covered five PA types with varying intervention periods, frequencies, and exercise durations. The CC/CE-PAs showed an overall significant effect on improving executive function (standardized mean difference [SMD]: 1.10) and motor competence (SMD: 0.52) and alleviating ADHD symptoms (SMD: -0.75). Program design and participants{\textquoteright} medication status were found to significantly moderate the effect of CC/CE-PA. Conclusion: More evidence is needed to support the effect of CC/CE-PA by comparing it with other interventions and using a rigorous experimental design.",

keywords = "ADHD symptoms, Executive function, Meta-analysis, Motor competence, Systematic review, Young individuals",

author = "Yuan Fang and Fenghua Sun and Zixin Wang and Yaxi Yang and Man Lau and Kunyi Huang and Yeung, \{Michael Kin Chung\} and Kranz, \{Georg S.\} and Chan, \{Chetwyn C.H.\}",

note = "Publisher Copyright: {\textcopyright} 2024 Elsevier Ltd",

year = "2024",

month = dec,

doi = "10.1016/j.ridd.2024.104880",

language = "English",

volume = "155",

journal = "Research in Developmental Disabilities",

issn = "0891-4222",

publisher = "Elsevier Inc.",

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Fang, Y, Sun, F, Wang, Z, Yang, Y, Lau, M, Huang, K, Yeung, MKC, Kranz, GS & Chan, CCH 2024, 'Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis', Research in Developmental Disabilities, vol. 155, 104880. https://doi.org/10.1016/j.ridd.2024.104880

Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. / Fang, Yuan; Sun, Fenghua (Corresponding Author); Wang, Zixin et al.
In: Research in Developmental Disabilities, Vol. 155, 104880, 12.2024.

Research output: Journal article publication › Review article › Academic research › peer-review

TY - JOUR

T1 - Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder

T2 - A systematic review and meta-analysis

AU - Fang, Yuan

AU - Sun, Fenghua

AU - Wang, Zixin

AU - Yang, Yaxi

AU - Lau, Man

AU - Huang, Kunyi

AU - Yeung, Michael Kin Chung

AU - Kranz, Georg S.

AU - Chan, Chetwyn C.H.

PY - 2024/12

Y1 - 2024/12

N2 - Background: Cognitively combined/engaged physical activity (CC/CE-PA) has been used as an intervention for children/adolescents with attention-deficit/hyperactivity disorder (ADHD). Method: This review aimed to quantify the effects of CC/CE-PAs on enhancing executive and physical function and alleviating ADHD symptoms in children/adolescents with ADHD. An extensive literature search of online databases identified 32 studies (75 % high-quality studies), of which 22 (pooled n=968) were included in the meta-analysis. Results: The included studies covered five PA types with varying intervention periods, frequencies, and exercise durations. The CC/CE-PAs showed an overall significant effect on improving executive function (standardized mean difference [SMD]: 1.10) and motor competence (SMD: 0.52) and alleviating ADHD symptoms (SMD: -0.75). Program design and participants’ medication status were found to significantly moderate the effect of CC/CE-PA. Conclusion: More evidence is needed to support the effect of CC/CE-PA by comparing it with other interventions and using a rigorous experimental design.

AB - Background: Cognitively combined/engaged physical activity (CC/CE-PA) has been used as an intervention for children/adolescents with attention-deficit/hyperactivity disorder (ADHD). Method: This review aimed to quantify the effects of CC/CE-PAs on enhancing executive and physical function and alleviating ADHD symptoms in children/adolescents with ADHD. An extensive literature search of online databases identified 32 studies (75 % high-quality studies), of which 22 (pooled n=968) were included in the meta-analysis. Results: The included studies covered five PA types with varying intervention periods, frequencies, and exercise durations. The CC/CE-PAs showed an overall significant effect on improving executive function (standardized mean difference [SMD]: 1.10) and motor competence (SMD: 0.52) and alleviating ADHD symptoms (SMD: -0.75). Program design and participants’ medication status were found to significantly moderate the effect of CC/CE-PA. Conclusion: More evidence is needed to support the effect of CC/CE-PA by comparing it with other interventions and using a rigorous experimental design.

KW - ADHD symptoms

KW - Executive function

KW - Meta-analysis

KW - Motor competence

KW - Systematic review

KW - Young individuals

UR - https://www.scopus.com/pages/publications/85209151176

U2 - 10.1016/j.ridd.2024.104880

DO - 10.1016/j.ridd.2024.104880

M3 - Review article

C2 - 39550802

AN - SCOPUS:85209151176

SN - 0891-4222

VL - 155

JO - Research in Developmental Disabilities

JF - Research in Developmental Disabilities

M1 - 104880

ER -

Cognitively combined/engaged physical activity for the executive function, symptomology, and motor competence of children and adolescents with attention-deficit/hyperactivity disorder: A systematic review and meta-analysis

Abstract

Keywords

ASJC Scopus subject areas

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