The effect of exercise intervention on balance and executive function in children with autism spectrum disorder: a meta-analysis

Abstract Objective This study primarily evaluated the the effects of exercise intervention on balance and executive function in children with autism spectrum disorder (ASD). Methods Search for eligible studies through four databases, and then proceed with screening. The inclusion criteria are as fol...

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Main Authors: Haixia Li, Ruiyun Zhang
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Sports Science, Medicine and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s13102-025-01142-1
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author Haixia Li
Ruiyun Zhang
author_facet Haixia Li
Ruiyun Zhang
author_sort Haixia Li
collection DOAJ
description Abstract Objective This study primarily evaluated the the effects of exercise intervention on balance and executive function in children with autism spectrum disorder (ASD). Methods Search for eligible studies through four databases, and then proceed with screening. The inclusion criteria are as follows: (1) Children with ASD; (2) Age 3–18 years; (3) Randomised Controlled Trial; (4) The intervention group received exercise training; (5) Conducted pre- and post-test, which include balance and executive function. Use the Cochrane bias risk assessment tool to evaluate the quality of the selected study. Select Standardized Mean Difference (SMD) as the appropriate effect scale index. Results Twelve of the selected articles involved 288 males and 108 females. The findings demonstrated that the exercise group (EG) benefited more from the improved balance than its control group (CG) counterpart [SMD = 0.86 (0.56, 1.16), p < 0.05, I2 = 37%]. Furthermore, subgroup analysis revealed that exercise interventions lasting over eight weeks significantly enhanced balance [SMD = 1.19 (0.79, 1.58), p < 0.05, I2 = 17%]. However, exercise interventions lasting less than or equal to 8 weeks did not have a significant impact on balance [SMD = 0.41 (− 0.06, 0.87), p = 0.09, I2 = 0%]. Conclusion Exercise interventions can better improve the balance and behavioural inhibition of children with ASD compared to CG. Nevertheless, physical training prescribed for more than eight weeks led to a more significant improvement in balance than interventions performed for shorter periods.
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spelling doaj-art-376323cb50df44fabfa1b93f5beaeeab2025-08-20T02:16:59ZengBMCBMC Sports Science, Medicine and Rehabilitation2052-18472025-04-0117111010.1186/s13102-025-01142-1The effect of exercise intervention on balance and executive function in children with autism spectrum disorder: a meta-analysisHaixia Li0Ruiyun Zhang1School of Sport Management, Shandong Sport UniversitySchool of Sport Art, Shandong Sport UniversityAbstract Objective This study primarily evaluated the the effects of exercise intervention on balance and executive function in children with autism spectrum disorder (ASD). Methods Search for eligible studies through four databases, and then proceed with screening. The inclusion criteria are as follows: (1) Children with ASD; (2) Age 3–18 years; (3) Randomised Controlled Trial; (4) The intervention group received exercise training; (5) Conducted pre- and post-test, which include balance and executive function. Use the Cochrane bias risk assessment tool to evaluate the quality of the selected study. Select Standardized Mean Difference (SMD) as the appropriate effect scale index. Results Twelve of the selected articles involved 288 males and 108 females. The findings demonstrated that the exercise group (EG) benefited more from the improved balance than its control group (CG) counterpart [SMD = 0.86 (0.56, 1.16), p < 0.05, I2 = 37%]. Furthermore, subgroup analysis revealed that exercise interventions lasting over eight weeks significantly enhanced balance [SMD = 1.19 (0.79, 1.58), p < 0.05, I2 = 17%]. However, exercise interventions lasting less than or equal to 8 weeks did not have a significant impact on balance [SMD = 0.41 (− 0.06, 0.87), p = 0.09, I2 = 0%]. Conclusion Exercise interventions can better improve the balance and behavioural inhibition of children with ASD compared to CG. Nevertheless, physical training prescribed for more than eight weeks led to a more significant improvement in balance than interventions performed for shorter periods.https://doi.org/10.1186/s13102-025-01142-1Exercise interventionsBalanceAutism spectrum disorderChildren
spellingShingle Haixia Li
Ruiyun Zhang
The effect of exercise intervention on balance and executive function in children with autism spectrum disorder: a meta-analysis
BMC Sports Science, Medicine and Rehabilitation
Exercise interventions
Balance
Autism spectrum disorder
Children
title The effect of exercise intervention on balance and executive function in children with autism spectrum disorder: a meta-analysis
title_full The effect of exercise intervention on balance and executive function in children with autism spectrum disorder: a meta-analysis
title_fullStr The effect of exercise intervention on balance and executive function in children with autism spectrum disorder: a meta-analysis
title_full_unstemmed The effect of exercise intervention on balance and executive function in children with autism spectrum disorder: a meta-analysis
title_short The effect of exercise intervention on balance and executive function in children with autism spectrum disorder: a meta-analysis
title_sort effect of exercise intervention on balance and executive function in children with autism spectrum disorder a meta analysis
topic Exercise interventions
Balance
Autism spectrum disorder
Children
url https://doi.org/10.1186/s13102-025-01142-1
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