Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis
ObjectiveThis systematic review and meta-analysis aimed to comprehensively evaluate the impact of physical exercise interventions on anxiety, depression, and emotional regulation in children diagnosed with attention deficit hyperactivity disorder (ADHD).MethodsA comprehensive search was conducted ac...
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| Format: | Article |
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1479615/full |
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| author | Yagang Song Shuqi Jia Xing Wang Aiwei Wang Tao Ma Shufan Li Jiwei Chen Zhaohui Guo Feng Ding Yuxi Ren Man Qin |
| author_facet | Yagang Song Shuqi Jia Xing Wang Aiwei Wang Tao Ma Shufan Li Jiwei Chen Zhaohui Guo Feng Ding Yuxi Ren Man Qin |
| author_sort | Yagang Song |
| collection | DOAJ |
| description | ObjectiveThis systematic review and meta-analysis aimed to comprehensively evaluate the impact of physical exercise interventions on anxiety, depression, and emotional regulation in children diagnosed with attention deficit hyperactivity disorder (ADHD).MethodsA comprehensive search was conducted across multiple databases, including Embase, Web of Science (WOS), PubMed, The Cochrane Library, Wanfang Data, VIP Information, and China National Knowledge Infrastructure (CNKI), from their inception up to July 2024. The search aimed to identify randomized controlled trials (RCTs) investigating the impact of physical exercise on anxiety, depression, and emotional regulation in children diagnosed with ADHD. The Physiotherapy Evidence Database (PEDro) scale was employed to assess the quality of the literature, while the revised Cochrane risk-of-bias tool (ROB-2) was used to evaluate the overall risk of bias. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) profiler method was utilized to further assess the quality of evidence. Meta-analysis, sensitivity analysis, and publication bias testing were performed using Stata 18.0 software. Effect sizes were calculated using the standardized mean difference (SMD) and 95% confidence intervals (CI).ResultsThe analysis included 18 RCTs, encompassing 830 participants. Physical exercise exhibited a significant positive effect on anxiety (SMD = −0.58, p < 0.05), depression (SMD = −0.57, p < 0.05), and emotional regulation (SMD = 1.03, p < 0.05) in children diagnosed with ADHD. Subgroup analysis revealed that exercise programs with monotypic and mixed modalities, short duration, high frequencies, medium duration, and moderate intensities were the most efficacious in ameliorating anxiety symptoms. The mixed exercise program, when conducted for short duration, with low frequencies, medium duration, and moderate intensity was the most effective in alleviating depression symptoms. Exercise programs featuring mixed modalities, longer duration, moderate to high frequencies, shorter duration, and low intensity yielded the most significant improvements in emotional regulation.ConclusionsResearch demonstrates that physical exercise mitigates anxiety and depression and improves emotional regulation in children with ADHD. A dose-response relationship is evident, correlating with the type, duration, intensity, frequency, and overall exercise duration.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, PROSPERO identifier (CRD42024571577). |
| format | Article |
| id | doaj-art-7e833c88e59347e5aa1156a7a7e87420 |
| institution | Kabale University |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj-art-7e833c88e59347e5aa1156a7a7e874202025-01-07T06:41:04ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.14796151479615Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysisYagang Song0Shuqi Jia1Xing Wang2Aiwei Wang3Tao Ma4Shufan Li5Jiwei Chen6Zhaohui Guo7Feng Ding8Yuxi Ren9Man Qin10Department of Physical Education Teaching, Shanghai Sanda University, Shanghai, ChinaPhysical Education, Shanghai University of Sport, Shanghai, ChinaPhysical Education, Shanghai University of Sport, Shanghai, ChinaPhysical Education, Yangzhou University, Yangzhou, ChinaFaculty of Sports Science, Ningbo University, Ningbo, ChinaPhysical Education, Shanghai University of Sport, Shanghai, ChinaPhysical Education, Shanghai University of Sport, Shanghai, ChinaPhysical Education, Shanghai University of Sport, Shanghai, ChinaPhysical Education, Shanghai University of Sport, Shanghai, ChinaPhysical Education, Shanghai University of Sport, Shanghai, ChinaSchool of Sports and Health, Shanghai Lixin Accounting and Finance University, Shanghai, ChinaObjectiveThis systematic review and meta-analysis aimed to comprehensively evaluate the impact of physical exercise interventions on anxiety, depression, and emotional regulation in children diagnosed with attention deficit hyperactivity disorder (ADHD).MethodsA comprehensive search was conducted across multiple databases, including Embase, Web of Science (WOS), PubMed, The Cochrane Library, Wanfang Data, VIP Information, and China National Knowledge Infrastructure (CNKI), from their inception up to July 2024. The search aimed to identify randomized controlled trials (RCTs) investigating the impact of physical exercise on anxiety, depression, and emotional regulation in children diagnosed with ADHD. The Physiotherapy Evidence Database (PEDro) scale was employed to assess the quality of the literature, while the revised Cochrane risk-of-bias tool (ROB-2) was used to evaluate the overall risk of bias. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) profiler method was utilized to further assess the quality of evidence. Meta-analysis, sensitivity analysis, and publication bias testing were performed using Stata 18.0 software. Effect sizes were calculated using the standardized mean difference (SMD) and 95% confidence intervals (CI).ResultsThe analysis included 18 RCTs, encompassing 830 participants. Physical exercise exhibited a significant positive effect on anxiety (SMD = −0.58, p < 0.05), depression (SMD = −0.57, p < 0.05), and emotional regulation (SMD = 1.03, p < 0.05) in children diagnosed with ADHD. Subgroup analysis revealed that exercise programs with monotypic and mixed modalities, short duration, high frequencies, medium duration, and moderate intensities were the most efficacious in ameliorating anxiety symptoms. The mixed exercise program, when conducted for short duration, with low frequencies, medium duration, and moderate intensity was the most effective in alleviating depression symptoms. Exercise programs featuring mixed modalities, longer duration, moderate to high frequencies, shorter duration, and low intensity yielded the most significant improvements in emotional regulation.ConclusionsResearch demonstrates that physical exercise mitigates anxiety and depression and improves emotional regulation in children with ADHD. A dose-response relationship is evident, correlating with the type, duration, intensity, frequency, and overall exercise duration.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, PROSPERO identifier (CRD42024571577).https://www.frontiersin.org/articles/10.3389/fped.2024.1479615/fullattention deficit hyperactivity disorderphysical exerciseanxietydepressionemotional regulationmeta-analysis |
| spellingShingle | Yagang Song Shuqi Jia Xing Wang Aiwei Wang Tao Ma Shufan Li Jiwei Chen Zhaohui Guo Feng Ding Yuxi Ren Man Qin Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis Frontiers in Pediatrics attention deficit hyperactivity disorder physical exercise anxiety depression emotional regulation meta-analysis |
| title | Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis |
| title_full | Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis |
| title_fullStr | Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis |
| title_full_unstemmed | Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis |
| title_short | Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis |
| title_sort | effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder a systematic review and meta analysis |
| topic | attention deficit hyperactivity disorder physical exercise anxiety depression emotional regulation meta-analysis |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1479615/full |
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