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Updated: Jan 30, 2026

Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
Published on: April 22, 2015
Examining the impact of physical activity on sleep quality and executive functions in children with autism spectrum
Choi Yeung Andy Tse1, Hong Paul Lee2, Ka Shing Kevin Chan1
11 The Education University of Hong Kong, Hong Kong.
Insights
Physical activity significantly improved sleep quality and inhibitory control in children with autism spectrum disorder. However, working memory did not show improvement, suggesting tailored interventions may be needed for specific executive functions.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Children with autism spectrum disorder (ASD) frequently experience sleep disturbances and executive dysfunction.
- While physical activity benefits sleep and cognition in typically developing children, research in ASD populations is limited.
Purpose of the Study:
- To investigate the effects of a physical activity intervention on sleep quality and executive functions in children with ASD.
- To assess changes in specific sleep parameters and executive functions following the intervention.
Main Methods:
- A randomized controlled trial involving 40 children diagnosed with autism spectrum disorder (mean age 9.95 years).
- Participants were assigned to either a physical activity intervention group or a control group.
- Assessed sleep parameters (efficiency, onset latency, duration, wake after sleep onset) and executive functions (inhibitory control, working memory).
Main Results:
- The intervention group showed significant improvements in sleep efficiency, sleep onset latency, and sleep duration on weekdays compared to the control group.
- Significant enhancement in inhibitory control was observed in the intervention group, but not in the control group.
- No significant improvements in working memory capacity were found in either group.
Conclusions:
- Physical activity demonstrates potential for enhancing sleep quality and certain cognitive functions, specifically inhibitory control, in children with autism spectrum disorder.
- The findings suggest that while general physical activity can benefit sleep and some executive functions, specific or tailored approaches may be necessary to impact other cognitive domains like working memory.
Abstract:
Sleep disturbance and executive dysfunction have been widely reported in children with autism spectrum disorder. While the positive impacts of physical activity on sleep quality and cognition are documented in children with typical development, similar studies in children with autism spectrum disorder are scarce. The objective of this study was to examine the impact of physical activity on sleep quality and cognition in children with autism spectrum disorder. A total of 40 children diagnosed with autism spectrum disorder (mean age = 9.95 years) were randomly assigned into two groups: physical activity intervention and control. Four sleep parameters (sleep efficiency, sleep onset latency, sleep duration, and wake after sleep onset) and two executive functions (inhibition control and working memory) were assessed. Results revealed a significant improvement in sleep efficiency, sleep onset latency, and sleep duration in the intervention group but not in the control group during weekdays. Moreover, a significant improvement in inhibitory control was shown in the intervention group but not in the control group. No significant improvement in working memory capacity was documented in either group (ps > 0.05). Our findings highlight the value of physical activity in improving sleep quality and cognition among children with autism spectrum disorder, but specific physical activity may be required to benefit individual executive functions.
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