Physical activity and executive functions in children and adolescents with neurodevelopmental disorders: A systematic

Chang Liu1, Ran Liu2, Ruiyuan Tao3

  • 1Vanke School of Public Health, Tsinghua University, Beijing 100084, China; Department of Sports Science and Physical Education, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong 852, China.

Preventive Medicine
|February 18, 2025
PubMed

Insights

Physical activity interventions significantly improve executive functions in children and adolescents with neurodevelopmental disorders. Careful design of activity type, duration, and frequency is key for optimal results.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Sports Medicine

Background:

  • Executive functions are crucial cognitive processes often impaired in neurodevelopmental disorders.
  • Physical activity is increasingly recognized for its potential to positively impact cognitive health.
  • Understanding the efficacy of physical activity interventions for this population is vital.

Purpose of the Study:

  • To systematically evaluate the effects of physical activity interventions on executive functions in children and adolescents with neurodevelopmental disorders.
  • To identify moderators and interactions influencing the effectiveness of these interventions.
  • To provide evidence-based recommendations for designing physical activity programs.

Main Methods:

  • A comprehensive literature search was conducted across six major databases up to January 2024.
  • Included studies were randomized controlled trials or quasi-experimental designs focusing on physical activity and executive function outcomes.
  • Random multilevel meta-analyses and moderator analyses were performed to synthesize findings.

Main Results:

  • Physical activity interventions demonstrated significant benefits across overall executive functions (Hedges' g = 0.60) and key subdomains: cognitive flexibility (g = 0.60), inhibitory control (g = 0.55), working memory (g = 0.40), and higher-level functions (g = 0.83).
  • Moderators such as session duration, intervention length, and total intervention duration were identified.
  • Significant interactions were observed between session duration, activity type, total duration, frequency, and specific executive function subdomains.

Conclusions:

  • Physical activity interventions offer a promising approach to enhance executive functions in children and adolescents with various neurodevelopmental disorders.
  • Tailoring physical activity interventions, particularly regarding type, session duration, and frequency, is essential for maximizing benefits across different executive function domains.
  • These findings support the use of physical activity as an alternative or adjunctive strategy for cognitive enhancement in this population.
Abstract