Effects of Low, Moderate, and High Intensity Exercise on Functional Impairment and ADHD Symptoms: A Randomized Pilot
Meghan E Edmondson1,2,3, Angela L Ridgel2,4
1College of Nursing, Kent State University, OH, USA.
Western Journal of Nursing Research
|July 12, 2026
Summary
Moderate intensity exercise effectively reduces symptoms of attention deficit/hyperactivity disorder (ADHD) in college students. This study demonstrated the feasibility of exercise interventions for adults with ADHD.
Area of Science:
- Exercise Science
- Neuroscience
- Clinical Psychology
Background:
- Exercise is known to improve cognitive functions, particularly in children with ADHD.
- Research on exercise's effects on adult ADHD symptoms and optimal intensity is limited.
- Previous studies suggest moderate and high-intensity exercise may benefit ADHD symptoms.
Purpose of the Study:
- To assess the feasibility of an exercise intervention for college students with ADHD symptoms.
- To compare the effects of low, moderate, and high-intensity exercise on ADHD symptoms in adults.
- To identify the optimal exercise intensity for managing ADHD symptoms in a young adult population.
Main Methods:
- A randomized controlled trial was conducted with 33 college students diagnosed with ADHD symptoms.
- Participants were assigned to low, moderate, or high-intensity cycling groups for 20-minute sessions over one week.
- The high-intensity group performed short bursts of maximal effort interspersed with low-intensity recovery periods.
Main Results:
- Overall functional impairment and symptom severity decreased significantly across all groups.
- Low and moderate-intensity exercise showed significant reductions in inattentive symptoms.
- Low and moderate-intensity exercise improved impulsive symptoms, while moderate intensity specifically reduced hyperactivity.
Conclusions:
- The exercise intervention proved feasible for college students with ADHD symptoms.
- Moderate-intensity exercise demonstrated the most consistent and widespread benefits across various ADHD symptom domains.
- Exercise, particularly at moderate intensity, is a promising non-pharmacological approach for managing adult ADHD.


