Effectiveness of Exercise on Sleep Quality in Attention Deficit Hyperactivity Disorder: A Systematic Review and Meta-Analysis

<b>Objective</b>: This study aimed to systematically review the available evidence on the effects of exercise training programs on sleep quality in attention deficit hyperactivity disorder. <b>Methods</b>: Studies were searched in five electronic databases until March 2024. T...

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Main Authors: Daniel González-Devesa, Miguel Adriano Sanchez-Lastra, Benito Outeda-Monteagudo, José Carlos Diz-Gómez, Carlos Ayán-Pérez
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Children
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Online Access:https://www.mdpi.com/2227-9067/12/2/119
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Summary:<b>Objective</b>: This study aimed to systematically review the available evidence on the effects of exercise training programs on sleep quality in attention deficit hyperactivity disorder. <b>Methods</b>: Studies were searched in five electronic databases until March 2024. The methodological quality of the included studies was assessed using the Physiotherapy Evidence Database and Methodological Index for Non-Randomized Studies scales. <b>Results</b>: A total of five randomized clinical trials, two non-randomized comparative studies, and one single-arm trial were included. Self-reported sleep quality (<i>n</i> = 7) and objective sleep status (<i>n</i> = 3) were the main outcomes analyzed. Generally, exercise induced positive effects on self-reported sleep outcomes. The performed meta-analysis with data from 131 participants indicated that exercise showed a non-significant trend towards increasing objective sleep duration (Hedges’ g −2.67; 95% CI −11.33; 5.99, <i>p</i> = 0.185). While exercise appears safe for individuals with attention deficit hyperactivity disorder, its efficacy in managing sleep disturbances in this population remains uncertain. <b>Conclusions</b>: While there is evidence suggesting a positive impact of exercise on self-reported sleep quality, its efficacy for improving sleep duration could not be confirmed.
ISSN:2227-9067