Exploring the impact of different types of exercise on working memory in children with ADHD: a network meta-analysis

BackgroundAttention-deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children, often accompanied by working memory deficits. Recently, exercise interventions have gained attention as a potential strategy to improve cognitive function in children with ADHD. However, th...

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Main Authors: Xiangqin Song, Yaoqi Hou, Wenying Shi, Yan Wang, Feifan Fan, Liu Hong
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1522944/full
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author Xiangqin Song
Yaoqi Hou
Wenying Shi
Yan Wang
Feifan Fan
Liu Hong
author_facet Xiangqin Song
Yaoqi Hou
Wenying Shi
Yan Wang
Feifan Fan
Liu Hong
author_sort Xiangqin Song
collection DOAJ
description BackgroundAttention-deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children, often accompanied by working memory deficits. Recently, exercise interventions have gained attention as a potential strategy to improve cognitive function in children with ADHD. However, the effects of different types of exercise on working memory remain unclear. This study aimed to assess the effects of various exercise interventions on working memory in children with ADHD using a network meta-analysis.MethodsA comprehensive search was conducted in PubMed, Cochrane, Embase, and Web of Science databases for relevant studies. After screening according to the inclusion and exclusion criteria, a total of 17 eligible studies were identified for analysis. A network meta-analysis was performed to integrate data and evaluate the effects of cognitive-aerobic exercise, ball games, mind-body exercises, interactive games, and general aerobic exercise on working memory in children with ADHD.ResultsThe results indicated significant differences in the effectiveness of various types of exercise interventions on working memory in children with ADHD. Cognitive-aerobic exercise showed the most significant effect (SMD = 0.72, 95% CI: 0.44–1.00), followed by ball games (SMD = 0.61, 95% CI: −0.12–1.35). Mind-body exercises and interactive games had moderate effects (SMD = 0.50 and 0.37, respectively), while general aerobic exercise showed relatively small effects (SMD = 0.40, 95% CI: 0.19–0.60). SUCRA analysis further confirmed the highest preference for cognitive-aerobic exercise in improving working memory. Meta-regression analysis showed that intervention frequency and total intervention duration significantly affected the effectiveness of cognitive-aerobic exercise, while other variables did not significantly moderate the effects.ConclusionCognitive-aerobic exercise had the most significant effect on improving working memory in children with ADHD. Higher intervention frequency and longer intervention duration may enhance its effects. Future research should explore the impact of these factors and consider increasing sample sizes to validate the role of these moderators.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=627915.
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spelling doaj-art-e0dc9e9ecc6d47f6905d95c3981c4e3e2025-01-27T06:40:10ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-01-011610.3389/fpsyg.2025.15229441522944Exploring the impact of different types of exercise on working memory in children with ADHD: a network meta-analysisXiangqin SongYaoqi HouWenying ShiYan WangFeifan FanLiu HongBackgroundAttention-deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children, often accompanied by working memory deficits. Recently, exercise interventions have gained attention as a potential strategy to improve cognitive function in children with ADHD. However, the effects of different types of exercise on working memory remain unclear. This study aimed to assess the effects of various exercise interventions on working memory in children with ADHD using a network meta-analysis.MethodsA comprehensive search was conducted in PubMed, Cochrane, Embase, and Web of Science databases for relevant studies. After screening according to the inclusion and exclusion criteria, a total of 17 eligible studies were identified for analysis. A network meta-analysis was performed to integrate data and evaluate the effects of cognitive-aerobic exercise, ball games, mind-body exercises, interactive games, and general aerobic exercise on working memory in children with ADHD.ResultsThe results indicated significant differences in the effectiveness of various types of exercise interventions on working memory in children with ADHD. Cognitive-aerobic exercise showed the most significant effect (SMD = 0.72, 95% CI: 0.44–1.00), followed by ball games (SMD = 0.61, 95% CI: −0.12–1.35). Mind-body exercises and interactive games had moderate effects (SMD = 0.50 and 0.37, respectively), while general aerobic exercise showed relatively small effects (SMD = 0.40, 95% CI: 0.19–0.60). SUCRA analysis further confirmed the highest preference for cognitive-aerobic exercise in improving working memory. Meta-regression analysis showed that intervention frequency and total intervention duration significantly affected the effectiveness of cognitive-aerobic exercise, while other variables did not significantly moderate the effects.ConclusionCognitive-aerobic exercise had the most significant effect on improving working memory in children with ADHD. Higher intervention frequency and longer intervention duration may enhance its effects. Future research should explore the impact of these factors and consider increasing sample sizes to validate the role of these moderators.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=627915.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1522944/fullphysical activityworking memorychildrenattention deficit hyperactivity disordernetwork meta-analysis
spellingShingle Xiangqin Song
Yaoqi Hou
Wenying Shi
Yan Wang
Feifan Fan
Liu Hong
Exploring the impact of different types of exercise on working memory in children with ADHD: a network meta-analysis
Frontiers in Psychology
physical activity
working memory
children
attention deficit hyperactivity disorder
network meta-analysis
title Exploring the impact of different types of exercise on working memory in children with ADHD: a network meta-analysis
title_full Exploring the impact of different types of exercise on working memory in children with ADHD: a network meta-analysis
title_fullStr Exploring the impact of different types of exercise on working memory in children with ADHD: a network meta-analysis
title_full_unstemmed Exploring the impact of different types of exercise on working memory in children with ADHD: a network meta-analysis
title_short Exploring the impact of different types of exercise on working memory in children with ADHD: a network meta-analysis
title_sort exploring the impact of different types of exercise on working memory in children with adhd a network meta analysis
topic physical activity
working memory
children
attention deficit hyperactivity disorder
network meta-analysis
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1522944/full
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