Exercise improves executive function and achievement and alters brain activation in overweight children: A randomized, controlled trial.
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OBJECTIVE: This experiment tested the hypothesis that exercise would improve executive function. DESIGN: Sedentary, overweight 7- to 11-year-old children (N = 171, 56% girls, 61% Black, M ± SD age = 9.3 ± 1.0 years, body mass index [BMI] = 26 ± 4.6 kg/m², BMI z-score = 2.1 ± 0.4) were randomized to 13 ± 1.6 weeks of an exercise program (20 or 40 min/day), or a control condition. MAIN OUTCOME MEASURES: Blinded, standardized psychological evaluations (Cognitive Assessment System and Woodcock-Johnson Tests of Achievement III) assessed cognition and academic achievement. Functional MRI measured brain activity during executive function tasks. RESULTS: Intent to treat analysis revealed dose-response benefits of exercise on executive function and mathematics achievement. Preliminary evidence of increased bilateral prefrontal cortex activity and reduced bilateral posterior parietal cortex activity attributable to exercise was also observed. CONCLUSION: Consistent with results obtained in older adults, a specific improvement on executive function and brain activation changes attributable to exercise were observed. The cognitive and achievement results add evidence of dose-response and extend experimental evidence into childhood. This study provides information on an educational outcome. Besides its importance for maintaining weight and reducing health risks during a childhood obesity epidemic, physical activity may prove to be a simple, important method of enhancing aspects of children's mental functioning that are central to cognitive development. This information may persuade educators to implement vigorous physical activity.
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Health problems and risk-taking behavior are associated with low scholastic performance.
“Health problems (e.g., vision and oral health problems, asthma, teen pregnancy, malnutrition, obesity, chronic stress, and inattention and hyperactivity disorders) and risk-taking behavior (e.g., aggression and violence, unsafe sexual activity, unhealthy eating, physical inactivity, and substance use) are associated with low scholastic performance.12–22”
From School-Based Health Centers to Advance Health Equity (2016) · cites this paper as [15]
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Loturco, I., Montoya, N. P., Ferraz, M. B., Berbat, V., & Pereira, L. A. (2022) · Education Sciences · doi:10.3390/educsci12020134 · Cited by 18 · see citing works
Time-course effects of exercise intervention on executive function in adolescents with obesity
Hu, L., Shen, Q., Yin, H., & Cui, L. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1346896 · Cited by 7 · see citing works
The History of Research on Chronic Physical Activity and Cognitive Performance
Etnier, J. L., Shih, C.-H., & Piepmeier, A. T. (2016) · Exercise-Cognition Interaction · doi:10.1016/b978-0-12-800778-5.00002-5 · Cited by 8 · see citing works
García-Pérez, L., Ubago-Jiménez, J. L., Padial-Ruz, R., & Melguizo-Ibáñez, E. (2025) · Acta Psychologica · doi:10.1016/j.actpsy.2025.105799 · Cited by 3 · see citing works
- Authors
- Davis, C. L., Tomporowski, P. D., McDowell, J. E., Austin, B. P., Miller, P. H., Yanasak, N. E., Allison, J. D., & Naglieri, J. A.
- Affiliations
- Augusta University (US)
- University of Georgia (US)
- George Mason University (US)
- ORCID
- Venue
- Health Psychology
- Published
- 2011
- Volume
- 30
- Issue
- 1
- Pages
- 91-98
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC3057917
- OpenAlex
- W2118921112
- Cited by
- 911
- References
- 6
- Citations by year
- 2026: 25 · 2025: 49 · 2024: 55 · 2023: 60 · 2022: 66 · 2021: 70 · 2020: 63 · 2019: 70 · 2018: 64 · 2017: 70 · 2016: 69 · 2015: 73 · 2014: 68 · 2013: 48 · 2012: 41
- FWCI
- 38.18
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (DK60692 ; DK70922)
- University of Georgia
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- physical activity, executive function, overweight children, childhood obesity, academic performance, mathematics achievement, prefrontal cortex, posterior parietal cortex, brain activation, dose-response relationship, cognitive development, sedentary children
- MeSH terms
- Brain, Child, Cognition, Female, Humans, Magnetic Resonance Imaging, Male, Exercise, Overweight, Executive Function
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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