Cited by 588Physical Activity and HealthChildren's Physical and Motor DevelopmentPhysical Education and Pedagogy

The DOI matches its Crossref record; 96 of the 101 references it cites were found in a registry or an index; 14 of the 33 sources its claims cite were checked for support.

Effects of physical activity interventions on cognitive and academic performance in children and adolescents: a novel combination of a systematic review and recommendations from an expert panel

Open access

Abstract

OBJECTIVE: To summarise the current evidence on the effects of physical activity (PA) interventions on cognitive and academic performance in children, and formulate research priorities and recommendations. DESIGN: Systematic review (following PRISMA guidelines) with a methodological quality assessment and an international expert panel. We based the evaluation of the consistency of the scientific evidence on the findings reported in studies rated as of high methodological quality. DATA SOURCES: PubMed, PsycINFO, Cochrane Central, Web of Science, ERIC, and SPORTDiscus. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: PA-intervention studies in children with at least one cognitive or academic performance assessment. RESULTS: Eleven (19%) of 58 included intervention studies received a high-quality rating for methodological quality: four assessed effects of PA interventions on cognitive performance, six assessed effects on academic performance, and one on both. All high-quality studies contrasted the effects of additional/adapted PA activities with regular curriculum activities. For cognitive performance 10 of 21 (48%) constructs analysed showed statistically significant beneficial intervention effects of PA, while for academic performance, 15 of 25 (60%) analyses found a significant beneficial effect of PA. Across all five studies assessing PA effects on mathematics, beneficial effects were reported in six out of seven (86%) outcomes. Experts put forward 46 research questions. The most pressing research priority cluster concerned the causality of the relationship between PA and cognitive/academic performance. The remaining clusters pertained to PA characteristics, moderators and mechanisms governing the 'PA-performance' relationship and miscellaneous topics. CONCLUSION: There is currently inconclusive evidence for the beneficial effects of PA interventions on cognitive and overall academic performance in children. We conclude that there is strong evidence for beneficial effects of PA on maths performance.The expert panel confirmed that more 'high-quality' research is warranted. By prioritising the most important research questions and formulating recommendations we aim to guide researchers in generating high-quality evidence. Our recommendations focus on adequate control groups and sample size, the use of valid and reliable measurement instruments for physical activity and cognitive performance, measurement of compliance and data analysis. PROSPERO REGISTRATION NUMBER: CRD42017082505.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This paper combines a PRISMA systematic review of physical activity interventions in children and adolescents with an international Delphi expert panel. It finds inconclusive evidence for benefits on cognitive and overall academic performance, but strong evidence for benefits on mathematics, and it sets out research priorities and methodological recommendations.

Key findings

  • From 8103 references, 58 intervention studies met inclusion criteria; 11 were rated high methodological quality, 29 moderate, and 17 weak.
  • Among high-quality studies, 10 of 21 analyses (48%) found significant beneficial effects on cognitive performance, leading to inconclusive evidence.
  • For academic performance overall, 15 of 25 analyses (60%) in high-quality studies showed significant beneficial effects, also inconclusive.
  • Mathematics showed strong evidence of benefit: 6 of 7 outcomes (86%) across five high-quality studies were beneficial; language evidence was inconclusive. No study reported significant adverse effects.

Methods

  • Systematic review registered in PROSPERO and reported per PRISMA, searching six databases through September 2017 for randomised and non-randomised physical activity intervention studies in healthy children and adolescents aged 0–18 with cognitive or academic outcomes.
  • Methodological quality was assessed with an adapted quantitative-study tool across seven domains; evidence synthesis used only high-quality studies and rated consistency at construct/outcome level, with a 75% consistency threshold.
  • A modified Delphi procedure ran in parallel: 23 international experts in two panels generated 59 research questions, reduced to 46 after removing duplicates, then rated and clustered them.

Limitations

  • The paper states that inter-rater percentage agreement was not recorded, that quality assessment involved some subjectivity and discrepancies with another review, and that publication bias may overestimate beneficial effects.
  • The paper notes that many studies compared different physical activity types or doses without a true no-activity control, so conclusions concern additional or adapted physical activity rather than physical activity per se; actual dose and compliance were often unmeasured.
  • The paper also states that fewer than a quarter of included studies were high quality, and that many studies reported only significance without effect sizes or confidence intervals; evident from the text, restricting evidence synthesis to high-quality studies and excluding clinical samples limits generalisability.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.1136/bjsports-2017-098136

Cites

96 of 96 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

13 Own method · 12 Own result · 11 No full text of the sources · 10 Own interpretation · 9 No basis given · 5 Supported · 4 Sources not found · 3 Partly supported · 2 Supported so far · accuracy not yet measured

Show all 34 claims

  • It may state two separate claims as one. 19
  • Probably not a substantial claim. 24
35 of 35
  • The paper relies on this without support.

    The selected expert panel members are representative of the relevant scientific community.

    “The leading authors (AS, ES, VB, MC) independently recommended a multidisciplinary group of international experts on the topic of PA and cognitive/academic performance in children from different regions of the world.”
  • The paper relies on this without support.

    Previous reviews based their conclusions on study-level findings and did not take into account the number of outcomes analysed, leading to potential overestimation of the relationship between PA and cognitive/academic performance.

    “Previous reviews based their conclusions on study level findings (ie, if a study reported beneficial effects of an intervention on one but not all outcome measures, the study was rated as 'positive').”
    “Most reviews summarised the existing evidence at study level, not taking into account the number of outcomes analysed, thereby leading to a potential overestimation of the suggested relationship between PA and cognitive/academic performance.”
  • The paper relies on this without support.

    Positive findings are more likely to be published, resulting in an overestimation of the beneficial effect of PA on cognitive/academic performance.

    “Another potential limitation is publication bias: positive findings are more likely to be published, resulting in an overestimation of the beneficial effect of PA on cognitive/ academic performance.”
3 of 3

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

3 of 3

Citations

Cites

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Metadata

Authors
Singh, A. S., Saliasi, E., van den Berg, V., Uijtdewilligen, L., de Groot, R. H. M., Jolles, J., Andersen, L. B., Bailey, R., Chang, Y.-K., Diamond, A., Ericsson, I., Etnier, J. L., Fedewa, A. L., Hillman, C. H., McMorris, T., Pesce, C., Pühse, U., Tomporowski, P. D., & Chinapaw, M. J. M.
Affiliations
  • Amsterdam Public Health (NL)
  • National University of Singapore (SG)
  • Vrije Universiteit Amsterdam (NL)
  • Western Norway University of Applied Sciences (NO)
  • National Taiwan Normal University (TW)
  • University of British Columbia (CA)
  • Malmö University (SE)
  • University of North Carolina at Greensboro (US)
  • University of Kentucky (US)
  • Northeastern University (US)
  • University of Chichester (GB)
  • Foro Italico University of Rome (IT)
  • University of Basel (CH)
  • University of Georgia (US)
Corresponding author
Singh, Amika S
Venue
British Journal of Sports Medicine
Publisher
BMJ
Published
2018-07-30
Volume
53
Issue
10
Pages
640-647
ISSN
  • 0306-3674 (ISSN-L)
  • 1473-0480
OpenAlex
W2885359685
Cited by
588
References
101
Citations by year
2026: 57 · 2025: 86 · 2024: 70 · 2023: 76 · 2022: 87 · 2021: 88 · 2020: 78 · 2019: 41 · 2018: 4
FWCI
6.93
Type
journal article
Language
en
Open access
Locations
  • British Journal of Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
  • DSpace (Open University in the Netherlands) (publishedVersion, cc-by)
  • VU Research Portal (publishedVersion, other-oa)
  • Pure Amsterdam UMC (submittedVersion, other-oa)
  • Malmö University Publications (Malmö University) (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
  • DSpace (Open University in the Netherlands) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Funders
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
  • Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
  • Social Sciences › Education › Physical Education and Pedagogy
Keywords
physical activity interventions, cognitive performance, academic performance, children, adolescents, mathematics achievement, research priorities, expert panel recommendations, causality, mechanisms, control groups, measurement instruments
MeSH terms
Academic Performance, Adolescent, Child, Cognition, Humans, Exercise

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