The DOI matches its Crossref record; 56 of the 56 references it cites were found in a registry or an index.
Systematic review of acute physically active learning and classroom movement breaks on children’s physical activity, cognition, academic performance and classroom behaviour: understanding critical design features
Open accessAbstract
Objective: To examine the impact of acute classroom movement break (CMB) and physically active learning (PAL) interventions on physical activity (PA), cognition, academic performance and classroom behaviour. Design: Systematic review. Data sources: PubMed, EBSCO, Academic Search Complete, Education Resources Information Center, PsycINFO, SPORTDiscus, SCOPUS and Web of Science. Eligibility criteria for selecting studies: Studies investigating school-based acute bouts of CMB or PAL on (PA), cognition, academic performance and classroom behaviour. The Downs and Black checklist assessed risk of bias. Results: Ten PAL and eight CMB studies were identified from 2929 potentially relevant articles. Risk of bias scores ranged from 33% to 64.3%. Variation in study designs drove specific, but differing, outcomes. Three studies assessed PA using objective measures. Interventions replaced sedentary time with either light PA or moderate-to-vigorous PA dependent on design characteristics (mode, duration and intensity). Only one study factored individual PA outcomes into analyses. Classroom behaviour improved after longer moderate-to-vigorous (>10 min), or shorter more intense (5 min), CMB/PAL bouts (9 out of 11 interventions). There was no support for enhanced cognition or academic performance due to limited repeated studies. Conclusion: Low-to-medium quality designs predominate in investigations of the acute impacts of CMB and PAL on PA, cognition, academic performance and classroom behaviour. Variable quality in experimental designs, outcome measures and intervention characteristics impact outcomes making conclusions problematic. CMB and PAL increased PA and enhanced time on task. To improve confidence in study outcomes, future investigations should combine examples of good practice observed in current studies. PROSPERO registration number: CRD42017070981.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Figures

Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“These findings are similar to the study by Daly-Smith and colleagues, where differences in the design, interventions, duration and intensity, and outcomes were detected (84).”
From Does Learning Through Movement Improve Academic Performance in Primary Schoolchildren? A Systematic Review (2022) · cites this paper as [84]
The check wasn’t confident either way, so it gives no verdict — never disputed.
In the citing paper
“We know that PE lessons led by trained PE teachers provides more activity to students than ones led by generalized classroom teachers (25, 88–90).”
From Children's Physical Activity, Academic Performance, and Cognitive Functioning: A Systematic Review and Meta-Analysis (2020) · cites this paper as [25]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
PRISMA-P Group, Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., Shekelle, P., & Stewart, L. A. (2015) · Systematic Reviews · doi:10.1186/2046-4053-4-1 · Cited by 26,223
Downs, S. H., & Black, N. (1998) · Journal of Epidemiology and Community Health · doi:10.1136/jech.52.6.377 · Cited by 8,252
Be smart, exercise your heart: Exercise effects on brain and cognition
Hillman, C. H., Erickson, K. I., & Kramer, A. F. (2008) · Nature Reviews Neuroscience · doi:10.1038/nrn2298 · Cited by 3,563
The effects of acute exercise on cognitive performance: a meta-analysis
Chang, Y. K., Labban, J. D., Gapin, J. I., & Etnier, J. L. (2012) · Brain Research · doi:10.1016/j.brainres.2012.02.068 · Cited by 1,930
Donnelly, J. E., Hillman, C. H., Castelli, D., Etnier, J. L., Lee, S., Tomporowski, P., Lambourne, K., & Szabo-Reed, A. N. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000901 · Cited by 1,864
Self-citationThe relationship between physical activity and cognition in children: a meta-analysis
Sibley, B. A., & Etnier, J. L. (2003) · Pediatric Exercise Science · doi:10.1123/pes.15.3.243 · Cited by 1,308
Hillman, C. H., Pontifex, M. B., Raine, L. B., Castelli, D. M., Hall, E. E., & Kramer, A. F. (2009) · Neuroscience · doi:10.1016/j.neuroscience.2009.01.057 · Cited by 845
Robinson, M., Shipton, D., Walsh, D., Whyte, B., & McCartney, G. (2015) · BMC Public Health · doi:10.1186/1471-2458-15-1 · Cited by 696
Watson, A., Timperio, A., Brown, H., Best, K., & Hesketh, K. D. (2017) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-017-0569-9 · Cited by 689
Design and analysis of group-randomized trials: a review of recent methodological developments
Murray, D. M., Varnell, S. P., & Blitstein, J. L. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.3.423 · Cited by 677
Effects of a classroom-based program on physical activity and on-task behavior
MAHAR, M. T., MURPHY, S. K., ROWE, D. A., GOLDEN, J., SHIELDS, A. T., & RAEDEKE, T. D. (2006) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000235359.16685.a3 · Cited by 674 · cited 3×
“Familiarisation with ToT assessments, to reduce teacher and pupil reactivity, involved observers practising within the classroom for 1 week before data collection.(31) 40 Intervention design and delivery PAL interventions varied from light-intensity movements within the classroom(32) to moderate-to-vigorous active spe…”
BackgroundInfluentialConceptual and procedural knowledge of mathematics: Does one lead to the other?
Rittle‐Johnson, B., & Alibali, M. W. (1999) · Journal of Educational Psychology · doi:10.1037/0022-0663.91.1.175 · Cited by 615
Hadgraft, N. T., Lynch, B. M., Clark, B., Healy, G. N., Owen, N. G., & Dunstan, D. W. (2015) · BMC Public Health · doi:10.1186/s12889-015-2243-y · Cited by 553
How to do random allocation (randomization)
Kim, J., & Shin, W. (2014) · Clinics in Orthopedic Surgery · doi:10.4055/cios.2014.6.1.103 · Cited by 505
State of the Art Reviews: Measurement of Physical Activity in Children and Adolescents
Trost, S. G. (2007) · American Journal of Lifestyle Medicine · doi:10.1177/1559827607301686 · Cited by 405
Pesce, C. (2012) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.34.6.766 · Cited by 383
Tomporowski, P. D., McCullick, B., Pendleton, D. M., & Pesce, C. (2015) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2014.09.003 · Cited by 377
Self-citationPractical tips for surgical research: blinding: who, what, when, why, how?
Karanicolas, P. J., Farrokhyar, F., & Bhandari, M. (2010) · PubMed Central · Cited by 346
Goldberg, T. E., Harvey, P. D., Wesnes, K. A., Snyder, P. J., & Schneider, L. S. (2015) · Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring · doi:10.1016/j.dadm.2014.11.003 · Cited by 343
Classroom-Based Physical Activity Breaks and Children's Attention: Cognitive Engagement Works!
Schmidt, M., Benzing, V., & Kamer, M. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01474 · Cited by 245
Nettlefold, L., McKay, H. A., Warburton, D. E. R., McGuire, K. A., Bredin, S. S. D., & Naylor, P. (2010) · British Journal of Sports Medicine · doi:10.1136/bjsm.2009.068072 · Cited by 230
Physically active academic lessons in elementary children
Bartholomew, J. B., & Jowers, E. M. (2011) · Preventive Medicine · doi:10.1016/j.ypmed.2011.01.017 · Cited by 228
Physical Activity, Fitness, Cognitive Function, and Academic Achievement in Children
Donnelly, J. E., Hillman, C. H., Castelli, D. M., Etnier, J. L., Lee, S., Tomporowski, P. D., Lambourne, K., & Szabo‐Reed, A. N. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000966 · Cited by 221
Self-citationNorris, E., Shelton, N., Dunsmuir, S., Duke-Williams, O., & Stamatakis, E. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2014.12.027 · Cited by 200
Ma, J. K., Mare, L. L., & Gurd, B. J. (2014) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2014-0309 · Cited by 197
Physical Activity and School Engagement in Youth: A Systematic Review and Meta-Analysis
Owen, K., Parker, P. D., Zanden, B. E. V., MacMillan, F., Astell‐Burt, T., & Lonsdale, C. (2016) · Educational Psychologist · doi:10.1080/00461520.2016.1151793 · Cited by 174
Howie, E. K., Schatz, J., & Pate, R. R. (2015) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2015.1039892 · Cited by 173
Effect of Active Lessons on Physical Activity, Academic, and Health Outcomes: A Systematic Review
Martin, R., & Murtagh, E. (2017) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.2017.1294244 · Cited by 163
A 30‐Minute Physical Education Program Improves Students' Executive Attention
Kubesch, S., Walk, L. M., Spitzer, M., Kammer, T., Lainburg, A., Heim, R., & Hille, K. (2009) · Mind Brain and Education · doi:10.1111/j.1751-228x.2009.01076.x · Cited by 162
Physically Active Academic Lessons and Time on Task: The Moderating Effect of Body Mass Index
GRIECO, L. A., JOWERS, E. M., & BARTHOLOMEW, J. B. (2009) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181a61495 · Cited by 156
Shimabukuro, S. M., Prater, M. A., Jenkins, A. A., & Edelen-Smith, P. J. (1999) · Education and Treatment of Children · Cited by 155
Ingwersen, J., Defeyter, M. A., Kennedy, D. O., Wesnes, K. A., & Scholey, A. B. (2007) · Appetite · doi:10.1016/j.appet.2006.06.009 · Cited by 154
Self-citationBailey, D. P., Fairclough, S. J., Savory, L. A., Denton, S. J., Pang, D., Deane, C. S., & Kerr, C. J. (2012) · European Journal of Pediatrics · doi:10.1007/s00431-012-1827-0 · Cited by 137
Ma, J. K., Mare, L. L., & Gurd, B. J. (2014) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/apnm-2014-0125 · Cited by 131
Li, J. W., O’Connor, H., O’Dwyer, N., & Orr, R. (2017) · Journal of Science and Medicine in Sport · doi:10.1016/j.jsams.2016.11.025 · Cited by 125
The random allocation process: two things you need to know
Dettori, J. R. (2010) · Evidence-Based Spine-Care Journal · doi:10.1055/s-0030-1267062 · Cited by 113
Janssen, M., Chinapaw, M. J. M., Rauh, S. P., Toussaint, H. M., van Mechelen, W., & Verhagen, E. A. L. M. (2014) · Mental health and physical activity · doi:10.1016/j.mhpa.2014.07.001 · Cited by 112
Grieco, L. A., Jowers, E. M., Errisuriz, V. L., & Bartholomew, J. B. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.05.021 · Cited by 104
Howie, E. K., Beets, M. W., & Pate, R. R. (2014) · Mental health and physical activity · doi:10.1016/j.mhpa.2014.05.002 · Cited by 97
van den Berg, V., Saliasi, E., de Groot, R. H. M., Jolles, J., Chinapaw, M. J. M., & Singh, A. S. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.00723 · Cited by 80
Exercising attention within the classroom
HILL, L., WILLIAMS, J. H. G., AUCOTT, L., MILNE, J., THOMSON, J., GREIG, J., MUNRO, V., & MON‐WILLIAMS, M. (2010) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2010.03661.x · Cited by 70
Mullender-Wijnsma, M., Hartman, E. E., de Greeff, J. W., Bosker, R., Doolaard, S., & Visscher, C. (2015) · BMC Public Health · doi:10.1186/s12889-015-1745-y · Cited by 69
Janssen, M., Toussaint, H. M., van Mechelen, W., & Verhagen, E. A. (2014) · SpringerPlus · doi:10.1186/2193-1801-3-410 · Cited by 66
Study types and bias—Don’t judge a study by the abstract’s conclusion alone
Norvell, D. (2010) · Evidence-Based Spine-Care Journal · doi:10.1055/s-0028-1100908 · Cited by 62
Exercise–Cognition Interaction
McMorris, T. (2015) · Elsevier eBooks · doi:10.1016/b978-0-12-800778-5.00022-0 · Cited by 60
Trusting systematic reviews and meta-analyses: all that glitters is not gold!
Weir, A., Rabia, S., & Ardern, C. L. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-095896 · Cited by 56
Martin, R., & Murtagh, E. M. (2015) · Contemporary Clinical Trials · doi:10.1016/j.cct.2015.01.019 · Cited by 52
Applying HOPSCOTCH as an exer-learning game in English lessons: two exploratory studies
Lucht, M., & Heidig, S. (2013) · Educational Technology Research and Development · doi:10.1007/s11423-013-9308-3 · Cited by 46
Valle, J. D., Dunn, K., Dunn, R., Geisert, G., Sinatra, R. C., & Zenhausern, R. J. (1986) · The Journal of Educational Research · doi:10.1080/00220671.1986.10885690 · Cited by 45
Graham, D. J., Lucas‐Thompson, R. G., & Oâ€TMDonnell, M. B. (2014) · Frontiers in Public Health · doi:10.3389/fpubh.2014.00058 · Cited by 41
Virtual field trips as physically active lessons for children: a pilot study
Norris, E., Shelton, N. J., Dunsmuir, S., Duke‐Williams, O., & Stamatakis, E. (2015) · BMC Public Health · doi:10.1186/s12889-015-1706-5 · Cited by 39
Montané, E., Vallano, A., Vidal, X., Aguilera, C., & Laporte, J. (2010) · BMC Clinical Pharmacology · doi:10.1186/1472-6904-10-2 · Cited by 37
Getting a GRIP (getting research into practice) on movement integration in the school classroom
Routen, A. C., Chalkley, A. E., & Sherar, L. B. (2017) · Physical Therapy Reviews · doi:10.1080/10833196.2017.1306900 · Cited by 22
50 Differences That Make a Difference: A Compendium of Frequently Confused Term Pairs in Psychology
Lilienfeld, S. O., Pydych, A. L., Lynn, S. J., Latzman, R. D., & Waldman, I. D. (2017) · Frontiers in Education · doi:10.3389/feduc.2017.00037 · Cited by 16
Humphrey, J. H. (1965) · Perceptual and Motor Skills · doi:10.2466/pms.1965.21.1.23 · Cited by 14
Daly-Smith, A., McKenna, J., Defeyter, G., & Manley, A. J. (2017) · Routledge eBooks · doi:10.4324/9781315305790-16 · Cited by 6
Self-citation
Cited by
Sorted by citations
Norris, E., van Steen, T., Direito, A., & Stamatakis, E. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2018-100502 · Cited by 293
The Impact of Physical Activity on Brain Structure and Function in Youth: A Systematic Review
Valkenborghs, S. R., Noetel, M., Hillman, C. H., Nilsson, M., Smith, J. J., Ortega, F. B., & Lubans, D. R. (2019) · PEDIATRICS · doi:10.1542/peds.2018-4032 · Cited by 220
Masini, A., Marini, S., Gori, D., Leoni, E., Rochira, A., & Dallolio, L. (2019) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2019.10.008 · Cited by 231
Physical Activity and Academic Achievement: An Umbrella Review
Barbosa, A., Whiting, S., Simmonds, P., Scotini Moreno, R., Mendes, R., & Breda, J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17165972 · Cited by 189
Liu, S., Yu, Q., Li, Z., Cunha, P. M., Zhang, Y., Kong, Z., Wang, L., Chen, S., & Cai, Y. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.554915 · Cited by 161
Metadata
- Authors
- Daly-Smith, A. J., Zwolinsky, S., McKenna, J., Tomporowski, P. D., Defeyter, M. A., & Manley, A.
- Affiliations
- Leeds Beckett University (GB)
- University of Georgia (US)
- Northumbria University (GB)
- Corresponding author
- Daly-Smith, Andy J
- ORCID
- Venue
- BMJ Open Sport & Exercise Medicine
- Publisher
- BMJ
- Published
- 2018-03
- Volume
- 4
- Issue
- 1
- Pages
- e000341
- ISSN
- 2055-7647 (ISSN-L)
- PMC
- PMC5884342
- OpenAlex
- W2795175278
- Cited by
- 293
- References
- 56
- Citations by year
- 2026: 28 · 2025: 44 · 2024: 50 · 2023: 36 · 2022: 49 · 2021: 28 · 2020: 31 · 2019: 21 · 2018: 5
- FWCI
- 2.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open Sport & Exercise Medicine (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Bradford Scholars (University of Bradford) (publishedVersion, other-oa)
- Leeds Beckett Repository (Leeds Beckett University) (acceptedVersion, other-oa)
- Northumbria Research Link (Northumbria University) (acceptedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- physically active learning, children's physical activity, cognition, academic performance, classroom behavior, sedentary time, moderate-to-vigorous physical activity, time on task, school-based intervention
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.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review