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Effects of exercise intervention on executive function in children with overweight and obesity: a systematic review and meta-analysis.

作者信息

Wang Pengfei, Meng Ying, Tong Jinnian, Jiang Tiance

机构信息

Department of Sports and Leisure, Dongshin University, Naju, Jeollanam-do, Republic of South Korea.

Physical Education Institute, Tomsk State University, Tomsk Oblast, Russia.

出版信息

PeerJ. 2025 Apr 14;13:e19273. doi: 10.7717/peerj.19273. eCollection 2025.


DOI:10.7717/peerj.19273
PMID:40247830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12005193/
Abstract

BACKGROUND: Weight control in children depends on executive function. Previous studies have shown that exercise interventions can effectively improve children's executive function. However, the effects of these interventions on children with overweight and obesity remain unclear and require further investigation. This systematic review and meta-analysis was conducted to evaluate the effects of exercise interventions on executive function-related indicators in children with overweight and obesity. METHODS: Randomized controlled trials (RCTs) investigating the effects of exercise interventions on executive functions in children with overweight and obesity were included by searching PubMed, Web of Science, EMbase, Cochrane Library, ProQuest, Scopus, CNKI, China Wanfang, and VIP databases. The quality of the included studies was assessed using the Cochrane risk of bias assessment tool. RevMan 5.4 software was used for effect size pooling, forest plot creation, and subgroup analyses. Stata 16.0 software was employed for publication bias testing and sensitivity analysis. The evidence levels of the results were evaluated using the GRADEpro tool. RESULTS: This meta-analysis included a total of 13 studies. The results indicate that exercise interventions may help improve executive functions in children with overweight and obesity. Specifically, inhibitory control (standardized mean (SMD) = -0.59, 95% confidence interval (CI) [-0.89 to -0.29],  = 3.85,  < 0.001) and cognitive flexibility (SMD = -0.54, 95% CI [-1.06 to -0.01],  = 2.01,  < 0.05) showed moderate effect sizes. Working memory exhibited a smaller effect size (SMD = 0.40, 95% CI [-0.69 to -0.10],  = 2.61,  < 0.01), while attention did not show significant improvement (SMD = 0.13, 95% CI [-0.39 to 0.65],  = 0.50,  > 0.05). CONCLUSION: The results of this meta-analysis indicate that exercise interventions have significant benefits for inhibitory control, working memory, and cognitive flexibility in children with overweight and obesity, but the impact on attention is not significant. Moreover, the effects of inhibitory control interventions are influenced by exercise duration, exercise intensity, exercise type, and age.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/bdf0827aecc4/peerj-13-19273-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/099375175771/peerj-13-19273-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/51b6c293f775/peerj-13-19273-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/1ac945ea5676/peerj-13-19273-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/5da619ea5de1/peerj-13-19273-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/bdf0827aecc4/peerj-13-19273-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/099375175771/peerj-13-19273-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/51b6c293f775/peerj-13-19273-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/1ac945ea5676/peerj-13-19273-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/5da619ea5de1/peerj-13-19273-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/004f/12005193/bdf0827aecc4/peerj-13-19273-g005.jpg

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引用本文的文献

[1]
Effects of aerobic exercise on executive function in children and adolescents with attention deficit hyperactivity disorder: a systematic review and meta-analysis of randomized controlled trials.

BMC Sports Sci Med Rehabil. 2025-8-30

本文引用的文献

[1]
Effects of Practicing Closed- vs. Open-Skill Exercises on Executive Functions in Individuals with Attention Deficit Hyperactivity Disorder (ADHD)-A Meta-Analysis and Systematic Review.

Behav Sci (Basel). 2024-6-14

[2]
Effects of aerobic exercise on children's executive function and academic performance: A systematic review and meta-analysis.

Heliyon. 2024-3-27

[3]
Chronic exercise interventions for executive function in overweight children: a systematic review and meta-analysis.

Front Sports Act Living. 2024-2-16

[4]
Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults.

Lancet. 2024-3-16

[5]
Effects of open and closed skill exercise interventions on executive function in typical children: a meta-analysis.

BMC Psychol. 2023-11-30

[6]
Effects of Commercial Exergames and Conventional Exercises on Improving Executive Functions in Children and Adolescents: Meta-Analysis of Randomized Controlled Trials.

JMIR Serious Games. 2023-10-19

[7]
Effects of exergaming on executive functions of children: a systematic review and meta-analysis from 2010 to 2023.

Arch Public Health. 2023-10-13

[8]
Do acute and chronic physical activity interventions affect the cognitive function of preschool children? A meta-analysis.

Psychol Sport Exerc. 2023-7

[9]
Trends of obesity and overweight among children and adolescents in China.

World J Pediatr. 2023-12

[10]
Meta-analysis on the effects of moderate-intensity exercise intervention on executive functioning in children.

PLoS One. 2023

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