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Table 2 Academic outcomes: findings from systematic reviews and meta-analyses (ordered by quality rating)

From: A critical evaluation of systematic reviews assessing the effect of chronic physical activity on academic achievement, cognition and the brain in children and adolescents: a systematic review

Authors

Population

Systematic review results

Meta-analysis resultsc

High-quality reviews

 Martin et al. [31]

Overweight or obese children (3–18 years)

No effects of PA on maths, reading or language were found (moderate quality evidence)

Maths (s = 3): no evidence for an effect

Reading (s = 2): no evidence for an effect Language (s = 2): no evidence for an effect

Maths: 0.49 (−0.04, 1.01), I2 =57% (s = 2)

Reading: 0.10 (−0.30, 0.49), I2 =63% (s = 2)

Language: not performed

Low-quality reviews

 Singh et al. [25]

Children and adolescents (3–16 years)

7 high-quality studies: 15/25 analysed constructs (60%) found a beneficial effect, leading to inconclusive evidence; no studies reported adverse effects of PA on academic achievement

Maths: Strong evidence for PA on maths performance (86% of outcomes are beneficial)

Language: Inconclusive evidence for language performance (27% of outcomes are beneficial)

NA

Critically low-quality reviews

 Álvarez-Bueno et al. [23]

Healthy children and adolescents (4–13 years)

Language: 4/9 studies reported significant improvements in the intervention group

Maths: 13/18 studies reported significant improvements in the intervention group Reading: 5/10 studies reported significant improvements in the intervention group Composite scores: 2/5 studies reported significant differences between the groups Other subjects: 1/3 studies reported improvements after the PA intervention

Language:d =0.16 (−0.06, 0.37), I2 =71.7% (s = 3, k = 7)

Maths:d =0.21 (0.09, 0.33), I2 =57.8% (s = 10, k = 16)b

Reading:d =0.13 (0.02, 0.24), I2 =25.5% (s = 5, k = 10)

Composite scores:d =0.26 (0.07, 0.45), I2 =75.6% (s = 4, k = 8)

 de Greeff et al. [24]

Primary school children (6–12 years)

Academic achievement: 9/14 reported positive findings on at least 1 outcome measure, 5 reported no significant findings

Academic performance:g =0.26 (0.02, 0.49), I2 =39% (k = 4, s = 3)

Maths:g =0.09 (−0.17, 0.35), I2< 0.01% (s = 1, k = 2)

Reading:g =0.15 (−0.15, 0.46), I2 =35.31% (s = 2, k = 2)

Spelling:g =0.34 (−0.23, 0.92), I2 = NA (s = 1, k = 1)

 Gunnell et al. [27]a

Healthy children (1–17.99 years)

Academic achievement and intelligence: mixed evidence.

PA vs nonea(n = 2202 participants, s = 9): 5/9 —, 1/9 ↑, 3/9 — ↑

Multiple comparisons (n = 1141, s = 4): 3/4 ↑, 1/4 — ↑↓

PA vs PA (n = 546, s = 5): 3/5 ↑, 1/5 — ↑, 1/5 —

Not performed given heterogeneity of study designs, PA exposures and outcomes

 Li et al. [30]

Healthy adolescents (13–18 years)

1/1 studies showed a beneficial effect on academic performance. Of two parameters, only one showed significance

NA

 Martin and Murtagh [32]

Children (5–12 years)

4/4 reported some positive effects

NA

 Pucher, Boot, and Vries [34]

School-aged children

Across 4 studies: additional PA is not likely to affect academic performance negatively, and positive effects of PA have been demonstrated and are more likely when PE is delivered at vigorous levels and by a trained specialist/teacher

NA

 Lees and Hopkins [29]

Children and adolescents (< 19 years)

3/3 showed positive effects on academic performance

NA

 Spruit et al. [26]

Children and adolescents (mean age 11–18)

Physical activity interventions are effective in improving academic achievement (s = 10)

Academic performance:d =0.367 (0.038, 0.69), (s = 10, k = 34)

 Mura et al. [33]

Children (3–18 years)

10/16 studies showed an improvement in academic performance (maths (s = 4), reading (s = 1), overall academic achievement (s = 5)), in 6/16 it did not worsen academic performance

NA

 Haapala [28]

Children and adolescents (7–16 years)

Positive effect of PA on maths, reading and language skills in 3/4 studies. In 2/4 studies no significant differences between groups

NA

  1. Abbreviations: d = Cohen’s d, ES effect size, g = Hedges’ g, k number of comparisons, n number of participants, NA not assessed, PA physical activity, RCT randomised controlled-trial, s number of study/studies
  2. aPA vs none: PA was compared to a sedentary control condition, Multiple comparisons: studies with multiple treatment and/or control groups, PA vs PA: comparison of multiple types of PA interventions. Coding represents combinations of: — = null results, ↓ = unfavourable results, ↑ = favourable results
  3. bEffect size changes in sensitivity analysis, the findings of which are presented in Additional file 9
  4. cResults are reported as: standardized mean difference, 95% confidence intervals, heterogeneity statistics if available, the number of studies (s) and number of comparisons (k)