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Exercise and academic performance among children with attention-deficit hyperactivity disorder and disruptive behavior disorders: a randomized controlled trial
Ramer JD, Santiago-Rodriguez ME, Davis CL, Marquez DX, Frazier SL, Bustamante EE
Pediatric Exercise Science 2020 Aug;32(3):140-149
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: To examine effects of a 10-week after-school physical activity (PA) program on academic performance of 6- to 12-year-old African American children with behavior problems. METHODS: Participants were randomized to PA (n = 19) or sedentary attention control (n = 16) programs. Academic records, curriculum-based measures, and classroom observations were obtained at baseline, postintervention, and/or follow-up. Mixed models tested group x time interactions on academic records and curriculum-based measures. One-way analysis of variance or Kruskal-Wallis tested for differences in postintervention classroom observations. RESULTS: Intent-to-treat analyses demonstrated a moderate effect within groups from baseline to postintervention on disciplinary referrals (PA d = -0.47; attention control d = -0.36) and a null moderate effect on academic assessments (PA d = 0.11 to 0.36; attention control d = 0.05 to 0.40). No significant group x time interactions emerged on direct academic assessments (all ps >= 0.05, d = -0.23 to 0.26) or academic records (all ps >= 0.05, d = -0.28 to 0.16). Classroom observations revealed that intervention participants were off-task due to moving at twice the rate of comparative classmates (F = 15.74, p < 0.001) and were off-task due to talking 33% more often (F = 1.39, p = 0.257). CONCLUSION: Academic outcome improvements were small within and between groups and did not sustain at follow-up. Academic benefits of after-school PA programs for children with attention-deficit hyperactivity disorder and/or disruptive behavior disorders were smaller than neurobiological, behavioral, and cognitive outcomes as previously reported.

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