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Effectiveness of Exercise on Sleep Quality in Attention Deficit Hyperactivity Disorder: A Systematic Review and Meta-Analysis

Forfatter(e)
Gonzalez-Devesa, D., Sanchez-Lastra, M. A., Outeda-Monteagudo, B., Diz-Gomez, J. C., Ayan-Perez, C.
År
2025
DOI
10.3390/children12020119
Tidsskrift
Children
Volum
12
Sider
22
Kategori(er)
ADHDSøvn (inkl. søvnforstyrrelser)
Tiltakstype(r)
Fysisk aktivitet
Abstract

Objective

This study aimed to systematically review the available evidence on the effects of exercise training programs on sleep quality in attention deficit hyperactivity disorder.

Methods

Studies were searched in five electronic databases until March 2024. The methodological quality of the included studies was assessed using the Physiotherapy Evidence Database and Methodological Index for Non-Randomized Studies scales.

Results

A total of five randomized clinical trials, two non-randomized comparative studies, and one single-arm trial were included. Self-reported sleep quality (n = 7) and objective sleep status (n = 3) were the main outcomes analyzed. Generally, exercise induced positive effects on self-reported sleep outcomes. The performed meta-analysis with data from 131 participants indicated that exercise showed a non-significant trend towards increasing objective sleep duration (Hedges' g -2.67; 95% CI -11.33; 5.99, p = 0.185). While exercise appears safe for individuals with attention deficit hyperactivity disorder, its efficacy in managing sleep disturbances in this population remains uncertain.

Conclusions

While there is evidence suggesting a positive impact of exercise on self-reported sleep quality, its efficacy for improving sleep duration could not be confirmed.