Effects of Exergaming on Executive Functions of Children: a Systematic Review and Meta-analysis from 2010 to 2023
Overview
Affiliations
Background: Executive function plays a crucial role in children's cognitive development, academic performance, as well as their physical and mental health. This study aims to assess the impact of exergaming on executive functions in pediatric populations.
Methods: The criteria of inclusion were randomized controlled trials of exergaming intervention and evaluation of executive function in children aged 4-12 years. A meta-analysis was performed in databases of China National Knowledge Infrastructure (in Chinese), Wan Fang (in Chinese), Web of Science, Embase, and PubMed, from January 2010 to February 2023, following the PRISMA guidelines. Risk of bias was assessed by the Jadad scale, the Cochrane risk of bias assessment tool, funnel plot, and regression-based Egger test. The Review Manager 5.3 was used to analyze the included articles using a random-effects model, and the effects were calculated as standardized mean difference (SMD).
Results: Eleven experimental studies with children (n = 508) were included. Exergaming was found to have a positive impact on children's cognitive flexibility (SMD = 0.34, 95%CI [0.17,0.52], P < 0.01), inhibitory control (SMD = 0.57, 95%CI [0.31,0.83], P < 0.01), and working memory (SMD = 0.26, 95%CI [0.02,0.51], P < 0.05). The publication bias were observed.
Conclusions: Exergaming has the potential to improve executive functions in children. More studies with rigorous designs are warranted to explore the specific effects of exergaming intervention. This study was registered on the PROSPERO (CRD42023401526).
Miranda J, Browne R, da Silva W, Rodrigues Dos Santos J, Campbell C, Ramos I JMIR Serious Games. 2025; 13:e65562.
PMID: 40052243 PMC: 11900902. DOI: 10.2196/65562.
The Impact of the Interactive Floor Device and Aerobic Training on Executive Functions in Children.
Rymarczyk K, Makowska I, Hyniewska S Children (Basel). 2025; 11(12.
PMID: 39767918 PMC: 11674087. DOI: 10.3390/children11121489.
Kou R, Zhang Z, Zhu F, Tang Y, Li Z PLoS One. 2024; 19(9):e0309462.
PMID: 39240840 PMC: 11379181. DOI: 10.1371/journal.pone.0309462.
Exergames as an Effective Alternative to Real Environmental Tennis Training for Adolescents.
Flores F, Silva A, Willig R, Reyes A, Serpa J, Marconcin P Sports (Basel). 2024; 12(6).
PMID: 38921862 PMC: 11209055. DOI: 10.3390/sports12060168.