PHYSICAL ACTIVITY IN ADHD PATIENTS: SIGNIFICANCE, ADVANTAGES, AND EFFECTS OF DIGITAL INTERVENTIONS PROMOTING EXERCISE
Abstract
Attention deficit hyperactivity disorder (ADHD) is among the most commonly diagnosed neurodevelopmental disorders in children, frequently continuing into adulthood. Recent years have witnessed an increasing interest in the importance of physical activity as an adjunctive therapy for controlling ADHD symptoms, including impulsivity, focus difficulties, and hyperactivity. This article aims to review the existing evidence about the effects of physical activity on individuals with ADHD, focusing specifically on contemporary digital methods, including mobile applications, exergaming, virtual reality (VR) technologies, wearable fitness trackers and artificial intelligence (AI) programs. Studies confirm that physical activity improves executive functions, attention, inhibitory control and cognitive flexibility. The article presents the neurobiological mechanisms that elucidate the advantageous effects of exercise on executive functions, together with a review of empirical data validating the efficacy of these interventions. The essay additionally explores the possibility for customizing digital physical activity programs. The findings suggest that physical activity, augmented by digital technologies, can serve as a significant component of a comprehensive ADHD treatment framework, particularly in terms of personalizing therapy and enhancing patient involvement.
Materials and methods: A review of the literature available in the PubMed and Google Scholar database was performed, using the key words: “Attention Deficit Hyperactivity Disorder”, “ADHD”, “physical activity”, “digital interventions”, “exergaming”, “virtual reality”, “VR”.
References
Alnawwar, M. A., Alraddadi, M. I., Algethmi, R. A., Salem, G. A., Salem, M. A., & Alharbi, A. A. (2023). The Effect of Physical Activity on Sleep Quality and Sleep Disorder: A Systematic Review. Cureus. https://doi.org/10.7759/cureus.43595
An, R., Shen, J., Wang, J., & Yang, Y. (2024). A scoping review of methodologies for applying artificial intelligence to physical activity interventions. In Journal of Sport and Health Science (Vol. 13, Issue 3, pp. 428–441). Elsevier B.V. https://doi.org/10.1016/j.jshs.2023.09.010
Arrondo, G., Solmi, M., Dragioti, E., Eudave, L., Ruiz-Goikoetxea, M., Ciaurriz-Larraz, A. M., Magallon, S., Carvalho, A. F., Cipriani, A., Fusar-Poli, P., Larsson, H., Correll, C., & Cortese, S. (2022). Associations between mental and physical conditions in children and adolescents: An umbrella review. In Neuroscience and Biobehavioral Reviews (Vol. 137). Elsevier Ltd. https://doi.org/10.1016/j.neubiorev.2022.104662
Azazy, S., Nour-Eldein, H., Salama, H., & Ismail, M. (2018). Quality of life and family function of parents of children with attention deficit hyperactivity disorder. Eastern Mediterranean Health Journal, 24(6), 579–587. https://doi.org/10.26719/2018.24.6.579
Booth, J. N., Mitchell, I. A., Tomporowski, P. D., McCullick, B. A., Boyle, J. M. E., & Reilly, J. J. (2024). Evaluation of a pilot physical activity intervention for children with ADHD symptoms and reading difficulties. Journal of Research in Special Educational Needs, 24(2), 254–268. https://doi.org/10.1111/1471-3802.12628
Catalá-López, F., Hutton, B., Page, M. J., Driver, J. A., Ridao, M., Alonso-Arroyo, A., Valencia, A., Macías Saint-Gerons, D., & Tabarés-Seisdedos, R. (2022). Mortality in Persons with Autism Spectrum Disorder or Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-analysis. In JAMA Pediatrics (Vol. 176, Issue 4, p. E216401). American Medical Association. https://doi.org/10.1001/jamapediatrics.2021.6401
Chan, Y. S., Jang, J. T., & Ho, C. S. (2022). Effects of physical exercise on children with attention deficit hyperactivity disorder. In Biomedical Journal (Vol. 45, Issue 2, pp. 265–270). Elsevier B.V. https://doi.org/10.1016/j.bj.2021.11.011
Chaulagain, A., Lyhmann, I., Halmøy, A., Widding-Havneraas, T., Nyttingnes, O., Bjelland, I., & Mykletun, A. (2023). A systematic meta-review of systematic reviews on attention deficit hyperactivity disorder. European Psychiatry, 66(1). https://doi.org/10.1192/j.eurpsy.2023.2451
Chennaoui, M., Arnal, P. J., Sauvet, F., & Léger, D. (2015). Sleep and exercise: A reciprocal issue? In Sleep Medicine Reviews (Vol. 20, pp. 59–72). W.B. Saunders Ltd. https://doi.org/10.1016/j.smrv.2014.06.008
Christiansen, L., Beck, M. M., Bilenberg, N., Wienecke, J., Astrup, A., & Lundbye-Jensen, J. (2019). Effects of exercise on cognitive performance in children and adolescents with adhd: Potential mechanisms and evidence-based recommendations. In Journal of Clinical Medicine (Vol. 8, Issue 6). MDPI. https://doi.org/10.3390/jcm8060841
Cioffredi, L. A., Yerby, L. G., Burris, H. H., Cole, K. M., Engel, S. M., Murray, T. M., Slopen, N., Volk, H. E., & Acheson, A. (2024). Assessing prenatal and early childhood social and environmental determinants of health in the HEALthy Brain and Child Development Study (HBCD). Developmental Cognitive Neuroscience, 69. https://doi.org/10.1016/j.dcn.2024.101429
Cohen, S. C. L., Harvey, D. J., Shields, R. H., Shields, G. S., Rashedi, R. N., Tancredi, D. J., Angkustsiri, K., Hansen, R. L., & Schweitzer, J. B. (2018). Effects of Yoga on Attention, Impulsivity, and Hyperactivity in Preschool-Aged Children with Attention-Deficit Hyperactivity Disorder Symptoms. Journal of Developmental and Behavioral Pediatrics, 39(3), 200–209. https://doi.org/10.1097/DBP.0000000000000552
da Silva, B. S., Grevet, E. H., Silva, L. C. F., Ramos, J. K. N., Rovaris, D. L., & Bau, C. H. D. (2023). An overview on neurobiology and therapeutics of attention-deficit/hyperactivity disorder. In Discover Mental Health (Vol. 3, Issue 1). Springer Nature. https://doi.org/10.1007/s44192-022-00030-1
Denyer, H., Deng, Q., Adanijo, A., Asherson, P., Bilbow, A., Folarin, A., Groom, M. J., Hollis, C., Wykes, T., Dobson, R. J. B., Kuntsi, J., & Simblett, S. (2023). Barriers to and Facilitators of Using Remote Measurement Technology in the Long-Term Monitoring of Individuals With ADHD: Interview Study. JMIR Formative Research, 7. https://doi.org/10.2196/44126
Edinoff, A. N., Apgar, T. L., Rogers, J. J., Harper, J. D., Cornett, E. M., Kaye, A. M., & Kaye, A. D. (2022). Attention Deficit Hyperactivity Disorder and Bipolar Disorder: Diagnosis, Treatments, and Clinical Considerations: A Narrative Review. In Psychiatry International (Vol. 3, Issue 1, pp. 17–28). Multidisciplinary Digital Publishing Institute (MDPI). https://doi.org/10.3390/psychiatryint3010002
Faraone, S. V., & Larsson, H. (2019). Genetics of attention deficit hyperactivity disorder. In Molecular Psychiatry (Vol. 24, Issue 4, pp. 562–575). Nature Publishing Group. https://doi.org/10.1038/s41380-018-0070-0
Feng, L., Li, B., Yong, S. S., & Tian, Z. (2024). Effects of Exercise Intervention on Physical and Mental Health of Children and Adolescents with Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-analysis Based on ICF-CY. Journal of Science in Sport and Exercise. https://doi.org/10.1007/s42978-024-00295-8
Gao, Z., Zeng, N., McDonough, D. J., & Su, X. (2020). A Systematic Review of Active Video Games on Youth’s Body Composition and Physical Activity. International Journal of Sports Medicine, 41(09), 561–573. https://doi.org/10.1055/a-1152-4959
Gordon, E. C., & Seth, A. K. (2024). Ethical considerations for the use of brain–computer interfaces for cognitive enhancement. PLoS Biology, 22(10). https://doi.org/10.1371/journal.pbio.3002899
Hoogman, M., Bralten, J., Hibar, D. P., Mennes, M., Zwiers, M. P., Schweren, L. S. J., van Hulzen, K. J. E., Medland, S. E., Shumskaya, E., Jahanshad, N., Zeeuw, P. de, Szekely, E., Sudre, G., Wolfers, T., Onnink, A. M. H., Dammers, J. T., Mostert, J. C., Vives-Gilabert, Y., Kohls, G., … Franke, B. (2017). Subcortical brain volume differences in participants with attention deficit hyperactivity disorder in children and adults: a cross-sectional mega-analysis. The Lancet Psychiatry, 4(4), 310–319. https://doi.org/10.1016/S2215-0366(17)30049-4
Ji, H., Wu, S., Won, J., Weng, S., Lee, S., Seo, S., & Park, J. J. (2023). The Effects of Exergaming on Attention in Children With Attention Deficit/Hyperactivity Disorder: Randomized Controlled Trial. JMIR Serious Games, 11. https://doi.org/10.2196/40438
Kadri, A., Slimani, M., Bragazzi, N. L., Tod, D., & Azaiez, F. (2019). Effect of taekwondo practice on cognitive function in adolescents with attention deficit hyperactivity disorder. International Journal of Environmental Research and Public Health, 16(2). https://doi.org/10.3390/ijerph16020204
Kiiski, H., Rueda-Delgado, L. M., Bennett, M., Knight, R., Rai, L., Roddy, D., Grogan, K., Bramham, J., Kelly, C., & Whelan, R. (2020). Functional EEG connectivity is a neuromarker for adult attention deficit hyperactivity disorder symptoms. Clinical Neurophysiology, 131(1), 330–342. https://doi.org/10.1016/j.clinph.2019.08.010
Kim, Y. J., Baek, S. H., Park, J. B., Choi, S. H., Lee, J. D., & Nam, S. S. (2021). The psychosocial effects of taekwondo training: A meta-analysis. In International Journal of Environmental Research and Public Health (Vol. 18, Issue 21). MDPI. https://doi.org/10.3390/ijerph182111427
Ko, J., Jang, S. W., Lee, H. T., Yun, H. K., & Kim, Y. S. (2020). Effects of virtual reality and non–Virtual reality exercises on the exercise capacity and concentration of users in a ski exergame: Comparative study. JMIR Serious Games, 8(4). https://doi.org/10.2196/16693
Liang, X., Li, R., Wong, S. H. S., Sum, R. K. W., & Sit, C. H. P. (2021). The impact of exercise interventions concerning executive functions of children and adolescents with attention-deficit/hyperactive disorder: a systematic review and meta-analysis. In International Journal of Behavioral Nutrition and Physical Activity (Vol. 18, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12966-021-01135-6
Liu, H. L. V., Sun, F., & Tse, C. Y. A. (2023). Examining the Impact of Physical Activity on Sleep Quality in Children With ADHD. Journal of Attention Disorders, 27(10), 1099–1106. https://doi.org/10.1177/10870547231171723
Masi, L., Abadie, P., Herba, C., Emond, M., Gingras, M. P., & Amor, L. Ben. (2021). Video Games in ADHD and Non-ADHD Children: Modalities of Use and Association With ADHD Symptoms. Frontiers in Pediatrics, 9. https://doi.org/10.3389/fped.2021.632272
Mastrangelo, S., Peruzzi, L., Guido, A., Iuvone, L., Attinà, G., Romano, A., Maurizi, P., Chieffo, D. P. R., & Ruggiero, A. (2024). The Role of the Cerebellum in Advanced Cognitive Processes in Children. Biomedicines, 12(8), 1707. https://doi.org/10.3390/biomedicines12081707
Meijer, A., Königs, M., Vermeulen, G. T., Visscher, C., Bosker, R. J., Hartman, E., & Oosterlaan, J. (2020). The effects of physical activity on brain structure and neurophysiological functioning in children: A systematic review and meta-analysis. In Developmental Cognitive Neuroscience (Vol. 45). Elsevier Ltd. https://doi.org/10.1016/j.dcn.2020.100828
Müller, P., Duderstadt, Y., Lessmann, V., & Müller, N. G. (2020). Lactate and BDNF: Key mediators of exercise induced neuroplasticity? In Journal of Clinical Medicine (Vol. 9, Issue 4). MDPI. https://doi.org/10.3390/jcm9041136
Salari, N., Ghasemi, H., Abdoli, N., Rahmani, A., Shiri, M. H., Hashemian, A. H., Akbari, H., & Mohammadi, M. (2023). The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis. Italian Journal of Pediatrics, 49(1). https://doi.org/10.1186/s13052-023-01456-1
Shema-Shiratzky, S., Brozgol, M., Cornejo-Thumm, P., Geva-Dayan, K., Rotstein, M., Leitner, Y., Hausdorff, J. M., & Mirelman, A. (2019). Virtual reality training to enhance behavior and cognitive function among children with attention-deficit/hyperactivity disorder: brief report. Developmental Neurorehabilitation, 22(6), 431–436. https://doi.org/10.1080/17518423.2018.1476602
Sibley, M. H., Bruton, A. M., Zhao, X., Johnstone, J. M., Mitchell, J., Hatsu, I., Arnold, L. E., Basu, H. H., Levy, L., Vyas, P., Macphee, F., Gonzalez, E. S., Kelley, M., Jusko, M. L., Bolden, C. R., Zulauf-McCurdy, C., Manzano, M., & Torres, G. (2023). Non-pharmacological interventions for attention-deficit hyperactivity disorder in children and adolescents. In The Lancet Child and Adolescent Health (Vol. 7, Issue 6, pp. 415–428). Elsevier B.V. https://doi.org/10.1016/S2352-4642(22)00381-9
Smith, A. L., Hoza, B., Linnea, K., McQuade, J. D., Tomb, M., Vaughn, A. J., Shoulberg, E. K., & Hook, H. (2013). Pilot Physical Activity Intervention Reduces Severity of ADHD Symptoms in Young Children. Journal of Attention Disorders, 17(1), 70–82. https://doi.org/10.1177/1087054711417395
Song, Y., Jia, S., Wang, X., Wang, A., Ma, T., Li, S., Chen, J., Guo, Z., Ding, F., Ren, Y., & Qin, M. (2024). Effects of physical exercise on anxiety depression and emotion regulation in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis. In Frontiers in Pediatrics (Vol. 12). Frontiers Media SA. https://doi.org/10.3389/fped.2024.1479615
Su, W. C., Amonkar, N., Cleffi, C., Srinivasan, S., & Bhat, A. (2022). Neural Effects of Physical Activity and Movement Interventions in Individuals With Developmental Disabilities–A Systematic Review. In Frontiers in Psychiatry (Vol. 13). Frontiers Media S.A. https://doi.org/10.3389/fpsyt.2022.794652
Sun, W., Yu, M., & Zhou, X. (2022). Effects of physical exercise on attention deficit and other major symptoms in children with ADHD: A meta-analysis. In Psychiatry Research (Vol. 311). Elsevier Ireland Ltd. https://doi.org/10.1016/j.psychres.2022.114509
Thompson, L., Charitos, S., Bird, J., Marshall, P., & Brigden, A. (2025). Exploring the Use of Smartwatches and Activity Trackers for Health-Related Purposes for Children Aged 5 to 11 years: Systematic Review. Journal of Medical Internet Research, 27. https://doi.org/10.2196/62944
Wang, P., Ai, X., Zhang, X., Ma, F., Zhuang, Y., & Wang, S. (2024). Evaluating virtual reality technology in psychotherapy: impacts on anxiety, depression, and ADHD. In Frontiers in Psychiatry (Vol. 15). Frontiers Media SA. https://doi.org/10.3389/fpsyt.2024.1480788
Wang, T., Li, W., Deng, J., Zhang, Q., Liu, Y., & Zheng, H. (2024). The impact of the physical activity intervention on sleep in children and adolescents with neurodevelopmental disorders: a systematic review and meta-analysis. In Frontiers in Neurology (Vol. 15). Frontiers Media SA. https://doi.org/10.3389/fneur.2024.1438786
Welsch, L., Alliott, O., Kelly, P., Fawkner, S., Booth, J., & Niven, A. (2021). The effect of physical activity interventions on executive functions in children with ADHD: A systematic review and meta-analysis. Mental Health and Physical Activity, 20. https://doi.org/10.1016/j.mhpa.2020.100379
Xie, Y., Gao, X., Song, Y., Zhu, X., Chen, M., Yang, L., & Ren, Y. (2021). Effectiveness of Physical Activity Intervention on ADHD Symptoms: A Systematic Review and Meta-Analysis. In Frontiers in Psychiatry (Vol. 12). Frontiers Media S.A. https://doi.org/10.3389/fpsyt.2021.706625
Yang, G., Liu, Q., Wang, W., Liu, W., & Li, J. (2024). Effect of aerobic exercise on the improvement of executive function in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis. In Frontiers in Psychology (Vol. 15). Frontiers Media SA. https://doi.org/10.3389/fpsyg.2024.1376354
Yu, D., & Fang, J. hui. (2024). Using artificial intelligence methods to study the effectiveness of exercise in patients with ADHD. Frontiers in Neuroscience, 18. https://doi.org/10.3389/fnins.2024.1380886
Zhang, W., Xiong, K., Zhu, C., Evans, R., Zhou, L., & Podrini, C. (2024). Promoting child and adolescent health through wearable technology: A systematic review. In Digital Health (Vol. 10). SAGE Publications Inc. https://doi.org/10.1177/20552076241260507
Views:
30
Downloads:
25
Copyright (c) 2025 Patrycja Jędrzejewska-Rzezak, Monika Czekalska, Natalia Kulicka, Kinga Knutelska, Aleksandra Winsyk, Paulina Gajniak, Maciej Karwat, Tytus Tyralik, Klaudia Bilińska, Joanna Węgrzecka

This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles are published in open-access and licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). Hence, authors retain copyright to the content of the articles.
CC BY 4.0 License allows content to be copied, adapted, displayed, distributed, re-published or otherwise re-used for any purpose including for adaptation and commercial use provided the content is attributed.