Evidence map›Paper›PMID 41174613›Full record

SynthesisBMC public health2025

Effect of exercise interventions on depression, anxiety, and self-esteem in children and adolescents: a systematic review and network meta-analysis.

Sichen Zhou, Yuxiong Xu, Yizhuo Yang, Hanan Song, Xiaobing Wang, Yanli Yu

Abstract readNetwork Meta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sichen ZhouSports & Medicine Integration Research Center (SMIRC), Capital University of Physical Education and Sports, Beijing, China.
Yuxiong XuSports & Medicine Integration Research Center (SMIRC), Capital University of Physical Education and Sports, Beijing, China.
Yizhuo YangSports & Medicine Integration Research Center (SMIRC), Capital University of Physical Education and Sports, Beijing, China.
Hanan SongSports & Medicine Integration Research Center (SMIRC), Capital University of Physical Education and Sports, Beijing, China.
Xiaobing WangSports & Medicine Integration Research Center (SMIRC), Capital University of Physical Education and Sports, Beijing, China.
Yanli YuSports & Medicine Integration Research Center (SMIRC), Capital University of Physical Education and Sports, Beijing, China. yuyanli@cupes.edu.cn.

Funding

The Science and Technology School-strengthen Project of CUPES No.155225002/007
6 · The paper itself

Abstract

objectivesTo evaluate the effects of different exercise interventions on depression, anxiety, and self-esteem in children and adolescents, and to determine the optimal exercise treatment approach.

methodsA comprehensive search was conducted in the PubMed, The Cochrane Library, Embase, Scopus, and Web of Science databases for randomized controlled trials (RCTs) on the impact of exercise interventions on depression, anxiety, and self-esteem in children and adolescents. The search period spanned from the inception of each database to April 2025. Statistical analyses were performed using Stata 18 and R software.

resultsA total of 27 RCTs, encompassing 3059 children and adolescents, were included. Pairwise meta-analysis showed that exercise significantly improved depression (MD = -0.29, 95% CI [-0.44, -0.14]) and self-esteem (MD = 0.23, 95% CI [0.07, 0.38]), with a positive but non-significant effect on anxiety (MD = -0.12, 95% CI [-0.32, 0.09]). Network meta-analysis indicated that aerobic training significantly outperformed the control group in reducing depression, while resistance training significantly outperformed the control group in enhancing self-esteem. However, none of the exercise interventions showed significant effects on alleviating anxiety. Cumulative ranking curve (SUCRA) rankings showed that resistance training was most effective in improving depression, combined aerobic and resistance exercise was most effective in alleviating anxiety, and resistance training was most effective in enhancing self-esteem. The quality of the evidence in this network meta-analysis was rated as "low" to "moderate".

conclusionResistance training produced greater improvements in depressive symptoms and self-esteem than other exercise modalities; moreover, combined aerobic-and-resistance training may be beneficial for alleviating anxiety symptoms in children and adolescents.

trial registrationThe review protocol was preregistered in the PROSPERO database (Registration No. CRD42025645711).

Indexed as

AnxietyDepressionExerciseExercise TherapySelf ConceptAdolescentChildHumansRandomized Controlled Trials as TopicAnxietyChildren and adolescentsDepressionExercise typeNetwork Meta-AnalysisSelf-esteem

Identifiers

PMID41174613
PMCPMC12577281

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.