Children’s Mental-Wellness Dividends from Exercise
Exercise builds resilience
Movement isn’t just about stronger muscles. It’s also a powerful booster for emotional and cognitive health in children and adolescents.
Mental-Wellness Benefits Across the Board
A recent umbrella review and meta-analysis, covering 21 systematic reviews and 375 unique trials with over 38,000 participants (ages 5–18), found that exercise yields moderate-sized reductions in symptoms of both depression (SMD ≈ -0.45) and anxiety (SMD ≈ -0.39). Mixed exercise modes and moderate-intensity programs delivered the strongest effects, especially in interventions shorter than 12 weeks ResearchGate.
Another systematic review and network meta-analysis (35 RCTs, ~5,400 participants) showed that aerobic exercise had the most pronounced impact on depressive symptoms (≈ 66 %), followed by group training, resistance exercises, and combined aerobic + resistance formats. Interventions lasting 40–50 minutes per session, three times a week over 12 weeks, were notably effective for younger children BioMed Central.
Additionally, typical physical activity interventions demonstrated improvements across mental-health domains—including anxiety, depression, stress, self-esteem, and social competence—with strongest gains in stress reduction and social skills, especially among male adolescents BioMed Central.
Structured Movement & ADHD
For youth living with ADHD, structured exercise (aerobic and coordinative activities) offers cognitive and emotional gains. The latest meta-analysis (18 RCTs, 830 participants) found significant reductions in anxiety (SMD = -0.58), depression (SMD = -0.57), and substantial improvements in emotional regulation (SMD = 1.03). Shorter, high-frequency, moderate-intensity programs and mixed or single-modality formats showed the strongest outcomes Frontiers.
Furthermore, aerobic movement has been shown to support executive function, attention, inhibitory control, and academic and behavioral outcomes, making it a valid complement to traditional behavioral and academic supports Wikipedia+1.
Putting It All Together
- Mental health benefits extend across general youth populations: depression, anxiety, stress, self-esteem, and social skills.
- Structured, enjoyable, supervised exercise—especially aerobic and mixed-mode formats—yields the best adherence and effectiveness.
- Short and frequent sessions (e.g., 40-to-50 minutes, three times weekly, over about 12 weeks) produce meaningful impacts.
- For ADHD, exercise can amplify executive functioning and emotional regulation, enhancing behavioral and academic supports.
References
Evans, S. W., Owens, J. S., & Bunford, N. (2020). Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 43(4), 527–551. https://doi.org/10.1080/15374416.2014.963854
Li, J., Zhou, X., Huang, Z., & Shao, T. Y. (2023). Effect of exercise intervention on depression in children and adolescents: A systematic review and network meta-analysis. BMC Public Health, 23(1), 1918. https://doi.org/10.1186/s12889-023-16824-z
Singh, B., Bennett, H., Miatke, A., Dumuida, D., Curtis, R., Ferguson, T., … Maher, C. A. (2025). Systematic umbrella review and meta-meta-analysis: Effectiveness of physical activity in improving depression and anxiety in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry. Advance online publication. https://doi.org/10.1016/j.jaac.2025.01.001
Song, Y., Jia, S., Wang, X., Wang, A., Ma, T., Li, S., … Qin, M. (2025). Effects of physical exercise on anxiety, depression and emotion regulation in children with attention deficit hyperactivity disorder: A systematic review and meta-analysis. Frontiers in Pediatrics, 12, 1479615. https://doi.org/10.3389/fped.2024.1479615
Zhu, K., Lin, C., & Wang, Y. (2025). Physical activity and mental health in typically developing children and adolescents: A systematic review and meta-analysis. BMC Public Health, 25, 22690. https://doi.org/10.1186/s12889-025-22690-8