Dropout from physical activity interventions in children and adolescents with attention deficit hyperactivity disorder: A systematic review and meta-analysis

Publication date: Available online 28 September 2016 Source:Mental Health and Physical Activity Author(s): Davy Vancampfort, Joseph Firth, Felipe B. Schuch, Simon Rosenbaum, Michel Probst, Philip B. Ward, Tine Van Damme, Marc De Hert, Brendon Stubbs Physical activity (PA) interventions have shown promising in improving core symptoms of children and adolescents with ADHD, yet treatment dropout may pose a challenge to routine implementation in clinical practice. We conducted a meta-analysis to investigate the prevalence and predictors of treatment dropout from PA interventions in children and adolescents with ADHD. Electronic databases were searched from inception until 06/2016. Randomized control trials of PA interventions in children and adolescents with ADHD reporting dropout rates were included. A random effects meta-analysis and meta-regression analyses were performed. In 8 studies involving 9 PA intervention arms, 148 children or adolescents assigned to a PA intervention (mean age range = 8.2–15.8 years, 87.8% male) were included. The trim and fill adjusted treatment dropout rate was 17.5% (95%CI = 9.8%–29.4%). The prevalence of dropouts in exercisers was not significantly different from the dropouts in control conditions (odds ratio, OR = 1.12; 95%CI = 0.48–2.65; I2 = 0). Lower dropout was observed in sports interventions compared with structured aerobic exercise or yoga (p = 0.049). A higher proportion of male participants (β = 0.05; 95%...
Source: Mental Health and Physical Activity - Category: Psychiatry & Psychology Source Type: research