Review Article

Effects of Physical Activity on Motor Skills and Cognitive Development in Early Childhood: A Systematic Review

Table 2

Descriptive characteristics of included RCTs.

ReferenceSampleTesting/settingOutcomes/instrumentExposureDoseFindings

Adamo et al. [34] 2016, Canada (3–5 years); intervention (, years, SD = 0.3), control (, years, SD = 0.4)Pre-post; childcare settingFundamental movement skills measured via the Test of Gross Motor Development-2nd Edition (TGMD-2)Intervention group received “The Preschoolers Activity Trial” consisted of the delivery of training workshops to teach the childcare providers how to foster a childcare environment that provides ample opportunities to be physically active throughout the day, while control received standard childcare curriculum during the study period6 monthsThe intervention group showed a significantly greater increase in locomotor skills than the control group

Bellows et al. [35] 2013, USA (111 boys); intervention (, months, SD = 6.8), control (, = 51.5 months, SD = 6.6)Pre-post; childcare settingMotor skill performance: gross motor skills measured via the Peabody Developmental Motor Scales- 2nd EditionIntervention group received “Get Moving with Mighty Moves Program,” while control group received no interventionThe Mighty Moves intervention lasted 18 weeks and was conducted in the classroom 4 days per week for 15–20 min each day, for a total of 72 lessonsThe intervention group had significant changes in gross motor skills compared with the control group

Bonvin et al. [36] 2013, Switzerland ( = 3.3 months, SD = 0.6); intervention , control Pre-post; childcare settingMotor skills: climbing up and down the stairs; running; balancing; getting up; landing after jumping measured via Zurich Neuromotor Assessment (ZNA)Intervention group received a governmentally led center based child care physical activity program (real-life), while control group received no intervention9 monthsThe intervention group showed no significant increase in motor skills compared to the control group

Hardy et al. [37] 2010, Australia; intervention (, = 4.4 years, SD = 0.5), control (, = 4.5 years, SD = 0.3)Pre-post; childcare settingFundamental movement skills (FMS) measured via TMGD-2Intervention group received “Munch and Move” program which was developed to enhance children’s healthy eating, active play, and fundamental movement skills. Control group received health information on unrelated topics (road safety and sun safety)6 monthsLocomotor, object control, and total FMS scores significantly improved in the intervention group compared with the control group

Jones et al. [38] 2011, Australia ( = 4.13 years); intervention , control Pre-post; childcare settingMovement skill competence assessed via TGMD-2Intervention group received structured activities, while control group received usual care activities20 minutes a lesson × 3 times a week for 20 weeksThe intervention group showed greater improvements in movement skill proficiency compared with the control group

Laukkanen et al. [39] 2015, Finland (42 boys; years, SD = 1.1); intervention , control ;Baseline, 6 and 12 months; home settingMotor competence: walking backwards, hopping for height, jumping sideways (JS) and moving sideways via Körperkoordinations Test für Kinder (KTK); ball-handing skills via a throwing and catching a ball test (TCB)Intervention group received family-based physical activity counseling, while control group received no counseling12 months; parents received a lecture (30 minutes) and face-to- face/phone counseling with goal setting (30–60 minutes) at 2 and 5 monthsThe intervention group was found to increase motor coordination

Reilly et al. [40] 2006, UK; intervention (, 128 boys, years, SD = 0.3), control (, 145 boys, = 4.1 years, SD = 0.3)Baseline, 6 and 12 months; childcare settingMotor skills: jumping, balance, skipping, and ball exercises measured via Movement Assessment BatteryIntervention group received enhanced physical activity program plus home-based health education aimed at increasing physical activity through play and reducing sedentary behavior, while control group received usual curriculum
3 × 30 minute sessions a week for 24 weeksThe intervention group had significantly higher performance in movement skills than control group at six-month follow-up

Robinson & Goodway [41] 2009, USA ( = 4.13 years); low-autonomy (LA) (, 20 boys, = 46.6 months, SD = 5.9); mastery motivational climate (MMC) (, 19 boys, = 47.6 months, ); control (, 24 boys, = 48.3 months, SD = 5.0)Pre-post; childcare settingObject control skill was measured via TGMD-2LA and MMC groups received object control skill intervention while control group received typical Head Start curriculum30 minutes, 2 days per week for 9 weeksSignificant improvements in object control skills were present for both intervention groups while the control group resulted in no changes

Salem et al. [42] 2012, USA (22 boys); intervention (, = 49.3 months, SD = 1.1), control (, = 48 months, SD = 5.8)Pre-post; laboratory settingMotor abilities: gait speed, timed up and go test, single leg stance test, five-times-sit-to-stand test, timed up and down stairs test, 2-minute walk test and grip strength. Gross motor skills were measured via the Gross Motor Function Measure (GMFM)Intervention group received Nintendo Wii Sports and Nintendo Wii Fit, including balance, strength training and aerobics games, while control group received traditional sessions that focused on facilitation of movement transitions, balance, walking, and gross and fine motor controlTwo 30-minute weekly individual sessions over a period of 10 weeksSignificant improvements in intervention group were observed in single leg stance test, right grip strength and left grip strength compared with the control group

Zask et al. [43] 2012, Australia schools (3–6 years children); intervention ( schools), control ( schools)Pre-post; childcare settingFundamental movement skills measured via TGMD-2Intervention schools received “The Tooty Fruity Vegie in Preschools program”Structured twice-weekly FMS development through prescribed games suitable for a wide age range for 10 monthsThe intervention group significantly improved movement skills compared with the control group

Barnett et al. [44] 2008, USA (3-4 years); intervention , control Pre-post; school settingCognitive abilities, language, and academic achievement measured via Woodcock–Johnson Applied Math Problems and Letter–Word Identification Tests, Get Ready to Read, the Wechsler Preschool Primary Scale of Intelligence Animal Pegs subtest, the Peabody Picture Vocabulary Test-III (PPVT-III), Expressive One-Word Picture Vocabulary Test (EOWPVT), and the Oral Language Proficiency TestIntervention group received The Tools of the Mind curriculum, while control group received an established district-created modelIntervention teachers received 4 full days of curriculum training before classes began. During the school year intervention teachers received 30 min classroom visits once a week to address any difficulties they were having with the curriculum. Intervention from October 2002 to June 2003The intervention group was found to increase executive functioning, social behavior, language, academic success, and literacy growth compared with the control group

Fisher et al. [27] (2011), UK (33 boys; = 6.2 years, SD = 0.3); intervention , control ;Pre-post; school settingCognitive functions: Cambridge Neuropsychological Test Battery (CANTAB), the Attention Network Test (ANT), the Cognitive Assessment System (CAS), and the short form of the Connor’s Parent Rating Scale (CPRS)Intervention group received aerobically intense physical education, while control group received standard PE2 hours per week × 10 weeks for both groupsThe intervention group was found to improve CANTAB Spatial Span, CANTAB Spatial Working Memory Errors, and ANT Accuracy compared with the control group

Mavilidi et al. [45] 2015, Australia (64 boys; = 4.94 years, ); integrated condition , nonintegrated condition , gesturing condition , conventional condition Week 2, 4, and 10; childcare settingMemory performance was measured via Free-Recall and Cued Recall TestsIntegrated condition: children enacted the actions indicated by the words to be learned in physical exercises; nonintegrated condition: children performed physical exercises at the same intensity, but unrelated to the learning task; gesturing condition: children enacted the actions indicated by the words to be learned by gesturing while remaining seated; conventional condition: children verbally repeated the words while remaining seatedParticipants learned 14 Italian words in a 4-week teaching programChildren in the integrated physical exercise condition achieved the highest learning outcomes

Mavilidi et al. [46] 2017, Australia (45 boys, = 4.90 years, ); integrated condition (, = 4.90 years, = 0.52), nonintegrated condition (, = 4.96 years, SD = 0.51), control (, = 4.80 years, SD = 0.44)Baseline, week 4, week 6; childcare settingLearning and memory were measured via Free-Recall and Cued Recall TestsAn integrated physical activity condition including task-relevant physical activities, a nonintegrated physical activity condition involving task-irrelevant physical activities, or a control condition involving the predominantly conventional sedentary style of teachingOnce per week for 4 weeksLearning outcomes were highest in the integrated condition and higher in the nonintegrated condition than in the control condition

Puder et al. [47] 2011, Switzerland (326 boys); intervention (, = 5.2 years, SD = 0.6), control (, = 5.2 years, SD = 0.6)Pre-post; school settingCognitive abilities: attention and spatial working memory measured via Konzentrations-Handlungsverfahren für Vorschulkinder (KHV-VK) and the Intelligence and Development Scales (IDS)Intervention group received a multidimensional lifestyle treatment, while control group did not receive any treatment and continued their regular school curriculumChildren participated in a physical activity program consisting of four 45 minute sessions of physical activity a week from August 2008 to June 2009No significant differences between groups