Effects of Physical Activity and Micronutrients on Cognitive Performance in Children Aged 6 to 11 Years: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

<i>Background and Objectives</i>: Cognitive performance is essential for children, given this is a critical stage of brain growth and development. This systematic review and meta-analysis aimed to ascertain if physical activity or micronutrients impact cognitive performance in children....

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Main Authors: Atiah Munirah Meli, Asma’ Ali, Abbe Maleyki Mhd Jalil, Hayati Mohd Yusof, Michelle M. C. Tan
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/1/57
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author Atiah Munirah Meli
Asma’ Ali
Abbe Maleyki Mhd Jalil
Hayati Mohd Yusof
Michelle M. C. Tan
author_facet Atiah Munirah Meli
Asma’ Ali
Abbe Maleyki Mhd Jalil
Hayati Mohd Yusof
Michelle M. C. Tan
author_sort Atiah Munirah Meli
collection DOAJ
description <i>Background and Objectives</i>: Cognitive performance is essential for children, given this is a critical stage of brain growth and development. This systematic review and meta-analysis aimed to ascertain if physical activity or micronutrients impact cognitive performance in children. <i>Materials and Methods</i>: Electronic databases (PubMed and Scopus<sup>®</sup>) were searched for relevant articles published between 2012 and 2021. We emphasized randomized controlled trials (RCTs) that examined the effect of physical activity and micronutrients on cognitive performance. Data from eligible studies were gathered and evaluated using random-, fixed- or pooled-effects models with 95% confidence intervals (95% CI). <i>Results</i>: Physical activity appeared to improve both Mathematics (<i>d</i> = 1.12, 95% CI: 0.56, 1.67) and attention (<i>d</i> = 0.65, 95% CI: 0.15, 1.14) performances. The micronutrient vitamin B12 had a positive effect on Mathematics (<i>d</i> = 2.39, 95% CI: 0.79, 3.98), English (<i>d</i> = 5.29, 95% CI: 2.76, 7.83), Geography (<i>d</i> = 5.29, 95% CI: 2.76, 7.83), Science (<i>d</i> = 3.39, 95% CI: 2.62, 4.16) and Arts (<i>d</i> = 3.32, 95% CI: 1.84, 4.79). Zinc was found to positively affect English (<i>d</i> = 3.78, 95% CI: 0.44, 7.13), Geography (<i>d</i> = 4.77, 95% CI: 0.56, 8.98) and Arts (<i>d</i> = 2.39, CI: 0.33, 4.45). Iron positively affected Mathematics (<i>d</i> = 1.29, 95% CI: 0.54, 2.06), English (<i>d</i> = 1.29, 95% CI: 0.44, 7.13), Geography (<i>d</i> = 4.77, 95% CI: 0.56, 8.98) and Arts (<i>d</i> = 2.39, 95% CI: 0.33, 4.45). <i>Conclusions</i>: A more comprehensive intervention with a specific dose/level of physical activity, an increased range of cognitive performance, and a well-designed study design that accounts for dietary intake and other health outcomes are required for future studies.
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spelling doaj.art-8c13c16941594d58b3f367b32bb3fc4a2023-11-23T14:36:13ZengMDPI AGMedicina1010-660X1648-91442021-12-015815710.3390/medicina58010057Effects of Physical Activity and Micronutrients on Cognitive Performance in Children Aged 6 to 11 Years: A Systematic Review and Meta-Analysis of Randomized Controlled TrialsAtiah Munirah Meli0Asma’ Ali1Abbe Maleyki Mhd Jalil2Hayati Mohd Yusof3Michelle M. C. Tan4Department of Food Science, Faculty of Fisheries and Food Science, Universiti Malaysia Terengganu, Kuala Terengganu 21030, MalaysiaDepartment of Food Science, Faculty of Fisheries and Food Science, Universiti Malaysia Terengganu, Kuala Terengganu 21030, MalaysiaSchool of Nutrition and Dietetics, Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu 21300, MalaysiaDepartment of Food Science, Faculty of Fisheries and Food Science, Universiti Malaysia Terengganu, Kuala Terengganu 21030, MalaysiaGlobal Public Health, School of Medicine and Health Sciences, Monash University, Subang Jaya 47500, Malaysia<i>Background and Objectives</i>: Cognitive performance is essential for children, given this is a critical stage of brain growth and development. This systematic review and meta-analysis aimed to ascertain if physical activity or micronutrients impact cognitive performance in children. <i>Materials and Methods</i>: Electronic databases (PubMed and Scopus<sup>®</sup>) were searched for relevant articles published between 2012 and 2021. We emphasized randomized controlled trials (RCTs) that examined the effect of physical activity and micronutrients on cognitive performance. Data from eligible studies were gathered and evaluated using random-, fixed- or pooled-effects models with 95% confidence intervals (95% CI). <i>Results</i>: Physical activity appeared to improve both Mathematics (<i>d</i> = 1.12, 95% CI: 0.56, 1.67) and attention (<i>d</i> = 0.65, 95% CI: 0.15, 1.14) performances. The micronutrient vitamin B12 had a positive effect on Mathematics (<i>d</i> = 2.39, 95% CI: 0.79, 3.98), English (<i>d</i> = 5.29, 95% CI: 2.76, 7.83), Geography (<i>d</i> = 5.29, 95% CI: 2.76, 7.83), Science (<i>d</i> = 3.39, 95% CI: 2.62, 4.16) and Arts (<i>d</i> = 3.32, 95% CI: 1.84, 4.79). Zinc was found to positively affect English (<i>d</i> = 3.78, 95% CI: 0.44, 7.13), Geography (<i>d</i> = 4.77, 95% CI: 0.56, 8.98) and Arts (<i>d</i> = 2.39, CI: 0.33, 4.45). Iron positively affected Mathematics (<i>d</i> = 1.29, 95% CI: 0.54, 2.06), English (<i>d</i> = 1.29, 95% CI: 0.44, 7.13), Geography (<i>d</i> = 4.77, 95% CI: 0.56, 8.98) and Arts (<i>d</i> = 2.39, 95% CI: 0.33, 4.45). <i>Conclusions</i>: A more comprehensive intervention with a specific dose/level of physical activity, an increased range of cognitive performance, and a well-designed study design that accounts for dietary intake and other health outcomes are required for future studies.https://www.mdpi.com/1648-9144/58/1/57physical activitymicronutrientscognitive performancechildren
spellingShingle Atiah Munirah Meli
Asma’ Ali
Abbe Maleyki Mhd Jalil
Hayati Mohd Yusof
Michelle M. C. Tan
Effects of Physical Activity and Micronutrients on Cognitive Performance in Children Aged 6 to 11 Years: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Medicina
physical activity
micronutrients
cognitive performance
children
title Effects of Physical Activity and Micronutrients on Cognitive Performance in Children Aged 6 to 11 Years: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_full Effects of Physical Activity and Micronutrients on Cognitive Performance in Children Aged 6 to 11 Years: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_fullStr Effects of Physical Activity and Micronutrients on Cognitive Performance in Children Aged 6 to 11 Years: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_full_unstemmed Effects of Physical Activity and Micronutrients on Cognitive Performance in Children Aged 6 to 11 Years: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_short Effects of Physical Activity and Micronutrients on Cognitive Performance in Children Aged 6 to 11 Years: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
title_sort effects of physical activity and micronutrients on cognitive performance in children aged 6 to 11 years a systematic review and meta analysis of randomized controlled trials
topic physical activity
micronutrients
cognitive performance
children
url https://www.mdpi.com/1648-9144/58/1/57
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