A study of the therapeutic effects of yoga on symptoms associated with ADHD in children: Systematic review and meta-analysis
DOI:
https://doi.org/10.12775/QS.2025.38.58756Keywords
Effect, Yoga, ADHD, ChildrenAbstract
Background: Attention-deficit/hyperactivity disorder (ADHD) is a chronic developmental disorder with a high prevalence in children and the long-term nature of treatment. Although the use of yoga as a non-pharmacologic treatment is increasing in the ADHD population, the conclusion of its effectiveness in treating symptoms in children with ADHD remains to be explored.
Objective: The primary goal of this meta-analysis was to systematically summarize and analyze the efficiency of yoga in treating symptoms such as attention problems, emotional problems, and behavioral control in children with ADHD, as well as to serve as a guide for further studies and therapeutic procedures in the management of ADHD in children.
Materials and methods: This study was conducted using the Cochrane Handbook and the PRISMA Guidelines Statement for Systematic Reviews. A total of five databases, PubMed, Embase, Cochrane, Web of Science, and Ovid, were searched up to December 2024. Excel was utilized for data extraction, and Review Manager was used for data processing, analysis, and literature quality evaluation.
Results: In all, nine publications were enrolled in the study, and 285 participants—142 in the experimental group and 143 in the control group—met the inclusion requirements. The intervention lasted between 2 and 20 weeks, and all study participants were between the ages of 3 and 15. The outcome metrics consisted of measures of five ADHD-related symptoms: inattention, sustained attention, hyperactivity/impulsivity, emotional instability, and anxiety.
Conclusion: The intervention of yoga had an ameliorative effect on several symptoms of inattention, sustained attention, emotional instability, and hyperactivity/impulsivity in children with ADHD, but not statistically significant on anxiety symptoms.
References
1. American Psychiatric Association D, American Psychiatric Association D S. Diagnostic and statistical manual of mental disorders: DSM-5[M]. Washington, DC: American Psychiatric Association, 2013.
2. Ayano G, Demelash S, Gizachew Y, et al. The global prevalence of attention deficit hyperactivity disorder in children and adolescents: an umbrella review of meta-analyses[J]. Journal of Affective Disorders, 2023, 339: 860-866.
3. Fried R, Chan J, Feinberg L, et al. Clinical correlates of working memory deficits in youth with and without ADHD: a controlled study[J]. Journal of clinical and experimental neuropsychology, 2016, 38(5): 487-496.
4. Anastopoulos A D, Smith T F, Garrett M E, et al. Self-regulation of emotion, functional impairment, and comorbidity among children with AD/HD[J]. Journal of Attention Disorders, 2011, 15(7): 583-592.
5. Thomas E M, Freeman T P, Poplutz P, et al. Stimulating meditation: a pre-registered randomized controlled experiment combining a single dose of the cognitive enhancer, modafinil, with brief mindfulness training[J]. Journal of Psychopharmacology, 2021, 35(6): 621-630.
6. Zhao X, Page T F, Altszuler A R, et al. The family burden of raising a child with ADHD[J]. Journal of Abnormal Child Psychology, 2019, 47: 1327-1338.
7. Caye A, Swanson JM, Coghill D, Rohde LA (2019) Treatment strategies for ADHD: an evidence-based guide to select the optimal treatment. Mol Psychiatry 24(3 ):390-408.
8. Danielson ML, Visser SN, Chronis-Tuscano A, DuPaul GJ (2018) A national description of treatment among United States children and adolescents with attention-deficit/hyperactivity disorder. j Pediatr 192:240-246.
9. Drechsler R, Brem S, Brandeis D, Grünblatt E, Berger G, Walitza S: ADHD: current concepts and treatments in children and adolescents. neuropediatrics. . 2020, 51:315-35.
10. Vancampfort D, Stubbs B, Van Damme T, et al. The efficacy of meditation-based mind-body interventions for mental disorders: a meta-review of 17 meta-analyses of randomized controlled trials[J]. Journal of psychiatric research, 2021, 134: 181-191.
11. Montalva-Valenzuela F, Andrades-Ramírez O, Castillo-Paredes A. Effects of physical activity, exercise and sport on executive function in young people with attention deficit hyperactivity disorder: a systematic review[J]. European journal of investigation in health, psychology and education, 2022, 12(1).
12. Wolraich M L, Hagan J F, Allan C, et al. Clinical practice guidelines for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents[J]. Pediatrics, 2019, 144(4).
13. Zylowska L, Ackerman D L, Yang M H, et al. Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study[J]. Journal of Attention Disorders, 2008,11(6): 737-746.
14. Donath L, Ludyga S, Hammes D, Rossmeissl A, Andergassen N, Zahner L, Faude O. Absolute and relative reliability of acute effects of aerobic exercise on executive function in seniors. bmc Geriatr. 2017;17(1):247.
15. Hagen I, Nayar U S. Yoga for children and young people's mental health and well-being: research review and reflections on the mental health potentials of yoga[J]. Frontiers in psychiatry, 2014, 5: 35.
16. Bergen-Cico D, Razza R, Timmins A. Fostering self-regulation through curriculum infusion of mindful yoga: a pilot study of efficacy and feasibility [ J]. Journal of Child and Family Studies, 2015, 24: 3448-3461.
17. Luu K, Hall P A. Hatha yoga and executive function: a systematic review[J]. The Journal of Alternative and Complementary Medicine, 2016, 22(2): 125-133.
18. Pascoe M C, Bauer I E. A systematic review of randomized control trials on the effects of yoga on stress measures and mood[J]. Journal of psychiatric research, 2015, 68: 270-282.
19. Jeter P E, Slutsky J, Singh N, et al. Yoga as a therapeutic intervention: a bibliometric analysis of published research studies from 1967 to 2013[J]. The journal of alternative and complementary medicine, 2015, 21(10): 586-592.
20. Birdee G S, Yeh G Y, Wayne P M, et al. Clinical applications of yoga for the pediatric population: a systematic review[J]. Academic pediatrics, 2009, 9(4): 212-220. e9.
21. Rosen L, French A, Sullivan G. Complementary, holistic, and integrative medicine: Yoga[J]. Pediatrics in Review, 2015, 36(10): 468-474.
22. Felver J C, Butzer B, Olson K J, et al. Yoga in public schools improves adolescent mood and affect[J]. Contemporary school psychology, 2015, 19: 184-192.
23. Wang D, Hagins M. Perceived benefits of yoga among urban school students: a qualitative analysis[J]. Evidence-Based Complementary and Alternative Medicine, 2016, 2016(1): 8725654.
24. Pandit S A, Satish L. When does yoga work? Long-term and short-term effects of yoga intervention among pre-adolescent children[J]. Psychological Studies, 2014, 59(2): 153-165.
25. Telles S, Gupta R K, Gandharva K, et al. Immediate effect of a yoga breathing practice on attention and anxiety in pre-teen children[J]. Children, 2019, 6(7): 84.
26. Manjunath I, Channappa V, Karthikeyan A. A Systematic Review of Yoga as a Supportive Treatment for Children with Attention-Deficit/Hyperactivity Disorder[J]. Cureus, 2024, 16(7).
27. Jensen P S, Kenny D T. The effects of yoga on the attention and behavior of boys with attention-deficit/hyperactivity disorder (ADHD)[J]. Journal of attention disorders, 2004,7(4): 205-216.
28. Khayati Z, Shirazi M, Sanagouye Moharer G. The Effect of Yoga Education on AnxietyDisorders in Patients with Attention Deficit/Hyperactivity Disorder[J]. Iranian Journal of Rehabilitation Research, 2021, 7(3): 10-19.
29. Petsche A. The effect of yoga on attention in students diagnosed with ADHD[J].2016.
30. Luo X, Huang X, Lin S. Yoga and music intervention reduces inattention, hyperactivity/impulsivity, and oppositional defiant disorder in children 's consumers with comorbid ADHD and ODD[J]. Frontiers in Psychology, 2023, 14: 1150018.
31. Abadi M S, Madgaonkar J, Venkatesan S. Effect of yoga on children with attention deficit/hyperactivity disorder[J]. Psychological Studies-University of Calicut, 2008, 53(2): 154.
32. Higgins JPT TJ, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version 6.2 (updated February 2021). Cochrane (2021). Available online at: www.training.cochrane.org/handbook (accessed July 15, 2021).
33. Harrison L J, Manocha R, Rubia K. Sahaja yoga meditation as a family treatment program for children with attention deficit-hyperactivity disorder [ J]. Clinical Child Psychology and Psychiatry, 2004, 9(4): 479-497.
34. Tang Y Y, Hölzel B K, Posner M I. The neuroscience of mindfulness meditation[J]. Nature Reviews Neuroscience, 2015, 16(4): 213-225.
35. Field T. Yoga clinical research review[J]. Complementary therapies in clinical practice, 2011, 17(1): 1-8.
36. Brown R P, Gerbarg P L. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I-neurophysiologic model[J]. Journal of Alternative & Complementary Medicine, 2005, 11(1): 189-201.
37. Streeter C C, Whitfield T H, Owen L, et al. Effects of yoga versus walking on mood, anxiety, and brain GABA levels: a randomized controlled MRS study[J]. The journal of alternative and complementary medicine, 2010, 16(11): 1145-1152.
38. Hagen I, Nayar U S. Yoga for children and young people's mental health and well-being: research review and reflections on the mental health potentials of yoga[J]. Frontiers in psychiatry, 2014, 5: 35.
39. Hölzel B K, Lazar S W, Gard T, et al. How does mindfulness meditation work? Proposing mechanisms of action from a conceptual and neural perspective[J]. Perspectives on psychological science, 2011, 6(6): 537-559.
40. Shaw P, Gilliam M, Liverpool M, et al. Cortical development in typically developing children with symptoms of hyperactivity and impulsivity: support for a dimensional view of attention deficit hyperactivity disorder[J]. American Journal of Psychiatry, 2011, 168(2): 143-151.
41. Machado Y C, Oliveira M, Lima J L F, et al. Effects of yoga on impulsivity in patients with and without mental disorders: a systematic review[J]. BMC Psychiatry, 2024, 24(1): 267.
42. Krishnan A, Akhter EE. Yoga meditation modifies the amygdala and insula functional connectivity and regulates emotional reactivity. Int J Neurosci 2011 ;121:638-49.
43. Cortese S, Adamo N, Del Giovane C, et al. Comparative efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults: a systematic review and network meta-analysis[J]. The Lancet Psychiatry, 2018, 5(9): 727-738.
44. Wilens T E, Spencer T J. Understanding attention-deficit/hyperactivity disorder from childhood to adulthood[J]. Postgraduate Medicine, 2010, 122(5): 97-109.
45. Borenstein M, Hedges L V, Higgins J P T, et al. A basic introduction to fixed-effect and random-effects models for meta-analysis [J]. Research synthesis methods, 2010, 1(2): 97-111.
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