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Table · dataset · 2026

Effects of Physical Activity and Exercise Interventions on Physical Fitness Outcomes in Children and Adolescents with Developmental Coordination Disorder: A Systematic Review

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<p>Developmental Coordination Disorder (DCD) affects 5-6% of school-aged children and is associated with reduced physical activity (PA) and poorer physical fitness (PF).

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However, it remains unclear which PA and exercise interventions effectively improve specific PF components in this population.</p> <p>To synthesize randomized controlled trial (RCT) evidence on PA and exercise interventions for PF outcomes and PA behavior in individuals with DCD.</p> <p>We searched six databases for RCTs of PA or exercise interventions involving participants with DCD aged 3–25 years.

Primary PF outcomes were standardized measures of cardiorespiratory fitness (CRF), muscular strength/power, muscular endurance, and speed/agility; PA behavior was extracted separately when reported. Findings were synthesized narratively by component and timing and certainty were assessed using GRADE.</p> <p>Ten RCTs with sample sizes ranging from 21 to 161 participants were included. Nine trials enrolled children, one adolescent, and none enrolled young adults.

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Heterogeneity in interventions, outcome measures, assessment times and reporting precluded meta-analysis. Several trials reported immediate improvements in selected muscular strength/power outcomes, but certainty was low. Evidence for CRF and speed/agility was very low certainty; muscular endurance improved in one low certainty trial.

Evidence for PA behavior was very low certainty and did not establish sustained change specific to DCD.</p> <p>PA and exercise interventions may improve selected immediate muscular strength/power outcomes in children and adolescents with DCD, but the evidence is low certainty and outcome specific. Evidence for CRF, speed/agility, PA behavior, and persistence of effects remain very uncertain. Future trials should include adolescents and young adults, prespecify core PF outcomes, report compatible between-group estimates, and assess persistence of effects post-cessation.</p>

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