Gymnastik- och idrottshögskolan, GIH

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Ontiveros, N., Wiklund, C., Ohlis, A. & Ekblom, Ö. (2025). The role of physical activity in the association between ADHD and emotional dysregulation. Journal of Affective Disorders, 376, 68-75
Open this publication in new window or tab >>The role of physical activity in the association between ADHD and emotional dysregulation
2025 (English)In: Journal of Affective Disorders, ISSN 0165-0327, E-ISSN 1573-2517, Vol. 376, p. 68-75Article in journal (Refereed) Published
Abstract [en]

Background

Emotional dysregulation (ED) represents a burden for individuals with ADHD. Physical activity (PA) is associated with improvements in emotion regulation, but knowledge is limited regarding its role in ED in the context of ADHD. This study aimed to increase understanding of the association between ADHD and ED and to explore the role of PA. Identifying modifiable risk factors could aid the design of future interventions.

Results

12,094 children (52 % girls) were included. A positive association between ADHD symptoms and ED remained significant after adjusting for mental comorbidities and unmeasured family-shared confounders (β = 0.07, 95% CI 0.02–0.12 in boys; β = 0.09, 95% CI 0.02–0.16 in girls). The association was driven by inattention in boys but combined symptoms in girls. The association remained in all strata of PA. A significant interaction between PA frequency and ADHD symptoms was observed among boys (p = 0.02).

Limitations

Results were based on parent-reported PA; findings might differ with sensor-based measurements.

Conclusion

Higher ADHD symptoms in childhood were associated with greater ED in adolescence in all PA levels. Low PA frequency intensified the association among boys.

Highlights

  • Higher ADHD symptoms in childhood are associated with greater ED in adolescence.
  • The association is driven by inattention in boys but by combined symptoms in girls.
  • Low PA frequency in childhood intensifies the association between ADHD and ED in boys.
  • Shared genetics and environmental factors do not account for these associations.
Place, publisher, year, edition, pages
Elsevier, 2025
Keywords
ADHD, Emotional dysregulation, Physical activity
National Category
Psychiatry
Research subject
Medicine/Technology
Identifiers
urn:nbn:se:gih:diva-8533 (URN)10.1016/j.jad.2025.01.127 (DOI)001421421900001 ()
Available from: 2025-02-21 Created: 2025-02-21 Last updated: 2025-02-26
Projects
E-PABS - a centre of Excellence in Physical Activity, healthy Brain functions and Sustainability [20210002 01 H]; Swedish School of Sport and Health Sciences, GIH; Publications
Wiklund, C. A., Ekblom, M. M., Wang, R. & Ekblom, Ö. (2025). Associations Between Physical Activity and Symptoms of Mental Health Disorders in Adolescence: Evidence From the Longitudinal Swedish Twin Register.. Journal of Adolescent Health, 76(3), 370-378Kjellenberg, K., Helgadóttir, B., Ekblom, Ö. & Nyberg, G. (2025). Fitness and Screen Time at Age 13 Relates to Academic Performance at Age 16.. Acta PaediatricaWang, R., Marseglia, A., Skoog, J., Lindberg, O., Pereira, J. B., Shams, S., . . . Westman, E. (2025). Neuroimaging Correlates of 3 Distinct Physical-Cognitive Phenotypes in Cognitively Normal Older Adults: The Gothenburg H70 Cohort Study.. Neurology, 104(1), Article ID e210121. Kling, J., Persson Asplund, R., Ekblom, Ö. & Blom, V. (2025). Psychological responses to acute exercise in patients with stress-induced exhaustion disorder: a cross-over randomized trial.. BMC Psychiatry, 25(1), Article ID 72. Andermo, S., Farias, L., Helgadóttir, B., Ekblom, Ö. & Nyberg, G. (2025). Stakeholders’ perspectives on barriers and facilitators to implementing extra physical activity in secondary schools to improve adolescents' health and academic performance. Frontiers in Sports and Active Living, 7, Article ID 1524414. Heiland, E. G., Lindh, F., Regan, C., Ekblom, Ö., Kjellenberg, K., Larsen, F. J., . . . Helgadóttir, B. (2024). A randomised crossover trial of nitrate and breakfast on prefrontal cognitive and haemodynamic response functions.. NPJ science of food, 8(1), Article ID 64. Hoy, S., Norman, Å., Larsson, H. & de la Haye, K. (2024). Agents of change? Exploring relations among school staff connected to daily physical activity promotion in a Swedish secondary school from a social network perspective. In: : . Paper presented at AIESEP - The International Organization for Physical Education in Higher Education - International Conference, Jyväskylä, Finland, May 13-17th 2024. Projektet Fysisk aktivetet för hälsosamma hjärnfunktioner bland skolungdomar, ., Helgadóttir, B. & Kjellenberg, K. (2024). Balansen mellan skärmtid, rörelse och hjärnhälsa hos unga. Stockholm: Gymnastik- och idrottshögskolan, GIHKling, J. (2024). Benefits of acute exercise in patients with stress-induced exhaustion disorder. In: : . Paper presented at World Psychiatric Association 24th World Congress of Psychiatry 2024. Mexico City, 14-17 November.. Farias, L., Hellenius, M.-L., Nyberg, G. & Andermo, S. (2024). Building a healthy generation together: parents' experiences and perceived meanings of a family-based program delivered in ethnically diverse neighborhoods in Sweden.. International Journal for Equity in Health, 23(1), Article ID 180.
The twin project – Twin-based studies on the importance of genes and environment in associations between physical activity patterns and brain health in adolescents; Swedish School of Sport and Health Sciences, GIH; Publications
Wiklund, C. A., Ekblom, M. M., Wang, R. & Ekblom, Ö. (2025). Associations Between Physical Activity and Symptoms of Mental Health Disorders in Adolescence: Evidence From the Longitudinal Swedish Twin Register.. Journal of Adolescent Health, 76(3), 370-378Ekblom, M., Ekblom, Ö., Wiklund, C. & Wang, R. (2023). Environmental and genetic contributions to device-based measures of physical activity in Swedish 9-year-olds.. In: : . Paper presented at ISBNPA, International Society of Behavioral Nutrition and Physical Activity annual meeting, June 14-17, 2023, Uppsala, Sweden.
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ORCID iD: ORCID iD iconorcid.org/0000-0002-4871-4454

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