{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T14:07:26Z","timestamp":1779458846123,"version":"3.53.1"},"reference-count":61,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Objective: To systematically review the effects of family-based physical activity interventions on the mental health of children and adolescents and identify potential moderators. Methods: Following PRISMA guidelines, we searched PubMed, PsycARTICLES, PsycINFO, Elsevier, Web of Science, Cochrane, and three major Chinese databases for randomized controlled trials and non-randomized controlled trials on family-based physical activity interventions targeting mental health in children and adolescents aged 5\u201319 years. Searches were conducted through 10 February 2026. Two reviewers independently screened studies, extracted data, and assessed risk of bias. Meta-analyses were performed using CMA 3.3. Results: Eleven studies involving 1160 participants were included. The random-effects model indicated that the overall pooled effect size for family physical activity interventions included in this study was (g = 0.443, 95% CI: 0.272\u20130.614), suggesting that family physical activity interventions, regardless of their specific components, are generally associated with improved mental health in children and adolescents. Further analysis revealed that this overall effect reached statistical significance in the positive mental health dimensions (e.g., self-esteem, emotional well-being) (g = 0.467, 95% CI: 0.271\u20130.663), whereas it did not reach statistical significance in the negative psychological symptoms dimensions (e.g., depression) (g = 0.358, p &gt; 0.05). Subgroup analyses indicated that intervention location (home-based group g = 0.26 vs. non-home-based group g = 0.55), intervention duration (\u22643 months, g = 0.54 vs. &gt;3 months, g = 0.36), and program type (non-multicomponent programs, g = 0.26 vs. multicomponent programs, g = 0.55) showed no statistically significant differences in their effects across groups (p &gt; 0.05). No significant effects were observed in the overall meta-regression model. Conclusions: Current evidence suggests that family involvement may provide a more conducive setting for physical activity interventions targeting children and adolescents; overall, such interventions are associated with improvements in positive mental health. However, this finding should be interpreted as a composite estimate of intervention programs across various heterogeneous factors, such as different modes of family involvement and program components, and their effects on reducing negative psychological symptoms remain unclear. Future research should further refine the composition of these interventions and conduct high-quality, long-term studies to clarify their key components and long-term effects.<\/jats:p>","DOI":"10.3390\/bs16050776","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T13:12:08Z","timestamp":1779455528000},"page":"776","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effects of Family Sports on Mental Health in Children and Adolescents: A Meta-Analysis"],"prefix":"10.3390","volume":"16","author":[{"given":"Shaofeng","family":"Peng","sequence":"first","affiliation":[{"name":"School of Physical Education and Sport Science, Fujian Normal University, Fuzhou 350117, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuangtao","family":"Li","sequence":"additional","affiliation":[{"name":"School of Physical Education and Sport Science, Fujian Normal University, Fuzhou 350117, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jingsong","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Physical Education and Sport Science, Fujian Normal University, Fuzhou 350117, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shen","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Physical Education and Sport Science, Fujian Normal University, Fuzhou 350117, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,14]]},"reference":[{"key":"ref_1","first-page":"357","article-title":"A meta-analysis of the relationship between children\u2019s physical activity and mental health","volume":"26","author":"Ahn","year":"2011","journal-title":"Journal of Pediatric Psychology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s40798-020-00254-x","article-title":"School-related physical activity interventions and mental health among children: A systematic review and meta-analysis","volume":"6","author":"Andermo","year":"2020","journal-title":"Sports Medicine Open"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e12033","DOI":"10.1002\/cesm.12033","article-title":"Multiarm studies and how to handle them in a meta-analysis: A tutorial","volume":"1","author":"Axon","year":"2023","journal-title":"Cochrane Evidence Synthesis and Methods"},{"key":"ref_4","first-page":"1434624","article-title":"Physical inactivity and mental health in late adolescence","volume":"12","author":"Beauchamp","year":"2018","journal-title":"JAMA Psychiatry"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1080\/10503300802621172","article-title":"An introduction to meta-analysis for psychotherapy outcome research","volume":"19","author":"Berkeljon","year":"2009","journal-title":"Psychotherapy Research"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/s12966-025-01778-9","article-title":"Parents\u2019 experiences of family-based physical activity interventions: A systematic review and qualitative evidence synthesis","volume":"22","author":"Brennan","year":"2025","journal-title":"International Journal of Behavioral Nutrition and Physical Activity"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.appet.2019.05.024","article-title":"What makes implementation intention interventions effective for promoting healthy eating behaviours? A meta-regression","volume":"140","author":"Carrero","year":"2019","journal-title":"Appetite"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"CD009453","DOI":"10.1002\/14651858.CD009453.pub2","article-title":"Mass media interventions for reducing mental health-related stigma","volume":"2013","author":"Clement","year":"2013","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"ref_9","first-page":"ED000142","article-title":"Updated guidance for trusted systematic reviews: A new edition of the Cochrane handbook for systematic reviews of interventions","volume":"10","author":"Cumpston","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1111\/jcpp.12980","article-title":"Research review: The effects of mindfulness-based interventions on cognition and mental health in children and adolescents\u2014A meta-analysis of randomized controlled trials","volume":"60","author":"Dunning","year":"2019","journal-title":"Journal of Child Psychology and Psychiatry"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1136\/bmj.315.7109.629","article-title":"Bias in meta-analysis detected by a simple, graphical test","volume":"315","author":"Egger","year":"1997","journal-title":"BMJ"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Enright, G., Allman-Farinelli, M., and Redfern, J. (2020). Effectiveness of family-based behavior change interventions on obesity-related behavior change in children: A realist synthesis. International Journal of Environmental Research and Public Health, 17.","DOI":"10.3390\/ijerph17114099"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Feng, X., and Xu, E. (2025). The relationship between family physical activity environment and mental health in high school students: The chain mediating role of parent-child relationship and exercise behavior. Frontiers in Public Health, 13.","DOI":"10.3389\/fpubh.2025.1719426"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/s12955-016-0501-z","article-title":"Relationships between psychosocial outcomes in adolescents who are obese and their parents during a multi-disciplinary family-based healthy lifestyle intervention: One-year follow-up of a waitlist controlled trial (curtin University\u2019s activity, food and attitudes program)","volume":"14","author":"Fenner","year":"2016","journal-title":"Health and Quality of Life Outcomes"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez-L\u00e1zaro, D., Celorrio San Miguel, A. M., Garrosa, E., Fern\u00e1ndez-Araque, A. M., Mielgo-Ayuso, J., Roche, E., and Arribalzaga, S. (2024). Evaluation of family-based interventions as a therapeutic tool in the modulation of childhood obesity: A systematic review. Children, 11.","DOI":"10.3390\/children11080930"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1002\/wps.20773","article-title":"A meta-review of \u201clifestyle psychiatry\u201d: The role of exercise, smoking, diet and sleep in the prevention and treatment of mental disorders","volume":"19","author":"Firth","year":"2020","journal-title":"World Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Fu, Q., Li, L. H., Li, Q. E., and Wang, J. Y. (2025). The effects of physical activity on the mental health of typically developing children and adolescents: A systematic review and meta-analysis. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-22690-8"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1016\/j.jclinepi.2010.08.010","article-title":"Conducting quantitative synthesis when comparing medical interventions: AHRQ and the effective health care program","volume":"64","author":"Fu","year":"2011","journal-title":"Journal of Clinical Epidemiology"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Hong, J. T., Chen, S. T., Tang, Y., Cao, Z. B., Zhuang, J., Zhu, Z., Chen, P., and Liu, Y. (2020). Associations between various kinds of parental support and physical activity among children and adolescents in Shanghai, China: Gender and age differences. BMC Public Health, 20.","DOI":"10.1186\/s12889-020-09254-8"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Hu, D., Zhou, S., Crowley-Mchattan, Z. J., and Liu, Z. (2021). Factors that influence participation in physical activity in school-aged children and adolescents: A systematic review from the social ecological model perspective. International Journal of Environmental Research and Public Health, 18.","DOI":"10.3390\/ijerph18063147"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1037\/1082-989X.11.2.193","article-title":"Assessing heterogeneity in meta-analysis: Q statistic or I2 index?","volume":"11","author":"Botella","year":"2006","journal-title":"Psychological Methods"},{"key":"ref_22","unstructured":"Jiang, H. Y. (2022). A comparative study on the implementation effect of physical education homework in some senior high schools in Sanming City. [Master\u2019s thesis, Yunnan Normal University]."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"22117","DOI":"10.1038\/s41598-024-72964-1","article-title":"The association between family physical activity environment and exercise adherence in adolescents: A chain mediation model","volume":"14","author":"Jiang","year":"2024","journal-title":"Scientific Reports"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.cpr.2013.05.005","article-title":"Mindfulness-based therapy: A comprehensive meta-analysis","volume":"33","author":"Khoury","year":"2013","journal-title":"Clinical Psychology Review"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1016\/S0140-6736(11)60827-1","article-title":"Child and adolescent mental health worldwide: Evidence for action","volume":"378","author":"Kieling","year":"2011","journal-title":"The Lancet"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., G\u00f8tzsche, P. C., Ioannidis, J. P. A., Clarke, M., Devereaux, P. J., Kleijnen, J., and Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. PLoS Medicine, 6.","DOI":"10.2427\/5768"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"2150","DOI":"10.1016\/j.socscimed.2010.09.030","article-title":"Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis","volume":"71","author":"Livingston","year":"2010","journal-title":"Social Science & Medicine"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"89","DOI":"10.5093\/pi2024a6","article-title":"Dual-factor models of mental health: A systematic review of empirical evidence","volume":"33","author":"Magalhaes","year":"2024","journal-title":"Psychosocial Intervention"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1466","DOI":"10.4187\/respcare.05009","article-title":"Physical activity counseling for children with cystic fibrosis","volume":"62","author":"Moola","year":"2017","journal-title":"Respiratory Care"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.jpsychires.2018.05.017","article-title":"Interventions to reduce stigma towards people with severe mental illness: Systematic review and meta-analysis","volume":"103","author":"Morgan","year":"2018","journal-title":"Journal of Psychiatric Research"},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Moss, S., and Gu, X. (2022). Home- and community-based interventions for physical activity and early child development: A systematic review of effective strategies. International Journal of Environmental Research and Public Health, 19.","DOI":"10.3390\/ijerph191911968"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1479-5868-4-3","article-title":"Parental influences on adolescent physical activity: A longitudinal study","volume":"4","author":"Ornelas","year":"2007","journal-title":"International Journal of Behavioral Nutrition and Physical Activity"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"579","DOI":"10.2466\/pms.100.3.579-591","article-title":"A 6-month pilot study of effects of a physical activity intervention on life satisfaction with a sample of three generations of women","volume":"100","author":"Ornes","year":"2005","journal-title":"Perceptual and Motor Skills"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1123\/jpah.2025-0049","article-title":"Parent-child coparticipation in physical activity and its associations with daily physical activity and key correlates: Findings from the families reporting every step to health study","volume":"22","author":"Paudel","year":"2025","journal-title":"Journal of Physical Activity and Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1852","DOI":"10.1037\/dev0001609","article-title":"Effects of a father-daughter physical activity intervention delivered by trained facilitators in the community setting on girls\u2019 social-emotional well-being: A randomized controlled trial","volume":"59","author":"Pollock","year":"2023","journal-title":"Developmental Psychology"},{"key":"ref_37","first-page":"916","article-title":"Discussion on the effects of physical exercise on improving mental and physical health in college students","volume":"46","author":"Rao","year":"2025","journal-title":"Chinese Journal of School Health"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"497","DOI":"10.3724\/SP.J.1041.2020.00497","article-title":"Meta-analysis of the effect of mental health literacy intervention in Chinese people","volume":"52","author":"Ren","year":"2020","journal-title":"Acta Psychologica Sinica"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/s12966-020-00973-0","article-title":"Development of a consensus statement on the role of the family in the physical activity, sedentary, and sleep behaviours of children and youth","volume":"17","author":"Rhodes","year":"2020a","journal-title":"International Journal of Behavioral Nutrition and Physical Activity"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1111\/famp.12864","article-title":"Family-based physical activity interventions and family functioning: A systematic review","volume":"63","author":"Rhodes","year":"2024","journal-title":"Family Process"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s10865-009-9237-0","article-title":"Pilot study of a family physical activity planning intervention among parents and their children","volume":"33","author":"Rhodes","year":"2010","journal-title":"Journal of Behavioral Medicine"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1007\/s12529-020-09909-1","article-title":"Correlates of parental support of child and youth physical activity: A systematic review","volume":"27","author":"Rhodes","year":"2020b","journal-title":"International Journal of Behavioral Medicine"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"S62","DOI":"10.1038\/oby.2009.433","article-title":"Randomized controlled trial of the MEND program: A family-based community intervention for childhood obesity","volume":"18","author":"Sacher","year":"2010","journal-title":"Obesity"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"107696","DOI":"10.1016\/j.appet.2024.107696","article-title":"Testing a family system-based intervention (ENTREN-F Programme) for a paediatric obesity sample by a randomized controlled trial","volume":"203","author":"Rojo","year":"2024","journal-title":"Appetite"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.jaac.2025.04.007","article-title":"Systematic umbrella review and meta-meta-analysis: Effectiveness of physical activity in improving depression and anxiety in children and adolescents","volume":"65","author":"Singh","year":"2026","journal-title":"Journal of the American Academy of Child & Adolescent Psychiatry"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Su, D. L. Y., Tang, T. C. W., Chung, J. S. K., Lee, A. S. Y., Capio, C. M., and Chan, D. K. C. (2022). Parental influence on child and adolescent physical activity level: A meta-analysis. International Journal of Environmental Research and Public Health, 19.","DOI":"10.3390\/ijerph192416861"},{"key":"ref_47","first-page":"1","article-title":"Promotion of mental health services in school from evidence, theory to action","volume":"42","author":"Tao","year":"2021","journal-title":"Chinese Journal of School Health"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1670","DOI":"10.1016\/S0140-6736(17)31140-6","article-title":"Better understanding of youth mental health","volume":"389","author":"The","year":"2017","journal-title":"The Lancet"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/S0140-6736(22)01572-0","article-title":"An age of uncertainty: Mental health in young people","volume":"400","author":"The","year":"2022","journal-title":"The Lancet"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1454","DOI":"10.1111\/obr.12589","article-title":"A systematic review of methods to measure family co-participation in physical activity","volume":"18","author":"Uijtdewilligen","year":"2017","journal-title":"Obesity Reviews"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1111\/j.2044-8260.2011.02024.x","article-title":"Mindfulness- and acceptance-based interventions for anxiety disorders: A systematic review and meta-analysis","volume":"51","author":"Vollestad","year":"2012","journal-title":"British Journal of Clinical Psychology"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.1007\/s11136-011-0079-1","article-title":"The effect of family-based multidisciplinary cognitive behavioral treatment on health-related quality of life in childhood obesity","volume":"21","author":"Vos","year":"2012","journal-title":"Quality of Life Research"},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Wang, Q., Lam, L. T., Lin, H., Yang, W., Yin, F., and Li, Y. (2025). Effectiveness of family-centered intervention programs on objectively measured physical activity in children aged under 13: A meta-analysis of randomized controlled trials. Frontiers in Public Health, 13.","DOI":"10.3389\/fpubh.2025.1611496"},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Wills-Ibarra, N., Chemtob, K., Hart, H., Frati, F., Pratt, K. J., Ball, G. D., and Van Hulst, A. (2024). Family systems approaches in pediatric obesity management: A scoping review. BMC Pediatrics, 24.","DOI":"10.1186\/s12887-024-04646-w"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/j.psychres.2017.05.002","article-title":"Challenging mental health related stigma in China: Systematic review and meta-analysis. II. Interventions among people with mental illness","volume":"255","author":"Xu","year":"2017","journal-title":"Psychiatry Research"},{"key":"ref_56","first-page":"78","article-title":"Effect of the family function intervention on mental health status of middle school students","volume":"46","author":"Yang","year":"2025","journal-title":"Chinese Journal of School Health"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s12966-015-0163-y","article-title":"Parental correlates in child and adolescent physical activity: A meta-analysis","volume":"12","author":"Yao","year":"2015","journal-title":"International Journal of Behavioral Nutrition and Physical Activity"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1037\/ccp0000374","article-title":"Impact of a father-daughter physical activity program on girls\u2019 social-emotional well-being: A randomized controlled trial","volume":"87","author":"Young","year":"2019","journal-title":"Journal of Consulting and Clinical Psychology"},{"key":"ref_59","first-page":"1","article-title":"A new interpretation of factors influencing mental health: The perspective of social determinants","volume":"2026","author":"Yu","year":"2026","journal-title":"Journal of Zhejiang Gongshang University"},{"key":"ref_60","unstructured":"Zhang, F. Z. (2024). Study on the influence of physical education homework on health behaviors of junior middle school students. [Master\u2019s thesis, Gannan Normal University]."},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Zhang, X., Pan, X., Liu, B., Gao, Y., Jiang, L., Chen, X., Zhao, D., Wang, Y., Hu, H., Zhao, X., Lu, J., Suzuki, K., and Zhang, Y. (2025). Causal insights into the school-family-research integrated health promotion program for overweight and obesity: The independent role of moderate-to-vigorous physical activity in body fat reduction, undermined by psychological factors. Frontiers in Nutrition, 12.","DOI":"10.3389\/fnut.2025.1577319"}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/5\/776\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T13:30:41Z","timestamp":1779456641000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/5\/776"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,14]]},"references-count":61,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["bs16050776"],"URL":"https:\/\/doi.org\/10.3390\/bs16050776","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,14]]}}}