<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.4 20241031//EN"
        "https://jats.nlm.nih.gov/publishing/1.4/JATS-journalpublishing1-4.dtd">
<article  article-type="reviewer-report"        dtd-version="1.4">
            <front>

                <journal-meta>
                                                                <journal-id>ahi evran med j</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Ahi Evran Medical Journal</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2619-9203</issn>
                                                                                            <publisher>
                    <publisher-name>Kirsehir Ahi Evran University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.46332/aemj.1585114</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Psychiatry</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Psikiyatri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <article-title>Current Evidence on Exergaming Interventions for Children and Adolescents with Attention-Deficit/Hyperactivity Disorder</article-title>
                                                                                                                                                                                                <trans-title-group xml:lang="tr">
                                    <trans-title>Dikkat-Eksikliği/Hiperaktivite Bozukluğu Tanılı Çocuk ve Ergenlerde Exergaming Kullanımına İlişkin Güncel Kanıtlar</trans-title>
                                </trans-title-group>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0001-6746-2654</contrib-id>
                                                                <name>
                                    <surname>İçen</surname>
                                    <given-names>Sarper</given-names>
                                </name>
                                                                    <aff>Kırşehir Eğitim Araştırma Hastanesi</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20250808">
                    <day>08</day>
                    <month>08</month>
                    <year>2025</year>
                </pub-date>
                                        <volume>9</volume>
                                        <issue>2</issue>
                                        <fpage>259</fpage>
                                        <lpage>266</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20241114">
                        <day>11</day>
                        <month>14</month>
                        <year>2024</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20241212">
                        <day>12</day>
                        <month>12</month>
                        <year>2024</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2017, Ahi Evran Medical Journal</copyright-statement>
                    <copyright-year>2017</copyright-year>
                    <copyright-holder>Ahi Evran Medical Journal</copyright-holder>
                </permissions>
            
                                                                                                <abstract><p>Attention-deficit/hyperactivity disorder is characterized by symptoms causing functional impairment in children and adolescents. For the clinical management of this condition, increasing physical activity is recommended in addition to the usual treatment with medication and/or behavioral interventions. Exergaming is active video gaming that requires full-body movements to control on-screen actions, integrating physical activity into the gaming context. For children and adolescents with attention-deficit/hyperactivity disorder, traditional forms of exercising can be challenging to sustain due to challenges with motivation, impulse control, and maintaining focus. Exergaming might address these challenges by incorporating game-based rewards and appealing activities with gamified elements that can make physical activity sustainable. By reviewing currently available research, this paper aims to evaluate the feasibility and benefits of exergaming as a way to promote physical activity among children and adolescents with ADHD.</p></abstract>
                                                                                                                                    <trans-abstract xml:lang="tr">
                            <p>Dikkat-eksikliği/hiperaktivite bozukluğu çocuk ve ergenlerde işlevsel bozulmaya yol açan belirtiler ile karakterizedir. Bu durumun klinik yönetiminde, ilaç tedavisi ve/veya davranışsal müdahalelerin kullanıldığı olağan tedaviye ek olarak fiziksel aktivitenin artırılması önerilmektedir. Exergaming ekrandaki hareketlerin kontrolü için tüm beden hareketleri yapılmasını gerektiren, fiziksel aktivitenin oyun bağlamıyla bütünleştirildiği aktif video oyunu şeklidir. Dikkat-eksikliği/hiperaktivite bozukluğu olan çocuk ve ergenlerde motivasyon, dürtü kontrolü ve odağını sürdürme zorlukları nedeniyle klasik egzersizlerin sürdürülmesi zor olabilmektedir. Exergaming oyun-temelli ödüller ve oyunlaştırılmış bileşenler ile fiziksel aktiviteyi sürdürülebilir yapan ilgi çekici etkinlikler aracılığıyla bu zorlukların aşılmasını kolaylaştırabilir. Bu makalede mevcut literatür gözden geçirilerek, DEHB tanılı çocuk ve ergenlerde fiziksel aktivitenin artırılması için exergaming uygulanabilirliği ve yararlı yönlerinin değerlendirilmesi amaçlanmaktadır.</p></trans-abstract>
                                                            
            
                                                            <kwd-group>
                                                    <kwd>executive functions</kwd>
                                                    <kwd>  exergaming</kwd>
                                                    <kwd>  hyperactivity</kwd>
                                                    <kwd>  inattention</kwd>
                                                    <kwd>  impulsivity</kwd>
                                            </kwd-group>
                                                        
                                                                            <kwd-group xml:lang="tr">
                                                    <kwd>dikkatsizlik</kwd>
                                                    <kwd>  dürtüsellik</kwd>
                                                    <kwd>  exergaming</kwd>
                                                    <kwd>  hiperaktivite</kwd>
                                                    <kwd>  yürütücü işlevler</kwd>
                                            </kwd-group>
                                                                                                            </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1.	Peterson BS, Trampush J, Maglione M, et al. Treatments for ADHD in Children and Adolescents: A Systematic Review. Pediatrics. 2024;153(4):202406 5787.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2.	Li D, Li L, Zang W, et al. Effect of physical activity on attention in school-age children with ADHD: a systematic review and meta-analysis of randomized controlled trials. Front Physiol. 2023;14:1189443.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3.	Song Y, Fan B, Wang C, Yu H. Meta-analysis of the effects of physical activity on executive function in children and adolescents with attention deficit hyperactivity disorder. PLoS One. 2023;18(8):0289732.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4.	Sun W, Yu M, Zhou X. Effects of physical exercise on attention deficit and other major symptoms in children with ADHD: A meta-analysis. Psychiatry Res. 2022;311:114509.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5.	Yang G, Liu Q, Wang W, Liu W, Li J. Effect of aerobic exercise on the improvement of executive function in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis. Front Psychol. 2024;15:1376354.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6.	Chen JW, Zhu K. Single Exercise for Core Symptoms and Executive Functions in ADHD: A Systematic Review and Meta-Analysis. J Atten Disord. 2024;28(4): 399-414.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7.	Huang H, Jin Z, He C, Guo S, Zhang Y, Quan M. Chronic Exercise for Core Symptoms and Executive Functions in ADHD: A Meta-analysis. Pediatrics. 2023;151(1):2022057745.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8.	Chen JW, Du WQ, Zhu K. Optimal exercise intensity for improving executive function in patients with attention deficit hyperactivity disorder: systematic review and network meta-analysis. Eur Child Adolesc Psychiatry. 2024:1-22.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9.	Sibley MH, Bruton AM, Zhao X, et al. Non-pharmacological interventions for attention-deficit hyperactivity disorder in children and adolescents. Lancet Child Adolesc Health. 2023;7(6):415-428.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10.	Powell L, Parker J, Harpin V. What is the level of evidence for the use of currently available technologies in facilitating the self-management of difficulties associated with ADHD in children and young people? A systematic review. Eur Child Adolesc Psychiatry. 2018;27(11):1391-1412.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11.	Guan Lim C, Lim-Ashworth NSJ, Fung DSS. Updates in technology-based interventions for attention deficit hyperactivity disorder. Curr Opin Psychiatry. 2020;33(6):577-585.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12.	Klos L, Feil K, Eberhardt T, Jekauc D. Interventions to Promote Positive Affect and Physical Activity in Children, Adolescents and Young Adults-A Systematic Review. Sports (Basel). 2020;8(2):26.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13.	Joronen K, Aikasalo A, Suvitie A. Nonphysical effects of exergames on child and adolescent well-being: a comprehensive systematic review. Scand J Caring Sci. 2017;31(3):449-461.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14.	Marker AM, Staiano AE. Better Together: Outcomes of Cooperation Versus Competition in Social Exergaming. Games Health J. 2015;4(1):25-30.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15.	Fogel VA, Miltenberger RG, Graves R, Koehler S. The effects of exergaming on physical activity among inactive children in a physical education classroom. J Appl Behav Anal. 2010;43(4):591-600.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16.	Liu W, Zeng N, McDonough DJ, Gao Z. Effect of Active Video Games on Healthy Children&#039;s Fundamental Motor Skills and Physical Fitness: A Systematic Review. Int J Environ Res Public Health. 2020;17(21): 8264.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">17.	Oppici L, Stell FM, Utesch T, Woods CT, Foweather L, Rudd JR. A Skill Acquisition Perspective on the Impact of Exergaming Technology on Foundational Movement Skill Development in Children 3-12 Years: A Systematic Review and Meta-analysis. Sports Med Open. 2022;8(1):148.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">18.	Fu Y, Burns RD, Gomes E, Savignac A, Constantino N. Trends in Sedentary Behavior, Physical Activity, and Motivation during a Classroom-Based Active Video Game Program. Int J Environ Res Public Health. 2019;16(16):2821.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">19.	Rhodes RE, Nwachukwu N, Quinlan A. Family Exergaming: Correlates and Preferences. Games Health J. 2018;7(3):188-196.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">20.	McMichael L, Farič N, Newby K, et al. Parents of Adolescents Perspectives of Physical Activity, Gaming and Virtual Reality: Qualitative Study. JMIR Serious Games. 2020;8(3):14920.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">21.	Bowling AB, Slavet J, Hendrick C, et al. The Adaptive GameSquad Xbox-Based Physical Activity and Health Coaching Intervention for Youth With Neurodevelopmental and Psychiatric Diagnoses: Pilot Feasibility Study. JMIR Form Res. 2021;5(5):24566.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">22.	Benzing V, Chang YK, Schmidt M. Acute Physical Activity Enhances Executive Functions in Children with ADHD. Sci Rep. 2018;8(1):12382.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">23.	Benzing V, Schmidt M. The effect of exergaming on executive functions in children with ADHD: A randomized clinical trial. Scand J Med Sci Sports. 2019;29(8):1243-1253.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">24.	Ji H, Wu S, Won J, et al. The Effects of Exergaming on Attention in Children With Attention Deficit/Hyperactivity Disorder: Randomized Controlled Trial. JMIR Serious Games. 2023;11(1):40438.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">25.	Kou R, Zhang Z, Zhu F, Tang Y, Li Z. Effects of Exergaming on executive function and motor ability in children: A systematic review and meta-analysis. PLoS One. 2024;19(9):0309462.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">26.	Zhu F, Zhu X, Bi X, et al. Comparative effectiveness of various physical exercise interventions on executive functions and related symptoms in children and adolescents with attention deficit hyperactivity disorder: A systematic review and network meta-analysis. Front Public Health. 2023;11:1133727.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">27.	Sun H. Exergaming impact on physical activity and interest in elementary school children. Res. Q. Exerc. Sport. 2012;83(2):212-220.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">28.	Rhodes RE, Kaos MD, Beauchamp MR, et al. Effects of home-based exergaming on child social cognition and subsequent prediction of behavior. Scand J Med Sci Sports. 2018;28(10):2234-2242.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">29.	Anzeneder S, Zehnder C, Schmid J, Martin-Niedecken AL, Schmidt M, Benzing V. Dose-response relation between the duration of a cognitively challenging bout of physical exercise and children&#039;s cognition. Scand J Med Sci Sports. 2023;33(8):1439-1451.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">30.	Chen J, Zhou X, Wu X, Gao Z, Ye S. Effects of exergaming on executive functions of children: a systematic review and meta-analysis from 2010 to 2023. Arch Public Health. 2023;81(1):182.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">31.	Anzeneder S, Zehnder C, Martin-Niedecken AL, Schmidt M, Benzing V. Acute exercise and children&#039;s cognitive functioning: What is the optimal dose of cognitive challenge?. Psychol Sport Exerc. 2023;66: 102404.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">32.	Best JR. Exergaming immediately enhances children&#039;s executive function. Dev Psychol. 2012;48(5):1501-1510.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">33.	Verhoeven K, Abeele VV, Gers B, Seghers J. Energy Expenditure During Xbox Kinect Play in Early Adolescents: The Relationship with Player Mode and Game Enjoyment. Games Health J. 2015;4(6):444-451.</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">34.	Nekar DM, Kang HY, Lee JW, Oh SY, Yu JH. Effects of Cooperative, Competitive, and Solitary Exergames on Cognition and Anxiety Levels in Children with Developmental Disabilities. Games Health J. 2023;12(5): 405-413.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">35.	Xiong S, Zhang P, Gao Z. Effects of Exergaming on Preschoolers&#039; Executive Functions and Perceived Competence: A Pilot Randomized Trial. J Clin Med. 2019;8(4):469.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">36.	Gao Z, Lee JE, Zeng N, Pope ZC, Zhang Y, Li X. Home-Based Exergaming on Preschoolers&#039; Energy Expenditure, Cardiovascular Fitness, Body Mass Index and Cognitive Flexibility: A Randomized Controlled Trial. J Clin Med. 2019;8(10):1745.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">37.	Gashaj V, Dapp LC, Trninic D, Roebers CM. The effect of video games, exergames and board games on executive functions in kindergarten and 2nd grade: An explorative longitudinal study. Trends Neurosci Educ. 2021;25:100162.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">38.	Yamamoto T, Pandit B, Viggiano M, et al. Efficacy of a 6-week Novel Exergaming Intervention Guided by Heart Rate Zones on Aerobic Performance in Children with Fetal Alcohol Spectrum Disorder and Attention-deficit/Hyperactivity Disorder: A Feasibility Study. Int J Exerc Sci. 2023;16(3):710-720.</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">39.	Anderson-Hanley C, Tureck K, Schneiderman RL. Autism and exergaming: effects on repetitive behaviors and cognition. Psychol Res Behav Manag. 2011;4:129-137.</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">40.	Hou Y, Wang Y, Deng J, Song X. Effects of different exercise interventions on executive function in children with autism spectrum disorder: a network meta-analysis. Front Psychiatry. 2024;15:1440123.</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">41.	Lee HK, Jin J. The effect of a virtual reality exergame on motor skills and physical activity levels of children with a developmental disability. Res Dev Disabil. 2023;132:104386.</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">42.	Benzing V, Schmidt M. Exergaming for Children and Adolescents: Strengths, Weaknesses, Opportunities and Threats. J Clin Med. 2018;7(11):422.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
