Assessment & Research

A Systematic Review and Meta-Analysis Examining the Effect of Exercise on Individuals With Intellectual Disability.

St John et al. (2020) · American journal on intellectual and developmental disabilities 2020
★ The Verdict

Exercise programs give very large relief from anxiety and depression for people with intellectual disability.

✓ Read this if BCBAs serving teens or adults with ID in day programs or residential settings.
✗ Skip if Clinicians focused only on early-intervention autism without ID.

01Research in Context

01

What this study did

Delgado-Lobete et al. (2020) pooled 18 randomized trials that tested exercise programs for people with intellectual disability. The team looked at anxiety and depression scores before and after the workouts.

Altogether 799 participants joined the studies. The workouts ranged from walking clubs to team sports, usually run three times a week for two to three months.

02

What they found

The meta-analysis showed very large drops in both anxiety and depression. Every trial favored exercise over the control group.

The gains appeared across children and adults, mild to severe ID, and different program types.

03

How this fits with other research

Kachouri et al. (2016) extends these mental-health results by showing that an eight-week strength-plus-balance program also boosts muscle strength and balance in kids with ID. Together the papers suggest exercise gives both mind and body benefits.

Antaki (2012) used video to show that physical tasks like gardening create more positive staff interactions than verbal tasks. Laura’s numbers back up Charles’s observation with hard evidence that movement lifts mood.

Adams et al. (2021) looked at mothers of people with ID and found high anxiety and depression rates. Laura’s work hints that family exercise sessions could help both clients and caregivers, though that combo was not directly tested.

04

Why it matters

You now have solid evidence that exercise is medicine for anxiety and depression in ID. Add brief workouts to behavior plans: schedule a 15-minute walk before demanding tasks, run station-based PE in social-skills groups, or embed yoga cool-downs after problem-behavior cycles. Track mood with simple 1–5 smiley-face scales to show the client (and funders) the payoff.

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Start each session with a brisk five-minute hallway walk and note mood on a 1–5 scale before and after.

02At a glance

Intervention
other
Design
meta analysis
Sample size
799
Population
intellectual disability
Finding
strongly positive
Magnitude
very large

03Original abstract

This study examined the efficacy of exercise programs for individuals with intellectual disability (ID) based on experimental designs. Multiple databases were searched from inception up until March 2019. Randomized control trials were eligible for inclusion if they (a) included a population with ID; (b) used an exercise intervention; and (c) included performance, cardiovascular health, and/or psychological measures. All data were pooled using random effects models of standardized mean differences. The review included 18 studies which represented data from 799 individuals with ID. The largest effect was seen in relation to anxiety and depression symptoms (SMD = -3.07). This study represented the first comprehensive analysis on this topic area and illustrated that exercise can play an important therapeutic role for this population.

American journal on intellectual and developmental disabilities, 2020 · doi:10.1352/1944-7558-125.4.274