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Resistance exercise is the most effective physical activity for improving self-esteem in children and adolescentsResistance exercise tops other workouts for kids' self-esteem

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Key Takeaway
Consider resistance exercise as a primary physical activity to improve self-esteem in children and adolescents.

This network meta-analysis synthesized data from 17 RCTs to evaluate various physical activity types, including resistance, aerobic, mind-body, multimodal, and stretching exercises, for improving self-esteem in typically developing children and adolescents. The analysis utilized SUCRA scores to rank the effectiveness of these interventions.

Resistance exercise demonstrated the highest probability of being the most effective intervention (SUCRA = 97.8%). Specifically, resistance exercise was found to be significantly superior to multimodal exercise, stretching exercise, and no intervention. While resistance exercise showed a higher SUCRA score than aerobic and mind-body exercises, these specific differences did not reach statistical significance.

The findings are described as robust due to consistent results and low study bias (RoB2). Because the evidence is based on a network meta-analysis of RCTs, it suggests effectiveness but does not establish direct causation. Resistance exercise may be a preferred physical activity intervention for promoting self-esteem in school, family, and community settings.

If you're looking for a way to help your child feel better about themselves, a new research review suggests that lifting weights or doing body-weight exercises might be the most effective choice.

Researchers combined results from 17 randomized controlled trials involving typically developing children and adolescents. They compared different types of physical activity, including resistance exercise, aerobic exercise, mind-body exercise, multimodal exercise, and stretching. The goal was to see which one had the biggest impact on self-esteem.

Resistance exercise came out on top. It had the highest probability of being the most effective intervention for improving self-esteem, with a SUCRA value of 97.8%. It was significantly better than multimodal exercise, stretching, and no intervention. However, its advantage over aerobic and mind-body exercise was not statistically significant, meaning we can't be sure it's truly better than those.

The findings are based on a network meta-analysis, which is a method that combines evidence from multiple studies. The authors note the results are robust due to good consistency and low risk of bias. But this type of analysis can't prove cause and effect, so think of it as strong evidence, not a guarantee.

For parents, teachers, and coaches, this suggests that adding resistance training to a child's routine might be a smart move for building confidence. But remember, any physical activity is better than none, and the best exercise is the one your child enjoys and will stick with.

What this means for you:
Resistance exercise may be the best workout for boosting self-esteem in kids and teens, but aerobic and mind-body exercise are also good options.

Common questions

What is resistance exercise?

Resistance exercise is any activity that makes your muscles work against a weight or force. Examples include lifting weights, using resistance bands, or doing body-weight exercises like push-ups and squats. It's a type of physical activity that can be adapted for kids and teens.

How does resistance exercise compare to other types of exercise for self-esteem?

In this analysis, resistance exercise had the highest chance of being the most effective for improving self-esteem. It was significantly better than multimodal exercise, stretching, and no exercise. However, it wasn't significantly better than aerobic or mind-body exercise, so those are also good choices.

Is resistance exercise safe for children and adolescents?

The review did not report on safety or side effects. Generally, resistance exercise is considered safe for kids and teens when properly supervised and using appropriate weights. Always check with a doctor or qualified trainer to ensure the exercises are suitable for your child's age and development.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedAug 2026
View Original Abstract ↓
Amid the escalating global mental health crisis among children and adolescents, low self-esteem has been recognized as a pivotal risk factor for the onset of psychological difficulties. Developing interventions that are both cost-effective and widely accessible to enhance self-esteem carries substantial public health significance. The present study aims to systematically evaluate the effects of various forms of physical activity on self-esteem in typically developing children and adolescents, and to establish a comparative ranking of their effectiveness. Following the PRISMA 2020 guidelines, randomized controlled trials (RCTs) were systematically retrieved from PubMed, the Cochrane Library, Embase, and Web of Science from database inception to March 31, 2026. The Cochrane Risk of Bias 2 (RoB2) tool was used to assess the risk of bias. A network meta-analysis was conducted to integrate both direct and indirect evidence, with standardized mean differences (SMD) and corresponding 95% confidence intervals (CI) calculated. The surface under the cumulative ranking curve (SUCRA) was applied to rank the relative effectiveness of interventions. A total of 17 RCTs were ultimately included. The network meta-analysis indicated that resistance exercise showed the highest probability of being the most effective intervention for improving self-esteem (SUCRA = 97.8%), and was significantly superior to multimodal exercise, stretching exercise, and no intervention; while its advantages over aerobic exercise and mind–body exercise did not reach statistical significance. Funnel plot revealed no significant asymmetry (low publication bias). Combined with good consistency and low study bias, our findings are robust. Resistance exercise, aerobic exercise, mind–body exercise, multimodal exercise, and stretching exercise were all effective in enhancing self-esteem among typically developing children and adolescents, with resistance exercise showing the highest probability of being the most effective. These findings suggest that resistance exercise may serve as the preferred physical activity intervention to promote self-esteem in school, family, and community settings based on current evidence. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD420261364418, PROSPERO (CRD420261364418).
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