Abstract
Complex motor tasks that integrate cognitive demands may particularly enhance executive functions, which support school success. Yet few school-based trials have tested structured interventions combining motor complexity and cognitive challenge in early adolescence. PURPOSE: This study examined the effects of a gamified "Dual-Challenge Circuit" (DCC), integrating motor patterns with cognitive tasks, on executive functions, academic performance, motor skills, and physical fitness among middle school students. Secondary aims were to explore whether executive functions mediated academic gains and whether a dose-response relationship emerged. METHOD: A cluster-randomized controlled trial was conducted in four middle schools in Southern Italy with sixth- and seventh-grade students. Participants were assigned to either the DCC program or traditional physical education. The 12-week intervention included two weekly 60 min sessions. Outcomes were executive functions (Stroop, Digit Span backward, Trail Making Test-B), academic achievement (grades, MT tests), motor coordination (KTK), physical fitness (PACER, long jump, sit-and-reach), and adherence/fidelity. RESULTS: The DCC group showed significantly greater improvements in all executive function measures and in mathematics and language grades (medium-to-large effects). Mediation analyses confirmed executive functions predicted academic improvements. Motor coordination and fitness also improved, with large effects in aerobic capacity and strength. CONCLUSIONS: The DCC effectively enhanced executive functions, academic outcomes, and fitness. Gamified, cognitively demanding physical education formats appear feasible and beneficial in real-world school settings.