Physical Exercise and Performance in Esports Players: An Initial Systematic Review

Background: Participation in esports (excluding active video games) has raised concerns due to its sedentary nature and the potential negative effects this may have on player health. As well, research suggests that physical activity (PA)/exercise improves specific cognitive skills that have been identified as positive contributors to esports performance. The aim of this systematic review was to assess whether evidence supports that PA/exercise positively impacts esports player performance. Methods: The systematic literature search comprised PubMed, SPORTDiscus, PsycINFO, and Web of Science up until March 31, 2022. An additional search included reference list searching, citation searching, and hand searching. Results: Emerging evidence suggests that PA/exercise as an intervention may have a positive effect on esports performance. While it appears that the majority of esports players believe PA/exercise to be beneficial to esports performance, only a minority currently undertake PA/exercise for the purpose of improving esports performance. Conclusion: Although further controlled experimental research is necessary, results highlight that PA/exercise may positively correlate with esports performance. These effects are consistent with the majority of player perceptions that PA/exercise is beneficial to esports performance. Qualified fitness and health professionals should be utilized to implement training to enhance esports performance, improve health, and extend player career length.