Working memory lies at the core of cognitive function and plays a crucial role in childrenâs learning, reasoning, problem solving, and intellectual activity. Behavioral findings have suggested that acute aerobic exercise improves childrenâs working memory; however, there is still very little knowledge about whether a single session of aerobic exercise can alter working memoryâs brain activation patterns, as assessed by functional magnetic resonance imaging (fMRI). Therefore, we investigated the effect of acute moderate-intensity aerobic exercise on working memory and its brain activation patterns in preadolescent children, and further explored the neural basis of acute aerobic exercise on working memory in these children. We used a within-subjects design with a counterbalanced order. Nine healthy, right-handed children were scanned with a Siemens MAGNETOM Trio 3.0 Tesla magnetic resonance imaging scanner while they performed a working memory task (N-back task), following a baseline session and a 30-min, moderate-intensity exercise session. Compared with the baseline session, acute moderate-intensity aerobic exercise benefitted performance in the N-back task, increasing brain activities of bilateral parietal cortices, left hippocampus, and the bilateral cerebellum. These data extend the current knowledge by indicating that acute aerobic exercise enhances childrenâs working memory, and the neural basis may be related to changes in the working memoryâs brain activation patterns elicited by acute aerobic exercise.