Effects of acute exercise on long-term memory

Experimental Investigation Examining the Effects of Acute Exercise on Implicit Memory Function

Emerging work suggests that acute exercise can enhance explicit memory function. Minimal research, however, has examined whether acute exercise is associated with implicit memory, which was the purpose of this study. Three separate experimental studies were computed (N = 120; Mean age = 21). In Experiment 1, participants were randomly assigned to either a moderate-intensity bout of acute exercise (15-minute) or engaged in a seated control task (15-minute), followed by the completion of a word-fragmentation implicit memory task. Experiment 2 replicated Experiment 1, but instead employed a higher-intensity exercise protocol. For Experiment 3, participants were randomly assigned to either a moderate-intensity bout of acute exercise (15-minute) or engaged in a seated control task (15-minute), followed by the completion of a real world, 3-dimensional implicit memory task. For Experiment 1, the exercise and control groups, respectively, had an implicit memory score of 7.0 (0.5) and 7.5 (0.6) (t(38) = 0.67, p = .51). For Experiment 2, the exercise and control groups, respectively, had an implicit memory score of 6.9 (1.9) and 7.8 (2.4) (t(38) = 1.27, p = .21). These findings suggest that exercise, and the intensity of exercise, does not alter implicit memory from a word fragmentation task. For Experiment 3, the exercise and control groups, respectively, had a discrimination implicit memory index score of 0.48 (0.18) and 0.29 (0.32) (t(38) = 2.16, p = .03). In conclusion, acute exercise does not influence a commonly used laboratory-based assessment of implicit memory but may enhance real world-related implicit memory function.

The effects of sedentary behavior on memory and markers of memory function: a systematic review

Objective: To evaluate the association of sedentary behavior on memory and markers of memory among humans of all ages.Methods: PubMed, PsychInfo, Sports Discus and Google Scholar databases were searched. Inclusionary criteria included: Published in English; conducted among humans (children to older adults); employ a cross-sectional, prospective or experimental design; include a measure of sedentary behavior as the independent variable (e.g. time spent sitting or watching television); and include a memory-related outcome measure (e.g. behavioral performance on a memory task, brain tissue volume in a memory structure). Information on participant characteristics, study design, sedentary behavior measure, memory outcome measure, and hypothesized mechanisms were extracted. The relationship between sedentary behavior and memory was synthesized while considering the data extraction parameters.Results: In total, 25 articles met the inclusionary criteria, including 8 studies among children/adolescents and 17 among adults. Sedentary behavior was assessed subjectively (e.g. TV viewing, computer use, reading) and objectively (e.g. accelerometry). Outcome measures included behavioral performance on various memory tasks (e.g. episodic and working memory), BDNF levels, brain volumetric measures of the temporal lobe, and hippocampal glucose metabolism. Overall, for both the child and adult studies, findings were mixed, with studies demonstrating null, inverse, and positive associations between sedentary behavior and memory. Sedentary behavior type may play a distinct role in the relationship between sedentary behavior and memory, as computer use, in particular, appeared to favorably influence memory when compared to other sedentary types (e.g. TV viewing, which showed in inverse association with memory in select studies).Conclusion: There is conflicting evidence of the relationship between sedentary behavior and memory-related outcomes among children and adults. Future studies are needed to further disentangle these complex interrelationships. Such studies should also carefully consider how physical activity may or may not moderate these relationships.

Acute exercise and mindfulness meditation on learning and memory: randomized controlled intervention

Background: The purpose of this experiment was to evaluate the potential combined effects of acute exercise and mindfulness mediation on episodic memory.

Methods: All data collection occurred in the authors’ laboratory (January to May of 2019). In this three-arm, within-subject design, participants (N=20; M_age=21.6 years) completed three counterbalanced laboratory visits, including Exercise Only, Exercise + Meditation and Control. Learning and memory were assessed from a word-list task. A one-factor repeated-measures ANOVA was computed for two memory outcomes, including the learning outcome (average performance across the 6 trials) and the long-term memory recall (10-minute delay).

Results: The exercise conditions had a greater learning effect when compared to the Control visit, M_diff = 0.68 (95% CI: 0.10, 1.25), P = 0.02. The Exercise + Memory visit had better longterm memory when compared to Exercise Only, M_diff = 0.95 (95% CI: 0.07, 1.83), P = 0.03.

Conclusion: The present experiment provides suggestive evidence that acute exercise may enhance learning and, when coupling acute exercise prior to encoding with meditation during early consolidation, long-term memory may be enhanced.

Mental Imagery and Acute Exercise on Episodic Memory Function

Mental imagery is used extensively in the sporting domain. It is used for performance-enhancement purposes, arousal regulation, affective and cognitive modification, and rehabilitation purposes. The purpose of this experiment was to evaluate whether acute exercise and mental imagery of acute exercise have similar effects on cognitive performance, specifically memory function. A within-subject randomized controlled experiment was employed. Participants (N = 24; M_age = 21.5 years) completed two exercise-related visits (i.e., actual exercise and mental imagery of exercise), in a counterbalanced order. The acute-exercise session involved 10 min of intermittent sprints. The mental-imagery session involved a time-matched period of mental imagery. After each manipulation (i.e., acute exercise or mental imagery of acute exercise), memory was evaluated from a paired-associative learning task and a comprehensive evaluation of memory, involving spatial–temporal integration (i.e., what, where, and when aspects of memory). Bayesian analyses were computed to evaluate the effects of actual exercise and mental imagery of exercise on memory function. For the paired-associative learning task, there was moderate evidence in favor of the null hypothesis for a main effect for condition (BF₀₁ = 2.85) and time by condition interaction (BF₀₁ = 3.30). Similarly, there was moderate evidence in favor of the null hypothesis for overall (what-where-when) memory integration (BF₀₁ = 3.37), what-loop (BF₀₁ = 2.34), where-loop (BF₀₁ = 3.45), and when-loop (BF₀₁ = 3.46). This experiment provides moderate evidence in support of the null hypothesis. That is, there was moderate evidence to support a non-differential effect of acute exercise and mental imagery of acute exercise on memory function.

A preliminary investigation of acute exercise intensity on memory and BDNF isoform concentrations

Little is known about the biological mechanisms underlying the beneficial effect of acute exercise on memory or the influence of single nucleotide polymorphisms (SNPs) on this effect. Brain-derived neurotrophic factor (BDNF) is a putative biological mechanism, and while findings from human studies are equivocal, they have neglected to assess how exercise affects individual BDNF isoform (proBDNF, mBDNF) concentrations in serum or the influence of the BDNF val66met SNP on BDNF isoform concentrations. Therefore, the objective of this study was to conduct an exploratory assessment of the effect of acute exercise intensity on memory performance and BDNF isoform concentrations relative to carrier status of the BDNF val66met SNP met allele and to provide guidance for future, fully-powered trials. Memory and BDNF isoform concentrations were assessed in three exercise groups (light intensity, vigorous intensity, and non-exercise) relative to BDNF met carrier status. Analyses revealed that BDNF isoform concentrations and memory were differentially affected by exercise intensity and BDNF met carrier status. Vigorous intensity exercise increased mBDNF, and BDNF met carriers had lower mBDNF concentration. Light intensity exercise improved memory, and over 24 h, memory was worse for BDNF met carriers. Implications from this work will help direct future mechanistic studies of the exercise-memory relationship.

Effects of Acute Exercise and Learning Strategy Implementation on Memory Function

Background and Objectives: Long-term potentiation (LTP), the functional connectivity among neurons, is considered a mechanism of episodic memory. Both acute exercise and learning are thought to influence memory via an LTP-related mechanism. Limited research has evaluated the individual and combined effects of acute exercise and learning strategy implementation (e.g., 3-R technique, cue-integration) on memory, which was the purpose of this study. Materials and Methods: For Experiment 1, participants (n = 80; M_age = 20.9 years) were randomized into one of four experimental groups, including Exercise + Learning (E + L), Learning Only (L), Exercise Only (E), and Control Group (C; no exercise and no learning strategy implementation). The exercise stimulus involved an acute 15-min bout of lower-intensity (60% of heart rate max) walking exercise and the learning strategy involved the implementation of the 3-R technique. Experiment 2 (n = 77; M_age = 21.1 years) replicated Experiment 1 but addressed limitations (e.g., exposure level of the memory task) from Experiment 1 and employed a higher-intensity bout of exercise (77% of heart rate max). Experiment 3 (n = 80; M_age = 21.0 years) evaluated these same four experimental conditions but employed a cue-integration learning strategy and a moderate-intensity bout of acute exercise (64% of heart rate max). Results: These three experiments demonstrate that both learning techniques were effective in enhancing memory and we also provided evidence of a main effect for acute exercise (Experiment 3). However, we did not observe consistent evidence of a learning by exercise interaction effect. Conclusions: We demonstrate that both acute exercise and different learning techniques are effective in enhancing long-term memory function.

Preventive efforts in the aftermath of analogue trauma: The effects of Tetris and exercise on intrusive images

BACKGROUND AND OBJECTIVES

Efficacious interventions soon after trauma exposure to prevent posttraumatic stress disorder (PTSD) are scarce. Evidence suggests that post-trauma, reminder cues to reactivate trauma memory followed by a cognitive visuospatial task, such as Tetris, reduce later intrusive images. Furthermore, studies indicate that aerobic exercise may reduce PTSD symptoms. The present study aimed to test whether playing Tetris, without prior reminder cues, after an experimental trauma limits the development of analogue symptoms and to compare Tetris to aerobic exercise, which could plausibly alter cognitive-affective processing of the trauma as well.

METHODS

Participants (N = 71) watched a distressing film and were randomly assigned to either playing Tetris, cycling, or remaining sedentary for 25 min without prior reminder cues. Intrusive images and co-occurring distress were recorded in a diary during the following week. After one week, participants completed a recognition test to assess voluntary memories of the film.

RESULTS

Neither Tetris nor exercise, without prior memory reactivation, reduced intrusive images and associated distress nor impeded voluntary memory compared to the control condition. There were no effects of physical fitness level at baseline or voluntary exercise during the subsequent week on analogue symptoms.

LIMITATIONS

Although participants were instructed to record intrusions as they occurred in diaries, they did not receive additional reminders throughout the follow-up period.

CONCLUSIONS

Our findings suggest that neither a single bout of aerobic exercise, nor playing Tetris without prior memory reactivation, after an analogue trauma reduces stress symptoms. Potential explanations and clinical implications are discussed.

Acute Exercise on Memory Reconsolidation

Background and Objective: Once a memory is reactivated, it enters a labile state and, thus, is vulnerable to memory decay and/or distortion. Recent research demonstrates that acute, high-intensity exercise is associated with enhanced episodic memory function. Very limited research, however, has evaluated whether acute exercise can attenuate memory distortion from memory reactivation, which was the purpose of this study. Methods: A between-subject randomized controlled intervention was employed. Participants (N = 80) were randomly assigned to one of four groups, including (1) reminder with exercise, (2) reminder, (3) no reminder, and (4) interference control. For the groups, participants completed three visits (Visit 1, 2, and 3), which all occurred 48 hours apart. An exception to this was the interference control group, which did not complete Visit 2. On Visit 2, the reminder with exercise group engaged in a 15 min bout of high-intensity exercise (80% of heart rate reserve) immediately after memory reactivation. On Visit 3, participants engaged in a free recall (4 trials) of the memory task encoded on Visit 1. Results: In a 4 (groups) × 4 (learning trials) mixed-measures ANOVA, with the group as the between-subjects variable and the learning trials (1–4) as the within-subject variable, there was a significant main effect group, F(3, 76) = 4.18, p = 0.008, η²_p = 0.14, and a significant main effect for the learning trials, F(2.40, 182.59) = 49.25, p < 0.001, η²_p = 0.39, but there was no group by learning trials interaction, F(7.20, 182.59) = 1.07, p = 0.38, η²_p = 0.04. Conclusion: Our findings suggest that exercise may, potentially, attenuate memory distortion from memory reactivation. However, future work is needed to confirm these findings before any strong conclusions can be reached.

Acute Exercise Intensity and Memory Function: Evaluation of the Transient Hypofrontality Hypothesis

Background and Objective: The transient hypofrontality hypothesis predicts that memory function will be impaired during high-intensity exercise, as a result of a need for metabolic and cognitive resources to be allocated toward sustaining movement, as opposed to performing a cognitive task. The purpose of these experiments was to evaluate this transient hypofrontality hypothesis. Materials and Methods: Experiment 1 involved participants (n = 24; M_age = 21.9 years) completing four counterbalanced visits. Two visits evaluated working memory function, either at rest or during a high-intensity bout of acute exercise. The other two visits evaluated episodic memory function, either at rest or during a high-intensity bout of acute exercise. Experiment 2 (n = 24; M_age = 20.9 years) extended Experiment 1 by evaluating memory function (working memory) across 4 counterbalanced conditions, including at rest and during light (30% of heart rate reserve; HRR), moderate (50% HRR) and high-intensity (80% HRR) acute exercise. Results: Experiment 1 demonstrated that, when compared to rest, both working memory and episodic memory were impaired during high-intensity acute exercise. Experiment 2 replicated this effect, but then also showed that, unlike high-intensity acute exercise, memory function was not impaired during low- and moderate-intensity acute exercise. Conclusions: Our experiments provide support for the transient hypofrontality hypothesis. Both working memory and episodic memory are impaired during high-intensity acute exercise. Working memory does not appear to be impaired during lower exercise intensities.

High-Intensity Acute Exercise and Directed Forgetting on Memory Function

Background and Objectives: Despite accumulating research demonstrating that acute exercise may enhance memory function, very little research has evaluated whether acute exercise can effectuate intentional directed forgetting (DF), an adaptative strategy to facilitate subsequent memory performance. Materials and Methods: A three-arm parallel-group randomized controlled intervention was employed. Participants were randomized into one of three groups, including: (1) exercise plus DF (Ex + DF), (2) DF (directed forgetting) only (DF) and (3) R (remember) only (R). The acute bout of exercise included 15 min of high-intensity treadmill exercise. The memory assessment involved the presentation of two-word lists. After encoding the first word list, participants were either instructed to forget all of those words (DF) or to remember them. Following this, participants encoded the second word list. Results: We observed a statistically significant main effect for list F(1, 57) = 12.27, p < 0.001, η²_p = 0.18, but no main effect for group F(2, 57) = 1.32, p = 0.27, η²_p = 0.04, or list by group interaction, F(2, 57) = 2.89, p = 0.06, η²_p = 0.09. Conclusions: This study demonstrates a directed forgetting effect in that cueing an individual to forget a previously encoded list of items facilitates memory performance on a subsequent list of items. However, we failed to demonstrate any beneficial effect of acute exercise in facilitating directed forgetting. These findings are discussed in the context of directed forgetting theories, particularly the attention inhibition mechanism, as well as the timing of the acute bout of exercise.

Handedness, Grip Strength, and Memory Function: Considerations by Biological Sex

Background and Objective: The objective of this study was to evaluate the potential independent and interactive effects of handedness and grip strength on episodic memory function, and whether biological sex moderated these relationships. Materials and Methods: 162 young adults (Mage = 20.7 years) completed a series of memory assessments including a subjective memory complaint evaluation and several objective measures of memory. Handedness (i.e., left-hand dominant, inconsistent handedness (ICH), and right-hand dominant) was evaluated using the Edinburgh Handedness Inventory. Handgrip strength was determined from a handgrip dynamometer. Results: When compared to ICH individuals, retrospective memory scores were statistically significantly worse for left-handed (p = 0.02) and right-handed (p = 0.03) individuals. Higher grip strength was statistically significantly associated with fewer retrospective memory complaints (b = 0.10, 95% CI: 0.01, 0.19, p = 0.04). Conclusions: The present study provides some suggestive evidence that ICH (inconsistent handedness) and greater grip strength are associated with fewer retrospective memory complaints. However, we did not observe any evidence of an interaction effect of handedness and grip strength on memory, and similarly, biological sex did not interact with these parameters to influence memory.

Exercise and Episodic Specificity Induction on Episodic Memory Function

Background and objectives: Episodic specific induction (ESI) is a manipulation shown to enhance episodic memory function. Episodic specificity induction involves thoroughly unpacking a recently encoded memory, with this enhanced retrieval-induced process helping to facilitate subsequent cognitions. In addition to ESI, emerging work suggests that acute exercise may also help to facilitate episodic memory function. The purpose of this study was to evaluate the potential individual and combined effects of acute exercise and ESI on subsequent episodic memory performance. Materials and Methods: Participants (n = 120) were randomly assigned into one of four groups, (1) ESI and exercise (ESI + E), (2) ESI only (ESI), (3) exercise only (E), and (4) no ESI and no exercise (Control; C). The ESI protocol involved watching a short video and then recalling details about the setting, people, and actions in the video. The exercise protocol involved an acute bout (15 min) of treadmill exercise. After these tasks, episodic memory function was evaluated with an autobiographical interview assessment and a computerized episodic memory task involving what–where–when integration. Results: We did not observe significant main effects for exercise or ESI on memory function but did observe some suggestive evidence of an interaction effect of these two parameters on episodic memory. That is, for the exercise group, memory performance was higher when combined with ESI as opposed to without ESI. Conclusions: Acute exercise and ESI may interact to influence episodic memory function.

The Effects of Acute Exercise on Retroactive Memory Interference

PURPOSE

Retroactive interference involves the disruption of previously encoded information from newly learned information and thus may impair the consolidation of long-term memory. The objective of this study was to evaluate whether acute exercise can attenuate retroactive memory interference.

DESIGN

Three experimental studies were employed. Experiment 1 employed a between-subject randomized control trial (RCT) involving moderate-intensity walking (15 minutes). Experiment 2 employed a between-subject RCT involving high-intensity jogging (15 minutes). Experiment 3 employed a within-subject RCT involving moderate-intensity walking (15 minutes).

SETTING

University setting.

PARTICIPANTS

One hundred twelve young adults.

MEASURES

After exercise, memory interference was evaluated from an episodic word-list memory task, involving the recall of 2 word lists.

RESULTS

The pooled effect size (standard difference in means: -0.35; 95% confidence interval: -0.64 to -0.06) across the 3 experiments was statistically significant (P = .01).

CONCLUSION

We provide suggestive evidence that acute, short-duration exercise may help attenuate a retroactive memory interference effect. Implications of these findings for exercise to improve memory and attenuate memory decay are discussed.

Exercise and Retrieval-Induced Forgetting

Retrieving a subset of items from memory can cause forgetting of other related items in memory, referred to as retrieval-induced forgetting (RIF). This type of forgetting (RIF) is thought to be related to working memory and executive control processes, of which are known to be influenced by acute exercise. The objective of this study was to evaluate whether acute exercise could accentuate RIF. A two-arm, parallel-group randomized controlled intervention was employed. Participants (N = 40) were randomized into one of two groups, including an experimental group (15-min of moderate-intensity exercise) and a control group (time-matched seated task). Retrieval-induced forgetting (RIF) and retrieval practice (RP) were assessed from a category-exemplar memory task. There was no significant main effect for RIF and no group by RIF interaction, suggesting that acute exercise did not alter RIF more than the control group. There was a significant main effect for RP, but there was no group by RP interaction. These RP findings align with the RIF findings, indicating that acute exercise did not alter RP more so than the control group. In conclusion, our experimental results do not provide support for an association of acute exercise on retrieval-induced forgetting or retrieval practice.

Experimental Effects of Acute Exercise in Attenuating Memory Interference: Considerations by Biological Sex

Background and Objectives: The objective of this experiment was to evaluate the effects of acute exercise on memory interference and determine if this potential relationship is moderated by sex. Materials and Methods: A randomized controlled experiment was conducted (N = 40), involving young adult males (n = 20) and females (n = 20) completing two counterbalanced visits (exercise and no exercise). The exercise visit involved an acute (15 min), moderate-intensity bout of treadmill exercise, while the control visit involved a time-matched seated task. Memory interference, including both proactive interference and retroactive interference, involved the completion of a multi-trial memory task. Results: In a factorial ANOVA with the outcome being List B, there was a main effect for condition (F(1,38) = 5.75, P = 0.02, n²_p = 0.13), but there was no main effect for sex (F(1,38) = 1.39, P = 0.24, n²_p = 0.04) or sex by condition interaction (F(1,38) = 1.44, P = 0.23, n²_p = 0.04). Conclusion: In conclusion, acute moderate-intensity exercise was effective in attenuating a proactive memory interference effect. This effect was not moderated by biological sex.

Experimental Manipulation of Psychological Control Scenarios: Implications for Exercise and Memory Research

The purpose of this experiment was to evaluate the extent to which variations in control activities influence memory function, as well as to investigate the participants’ memory expectations for the various conditions. A within-subject, counterbalanced experimental design was employed. Across four visits, participants engaged in four tasks, including an acute exercise session, and three cognitive-engagement control tasks of varying degrees of cognitive engagement and valence, namely reading neutral text, looking at a video, and puzzle completion. Participants’ perceived expectations for how each condition would improve their memory performance was also assessed. We observed no differences in objective cognitive performance or outcome expectations across the three evaluated control tasks, and thus, future studies may wish to employ either of these control tasks, which should not compromise making comparisons across studies.

The effects of acute exercise on episodic memory function among young university students: moderation considerations by biological sex

Background: The objective of this study was to evaluate potential sex-specific differences on episodic memory function and determine whether sex moderates the effects of acute exercise on episodic memory.

Methods: A randomized controlled intervention was employed. This experiment was conducted among young University students (mean age = 21 years). Both males (n=20) and females (n=20)completed two counterbalanced laboratory visits, with one visit involving a 15-minute bout of moderate-intensity exercise prior to the memory task. The control visit engaged in a time matched seated task. Memory function (including short-term memory, learning, and long-term memory) was assessed from the RAVLT (Rey Auditory Verbal Learning Test).

Results: We observed a significant main effect for time (P<0.001, ƞ²_p= 0.77) and a marginally significant main effect for sex (P=0.06, ƞ²_p= 0.09), but no time by sex by condition interaction(P=0.91, ƞ²_p= 0.01). We also observed some suggestive evidence of a more beneficial effect of acute exercise on memory for females.

Conclusion: In conclusion, females outperformed males in verbal memory function. Additional research is needed to further evaluate whether sex moderates the effects of acute exercise on memory function.

Effects of Intensity-Specific Acute Exercise on Paired-Associative Memory and Memory Interference

The improvement of memory performance is an ever-growing interest in research, with implications in many fields. Thus, identifying strategies to enhance memory and attenuate memory interference is of great public health and personal interest. The objective of this paper was to evaluate the role of intensity-specific acute exercise on improving paired-associative memory function and attenuating memory interference. A counterbalanced, randomized controlled, within-subject experimental design was employed. The three counterbalanced visits included a control visit, moderate-intensity exercise (50% of HRR; heart rate reserve) and vigorous-intensity exercise (80% of HRR), all of which occurred prior to the memory assessment. To evaluate memory interference, an AB/AC paired-associative task was implemented for each laboratory visit. The number of correctly recalled words from List 1 (AB–DE) was statistically significantly (F = 4.63, p = 0.01, η2p = 0.205) higher for the vigorous-intensity condition (M = 6.53, SD = 1.54) as compared to moderate-intensity (M = 6.11, SD = 1.59) and control (M = 5.00, SD = 2.56) conditions. No statistical significance was found between proactive interference or retroactive interference across the experimental conditions. This experiment provides evidence for an intensity-specific effect of acute exercise on short-term, paired-associative memory, but not memory interference.

The effects of acute exercise intensity on episodic and false memory among young adult college students

Background: Previous experimental work demonstrates that acute exercise may enhance episodic memory performance. However, limited research has examined the extent to which acute exercise influences false episodic memory production, and no studies, to date, have examined whether there is an intensity-specific effect of acute exercise on both true episodic and false episodic memories. Thus, the present experiment evaluated the effects of intensity-specific acute exercise on episodic memory and false episodic memory. Methods: A three-arm, parallel, between-group randomized controlled trial was employed in the University setting, with participants (N=60; M_age= 20.8 years) randomized into a moderate intensity exercise group (15-minute bout of treadmill exercise at 50% heart rate reserve), a high intensity exercise group (15-minute bout of treadmill exercise at 80% heart rate reserve), or a control group (time-matched period of sitting). True episodic and false episodic memory were both assessed using 6 word-lists from the Deese-Roediger-McDermott (DRM) paradigm, including both a short-term recall and a delayed memory recognition assessment. Results: For the number of words recalled across each of the 6 lists, there was a significant main effect for list (P<0.001, η² _p=0.15), marginally significant main effect for group (P=0.07, η² _p=0.09), but no list by group interaction effect (P=0.44, η² _p=0.03). Those in the high-intensity exercise group recalled significantly (P<0.05) more words than the control group. For the false episodic word recall, across various lists, high-intensity acute exercise was associated with a greater rate of false episodic memories. For the memory recognition task, there was no main effect for word type (P=0.46, η² _p=0.01), group (P=0.4443, η² _p=.03), word type by group interaction (P=0.44,η² _p=0.03), recall by group interaction (P=0.4441, η² _p=0.04), or word type by recall by group interaction (P=0.32, η² _p=0.04). However, there was a main effect for recall (P<0.001, η² _p=.54)and a word type by recall interaction (P<0.001, η² _p=0.77). Conclusion: These findings suggest that acute high-intensity exercise may enhance true episodic memories, and, possibly, also increase the rate of false episodic memories. We discuss these findings in the context of how different acute exercise intensities may have unique and differential effects on underlying mechanistic processes related to true and false episodic memory.

The Temporal Effects of Acute Exercise on Episodic Memory Function: Systematic Review with Meta-Analysis

Background: Accumulating research demonstrates that the timing of exercise plays an important role in influencing episodic memory. However, we have a limited understanding as to the factors that moderate this temporal effect. Thus, the purpose of this systematic review with meta-analysis was to evaluate the effects of study characteristics (e.g., exercise modality, intensity and duration of acute exercise) and participant attributes (e.g., age, sex) across each of the temporal periods of acute exercise on episodic memory (i.e., acute exercise occurring before memory encoding, and during memory encoding, early consolidation, and late consolidation). Methods: The following databases were used for our computerized searches: Embase/PubMed, Web of Science, Google Scholar, Sports Discus and PsychInfo. Studies were included if they: (1) Employed an experimental design with a comparison to a control group/visit, (2) included human participants, (3) evaluated exercise as the independent variable, (4) employed an acute bout of exercise (defined as a single bout of exercise), (5) evaluated episodic memory as the outcome variable (defined as the retrospective recall of information either in a spatial or temporal manner), and (6) provided sufficient data (e.g., mean, SD, and sample size) for a pooled effect size estimate. Results: In total, 25 articles met our inclusionary criteria and were meta-analyzed. Acute exercise occurring before memory encoding (d = 0.11, 95% CI: −0.01, 0.23, p = 0.08), during early memory consolidation (d = 0.47, 95% CI: 0.28, 0.67; p < 0.001) and during late memory consolidation (d = 1.05, 95% CI: 0.32, 1.78; p = 0.005) enhanced episodic memory function. Conversely, acute exercise occurring during memory encoding had a negative effect on episodic memory (d = −0.12, 95% CI: −0.22, −0.02; p = 0.02). Various study designs and participant characteristics moderated the temporal effects of acute exercise on episodic memory function. For example, vigorous-intensity acute exercise, and acute exercise among young adults, had greater effects when the acute bout of exercise occurred before memory encoding or during the early memory consolidation period. Conclusions: The timing of acute exercise plays an important role in the exercise-memory interaction. Various exercise- and participant-related characteristics moderate this temporal relationship.

An integrated model of acute exercise on memory function

Memory is a complex cognition that plays a critical role in daily functioning. This review discusses the dynamic effects of acute exercise on memory function, via a hypothesized exercise-memory interaction model, taking into consideration multiple memory systems and exercise parameters.

Association between habitual physical activity on episodic memory strategy use and memory controllability

Background: The primary objective of this study was to evaluate the association between habitual physical activity engagement and perceived controllability of memory function. Secondary objectives included the evaluation of physical activity on memory strategy use, and whether the latter mediates the relationship between physical activity on memory controllability. Methods: Two-hundred and nine young adults (M_age=25 y) completed a brief survey evaluating physical activity (Physical Activity Vital Signs Questionnaire), memory strategy use (Memory Functioning Questionnaire), and memory controllability (Memory Controllability Inventory). Results: Physical activity was not associated with memory strategy use (β=0.68; 95% CI: -1.25,2.62; P=0.48), nor was memory strategy use associated with memory controllability. Physical activity was consistently associated with various attributes of memory controllability, including Present Ability (β=1.10; 95% CI: 0.07, 2.12; P=0.03), Potential Improvement (β=0.84; 95% CI:0.05, 1.63; P=0.03), Effort Utility (β=0.87; 95% CI: 0.11, 1.61; P=0.02), Inevitable Decrement (β=-1.19; 95% CI: -2.19, -0.19; P=0.02) and Alzheimer's likelihood (β=-1.21; 95% CI: -2.29,-0.12; P=0.02). Conclusion: Physical activity is consistently associated with greater perceptions of memory controllability. Future longitudinal and experimental work on this topic is warranted to evaluate if physical activity can foster an individual's ability to modify their behavior and cognitions to enhance and preserve memory function.

Experimental effects of exercise on memory function among mild cognitive impairment: systematic review and meta-analysis

OBJECTIVE

The objective of this study was to evaluate the experimental effects of exercise on memory function among adults with mild cognitive impairment (MCI).

METHODS

A systematic review and meta-analysis were employed. Studies were identified using electronic databases, including PubMed, PsychInfo, SPORTDiscus, and Google Scholar. To be eligible for inclusion, studies had to employ an experimental design, be conducted in humans (no animal models) with mild cognitive impairment, include an exercise intervention arm (either acute exercise or chronic training), and measure memory function (any type) as the outcome measure. Comprehensive Meta-Analysis software was used to compute the standardized mean difference effect size (Cohen's d) and 95% CI using a random-effects model.

RESULTS

In total, 11 studies met our criteria, contributing to 20 effect size estimates. Among the 20 effect size estimates, 13 contributed to a short-term memory recall, with 7 contributing to a delayed/long-term memory recall. The overall weighted mean effect size was d = 0.30 (95% CI: 0.16-0.44; P < 0.001), indicating a small to medium effect of exercise on improving memory function. For the moderation analysis, there was no evidence of a moderation effect for recall duration (Q = 0.004, df(1), P = 0.95), as exercise (vs. control) demonstrated both short-term (d = 0.31; 95% CI: 0.14-0.47; P < 0.001) and long-term memory (d = 0.29; 95% CI: 0.06-0.53; P = 0.013) benefits.

CONCLUSION

Current evidence suggests that exercise may help to improve memory function among those with MCI. Safe and progressive forms of exercise should be promoted among MCI patients.

The Active Ingredient of Cognitive Restoration: A Multicenter Randomized Controlled Trial of Sequential Combination of Aerobic Exercise and Computer-Based Cognitive Training in Stroke Survivors With Cognitive Decline

OBJECTIVE

To investigate the efficacy of a sequential combination of aerobic exercise and cognitive training on cognitive function and other health-related outcomes in stroke survivors with cognitive decline.

DESIGN

Intervention study and randomized controlled trial.

SETTING

Hospital-based rehabilitation units.

PARTICIPANTS

Survivors of stroke with cognitive decline (N=30) were randomized to sequential combination training (SEQ) (n=15) or an active control (n=15) group.

INTERVENTIONS

The SEQ group received 30 minutes of aerobic exercise, followed by 30 minutes of computerized cognitive training. The control group received 30 minutes of nonaerobic physical exercise, followed by 30 minutes of unstructured mental activities.

MAIN OUTCOME MEASURES

The primary outcome measure was cognitive function. Secondary outcome measures included physical function, social participation, and quality of life.

RESULTS

Compared with the control group, the SEQ group had significantly improved Montreal Cognitive Assessment scores (P=.03) and Wechsler Memory Scale span scores (P=.012) after training. The endurance and mobility level measured by the 6-minute walk test (P=.25) was also enhanced in the SEQ group relative to the control group. However, the transfer of sequential training to social participation (Community Integration Questionnaire) and quality of life (EuroQoL questionnaire) was limited (P>.05 for both).

CONCLUSIONS

Aerobic exercise combined with computerized cognitive training has better effects on the cognitive functional status of survivors of stroke than an active control. The cognitive functional status of stroke survivors was better after participation in aerobic exercise combined with computerized training than after active control therapy, demonstrating the clinical significance of this combination therapy.

Inter-individual differences in working memory improvement after acute mild and moderate aerobic exercise

Many studies have shown that aerobic exercise improves cognitive function and maintains brain health. In particular, moderate-intensity exercise is effective for improving cognitive performance. However, there is no strong consensus on whether a single exercise session improves working memory (WM) function, as it does inhibitory function. It is possible that these discrepancies involve inter-individual differences in WM function. Therefore, we investigated whether acute mild and moderate aerobic exercise improve WM, and whether there exist inter-individual differences in improvements in WM. Thirty healthy subjects were recruited and participated in three experimental conditions (control, mild-intensity exercise, and moderate-intensity exercise). Subjects performed 10 min of exercise on a cycle ergometer with an individualized load. Their pedaling rate was maintained at 60 rpm. In the control condition, subjects rested on the cycle ergometer instead of performing exercise. The N-back task (2-back and 0-back task) was performed to assess WM function before, 5 min, and 15 min after the 10-min exercise session. In this study, to elucidate the effect of an acute bout of mild or moderate exercise on WM, the “2-back– 0-back” contrast, which is assumed to represent WM function, was calculated. The Two-Dimensional Mood Scale was adopted to measure changes in psychological mood states efficiently. The results revealed that working memory function was not improved by acute mild or moderate exercise. However, baseline working memory function was significantly associated with any change in working memory function following exercise, and this was independent of exercise intensity. Subjects with the lowest working memory function at baseline responded the most favorably. The results revealed that improvements in working memory function after a single session of aerobic exercise depend on baseline working memory function.

Exercise and cardiorespiratory fitness on subjective memory complaints

The purpose of this study was to examine the association between exercise and estimated cardiorespiratory fitness on subjective memory complaints in young adults. Four-hundred and 64 young adult college students (18-35 yrs) completed an online survey. Exercise behavior was assessed from the Physical Activity Vital Signs Questionnaire. Cardiorespiratory fitness was evaluated from an algorithm that included an assessment of age, gender, body mass index, waist circumference, resting heart rate, habitual physical activity behavior, and smoking status. Subjective memory complaints were assessed using the Prospective-Retrospective Memory Questionnaire. Subjective memory complaints were common among this young adult sample. However, exercise was not statistically significantly associated with prospective (β = -0.002, P = 0.25) or retrospective (β = -0.001, P = 0.26) memory complaints. Results were similar for cardiorespiratory fitness. In conclusion, we did not observe an association between exercise and estimated cardiorespiratory fitness on subjective memory complaints in young adults.

Hypothesized mechanisms through which acute exercise influences episodic memory

Emerging research demonstrates that exercise is favorably associated with several cognitive outcomes, including episodic memory function. The majority of the mechanistic work describing the underlying mechanisms of this effect has focused on chronic exercise engagement. Such mechanisms include, e.g., chronic exercise-induced neurogenesis, gliogenesis, angiogenesis, cerebral circulation, and growth factor production. Less research has examined the mechanisms through which acute (vs. chronic) exercise subserves episodic memory function. The purpose of this review is to discuss these potential underlying mechanisms, which include, e.g., acute exercise-induced (via several pathways, such as vagus nerve and muscle spindle stimulation) alterations in neurotransmitters, synaptic tagging/capturing, associativity, and psychological attention.

The Effect of Acute Exercise on Encoding and Consolidation of Long-Term Memory

Evidence supports that acute exercise benefits long-term memory. However, it is unclear whether these effects are due to benefits to encoding or consolidation. The purpose of this study was to more effectively isolate encoding and consolidation to advance our understanding of the specific nature of the effects of exercise on long-term memory. Using a within-subject design, participants completed a control session (no exercise), an encoding and consolidation condition (exercise prior to exposure to the memory task, E + C), and a consolidation condition (exercise following exposure). The exercise was 30 min of moderate-intensity cycling. Memory was assessed using the Rey Auditory Verbal Learning Test with recall assessed at 60 min and recall and recognition assessed at 24 hr. Results showed that the E + C condition had significantly better recall at 60 min and 24 hr than the no-exercise condition. This provides additional evidence that acute exercise benefits encoding more than consolidation.

The Experimental Effects of Acute Exercise on Long-Term Emotional Memory

Emerging work suggests that acute, moderate-intensity aerobic exercise may help to subserve episodic memory of neutral stimuli. Less investigated, however, is whether acute exercise is associated with enhanced memory recognition of emotional stimuli, which was the purpose of this experiment. A parallel-group randomized controlled experiment was employed. Participants (mean age = 20 yr) were randomized into an exercise (n = 17) or control group (n = 17). The exercise group engaged in a 15-min bout of moderate-intensity treadmill walking. Emotional memory recognition was assessed via images from the International Affective Picture System, including assessments of varying degrees of valence and arousal. Memory recognition was assessed at 1 day, 7 days, and 14 days post-memory encoding. We observed a significant main effect for time (F(2) = 104.2, p < 0.001, η²_p = 0.77) and a significant main effect for valence–arousal classification (F(4) = 21.39, p < 0.001, η²_p = 0.40), but there was no significant time by group interaction (F(2) = 1.09, p = 0.34, η²_p = 0.03), classification by group interaction (F(4) = 0.12, p = 0.97, η²_p = 0.01), time by classification interaction (F(8) = 1.78, p = 0.08, η²_p = 0.05), or time by classification by group interaction (F(8) = 0.78, p = 0.62, η²_p = 0.02). In conclusion, emotional memory recognition decreased over the 14-day follow-up period and this rate of memory decay was not altered by acute moderate-intensity exercise engagement. We discuss these findings in the context of exercise intensity and the temporal effects of exercise.

Intensity-specific effects of acute exercise on human memory function: considerations for the timing of exercise and the type of memory

Background: The purpose of this review was to evaluate whether acute exercise intensities have unique effects on memory function, and whether this is influenced by memory type as well as the temporality of the acute exercise bout.

Methods: A systematic review was employed, using several databases (PubMed, PsychInfo,Sports Discus, Google Scholar, Embase).

Results: In total, 9 articles met the study criteria. All 9 studies evaluated either working memory capacity or episodic-related memory function. The main findings across these studies were 1) when acute exercise occurs before the memory task, high-intensity exercise may be less favorable for working memory but may favor episodic memory; 2) when acute exercise occurs during the memory task, high-intensity exercise may be less favorable for working memory capacity; and 3) high-intensity exercise may not associate with long-term memory function when it occurs shortly after memory encoding.

Conclusion: The relationship between acute exercise and memory is complex and may vary based on the intensity of exercise, the temporality of exercise, and the memory type evaluated.

Effects of the Timing of Acute Exercise and Movement Complexity on Young Adults' Psychomotor Learning

The role of acute bouts of exercise on young adults' psychomotor learning was assessed in two experiments. In Experiment 1, 10 min of exercise performed immediately following pursuit-rotor training improved retention of tracking movements, but only when measured 7 days following encoding and only under exercise conditions that required complex decisions. In Experiment 2, 10 min of exercise performed immediately prior to encoding resulted in a retention pattern similar to that seen in Experiment 1; however, performance did not differ significantly between exercise and control groups. In both experiments, retention of motor movement was greater when measured 24 hr and 7 days after training, as opposed to immediately following encoding. The mnemonic benefits of moderately vigorous complex physical activity appear to assist a motor memory trace to transform from a fragile to a more persistent state.

Influencing Exercise and Hydration Self-Care Practices of Baccalaureate Nursing Students

PURPOSE

Health promotion is often neglected by students during their nursing education, yet research indicates that self-care practices can significantly reduce compassion fatigue and burnout. An intervention study investigated strategies to increase exercise and hydration in baccalaureate nursing students.

METHOD

Using a convenience sample ( n = 73), data were collected through pre- and postsurveys of nursing students participating in an 8-week period that focused on strategies to increase walking and drinking water.

FINDINGS

Several significant trends emerged from the study participants ( n = 21). Younger (18-25 years) students perceived their health status as excellent to good, while older (26-50+ years) students viewed their health status as fair to poor. Although no significant difference in exercise occurred between pre- and postsurvey, a trend of an increase in frequency was noted. A dramatic increase of nearly 16 ounces in water consumption was reported on both clinical ( p = .032) and nonclinical ( p = .028) days. The findings are supported by Pender's health promotion model concept of self-efficacy.

CONCLUSION

The frequency of exercise and amount of hydration increased during the 8-week intervention period. Despite a small sample size and short intervention period, results merit further research on the positive influences of self-care practices in nursing students.

Exercise Similarly Facilitates Men and Women's Selective Attention Task Response Times but Differentially Affects Memory Task Performance

Previous research has found that acute, moderate-intensity physical exercise enhances selective attention and memory and that men and women show differential performance on tasks measuring these skills. Although exercise and participant sex have been examined separately, it remains unknown whether acute, moderate-intensity exercise differentially affects men and women’s selective attention and memory encoding and retrieval. Participants in the present study completed two 10-min sessions of either moderate-intensity exercise comprised of jumping rope alternating with walking in place or an active control protocol comprised of watching wellness videos alternating with walking in place. Each participant completed a selective attention task and a task assessing recognition and object location memory immediately after exercising. Exercise was related to overall faster performance during the selective attention task, with no differences in men and women’s performance. Women showed better recognition memory compared to men. Exercise specifically improved object location memory among men, but only among participants who completed the memory task second. These findings suggest that acute, moderate-intensity exercise differentially affects men and women’s memory, which may be related to complex interactions between exercise, sex hormones, and the neurotrophin BDNF.

Experimental investigation of the effects of acute exercise on memory interference

Background: Among other factors, including the decay theory, interfering stimuli (proactive and retroactive interference; PI and RI) may influence the encoding and consolidation of target information. Acute exercise can enhance episodic memory function, but no experiments have evaluated whether exercise can attenuate PI and RI effects on memory, which was the purpose of this experiment.

Methods: Twenty young adults were randomized (via computer program) into one of 6 experimental groups (N=120, n=20 per group), including 3 PI (G1, G2, and G3) and 3 RI groups (G4, G5, and G6). Those in G1 and G4 exercised prior to a 10-list AB/AC paradigm with interference; G2 and G5 did not exercise but had interference; and G3 and G6 were the control groups with no exercise and no interference.

Results: The mean (95% CI) number of correctly recalled word pairs across the 6 respective groups was 2.4 (1.2-3.5), 2.4 (1.3-3.5), 5.1 (3.9-6.3), 6.9 (5.7-8.0), 5.0 (4.2-5.8), and 6.1 (5.1-6.9) (FANOVA=11.7; P<0.001; η2=0.33). For PI, the control group (group 3) correctly recalled more word pairs (5.1) when compared to the exercise interference group (2.4; group 1) or the non-exercise interference group (2.4; group 2). The difference between group 1 and 3 (2.4 vs.5.1) was significant (P=0.003), as was group 2 vs. 3 (P=0.002). For the RI groups (groups 4-6),group 4 differed from group 5 (6.9 vs. 5.0; P=0.01), but there was no difference between group 4 and group 6 (P=0.25) or group 5 and group 6 (P=0.09).

Conclusion: These preliminary findings suggest that acute exercise may be more beneficial for RI compared to PI, but additional experimental work is needed.

Experimental Effects of Acute Exercise on Episodic Memory Function: Considerations for the Timing of Exercise

Our previous work employing a between-subject randomized controlled trial design suggests that exercising prior to memory encoding is more advantageous in enhancing retrospective episodic memory function when compared to exercise occurring during or after memory encoding. The present experiment evaluates this potential temporal effect of acute exercise on memory function while employing a within-subject, counterbalanced design. In a counterbalanced order (via Latin squares), 24 participants completed four visits including (1) exercising (moderate-intensity walking) prior to memory encoding, (2) exercising during memory encoding, (3) exercising after memory encoding, and (4) a control visit (no exercise). Retrospective memory function (short term and long term; 24-hour follow-up) was assessed from a multitrial word list. Prospective memory was assessed from a time-based task. Compared to all other visits, short-term memory was greater in the visit that involved exercising prior to memory encoding (F = 3.76; P = .01; η²= .79). Similar results occurred for long-term memory, with no significant effects for prospective memory performance. We provide robust evidence demonstrating that acute moderate-intensity exercise prior to memory encoding is optimal in enhancing short-term and long-term memory function when compared to no exercise as well as exercising during and after memory encoding.

Experimental Investigation of the Time Course Effects of Acute Exercise on False Episodic Memory

Previous experimental work suggests that acute exercise may positively influence the accurate recall of past episodic events. However, few studies have examined whether acute exercise also reduces the number of false episodic memories. We evaluated this paradigm in conjunction with an examination of the temporal effects of acute exercise, which have previously been shown to play an important role in subserving episodic memory function. Twenty young adults participated in three experimental visits, including a non-exercise control visit, a visit involving an acute bout (20 min) of moderate-intensity exercise occurring prior to the memory task, and a visit involving an acute bout of exercise occurring during the encoding of the memory task. All visits were counterbalanced and occurred at least 24 h apart. The Deese–Roediger–McDermott (DRM) Paradigm, involving a separate word list trial for each visit, was employed to assess accurate and false episodic memory recall. For each visit, a short-term (immediate recall) and a long-term (25-min delay) memory recall was assessed. For both time points, the visit that involved exercise prior to encoding resulted in better short-term and long-term memory function (F(2) = 11.56, p < 0.001, η²_p = 0.38). For both time points, the control visit resulted in a greater number of false memories. These findings suggest that acute moderate-intensity exercise may help to increase the accurate recall of past episodic memories and may help to reduce the rate of false memories.

Randomized Controlled Trial Considering Varied Exercises for Reducing Proactive Memory Interference

We evaluated the effects of exercise on proactive memory interference. Study 1 (n = 88) employed a 15-min treadmill walking protocol, while Study 2 (n = 88) included a 15-min bout of progressive maximal exertion treadmill exercise. Each study included four distinct groups, in which groups of 22 participants each were randomly assigned to: (a) exercise before memory encoding, (b) a control group with no exercise, (c) exercise during memory encoding, and (d) exercise after memory encoding (i.e., during memory consolidation). We used the Rey Auditory Verbal Learning Test (RAVLT) to assess proactive memory interference. In both studies, the group that exercised prior to memory encoding recalled the most words from list B (distractor list) of the RAVLT, though group differences were not statistically significant for Study 1 (walking exercise) (p = 0.521) or Study 2 (high-intensity exercise) (p = 0.068). In this sample of young adults, high intensity exercise prior to memory encoding showed a non-significant tendency to attenuate impairments in recall attributable to proactive memory interference. Thus, future work with larger samples is needed to clarify potential beneficial effects of exercise for reducing proactive memory interference.

Experimental Effects of Acute Exercise on Prospective Memory and False Memory

Research demonstrates that acute exercise can enhance retrospective episodic memory performance. However, limited research has examined the effects of acute exercise on prospective memory, and no studies have examined the effects of exercise on false memory performance. This study examined the potential effects of acute exercise on prospective memory and false memory performance. A between-group randomized controlled trial was employed, with participants (college students; M_age = 20 years) randomized into an exercise group (15-minute acute bout of treadmill walking; N = 25) or a control group (15 minutes of sitting; N = 26). Prospective memory was assessed from two laboratory and two naturalistic assessments outside the lab. False memory was assessed using a word-list trial. There were no statistically significant differences in prospective memory based on group allocation (F_Group×Time = 1.17; P = 0.32; η²= 0.06). However, the control group recalled more false words and had a higher rate of false memory recognition (F_Group×Time = 3.15; P = 0.01; η²= 0.26). These findings indicate that acute moderate-intensity aerobic exercise is not associated with prospective memory performance but provides some suggestive evidence that acute exercise may reduce the rate of false memories.

Experimental Effects of Acute Exercise on Iconic Memory, Short-Term Episodic, and Long-Term Episodic Memory

The present experiment evaluated the effects of acute exercise on iconic memory and short- and long-term episodic memory. A two-arm, parallel-group randomized experiment was employed (n = 20 per group; Mage = 21 year). The experimental group engaged in an acute bout of moderate-intensity treadmill exercise for 15 min, while the control group engaged in a seated, time-matched computer task. Afterwards, the participants engaged in a paragraph-level episodic memory task (20 min delay and 24 h delay recall) as well as an iconic memory task, which involved 10 trials (at various speeds from 100 ms to 800 ms) of recalling letters from a 3 × 3 array matrix. For iconic memory, there was a significant main effect for time (F = 42.9, p < 0.001, η²p = 0.53) and a trend towards a group × time interaction (F = 2.90, p = 0.09, η²p = 0.07), but no main effect for group (F = 0.82, p = 0.37, η²p = 0.02). The experimental group had higher episodic memory scores at both the baseline (19.22 vs. 17.20) and follow-up (18.15 vs. 15.77), but these results were not statistically significant. These findings provide some suggestive evidence hinting towards an iconic memory and episodic benefit from acute exercise engagement.

The Role of Sex in Memory Function: Considerations and Recommendations in the Context of Exercise

There is evidence to suggest that biological sex plays a critical role in memory function, with sex differentially influencing memory type. In this review, we detail the current evidence evaluating sex-specific effects on various memory types. We also discuss potential mechanisms that explain these sex-specific effects, which include sex differences in neuroanatomy, neurochemical differences, biological differences, and cognitive and affect-related differences. Central to this review, we also highlight that, despite the established sex differences in memory, there is little work directly comparing whether males and females have a differential exercise-induced effect on memory function. As discussed herein, such a differential effect is plausible given the clear sex-specific effects on memory, exercise response, and molecular mediators of memory. We emphasize that future work should be carefully powered to detect sex differences. Future research should also examine these potential exercise-related sex-specific effects for various memory types and exercise intensities and modalities. This will help enhance our understanding of whether sex indeed moderates the effects of exercise and memory function, and as such, will improve our understanding of whether sex-specific, memory-enhancing interventions should be developed, implemented, and evaluated.

Effects and mechanism of the HECT study (hybrid exercise-cognitive trainings) in mild ischemic stroke with cognitive decline: fMRI for brain plasticity, biomarker and behavioral analysis

Purpose

Cognitive decline after stroke is highly associated with functional disability. Empirical evidence shows that exercise combined cognitive training may induce neuroplastic changes that modulate cognitive function. However, it is unclear whether hybridized exercise-cognitive training can facilitate cortical activity and physiological outcome measures and further influence on the cognitive function after stroke. This study will investigate the effects of two hybridized exercise-cognitive trainings on brain plasticity, physiological biomarkers and behavioral outcomes in stroke survivors with cognitive decline.

Methods and significance

This study is a single-blind randomized controlled trial. A target sample size of 75 participants is needed to obtain a statistical power of 95% with a significance level of 5%. Stroke survivors with mild cognitive decline will be stratified by Mini-Mental State Examination scores and then randomized 1:1:1 to sequential exercise-cognitive training, dual-task exercise-cognitive training or control groups. All groups will undergo training 60 min/day, 3 days/week, for a total of 12 weeks. The primary outcome is the resting-state functional connectivity and neural activation in the frontal, parietal and occipital lobes in functional magnetic resonance imaging. Secondary outcomes include physiological biomarkers, cognitive functions, physical function, daily functions and quality of life. This study may differentiate the effects of two hybridized trainings on cognitive function and health-related conditions and detect appropriate neurological and physiological indices to predict training effects. This study capitalizes on the groundwork for a non-pharmacological intervention of cognitive decline after stroke.

Temporal Effects of Acute Walking Exercise on Learning and Memory Function

PURPOSE

To evaluate the temporal effects of acute exercise on episodic memory.

DESIGN

A quasi-experimental study.

SAMPLE

Eighty-eight college students (N = 22 per group).

MEASURES

Four experimental groups were evaluated, including a control group, exercising prior to memory encoding, exercising during encoding, and exercising during memory consolidation. The exercise stimulus consisted of a 15-minute moderate-intensity walk on a treadmill. Participants completed the Rey Auditory Verbal Learning Test (RAVLT) to assess learning and memory. Prospective memory was assessed via a Red Pen Task. Long-term memory (recognition and attribution) of the RAVLT was assessed 20 minutes and 24 hours after exercise.

ANALYSIS

Repeated-measures analysis of variance (ANOVA) assessed the performance of RAVLT scores of trials 1 to 5 across groups. One-way ANOVA assessed the performance of individual trials across groups, whereas χ² assessed the performance of the Red Pen Task across groups.

RESULTS

Regarding learning, the interaction of groups × trial was marginally statistically significant ( F_12,332 = 1.773, P = .05), indicating that the group which exercised before encoding did better than the group that exercised during encoding and consolidation. For both 24-hour recognition and attribution performance, the group that exercised before memory encoding performed significantly better than the group that exercised during consolidation ( P = .05 recognition, P = .006 attribution).

DISCUSSION

Engaging in a 15-minute bout of moderate-intensity walking before a learning task was effective in influencing long-term episodic memory.

The Effects of Exercise on Memory Function Among Young to Middle-Aged Adults: Systematic Review and Recommendations for Future Research

OBJECTIVE

To systematically summarize the experimental effects of exercise on cognitive-related memory function among young to middle-aged adults, which has yet to be done in the literature.

DATA SOURCE

PubMed.

STUDY INCLUSION AND EXCLUSION CRITERIA

Studies were included if they were published in the English language, indexed in PubMed, employed an experimental study design (eg, traditional parallel group randomized controlled trial: either acute intervention or chronic/training intervention study), and conducted among human adults. Studies were excluded if nonhumans (ie, animal models) were studied, if children/adolescents (<18 years) or older adults (>50 years) were evaluated, and if select chronic diseases (eg, diabetes and dementia) were present.

DATA EXTRACTION

A systematic review approach was employed.

DATA SYNTHESIS

An extraction table was created synthesizing the key results, and recommendations for future research are emphasized.

RESULTS

Among the 17 evaluated studies, 2 were published before the year 2000 (ie, 1998 and 1999), 2 were published in 2007, and the remaining 13 were published in the years 2011 and beyond. This highlights the emergence of this research topic within this age-group (young to middle-aged adults). Among the 17 evaluated studies, 14 were conducted among healthy samples, with 3 conducted among those with a diagnosis of depression. Among the 17 studies, 4 employed a chronic training protocol, with 13 utilizing an acute exercise protocol. Among the 3 experimental studies in the depressed population, all demonstrated a favorable effect of exercise on memory function. Among the 14 trials in the nondepressed population, 10 (71%) demonstrated a favorable effect of exercise on some aspect of memory function.

CONCLUSION

Acute and chronic exercise appears to play a pronounced effect on memory function among young to middle-aged adults. Implications and recommendations for future research are outlined in this systematic review.