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Kao SC, Brush CJ, Wang CH. A multimodal approach integrating cognitive and motor demands into physical activity for optimal mental health: Methodological issues and future directions. PROGRESS IN BRAIN RESEARCH 2024; 286:235-258. [PMID: 38876577 DOI: 10.1016/bs.pbr.2024.05.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2024]
Abstract
Physical activity is known for its positive effects on cognition and affect, with existing literature suggesting that these mental health benefits may be optimally experienced by incorporating cognitive and motor demands during physical activity (PA). However, the existing body of literature lacks a comprehensive guideline for designing the qualitative characteristics of a PA program. Accordingly, this narrative review aimed to (1) provide a working two-dimension model that operationally defines the cognitive and motor demands involved in PA and the rationale for systematically studying these qualitative aspects of PA, (2) identify methods to assess the cognitive and motor demands of PA and address associated methodological issues, and (3) offer potential future directions for research on the cognitive and motor aspects of PA in support of the development of PA programs designed to maximize PA-induced cognitive and affective benefits. We anticipate this article to inform the need for future research and development on this topic, aiming to create clear, evidence-based guidelines for designing innovative and effective PA interventions.
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Affiliation(s)
- Shih-Chun Kao
- Department of Health and Kinesiology, Purdue University, West Lafayette, IN, United States
| | - Christopher J Brush
- Department of Movement Sciences, University of Idaho, Moscow, ID, United States
| | - Chun-Hao Wang
- Institute of Physical Education, Health, & Leisure Studies, National Cheng Kung University, Tainan City, Taiwan; Department of Psychology, National Cheng Kung University, Tainan City, Taiwan.
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McPhee PG, Vaccarino AL, Naska S, Nylen K, Santisteban JA, Chepesiuk R, Andrade A, Georgiades S, Behan B, Iaboni A, Wan F, Aimola S, Cheema H, Gorter JW. Harmonizing data on correlates of sleep in children within and across neurodevelopmental disorders: lessons learned from an Ontario Brain Institute cross-program collaboration. Front Neuroinform 2024; 18:1385526. [PMID: 38828185 PMCID: PMC11141168 DOI: 10.3389/fninf.2024.1385526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2024] [Accepted: 04/19/2024] [Indexed: 06/05/2024] Open
Abstract
There is an increasing desire to study neurodevelopmental disorders (NDDs) together to understand commonalities to develop generic health promotion strategies and improve clinical treatment. Common data elements (CDEs) collected across studies involving children with NDDs afford an opportunity to answer clinically meaningful questions. We undertook a retrospective, secondary analysis of data pertaining to sleep in children with different NDDs collected through various research studies. The objective of this paper is to share lessons learned for data management, collation, and harmonization from a sleep study in children within and across NDDs from large, collaborative research networks in the Ontario Brain Institute (OBI). Three collaborative research networks contributed demographic data and data pertaining to sleep, internalizing symptoms, health-related quality of life, and severity of disorder for children with six different NDDs: autism spectrum disorder; attention deficit/hyperactivity disorder; obsessive compulsive disorder; intellectual disability; cerebral palsy; and epilepsy. Procedures for data harmonization, derivations, and merging were shared and examples pertaining to severity of disorder and sleep disturbances were described in detail. Important lessons emerged from data harmonizing procedures: prioritizing the collection of CDEs to ensure data completeness; ensuring unprocessed data are uploaded for harmonization in order to facilitate timely analytic procedures; the value of maintaining variable naming that is consistent with data dictionaries at time of project validation; and the value of regular meetings with the research networks to discuss and overcome challenges with data harmonization. Buy-in from all research networks involved at study inception and oversight from a centralized infrastructure (OBI) identified the importance of collaboration to collect CDEs and facilitate data harmonization to improve outcomes for children with NDDs.
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Affiliation(s)
- Patrick G. McPhee
- Department of Psychiatry and Behavioural Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
- Offord Centre for Child Studies, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
- School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
- CanChild Centre for Childhood Disability Research, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | | | - Sibel Naska
- Ontario Brain Institute, Toronto, ON, Canada
| | - Kirk Nylen
- Ontario Brain Institute, Toronto, ON, Canada
| | - Jose Arturo Santisteban
- Ontario Brain Institute, Toronto, ON, Canada
- The Centre for Addiction and Mental Health, Toronto, ON, Canada
| | | | - Andrea Andrade
- Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada
| | - Stelios Georgiades
- Department of Psychiatry and Behavioural Neurosciences, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
- Offord Centre for Child Studies, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
| | | | - Alana Iaboni
- Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
| | - Flora Wan
- Ontario Brain Institute, Toronto, ON, Canada
| | | | | | - Jan Willem Gorter
- CanChild Centre for Childhood Disability Research, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
- Department of Pediatrics, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada
- Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht, Utrecht, Netherlands
- Brain Center, University Medical Center Utrecht, Utrecht, Netherlands
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Looser VN, Gerber M, Ludyga S. Physical activity and verbal memory performance: Mediating effects of resting-state brain activity. PROGRESS IN BRAIN RESEARCH 2024; 286:33-66. [PMID: 38876578 DOI: 10.1016/bs.pbr.2024.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2024]
Abstract
Verbal short-term and long-term memory are crucial neuropsychological functions involved in core cognitive abilities. They constitute vital components of subjective well-being and academic achievement. To date, there is limited research on the association between regular physical activity and memory abilities during young adulthood. The Individual Alpha Peak Frequency (IAPF) contributes to various cognitive abilities and also appears to be sensitive to physical activity. Consequently, the IAPF has the potential to underlie the association between physical activity and verbal memory. We examined the direct relation of physical activity and verbal memory, and the potential indirect relation via IAPF in young adults. Regular physical activity was assessed via accelerometry on seven consecutive days in 115 participants (N=115, 48% female) aged 18-35 years (M=24.1, SD=3.8). In addition, verbal memory performance was assessed using an immediate and delayed free-recall task. Brain activity during rest was recorded with EEG, and IAPF was extracted for mediation analyses. Path analysis revealed pronounced sex differences in the association between physical activity, IAPF, and verbal memory performance. Exclusively in female participants, higher vigorous physical activity levels were associated with better recall performance. In contrast, no association of physical activity and memory was found in male participants. However, being more physically active was related to a higher IAPF exclusively in male participants. Physical activity shows differential associations between IAPF and verbal memory in male and female participants. However, the lack of a mediating role of IAPF suggests that this neurophysiological marker cannot explain these specific associations in young adults.
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Affiliation(s)
- Vera Nina Looser
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
| | - Markus Gerber
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Sebastian Ludyga
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
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Chen J, Li H, Zhong D, Xu F, Ding L, Tang C, Guan C, Lu L, Deng J. A bibliometric analysis of acupuncture for neurodevelopmental disorders: A Call for increased output and future research priorities. Heliyon 2023; 9:e22799. [PMID: 38213582 PMCID: PMC10782164 DOI: 10.1016/j.heliyon.2023.e22799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 08/24/2023] [Accepted: 11/20/2023] [Indexed: 01/13/2024] Open
Abstract
Objective To perform a bibliometric analysis of published research on acupuncture for neurodevelopmental disorders and to provide new insights for future studies. Methods Web of Science Core Collection was used to search for articles on acupuncture for neurodevelopmental disorders in children, from inception to Dec 4, 2022. VOSviewer and CiteSpace software were used for bibliometric analyses. VOSviewer was used to analyze and visualize the knowledge maps of the articles' countries, authors, and institutions of origin, the journals and keywords. CiteSpace was used to visualize the dual-map overlay of the journals in which the articles were published and those publishing the articles they cited. Results A total of 119 papers were retrieved. The highest number of publications came from China, followed by the United States and South Korea. The most frequently cited article was from the United States, followed by China. The most publications were from KyungHee University, followed by Sichuan University. Author Cho, Seung-hun from KyungHee University published the most articles. The Journal of Alternative and Complementary Medicine and Medicine published the most articles. The top three most frequently used keywords were "acupuncture", "children", and "complementary". Conclusion Research intensity and recognition, as well as collaboration within the field of acupuncture for treating neurodevelopmental disorders in children has increased. Research is generally diverse and comprehensive, and the neuro-endocrine-immune mechanism should be a new direction for further development. More basic research is also needed, to elucidate the therapeutic mechanisms, to standardize and validate the use of acupuncture for neurodevelopmental disorders.
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Affiliation(s)
- Juexuan Chen
- Department of Pediatrics of Traditional Chinese Medicine, Guangzhou Women and Children's Medical Center, Guangzhou, China
| | - Huanjie Li
- Foshan Hospital of Traditional Chinese Medicine, Foshan, China
| | - Dayuan Zhong
- Guangdong Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Foshan, China
| | - Fangwei Xu
- Department of Pediatrics of Traditional Chinese Medicine, Guangzhou Women and Children's Medical Center, Guangzhou, China
| | - Lu Ding
- Clinical Research Center, South China Research Center for Acupuncture and Moxibustion, Medical College of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Chunzhi Tang
- Clinical Research Center, South China Research Center for Acupuncture and Moxibustion, Medical College of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China
| | | | - Liming Lu
- Clinical Research Center, South China Research Center for Acupuncture and Moxibustion, Medical College of Acupuncture-Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou, China
| | - Jian Deng
- Department of Pediatrics of Traditional Chinese Medicine, Guangzhou Women and Children's Medical Center, Guangzhou, China
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Zaragas H, Fragkomichelaki O, Geitona M, Sofologi M, Papantoniou G, Sarris D, Pliogou V, Charmpatsis C, Papadimitropoulou P. The Effects of Physical Activity in Children and Adolescents with Developmental Coordination Disorder. Neurol Int 2023; 15:804-820. [PMID: 37489357 PMCID: PMC10366860 DOI: 10.3390/neurolint15030051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 06/24/2023] [Accepted: 06/27/2023] [Indexed: 07/26/2023] Open
Abstract
The purpose of this literature review was to detect and study the effectiveness of therapeutic intervention programs, such as physical activities and sports, on children and adolescents with Developmental Motor Coordination Disorder (DCD) to improve their motor skills. The sample for this study consisted of 48 (100%) papers, specifically, 40 (83.5%) articles, 3 (6.2%) doctoral theses, 2 (4.1%) master's theses and 3 (6.2%) papers from conference proceedings from the year 2014 to 2022. To search the sample, the following terms were used: DCD or dyspraxia, physical activity programs, intervention, physical intervention, physical education, etc. The results for the existence of statistically significant results and internal validity of intervention programs using physical activities and sports in children and adolescents with DCD showed that a large number of intervention programs improved the children's motor skills as well as their daily functionality. In contrast, other interventions failed to improve dynamic and static balance. The negative result could be due either to the short duration of the interventions or to the improper suboptimal design-organization of the methodology of these programs-such as the heterogeneous intervention samples and the use of inappropriate and reliable assessment tools.
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Affiliation(s)
- Harilaos Zaragas
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Olga Fragkomichelaki
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Marina Geitona
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Maria Sofologi
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Georgia Papantoniou
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Dimitrios Sarris
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Vassiliki Pliogou
- Department of Early Childhood Education, School of Education, Florina Campus, University of Western Macedonia, 53100 Florina, Greece
| | - Christos Charmpatsis
- Department of Early Childhood Education, School of Education, Ioannina Campus, University of Ioannina, 45110 Ioannina, Greece
| | - Panagoula Papadimitropoulou
- Department of Educational Sciences and Early Childhood Education, School of Humanities and Social Sciences, Rio Campus, University of Patras, 26504 Rio, Greece
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LUDYGA SEBASTIAN, HANKE MANUEL, LEUENBERGER RAHEL, BRUGGISSER FABIENNE, PÜHSE UWE, GERBER MARKUS, LEMOLA SAKARI, CAPONE-MORI ANDREA, KEUTLER CLEMENS, BROTZMANN MARK, WEBER PETER. Martial Arts and Cognitive Control in Children with Attention-Deficit Hyperactivity Disorder and Children Born Very Preterm: A Combined Analysis of Two Randomized Controlled Trials. Med Sci Sports Exerc 2023; 55:777-786. [PMID: 36728805 PMCID: PMC10090288 DOI: 10.1249/mss.0000000000003110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
INTRODUCTION Very preterm birth and attention-deficit hyperactivity disorder (ADHD) are associated with impairments in response inhibition that often persist beyond childhood. Athletes skilled in martial arts show a neurocognitive profile that is associated with an improved inhibition processing stream, suggesting that engagement in this kind of sport has the potential to reduce impairments in this cognitive function. We investigated the behavioral and neurocognitive effects of judo training on response inhibition in children born very preterm and children with ADHD by a combined analysis of two randomized controlled trials. METHODS In both the CHIPMANC ( n = 65) and JETPAC ( n = 63) studies, participants were randomly allocated to a waitlist or a 12-wk judo training program in a 1:1 ratio. At pretest and posttest, participants completed a Go/NoGo task, the Movement Assessment Battery for Children-2 and a physical work capacity test on a bicycle ergometer. During the cognitive task, event-related potentials (N2, P3a, P3b) were recorded via electroencephalography. RESULTS The effects of the judo training were moderated by the study group. In contrast to children with ADHD (JETPAC), judo training reduced the commission error rate on the Go/NoGo task and increased the P3a amplitude in children born very preterm (CHIPMANC). No treatment effects were found for N2, P3b and physical fitness outcomes. CONCLUSIONS The neurodevelopmental condition influences the cognitive benefits of judo training. Whereas judo may be ineffective in children with ADHD, children born very preterm can expect improved response inhibition due to a more effective engagement of focal attention to resolve the task-related response conflict.
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Affiliation(s)
- SEBASTIAN LUDYGA
- Department of Sport, Exercise and Health, University of Basel, Basel, SWITZERLAND
| | - MANUEL HANKE
- Department of Sport, Exercise and Health, University of Basel, Basel, SWITZERLAND
| | - RAHEL LEUENBERGER
- Department of Sport, Exercise and Health, University of Basel, Basel, SWITZERLAND
| | - FABIENNE BRUGGISSER
- Department of Sport, Exercise and Health, University of Basel, Basel, SWITZERLAND
| | - UWE PÜHSE
- Department of Sport, Exercise and Health, University of Basel, Basel, SWITZERLAND
| | - MARKUS GERBER
- Department of Sport, Exercise and Health, University of Basel, Basel, SWITZERLAND
| | - SAKARI LEMOLA
- Department of Psychology, Bielefeld University, Bielefeld, GERMANY
- Department of Psychology, University of Warwick, Coventry, UNITED KINGDOM
| | - ANDREA CAPONE-MORI
- Division of Neuropediatrics, Kantonsspital Aarau, Clinic for Children and Teenagers, Aarau, SWITZERLAND
| | - CLEMENS KEUTLER
- St. Elisabethen Krankenhaus Lörrach, Clinic of Childhood and Adolescent Psychiatry and Psychotherapy, Lörrach, GERMANY
| | - MARK BROTZMANN
- Division of Neuropediatrics and Developmental Medicine, University of Basel, University Children’s Hospital, Basel, SWITZERLAND
| | - PETER WEBER
- Division of Neuropediatrics and Developmental Medicine, University of Basel, University Children’s Hospital, Basel, SWITZERLAND
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Zong W, Lu X, Dong G, Zhang L, Li K. Molecular mechanisms of exercise intervention in alleviating the symptoms of autism spectrum disorder: Targeting the structural alterations of synapse. Front Psychiatry 2023; 14:1096503. [PMID: 37065903 PMCID: PMC10102432 DOI: 10.3389/fpsyt.2023.1096503] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Accepted: 03/07/2023] [Indexed: 04/18/2023] Open
Abstract
Autism spectrum disorder (ASD) is a complex and heterogeneous neurodevelopmental disorder characterized by stereotyped behaviors, specific interests, and impaired social and communication skills. Synapses are fundamental structures for transmitting information between neurons. It has been reported that synaptic deficits, such as the increased or decreased density of synapses, may contribute to the onset of ASD, which affects the synaptic function and neuronal circuits. Therefore, targeting the recovery of the synaptic normal structure and function may be a promising therapeutic strategy to alleviate ASD symptoms. Exercise intervention has been shown to regulate the structural plasticity of synapses and improve ASD symptoms, but the underlying molecular mechanisms require further exploration. In this review, we highlight the characteristics of synaptic structural alterations in the context of ASD and the beneficial effects of an exercise intervention on improving ASD symptoms. Finally, we explore the possible molecular mechanisms of improving ASD symptoms through exercise intervention from the perspective of regulating synaptic structural plasticity, which contributes to further optimizing the related strategies of exercise intervention promoting ASD rehabilitation in future.
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Affiliation(s)
- Wenhao Zong
- School of Exercise and Health, Shanghai University of Sport, Shanghai, China
- Department of Sports, Quzhou University, Quzhou, China
- College of Sports and Health, Shandong Sport University, Jinan, China
| | - Xiaowen Lu
- Department of Sports, Quzhou University, Quzhou, China
| | - Guijun Dong
- Department of Sports, Quzhou University, Quzhou, China
| | - Li Zhang
- Guangdong-HongKong-Macau Institute of CNS Regeneration, Jinan University, Guangzhou, China
| | - Kefeng Li
- Department of Medicine, Quzhou College of Technology, Quzhou, China
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Ludyga S, Mücke M, Leuenberger R, Bruggisser F, Pühse U, Gerber M, Capone-Mori A, Keutler C, Brotzmann M, Weber P. Behavioral and neurocognitive effects of judo training on working memory capacity in children with ADHD: A randomized controlled trial. Neuroimage Clin 2022; 36:103156. [PMID: 35988343 PMCID: PMC9402389 DOI: 10.1016/j.nicl.2022.103156] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Revised: 08/12/2022] [Accepted: 08/15/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND Children with Attention Deficit Hyperactivity Disorder (ADHD) face deficits in working memory capacity that often persist into adulthood. In healthy peers, exercise targeting motor skill acquisition benefits visuospatial working memory, but its potential to reduce ADHD-related deficits remains unclear. We investigated the effect of a judo training program targeting motor skills on behavioral and neurocognitive indices of working memory capacity in children with ADHD. METHODS Children with ADHD aged 8 to 12 years (N = 57) were randomly allocated to a judo training group and a wait-list control group. The training program encompassed 120 min of judo per week over three months. Before and after the intervention period, participants completed a bilateral Change Detection task with low and high memory load conditions and the Movement Assessment Battery for Children-2 (MABC-2). The contralateral delay activity (CDA) elicited by the cognitive task was recorded using electroencephalography. RESULTS Compared to the control group, the judo training group showed a higher K-score on the Change Detection task and an increased negativity of the CDA on the high load condition following the intervention, when pretest scores (and confounders) were accounted for. In contrast, no group differences were found for MABC-2 score. CONCLUSION In children with ADHD, judo training may complement the pharmacological treatment by increasing the effectiveness of working memory maintenance processes. On a behavioral level, this improvement is accompanied with an increased capacity to store visuospatial information.
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Affiliation(s)
- Sebastian Ludyga
- University of Basel, Department of Sport, Exercise and Health, Basel, Switzerland.
| | - Manuel Mücke
- University of Basel, Department of Sport, Exercise and Health, Basel, Switzerland
| | - Rahel Leuenberger
- University of Basel, Department of Sport, Exercise and Health, Basel, Switzerland
| | - Fabienne Bruggisser
- University of Basel, Department of Sport, Exercise and Health, Basel, Switzerland
| | - Uwe Pühse
- University of Basel, Department of Sport, Exercise and Health, Basel, Switzerland
| | - Markus Gerber
- University of Basel, Department of Sport, Exercise and Health, Basel, Switzerland
| | - Andrea Capone-Mori
- Kantonsspital Aarau, Clinic for Children and Teenagers, Division of Neuropediatrics, Aarau, Switzerland
| | - Clemens Keutler
- St. Elisabethen Krankenhaus Lörrach, Clinic of Childhood and Adolescent Psychiatry and Psychotherapy, Lörrach, Germany
| | - Mark Brotzmann
- University of Basel, University Children's Hospital, Division of Neuropediatrics and Developmental Medicine, Basel, Switzerland
| | - Peter Weber
- University of Basel, University Children's Hospital, Division of Neuropediatrics and Developmental Medicine, Basel, Switzerland
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Ludyga S, Ishihara T. Brain structural changes and the development of interference control in children with ADHD: The predictive value of physical activity and body mass index. NEUROIMAGE: CLINICAL 2022; 35:103141. [PMID: 36002962 PMCID: PMC9421503 DOI: 10.1016/j.nicl.2022.103141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 07/15/2022] [Accepted: 08/01/2022] [Indexed: 11/29/2022] Open
Abstract
Children with ADHD show deficits in interference control during preadolescence. Abnormalities in gray-white matter ratio contributed contribute to these deficits. Higher physical activity and lower body mass index predict higher interference control. Gray-white matter ratio underlies the predictive value of body mass index. Brain structure does not explain the predictive value of physical activity.
Background Children with ADHD face deficits in interference control due to abnormalities in brain structure. A low body mass index and high physical activity are factors promoting brain health and may have the potential to reduce ADHD-related cognitive deficits. We aimed to investigate the predictive values of ADHD, body mass index and physical activity for interference control and the potential mediation of these associations by brain structure. Method At 9 and 11 years, 4576 children with ADHD and neurotypical peers from the ABCD-cohort completed a Flanker task, anthropometric assessments and reported physical activity. Additionally, T1- and T2-weighted magnet resonance images were collected at both measurement time points. Results ADHD, lower physical activity and higher body mass index at baseline predicted lower interference control. Gray matter volume, surface area and gray-white matter ratio contributed to interference control. The longitudinal association between body mass index and interference control was mediated by gray-white-matter ratio. This mediating effect was stronger for children with ADHD than neurotypical peers and mainly restricted to regions associated with cognitive control. Conclusion The maintenance of a lower body mass index contributes to interference control by a tendency to normalize regional alterations in grey-white-matter ratio. Being compliant with physical activity also promises higher interference control, but brain structure does not seem to underlie this association.
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Ludyga S, Pühse U, Gerber M, Mücke M. Muscle strength and executive function in children and adolescents with autism spectrum disorder. Autism Res 2021; 14:2555-2563. [PMID: 34351051 PMCID: PMC9292567 DOI: 10.1002/aur.2587] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 07/14/2021] [Accepted: 07/23/2021] [Indexed: 11/25/2022]
Abstract
The development of effective (non‐pharmacological) treatment approaches for executive dysfunction in autism spectrum disorder (ASD) requires evidence that factors influencing this domain can be modified by behavioral interventions. The present cross‐sectional study investigated the relative associations of ASD, muscle strength and body mass index with executive function and information processing among the Healthy Brain Network cohort. Patients with ASD (N = 174) and healthy peers (N = 202) aged 5 to 18 years completed cognitive tasks of the NIH toolbox (Pattern Comparison, Flanker, List Sorting, Card Sorting) to assess core components of executive function and information processing. Additionally, anthropometrics and muscle strength were collected from selected items (push‐ups, curl‐ups, trunk lift, and grip strength) of the Fitnessgram battery. Based on structural equation modeling, ASD was related to impaired muscle strength and executive function, when confounders (age, sex, pubertal status, and socioeconomic status) were accounted for. Muscle strength further showed independent contributions to information processing and executive function. This association was moderated by ASD, so that higher muscle strength was related to higher executive function in ASD patients only. The present findings provide a first indication that the promotion of muscle strength may have the potential to generally enhance information processing and to reduce ASD‐related executive dysfunction in children and adolescents.
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Affiliation(s)
- Sebastian Ludyga
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Uwe Pühse
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Markus Gerber
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Manuel Mücke
- Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
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