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Price MJ, Smith PM, Bottoms LM, Hill MW. The effect of age and sex on peak oxygen uptake during upper and lower body exercise: A systematic review. Exp Gerontol 2024; 190:112427. [PMID: 38604251 DOI: 10.1016/j.exger.2024.112427] [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] [Received: 06/20/2023] [Revised: 04/04/2024] [Accepted: 04/08/2024] [Indexed: 04/13/2024]
Abstract
BACKGROUND Large scale population norms for peak oxygen uptake (VO2peak) during cycle ergometry (CE) have been published for men and women across a wide range of ages. Although upper body functional capacity has an important role in activities of daily living far less is known regarding the effect of age and sex on upper body functional capacity (i.e. arm crank ergometry; ACE). The aim of this review was to determine the effect of age and sex on VO2peak obtained during ACE and CE in the same participants. METHOD The review was pre-registered with PROSEPERO (Ref: CRD42022349566). A database search using Academic Search Complete including CINAHL complete, CINHAL Ultimate, Medline, PubMed, SPORTDiscus was undertaken. RESULTS The initial search yielded 460 articles which was reduced to 243 articles following removal of duplicates. Twenty-five articles were subsequently excluded based on title resulting in 218 articles considered for retrieval. Following review of the abstracts, 78 further articles were excluded leaving 140 to be assessed for eligibility. Eighty-five articles were subsequently excluded, resulting in 55 articles being included. The decrease in VO2peak with age during CE was consistent with previous studies. Decreases in VO2peak during ACE with age, although paralleling those of CE, appeared to be of greater functional importance. When changes in VO2peak were considered below the age of 50 years little change was observed for absolute VO2peak during ACE and CE. In contrast, relative VO2peak demonstrated decreases in VO2peak for both ACE and CE likely reflecting increases in body mass and body fat percentage with age. After 50 years of age absolute and relative VO2peak demonstrated more similar and subtle responses. Heterogeneity across studies for both absolute and relative VO2peak between ACE and CE was large. Although strict inclusion criteria were applied, the inter-individual variation in sample populations was likely the main source of heterogeneity. There was a considerable lack data sets available for ages above 40 years of age. CONCLUSIONS These responses suggest that upper body VO2peak decreases in line with that of the lower body but, due to the lower peak values achieved during ACE, decreases in VO2peak may have more profound functional impact compared to that for the lower body. Using absolute and relative measures of VO2peak results in different age-related profiles when considered below 50 years of age. To further our understanding of whole body ageing more data is required for participants in mid and later life. The association between VO2peak and underlying physiological factors with age needs to be studied further, particularly in conjunction with activities of daily living and independent living.
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Affiliation(s)
- M J Price
- Physical Activity, Sport and Exercise Sciences Research Centre, Coventry University, Coventry CV1 5FB, UK.
| | - P M Smith
- Cardiff Metropolitan University, Cyncoed Campus, Cyncoed Road, Cardiff CF23 6XD, UK
| | - L M Bottoms
- Department of Psychology, Sport and Geography, University of Hertfordshire, Hatfield AL10 9AB, UK
| | - M W Hill
- Physical Activity, Sport and Exercise Sciences Research Centre, Coventry University, Coventry CV1 5FB, UK
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Ando S, Ishioka Y, Kambayashi S, Kano K, Fujibayashi M, Costello JT, Sudo M. Combined effects of electrical muscle stimulation and cycling exercise on cognitive performance. Front Physiol 2024; 15:1408963. [PMID: 38827991 PMCID: PMC11140777 DOI: 10.3389/fphys.2024.1408963] [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: 03/29/2024] [Accepted: 05/08/2024] [Indexed: 06/05/2024] Open
Abstract
The purpose of this study was to investigate whether a combination of electrical muscle stimulation (EMS) and cycling exercise is beneficial for improving cognitive performance. Eighteen participants (7 females and 11 males) performed a Go/No-Go task before and 2 min after i) cycling exercise (EX), ii) a combination of EMS and cycling (EMS + EX) and iii) a control (rest) intervention in a randomized controlled crossover design. In the EX intervention, the participants cycled an ergometer for 20 min with their heart rate maintained at ∼120 beats·min-1. In the EMS + EX intervention, the participants cycled an ergometer simultaneously with EMS for 20 min, with heart rate maintained at ∼120 beats·min-1. In the Control intervention, the participants remained at rest while seated on the ergometer. Cognitive performance was assessed by reaction time (RT) and accuracy. There was a significant interaction between intervention and time (p = 0.007). RT was reduced in the EX intervention (p = 0.054, matched rank biserial correlation coefficient = 0.520). In the EMS + EX intervention, RT was not altered (p = 0.243, Cohen's d = 0.285) despite no differences in heart rate between the EX and EMS + EX interventions (p = 0.551). RT was increased in the Control intervention (p = 0.038, Cohen's d = -0.529). These results indicate that combining EMS and cycling does not alter cognitive performance despite elevated heart rate, equivalent to a moderate intensity. The present findings suggest that brain activity during EMS with cycling exercise may be insufficient to improve cognitive performance when compared to exercise alone.
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Affiliation(s)
- Soichi Ando
- Graduate School of Informatics and Engineering, The University of Electro-Communications, Chofu, Tokyo, Japan
| | - Yuka Ishioka
- Faculty of Informatics and Engineering, The University of Electro-Communications, Chofu, Tokyo, Japan
| | - Sari Kambayashi
- Graduate School of Informatics and Engineering, The University of Electro-Communications, Chofu, Tokyo, Japan
| | - Kosuke Kano
- Graduate School of Informatics and Engineering, The University of Electro-Communications, Chofu, Tokyo, Japan
| | | | - Joseph T. Costello
- School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, United Kingdom
| | - Mizuki Sudo
- Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Shinjuku, Tokyo, Japan
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Morais MJ, de Oliveira VN, Viana RB, Andrade MS, Vancini RL, Arida RM, Costa GDCT, Campos MH, Vieira CA, Weiss K, Knechtle B, de Lira CAB. Acute effects of moderate-intensity continuous physical exercise performed with different amounts of muscle mass on executive function in healthy young adults: a randomized trial. EXCLI JOURNAL 2023; 22:1032-1046. [PMID: 38023569 PMCID: PMC10630524 DOI: 10.17179/excli2023-6434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 09/12/2023] [Indexed: 12/01/2023]
Abstract
We examined the effect of amount of muscle mass involved in moderate-intensity continuous physical exercise on executive function. To this end, fifty-five participants completed two acute physical exercise sessions on an airbike ergometer using the upper and lower limbs simultaneously and only the upper limbs, and a resting control session in a randomized order. The physical exercise session lasted 30 min and was performed at moderate intensity (between 64 %-76 % of maximal heart rate evaluated in graded maximal exercise testing). Participants took the Stroop test (congruent and incongruent trials) before and after the sessions to assess executive performance. For the congruent trial, both physical exercise interventions improved executive function performance (pre vs. post, p-value = 0.002 and 0.003 for physical exercise with upper limbs and physical exercise with upper and lower limbs, respectively). Furthermore, executive function performance was higher after the physical exercise interventions than after the control session (p-value = 0.002 and 0.004 for physical exercise with upper limbs and physical exercise with upper and lower limbs, respectively). For the incongruent trial, both physical exercise interventions also improved executive function performance (pre vs. post, p-value < 0.001 for physical exercise with upper limbs and physical exercise with upper and lower limbs, respectively). However, there were no significant differences after both physical exercise interventions and resting control session (p-value = 0.175). Executive function (congruent trial) was positively impacted by acute aerobic physical exercise regardless of the amount of muscle mass involved (upper limbs or upper plus lower limbs). Therefore, we recommend aerobic physical exercise with less or more muscle mass involved to improve cognitive function.
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Affiliation(s)
- Marcos José Morais
- Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil
| | | | - Ricardo Borges Viana
- Instituto de Educação Física e Esportes, Universidade Federal do Ceará, Fortaleza, Brazil
| | | | - Rodrigo Luiz Vancini
- Centro de Educação Física e Desportos, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Ricardo Mario Arida
- Departamento de Fisiologia, Universidade Federal de São Paulo, São Paulo, Brazil
| | | | - Mario Hebling Campos
- Faculdade de Educação Física e Dança, Universidade Federal de Goiás, Goiânia, Brazil
| | | | - Katja Weiss
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
| | - Beat Knechtle
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
- Medbase St. Gallen, Switzerland
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Möller F, Hoffmann U, Vogt T, Steinberg F. Exercise-Related Effects on Executive Functions During a Simulated Underwater Extravehicular Activity. HUMAN FACTORS 2023; 65:1014-1028. [PMID: 34340575 DOI: 10.1177/00187208211032868] [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: 06/13/2023]
Abstract
OBJECTIVE Investigation of cognitive performance during extravehicular activities (EVAs) in a space-analog setting. BACKGROUND EVAs performed by humans in microgravity on the International Space Station (ISS) call for high cognitive performance during upper-body workload. Higher cardiovascular demands interact with cognitive performance, but no knowledge exists about EVA's special requirements. This study simulates EVA-training underwater to investigate its effects on the executive functions inhibition and switching. METHOD In a counterbalanced crossover design, 16 divers (age: 28 ± 2.4 years; eight females) performed two conditions (i.e., EVA vs. Inactivity [INACT]) in 3-5 m submersion (diving gear; not in a space-suit). EVA included 30 min of moderate-, followed by 30 min of high-intensity upper-body exercise intervals, paired with EVA-specific cognitive-motor tasks. INACT included no exercise in submersion and neutral buoyancy. Both conditions included cognitive testing at pre, mid (after the first 30 min), and post (after the second 30 min) on a tablet computer. Reaction times (RTs) and response accuracy (ACC) were calculated for both tasks. RESULTS ACC was significantly lower during EVA compared with INACT for inhibition (post: p = .009) and switching (mid: p = .019) at post (p = .005). RTs for inhibition were significantly faster during EVA (p = .022; ηp2 = 0.320). CONCLUSION Specific physical exercise, intensity, duration, and tasks performed during the EVA might differently affect the exercise-cognition interaction and need further investigation, especially for future long-term space travel. APPLICATION Future research might serve to improve mission success and safety for EVAs and long-term space travel.
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Affiliation(s)
| | | | - Tobias Vogt
- German Sport University Cologne, Germany
- Waseda University, Tokorozawa, Japan
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Sudo M, Costello JT, McMorris T, Ando S. The effects of acute high-intensity aerobic exercise on cognitive performance: A structured narrative review. Front Behav Neurosci 2022; 16:957677. [PMID: 36212191 PMCID: PMC9538359 DOI: 10.3389/fnbeh.2022.957677] [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: 05/31/2022] [Accepted: 08/29/2022] [Indexed: 11/13/2022] Open
Abstract
It is well established that acute moderate-intensity exercise improves cognitive performance. However, the effects of acute high-intensity aerobic exercise on cognitive performance have not been well characterized. In this review, we summarize the literature investigating the exercise-cognition interaction, especially focusing on high-intensity aerobic exercise. We discuss methodological and physiological factors that potentially mediate cognitive performance in response to high-intensity exercise. We propose that the effects of high-intensity exercise on cognitive performance are primarily affected by the timing of cognitive task (during vs. after exercise, and the time delay after exercise). In particular, cognitive performance is more likely to be impaired during high-intensity exercise when both cognitive and physiological demands are high and completed simultaneously (i.e., the dual-task paradigm). The effects may also be affected by the type of cognitive task, physical fitness, exercise mode/duration, and age. Second, we suggest that interactions between changes in regional cerebral blood flow (CBF), cerebral oxygenation, cerebral metabolism, neuromodulation by neurotransmitters/neurotrophic factors, and a variety of psychological factors are promising candidates that determine cognitive performance in response to acute high-intensity exercise. The present review has implications for recreational, sporting, and occupational activities where high cognitive and physiological demands are required to be completed concurrently.
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Affiliation(s)
- Mizuki Sudo
- Physical Fitness Research Institute, Meiji Yasuda Life Foundation of Health and Welfare, Tokyo, Japan
- *Correspondence: Mizuki Sudo,
| | - Joseph T. Costello
- Extreme Environments Laboratory, School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, United Kingdom
| | - Terry McMorris
- Extreme Environments Laboratory, School of Sport, Health and Exercise Science, University of Portsmouth, Portsmouth, United Kingdom
- Institute of Sport, University of Chichester, Chichester, United Kingdom
| | - Soichi Ando
- Graduate School of Informatics and Engineering, The University of Electro-Communications, Chofu, Japan
- Soichi Ando,
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Kurebayashi Y, Mori K, Otaki J. Effects of mild-intensity physical exercise on neurocognition in inpatients with schizophrenia: A pilot randomized controlled trial. Perspect Psychiatr Care 2022; 58:1037-1047. [PMID: 34170518 DOI: 10.1111/ppc.12896] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2020] [Revised: 06/01/2021] [Accepted: 06/16/2021] [Indexed: 12/23/2022] Open
Abstract
PURPOSE To find suggestions for a future definitive randomized control trial and examine the effects of physical exercise on neurocognition in schizophrenia. DESIGN AND METHODS Patients hospitalized with schizophrenia were randomly assigned to exercise (n = 5) or control (n = 17) groups. The experimental group performed an exercise regimen for 8 weeks. Following intervention, demographics, psychiatric symptoms, and neurocognitive functions were examined. FINDINGS The patients in the control and exercise groups, 14 and 4, respectively, showed significant differences in hospitalization duration and negative symptoms. After controlling both, neurocognition improved in the exercise group compared with the control group. PRACTICE IMPLICATIONS Mild-intensity physical exercise improves global neurocognition in schizophrenic inpatients and could lead to earlier release.
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Affiliation(s)
| | - Kazumi Mori
- Graduate School of Health Science, Kyorin University, Mitaka city, Tokyo, Japan
| | - Junichi Otaki
- Graduate School of Health Science, Kyorin University, Mitaka city, Tokyo, Japan
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McMorris T. The acute exercise-cognition interaction: From the catecholamines hypothesis to an interoception model. Int J Psychophysiol 2021; 170:75-88. [PMID: 34666105 DOI: 10.1016/j.ijpsycho.2021.10.005] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Revised: 09/06/2021] [Accepted: 10/11/2021] [Indexed: 02/08/2023]
Abstract
An interoception model for the acute exercise-cognition interaction is presented. During exercise following the norepinephrine threshold, interoceptive feedback induces increased tonic release of extracellular catecholamines, facilitating phasic release hence better cognitive performance of executive functions. When exercise intensity increases to maximum, the nature of task-induced norepinephrine release from the locus coeruleus is dependent on interaction between motivation, perceived effort costs and perceived availability of resources. This is controlled by interaction between the rostral and dorsolateral prefrontal cortices, orbitofrontal cortex, anterior cingulate cortex and anterior insula cortex. If perceived available resources are sufficient to meet predicted effort costs and reward value is high, tonic release from the locus coeruleus is attenuated thus facilitating phasic release, therefore cognition is not inhibited. However, if perceived available resources are insufficient to meet predicted effort costs or reward value is low, tonic release from the locus coeruleus is induced, attenuating phasic release. As a result, cognition is inhibited, although long-term memory and tasks that require switching to new stimuli-response couplings are probably facilitated.
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Affiliation(s)
- Terry McMorris
- Institute of Sport, University of Chichester, College Lane, Chichester, West Sussex PO19 6PE, United Kingdom; Department of Sport and Exercise Science, Faculty of Science, University of Portsmouth, Guildhall Walk, Portsmouth PO1 2ER, United Kingdom.
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