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Wu LY, Hsu HC, Ni LF, Yan YJ, Hwang RJ. Effect of Physical Exercise on Executive Functions Using the Emotional Stroop Task in Perimenopausal Women: A Pilot Study. Behav Sci (Basel) 2024; 14:338. [PMID: 38667134 PMCID: PMC11047564 DOI: 10.3390/bs14040338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2024] [Revised: 04/10/2024] [Accepted: 04/15/2024] [Indexed: 04/29/2024] Open
Abstract
Exercise has beneficial effects on emotional cognitive control for the majority of the population. However, the impact of exercise on cognitive processes in perimenopausal women remains unclear. Therefore, this study investigated the effect of aerobic exercise on the cognitive processes of perimenopausal women using an emotional Stroop task (EST). METHOD A quasi-experimental pilot study was conducted involving 14 perimenopausal women (Peri-MG) and 13 healthy young women (YG) who completed an EST before and after an aerobic cycling exercise. Mixed-effects models for repeated measures were used to analyze reaction times (RTs) and error rates (ERs) during emotional word processing (positive, negative, and neutral) for both groups. RESULTS Compared with the YG, the Peri-MG showed significantly shortened RTs for positive and negative emotions (p < 0.05) post-exercise, but not for neutral words. In addition, the Peri-MG exhibited significantly increased ERs for negative words at baseline compared with the YG (p < 0.05), but this difference was not observed during the post-exercise test. CONCLUSION The findings suggest that aerobic exercise can enhance executive control performance in perimenopausal women. The Peri-MG exhibited marked behavioral plasticity in the form of reduced bias to salient cues that were significantly more sensitive to alterations due to exercise. This new evidence enhances the understanding of emotional vulnerability and beneficial susceptibility to exercise in perimenopausal women.
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Affiliation(s)
- Li-Yu Wu
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 333424, Taiwan; (L.-Y.W.); (L.-F.N.); (Y.-J.Y.)
| | - Hsiu-Chin Hsu
- Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan 333424, Taiwan;
- Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan 333423, Taiwan
| | - Lee-Fen Ni
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 333424, Taiwan; (L.-Y.W.); (L.-F.N.); (Y.-J.Y.)
- Department of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan 333423, Taiwan
- Clinical Competency Center, Chang Gung University of Science and Technology, Taoyuan 333424, Taiwan
| | - Yu-Jia Yan
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 333424, Taiwan; (L.-Y.W.); (L.-F.N.); (Y.-J.Y.)
- Intellectual Property Office, MOEA, Taipei City 100210, Taiwan
| | - Ren-Jen Hwang
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan 333424, Taiwan; (L.-Y.W.); (L.-F.N.); (Y.-J.Y.)
- Department of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan 333423, Taiwan
- Clinical Competency Center, Chang Gung University of Science and Technology, Taoyuan 333424, Taiwan
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Hwang RJ, Chen HJ, Ni LF, Liu TY, Shih YL, Chuang YO. Neurobiological effects of exercise intervention for premenstrual syndrome. Cogn Neurodyn 2023; 17:1297-1308. [PMID: 37786666 PMCID: PMC10542049 DOI: 10.1007/s11571-022-09893-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 09/10/2022] [Accepted: 09/18/2022] [Indexed: 11/29/2022] Open
Abstract
Background Up to 75%-90% of women have varying degrees of premenstrual syndrome (PMS). Exercises are recognized to be beneficial to regulate the negative emotions associated with PMS; however, the effects of exercise on sadness inhibition have not yet been investigated from the neurobiological perspective. Purpose This study examined the effects of a single exercise intervention on the neural mechanisms mediating sadness response inhibition at the cortical level using multichannel event-related potential (ERP) recording in women with PMS. Methods Participants performed Go/No-go trials while viewing of sad or neutral images before and after exercise intervention, and changes in the No-go-evoked N200 (N2) ERP component were measured by electroencephalography (EEG) at multiple cortical sites. The associations of PMS Inventory scores with N2 amplitude and latency changes were then examined using Pearson's correlation analysis. Results There were no significant differences in N2 latency and response error rate following exercise compared to baseline. However, women with higher PMS Inventory scores (greater symptom severity) demonstrated significantly lengthen N2 latency at the Fz electrode sites during correct sad face No-go trials after exercise (p < 0.05), which was not the case in the pre-exercise baseline. We detected no significant relationship between the PMS score and N2 amplitude, either pre- or post-exercise. Conclusion Women with higher PMS severity exhibited longer sad N2 latencies as well as slow down the speed of reaction to negative stimuli by exercise, suggesting that the prefrontal emotion regulation network is involved in PMS symptoms and is sensitive to the beneficial effects of exercise.
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Affiliation(s)
- Ren-Jen Hwang
- Department of Nursing, Chang Gung University of Science and Technology, 261 Wei-Hwa 1st Rd, Tao-Yuan, Taiwan
- Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taiwan
- Clinical Competency Center, Chang Gung University of Science and Technology, Tao-Yuan, Taiwan
| | - Hsin-Ju Chen
- Department of Nursing, Chang Gung University of Science and Technology, 261 Wei-Hwa 1st Rd, Tao-Yuan, Taiwan
| | - Lee-Fen Ni
- Department of Nursing, Chang Gung University of Science and Technology, 261 Wei-Hwa 1st Rd, Tao-Yuan, Taiwan
- Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taiwan
- Clinical Competency Center, Chang Gung University of Science and Technology, Tao-Yuan, Taiwan
| | - Tai-Ying Liu
- Science & Technology Policy Research and Information Center, Taipei, Taiwan
| | - Yu-Ling Shih
- Department of Sport Performance, National Taiwan University of Sport, Taichung, Taiwan
| | - Yueh-O. Chuang
- Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taiwan
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Hwang RJ, Hsu HC, Ni LF, Chen HJ, Lee YS, Chuang YO. Correction to: Association between resting-state EEG oscillation and psychometric properties in perimenopausal women. BMC Womens Health 2022; 22:231. [PMID: 35710364 PMCID: PMC9204985 DOI: 10.1186/s12905-022-01820-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/09/2022] [Indexed: 11/25/2022] Open
Affiliation(s)
- Ren-Jen Hwang
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC. .,Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taoyuan City, 33303, Taiwan, ROC.
| | - Hsiu-Chin Hsu
- Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC.,Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan City, 33303, Taiwan, ROC
| | - Lee-Fen Ni
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC.,Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taoyuan City, 33303, Taiwan, ROC
| | - Hsin-Ju Chen
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC
| | - Yu-Sheun Lee
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC
| | - Yueh-O Chuang
- Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taoyuan City, 33303, Taiwan, ROC
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Hwang RJ, Hsu HC, Ni LF, Chen HJ, Lee YS, Chuang YO. Association between resting-state EEG oscillation and psychometric properties in perimenopausal women. BMC Womens Health 2022; 22:149. [PMID: 35538572 PMCID: PMC9092778 DOI: 10.1186/s12905-022-01729-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2021] [Accepted: 04/20/2022] [Indexed: 12/22/2022] Open
Abstract
Background The perimenopausal period is associated with a higher risk of various mood disorders. Similarly, although resting-state electroencephalogram (rsEEG) brain oscillatory activity has been associated with various neuropsychological disorders and behaviours, these issues have not been assessed in perimenopausal women. This study aimed to evaluate quantitative relationships between psychometric properties and rsEEG rhythms (delta, theta, alpha, beta and gamma powers) in perimenopausal women.
Methods A cross-sectional correlational descriptive study was conducted to quantitatively analyze the correlations between rsEEG low-to-high band activities (delta, theta, alpha, beta, and gamma powers) and psychometric properties in 14 perimenopausal women. Participants completed a psychological inventory comprising the State Anxiety Inventory (SAI), Depression Inventory (DI), Behavioural Inhibition Scale (BIS) and short-form UPPS Impulsive Behaviour Scale (IS) before EEG recording.
Results Results showed that impulsivity was positively related to the beta power, symmetrical at most channels (frontal, temporal, central, parietal and occipital regions; p < .05); but did not related to the delta, theta, alpha and gamma powers. The brainwave low-to-high bands, delta, theta, alpha, beta and gamma power were not associated with DI, SAI or BIS scores. Conclusions This study’s findings propose that significantly enhanced resting-state beta activity is a trait of impulsivity in perimenopausal women. Therefore, results have potential implications for the preclinical or clinical evaluation of these issues in perimenopausal women.
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Affiliation(s)
- Ren-Jen Hwang
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC. .,Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taoyuan City, 33303, Taiwan, ROC.
| | - Hsiu-Chin Hsu
- Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC.,Department of Internal Medicine, Chang Gung Memorial Hospital, Taoyuan City, 33303, Taiwan, ROC
| | - Lee-Fen Ni
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC.,Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taoyuan City, 33303, Taiwan, ROC
| | - Hsin-Ju Chen
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC
| | - Yu-Sheun Lee
- Department of Nursing, Chang Gung University of Science and Technology, Taoyuan City, 33303, Taiwan, ROC
| | - Yueh-O Chuang
- Department of Nursing, Chang Gung Memorial Hospital, Linkou, Taoyuan City, 33303, Taiwan, ROC
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Hwang RJ, Chen HJ, Guo ZX, Lee YS, Liu TY. Effects of aerobic exercise on sad emotion regulation in young women: an electroencephalograph study. Cogn Neurodyn 2018; 13:33-43. [PMID: 30728869 DOI: 10.1007/s11571-018-9511-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2018] [Revised: 10/14/2018] [Accepted: 10/22/2018] [Indexed: 11/29/2022] Open
Abstract
The effects of exercise on cognitive abilities have been studied. However, evidence regarding the neural substrates of sad emotion regulation is limited. Women have higher rates for affective disorders than men, but insufficient outcomes assess how aerobic exercises modulate central frontal activation in sad emotion inhibition and resilience among healthy women. This study investigated the effects of aerobic exercise-related brain activity on sad emotion inhibition processing in young women. Sad facial Go/No-Go and neutral Go/No-Go trials were conducted among 30 healthy young women to examine the changes in the N2 component, which reflects frontal inhibition responses, between pre-exercise and post-exercise periods. The first test was performed before aerobic exercise (baseline; 1st) and the second test was performed during an absolute rest period of 90 min after exercise. The sad No-Go stimuli that evoked N200 (N2) event-related potential were recorded and analyzed. The results showed that in the sad No-Go trials, N2 activation at the central-prefrontal cortex was significantly attenuated after exercise compared to the baseline N2 activation. Exercise-modulated N2 activation was not observed in the neutral No-Go trials. The behavioral error rates of sad No-Go trials did not differ between the two experiments. A reduced engagement of central-frontal activation to sad No-Go stimuli was shown after exercise. However, behavioral performance was consistent between the two measurements. The findings scope the benefits of the aerobic exercise on the neural efficiency in responding to sad emotion-eliciting cues as well as adaptive transitions reinstatement for regulatory capabilities in healthy young women.
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Affiliation(s)
- Ren-Jen Hwang
- Department of Nursing, Chang Gung University of Science and Technology (CGUST), 261 Wei-Hwa 1st Rd, Kwei-Shan, Tao-Yuan, Taiwan, ROC.,Nursing Department, Chang Gung Memorial Hospital, Linkou, Taiwan.,3Center of Clinical Competency Center, Chang Gung University of Science and Technology (CGUST), Tao-Yuan, Taiwan
| | - Hsin-Ju Chen
- Department of Nursing, Chang Gung University of Science and Technology (CGUST), 261 Wei-Hwa 1st Rd, Kwei-Shan, Tao-Yuan, Taiwan, ROC
| | - Zhan-Xian Guo
- Department of Nursing, Chang Gung University of Science and Technology (CGUST), 261 Wei-Hwa 1st Rd, Kwei-Shan, Tao-Yuan, Taiwan, ROC
| | - Yu-Sheun Lee
- Department of Nursing, Chang Gung University of Science and Technology (CGUST), 261 Wei-Hwa 1st Rd, Kwei-Shan, Tao-Yuan, Taiwan, ROC.,4China Medical University Hospital, Taichung City, Taiwan
| | - Tai-Ying Liu
- 5Science and Technology Policy Research and Information Center, National Applied Research Laboratories, 15F, No. 106, Sec. 2, Heping E. Rd, Taipei, 10636 Taiwan, ROC
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Tu CH, Niddam DM, Chao HT, Liu RS, Hwang RJ, Yeh TC, Hsieh JC. Abnormal cerebral metabolism during menstrual pain in primary dysmenorrhea. Neuroimage 2009; 47:28-35. [DOI: 10.1016/j.neuroimage.2009.03.080] [Citation(s) in RCA: 76] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2008] [Revised: 03/10/2009] [Accepted: 03/31/2009] [Indexed: 10/20/2022] Open
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Hwang RJ, Wu CH, Chen LF, Yeh TC, Hsieh JC. Female menstrual phases modulate human prefrontal asymmetry: a magnetoencephalographic study. Horm Behav 2009; 55:203-9. [PMID: 19013172 DOI: 10.1016/j.yhbeh.2008.10.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2008] [Revised: 10/09/2008] [Accepted: 10/09/2008] [Indexed: 02/01/2023]
Abstract
We previously reported that the trait/baseline prefrontal cortex (PFC) activity expresses a dynamic plasticity during female menstrual cycle. The shift of asymmetric lateralization of PFC baseline activity pinpoints a possible emotional regulation of negative affection. The current emotional Go/NoGo study aimed to investigate the state PFC responses of different menstrual phases during fear facial stimulation in fourteen healthy women. Our data disclosed that the menstrual cycle was coupled with a shift of asymmetric lateralization of frontal activation across different menstrual phases. Evoked magnetic field activity in the time window 200-300 ms (M1) and 300-450 ms (M2) after stimulus onset demonstrated significant interactions between hemispheric side and menstrual phase. The right hemispheric dominance in periovulatory phase (OV) changed to left hemispheric dominance in menstrual (MC) phase. Significant association between the anxiety score and the left PFC activation was particularly observed in MC phase. Our study revealed a plastic resilience of functional organization of human brain and a dynamic automaticity of inter-hemispheric synergism for possible adaptive regulation under the aversive confrontation in accordance with hormonal fluctuation during the menstrual cycle.
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Affiliation(s)
- Ren-Jen Hwang
- Institute of Neuroscience, School of Life Science, National Yang-Ming University, Taipei, Taiwan.
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Hwang RJ, Chen LF, Yeh TC, Tu PC, Tu CH, Hsieh JC. The resting frontal alpha asymmetry across the menstrual cycle: a magnetoencephalographic study. Horm Behav 2008; 54:28-33. [PMID: 18325518 DOI: 10.1016/j.yhbeh.2007.11.007] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2007] [Revised: 11/11/2007] [Accepted: 11/12/2007] [Indexed: 12/01/2022]
Abstract
Gonadotropic hormones play an important role in the regulation of emotion. Previous studies have demonstrated that estrogen can modulate appetitive (approach/positive) and aversive (avoidance/negative) affective behaviors during the menstrual cycle. Frontal alpha asymmetry (a measure of relative difference of the alpha power between the two anterior hemispheres) has been associated with the trait and state reactivity of different affective styles. We studied the pattern change of frontal alpha asymmetry across the menstrual cycle. 16 healthy women participated in this resting magneto-encephalographic (MEG) study during the peri-ovulatory (OV) and menstrual (MC) phases. Our results showed significant interaction of resting MEG alpha activity between hemispheric side and menstrual phases. Difference in spontaneous frontal alpha asymmetry pattern across the menstrual cycle was also noted. Relatively higher right frontal activity was found during the OV phase; relatively higher left frontal activity was noted during the MC phase. The alteration of frontal alpha asymmetry might serve a sub-clinical correlate for hormonal modulation effect on dynamic brain organization for the predisposition and conceptualization of different affective styles across the menstrual cycle.
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Affiliation(s)
- Ren-Jen Hwang
- Institute of Neuroscience, School of Life Science, National Yang-Ming University, Taipei, Taiwan.
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Abstract
We describe eight cases of cutaneous angiolipoleiomyoma, a rare tumor previously reported only once under the term cutaneous angiomyolipoma. Clinically, the tumors were acquired, solitary, asymptomatic nodules that were always acral in location. Patients' ages ranged from 33 to 77 years (median 52.6 years); the male/female ratio was 7:1. Signs of tuberous sclerosis or renal angiomyolipoma were absent in all cases. Histologically, the tumors were subcutaneous, well circumscribed, and composed of smooth muscle, vascular spaces, connective tissue, and mature fat. In some tumors the fat was the predominant component, and in others smooth muscle predominated. Elastic tissue stains revealed that some blood vessels had developed an elastic lamina whereas other blood vessels lacked it. Additional histologic features occasionally observed included vascular thrombi, glomus bodies, and focal mucin deposition.
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Affiliation(s)
- J E Fitzpatrick
- Department of Medicine, Fitzsimons Army Medical Center, Aurora, CO 80045
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