Holgado, D. | Search bioRxiv

bioRxiv2022

A call to rethink the cognitive benefits of physical exercise: An umbrella review of randomized controlled trials

Extensive research links regular physical exercise to an overall enhancement of cognitive function across the lifespan. Here, we assess the causal evidence supporting this relationship in the healthy population, using an umbrella review of meta-analyses limited to randomized controlled trials (RCTs). Despite most of the 24 reviewed meta-analyses reporting a positive overall effect, our assessment reveals evidence of low statistical power in the primary RCTs, selective inclusion of studies, publication bias, and large variation in combinations of preprocessing and analytic decisions. In addition, our meta-analysis of all the primary RCTs included in the revised meta-analyses shows small exercise-related benefits (d = 0.22, 95% CI [0.16, 0.28]) that became substantially smaller after accounting for key moderators (i.e., active control and baseline differences; d = 0.13, 95% CI [0.07, 0.20), and negligible after correcting for publication bias (d = 0.05, 95% CrI [-0.09, 0.14]). These findings suggest caution in claims and recommendations linking regular physical exercise to cognitive benefits in the healthy human population until more reliable causal evidence accumulates.

neuroscience↗

bioRxiv2017

Tonic and transient oscillatory brain activity during acute exercise

The physiological changes that occur in the main body systems and organs during physical exercise are well described in the literature. Despite the key role of brain in processing afferent and efferent information from organ systems to coordinate and optimize their functioning, little is known about how the brain works during exercise. The present study investigated tonic and transient oscillatory brain activity during a single bout of aerobic exercise. Twenty young males (19-32 years old) were recruited for two experimental sessions on separate days. Electroencephalographic (EEG) activity was recorded during a session of cycling at 80% (moderate-to-high intensity) of VO2max (maximum aerobic capacity) while performing an oddball task where participants had to detect infrequent targets presented among frequent non-targets. This was compared to a (baseline) light intensity session (30% VO2max). The light intensity session was included to control for any potential effect of dual-tasking (i.e., pedaling and performing the oddball task). A warm-up and cool down periods were completed before and after exercise, respectively. A cluster-based nonparametric permutations test showed an increase in power across the entire frequency spectrum during the moderate-to-high intensity exercise, with respect to light intensity. Further, we found that the more salient target lead to lower increase in (stimulus-evoked) theta power in the 80% VO2max with respect to the light intensity condition. On the contrary, higher decrease alpha and lower beta power was found for standard trials in the moderate-to-high exercise condition than in the light exercise condition. The present study unveils, for the first time, a complex brain activity pattern during acute exercise (at 80% of maximum aerobic capacity). These findings might help to elucidate the nature of changes that occur in the brain during physical exertion.

neuroscience↗