Reward and automatic processes in exercise behavior: A new approach and a systematic review

Abstract

BackgroundIn a time of physical inactivity pandemic, attempts to better understand the factors underlying the regulation of exercise behavior is important. The dominant neuropsychological approach to exercise behavior explains physical activity as a reward. However, the opposite of physical exertion -- behaviors minimizing energy cost -- may also be a reward, which activates automatic reactions favoring the engagement in behaviors associated with lower energetic costs.\n\nObjectiveOur objective was to systematically review studies testing the automatic reactions triggered by stimuli associated with different types of exercise behavior (e.g., physical activity, sedentary behaviors) and energetic cost variations (e.g., behaviors minimizing energetic cost).\n\nMethodsTwo authors systematically searched, screened, extracted, and analyzed data from articles in the MEDLINE database.\n\nResultsWe included 26 studies. Three types of automatic processes were tested: Affective reactions, attentional capture, and approach tendencies. Results show that automatic reactions toward stimuli depicting exercise behaviors explained individuals level of physical activity. Brain imaging results show that stimuli associated with exercise behavior activate regions associated with reward, but these studies were scarce.\n\nConclusionReward is an important factor of exercise behavior. There is strong evidence showing that physical activity is a reward. While brain imaging results suggest that sedentary behaviors are also a reward, behaviors minimizing energetic cost have not been investigated so far. Additional studies are required to establish a strong and complete framework of reward in exercise behavior.\n\nKey points- Behavioral and brain imaging studies using different types of automatic behavior show that physical activity is a reward\n- Behaviors minimizing energetic cost have been essential to evolutionary survival and are likely to be a reward. However, experimental evidence remains scarce\n- The dominant neuropsychological approaches to exercise behavior may be incomplete, which may partly explain our current inability to counteract the pandemic of physical inactivity