You are on page 1of 8

Behavioural Brain Research 226 (2012) 473–480

Contents lists available at SciVerse ScienceDirect

Behavioural Brain Research


journal homepage: www.elsevier.com/locate/bbr

Research report

Exercise, mood and cognitive performance in intellectual disability—A


neurophysiological approach
Tobias Vogt a,∗ , Stefan Schneider a , Vera Abeln a , Volker Anneken b , Heiko Klaus Strüder a
a
Department of Exercise Neuroscience, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany
b
Research Institute for Inclusion through Physical Activity and Sport, Römerstraße 100, 50226 Frechen, Germany

a r t i c l e i n f o a b s t r a c t

Article history: While numerous researches addressed the connection between physical exercise, changes in brain corti-
Received 21 September 2011 cal activity and its relationship to psycho-physiological processes, most of these neuro-scientific studies
Accepted 1 October 2011 were set up for healthy individuals. However, the benefits of exercise, such as well being, physical
Available online 15 October 2011
and cognitive health enhancements are also becoming increasingly important for intellectually disabled
individuals.
Keywords:
This study aimed to localize electroencephalographic activity changes in intellectually disabled indi-
Exercise
viduals following a moderate running exercise for 30 min. An increase in cognitive performance and in
Intellectual disability
EEG
mood was hypothesized to correlate with a decrease in fronto-temporal brain areas following exercise.
LORETA Significant changes in cortical current density in frontal brain areas as well as decreases in perceived
Mood physical energy could be shown. Overall motivational states (including self-confidence and social accep-
Cognition tance) as well as positive mood increased significantly. However, no changes could be observed for the
cognitive tasks following exercise.
With respect to the data provided here there is reason to believe, that a self-selected pace running
exercise, enhances self-esteem, coincided with cortical activity changes in fronto-temporal brain areas.
© 2011 Elsevier B.V. All rights reserved.

1. Introduction reaction time [23], and supports social manners, such as friend-
ship [24] in intellectually disabled individuals. However, yet there
The connection between physical exercises, changes in brain is rarely any evidence investigating the neuropsychological cor-
cortical activity [1,2] and its relationship to mood [3–7] and relates of physical exercise on intellectually disabled individuals
cognition [8–10] has been addressed in several cases recently. [20,25].
The focus of many of these studies was to investigate the dif- Therefore the aim of our study was to localize changes in brain
ferent effects of exercise intensities [11], durations [12] as well cortical activity in relation to mood and cognition after a moder-
as exercise preference levels [4] on neuropsychological changes. ate physical exercise intervention in individuals with intellectual
Most of these studies were set up for healthy individuals, such disability.
as well-trained athletes, physically active children [5] or elderly Although the use of electroencephalographical (EEG) analysis
people [13,14]. However, the benefits of physical exercise, such in the sport and exercise science has been comparatively rare to-
as general well being [4], physical [15–17] and cognitive health date, EEG is a well-established technique, which has been applied
enhancements [9], are also becoming increasingly important for in the field of psychology and clinical research for several decades.
intellectually disabled individuals, not only because of a general There is evidence indicating that a general well being as well as
increase in life expectancy [18,19]. Several studies investigated cognitive and recreational processes are associated with specific
the importance of physical exercise to achieve health benefits for changes in electro cortical activity especially in fronto-temporal
intellectually disabled individuals (for an overview, please see Ref. regions [3,4,8,9,13,26,27]. These findings support Dietrich’s tran-
[20] and more recently Ref. [21]) and it has been shown that sient hypofrontality hypothesis [28] that suggests a decrease of
physical exercising seems to contribute to well being in intellec- neural activity in brain cortical regions that are rather inessential
tually disabled individuals [22]. In addition, there is first evidence to performing the exercise.
that physical exercising improves cognitive processes, for example Today’s technical innovations enable clear EEG recordings,
before, after and even during exercise [10,29] and allow, in
combination with a localization method (low resolution brain elec-
∗ Corresponding author. Tel.: +49 221 4982 4230; fax: +49 221 4973 454. tro magnetic tomography, LORETA), to create mappings of the
E-mail address: t.vogt@dshs-koeln.de (T. Vogt). recorded brain cortical changes [3,30].

0166-4328/$ – see front matter © 2011 Elsevier B.V. All rights reserved.
doi:10.1016/j.bbr.2011.10.015
474 T. Vogt et al. / Behavioural Brain Research 226 (2012) 473–480

Fig. 1. Experimental setup.

In this study we hypothesized that (1) moderate 30 min run- Table 1


The MoodMeter® (sub-) dimensions.
ning of intellectually disabled individuals [20,21,31] would lead
to a decrease in cortical activation after exercising, particularly in MoodMeter® Dimension Sub-dimension
fronto-temporal brain regions. Based on previous results address- Perceived physical Perceived physical Physical energy
ing the connection of physical exercise, mood and cognition state state Physical fitness
[7,9,10], (2) an increase in cognitive performance that is accom- Physical flexibility
panied by an increase in mood is hypothesized to correlate with Physical Health

the expected changes in fronto-temporal areas. EZ-scale Psychological Relaxation


To minimize distraction within the participating intellectually strain Positive mood
Calmness
disabled individuals, we chose a field setting and tried to put as few
Recovery
limitations as possible on their running activities [4,13].
EZ-scale Motivational state Self-confidence
Willingness to seek contact
2. Material and methods Social acceptance
Readiness to strain
2.1. Subjects

The Universitys’ Human Research Ethics Committee approved this study. Volun-
tarily 12 male individuals (age: 22.50 ± 9.87 years, height: 177.92 ± 6.13 cm, weight: 2.5. EEG analysis
81.50 ± 24.58 kg) participated in this study. Prior to involvement, all participants
attended an informatory meeting. Participants and legal guardians provided written The EEG was low and high-pass filtered, so that a frequency range from 0.5 to
informed consent, respectively. According to the HMB-W policy [32,33] including 50.0 Hz (notch filter) remained for analysis (time constant 0.0455 s; 24 dB/octave).
Metzler’s evaluation of groups with specific needs for care (‘Hilfebedarfsgruppen’ Data was segmented into 4-s segments, whereby an overlap of 10% was accepted.
[34]) all participants are considered being intellectually disabled. All participants are Following an automatic artefact rejection (gradient < 35 ␮V; maximum and min-
used to partake in physical exercise programmes (either football or running activi- imum amplitude between −100 ␮V and 100 ␮V), segmented data was baseline
ties) and are considered being relatively fit. All procedures were in compliance with corrected and analysed by spectral analysis (FFT, resolution 0.244 Hz; Hanning win-
the Declaration of Helsinki for human participants. dow, 10%).
To determine anatomical regions of interest (ROIs) and the site-specific cortical
current density values (␮V2 /mm4 ) the build in LORETA transformation of the Brain
2.2. Exercise protocol Vision Analyzer software 2.0 was used (Gilching, Germany). A minimum of twenty
4-s segments of artefact-free resting EEG was used for the transformation and cal-
Following a pre-exercise medical screening, participants underwent a one-time culation. ROIs researched in this study are known to be located in central areas of
running exercise at self-selected [3], moderate pace for 30 min. Individual heart the frontal lobe: rectal gyrus, medial frontal gyrus, middle frontal gyrus and orbital
rate was recorded using a mobile heart rate monitor (Suunto, Vantaa, Finland). gyrus. According to the literature, identifying the relevance of medial frontal lobe
During each run a study operator accompanied the participants. EEG activity was regions in psychological and cognitive processing [42,43], we additionally decided,
recorded for 3 min sitting in an upright rest position with eyes closed prior to the to specifically define Brodmann areas 11, 25 and 47 as ROIs respectively [44].
exercise (EEGpre ), immediately after exercising (EEGpostRUN ) and after the cognitive
tasks (EEGpostCOG ). Following the EEGpre and EEGpostRUN recordings, participants com- 2.6. Mood assessment
pleted a paper-pencil mood questionnaire (MOODpre , MOODpostRUN ) Fig. 1. Further
details of the EEG recordings as well as the mood assessment and the cognitive tasks The MoodMeter® consists of Bodyfinder and Feelfinder modules. The Bodyfinder
are provided below. has been developed to determine the current perceived physical state (PEPS) in tradi-
tionally more bio medically orientated research (e.g., exercise physiology, internal
medicine) and is very sensitive to short term alterations in mood (validated dur-
2.3. EEG recordings
ing the years 2001–2005 on a total of 645 participants; Cronbach alpha intraclass
A 32-channel portable EEG-System (Brain Products, Munich, Germany) was used correlation coefficient 0.82 and 0.92; [45]). The Feelfinder includes a short form of
for data acquisition (sampling rate 500 Hz). An EEG-cap that adapted to individual the ‘Eigenzustandsskala’ (EZ-scale [46]). Opposed to other psychological adjective
head size was mounted in the 10–20 system [35] 15 min prior to exercising. The scales (e.g. POMS) the EZ-scale allows the measurement of not only the emotional
EEG-cap was built of Ag–AgCl electrodes and one reference electrode (mounted in or psychological strain, but also a person’s motivational state. In the present study
the triangle of FP1, FP2 and FZ). EEG activity was recorded on positions FP1, FP2, F7, we used a short 16-item-form of the EZ-scale developed and validated by Nitsch
F3, Fz, F4, F8, FC5, FC1, FC2, FC6, T7, C3, Cz, C4, T8, TP9, CP5, CP1, CP2, CP6, TP10, [46], which forms eight sub-dimensions (Table 1; please see Ref. [45] for a detailed
P7, P3, Pz, P4, P8, PO9, O1, Oz, O2, PO10. The EEG-cap was fixed with a chin strip description of the development and operating mode of the MoodMeter® ).
to prevent shifting during exercise. In order to prevent an increase in heat dur- We used a modified paper-pencil version of the MoodMeter® for the intellectu-
ing exercise the EEG-cap was permeable to air. Distances between electrodes were ally disabled individuals. It contained two catalogues, each consisting of the same
approximately 5 cm to avert possible cross talk after exercise due to salt bridges 32 adjectives (16 PEPS, 16 EZ-scale) presented in a random order. The first cata-
between electrodes. Each electrode was filled with SuperViscTM electrode gel (Easy- logue was presented before exercising (MOODpre ). Catalogue MOODpost was then
Cap GmbH, Herrsching, Germany) to optimize signal transduction. We excluded presented following the EEGpostRUN measurement after exercising. It took approx-
electrodes from further analysis, if the impedance of an electrode exceeded 10 k. imately 5 min (5.46 ± 1.15 min) for each catalogue to be completed. Preliminary
The analogue signal of the EEG was amplified and converted to digital signals using instructions given to the participants were: “Please name, without any hesitation, to
Brain Vision Recorder 1.1 Software (Brain Products, Munich, Germany). what extent the following adjective applies to your physical state at this moment.”
The endpoints of a 6-step ranking scale were anchored (0 = not at all; 5 = totally).
Due to relatively slow reading and understanding of the adjectives the original time
2.4. Low resolution brain electromagnetic tomography (LORETA) limit (4 s per adjective) was excluded.

The KEY Institute for Brain-Mind Research provides the low resolution brain 2.7. Cognitive tasks
electromagnetic tomography analysis (University Hospital of Psychiatry, Zurich,
Switzerland). LORETA enables a spatial identification and analysis of brain corti- The Vienna test system (VTS) is a standardized, computerized psychological
cal activity, providing a three-dimensional (3D) localization based on traditional assessment tool that has been used in sport and exercise science research earlier
EEG recordings. This method has been thoroughly described and validated in previ- [47]. The VTS has been determined to assess basic cognitive functions (i.e. alertness,
ous clinical [36–39] and exercise studies [3–5,10,13,29,40,41]. In the present study a memory consolidation, motor functions) in particular neuropsychological impair-
standard LORETA transformation was used to localize cortical current density within ment. It provides sectional cognitive performance tests that allow for individual
specific regions of interest (ROI, see Section 2.5). levels of difficulty, referring to the participant’s clinical picture or age for example.
T. Vogt et al. / Behavioural Brain Research 226 (2012) 473–480 475

Fig. 2. Cortical current density changes over time–rectal gyrus.

The cognitive performance tasks used in this study consist of a continuous visual participant was instructed to react upon a visual stimulus (appearing and disap-
recognition task (CVR) and a reaction time task (RT). In each task, we chose a level pearing yellow light), following a button to press respectively. Participants were
of difficulty, modified for intellectually disabled individuals (VTS versions: CVR-S6, instructed to “react as fast and as precise as possible”. Each participant took approx-
RT-S1). imately 3 min to finish the RT.
The continuous visual recognition task (CVR; Cronbach’s alpha reliability of 0.84) Following EEGpostRUN participants completed the cognitive performance tasks. In
assesses memory performance and cerebral deficits of each individual participant addition the cognitive performance tasks were conducted under control conditions
(number of correct recognitions). Its main areas of application are in the fields of neu- without a running exercise intervention.
ropsychology, clinical and health psychology as well as pedagogical psychology. CVR
is based on the decision whether an item is shown for the first time or has already 2.8. Statistical procedures
been presented on screen, following a button to press respectively. According to
the clinical picture of our participants, we chose a total of 100 items, divided into All statistical procedures were performed using STATISTICA programme 7.1
objects, simple numbers and letters that were presented in a randomized sequence. (StatSoft, Tulsa, USA).
It took approximately 4 min for each participant to finish the CVR task. In order to display exercise induced changes in estimated cortical current den-
The reaction time task (RT; Cronbach’s alpha reliability 0.961) records the mean sity, one-way repeated measures of variance (ANOVA) for the factor measurement
reaction time in milliseconds (ms). The RT covers the areas of alertness, the ability to (EEGpre , EEGpostRUN , EEGpostCOG ) was computed for LORETA power values. Fisher’s
suppress an inappropriate reaction, as well as vigilance and intermodal comparison. least significant difference served as post hoc test. Due to measuring faults only 11
The main areas of the application for RT are clinical and health psychology, per- out of 12 participants were considered for the statistical procedure of the cortical
sonnel psychology, sport psychology, and educational psychology. For the RT the current density values.

Fig. 3. Cortical current density changes over time–medial frontal gyrus.


476 T. Vogt et al. / Behavioural Brain Research 226 (2012) 473–480

Fig. 4. Cortical current density changes over time–orbital gyrus.

Fig. 5. Cortical current density over time–Brodmann area 11.

Overall MoodMeter® dimensions of PEPS (perceived physical state) and EZ-scale 3.2. Cortical current density
(motivational state and psychological strain) were checked for significant changes
using Wilcoxon paired samples test with the intra-individual factor measurement Although frontal lobe values of cortical current density revealed
(MOODpre to MOODpost ). no significant changes (p = 0.76099), cortical current density val-
Cognitive performance tests CVR and RT were computed using one-way
ues of specific frontal lobe areas (ROIs) recorded after exercising
repeated measures of variance (ANOVA) for the factor measurement (intervention,
control conditions). decreased significantly compared to baseline measurements prior
Two-tailed level of significance was set at p < 0.05. Data in the text are presented to the exercise: rectal gyrus (p = 0.00507), medial frontal gyrus
as means (∀) ± standard deviation (SD). (p = 0.03249) and orbital gyrus (p = 0.00576) as well as Brodmann
area 11 (p = 0.00709) and Brodmann area 25 (p = 0.03551) (Figs. 2–6,
Table 2).
3. Results Cortical current density values recorded in the middle frontal
gyrus (p = 0.17712) and in Brodmann area 47 (p = 0.69759) revealed
3.1. Time and heart rate no significant changes.

On average participants ran for 00:30.53 min (±00:00.23 min)


3.3. Mood assessment
at an average heart rate of 154.50 bpm (±14.43 bpm). The aver-
age participants’ max heart rate during running was 177.58 bpm Although the overall dimensions perceived physical state showed
(±10.06 bpm). no significant changes (p > 0.05) within sub-dimension physical
T. Vogt et al. / Behavioural Brain Research 226 (2012) 473–480 477

Fig. 6. Cortical current density changes over time–Brodmann area 25.

energy (p = 0.003346) the recorded values for Moodpost decreased Table 3


Mood assessment’s (sub-)dimensions.
significantly compared to the values recorded for Moodpre (Table 3).
No significant changes were found in the overall dimension MoodMeter® dimensions (n = 12) T Z p-Value
psychological strain (p > 0.05). However, sub-dimension positive Perceived physical state 21.50 1.372813 0.169811
mood (p = 0.046400) revealed a significant increase of the recorded Physical energy 0.00 2.934058 ↓ 0.003346**
Physical fitness 22.00 0.560612 0.575063
Physical flexibility 13.50 1.066228 0.286321
Table 2 Physical health 18.00 0.00 1.000000
Cortical current density changes in ROIs.
Psychological strain 19.00 0.866400 0.386271
Rectal gyrus Relaxation 26.00 0.152894 0.878482
Positive mood 1.00 1.991741 ↑ 0.046400*
Measurement(␮V2 /mm4 ) EEGpre EEGpostRun EEGpostCog
Calmness 10.50 1.050210 0.293622
pre
EEG (∀ 9,21 ± SD 2,68) p = 0.011419 *
p = 0.002041* Recovery 8.50 1.936659 0.052788
EEGpostRun (∀ 6,37 ± SD 3,47) p = 0.011419* p = 0.457540
Motivational state 6.00 2.191483 ↑ 0.028418*
EEGpostCog (∀ 5,60 ± SD 2,83) p = 0.002041* p = 0.457540
Self-confidence 4.00 2.745626 ↑ 0.006040**
Willingness to seek contact 9.50 1.540107 0.123535
Medial frontal gyrus Social acceptance 1.50 2.310462 ↑ 0.020863*
Measurement(␮V2 /mm4 ) EEGpre EEGpostRun EEGpostCog Readiness to strain 6.00 0.943456 0.345448

pre Displayed are values of the Wilcoxon paired sample test. Arrows indicate an
EEG (∀ 7,22 ± SD 2,64) p = 0.165346 p = 0.009699*
increased (↑) or decreased (↓) perception respectively.
EEGpostRun (∀ 5,92 ± SD 3,26) p = 0.165346 p = 0.171263 *
Indicate the level of significance (p < 0.05).
EEGpostCog (∀ 4,64 ± SD 2,80) p = 0.009699* p = 0.171263 **
Indicate the level of significance (p < 0.01).

Orbital gyrus

Measurement(␮V2 /mm4 ) EEGpre EEGpostRun EEGpostCog


Moodpost values compared to the values recorded for Moodpre
pre *
EEG (∀ 11,95 ± SD 3,21) p = 0.015191 p = 0.002122**
(Table 3).
EEGpostRun (∀ 8,08 ± SD 4,32) p = 0.015191* p = 0.394074
EEGpostCog (∀ 6,93 ± SD 3,29) p = 0.002122** p = 0.394074 The overall dimension motivational state showed a significant
increase (p = 0.028418) of the recorded Moodpost values compared
Brodmann area 11 to values recorded for Moodpre . Additionally, sub-dimensions self-
confidence (p = 0.006040) and social acceptance (p = 0.020863) both
Measurement(␮V2 /mm4 ) EEGpre EEGpostRun EEGpostCog
revealed a significant increase of the recorded Moodpost values
pre *
EEG (∀ 5,09 ± SD 1,29) p = 0.020395 p = 0.002469** compared to the values recorded for Moodpre (Table 3).
EEGpostRun (∀ 3,61 ± SD 1,95) p = 0.020395* p = 0.357443
EEGpostCog (∀ 3,05 ± SD 1,48) p = 0.002469** p = 0.357443

Brodmann area 25 Table 4


Cognitive performance.
Measurement(␮V2 /mm4 ) EEGpre EEGpostRun EEGpostCog
Cognitive performance – Vienna testing F(1,11) p-Value
EEGpre (∀ 2,71 ± SD 0,92) p = 0.054887 p = 0.013766*
system
EEGpostRun (∀ 1,98 ± SD 1,22) p = 0.054887 p = 0.515892
EEGpostCog (∀ 1,74 ± SD 1,07) p = 0.013766* p = 0.515892 Continuous visual recognition task – 0.02012 0.88977
number of correct hits
Displayed are intra-individual changes of cortical current density using Fisher LSD
Reaction time task – mean reaction time 0.14635 0.70934
Post hoc-Test, including mean values (∀) and standard deviation (SD) in ␮V2 /mm4 .
* Displayed are values of the one-way repeated measures of variance (ANOVA) for the
Indicate the level of significance (p < 0.05).
** factor measurement (intervention, control conditions).
Indicate the level of significance (p < 0.01).
478 T. Vogt et al. / Behavioural Brain Research 226 (2012) 473–480

3.4. Cognitive performance There is also evidence, suggesting the social aspects of exercise to
function as a motivator for an ongoing participation in exercise
Cognitive performance values for both, RT and CVR recorded programmes and herewith to foster its benefits such as friendship
after exercise revealed no significant changes compared to values and social connection [24]. Earlier research by Wurst et al. [53],
of the control measurements (p > 0.05; Table 4). who investigated the effects of a weight-reduction programme in
an intellectually disabled individual (12 years old), reported an
achievement in the participants’ self-esteem as well as a positive
4. Discussion experience of social acceptance afterwards. On the basis of our
findings of an increased motivational state, including an increased
This study aimed to localize changes in electroencephalo- perception of self-confidence and social acceptance as well as posi-
graphic activity, mood and cognitive performance in intellectually tive mood in intellectually disabled individuals after exercise and
disabled individuals following a moderate running exercise. Sig- with respect to previous research results, there is reason to believe
nificant changes in cortical current density of frontal brain areas that physical exercising, even following a one-time running exer-
as well as decreases in perceived physical energy were reported, cise, enhances social- and self-perception in intellectually disabled
whereas overall motivational states (including self-confidence and individuals. Adding to previous research [22], that exercise seems to
social acceptance) as well as positive mood increased significantly. contribute to well being in intellectually disabled individuals, this
No changes could be observed for the cognitive tasks following also underlines the importance of exercise for intellectually dis-
exercise. abled individuals, improving the quality of life and a general well
The findings of our research revealed a significant decrease being.
in cortical current density after exercise in frontal lobe regions, With respect to previous research, reporting significant
specifically pronounced in the rectal gyrus, medial frontal gyrus improvements in reaction time following a structured physical fit-
and orbital gyrus. Besides the literatures’ dominant association of ness programme for 12 weeks in intellectually disabled individuals
the frontal lobe with emotional processes (for an overview please [23] we expected to observe improvements by our participants in
refer to Ref. [1]), a number of convincing neuro-scientific evidences the reaction time task after exercising. Furthermore, a most recent
show, that these frontal lobe gyri also play important roles in cog- review on exercise and cognitive function in relation to neuro-
nitive processing. Neuropsychological investigations on illiteracy logical disorders show evidence that exercise improves attention
for example, show evidence, that the left rectal gyrus is associ- processes and cognitive flexibility [25], giving reason to expect
ated with reading and writing during childhood [48]. In addition, similar findings in our studys’ visual recognition task following
a comparative study on cerebral blood flow confirmed a general exercise. Additionally, although a non-exercise study, Kamijo et
involvement of the right rectal gyrus and left orbital gyrus in work- al. [54] investigated working memory under speed and accuracy
ing memory and novelty response processes as well as in cognitive instructions, suggesting a more constant level of control in higher-
and emotional processing, such as the perception of moods [49]. fit individuals. However, our study revealed, despite promising
An fMRI study by Talati and Hirsch [42] revealed, that the medial previous research findings, no cognitive tasks changes following
frontal gyrus is associated with high-level executive functions and exercise. Although carefully chosen and modified, the cognitive
decision-related processes, such as recognition processes. Deary tasks used in this study might still not have been appropriate for
et al. [50] investigated the performance of healthy adults in a visual the specific needs of our intellectually disabled participants.
inspection time task. Their findings provide evidence, identifying Today, it is widely assumed that changes in electroencephalo-
the medial frontal gyrus as part of a functional connectivity net- graphic activity in frontal brain regions are related to mood
work, that is possibly associated with the processing of visually [7,11,51] and cognitive performance [9]. There is evidence that
degraded perceptions [50]. the influences of exercise, mood and cognitive performance can
It seems important to stress, that the present study revealed be due to an exercise-induced state of frontal hypofunction
similar decreases in cortical current density in even more precise [28,55].
medial frontal lobe regions, the Brodmann areas 11 and 25. Brod- The present studys’ decrease in frontal cortical current density
mann area 11 is known to relate to the rectal gyrus and orbital following exercise, coincided with an increase in self-esteem and
gyrus [49] and is, however, together with Brodmann area 25, also mood, adds to previous research. Schneider et al. [10] for exam-
associated to be preferentially involved in psychological processes ple provide evidence, that changes in brain cortical activity due to
as compared to cognitive processes [44]. exercise may serve as a countermeasure to psycho-physiological
However, there is evidence suggesting new research approaches deconditioning. In addition, exercise seems to be related to indi-
that address a connection of decreased frontal brain activity and vidual preferences in both, exercise intensity and duration as well
cognitive psychology [28]. On the basis of these previous research as in the type of exercising, suggesting self-selected exercise condi-
findings and with respect to Dietrich’s transient hypofrontality the- tions related to a general well being [3,4]. Furthermore, convincing
ory [28], the present studys’ decrease of cortical current density in evidence exists, relating academic achievement and exercise [9].
frontal lobe regions after exercise might explain a restructuring of To that effect, a study by Schneider et al. [5] give reason to believe,
resources, referring to mood and initial cognitive states [51]. that school children’s cognitive performance may benefit from a
A decrease in perceived physical energy, reported in this study, decrease in frontal brain areas following a moderate cycling exer-
indicates that the running exercise, completed by our participants, cise. Recently, coherences between brain cortical function and
was physically challenging and somewhat tiring. These results do neurocognitive performances were observed, even under extreme
not contradict other findings, relating an effect of abating perceived conditions (changed gravity [40]). However, Dietrich and Sparling
physical energy after exercising and brain cortical activity [4,5,7]. [56] also suggest, that non-cognitive tasks such as treadmill run-
More interestingly, our results revealed an increase in the over- ning, can interfere with resources that are potentially available for
all motivational state after exercise in addition. More specifically cognitive processes.
this was pronounced in the perception of self-confidence and social- With respect to our findings, we are well aware that the low
acceptance of the participants. The benefits of exercise in relation to number of rather heterogeneous participants limits the present
mood have been reported in previous research many times [3,6,7]. study. Furthermore, we experienced a considerable difficulty in
Moreover, several neuropsychological studies show evidence that finding adequate measuring devices for intellectually disabled indi-
exercise has an effect on both social- and self-perception [4,10,52]. viduals, in particular for the assessment of cognitive performances.
T. Vogt et al. / Behavioural Brain Research 226 (2012) 473–480 479

5. Conclusion Control and Prevention and the American College of Sports Medicine. JAMA
1995;273:402–7.
[17] United States Department of Health and Human Services. Physical activity and
The benefits of physical exercise on mood and cognitive per- health: a report of the Surgeon General. Atlanta, GA: United States Department
formance have been investigated in several neuropsychological of Health and Human Services, Centers for Disease Control and Prevention,
studies [5,7,9]. With respect to the data provided here it could National Center for Chronic Disease Prevention and Health Promotion; 1996.
[18] Anneken V, Hanssen-Doose A, Hirschfeld S, Scheuer T, Thietje R. Influence of
be assumed, that a moderate self-selected pace running exercise physical exercise on quality of life in individuals with spinal cord injury. Spinal
for 30 min, enhances self-esteem, coincided with cortical activity Cord 2010;48(5):393–9.
changes in fronto-temporal brain areas. However, no effects on [19] Temple VA, Stanish HI. Physical activity and persons with intellectual dis-
ability: some considerations for Latin America. Salud Publica Mex Suppl
cognitive performance were observed.
2008;50(2):185–93.
Following this neuropsychological approach, there is a need for [20] Temple VA, Frey GC, Stanish HI. Physical activity of adults with mental retar-
future studies, evaluating the specific needs to enhance mood in dation: review and research needs. Am J Health Promot 2006;21(1):2–12.
[21] Cervantes CM, Porretta DL. Physical activity measurement among individuals
intellectually disabled individuals. In addition, further investiga-
with disabilities: a literature review. Adapt Phys Activ Q 2010;27(3):173–90.
tions of neurocognitive processes should take the clinical picture’s [22] Hutzler Y, Korsensky O. Motivational correlates of physical activity in persons
diversity of intellectual disabilities into account, if possible in more with an intellectual disability: a systematic literature review. J Intellect Disabil
homogeneous participants. Res 2010;54(9):767–86.
[23] Yildirim NU, Erbahceci F, Ergun N, Pitetti KH, Beets MW. The effect of physical
fitness training on reaction time in youth with intellectual disabilities. Percept
Acknowledgments Mot Skills 2010;111(1):178–86.
[24] Temple VA. Factors associated with high levels of physical activity among adults
with intellectual disability. Int J Rehabil Res 2009;32(1):89–92.
This study was funded by the German Sport University Cologne [25] McDonnell MN, Smith AE, Mackintosh SF. Aerobic exercise to improve cognitive
awarding a research grant to the authors of this publication – Tobias function in adults with neurological disorders: a systematic review. Arch Phys
Med Rehabil 2011;92(7):1044–52.
Vogt in collaboration with Stefan Schneider and Vera Abeln.
[26] Dussault C, Jouanin JC, Philippe M, Guezennec CY. EEG and ECG changes during
We would like to thank all our participants for being part of simulator operation reflect mental workload and vigilance. Aviat Space Environ
and spending some of their valuable time for this study. Everybody Med 2005;76(4):344–51.
looked extremely beautiful with the cap! [27] Schutter DJ, Weijer AD, Meuwese JD, Morgan B, Honk JV. Interrelations between
motivational stance, cortical excitability, and the frontal electroencephalogram
A special thanks goes to the parents and the administra- asymmetry of emotion: a transcranial magnetic stimulation study. Hum Brain
tion of the ‘Heilpädagogisches Therapie- und Förderzentrum St. Mapp 2008;29(5):574–80.
Laurentius-Warburg’ as well as the executive board of the ‘Cari- [28] Dietrich A. Transient hypofrontality as a mechanism for the psychological
effects of exercise. Psychiatry Res 2006;145:79–83.
tas Wohn- und Werkstätten im Erzbistum Paderborn e. V.’ who [29] Brümmer V, Schneider S, Abel T, Vogt T, Strüder HK. Brain cortical activ-
realized the relevance of this approach and fully supported this ity is influenced by exercise mode and intensity. Med Sci Sports Exerc
study. 2011;43(10):1863–72.
[30] Schneider S, Askew CD, Abel T, Mierau A, Strüder HK. Brain and exercise: a first
approach using electro tomography. Med Sci Sports Exerc 2010;42(3):600–7.
References [31] Stanish HI, Temple VA, Frey GC. Health-promoting physical activity of adults
with mental retardation. Ment Retard Dev Disabil Res Rev 2006;12(1):
[1] Crabbe JB, Dishman RK. Brain electrocortical activity during and after exercise: 13–21.
a quantitative synthesis. Psychophysiology 2004;41(4):563–74. [32] World Health Organization. The international classification of impairments,
[2] Hollmann W, Strueder HK. Körperliche Aktivität fördert Gehirngesundheit disabilities and handicaps (ICIDH-1). Geneva: WHO; 1980.
und -leistungsfähigkeit: Übersicht und eigene Befunde. Nervenheilkunde [33] World Health Organization. The international classification of impairments,
2003;9:467–74. activities and participation (ICIDH-2). Geneva: WHO; 1997.
[3] Schneider S, Brümmer V, Abel T, Askew CD, Strueder HK. Changes in brain [34] Metzler H. Hilfebedarf von Menschen mit Behinderungen im Bereich “Gestal-
cortical activity measured by EEG are related to individual exercise preferences. tung des Tages”, Fassung 3/2001. In: Bugdoll T, editor. HMB-T Verfahren. Han-
Physiol Behav 2009;98(4):447–52. nover: GK FFV LRV; 2011. p. 1–22 [appendix 2.3] http://hmbw.de/Leitfaden.pdf,
[4] Schneider S, Askew CD, Diehl J, Mierau A, Kleinert J, Abel T, et al. EEG activity and last access 19.09.2011.
mood in health orientated runners after different exercise intensities. Physiol [35] Jasper HH. The ten-twenty electrode system of the international federation.
Behav 2009;96(4–5):709–16. Electroencephalogr Clin Neurophysiol Suppl 1958;35(10):371–5.
[5] Schneider S, Vogt T, Frysch J, Guardiera P, Struder HK. School sport—a neuro- [36] Fuchs M, Kastner J, Wagner MS, Hawes S, Ebersole JS. A standardized
physiological approach. Neurosci Lett 2009;467:131–4. boundary element method volume conductor model. Clin Neurophysiol
[6] Ekkekakis P, Hall EE, Van Landuyt LM, Petruzzello SJ. Walking in (affective) 2002;113:702–12.
circles: can short walks enhance affect? J Behav Med 2000;23(3):245–75. [37] Jurcak V, Tsuzuki D, Dan I. 10/20, 10/10, and 10/5 Systems revisited: their
[7] Petruzzello JS, Ekkekakis P, Hall EE. Physical activity, affect, and electroen- validity as relative head-surface-based positioning systems. Neuroimage
cephalogram studies. In: Acevedo EO, Ekkekakis P, editors. Psychobiology of 2007;34:1600–11.
physical activity. Champaign, IL: Human Kinetics; 2006. p. 111–28. [38] Pascual-Marqui RD. Standardized low-resolution brain electromagnetic
[8] Baumeister J, Reinecke K, Cordes M, Lerch C, Weiss M. Brain activity in goal- tomography (sLORETA): technical details. Methods Find Exp Clin Pharmacol
directed movements in a real compared to a virtual environment using the Suppl 2002;24(D):5–12.
Nintendo Wii. Neurosci Lett 2010;481(1):47–50. [39] Pascual-Marqui RD, Esslen M, Kochi K, Lehmann D. Functional imaging with
[9] Hillman CH, Pontifex MB, Raine LB, Castelli DM, Hall EE, Kramer AF. The effect low-resolution brain electromagnetic tomography (LORETA): a review. Meth-
of acute treadmill walking on cognitive control and academic achievement in ods Find Exp Clin Pharmacol Suppl 2002;24(C):91–5.
preadolescent children. Neuroscience 2009;159(3):1044–54. [40] Brümmer V, Schneider S, Vogt T, Strüder H, Carnahan H, Askew CD, et al. Coher-
[10] Schneider S, Brümmer V, Carnahan H, Kleinert J, Piacentini MF, Meeusen R, et al. ence between brain cortical function and neurocognitive performance during
Exercise as a countermeasure to psycho-physiological deconditioning during changed gravity conditions. J Vis Exp 2011:51.
long-term confinement. Behav Brain Res 2010;211(2):208–14. [41] Brümmer V, Schneider S, Strüder HK, Askew CD. Primary motor cor-
[11] Hall EE, Ekkekakis P, Petruzzello SJ. Predicting affective responses to exer- tex activity is elevated with incremental exercise intensity. Neuroscience
cise using resting EEG frontal asymmetry: does intensity matter? Biol Psychol 2011;181:150–62.
2010;83(3):201–6. [42] Talati A, Hirsch J. Functional specialization within the medial frontal gyrus for
[12] Woo M, Kim S, Kim J, Petruzzello SJ, Hatfield BD. Examining the exercise-affect perceptual go/no-go decisions based on “what,” “when” and “where” related
dose-response relationship: does duration influence frontal EEG asymmetry? information: an fMRI study. J Cogn Neurosci 2005;17(7):981–93.
Int J Psychophysiol 2009;72(2):166–72. [43] Rota G, Sitaram R, Veit R, Erb M, Weiskopf N, Dogil G, et al. Self-regulation of
[13] Vogt T, Schneider S, Brümmer V, Strüder HK. Frontal EEG asymmetry: the effects regional cortical activity using real-time fMRI: the right inferior frontal gyrus
of sustained walking in the elderly. Neurosci Lett 2010;485(2):134–7. and linguistic processing. Hum Brain Mapp 2008;30(5):1605–14.
[14] Moraes H, Deslandes A, Silveira H, Ribeiro P, Cagy M, Piedade R, et al. The effect [44] Hynes CA, Baird AA, Grafton ST. Differential role of the orbital frontal
of acute effort on EEG in healthy young and elderly subjects. Eur J Appl Physiol lobe in emotional versus cognitive perspective-taking. Neuropsychologia
2011;111(1):67–75. 2005;44(3):374–83.
[15] National Institutes of Health, (NIH). NIH consensus development panel on phys- [45] Kleinert J. Adjektivliste zur Erfassung der wahrgenommenen körper-
ical activity and cardiovascular health: physical activity and cardiovascular lichen Verfassung (WKV): Skalenkonstruktion und erste psychometrische
health. JAMA 1996;276:241–6. Befunde[[n1]]Adjective list for assessing perceived physical state (PEPS).
[16] Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical Scale construction and psychometric results. Zeitschrift fuer Sportpsychologie
activity and public health: a recommendation from the Centers for Disease 2006;13(4):156–64.
480 T. Vogt et al. / Behavioural Brain Research 226 (2012) 473–480

[46] Nitsch JR. Die Eigenzustandsskala (EZ-Skala)—Ein Versuch zur hierarchisch- [51] Ekkekakis P, Acevedo EO. Affective responses to acute exercise: toward a
mehrdimensionalen Befindlichkeitsskalierung[[n1]]The Eigenszustandsskala psychobiological dose-response model. In: Acevedo EO, Ekkekakis P, editors.
(EZscale)—an approach to a hierarchical multidimensional scale of psycholog- Psychobiology of physical activity. Champaign, IL: Human Kinetics; 2006. p.
ical feeling. In: Nitsch J, Udris I, editors. Beanspruchung im Sport: Beiträge 91–109.
zur psychologischen Analyse sportlicher Leistungssituation. Bad Homburg: [52] Ekkekakis P, Lind E. Exercise does not feel the same when you are overweight:
Limpert; 1976. p. 81–102. the impact of self-selected and imposed intensity on affect and exertion. Int J
[47] Dworak M, Wiater A, Alfer D, Stephan E, Hollmann W, Strueder HK. Increased Obes 2006;30(4):652–60.
slow wave sleep and reduced stage 2 sleep in children depending on exercise [53] Wurst E, Möslinger D, Widhalm K. Effect of psychotherapeutic interven-
intensity. Sleep Med 2008;9(3):266–72. tions on weight reduction and personality development of a 13-year-old boy
[48] Kwon OD, Cho SS, Seo SW, Na DL. Effects of illiteracy on neuropsychologi- with Prader–Willi syndrome [article in German]. Klein Padiatr 1992;204(3):
cal tests and glucose metabolism of brain in later life. J Neuroimaging 2011, 177–80.
doi:10.1111/j.1552-6569.2011.00618.x. [54] Kamijo K, O’Leary KC, Pontifex MB, Themanson JR, Hillman CH. The relation of
[49] Chávez-Eakle RA, Graff-Guerrero A, García-Reyna JC, Vaugier V, Cruz-Fuentes aerobic fitness to neuroelectric indices of cognitive and motor task perception.
C. Cerebral blood flow associated with creative performance: a comparative Psychophysiology 2010;47(5):814–21.
study. Neuroimage 2007;38(3):519–28. [55] Colcombe S, Kramer AF. Fitness effects on the cognitive function in older adults:
[50] Deary IJ, Simonotto E, Meyer M, Marshall A, Marshall I, Goddard N, et al. The a meta-analytical study. Psychol Sci 2003;14:125–30.
functional anatomy of inspection time: an event-related fMRI study. Neuroim- [56] Dietrich A, Sparling PB. Endurance exercise selectively impairs prefrontal-
age 2004;22(4):1466–79. dependent cognition. Brain Cogn 2004;55:516–24.

You might also like