Acute Physical Activity on Cognitive Function: A Heart Rate Variability Examination Nicholas P. Murray & Carmen Russoniello Applied Psychophysiology and Biofeedback In association with the Association for Applied Psychophysiology and Biofeedback ISSN 1090-0586 Volume 37 Number 4 Appl Psychophysiol Biofeedback (2012) 37:219-227 DOI 10.1007/s10484-012-9196-z 1 23 Your article is protected by copyright and all rights are held exclusively by Springer Science+Business Media, LLC. This e-offprint is for personal use only and shall not be selfarchived in electronic repositories. If you wish to self-archive your work, please use the accepted author’s version for posting to your own website or your institution’s repository. You may further deposit the accepted author’s version on a funder’s repository at a funder’s request, provided it is not made publicly available until 12 months after publication. 1 23 Author's personal copy Appl Psychophysiol Biofeedback (2012) 37:219–227 DOI 10.1007/s10484-012-9196-z Acute Physical Activity on Cognitive Function: A Heart Rate Variability Examination Nicholas P. Murray • Carmen Russoniello Published online: 29 April 2012 Springer Science+Business Media, LLC 2012 Abstract The purpose of this study was to examine the relationship of physical activity and cognitive function (as determined by reaction time and the trail-making test) in active versus non-active participants. Participants were divided into one of four groups: active experimental, active control, non-active experimental and non-active control. All groups completed a complex cognitive task (the trailmaking test) as well as a set of reaction time tasks both before and after the experimental session. The experimental groups completed a 30-min exercise session while the control groups monitored the physical activity of the experimental group. In addition to the measures of cognitive function, heart rate variability was recorded during the pre- and post-tests. There was significant cognitive performance improvement in tasks with a higher cognitive and perceptual component. Heart rate variability data indicated that a moderate level of arousal based on sympathetic nervous system activity post exercise was associated with an increase in cognitive performance. The findings are discussed in light of the inverted-U hypothesis. Keywords Cognition Acute exercise Executive control Heart Rate Variability HRV Introduction During the last several decades, there have been nearly 200 articles (see Brisswalter et al. 2002; Colcombe and Kramer 2003; Luft et al. 2009; Etnier et al. 2006; Etnier et al. 1997; N. P. Murray (&) C. Russoniello Department of Exercise and Sport Sciences, East Carolina University, 166 Minges, Greenville, NC 27858, USA e-mail: [email protected] McMorris and Graydon 1997; or Tomporowski 2003 for reviews) assessing the effects of exercise on cognitive function. However, even with considerable evidence that acute exercise improves cognitive performance, there is still a lack of consensus of the precise relationship. For some studies in which physically fit participants were compared to sedentary ones, there was an increase following an acute bout of exercise in perceptual speed, reasoning and working memory for the fit participants (e.g., Arcelin et al. 1998; Hancock and McNaughton 1986). Other studies (e.g., Bard and Fleury 1978; Cote et al. 1992; Luft et al. 2009; Magnie et al. 2000) found no significant differences between fit groups and unfit groups on cognitive tests. Many authors (Etnier et al. 1997; Etnier et al. 2006; Hall et al. 2001; Tomporowski and Ellis 1986) have described methodological problems that could explain these divergent findings. For instance, there are large differences in duration and intensity of exercise as well as differences in the type of cognitive tasks and the timing of these tasks (relative to the exercise bout) that contribute to the difficulty in comparing results. For example, if the exercise session was too short or too long, it may lead to poorer performance on a cognitive task due to a participant reaching an over or under-aroused state (Chmura et al. 1998). In addition, many of the exercise studies that do not support changes in cognitive function do so by requiring trained and un-trained participants to work at the same predetermined V02max level for a given period of time (e.g. Chmura et al. 1998; Fery et al. 1997). While controlling for many potential confounding factors, the methodology of requiring participants to exercise at a predetermined V02max level may result in a higher or lower activation of the sympathetic nervous system (especially for untrained participants) than might be expected and may affect 123 Author's personal copy 220 performance on a cognitive task. Finally, Davranche and Audiffren (2004) as well as McMorris and Graydon (1997) have suggested if the task requires complex decisionmaking then improvements are often found following exercise whereas tasks with only perceptual components or requiring little attentional demand do not always demonstrate improvements. Despite extensive research, the knowledge about exact mechanisms underlying exercise and cognitive function relationship is limited (Hillman et al. 2003). Although several conceptual frameworks have been advanced (Davranche and Audiffren 2004; Etnier et al. 2006; McMorris and Graydon 1997; Grego et al. 2005; Tomporowski 2003), overall, there is growing support for the notion that a moderate level of exercise leads to cognitive improvement (e.g. Brisswalter et al. 1997; Chmura et al. 1998; Fery et al. 1997). However, there is a paucity of research that assesses arousal level following exercise to determine the relationship of autonomic nervous system response and cognitive performance. In previous research, there was no attempt made to measure the individual’s arousal state following exercise. The assumption is that the exercise will lead to improvements in cognition irrespective of the many of the methodological problems described above. Recent technological advances in physiological measurement allow for a better understanding of the relationship between acute exercise on cognitive function as well as assessing the role of arousal in the acute exercisecognition relationship. As seen recently in physiology and neuroscience literature (see Aubert et al. 2003 or Thayer et al. 2009 for a review), one measure of autonomic nervous system functioning that has promise is the assessment of heart rate variability (HRV). HRV provides an index through different frequency components (via a power spectral analysis) of sympathetic and parasympathetic activity. Although there is some debate within current research, the high frequency (HF) component of HRV (.15–.4 Hz) corresponds to the respiratory sinus arrhythmia; thus, it is modulated by the parasympathetic nervous system (Berntson et al. 1997). The low frequency (LF) component of HRV (.04–.15 Hz) provides an index of sympathetic nervous system modulation, particularly when expressed in normalized units (Berntson et al. 1997; Malfatto et al. 1998; Malliani et al. 1991; Montano et al. 1994; Pagani et al. 1986; Zhong et al. 2005). Finally, the very low frequency of HRV (VLF; below .04 Hz) reflects several factors including thermal regulation (Berntson et al. 1997), and is considered by some to be an indicator of sympathetic activation (Metelka et al. 1999). However, the exact mechanism of VLF is still unclear. HRV is an indicator of autonomic nervous system function that reflects the balance between the sympathetic 123 Appl Psychophysiol Biofeedback (2012) 37:219–227 and parasympathetic nervous inputs into the heart. Furthermore, recent research suggests that changes in HRV have been associated with activity in the prefrontal cortex as well as cognitive regulation (Thayer et al. 2009). Generally, HRV decreases as arousal increases (Zhong et al. 2005). This is seen as a shift from a balanced HRV in which relative power is equal across LF and HF to an imbalance in which the relative power is higher in the LF band (i.e. the heart rate becomes less variable). Additionally, when LF and HF power are expressed as normalized units (n.u.), it is possible to demonstrate the relative contribution of sympathetic and parasympathetic modulation into the heart (Mukherjee et al. 2011). It is expected under high arousal LF n.u. would increase while HF n.u. would decrease and vice versa. The normative values of LF and HF are percentage of the total power thereby providing the relative contribution of each frequency band. Therefore, HRV allows for the calculation of multiple levels of arousal (i.e. low, moderate, or high). By analyzing cognitive performance as a function of arousal, it is then possible to provide evidence to demonstrate the influence of acute exercise on cognitive function. For example, Luft et al. (2009) examined HRV and cognition in high-level track athletes. Luft et al. utilized an incremental treadmill test (a max test) until the participants reached exhaustion. They found no overall difference in cognitive performance pre and post. As is often the case in this line of research, the participants were required to perform a max test. It is our contention that self-determined exercise intensity will illicit greater cognitive improvement due to physical activity than an experimenter required max test. Thus, the purpose of this investigation was to examine cognitive performance following a self-paced acute exercise bout utilizing a simple, 2-choice and 4-choice reaction time task, and a complex cognitive task (the trail-making test) for both active and inactive participants. To control for the potential confounds of fitness level, we felt it was important to include both active and inactive participants. The goal was to address the relationship between acute exercise and cognitive function. The simple, 2-choice, and 4-choice reaction time task was utilized to assess the information processing requirements of the task and to account relationship between task complexity and exercise. Furthermore, the trail-making test was chosen as it provides a general indicator of cognitive function including cognitive flexibility, visual spatial scanning, visual spatial ability and visual-motor coordination, and is utilized to assess frontal lobe function (Moll et al. 2002; Stuss et al. 2001). The trail-making test is widely employed as measure of cerebral dysfunction (Stuss et al. 2001). The trailmaking test (version B used in this study) requires the participant to link a set of numbers (1–13) and a set Author's personal copy Appl Psychophysiol Biofeedback (2012) 37:219–227 of letters alternating in ascending order (1-A-2-B…). Recently, Zakzanis et al. (2005), utilizing fMRI, reliability found increased activity in prefrontal and frontal regions involved in rapid action, cognitive shifts, and areas of the motor cortex while completing the trail-making test. Furthermore, Chaytor et al. (2006) demonstrated ecological validity for the trail-making test when correlated with tests of everyday cognitive function activities. It was hypothesized that both active and inactive participants in the exercise group who achieved moderate physiological arousal levels (as determined by their HRV) would have a decrease in reaction time from pre to post exercise as well as a decrease in time to completion of the trail-making test. It was also expected that the more complex tasks (i.e., 4-choice RT and the Trail-making test) would demonstrate greater performance improvement following exercise when compared to the simpler tasks (simple and 2-choice RT tasks). Since normalized LF represents relative contribution of the sympathetic nervous system into the heart (Berntson et al. 1997; Malfatto et al. 1998; Malliani et al. 1991; Montano et al. 1994; Pagani et al. 1986; Zhong, et al. 2005), it was also hypothesized that the best performance for the exercise groups would occur around 40–60 % of the normalized lower frequency (LF n.u.) band of HRV. The impetus for the previous hypothesis is that the participants by choosing their own exercise intensity and who achieved a moderate physiological arousal (as indicated by LF n.u.) would have improved cognitive function. To facilitate this, the participants were given instructions to work at a high, but comfortable level. Method Participants One hundred and twenty volunteers from a university in the southeastern United States who indicated their willingness to participate in this study were recruited to be a in this study. Participants received extra course credit for participation. The participants’ ages ranged from 18 to 25 years. There were sixty female (mean age 21.05; SD = 2.87) and sixty male participants (mean age 20.67; SD = 2.80). Level of physical activity. The 30-day Physical Activity Recall Questionnaire (Mahar Dawson and Estes 2002) was used to determine the level of physical activity. The physical activity questionnaire consisted of a Likert type scale ranging from zero to seven, where the participants would identify their activity level for the past 30 days. The seven choices consisted of descriptors, which allowed the participants to indicate their activity level for the last 30-days [psychometric properties are demonstrated in 221 (Baumgartner et al. 2003)]. In general, scores of zero and one indicate that the person does not participate in regular activity. Participants who score two, three, or four participate in some moderate activity whereas those who score five or above participate in some vigorous exercise. The participants’ labeled non-active had a mean score on the 30-day Physical Activity Recall Questionnaire of 2.3 while the active participants had a mean score of 6.45. Tasks, Instruments, and Objectives Reaction Time (RT) Assessment RT was measured using a standard PC computer with software created by the authors to measure RT at three different levels of uncertainty. Although there are many factors that may affect RT data collection in this manner (such as hardware, PC communications, and software activity), our software program and methodology was designed to reduce the impact of these issues. The software was designed to achieve precision of one millisecond for the times that it measures. Response times were recorded using four keys (D, F, J, and K) on a typical keyboard, and the software was designed to run continuous scans of these keys. All other unnecessary computer processes and network connections were terminated prior to data collection. The data our software produced includes stimulus presentation type, presentation time, key input time, and total RT. Participants completed a total of thirty trials of all three levels, which consisted of a simple RT, a 2-choice RT and a 4-choice RT task, in random order. For all RT trials, a warning signal was given 1 s prior to the illumination of the RT stimuli with an inter-stimulus interval of 3 s. The randomization of the three RT levels reduced anticipation effects. In the simple RT, the participant would press a key on the keyboard every time a circle was illuminated on the computer screen. In the 2-choice or 4-choice RT tasks, there was the possibility of either one of two circles or one of four circles being illuminated and the participant was to press the corresponding key on the keyboard. All times were measured in milliseconds and each participant completed ten trials of each RT task for a total of 30 trials. Ten trials for each RT task was an attempt to capture the immediate response of the ANS on cognitive function due to exercise. Trail Making Test Two versions of the Trail-making test B were utilized to measure complex cognitive function. The test requires the participant to connect a series of numbered and lettered circles, alternating between the two sequences. Scores were obtained based on time to completion. This test was 123 Author's personal copy 222 originally developed for the Army Individual Test Battery (1944) and it has been extensively used as well as widely accepted as an indicator of cognitive function. The psychometric properties of the Trail-making test (all versions) were shown to be reliable (.90) and valid by Franzen et al. (1996). Heart Rate Variability HRV was recorded using a lightweight Heart Rate Variability monitor (Biocom pulse wave sensor M-2001; Poulsbo, WA), which allows for the computation of the instantaneous changes of heart rate and provides full analysis of HRV. The Heart Rhythm Scanner (HRS) software (which is founded upon the mathematical procedures suggested by the Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology 1996) was used to analyze the data and the following frequency domain parameters: VLF, LF, HF, LF normalized units (n.u.), HF n.u., LF/HF ratio, and Total Power (which is a sum of all frequency bands). LF n.u. represents normalized low frequency that is the ratio between absolute value of the LF power and the difference between Total Power and VLF power (LF/(Total PowerVLF). Likewise, HF n.u. symbolizes normalized high frequency that is the ratio between absolute value of the HF power and the difference between the Total Power and VLF power. Normalized units are preferred as they account for the relative contribution of the frequency band within the total power as well as accounting for individual differences within the HRV. The LF/HF ratio is the ratio between the Low Frequency and High Frequency bands. Thus a score of 3/1 (LF/HF ratio) would indicate three times greater sympathetic activation. Normalized scores for HRV are utilized in the data analysis to account for variations in means and scaling of the HRV. In addition, more recently normative values or in terms of LF/HF ratio have been proposed as measures of sympathovagal balance (Malliani 2005; Malliani and Montano 2002); even though this was previously challenged in the 1990s. With recent improvements in data collection and methodology, these indicators are often employed (e.g., Ergün et al. 2008). The Biocom pulse wave sensor utilizes photoplethysmography (PPG) to acquire the HR data. PPG measures pulse volume or phasic changes that are related to beat variations in the force of blood flow. These beat-to-beat changes in peripheral blood flow reflect the heart’s interbeat intervals similar to ECG. PPG provides summary information reflecting both cardiac and blood vessel components, and recent research shown PPG to be an accurate measure of cardiac function when compared to electrocardiography (Russoniello et al. 2003). In addition, HRS software allows for the continuous recording of the heart 123 Appl Psychophysiol Biofeedback (2012) 37:219–227 wave as well as the removal of outliers due to noise. The system accounted for respiration rates by ensuring that respiration frequency did not influence the calculated frequency bands. The signal correction was completed following the collection of each data set. HRS software calculates HRV using a hybrid technique that combines time analysis (Heart rate, R Wave to R wave (RR) interval, SDNN, RMS-SD) with frequency or a spectral analysis; total power, very low frequency, low frequency, high frequency, and high frequency/low frequency ratio. Exercise Protocol Stationary bicycles with Polaris type heart rate monitors were used to perform the acute exercise bout. Participants were to pedal the stationary bike for 30 min at a self-paced exercise level. For the self-paced exercise, the participants self-select or control their intensity levels. Participants were instructed to maintain a level of exercise intensity such that they worked at a high, but comfortable level. During the exercise regimens, participants exercised at a mean HR intensity of 75.46 % (SD = 8.26) of the predicted maximum heart rate with a range of 65–80 %. Procedure The participants were randomly assigned to either an exercise group or a control group and then these groups were further subdivided contingent on whether they were physically active or not. The groups were identified as the (1) Active-exercise group (AE), (2) the Non-active exercise group (NE), (3) the Active Control group (AC), and the Non-active control group (NC). Before starting the experiment, each participant completed an informed consent as well as the 30-day Physical Activity Recall Questionnaire for placement in the active or non-active category. Participants were scheduled for the experiment in such a way that at least two were present at one time. Cognitive function was measured immediately pre and post exercise. During pre and post testing, the HRV monitor was then comfortably affixed to the left ear of the participant. These tests were counter balanced by having half the participants take the RT test first, while the other half took the Trail-making test first. In addition the two versions of the Trail-making test were also counter balanced with half of the participants receiving version 1 on the pre-test with version 2 on the post and vice versa. All of the participants were given a practice trial of each RT test (i.e., simple, 2-choice, 4-choice RT) so they could familiarize themselves with the testing process. The participants completed the test in separate cubicles in which they had no knowledge of their partner’s performance. Author's personal copy Appl Psychophysiol Biofeedback (2012) 37:219–227 223 The participants in the experimental condition were required to pedal the stationary bike for 30 min. Their partners (the control condition) were asked to monitor the participants’ heart rate level using a Polaris heart rate monitor, and make note of dramatic changes in heart rate. They were also asked to assist in keeping the exerciser motivated throughout the 30-min exercise bout. Their instructions were: ‘‘please help us in monitoring the physical activity of the individual on the bike. Your job will be to monitor their heart rate using this heart rate monitor [participant was shown monitor] and provide your partner encouragement to exercise at a high, but comfortable pace. Please keep in mind it is your job to keep them motivated’’. The control group only provided encouragement and did not provide feedback about their current heart rate. The goal was to keep the control group mentally active while the exercise group completed their bout. Once the 30-min time limit was complete, the partners moved immediately back to the original testing location where their HRV was recorded post exercise. Immediately following HRV recording, the participants took a posttest for reaction time and cognitive function following the same testing procedure used for the pretest. g2 = .24) whereas the Condition 9 Activity (F1, 116 = .668) and Condition 9 Actvitity 9 Time (F1, 116 = .156) interactions produced non-significant results. The results demonstrated that Exercise (Active and Nonactive) groups were significantly different from the Control groups (Active and Non-active; see Table 1). The Exercise group (experimental condition) displayed faster trail making times than the non-active control groups. In addition, Trail-Making performance improved from Trial 1 (M = 69.917, SD = 10.64) to Trial 2 (M = 60.375, SD = 11.82). Tukey’s post hoc tests for the Condition 9 Time interaction demonstrated that groups were similar for Time 1, but significantly differed during Time 2. Furthermore, a significant reduction of time to completion from Time 1 to Time 2 was evident for the Active Exercise group (M = 67.77 s, SD = 8.51 to M = 53.90 s, SD = 11.81) and the Non-active Exercise group (M = 69.60 s, SD = 6.72 to M = 53.53 s, SD = 2.58). There was no significant change from Time 1 to Time 2 for the Active control group and the Non-active Control group. Statistical Analysis The ANOVA for simple RT revealed significant main effects for Activity (F1, 116 = 8.26, p \ .01, g2 = .06), for Time (F1, 116 = 36.923, p \ .001, g2 = .24) as well as significant interactions for Condition 9 Time (F1, 116 = 5.96, p \ .05, g2 = .10) and Condition 9 Activity (F1, 116 = 11.53, p \ .01, g2 = .12). Furthermore, a significant Condition 9 Activity 9 Time interaction (F1, 116 = 19.58, p \ .001, g2 = .14) was found. Tukey’s Post Hoc test revealed that, while all groups had a reduction from Time 1 to Time 2, the Active Exercise group showed a significant decrease in simple RT compared to the Control groups and the Non-active Exercise group (see Table 2). In addition, the univariate analysis of 2-Choice RT demonstrated a significant Activity main effect, F1, 116 = 8.51, p \ .01, g2 = .10, a significant main effect for Time, F1, 116 = 31.01, p \ .001, g2 = .21 and more importantly a significant Condition 9 Time interaction, F1, 116 = 5.51, p \ .05, g2 = .05. Neither the Condition 9 Activity (F1, 116 = .196) nor the Condition 9 Activity 9 Time interaction (F1, 116 = .658) were To test the hypotheses of interest, alpha was set at p = .05 as the critical level of significance. For all analyses, a 2 (Condition: control or experimental) 9 2 (Activity: active or inactive) 9 2 (Time) mixed model ANOVA with repeated measures on the last factor was utilized for the Trial-making test and the reaction time data. Tukey’s HSD post hoc analysis was used when necessary to evaluate significant interactions. A separate hierarchical regression analysis for each group was utilized to determine the associations between LFn.u. and trail-making test and reaction time. The predictor variable [LF(n.u.)] was entered initially, followed by the moderator(s) (trail-making test or reaction time task), the interaction, and then the quadratic equation. At each step, the significance in explained variance for the dependent variable(s) was assessed to determine whether it was included in the equation. Reaction Time Data Results Trail Making Test The ANOVA indicated main effects for Condition (F1, 116 = 24.42, p \ .001, g2 = .18), Activity (F1, 116 = 4.42, p \ .05, g2 = .10), and Time (F1, 116 = 110.580, p \ .001, g2 = .24). In addition, data revealed a significant interaction for Condition 9 Time (F1, 116 = 35.76, p \ .001, Table 1 Descriptive statistics for the trail-making test (SD) Condition Time 1 Time 2 ActCon 67.96 (9.84) 64.23 (10.54) ActEx 67.76 (8.51) 53.9 (11.81) NonCon 74.33 (14.87) 69.83 (10.79) NonEx 69.6 (6.71) 53.53 (2.58) 123 Author's personal copy 224 Appl Psychophysiol Biofeedback (2012) 37:219–227 Table 2 Reaction time descriptive statistics (ms) Group Simple RT 2-Choice 4-Choice Pre Post Pre Post ActCon 258.33 (40.68) 254.93 (46.22) 335.86 (38.42) 318 (38.42) 383.6 (40.45) 371.5 (51.59) ActEx 256.43 (29.21) 205.9 (34.97) 332.46 (33.16) 278.96 (37.39) 380.26 (43.74) 332.56 (33.49) NonCon 264.36 (49.32) 264.1 (60.89) 334 (40.47) 329 (26.07) 402.53 (63.29) 378.13 (44.18) NonEx 272.03 (38.54) 242.83 (65.23) 355.4 (60.23) 319.6 (40.72) 393.96 (54.81) 355 (15.09) Heart Rate Variability Data HRV measures are presented in Table 3. The regression analysis for the HRV normalized units was completed for the both conditions separately; however, only the exercise groups (both active and inactive) revealed a significant quadratic trend for low frequency band (i.e. arousal) and the post trail making task, F change2, 59 = 3.87 p \ .05. LF accounted for 34.6 % of the variance in the Post performance of the Trail-making test. As illustrated in Fig. 1, optimal performance on the trail-making task is predicted to be between 40 and 60 % of maximal arousal. Likewise, this trend was also found in the exercise groups for the 4-Choice Reaction time task, F change2, 59 = 5.475 p \ .01 in which LF account for 40.1 % variance (See Fig. 2). This was not case for the simple RT or the 2-Choice RT tasks (ps [ .5 and ps [ .10, respectively). Discussion The purpose of the present study was to determine whether acute exercise would demonstrate changes in cognitive function among active and inactive participants. The data supported the hypothesis that achieving an appropriate level of arousal as indicated by HRV enables cognitive Trail Making Performance (sec) found to be significant. The post hoc test exhibited a significant reduction of 2-Choice RT from Pre to Post for all groups. Finally, for the 4-Choice RT task the univariate analysis indicated a Condition main effect, F1, 116 = 74.78, p \ .001, g2 = .39, a significant main effect for Time, F1, 2 116 = 168.95, p \ .001, g = .59, a significant interaction for Condition 9 Time (F1, 116 = 90.43, p \ .001, g2 = .44), Activity 9 Time (F1, 116 = 53.04, p \ .001, g2 = .31) and Condition 9 Activity (F1, 116 = 28.02, p \ .001, g2 = .19) whereas the main effect for Activity was nonsignificant (F1, 116 = .982). However, more informative was the significant three-way Condition 9 Activity 9 Time interaction (F1, 116 = 37.22, p \ .001, g2 = .24). Tukey’s post hoc test revealed greater decrease in RT for both the Non-Active Exercise Group and the Active Exercise Group. Moreover, the Active Exercise Group RT was significantly faster than the Non-Active Exercise Group and the Control Groups in the Time two 4-Choice RT Task. Demonstrated was an overall significant reduction in RT for the Active Exercise Group for all reaction time task as well as decrease in reaction time for the Nonactive Exercise Group during the 4-choice RT task. Pre 0 20 40 60 80 100 120 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 Low Frequency (n.u.) Fig. 1 Trail-making performance as a function of low frequency normalized units for both exercise groups. The Y-axis is inverted to demonstrate the inverted-U relationship Table 3 Mean heart rate variability statistics at baseline and post exercise trial (SD) Group VLF-power (ln) Pre LF-power (ln) HF-power (ln) Post Pre Post Pre Post ActCon 8.9 (3.29) 8.75 (1.18) 6.06 (2.88) 6.04 (2.59) 5.75 (3.24) 5.43 (2.20) ActEx 9.2 (1.93) 9.07 (3.05) 5.83 (2.76) 6.07 (2.59) 5.83 (3.25) 5.49 (2.15) NonCon 8.97 (3.09) 8.34 (3.22) 6.00 (3.02) 5.93 (1.92) 5.94 (3.24) 5.31 (1.61) NonEx 8.85 (2.54) 9.70 (3.23) 5.88 (2.82) 6.25 (2.60) 5.49 (2.37) 5.46 (2.15) 123 Author's personal copy Appl Psychophysiol Biofeedback (2012) 37:219–227 225 200 4-Choice RT (ms) 250 300 350 400 450 500 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 Low Frequency (n.u.) Fig. 2 4-Choice RT as a function of low frequency normalized units. The Y-axis is inverted to demonstrate the inverted-U relationship function improvement. This was demonstrated by a decrease in time to completion for the Trail-making task pre and post exercise for both exercise groups. In addition, the exercise groups demonstrated that a moderate arousal level (as determined by HRV) was associated with increased performance on the Trail-making test. The benefits of utilizing HRV in this manner allow for the multiple levels of arousal to be analyzed (as opposed to a general case of heart rate). The RT data were less clear in that there were significant decreases pre to post for all groups. The active-exercise group had a greater reduction in the post trials for simple and 4-choice RT conditions whereas the non-active exercise group had greater reduction for the four-choice reaction time task only as compared to the control groups. This finding is consistent with other RT studies that compare simple vs choice RT (Brisswalter et al. 1997). The general finding is that both groups saw improvement on tasks with less complexity, but a larger impact of exercise is found when the tasks are more perceptually demanding as seen in the 4-choice RT task. One plausible explanation and a conceptual framework to describe acute exercise and cognitive function relationship is the inverted-U hypothesis (e.g., Brisswalter et al. 1995; Grego et al. 2004; Tomporowski 2003; Yerkes and Dodson 1908). The inverted-U hypothesis proposes that simple tasks can tolerate a larger variation of arousal levels. Thus, participants who are experiencing lower arousal will complete the simple reaction time task equally well as someone who is experiencing high arousal. However, as was demonstrated in the regression analyses, when there is a higher cognitive component as is found the trail-making test or higher perceptual component as is found in the 4-choice RT task then an extremely low or high level of arousal resulted in a reduced performance. Since the inverted-U relationship was observed in the trail-making test and the 4-choice RT, it could be hypothesized that cognitive improvements are associated with frontal lobe functioning. Recent neuroimaging studies (Moll et al. 2002; Stuss et al. 2001) have demonstrated that this is clearly the case with the trail-making test. This study, as well as others (e.g., Hillman et al. 2003; Magnie et al. 2000; Nakamura et al. 1999), demonstrates that acute bouts of physical activity facilitate cognitive function post exercise. Thus, there is a developing picture that moderate physical activity is associated with a higher cognitive component tasks. Future research should determine whether the improvements of cognitive task with frontal lobe demand following exercise are associated with the neural priming (the preparedness of the brain for cognitive and/or physical activities) of frontal and prefrontal areas that may occur during exercise. It would then follow that the neural priming is best achieved following moderate levels of exercise. Final note, the measurement of HRV is well established as a reliable indicator of the ANS in other areas where arousal and sympathetic nervous system measurement are important considerations such as cognitive function (Thayer et al. 2009), mental workload (Backs 1998; De Vito et al. 2002), exercise (Aubert et al. 2003), emotion (Kim et al. 2004), and chronic heart failure (Andreas et al. 2003). Evidence supports the use of HRV as an index of mental workload, which could also provide a plausible explanation to the results found in this study. That is the changes in HRV could be potentially due to a change in the mental workload dynamics of the tasks from pre to post. However, we believe that this is unlikely the case as differences were found between the experimental and control groups. 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