Henning Budde

Acute coordinative exercise improves attentional performance in adolescents.

Teachers complain about growing concentration deficits and reduced attention in adolescents. Exercise has been shown to positively affect cognitive performance. Due to the neuronal connection between the cerebellum and the frontal cortex, we hypothesized that cognitive performance might be influenced by bilateral coordinative exercise (CE) and that its effect on cognition might be already visible after short bouts of exercise. One hundred and fifteen healthy adolescents aged 13-16 years of an elite performance school were randomly assigned to an experimental and a control group and tested using the d2-test, a test of attention and concentration. Both groups performed the d2-test after a regular school lesson (pre-test), after 10 min of coordinative exercise and of a normal sport lesson (NSL, control group), respectively (post-test). Exercise was controlled for heart rate (HR). CE and NSL enhanced the d2-test performance from pre- to post-test significantly. ANOVA revealed a significant group (CE, NSL) by performance interaction in the d2-test indicating a higher improvement of CE as compared to NSL. HR was not significantly different between the groups. CE was more effective in completing the concentration and attention task. With the HR being the same in both groups we assume that the coordinative character of the exercise might be responsible for the significant differences. CE might lead to a pre-activation of parts of the brain which are also responsible for mediating functions like attention. Thus, our results support the request for more acute CE in schools, even in elite performance schools.

Nicotine Dependence Is Characterized by Disordered Reward Processing in a Network Driving Motivation

BACKGROUND Drug addiction is characterized by an unhealthy priority for drug consumption with a compulsive, uncontrolled drug-intake pattern due to a disordered motivational system. However, only some individuals become addicted, whereas others maintain regular but controlled drug use. Whether the transition occurs might depend on how individuals process drug relative to nondrug reward. METHODS We applied functional magnetic resonance imaging to measure mesocorticolimbic activity to stimuli predicting monetary or cigarette reward, together with behavioral assessment of subsequent motivation to obtain the respective reward on a trial-by-trial basis, in 21 nicotine-dependent and 21 nondependent, occasional smokers. RESULTS Occasional smokers showed increased reactivity of the mesocorticolimbic system to stimuli predicting monetary reward relative to cigarette reward and subsequently spent more effort to obtain money. In the group of dependent smokers, we found equivalent anticipatory activity and subsequent instrumental response rates for both reward types. Additionally, anticipatory mesocorticolimbic activation predicted subsequent motivation to obtain reward. CONCLUSIONS This imbalance in the incentive salience of drug relative to nondrug reward-predicting cues, in a network that drives motivation to obtain reward, could represent a central mechanism of drug addiction.

Effects of exercise on anxiety and depression disorders: Review of meta-analyses and neurobiological mechanisms

Anxiety and depression are the most frequently diagnosed psychological diseases showing a high co-morbidity. They have a severe impact on the lives of the persons concerned. Many meta-analytical studies suggested a positive anxiolytic and depression-reducing effect of exercise programs. The aim of the present article is to synthesize metaanalyses on the effects of exercise on anxiety and depression and to describe average effect sizes. For this purpose 37 meta-analyses were included reporting 50 effect sizes for anxiety scores of 42,264 participants and depression scores of 48,207 persons. The average documented anxiolytic effect of exercise in these reviews was small, 0.34. In contrast, the effect of exercise on depression was significantly higher and at a moderate level, 0.56. Data of randomized controlled trials suggest higher sizes for the effect of exercise on anxiety and depression leading to increases up to moderate and large effects, respectively. Additionally, exercise seems to be more beneficial for patients compared to participants within a non-clinical, normal range of psychological disease. Especially for the effect of exercise on anxiety, more high quality meta-analyses of randomized controlled trials are needed. Finally, possible neurobiological explanations are suggested for the positive effect of exercise on psychological disorders like anxiety and depression.

Steroid hormones in the saliva of adolescents after different exercise intensities and their influence on working memory in a school setting

Little is known, about the influence of different exercise intensities on cognition, the concentration of steroid hormones (SHs), and their interaction in adolescents. Sixty high school students from the 9th grade were randomly assigned to two experimental (EG 1, EG 2) and a control group (CG). Saliva collection took place after a normal school lesson (t1) and after a 12-min resting control or exercise (t2) in a defined heart rate (HR) interval (EG 1: 50-65% HR max, n=18; EG 2: 70-85% HR max, n=20; CG: no intervention, n=21). Saliva was analyzed for T and C. Cognitive performance was assessed using a working memory task (Letter Digit Span; LDS), which took place after t1 and t2. Repeated measure ANOVAs revealed a significant group by test interaction, indicating an increase of C and T level only for EG 2. Results for LDS showed a significant improvement due to exercise when groups were split into low and high performer at pre-test with a higher improvement of the low performers. In addition, post-test T levels negatively correlated with changes in LDS performance in EG 2. The results indicate that the concentrations of C and T are intensity dependent, and that exercise improves working memory in low performing adolescents. Only increased T, however, seems to be related to pre-to-post-test changes in working memory by having a detrimental effect on performance.

Neurobiological Alterations Induced by Exercise and Their Impact on Depressive Disorders

Background: The impact of physical activity on brain metabolic functions has been investigated in different studies and there is growing evidence that exercise can be used as a preventive and rehabilitative intervention in the treatment of depressive disorders. However, the exact neuronal mechanisms underlying the latter phenomenon have not been clearly elucidated. The present article summarises key results derived from studies that focussed on the neurobiological impact of exercise on brain metabolic functions associated with depressive disorders. Since major depressive disorder (MDD) is a life threatening disease it is of great significance to find reliable strategies to prevent or to cure this illness. Therefore, the aim of this paper is to review (1) the physiological relationship between physical activity and depressive disorders and (2) the potential neurobiological alterations induced by exercise that might lead to the relief of mental disorders like depression. Methods: We searched electronic databases for literature concerning the relationship between exercise and depression from 1963 until 2009. Results: The data suggests an association between physical inactivity and higher levels of depressive symptoms. Properly designed studies could show that exercise training can be as effective as antidepressive medications. Conclusion: The exact mechanisms how exercise affects the brain are not fully understood and the literature lacks of well designed studies concerning the effects of exercise training on depressive disorders. But the observed antidepressant actions of exercise are strong enough that it already can be used as an alternative to current medications in the treatment of depressive disorders.

Hormonal responses to physical and cognitive stress in a school setting.

Little is known about the influence of physical and cognitive stress on the concentration of steroid hormones (SHs) in a school setting. Forty high school students from the 9th grade were randomly assigned to two intervention groups: physical and cognitive stress. Saliva collection took place before (pre-test) and after (post-test) 12 min of high intensity exercise in a defined heart rate (HR) interval (70-85% HR (max); n=19) and cognitive testing (Letter Digit Span and d2-test, n=21), respectively. Saliva was analyzed for testosterone (T) and cortisol (C). Results indicated a significant increase of T and C due to a physical but not cognitive stressor. Thus, only the physical stressor was capable of activating the hypothalamic-pituitary-adrenal (HPA) and the hypothalamic-pituitary-gonadal (HPG) axis.

Saliva cortisol in school children after acute physical exercise

We investigated if 12 min of high-intensity exercise performed within a regular school break lead to an increase in cortisol levels in primary school students. 53 students of a 4th grade (9-10 years of age) were randomly assigned to an experimental (EG) and a control group (CG). Saliva collection took place after a normal school lesson (pre-test) and after 12 min of intensive exercise in a defined heart rate (HR) interval (EG, n=32) and control condition (movie watching) (CG, n=21), respectively (post-test). Saliva was analyzed for cortisol. We observed a significant group by test interaction indicating a different pre-to-post-test development for EG as compared to CG. The interaction effect, however, was caused by an attenuated cortisol concentration in the control group. We argue that the control condition, in which the students watched a joyful movie, acted as a distractor, which led to a reduction of general school stress.

Effects of Motor versus Cardiovascular Exercise Training on Children's Working Memory.

PURPOSE The aim of this investigation was to examine the influence of different types of exercise exertion on primary school childrens working memory (WM). METHODS Participants (N = 71, 9.4 yr, 39 girls) were randomly assigned to a cardiovascular exercise (CE), a motor exercise (ME), or a control group (CON). They underwent a letter digit span task (WM) before and after an intervention period that involved 10 wk of an additional afterschool exercise regimen, which took place three times a week for 45 min. Students in the control group participated in assisted homework sessions. RESULTS WM performance of the 9- to 10-yr-old children benefited from both the cardiovascular and the motor exercise programs, but not from the control condition. The increase in WM performance was significantly larger for children in the ME compared with the CE or CON. CONCLUSION These findings add to the knowledge base relating different types of exercise and WM. Besides the efficiency of cardiovascular exercise training, a special motor-demanding intervention seems to be a beneficial strategy to improve WM in preadolescent children.

Intermittent Maximal Exercise Improves Attentional Performance Only in Physically Active Students

BACKGROUND AND AIMS Regular physical activity participation seems to be linked to brain metabolism and to be one factor responsible for different effects of high intensity exercise on cognition. Due to this, we investigated the effect of an intermittent maximal exercise intervention on a neuropsychological test requiring sustained and selective attention in a group of low and high physically active subjects. METHOD Forty six healthy students (age: M = 23.11, SD = 2.60 years) performed in a cross-over design an intermittent incremental exercise until they reached their maximal heart rate (HR Max; intervention condition) or rested for the same duration (control condition) followed by the administration of the d2-test. RESULTS A significant interaction between physical activity participation level and exercise effect on cognitive performance emerged, with only the more physically active participants improving the performance in the cognitive test after the intervention. CONCLUSION These data extend the current knowledge base by showing that a higher participation rate in physical activity may lead to neurobiological adaptations that facilitate selected cognitive processes (i.e., attention) after high exercise intensities.

The Value of Repetitive Transcranial Magnetic Stimulation (rTMS) for the Treatment of Anxiety Disorders: An Integrative Review

Unlike for depression, only few studies are available today investigating the therapeutic effects of repetitive transcranial magnetic stimulation (rTMS) for anxiety disorders. This review aims to provide information on the current research approaches and main findings regarding the therapeutic use of rTMS in the context of various anxiety disorders. Although positive results have frequently been reported in both open and randomized controlled studies, our review of all identified studies indicates that at present no conclusive evidence of the efficacy of rTMS for the treatment for anxiety disorders is provided. Several treatment parameters have been used, making the interpretation of the results difficult. Moreover, sham-controlled research has often been unable to distinguish between response to rTMS and sham treatment. However, there is a limitation in the rTMS methods that likely impacts only the superficial cortical layers. It is not possible to directly stimulate more distant cortical areas, and also subcortical areas, relevant to the pathogenesis of anxiety disorders, though such effects in subcortical areas are thought to be indirect, via trans-synaptic connections. We thus recommend further studies to clearly determine the role of rTMS in the treatment of anxiety disorders. Key advances in combining TMS with neuroimaging technology may aid in such future developments.