The effect of aerobic exercise on interoception and cognitive function in healthy university students: a non-randomized controlled trial

Abstract Background Interoception refers to the body’s physiological responses that occur in response to emotions. This phenomenon influences decision-making, an important cognitive ability that affects the maintenance of an exercise routine. However, it is controversial whether interoception is a r...

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Main Authors: Yusaku Amaya, Tetsuya Abe, Kenji Kanbara, Hisaharu Shizuma, Yasushi Akiyama, Mikihiko Fukunaga
Format: Article
Language:English
Published: BMC 2021-08-01
Series:BMC Sports Science, Medicine and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s13102-021-00332-x
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author Yusaku Amaya
Tetsuya Abe
Kenji Kanbara
Hisaharu Shizuma
Yasushi Akiyama
Mikihiko Fukunaga
author_facet Yusaku Amaya
Tetsuya Abe
Kenji Kanbara
Hisaharu Shizuma
Yasushi Akiyama
Mikihiko Fukunaga
author_sort Yusaku Amaya
collection DOAJ
description Abstract Background Interoception refers to the body’s physiological responses that occur in response to emotions. This phenomenon influences decision-making, an important cognitive ability that affects the maintenance of an exercise routine. However, it is controversial whether interoception is a reliable measure of an individual’s traits or their response to emotion. Given this evidence, we hypothesized that performing an exercise with positive feelings could improve interoception and that the rational decision-making capabilities acquired by improved interoception would, in turn, help in maintaining an exercise routine. Persistent aerobic exercise is essential for improving cognitive and musculoskeletal function in the long term. Therefore, we aimed to investigate changes in interoception during moderate-intensity aerobic exercise at a level that might potentially improve cognitive function. Methods We devided 48 healthy university students into an exercise group (n = 37) and a control group (n = 11). The control group did not perform any exercises, while the exercise group performed bench step exercises at an intensity of 50% of heart rate reserve for 30 min a day, three times a week, for three months. We assessed their cognitive function by measuring their auditory information/working memory processing speed using a paced auditory serial addition task (PASAT) and evaluated their interoceptive accuracy (IA) using a heartbeat tracking task at baseline and 1, 2, and 3 months after the start of the exercise intervention. Results There was a significant positive correlation between IA and PASAT scores at baseline. However, exercise did not lead to a significant increase in PASAT scores of the exercise group as compared with the control group. IA scores increased at 2 and 3 months after the start of exercise only in the exercise group. Conclusions This preliminary study showed an improvement in interoception after persistent moderate-intensity aerobic exercise. We believe that exercise-induced improvement of interoception may facilitate exercise maintenance through improved cognitive function. Statistical analysis did not explain the non-uniformity of sample sizes, therefore, future studies should have larger sample sizes with equal subjects in each group to allow for better comparability and generalizability. Trial registration: UMIN, UMIN000042891. 04/01/2021, retrospectively registered.
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spelling doaj.art-24070ab187404ad089c91c321fbcff302022-12-21T23:30:36ZengBMCBMC Sports Science, Medicine and Rehabilitation2052-18472021-08-011311810.1186/s13102-021-00332-xThe effect of aerobic exercise on interoception and cognitive function in healthy university students: a non-randomized controlled trialYusaku Amaya0Tetsuya Abe1Kenji Kanbara2Hisaharu Shizuma3Yasushi Akiyama4Mikihiko Fukunaga5Department of Psychosomatic and General Internal Medicine, Kansai Medical UniversityDepartment of Psychosomatic and General Internal Medicine, Kansai Medical UniversityDepartment of Psychosomatic and General Internal Medicine, Kansai Medical UniversityDepartment of Psychosomatic and General Internal Medicine, Kansai Medical UniversityDepartment of Psychosomatic and General Internal Medicine, Kansai Medical UniversityDepartment of Psychosomatic and General Internal Medicine, Kansai Medical UniversityAbstract Background Interoception refers to the body’s physiological responses that occur in response to emotions. This phenomenon influences decision-making, an important cognitive ability that affects the maintenance of an exercise routine. However, it is controversial whether interoception is a reliable measure of an individual’s traits or their response to emotion. Given this evidence, we hypothesized that performing an exercise with positive feelings could improve interoception and that the rational decision-making capabilities acquired by improved interoception would, in turn, help in maintaining an exercise routine. Persistent aerobic exercise is essential for improving cognitive and musculoskeletal function in the long term. Therefore, we aimed to investigate changes in interoception during moderate-intensity aerobic exercise at a level that might potentially improve cognitive function. Methods We devided 48 healthy university students into an exercise group (n = 37) and a control group (n = 11). The control group did not perform any exercises, while the exercise group performed bench step exercises at an intensity of 50% of heart rate reserve for 30 min a day, three times a week, for three months. We assessed their cognitive function by measuring their auditory information/working memory processing speed using a paced auditory serial addition task (PASAT) and evaluated their interoceptive accuracy (IA) using a heartbeat tracking task at baseline and 1, 2, and 3 months after the start of the exercise intervention. Results There was a significant positive correlation between IA and PASAT scores at baseline. However, exercise did not lead to a significant increase in PASAT scores of the exercise group as compared with the control group. IA scores increased at 2 and 3 months after the start of exercise only in the exercise group. Conclusions This preliminary study showed an improvement in interoception after persistent moderate-intensity aerobic exercise. We believe that exercise-induced improvement of interoception may facilitate exercise maintenance through improved cognitive function. Statistical analysis did not explain the non-uniformity of sample sizes, therefore, future studies should have larger sample sizes with equal subjects in each group to allow for better comparability and generalizability. Trial registration: UMIN, UMIN000042891. 04/01/2021, retrospectively registered.https://doi.org/10.1186/s13102-021-00332-xInteroceptionAerobic exerciseCognitive functionHeartbeat tracking taskDecision-making
spellingShingle Yusaku Amaya
Tetsuya Abe
Kenji Kanbara
Hisaharu Shizuma
Yasushi Akiyama
Mikihiko Fukunaga
The effect of aerobic exercise on interoception and cognitive function in healthy university students: a non-randomized controlled trial
BMC Sports Science, Medicine and Rehabilitation
Interoception
Aerobic exercise
Cognitive function
Heartbeat tracking task
Decision-making
title The effect of aerobic exercise on interoception and cognitive function in healthy university students: a non-randomized controlled trial
title_full The effect of aerobic exercise on interoception and cognitive function in healthy university students: a non-randomized controlled trial
title_fullStr The effect of aerobic exercise on interoception and cognitive function in healthy university students: a non-randomized controlled trial
title_full_unstemmed The effect of aerobic exercise on interoception and cognitive function in healthy university students: a non-randomized controlled trial
title_short The effect of aerobic exercise on interoception and cognitive function in healthy university students: a non-randomized controlled trial
title_sort effect of aerobic exercise on interoception and cognitive function in healthy university students a non randomized controlled trial
topic Interoception
Aerobic exercise
Cognitive function
Heartbeat tracking task
Decision-making
url https://doi.org/10.1186/s13102-021-00332-x
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