Prefrontal Cortex Oxygenation During Endurance Performance: A Systematic Review of Functional Near-Infrared Spectroscopy Studies

Introduction: A myriad of factors underlie pacing-/exhaustion-decisions that are made during whole-body endurance performance. The prefrontal cortex (PFC) is a brain region that is crucial for decision-making, planning, and attention. PFC oxygenation seems to be a mediating factor of performance dec...

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Main Authors: Jonas De Wachter, Matthias Proost, Jelle Habay, Matthias Verstraelen, Jesús Díaz-García, Philip Hurst, Romain Meeusen, Jeroen Van Cutsem, Bart Roelands
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2021.761232/full
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author Jonas De Wachter
Matthias Proost
Jelle Habay
Matthias Verstraelen
Jesús Díaz-García
Philip Hurst
Romain Meeusen
Jeroen Van Cutsem
Jeroen Van Cutsem
Bart Roelands
author_facet Jonas De Wachter
Matthias Proost
Jelle Habay
Matthias Verstraelen
Jesús Díaz-García
Philip Hurst
Romain Meeusen
Jeroen Van Cutsem
Jeroen Van Cutsem
Bart Roelands
author_sort Jonas De Wachter
collection DOAJ
description Introduction: A myriad of factors underlie pacing-/exhaustion-decisions that are made during whole-body endurance performance. The prefrontal cortex (PFC) is a brain region that is crucial for decision-making, planning, and attention. PFC oxygenation seems to be a mediating factor of performance decisions during endurance performance. Nowadays, there is no general overview summarizing the current knowledge on how PFC oxygenation evolves during whole-body endurance performance and whether this is a determining factor.Methods: Three electronic databases were searched for studies related to the assessment of PFC oxygenation, through near-IR spectroscopy (NIRS), during endurance exercise. To express PFC oxygenation, oxygenated (HbO2) and deoxygenated hemoglobin (HHb) concentrations were the primary outcome measures.Results: Twenty-eight articles were included. Ten articles focused on assessing prefrontal oxygenation through a maximal incremental test (MIT) and 18 focused on using endurance tasks at workloads ranging from low intensity to supramaximal intensity. In four MIT studies measuring HbO2, an increase of HbO2 was noticed at the respiratory compensation point (RCP), after which it decreased. HbO2 reached a steady state in the four studies and increased in one study until exhaustion. All studies found a decrease or steady state in HHb from the start until RCP and an increase to exhaustion. In regard to (non-incremental) endurance tasks, a general increase in PFC oxygenation was found while achieving a steady state at vigorous intensities. PCF deoxygenation was evident for near-to-maximal intensities at which an increase in oxygenation and the maintenance of a steady state could not be retained.Discussion/Conclusion: MIT studies show the presence of a cerebral oxygenation threshold (ThCox) at RCP. PFC oxygenation increases until the RCP threshold, thereafter, a steady state is reached and HbO2 declines. This study shows that the results obtained from MIT are transferable to non-incremental endurance exercise. HbO2 increases during low-intensity and moderate-intensity until vigorous-intensity exercise, and it reaches a steady state in vigorous-intensity exercise. Furthermore, ThCox can be found between vigorous and near-maximal intensities. During endurance exercise at near-maximal intensities, PFC oxygenation increases until the value exceeding this threshold, resulting in a decrease in PFC oxygenation. Future research should aim at maintaining and improving PFC oxygenation to help in improving endurance performance and to examine whether PFC oxygenation has a role in other performance-limiting factors.
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spelling doaj.art-db4ceaa517cf4018907711cc0cda87182022-12-21T21:26:07ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2021-10-011210.3389/fphys.2021.761232761232Prefrontal Cortex Oxygenation During Endurance Performance: A Systematic Review of Functional Near-Infrared Spectroscopy StudiesJonas De Wachter0Matthias Proost1Jelle Habay2Matthias Verstraelen3Jesús Díaz-García4Philip Hurst5Romain Meeusen6Jeroen Van Cutsem7Jeroen Van Cutsem8Bart Roelands9Human Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, BelgiumHuman Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, BelgiumHuman Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, BelgiumHuman Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, BelgiumFaculty of Sport Sciences, University of Extremadura, Caceres, SpainThe School of Psychology & Life Sciences, Canterbury Christ Church University, Canterbury, United KingdomHuman Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, BelgiumHuman Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, BelgiumVIPER Research Unit, Royal Military Academy, Brussels, BelgiumHuman Physiology and Sports Physiotherapy Research Group, Vrije Universiteit Brussel, Brussels, BelgiumIntroduction: A myriad of factors underlie pacing-/exhaustion-decisions that are made during whole-body endurance performance. The prefrontal cortex (PFC) is a brain region that is crucial for decision-making, planning, and attention. PFC oxygenation seems to be a mediating factor of performance decisions during endurance performance. Nowadays, there is no general overview summarizing the current knowledge on how PFC oxygenation evolves during whole-body endurance performance and whether this is a determining factor.Methods: Three electronic databases were searched for studies related to the assessment of PFC oxygenation, through near-IR spectroscopy (NIRS), during endurance exercise. To express PFC oxygenation, oxygenated (HbO2) and deoxygenated hemoglobin (HHb) concentrations were the primary outcome measures.Results: Twenty-eight articles were included. Ten articles focused on assessing prefrontal oxygenation through a maximal incremental test (MIT) and 18 focused on using endurance tasks at workloads ranging from low intensity to supramaximal intensity. In four MIT studies measuring HbO2, an increase of HbO2 was noticed at the respiratory compensation point (RCP), after which it decreased. HbO2 reached a steady state in the four studies and increased in one study until exhaustion. All studies found a decrease or steady state in HHb from the start until RCP and an increase to exhaustion. In regard to (non-incremental) endurance tasks, a general increase in PFC oxygenation was found while achieving a steady state at vigorous intensities. PCF deoxygenation was evident for near-to-maximal intensities at which an increase in oxygenation and the maintenance of a steady state could not be retained.Discussion/Conclusion: MIT studies show the presence of a cerebral oxygenation threshold (ThCox) at RCP. PFC oxygenation increases until the RCP threshold, thereafter, a steady state is reached and HbO2 declines. This study shows that the results obtained from MIT are transferable to non-incremental endurance exercise. HbO2 increases during low-intensity and moderate-intensity until vigorous-intensity exercise, and it reaches a steady state in vigorous-intensity exercise. Furthermore, ThCox can be found between vigorous and near-maximal intensities. During endurance exercise at near-maximal intensities, PFC oxygenation increases until the value exceeding this threshold, resulting in a decrease in PFC oxygenation. Future research should aim at maintaining and improving PFC oxygenation to help in improving endurance performance and to examine whether PFC oxygenation has a role in other performance-limiting factors.https://www.frontiersin.org/articles/10.3389/fphys.2021.761232/fullnear-infrared spectroscopy (NIRS)endurance exerciseprefrontal cortexoxygenationrespiratory compensation point (RCP)systematic review
spellingShingle Jonas De Wachter
Matthias Proost
Jelle Habay
Matthias Verstraelen
Jesús Díaz-García
Philip Hurst
Romain Meeusen
Jeroen Van Cutsem
Jeroen Van Cutsem
Bart Roelands
Prefrontal Cortex Oxygenation During Endurance Performance: A Systematic Review of Functional Near-Infrared Spectroscopy Studies
Frontiers in Physiology
near-infrared spectroscopy (NIRS)
endurance exercise
prefrontal cortex
oxygenation
respiratory compensation point (RCP)
systematic review
title Prefrontal Cortex Oxygenation During Endurance Performance: A Systematic Review of Functional Near-Infrared Spectroscopy Studies
title_full Prefrontal Cortex Oxygenation During Endurance Performance: A Systematic Review of Functional Near-Infrared Spectroscopy Studies
title_fullStr Prefrontal Cortex Oxygenation During Endurance Performance: A Systematic Review of Functional Near-Infrared Spectroscopy Studies
title_full_unstemmed Prefrontal Cortex Oxygenation During Endurance Performance: A Systematic Review of Functional Near-Infrared Spectroscopy Studies
title_short Prefrontal Cortex Oxygenation During Endurance Performance: A Systematic Review of Functional Near-Infrared Spectroscopy Studies
title_sort prefrontal cortex oxygenation during endurance performance a systematic review of functional near infrared spectroscopy studies
topic near-infrared spectroscopy (NIRS)
endurance exercise
prefrontal cortex
oxygenation
respiratory compensation point (RCP)
systematic review
url https://www.frontiersin.org/articles/10.3389/fphys.2021.761232/full
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