Relationship between Physical Exercise Intensity and Cognitive Improvement in Adults with Neurodevelopmental Disorders
An Integrative Review
Abstract
Introduction: Neurodevelopmental disorders affect essential cognitive functions, impacting the quality of life of individuals, as seen in Attention Deficit Hyperactivity Disorder (ADHD). Physical exercise has been highlighted as an effective non-pharmacological intervention for improving cognitive functions, especially executive functions. Objective: This study aims to investigate the relationship between the intensity of physical training and cognitive improvements in adults with neurodevelopmental disorders. Methodology: An integrative literature review was conducted using the PubMed, Scopus, and Web of Science databases, studies published between 2010 and 2023 that evaluated the intensity of physical training and its effects on the cognition of adults with neurodevelopmental disorders were included. Results: The reviewed studies demonstrated that the intensity of physical training significantly influences executive functions in adults with neurodevelopmental disorders. Moderate to high-intensity training showed greater efficacy in improving cognitive functions compared to low-intensity exercises. Conclusion: Physical training, especially at moderate to high intensities, can be an effective intervention for improving cognitive functions in adults with neurodevelopmental disorders. However, further research is needed to define the ideal intensity and better understand the underlying mechanisms.
References
American Psychiatric Association (2014). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Pub. https://doi.org/10.1176/appi.books.9780890425596
Audiffren, M., e André, N. (2019). The exercise-cognition relationship: A virtuous circle. Journal of sport and health science, 8(4), 339-347. https://doi.org/10.1016/j.jshs.2019.03.001
Ben-Zeev, T., Hirsh, T., Weiss, I., Gornstein, M., e Okun, E. (2020). The Effects of High-intensity Functional Training (HIFT) on Spatial Learning, Visual Pattern Separation and Attention Span in Adolescents. Frontiers in behavioral neuroscience, 14, 577390. https://doi.org/10.3389/fnbeh.2020.577390
Ben-Zeev, T., e Okun, E. (2021). High-Intensity Functional Training: Molecular Mechanisms and Benefits. Neuromolecular medicine, 23(3), 335-338. https://doi.org/10.1007/s12017-020-08638-8
Boat, R., e Cooper, S. B. (2019). Self-Control and Exercise: A Review of the Bi-Directional Relationship. Brain plasticity (Amsterdam, Netherlands), 5(1), 97-104. https://doi.org/10.3233/BPL-190082
Calverley, TA, Ogoh, S., Marley, CJ, Steggall, M., Marchi, N., Brassard, P., Lucas, SJE, Cotter, JD, Roig, M., Ainslie, PN, Wisløff, U., e Bailey, DM (2020). HIITing the brain with exercise: mechanisms, consequences and practical recommendations. The Journal of physiology, 598(13), 2513-2530. https://doi.org/10.1113/JP275021
Cigarroa, I., Lasserre-Laso, N., Zapata-Lamana, R., Leiva-Ordóñez, AM, Troncoso-Pantoja, C., Martínez-Sanguinetti, MA, Villagrán, M., Nazar, G., Díaz, X., Petermann-Rocha, F., e Celis-Morales, C. (2020). Asociación entre la velocidad de marcha y el riesgo de deterioro cognitivo en personas mayores que viven en la comunidad. Gerokomos, 31(4), 204-210. https://dx.doi.org/s1134-928x2020000500002
Dauwan, M., Begemann, M.J.H., Slot, M.I.E., Lee, E.H.M., Scheltens, P., e Sommer, I.E.C. (2021). Physical exercise improves quality of life, depressive symptoms, and cognition across chronic brain disorders: a transdiagnostic systematic review and meta-analysis of randomized controlled trials. Journal of neurology, 268(4), 1222-1246. https://doi.org/10.1007/s00415-019-09493-9
Diamond A. (2013). Executive functions. Annual review of psychology, 64, 135-168. https://doi.org/10.1146/annurev-psych-113011-143750
Dhollande, S., Taylor, A., Meyer, S., e Scott, M. (2021). Conducting integrative reviews: a guide for novice nursing researchers. Journal of research in nursing: JRN, 26(5), 427-438. https://doi.org/10.1177/1744987121997907
Fedewa, A.L., e Ahn, S. (2011). The effects of physical activity and physical fitness on children's achievement and cognitive outcomes: a meta-analysis. Research quarterly for exercise and sport, 82(3), 521-535. https://doi.org/10.1080/02701367.2011.10599785
Haeger, A., Costa, A.S., Schulz, J.B., e Reetz, K. (2019). Cerebral changes improved by physical activity during cognitive decline: A systematic review on MRI studies. NeuroImage. Clinical, 23, 101933. https://doi.org/10.1016/j.nicl.2019.101933
Hartman, M.E., Ekkekakis, P., Dicks, N.D., e Pettitt, R.W. (2019). Dynamics of pleasure-displeasure at the limit of exercise tolerance: conceptualizing the sense of exertional physical fatigue as an affective response. The Journal of experimental biology, 222(Pt 3), jeb186585. https://doi.org/10.1242/jeb.186585
Herold, F., Törpel, A., Schega, L., e Müller, N.G. (2019). Functional and/or structural brain changes in response to resistance exercises and resistance training lead to cognitive improvements - a systematic review. European review of aging and physical activity: official journal of the European Group for Research into Elderly and Physical Activity, 16, 10. https://doi.org/10.1186/s11556-019-0217-2
Hwang, J., Kim, K., Brothers, R.M., Castelli, D.M., e Gonzalez-Lima, F. (2018). Association between aerobic fitness and cerebrovascular function with neurocognitive functions in healthy, young adults. Experimental brain research, 236(5), 1421-1430. https://doi.org/10.1007/s00221-018-5230-6
Jacquart, J., Dutcher, CD, Freeman, SZ, Stein, AT, Dinh, M., Carl, E., e Smits, JAJ (2019). The effects of exercise on transdiagnostic treatment targets: A meta-analytic review. Behaviour research and therapy, 115, 19-37. https://doi.org/10.1016/j.brat.2018.11.007
Kandola, A., Ashdown-Franks, G., Stubbs, B., Osborn, D.P.J., e Hayes, J.F. (2019). The association between cardiorespiratory fitness and the incidence of common mental health disorders: A systematic review and meta-analysis. Journal of affective disorders, 257, 748-757. https://doi.org/10.1016/j.jad.2019.07.088
Keller, A.S., Leikauf, J.E., Holt-Gosselin, B., Staveland, B.R., e Williams, L.M. (2019). Paying attention to attention in depression. Translational psychiatry, 9(1), 279. https://doi.org/10.1038/s41398-019-0616-1
Leckie, RL, Oberlin, LE, Voss, MW, Prakash, RS, Szabo-Reed, A., Chaddock-Heyman, L., Phillips, SM, Gothe, NP, Mailey, E., Vieira-Potter, VJ, Martin, SA, Pence, BD, Lin, M., Parasuraman, R., Greenwood, PM, Fryxell, KJ, Woods, JA, McAuley, E., Kramer, AF, e Erickson, KI (2014). BDNF mediates improvements in executive function following a 1-year exercise intervention. Frontiers in human neuroscience, 8, 985. https://doi.org/10.3389/fnhum.2014.00985
Lambourne, K., e Tomporowski, P. (2010). The effect of exercise-induced arousal on cognitive task performance: a meta-regression analysis. Brain research, 1341, 12-24. https://doi.org/10.1016/j.brainres.2010.03.091
Landrigan, J.F., Bell, T., Crowe, M., Clay, O.J., e Mirman, D. (2020). Lifting cognition: a meta-analysis of effects of resistance exercise on cognition. Psychological research, 84(5), 1167-1183. https://doi.org/10.1007/s00426-019-01145-x
Klil-Drori, S., e Hechtman, L. (2020). Potential Social and Neurocognitive Benefits of Aerobic Exercise as Adjunct Treatment for Patients with ADHD. Journal of attention disorders, 24(5), 795-809. https://doi.org/10.1177/1087054716652617
McDowell, C.P., Dishman, R.K., Gordon, B.R., e Herring, M.P. (2019). Physical Activity and Anxiety: A Systematic Review and Meta-analysis of Prospective Cohort Studies. American journal of preventive medicine, 57(4), 545-556. https://doi.org/10.1016/j.amepre.2019.05.012
Mendes, K., Silveira, R., e Galvão, C. (2008). Integrative Review: The Methodological Preparation. Acta Paulista de Enfermagem, 21(3), 203-208. https://doi.org/10.1590/S0104-07072008000400018
Mehren, A., Özyurt, J., Thiel, C.M., Brandes, M., Lam, A.P., e Philipsen, A. (2019). Effects of Acute Aerobic Exercise on Response Inhibition in Adult Patients with ADHD. Scientific reports, 9(1), 19884. https://doi.org/10.1038/s41598-019-56332-y
Nauer, R.K., Dunne, M.F., Stern, C.E., Storer, T.W., e Schon, K. (2020). Improving fitness increases dentate gyrus/CA3 volume in the hippocampal head and enhances memory in young adults. Hippocampus, 30(5), 488-504. https://doi.org/10.1002/hipo.23166
Poblete Valderrama, F., Flores Rivera, C., Parra Cárdenas, V., Parga Acosta, R., Aguayo Alvarez, O., Reséndiz Hernández, JM, Rico Gallegos, C., Garrido Méndez, A., Vegas Vergara, MC, Matus Castillo, C., e Rojas, G. (2019). Relación entre calidad de vida y deterioro cognitivo en adultos mayores activos. Revista Peruana de Ciencias de la Actividad Física y del Deporte: RPCAFD, 6(1). https://rpcafd.com/index.php/rpcafd/article/view/28
Raichlen, D.A., Klimentidis, Y.C., Bharadwaj, P.K., e Alexander, G.E. (2020). Differential associations of engagement in physical activity and estimated cardiorespiratory fitness with brain volume in middle-aged to older adults. Brain imaging and behavior, 14(5), 1994-2003. https://doi.org/10.1007/s11682-019-00148-x
Raine, A. (2018). Antisocial Personality as a Neurodevelopmental Disorder. Annual review of clinical psychology, 14, 259-289. https://doi.org/10.1146/annurev-clinpsy-050817-084819
Reale, L., Bartoli, B., Cartabia, M., Zanetti, M., Costantino, MA, Canevini, MP, Termine, C., Bonati, M., e Lombardy ADHD Group (2017). Comorbidity prevalence and treatment outcome in children and adolescents with ADHD. European child & adolescent psychiatry, 26(12), 1443-1457. https://doi.org/10.1007/s00787-017-1005-z
Robinson, A.M., e Bucci, D.J. (2014). Individual and combined effects of physical exercise and methylphenidate on orienting behavior and social interaction in spontaneously hypertensive rats. Behavioral neuroscience, 128(6), 703-712. https://doi.org/10.1037/bne0000015
Sprague, B.N., Freed, S.A., Webb, C.E., Phillips, C.B., Hyun, J., e Ross, L.A. (2019). The impact of behavioral interventions on cognitive function in healthy older adults: A systematic review. Ageing research reviews, 52, 32-52. https://doi.org/10.1016/j.arr.2019.04.002
Soga, K., Kamijo, K., e Masaki, H. (2016). Effects of acute exercise on executive function in children with and without neurodevelopmental disorders. The Journal of Physical Fitness and Sports Medicine, 5(1), 57-67. https://doi.org/10.7600/jpfsm.5.57
Suls, J., Mogavero, J.N., Falzon, L., Pescatello, L.S., Hennessy, E.A., e Davidson, K.W. (2020). Health behaviour change in cardiovascular disease prevention and management: meta-review of behaviour change techniques to affect self-regulation. Health psychology review, 14(1), 43-65. https://doi.org/10.1080/17437199.2019.1691622
Sung, M.C., Ku, B., Leung, W., e MacDonald, M. (2022). The Effect of Physical Activity Interventions on Executive Function among People with Neurodevelopmental Disorders: A Meta-Analysis. Journal of autism and developmental disorders, 52(3), 1030-1050. https://doi.org/10.1007/s10803-021-05009-5
Tang, M.Y., Smith, D.M., Mc Sharry, J., Hann, M., e French, D.P. (2019). Behavior Change Techniques Associated with Changes in Postintervention and Maintained Changes in Self-Efficacy for Physical Activity: A Systematic Review with Meta-analysis. Annals of behavioral medicine: a publication of the Society of Behavioral Medicine, 53(9), 801-815. https://doi.org/10.1093/abm/kay090
Tari, AR, Norevik, CS, Scrimgeour, NR, Kobro-Flatmoen, A., Storm-Mathisen, J., Bergersen, LH, Wrann, CD, Selbæk, G., Kivipelto, M., Moreira, JBN, e Wisløff, U. (2019). Are the neuroprotective effects of exercise training systemically mediated? Progress in cardiovascular diseases, 62(2), 94-101. https://doi.org/10.1016/j.pcad.2019.02.003
Tsai, C.L., Pan, C.Y., Chen, F.C., e Tseng, Y.T. (2017). Open- and Closed-Skill Exercise Interventions Produce Different Neurocognitive Effects on Executive Functions in the Elderly: A 6-Month Randomized, Controlled Trial. Frontiers in aging neuroscience, 9, 294. https://doi.org/10.3389/fnagi.2017.00294
Voss, MW, Weng, TB, Narayana-Kumanan, K., Cole, RC, Wharff, C., Reist, L., Dubose, L., Sigurdsson, G., Mills, JA, Long, JD, Magnotta, VA, e Pierce, GL (2020). Acute Exercise Effects Predict Training Change in Cognition and Connectivity. Medicine and science in sports and exercise, 52(1), 131-140. https://doi.org/10.1249/MSS.0000000000002115
Zhang, Y., Fu, R., Sun, L., Gong, Y., e Tang, D. (2019). How Does Exercise Improve Implicit Emotion Regulation Ability: Preliminary Evidence of Mind-Body Exercise Intervention Combined With Aerobic Jogging and Mindfulness-Based Yoga. Frontiers in psychology, 10, 1888. https://doi.org/10.3389/fpsyg.2019.01888
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