Effects of Marathon Running on Cognition and Retinal Vascularization: A Longitudinal Observational Study.


Journal

Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433

Informations de publication

Date de publication:
01 10 2021
Historique:
pubmed: 26 5 2021
medline: 12 11 2021
entrez: 25 5 2021
Statut: ppublish

Résumé

Physical activity has beneficial effects on both cardiovascular and neurocognitive parameters, and these two modalities are known to interact at rest. However, findings on their interaction during exercise are inconclusive. Therefore, this longitudinal study aimed to investigate the effects of different forms of exercise (training period, marathon race, and recovery period) on both parameters and their interaction. We included 100 marathon runners (MA) (mean ± SD age = 43.6 ± 10.0 yr, 80 males) and 46 age- and sex-matched sedentary controls (SC, for baseline comparison). Over the 6-month study period with six visits (12 and 2 wk before the marathon; immediately, 24 h, 72 h, and 12 wk after the marathon), we assessed cognitive parameters by evaluating the 1- to 3-back d prime, the d2 task, and the Trail Making Tests A (TMT A) and B (TMT B), and the retinal vessel parameters by assessing arteriolar-to-venular ratio (AVR), central retinal arteriolar equivalent (CRAE), and central retinal venular equivalent (CRVE). In the long-term analysis, 3-back d prime correlated positively with AVR (P = 0.024, B = 1.86, SE = 0.824) and negatively with CRVE (P = 0.05, B = -0.006, SE = 0.003), and TMT B correlated negatively with CRAE (P = 0.025, B = -0.155, SE = 0.069), even after correcting for age and systolic blood pressure as possible confounders. Acute effects were inconsistent with maximal cognitive improvement 24 h after the marathon. AVR was significantly smaller in SC compared with MA. Chronic exercise seems to prime the central nervous system for acute, intensive bouts of exercise. Our findings indicate a possible relationship between cognitive performance in high-demand tasks and retinal vasculature and support the idea of a neuroplastic effect of exercise.

Identifiants

pubmed: 34033620
doi: 10.1249/MSS.0000000000002699
pii: 00005768-202110000-00020
doi:

Banques de données

DRKS
['DRKS00012496']

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

2207-2214

Informations de copyright

Copyright © 2021 by the American College of Sports Medicine.

Références

Foreman KJ, Marquez N, Dolgert A, et al. Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016-40 for 195 countries and territories. Lancet . 2018;392(10159):2052–90.
Ogoh S. Relationship between cognitive function and regulation of cerebral blood flow. J Physiol Sci . 2017;67(3):345–51.
Raz L, Knoefel J, Bhaskar K. The neuropathology and cerebrovascular mechanisms of dementia. J Cereb Blood Flow Metab . 2016;36(1):172–86.
Dumitrascu OM, Qureshi TA. Retinal vascular imaging in vascular cognitive impairment: current and future perspectives. J Exp Neurosci . 2018;12:1179069518801291.
Pinckard K, Baskin KK, Stanford KI. Effects of exercise to improve cardiovascular health. Front Cardiovasc Med . 2019;6:69.
Blond K, Brinkløv CF, Ried-Larsen M, Crippa A, Grøntved A. Association of high amounts of physical activity with mortality risk: a systematic review and meta-analysis. Br J Sports Med . 2019;54(20):1195–201.
Braun G, Hafner B, Königstein K, et al. Association of cardiorespiratory fitness with retinal vessel diameters as a biomarker of cardiovascular risk. Microvasc Res . 2018;120:36–40.
Streese L, Guerini C, Bühlmayer L, et al. Physical activity and exercise improve retinal microvascular health as a biomarker of cardiovascular risk: a systematic review. Atherosclerosis . 2020;315:33–42.
Pressler A, Suchy C, Friedrichs T, et al. Running multiple marathons is not a risk factor for premature subclinical vascular impairment. Eur J Prev Cardiol . 2017;24(12):1328–35.
Nussbaumer M, Donath L, Fischer M, et al. Effects of acute bouts of endurance exercise on retinal vessel diameters are age and intensity dependent. Age (Dordr) . 2014;36(3):9650.
Rueddel T, Kneser M, Tost F. Impact of exercise on retinal microvascular regulation measured by dynamic vessel analysis in healthy individuals. Clin Physiol Funct Imaging . 2012;32(2):158–61.
Daskalopoulou C, Stubbs B, Kralj C, Koukounari A, Prince M, Prina AM. Physical activity and healthy ageing: a systematic review and meta-analysis of longitudinal cohort studies. Ageing Res Rev . 2017;38:6–17.
Hurdiel R, Riedy SM, Millet GP, et al. Cognitive performance and self-reported sleepiness are modulated by time-of-day during a mountain ultramarathon. Res Sports Med . 2018;26(4):482–9.
Roeh A, Bunse T, Lembeck M, et al. Running effects on cognition and plasticity (ReCaP): study protocol of a longitudinal examination of multimodal adaptations of marathon running. Res Sports Med . 2020;28(2):241–55.
Cabrera de León A, Rodríguez-Pérez MdC, Rodríguez-Benjumeda LM, et al. Sedentarismo: tiempo de ocio activo frente a porcentaje del gasto energético [Sedentary lifestyle: physical activity duration versus percentage of energy expenditure]. Rev Esp Cardiol . 2007;60(3):244–50.
Hubbard LD, Brothers RJ, King WN, et al. Methods for evaluation of retinal microvascular abnormalities associated with hypertension/sclerosis in the Atherosclerosis Risk in Communities Study. Ophthalmology . 1999;106(12):2269–80.
Liew G, Sharrett AR, Kronmal R, et al. Measurement of retinal vascular caliber: issues and alternatives to using the arteriole to venule ratio. Invest Ophthalmol Vis Sci . 2007;48(1):52–7.
Cabeza R, Albert M, Belleville S, et al. Maintenance, reserve and compensation: the cognitive neuroscience of healthy ageing. Nat Rev Neurosci . 2018;19(11):701–10.
Stern Y, MacKay-Brandt A, Lee S, et al. Effect of aerobic exercise on cognition in younger adults: a randomized clinical trial. Neurology . 2019;92(9):e905–16.
Ludyga S, Köchli S, Pühse U, Gerber M, Hanssen H. Effects of a school-based physical activity program on retinal microcirculation and cognitive function in adolescents. J Sci Med Sport . 2019;22(6):672–6.
Dumitrescu AG, Voinea L, Badarau IA, Paun VA, Schowe M, Ciuluvica R. Update on retinal vascular caliber. Rom J Ophthalmol . 2017;61(3):171–80.
Komiyama T, Tanoue Y, Sudo M, et al. Cognitive impairment during high-intensity exercise: influence of cerebral blood flow. Med Sci Sports Exerc . 2019;52(3):561–8.
Pournaras CJ, Rungger-Brändle E, Riva CE, Hardarson SH, Stefansson E. Regulation of retinal blood flow in health and disease. Prog Retin Eye Res . 2008;27(3):284–330.
Lefferts WK, DeBlois JP, White CN, Heffernan KS. Effects of acute aerobic exercise on cognition and constructs of decision-making in adults with and without hypertension. Front Aging Neurosci . 2019;11:–41.
Moreau D, Chou E. The acute effect of high-intensity exercise on executive function: a meta-analysis. Perspect Psychol Sci . 2019;14(5):734–64.
McMorris T, Sproule J, Turner A, Hale BJ. Acute, intermediate intensity exercise, and speed and accuracy in working memory tasks: a meta-analytical comparison of effects. Physiol Behav . 2011;102(3–4):421–8.
Hanssen H, Minghetti A, Faude O, et al. Effects of different endurance exercise modalities on retinal vessel diameters in unipolar depression. Microvasc Res . 2018;120:111–6.
Bhuva AN, D’Silva A, Torlasco C, et al. Training for a first-time marathon reverses age-related aortic stiffening. J Am Coll Cardiol . 2020;75(1):60–71.
Stern Y, Lee S, Predovan D, Sloan RP. Sex moderates the effect of aerobic exercise on some aspects of cognition in cognitively intact younger and middle-age adults. J Clin Med . 2019;8(6):886.
Northey JM, Cherbuin N, Pumpa KL, Smee DJ, Rattray B. Exercise interventions for cognitive function in adults older than 50: a systematic review with meta-analysis. Br J Sports Med . 2018;52(3):154–60.
Brickenkamp R. Handbuch Psychologischer und Pädagogischer Tests [Handbook of Psychological and Educational Tests] . 2nd ed. Göttingen: Hogrefe; 1997.
Soveri A, Lehtonen M, Karlsson LC, Lukasik K, Antfolk J, Laine M. Test-retest reliability of five frequently used executive tasks in healthy adults. Appl Neuropsychol Adult . 2018;25(2):155–65.
Brisswalter J, Collardeau M, René A. Effects of acute physical exercise characteristics on cognitive performance. Sports Med . 2002;32(9):555–66.
Voss MW, Vivar C, Kramer AF, van Praag H. Bridging animal and human models of exercise-induced brain plasticity. Trends Cogn Sci . 2013;17(10):525–44.
Ludyga S, Gerber M, Brand S, Holsboer-Trachsler E, Pühse U. Acute effects of moderate aerobic exercise on specific aspects of executive function in different age and fitness groups: a meta-analysis. Psychophysiology . 2016;53(11):1611–26.
Li L, Zhang S, Cui J, et al. Fitness-dependent effect of acute aerobic exercise on executive function. Front Physiol . 2019;10:902.
Roig M, Nordbrandt S, Geertsen SS, Nielsen JB. The effects of cardiovascular exercise on human memory: a review with meta-analysis. Neurosci Biobehav Rev . 2013;37(8):1645–66.
Berchtold NC, Chinn G, Chou M, Kesslak JP, Cotman CW. Exercise primes a molecular memory for brain-derived neurotrophic factor protein induction in the rat hippocampus. Neuroscience . 2005;133(3):853–61.
Shalev I, Moffitt TE, Wong TY, et al. Retinal vessel caliber and lifelong neuropsychological functioning: retinal imaging as an investigative tool for cognitive epidemiology. Psychol Sci . 2013;24(7):1198–207.

Auteurs

Raffaela Raab (R)

Department of Psychiatry and Psychotherapy, Klinikum der Universität München, Ludwig-Maximilians University Munich, Munich, GERMANY.

Viola Landes (V)

Department of Prevention and Sports Medicine, Klinikum rechts der Isar, Technische Universitaet Muenchen, Munich, GERMANY.

Bernhard Haller (B)

Institute of Medical Informatics, Statistics and Epidemiology, Klinikum rechts der Isar, Technical University of Munich, Munich, GERMANY.

Peter Falkai (P)

Department of Psychiatry and Psychotherapy, Klinikum der Universität München, Ludwig-Maximilians University Munich, Munich, GERMANY.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH