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Harvard Commentaries
35320
Harvard Commentaries
Reviewed by the Faculty of Harvard Medical School


Focus on Fitness Focus on Fitness
 

Exercise and Your Mental Performance


July 09, 2013

By Howard LeWine M.D.

Brigham and Women's Hospital


We hear so much about the physical benefits of regular exercise. What effects do exercise and staying fit have on our cognitive function — the mental activities by which we acquire and process information that becomes knowledge?

Researchers have done experiments to look at how well people perform mentally while exercising and immediately after an exercise session. Other researchers have examined the association between fitness level and age-related cognitive decline.

Unlike physical measurements that can be taken with some precision, defining tests of mental performance and exercise to get reliable outcomes is a much greater challenge. Despite the obstacles, researchers have made some headway.

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Mental Performance Tasks Influenced by Exercise

During a session of moderately intense aerobic exercise, mental performance improves in several measurable ways

  • Reaction time
  • Perception and interpretation of visual images
  • Earlier automation of certain skills, what is sometimes called muscle memory
  • Executive control processes

Of these, exercise exerts the most positive influence on tasks of executive control, such as:

  • Planning
  • Scheduling
  • Coordination of people, places, events, etc.
  • Working memory — the brain's ability to temporarily store and manage the information required to carry out complex mental functions
  • Inhibition — the ability to block out unnecessary distractions

Personally, I like to catch up on my medical journals while riding a stationary bike. I find that my concentration and comprehension are better than at any other time.

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Impact of Exercise Duration

Improved cognitive function begins to show at about 20 minutes of moderate intensity aerobic exercise and will be maintained for about another 40 minutes. Beyond 60 minutes of exercise, fatigue is likely to become a factor. For very fit individuals, enhanced mental performance could continue beyond an hour.

Once fatigue sets in, you start to lose the mental edge you have gained. If exercise continues, then mental performance actually will decline to a level lower than where you started.

The positive cognitive effects of exercising for 20 to 60 minutes are primarily related to increase in blood flow to the brain and stimulation of nerve cells to release more neurotransmitters (chemicals that send signals between brain cells). These positive effects will be maintained for a short time after the exercise session as long as you have not become overly fatigued. If you expect to have a long and hard workout, don't plan on doing any important decision making or complex mental functions immediately afterward.

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Influence of Exercise Intensity

Moderate intensity aerobic exercise that keeps you breathing a little faster and makes you sweat is probably the optimal intensity level to get the mental boost. If you monitor your heart rate to guide your intensity level, you want to strive for about 75% of your maximal heart rate.

With moderate intensity exercise, your body is activating the sympathetic nervous system and raising levels of adrenalin. These are likely the two main factors driving improvements in mental performance.

At high intensity of exercise, you will perceive your level of exertion and this sensation will likely interfere with concentration and ability to perform mental tasks. Personally, when I am over 80% of my maximal heart rate, I am only thinking about keeping my breathing under control while visualizing a beautiful, peaceful place.

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Fitness Level and Cognitive Function

Generally healthy people age 55 and over who are physically fit are less likely to lose cognitive function than sedentary people in similar health. However, unlike the improved measurements of cognitive function seen during and shortly after exercise, levels of fitness as related to mental performance assessments can only be suggested.

Although some indirect evidence is compelling, there is no direct evidence that fit people operate at a higher mental performance level in between their exercise sessions. Any association of being more fit and maintaining higher cognitive function may or may not indicate a direct relationship. People who are more fit tend to have greater motivation, eat a healthier diet, and be more engaged in their own health care.

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Fluid Intake and Exercise

Dehydration is associated with a marked reduction in mental performance, independent of whether it is exercise-induced or caused by other factors. Researchers have shown that the decreased cognitive function immediately after exercise-induced dehydration can be quickly reversed once fluids are given to return body weight to the pre-exercise level.

One study found that hyperhydration — extra fluid beyond what is lost — improved mental performance more than just replacing fluid losses. This principle should not be taken to extreme, since overhydration with water during prolonged exercise can dangerously lower blood levels of sodium (a condition called hyponatremia).

Water and sports drinks are equally effective at maintaining hydration during exercise. Sports drinks that contain simple carbohydrates (sugar) may provide a mental advantage for other reasons.

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Carbohydrates To Feed the Brain

The brain needs a constant supply of glucose to function normally. During exercise, the body preferentially uses glucose as the main energy source for contracting muscles, including the heart and the muscles used to expand the lungs. At moderate intensity exercise of 20 to 60 minutes, there is still plenty of sugar available to the brain to allow the improved mental performance noted above. If exercise is more prolonged, especially at a high intensity level, then the amount of blood sugar available to the brain may be an issue.

Studies have shown that cognitive function is better when fluids are replaced with a sugar-containing solution rather than a drink without any calories. However, when blood glucose levels are measured, they are not low enough to say that hypoglycemia is the explanation. More likely, the sugar-containing solutions improve endurance and lessen the perceived level of exertion. Improving both of these factors positively impacts mental performance.

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Boosting Cognition Now and for the Future

In the short run, each session of aerobic exercise on a stable piece of equipment such as a stationary bike, treadmill or elliptical machine has the potential to give you a double benefit for your time spent. Not only will you be improving your fitness, your ability to concentrate on and perform mental tasks also will likely be enhanced.

In the long run, physical activity appears to be at least as important in staying mentally sharp as keeping your mind active and maintaining strong social connections. Multiple studies have shown that people who exercise regularly will have less age-related cognitive decline and lose less brain tissue seen on MRI and PET scans.

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Howard LeWine, M.D., is chief editor of Internet publishing, Harvard Health Publications. He is a clinical instructor of medicine at Harvard Medical School and Brigham and Women's Hospital. Dr. LeWine has been a primary care internist and teacher of internal medicine since 1978.

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