Are Individuals Who Engage in More Frequent Self-Regulation Less Susceptible to Mental Fatigue?

2019 ◽  
Vol 41 (5) ◽  
pp. 289-297
Author(s):  
Kristy Martin ◽  
Kevin G. Thompson ◽  
Richard Keegan ◽  
Ben Rattray

The aim of this study was to investigate whether individuals who engage in more frequent self-regulation are less susceptible to mental fatigue. Occupational cognitive demand and participation in sports or exercise were quantified as activities requiring self-regulation. Cardiorespiratory fitness was also assessed. On separate occasions, participants either completed 90 min of an incongruent Stroop task (mental exertion condition) or watched a 90-min documentary (control condition). Participants then completed a cycling time-to-exhaustion (physical endurance) test. There was no difference in the mean time to exhaustion between conditions, although individual responses varied. Occupational cognitive demand, participation in sports or exercise, and cardiorespiratory fitness predicted the change in endurance performance (p = .026, adjusted R2 = .279). Only cognitive demand added significantly to the prediction (p = .024). Participants who reported higher levels of occupational cognitive demand better maintained endurance performance following mental exertion.

2019 ◽  
Author(s):  
Louis-Solal Giboin ◽  
Wanja Wolff

Two independent lines of research propose that exertion of mental effort can impair subsequent performance due to ego depletion or mental fatigue. In this meta-analysis, we unite these research fields to facilitate a greater exchange between the two, to summarize the extant literature and to highlight open questions. We performed a meta-analysis to quantify the effect of ego-depletion and mental fatigue on subsequent physical endurance performance (42 independent effect sizes). We found that ego-depletion or mental fatigue leads to a reduction in subsequent physical endurance performance (ES = -0.506 [95% CI: -0.649, -0.369]) and that the duration of prior mental effort exertion did not predict the magnitude of subsequent performance impairment (r = -0.043). Further, analyses revealed that effects of prior mental exertion are more pronounced in subsequent tasks that use isolation tasks (e.g., handgrip; ES = -0.719 [-0.946, -0.493]) compared to whole-body endurance tasks (e.g. cycling; coefficient = 0.338 [0.057, 0.621]) and that the observed reduction in performance is higher when the person-situation fit is low (ES for high person-situation fit = -0.355 [-0.529, -0.181], coefficient for low person-situation fit = -0.336 [-0.599, -0.073]). Taken together, the aggregate of the published literature on ego depletion or mental fatigue indicates that prior mental exertion is detrimental to subsequent physical endurance performance. However, this analysis also highlights several open questions regarding the effects’ mechanisms and moderators. Particularly, the surprising finding that the duration of prior mental exertion seems to be unrelated to subsequent performance impairment needs to be addressed systematically.


2017 ◽  
Vol 12 (10) ◽  
pp. 1348-1355 ◽  
Author(s):  
Jose A. Rodríguez-Marroyo ◽  
José G. Villa ◽  
Raúl Pernía ◽  
Carl Foster

Purpose: To analyze professional cyclists’ performance declines after, and the exercise demands during, a Grand Tour. Methods: Seven professional cyclists performed 2 incremental exercise tests, 1 wk before and the day after the Vuelta España. During the race the exercise demands were analyzed on the basis of heart rate (HR). Three intensity zones were established according to reference HR values corresponding to the ventilatory- (VT) and respiratory-compensation (RCT) thresholds determined during the prerace test. In addition, exercise demands for the last weeks of the Vuelta were recalculated using the reference HR determined during the postrace test for the 3rd week and averaging the change observed in the VT and RCT per stage for the 2nd week. The reference HR for the beginning of the 2nd week was estimated. Results: A significant (P-value range, .044–.000) decrement in oxygen uptake, power output, and HR at maximal exercise, VT, and RCT was found after the race. Based on the prerace test, the mean time spent daily above the RCT was 13.8 ± 10.2 min. This time decreased −1.2 min·day−1 across the race. When the exercise intensity was corrected according to the postrace test, the time above RCT (34.1 ± 9.9 min) increased 1.0 min·day−1. Conclusion: These data indicate that completing a Grand Tour may result in a significant decrement in maximal and submaximal endurance performance capacity. This may modify reference values used to analyze exercise demands. As a consequence, the high-intensity exercise performed by cyclists may be underestimated.


2019 ◽  
Vol 11 (1) ◽  
pp. 103-109
Author(s):  
Mirosław Mikicin ◽  
Sylwia Nowacka-Dobosz ◽  
Anna Mróz ◽  
Anna Kuk ◽  
Adriana Zagórska-Pachucka

SummaryStudy aim: The aim of the study was to investigate the relationship between attention and physical endurance (running) and anthropometric parameters of athletes.Material and methods: The study examined 61 students aged 19 to 25 years, divided into two groups: athletes (33 participants) and non-athletes (28 participants). We employed anthropometric measurements and the Vienna System Test, including tools to measure focused attention, such as LVT (visual orientation performance test) and DAUF (test for examination of sustained attention) and the Cooper test to measure endurance.Results: Analysis of the results demonstrated a relationship between attention and physical endurance with median time from LVT (r = –0.552). A relationship was also found between the Cooper test results and the mean time to incorrect answer (r = –0.900).Conclusions: The analysis demonstrated a relationship between attention, physical endurance and anthropometric parameters of athletes.


1992 ◽  
Vol 2 (3) ◽  
pp. 272-286 ◽  
Author(s):  
Ian P. Snider ◽  
Terry L. Bazzarre ◽  
Scott D. Murdoch ◽  
Allan Goldfarb

This study examined the effects of the Coenzyme Athletic Performance System (CAPS) on endurance performance to exhaustion. CAPS contains 100 mg coenzyme Q10,500 mg cytochrome C, 100 mg inosine, and 200 IU vitamin E. Eleven highly trained male triathletes were given three daily doses of either CAPS or placebo (dicalcium phosphate) for two 4-week periods using a double-blind crossover design. A 4-week washout period separated the two treatment periods. An exhaustive performance test, consisting of 90 minutes of running on a treadmill (70%) followed by cycling (70%) until exhaustion, was conducted after each treatment period. The mean (±SEM) time to exhaustion for the subjects using CAPS (223 ±17 min) was not significantly different (p=0.57) from the placebo trial (215 ±9 min). Blood glucose, lactate, and free fatty acid concentrations at exhaustion did not differ between treatments (p< 0.05). CAPS had no apparent benefit on exercise to exhaustion.


1996 ◽  
Vol 75 (05) ◽  
pp. 731-733 ◽  
Author(s):  
V Cazaux ◽  
B Gauthier ◽  
A Elias ◽  
D Lefebvre ◽  
J Tredez ◽  
...  

SummaryDue to large inter-individual variations, the dose of vitamin K antagonist required to target the desired hypocoagulability is hardly predictible for a given patient, and the time needed to reach therapeutic equilibrium may be excessively long. This work reports on a simple method for predicting the daily maintenance dose of fluindione after the third intake. In a first step, 37 patients were delivered 20 mg of fluindione once a day, at 6 p.m. for 3 consecutive days. On the morning of the 4th day an INR was performed. During the following days the dose was adjusted to target an INR between 2 and 3. There was a good correlation (r = 0.83, p<0.001) between the INR performed on the morning of day 4 and the daily maintenance dose determined later by successive approximations. This allowed us to write a decisional algorithm to predict the effective maintenance dose of fluindione from the INR performed on day 4. The usefulness and the safety of this approach was tested in a second prospective study on 46 patients receiving fluindione according to the same initial scheme. The predicted dose was compared to the effective dose soon after having reached the equilibrium, then 30 and 90 days after. To within 5 mg (one quarter of a tablet), the predicted dose was the effective dose in 98%, 86% and 81% of the patients at the 3 times respectively. The mean time needed to reach the therapeutic equilibrium was reduced from 13 days in the first study to 6 days in the second study. No hemorrhagic complication occurred. Thus the strategy formerly developed to predict the daily maintenance dose of warfarin from the prothrombin time ratio or the thrombotest performed 3 days after starting the treatment may also be applied to fluindione and the INR measurement.


2021 ◽  
pp. 107815522110160
Author(s):  
Bernadatte Zimbwa ◽  
Peter J Gilbar ◽  
Mark R Davis ◽  
Srinivas Kondalsamy-Chennakesavan

Purpose To retrospectively determine the rate of death occurring within 14 and 30 days of systemic anticancer therapy (SACT), compare this against a previous audit and benchmark results against other cancer centres. Secondly, to determine if the introduction of immune checkpoint inhibitors (ICI), not available at the time of the initial audit, impacted mortality rates. Method All adult solid tumour and haematology patients receiving SACT at an Australian Regional Cancer Centre (RCC) between January 2016 and July 2020 were included. Results Over a 55-month period, 1709 patients received SACT. Patients dying within 14 and 30 days of SACT were 3.3% and 7.0% respectively and is slightly higher than our previous study which was 1.89% and 5.6%. Mean time to death was 15.5 days. Males accounted for 63.9% of patients and the mean age was 66.8 years. 46.2% of the 119 patients dying in the 30 days post SACT started a new line of treatment during that time. Of 98 patients receiving ICI, 22.5% died within 30 days of commencement. Disease progression was the most common cause of death (79%). The most common place of death was the RCC (38.7%). Conclusion The rate of death observed in our re-audit compares favourably with our previous audit and is still at the lower end of that seen in published studies in Australia and internationally. Cases of patients dying within 30 days of SACT should be regularly reviewed to maintain awareness of this benchmark of quality assurance and provide a feedback process for clinicians.


2021 ◽  
pp. 1-7
Author(s):  
Naomi Vather-Wu ◽  
Matthew D. Krasowski ◽  
Katherine D. Mathews ◽  
Amal Shibli-Rahhal

Background: Expert guidelines recommend annual monitoring of 25-hydroxyvitamin D (25-OHD) and maintaining 25-OHD ≥30 ng/ml in patients with dystrophinopathies. Objective: We hypothesized that 25-OHD remains stable and requires less frequent monitoring in patients taking stable maintenance doses of vitamin D. Methods: We performed a retrospective cohort study, using the electronic health record to identify 26 patients with dystrophinopathies with a baseline 25-OHD ≥30 ng/mL and at least one additional 25-OHD measurement. These patients had received a stable dose of vitamin D for ≥3 months prior to their baseline 25-OHD measurement and throughout follow-up. The main outcome measured was the mean duration time the subjects spent with a 25-OHD ≥30 ng/mL. Results: Only 19% of patients dropped their 25-OHD to <  30 ng/ml, with a mean time to drop of 33 months and a median nadir 25-OHD of 28 ng/mL. Conclusions: These results suggest that measurement of 25-OHD every 2–2.5 years may be sufficient in patients with a baseline 25-OHD ≥30 ng/mL and who are on a stable maintenance dose of vitamin D. Other patients may require more frequent assessments.


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