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| Name | Class |
|---|---|
| Cairo University | OTHER |
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This study aims to compare the immediate effects of two common types of exercise-moderate-intensity continuous exercise and high-intensity interval training (HIIT)-on attention, alertness, and physiological responses in physically active young adults.
Attention and mental alertness are essential for learning, academic performance, and daily functioning. Previous research suggests that a single session of exercise can temporarily improve cognitive performance, but it is not clear whether moderate exercise or high-intensity interval exercise is more effective in producing these immediate benefits.
In this study, participants will complete two supervised treadmill exercise sessions on separate days: one session of moderate-intensity continuous exercise and one session of high-intensity interval training. The order of the two exercise sessions will be randomized, and there will be a rest period of 48 to 72 hours between sessions.
Before and immediately after each exercise session, participants will complete computerized cognitive tests that measure sustained attention and reaction time. Heart rate, oxygen saturation, perceived exertion, mood, and alertness will also be measured to evaluate physiological and psychological responses to exercise.
By comparing the effects of these two exercise approaches within the same individuals, this study aims to identify which type of exercise leads to better immediate cognitive performance and favorable physiological responses. The findings may help guide exercise recommendations for improving attention, alertness, and overall mental performance in young adults.
This study is a randomized within-subject crossover clinical trial designed to compare the acute effects of moderate-intensity continuous exercise (MICE) and high-intensity interval training (HIIT) on cognitive performance and psychophysiological responses in physically active young adults.
Each participant will complete two supervised treadmill exercise sessions-one MICE session and one HIIT session-on separate days, with a 48-72-hour washout period. The order of the two exercise conditions will be randomized using a computer-generated sequence. This crossover design allows each participant to serve as their own control, reducing inter-individual variability and increasing statistical power.
Cognitive performance will be assessed immediately before and after each exercise session using validated computerized tests of sustained attention and vigilance, including the Sustained Attention to Response Task (SART) and the Psychomotor Vigilance Task (PVT). Primary cognitive outcomes will include reaction time, accuracy, response inhibition, and attentional lapses.
Psychophysiological responses will be monitored throughout the exercise sessions and immediately post-exercise. These include heart rate, oxygen saturation, rating of perceived exertion, mood, and alertness. Exercise intensity will be prescribed based on percentages of age-predicted maximum heart rate and continuously monitored to ensure protocol adherence and participant safety.
Data will be analyzed using within-subject statistical comparisons to evaluate differences between exercise conditions. The findings are expected to provide evidence on how acute exercise intensity influences immediate cognitive and physiological responses, informing exercise recommendations for optimizing attention and alertness in young adults.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Moderate-Intensity Continuous Exercise (MICE) | Experimental | Participants perform continuous treadmill exercise for 20 minutes at 60-70% of age-predicted maximum heart rate, including standardized warm-up and cool-down periods. Heart rate, oxygen saturation, and perceived exertion are monitored throughout the session to ensure protocol adherence and participant safety. |
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| High-Intensity Interval Training (HIIT) | Experimental | Participants perform treadmill-based high-intensity interval training consisting of repeated short bouts at 85-95% of age-predicted maximum heart rate interspersed with brief recovery periods, with a total session duration of approximately 20 minutes including warm-up and cool-down. Heart rate, oxygen saturation, and perceived exertion are continuously monitored. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Moderate-Intensity Continuous Exercise (MICE) | Other | Participants perform continuous treadmill exercise for 20 minutes at 60-70% of age-predicted maximum heart rate. Each session includes a standardized warm-up period of approximately 3 minutes and a cool-down period of 2-3 minutes. Heart rate, oxygen saturation, and rating of perceived exertion are monitored throughout the session to ensure adherence to the target intensity and participant safety. |
| Measure | Description | Time Frame |
|---|---|---|
| Sustained Attention to Response Task (SART) Performance | Sustained attention and response inhibition will be assessed using the Sustained Attention to Response Task (SART). Outcome variables will include reaction time, accuracy, commission errors, and omission errors, reflecting participants' ability to maintain sustained attention and inhibitory control following acute exercise. | Immediately before each exercise session (within the same day for both intervention conditions) |
| Sustained Attention to Response Task (SART) Performance | Sustained attention and response inhibition will be assessed using the Sustained Attention to Response Task (SART). Outcome variables will include reaction time, accuracy, commission errors, and omission errors, reflecting participants' ability to maintain sustained attention and inhibitory control following acute exercise. | immediately after each exercise session (within the same day for both intervention conditions) |
| Psychomotor Vigilance Task (PVT) Performance | Vigilance and reaction time will be evaluated using the Psychomotor Vigilance Task (PVT). Outcome variables will include mean reaction time, number of attentional lapses, and response accuracy, reflecting participants' sustained alertness following acute exercise. | Immediately before each exercise session (within the same day for both intervention conditions) |
| Psychomotor Vigilance Task (PVT) Performance | Vigilance and reaction time will be evaluated using the Psychomotor Vigilance Task (PVT). Outcome variables will include mean reaction time, number of attentional lapses, and response accuracy, reflecting participants' sustained alertness following acute exercise. | immediately after each exercise session (within the same day for both intervention conditions) |
| Measure | Description | Time Frame |
|---|---|---|
| Heart Rate Response During and After Exercise | Heart rate will be continuously monitored during each exercise session and recorded at baseline, during exercise, and immediately post-exercise to evaluate physiological responses to moderate-intensity continuous exercise and high-intensity interval training. | During each exercise session |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Qassim University | Buraidah | Al-Qassim Region | 2100 | Saudi Arabia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24179888 | Background | Nanda B, Balde J, Manjunatha S. The Acute Effects of a Single Bout of Moderate-intensity Aerobic Exercise on Cognitive Functions in Healthy Adult Males. J Clin Diagn Res. 2013 Sep;7(9):1883-5. doi: 10.7860/JCDR/2013/5855.3341. Epub 2013 Sep 10. | |
| 38595617 | Background | Pujari V. Moving to Improve Mental Health - The Role of Exercise in Cognitive Function: A Narrative Review. J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S26-S30. doi: 10.4103/jpbs.jpbs_614_23. Epub 2024 Feb 29. |
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Individual participant data (IPD) will not be shared publicly. All collected data will be analyzed and reported in aggregate form only to ensure participant confidentiality and data protection.
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This study uses a randomized within-subject crossover design in which each participant completes two exercise interventions-moderate-intensity continuous exercise and high-intensity interval training-on separate days, with a 48-72-hour washout period. The order of the interventions is randomized so that each participant serves as their own control.
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Due to the nature of the exercise interventions, participant and care provider blinding is not feasible. However, cognitive outcome assessors are blinded to the intervention order to minimize assessment bias. Data analysis will be performed using coded datasets to ensure objectivity.
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| High-Intensity Interval Training (HIIT) | Other | Participants perform treadmill-based high-intensity interval training consisting of repeated short bouts of exercise at 85-95% of age-predicted maximum heart rate, interspersed with brief recovery periods. Total session duration is approximately 20 minutes, including standardized warm-up and cool-down periods. Heart rate, oxygen saturation, and rating of perceived exertion are continuously monitored to ensure safety and protocol compliance. |
|
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| Heart Rate Response During and After Exercise |
Heart rate will be continuously monitored during each exercise session and recorded at baseline, during exercise, and immediately post-exercise to evaluate physiological responses to moderate-intensity continuous exercise and high-intensity interval training. |
| Immediately after each exercise session |
| Oxygen Saturation (SpO₂) Response | Peripheral oxygen saturation will be measured using a pulse oximeter before, during, and immediately after each exercise session to assess acute cardiorespiratory responses to exercise intensity. | During each exercise session |
| Oxygen Saturation (SpO₂) Response | Peripheral oxygen saturation will be measured using a pulse oximeter before, during, and immediately after each exercise session to assess acute cardiorespiratory responses to exercise intensity. | Immediately after each exercise session |
| Rating of Perceived Exertion Assessed by the Borg Rating of Perceived Exertion Scale (6-20) | Perceived exertion will be assessed using the Borg Rating of Perceived Exertion (RPE) Scale (6-20) during and immediately after each exercise session to evaluate subjective exercise intensity and effort. The scale ranges from 6 (no exertion at all) to 20 (maximal exertion). Higher scores indicate greater perceived physical effort. | During each exercise session |
| Rating of Perceived Exertion Assessed by the Borg Rating of Perceived Exertion Scale (6-20) | Perceived exertion will be assessed using the Borg Rating of Perceived Exertion (RPE) Scale (6-20) during and immediately after each exercise session to evaluate subjective exercise intensity and effort. The scale ranges from 6 (no exertion at all) to 20 (maximal exertion). Higher scores indicate greater perceived physical effort. | Immediately after each exercise session |
| Mood and Alertness Assessed by Numeric Rating Scales (0-10) | Subjective mood and alertness will be assessed using separate 10-point Numeric Rating Scales (0-10) administered immediately before and immediately after each exercise session. For each scale, 0 represents the lowest level (very poor mood / extremely sleepy) and 10 represents the highest level (excellent mood / fully alert). Higher scores indicate better mood and greater alertness. | Immediately before each exercise session |
| Mood and Alertness Assessed by Numeric Rating Scales (0-10) | Subjective mood and alertness will be assessed using separate 10-point Numeric Rating Scales (0-10) administered immediately before and immediately after each exercise session. For each scale, 0 represents the lowest level (very poor mood / extremely sleepy) and 10 represents the highest level (excellent mood / fully alert). Higher scores indicate better mood and greater alertness. | Immediately after each exercise session |
| 40049759 | Background | Singh B, Bennett H, Miatke A, Dumuid D, Curtis R, Ferguson T, Brinsley J, Szeto K, Petersen JM, Gough C, Eglitis E, Simpson CE, Ekegren CL, Smith AE, Erickson KI, Maher C. Effectiveness of exercise for improving cognition, memory and executive function: a systematic umbrella review and meta-meta-analysis. Br J Sports Med. 2025 Jun 3;59(12):866-876. doi: 10.1136/bjsports-2024-108589. |
| 33169699 | Result | Olivo G, Nilsson J, Garzon B, Lebedev A, Wahlin A, Tarassova O, Ekblom M, Lovden M. Immediate effects of a single session of physical exercise on cognition and cerebral blood flow: A randomized controlled study of older adults. Neuroimage. 2021 Jan 15;225:117500. doi: 10.1016/j.neuroimage.2020.117500. Epub 2020 Oct 24. |
| 39136270 | Result | Yildirim MS, Guclu-Gunduz A, Ozkul C, Korkmaz S. Investigating the acute effect of low and moderate intensity aerobic exercise on whole-body task learning and cognition in young adults. Eur J Neurosci. 2024 Sep;60(6):5203-5216. doi: 10.1111/ejn.16504. Epub 2024 Aug 13. |
| 29765853 | Result | Basso JC, Suzuki WA. The Effects of Acute Exercise on Mood, Cognition, Neurophysiology, and Neurochemical Pathways: A Review. Brain Plast. 2017 Mar 28;2(2):127-152. doi: 10.3233/BPL-160040. |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D000072696 | High-Intensity Interval Training |
| ID | Term |
|---|---|
| D064797 | Physical Conditioning, Human |
| D015444 | Exercise |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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