Sympathetic Nervous System Mediation of Acute Exercise Effects on Childhood Brain and Cognition

NCT ID: NCT03592238

Last Updated: 2025-06-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

297 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-10

Study Completion Date

2024-06-30

Brief Summary

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Today's children have become increasingly inactive and unfit, with \>50% of children not meeting the recommended 60 min of moderate-to-vigorous physical activity. Previous research has suggested that acute aerobic exercise of moderate intensity was associated with improved cognition manifested by improved performance and increased P3 amplitude, a neuroelectric indicator that reflects the amount of attentional allocation, in tasks requiring cognitive control. While minimal evidence exists to support potential mechanisms underlying the transient effects of exercise on brain and cognition, research suggests that phasic changes in the locus coeruleus-norepinephrine (LC-NE) (as measured by salivary alpha amylase (sAA)) system are a potential mechanism for explaining the acute effect of exercise on brain and cognition. Accordingly, the aim of this study is to examine the mechanisms linking acute aerobic exercise to improved cognitive control as well as the underlying neuroelectrical activities in children, using electroencephalography (EEG) and event-related potentials (ERPs). We hope to gain a better understanding of the role of acute exercise and cognitive and brain health. The results from this study will help identify mechanisms linking acute exercise to enhanced cognitive performance in children.

Our hypothesis is that exercise-induced phasic increases in sympathetic nervous system activity will mediate the effect of a single bout of exercise on brain function, cognition, and standardized achievement test performance.

Detailed Description

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Conditions

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Exercise Cognition

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Aerobic Exercise Intervention

Participants will exercise on a motor-driven treadmill at a constant speed during the 23-min period.

Group Type EXPERIMENTAL

Aerobic Exercise Intervention

Intervention Type OTHER

The protocol will include a 25-min bout of exercise at an intensity of 75% HRmax, such that participants will engage in a 1-min warm up and a 1-min cool down, with the majority of time (i.e., 23-min) spent exercising at 75% of HRmax.

Trier Social Stress Test for Children

The Trier Social Stress Test for Children consists of a speech task in which children must finish a story and a mental arithmetic task, completed in front of a camera and two neutral observers.

Group Type ACTIVE_COMPARATOR

Trier Social Stress Test for Children

Intervention Type OTHER

Participants will be asked to imagine that they are in a new class with 20 other students, and that their teacher has asked them to stand in front of the class and introduce themselves. The mental arithmetic task will entail asking children to serially subtract the number 5 from a larger number as quickly as possible.

Seated Rest

Participants will sit in a comfortable chair, placed in the same room as the motor-driven treadmill, for a period of 25-min.

Group Type PLACEBO_COMPARATOR

Seated Rest

Intervention Type OTHER

Children will be asked to sit quietly or read a book of their choosing.

Interventions

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Aerobic Exercise Intervention

The protocol will include a 25-min bout of exercise at an intensity of 75% HRmax, such that participants will engage in a 1-min warm up and a 1-min cool down, with the majority of time (i.e., 23-min) spent exercising at 75% of HRmax.

Intervention Type OTHER

Trier Social Stress Test for Children

Participants will be asked to imagine that they are in a new class with 20 other students, and that their teacher has asked them to stand in front of the class and introduce themselves. The mental arithmetic task will entail asking children to serially subtract the number 5 from a larger number as quickly as possible.

Intervention Type OTHER

Seated Rest

Children will be asked to sit quietly or read a book of their choosing.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Parental/guardian consent (non-consent of guardian).
* Participants must have had no prior diagnosis of cognitive or physical disability, including attention deficit hyperactivity disorder (severe asthma, epilepsy, chronic kidney disease, and dependence upon a wheelchair/walking aid).
* Participants must be free of any type of anti-psychotic, anti-depressant, anti-anxiety medication, as well as those medications used for attention deficit hyperactivity disorder (use of any anti-psychotic, anti-depressant, anti-anxiety, and attention deficit hyperactivity disorder medications).
* Normal or corrected-to-normal vision based on the minimal 20/20 standard in order to complete the cognitive task (below 20/20 vision).
* Participants must have not yet reached, or be in the earliest stages, of puberty, as measured by a modified test of the Tanner Staging System (onset of puberty as determined by Tanner).
* English speaking.

Exclusion Criteria

* Participants with an intelligence quotient below 85 will be excluded.
Minimum Eligible Age

9 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

NIH

Sponsor Role collaborator

Northeastern University

OTHER

Sponsor Role lead

Responsible Party

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Chuck Hillman

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Northeastern University

Boston, Massachusetts, United States

Site Status

Countries

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United States

References

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Lloyd KM, Gabard-Durnam L, Beaudry K, De Lisio M, Raine LB, Bernard-Willis Y, Watrous JNH, Whitfield-Gabrieli S, Kramer AF, Hillman CH. Cross-sectional analysis reveals COVID-19 pandemic community lockdown was linked to dysregulated cortisol and salivary alpha amylase in children. Front Public Health. 2023 Dec 15;11:1210122. doi: 10.3389/fpubh.2023.1210122. eCollection 2023.

Reference Type DERIVED
PMID: 38169630 (View on PubMed)

Raine LB, Erickson KI, Grove G, Watrous JNH, McDonald K, Kang C, Jakicic JM, Forman DE, Kramer AF, Burns JM, Vidoni ED, McAuley E, Hillman CH. Cardiorespiratory fitness levels and body mass index of pre-adolescent children and older adults during the COVID-19 pandemic. Front Public Health. 2023 Jan 17;10:1052389. doi: 10.3389/fpubh.2022.1052389. eCollection 2022.

Reference Type DERIVED
PMID: 36733279 (View on PubMed)

Raine LB, McDonald K, Shigeta TT, Hsieh SS, Hunt J, Chiarlitti NA, Lim M, Gebhardt K, Collins N, De Lisio M, Mullen SP, Kramer AF, Hillman C. Sympathetic Nervous System and Exercise Affects Cognition in Youth (SNEACY): study protocol for a randomized crossover trial. Trials. 2021 Feb 18;22(1):154. doi: 10.1186/s13063-021-05096-w.

Reference Type DERIVED
PMID: 33602325 (View on PubMed)

Other Identifiers

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R01HD094054

Identifier Type: NIH

Identifier Source: secondary_id

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1R01HD094054-01

Identifier Type: NIH

Identifier Source: org_study_id

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