Comparison of water- and land-based exercise in the reduction of state anxiety among older adults

This study examined the effect of an acute exercise program of different exercise conditions on state anxiety among older adults. 73 healthy subjects were recruited and randomly assigned to either water exercise group (n = 36) or land exercise group (n = 37). State anxiety was assessed before exercise and following exercise. Subjects in the water exercise performed a 70-min. exercise program consisting of a 10-min. warm-up, a 20-min. brisk walking, a 20-min. rhythmic dancing, a 10-min. resistance training, and a 10-min. cool down exercise. The land exercise program contained a 10-min. warm up and a 30-min. combined endurance and resistance exercise, followed by a 10-min. cool down exercise. Analysis showed that both exercise groups scored significantly (p<.001) lower on anxiety after exercise, but there was no significant interaction for group by trial for scores on state anxiety. The data indicate that elderly persons who participate in these types of exercise report lower state anxiety.     

Acute exercise effects on worry,state anxiety,and feelings of energy and fatigue among young women with probable Generalized Anxiety Disorder: A pilot study

BackgroundLittle is known about the acute effects of exercise among individuals with clinical or subclinical Generalized Anxiety Disorder (GAD).PurposeThus, this study examined worry, state anxiety, and feelings of energy and fatigue responses to acute aerobic exercise and quiet rest, and explored potential moderators of response among young adult women with worry scores indicative of GAD.MethodsSeventeen young women with Penn State Worry Questionnaire scores ≥45 (60 ± 8) completed 30-min treadmill running at 65%–85% heart rate reserve (%HRR) and 30-min seated quiet rest in counterbalanced order. Outcomes included worry, state anxiety, and feelings of energy and fatigue. Two condition X two time repeated measures ANOVA examined differences across condition and time. Hedges’ d effect sizes (95%CI) were calculated to quantify and compare the magnitude of change. Independent-samples t-tests explored potential moderators of outcome response.ResultsTotal exercise time was 35.8 ± 3.4min with a mean 30.3 ± 0.16 in-zone minutes (65%-85%HRR); participants exercised at ∼72.9 ± 0.03 %HRR (range 66%–79%). Compared with quiet rest, acute exercise significantly improved worry engagement, state anxiety, and feelings of energy and fatigue (all p ≤ 0.031). Moderate-to-large (d = 0.44 to 1.69) reductions in state anxiety and feelings of fatigue and improvements in feelings of energy were found. Exercise-induced reductions in worry engagement were significantly larger among non-high trait anxious participants. Compared to normal sleepers, quiet rest significantly increased feelings of fatigue among poor sleepers.ConclusionFindings provide support for the positive effects of acute aerobic exercise on worry, state anxiety, and feelings of energy and fatigue among young women with worry indicative of GAD.     

Influence of aerobic fitness on ratings of perceived exertion during light to moderate exercise

Based on scores from a maximal exercise test on a bicycle ergometer, 24 college-age women were classified into three aerobic-fitness groups. Each subject then completed two randomly ordered cycle exercise bouts at 1-wk. intervals. The exercise bouts required the subjects to pedal for 24 min. attaining and then maintaining a target heart rate of either 30% or 60% of heart-rate reserve. Ratings of perceived exertion (RPE) were reported at the end of each third minute of the exercise period. Repeated-measures analysis of variance indicated the RPE was significantly related to the exercise workload and duration of exercise. No main effect was found for fitness. Two-way interactions were detected for fitness x duration of exercise and for workload x duration of exercise.     

Effects of a prolonged run on simple reaction time of well trained runners.

The aim of the present study was to examine the effect of increased arousal induced by a prolonged exercise at ventilatory threshold simple reaction time performance performed during a running task. 11 well trained triathletes completed two testing sessions within a 2-wk. period. The first session was a protocol of VO2 max determination conducted on a treadmill. This protocol was used to assess the velocity associated with ventilatory threshold (vVvt). The second session was a 90-min. running test performed at vVvt. This last session was composed of five submaximal treadmill runs (10-min. long, 0% grade) separated by four overground runs (10-min.). Before, during each treadmill run, and after exercise, subjects performed three blocks of 20 simple reaction time. Furthermore, at the end of each overground run, perceived exertion (RPE) was recorded. Analysis showed a significant impairment in Simple RT performance during the first treadmill run only. After this first run a significant effect of exercise duration on Simple RT was observed. After 40-min. of exercise a significant improvement in reaction time during exercise was recorded, Furthermore, when Simple RT was recorded at rest, there was no difference pre-exercise and postexercise. These results suggest that a simple cognitive performance could be improved during exercise, despite the negative effect of the dual task. This improvement in reaction time could be explained mainly by an increase in arousal induced by a prolonged exercise.     

Effects of aerobic exercise on anxiety sensitivity

Anxiety sensitivity is a known precursor to panic attacks and panic disorder, and involves the misinterpretation of anxiety-related sensations. Aerobic exercise has been shown to reduce generalized anxiety, and may also reduce anxiety sensitivity through exposure to feared physiological sensations. Accordingly, 54 participants with elevated anxiety sensitivity scores completed six 20-min treadmill exercise sessions at either a high-intensity aerobic ( n = 29 ) or low-intensity ( n = 25 ) level. Self-ratings of anxiety sensitivity, fear of physiological sensations associated with anxiety, and generalized anxiety were obtained at pre-treatment, post-treatment, and one-week follow-up. Results indicated that both high- and low-intensity exercise reduced anxiety sensitivity. However, high-intensity exercise caused more rapid reductions in a global measure of anxiety sensitivity and produced more treatment responders than low-intensity exercise. Only high-intensity exercise reduced fear of anxiety-related bodily sensations. The implications of these findings are discussed.     

Effect of pedal rate and power output on rating of perceived exertion during cycle ergometry exercise

This study examined differentiated rating of perceived exertion (RPE), heart rate, and heart-rate variability during light cycle ergometry exercise at two different pedal rates. 30 healthy men (22.6 +/- 0.9 yr.) were recruited from a student population and completed a continuous 20-min. cycle ergometry exercise protocol, consisting of a 4-min. warm-up (60 rev./min., 30 Watts), followed by four bouts of 4 min. at different combinations of pedal rate (40 or 80 rev./min.) and power output (40 or 80 Watts). The order of the four combinations was counterbalanced across participants. Heart rate was measured using a polar heart-rate monitor, and parasympathetic balance was assessed through time series analysis of heart-rate variability. Measures were compared using a 2 (pedal rate) x 2 (power output) repeated-measures analysis of variance. RPE was significantly greater (p<.05) at 80 versus 40 rev./min. at 40 W. For both power outputs heart rate was significantly increased, and the high frequency component of heart-rate variability was significantly reduced at 80 compared with 40 rev./min. These findings indicate the RPE was greater at higher than at lower pedalling rates for a light absolute power output which contrasts with previous findings based on use of higher power output. Also, pedal rate had a significant effect on heart rate and heart-rate variability at constant power output.     

RPE at relative intensities after 12 weeks of resistance-exercise training by older adults

The constant-RPE tracking model monitors progress over the course of exercise training. During aerobic exercise, prior work using this model has demonstrated similar relative intensities pre- and posttraining, while the absolute workload increases posttraining. However, the prediction equation associated with these changes has not been examined during resistance training. 22 men and 27 women (M age 64 yr.) participated in a 12-wk. resistance training. Orientation determined resistances associated with RPEs of 4, 5-6, 7-8, and 9 on the OMNI-Resistance Exercise Scale for each of seven exercises for each participant. Individuals trained 3 days a week for 12 wk. Linear regression was used to calculate percent of 1-repetition maximum (%1-RM) at RPE 4, 6, and 8 for the exercises. Paired sample t tests, comparing pre- and posttraining %1-RMs at each RPE, indicated that posttraining %1-RMs were higher for RPE 4 and 6 for each exercise, while at RPE 8, results were significant for only 3 exercises. Thus for at least the RPE 4 and 6, the constant RPE tracking model is appropriate for resistance exercise; however, the equation of prediction appears to differ from that for aerobic exercise. Development of a new prediction equation may be necessary to track relative strength in older adults.     

Does perceived exertion depend on glycemic index of foods ingested throughout three hours before a one-hour high-intensity exercise?

The purpose of this study was to assess the relationships between perceived exertion (RPE) and plasma glucose concentrations or hunger feelings during a 1-hr. bicycle submaximal exercise after ingestion of pre-exercise test foods with a different glycemic index. Each of endurance-trained male triathletes ingested three different glycemic index (GI) foods (HighGI: glucose, LowGI: whole-wheat biscuit or water) throughout the 3 hr. before exercise at 80% maximal oxygen uptake (VO2 max). RPE values increased as a logarithmic function of time. This result is opposite to results obtained with longer exercise bouts up to 3 hr. duration. RPE and hunger ratings were not significantly different for the three test foods whatever the time. Moreover, RPE did not correlate with plasma glucose concentrations during exercise. Consequently, RPE did not depend on the GI of the pre-exercise test foods during a 1-hr. exercise at 80% VO2 max. Physiological and psychological factors other than glycemic index may have mediated the perceptual responses during a 1-hr. high-intensity exercise. It is possible that during endurance exercise of longer duration, the level of blood glucose mediates the intensity of peripheral exertional perceptions arising from active skeletal muscle during prolonged exercise.     

Relations between perceptual and physiological response during incremental exercise followed by an extended bout of submaximal exercise on a cycle ergometer

The purpose of this study was to examine the relations of ratings of perceived exertion (RPE) of the legs, chest, and overall body with physiological responses (heart rate and oxygen uptake) both during incremental cycling exercise and the recovery stage (submaximal light exercise after total exhaustion). Subjects were 10 healthy university males ages 18 to 23 years (M age=20.5 yr., SD=1.4 yr.) who performed incremental cycling exercise until exhaustion after 1-min. rest and unloaded cycling for 2 min. They then continued to exercise at a constant load of 30 Watts (used for cooling down; recovery stage) for a total of 25 min. Oxygen uptake and heart rate were measured, and three types of RPE were done; Respiratory (chest; RPE-R), Peripheral (legs; RPE-P), and Overall (overall body; RPE-O) during the exercise and recovery stage. All variables during exercise and RPE-R and RPE-P during recovery stage showed significant linear changes. RPE-O and physiological exercise intensity (oxygen uptake and heart rate) in the recovery stage showed significant curvilinear changes (quadratic). RPE-P were significantly higher than RPE-R both during exercise and the recovery stage and the variables highly correlated (r > or = .88, p < .05). At the point of exhaustion, RPE-P and RPE-O almost reached a peak, but RPE-R did not. In the exercise period until exhaustion, the regression coefficient of RPE-R (.38) was significantly lower than that of RPE-P (.56) and RPE-O (.50), and RPE-R increased according to an increase of the incremental load, but the amount was significantly lower than those of RPE-P and RPE-O. In the recovery stage after exhaustion, the regression coefficient of RPE-O (-1.35) was significantly greater than that of RPE-P (-1.07). A decrease in RPE-O corresponded to a decrease in heart rate and oxygen uptake, but RPE-P did not, and the recovery of RPE-P tended to be late. The results suggest that relations for the physiological responses of heart rate, oxygen uptake, and RPE, and between each RPE in the recovery stage differed from those during exercise until exhaustion.     

Effects of steady-state exercise on perceived pain: comparison of sedentary students and cyclists

In this study, the effect of fitness level on perceived pain before and after a steady state exercise was investigated. Ten trained cyclists (M age=25.2 yr., SD=4.9) and 10 sedentary men (Mage=24.5 yr., SD=2.2) performed a maximal graded test on a cycle ergometer. At least 48 hr. later the participants of both groups performed a 30-min. steady-state cycling test at 75% of VO2 max. Before the steady-state exercise and 5- and 30-min. postexercise, a pressure pain stimulation test was applied on the finger of each participant. Perceived pain was measured with Borg's CR10 scale at the end of each pain stimulation. The results indicated no significant changes in perceived pain between the pre-exercise and 5- and 30-min. postexercise values (effect sizes=.07 and .19, respectively). Moreover, no significant difference in perceived pain was found between the groups for pre-exercise (ES=.02) and 5- and 30-min. postexercise (ES=.16 and .21, respectively) values. These results do not confirm the analgesic effects usually observed after steady state exercise. Therefore, it is not possible to compare the analgesic effect of this exercise mode between participants characterized by different fitness levels.     

Differentiated ratings of perceived exertion and physiological responses during aerobic dance steps by impact/type of arm movement

Overall ratings of perceived exertion, i.e., undifferentiated RPE, are often used as indicators of exercise intensity during walking, jogging, and cycling; however, conflicting results concerning RPE during aerobic dance exercise have been reported, and the use of differentiated RPE, i.e., local RPE and central RPE, has not been investigated. The purposes of this study were to assess local, central, and over-all RPE, and physiological responses [heart rate (HR); % HRmax; absolute and relative VO2;% VO2 max, ventilation (VE), ventilatory equivalent (VE.VO2(-1); and oxygen pulse] during aerobic dance exercise varied by Arm Movement (Static Arm vs Dynamic Arm) and Impact (High vs Low). Trained women (N = 25; max VO2 = 50.4 +/- 7.5 ml.kg-1.min.-1) completed four aerobic dance steps. No RPE were significantly correlated with heart rate or VO2; however, for all steps all RPE were significantly (r = .40-.62) correlated with VE.VO2(-1) or VE. No interactions were present for RPE or physiological variables, and main effects were noted for Impact and Arm Movement. All RPE were greater for High Impact and for Static Arm Movement. Because VE and VE.VO2(-1) were correlated with Overall RPE for all steps, this may suggest that participants "attended to" perceived changes in respiratory phenomena during aerobic dance exercise. It appears that during combined arm-and-leg aerobic dance exercise the use of Overall RPE is sufficient to assess perceptual sensations associated with the intensity of the exercise. Changes in Overall RPE were proportionate to objective measures of exercise intensity, i.e., HR and VO2; however, it is recommended that both HR and Overall RPE be used to assess fully a participant's objective and subjective responses during aerobic dance exercise.     

RPE responses during arm and leg exercises: effect of variations in spontaneously chosen crank rate

The aim of this study was two-fold. First, the rating of perceived exertion (RPE) was compared between two different upper and lower body exercises. Subjects (n = 12) performed with spontaneously chosen crank or pedal rates: (i) incremental maximum power tests (Test 1), with an initial work rate of 50% of maximal power followed by increases of 10% at each 120-sec. work stage and (ii) tests (Test 2) with exercise bouts set at 20, 40, 60, and 80% of maximal power separated by passive recovery periods. Second, the effects of variations in spontaneously chosen crank rate on RPE was analysed using the second test performed only with upper body. Subjects performed Test 2 three times with crank rates spontaneously chosen by the subjects, set at plus or minus 20% of spontaneously chosen crank rate. During both Tests 1 and 2 for upper or lower body, RPE increased linearly (p<.01) with power output. No significant difference was noticed between upper and lower body tests; however, RPE was significantly different (p<.05) between Test 1 results for upper and lower body at 70, 80, 90, and 100% of maximal power. The greater RPE at high power output could be linked to the important effect of fatigue during upper body exercise. Among the three crank-rate conditions, no significant difference in RPE was noticed. The choice of crank rate does not seem to influence the perception of exertion in upper body cycling exercise.     

The validity of using prior ratings of perceive exertion to regulate resistance exercise intensity

This investigation examined the validity of using ratings of perceived exertion (RPE) to regulate intensity during resistance exercise. 19 male (M age = 22.2 yr., SD = 2.7) and 19 female (M age = 21.4 yr., SD = 2.3) participants estimated exertion when performing the knee extension at 40% to 90% of one-repetition maximum. One week later, participants were asked to produce weights for the knee extension that elicited the feelings of exertion associated with 9, 13, and 17 on the Borg RPE scale. The weight produced at 9, 13, and 17 during the production session was compared to the weight lifted at each RPE during the estimation session. The effect sizes associated with the differences in weight lifted across sessions at each RPE were generally small in magnitude, especially at the higher intensities (ES = .40, -.09, .15, respectively). The results of this investigation support the use of RPE as a method of prescribing the intensity of resistance exercise.     

Effects of consistent aerobic exercise on the psychological functioning of women

Effects of consistent aerobic exercise on depression, anxiety, and health locus of control for a group of nonclinical inactive women were investigated. Type A and Type H (hard-driving) behavioral styles were evaluated to determine whether these traits were related to exercise improvement. 26 women were randomly assigned to either an exercise group (n = 10) or exercise with cognitive strategy instructions (n = 16). All subjects increased distance run in 12-min. run test from pre- to posttest. Women improved in depression and trait anxiety. Depression was significantly correlated with body mass index at end of program. Posttest state-anxiety was significantly correlated with 6-wk. follow-up of exercise frequency. No significant difference in pre- and posttest health locus of control was found. Type H scores were significantly correlated with number of exercise sessions attended. Consistent aerobic exercise had a positive effect on psychological functioning, and some characteristics may affect exercise improvement.     

A normative zone of RPE ratings for use during graded exercise testing

The purposes of this investigation were to identify a zone of normality for ratings of perceived exertion (RPE) and to compare the RPE responses in patients with coronary artery disease to this zone. The zone was generated from RPE estimated during the last minute of each stage of a Bruce treadmill test in 44 normal adult men. RPE were regressed against the corresponding MET level for each exercise stage. The zone was established as the 95% confidence interval (CI) spanning the average RPE vs MET regression line. RPE estimated during the last 1.0 min. of a Bruce or Modified Balke treadmill test administered to adult men (n=37) with coronary artery disease were compared to the 95% CI zone. A total of 19 (51%) of the coronary artery disease patients estimated RPE during a progressively incremented treadmill test that were above the zone, indicating a comparatively greater than normal perception of strain for a given metabolic stress. The presently generated zone provides a practical use of RPE in the interpretation of clinical exercise tests.     

Perceptual and physiological responses during exercise in cool and cold water

This investigation examined the interaction of exposure to cold water stress with both perceived exertion and thermal sensation during exercise. Eight male volunteers performed arm, leg, and combined arm and leg exercise for 45 min. in water at 20 and 26 degrees C. Exercise was performed at a low (n = 7) and a high (n = 8) intensity relative to the ergometer specific peak oxygen uptake (VO2 peak). In general, percent VO2 peak did not differ between types of exercise in either 20 or 26 degrees C water. During low intensity exercise when power output was matched across water temperatures (Tw), percent VO2 peak was greater in 20 degrees C water (52%) compared to 26 degrees C water (42%). Ratings of perceived exertion (RPE) did not differ between Tw. During high intensity exercise when percent VO2 peak was matched across Tw, RPE was lower during exercise in 20 degrees C compared to 26 degrees C. Multiple correlation analyses comparing both final RPE and thermal sensation (TS) with physiological and thermal measures were performed across type of exercise and Tw. RPE was moderately correlated with heart rate (r = 0.68) and ventilation (r = 0.61), whereas very slight relationships were established with TS (r = 0.16), skin and rectal temperatures (r = 0.10 and r = 0.20). TS was moderately correlated with skin and rectal temperatures (r = 0.64 and r = 0.73), whereas low correlations existed between TS and both heart rate (r = 0.32) and ventilation (r = -0.12). These data suggest that the change in oxygen uptake associated with exercise in cold water does not add to the over-all perception of exertion. This perception appears to be related to cardiopulmonary variables rather than thermal measures, whereas thermal sensation is related to thermal measures and not cardiopulmonary variables.     

The short-term influence of high and low intensity physical exercise on mood

Abstract

This study was designed to replicate and extend previous observations that the acute response to high intensity exercise is an increase in anxiety and other negative feelings. Forty female volunteers were allocated to two conditions—20 exercised at high level (100W) for 1.5 min, while 20 exercised at a low level (ZW). The purpose of the experiment was disguised. Mood was assessed before. during and immediately after exercise, and over a 1.5-min recovery period. Subjects were subsequently divided into highly and moderately fit groups on the basis of cardiac responses to a standard workload. It was found that tensiodanxiety increased immediately after high intensity exercise, declining over the recovery period. A similar pattern was found for mental fatigue. During exercise itself, anxiety diminished in the low but not the high intensity condition, No differences between fitness groups were observed in these patterns, although highly fit subjects reported greater mental vigour and exhilaration than moderately fit subjects following high intensity exercise. The mechanisms that may mediate these responses are discussed.