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Reduced emotional stress reactivity to a real-life academic examination stressor in students participating in a 20-week aerobic exercise training: A randomised controlled trial using Ambulatory Assessment
Institution:1. Institute of Sport and Sport Science, Karlsruhe Institute of Technology, Engler-Bunte-Ring 15, 76131 Karlsruhe, Germany;2. Institute for Information Processing Technologies, Karlsruhe Institute of Technology, Engesserstrasse 5, 76131 Karlsruhe, Germany;1. Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Centre, AJ Ernststraat 1187, 1081 HL Amsterdam, The Netherlands;2. Department of Biological Psychology and EMGO Institute for Health and Care Research, VU University, van der Boechorststraat 1, 1081 BT Amsterdam, The Netherlands;1. Ochsner Clinical School, The University of Queensland School of Medicine, New Orleans, LA;2. University of Missouri–Kansas City and Saint Luke''s Mid America Heart Institute, New Orleans, LA;3. Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, New Orleans, LA;1. Department of Social and Behavioral Sciences, Saint Louis Community College-Meramec, USA;2. Department of Teaching & Learning, University of Missouri-St. Louis, USA;1. Institute of Physiology, Medical University of Graz, Austria;2. Department of Psychology, Biological Psychology Unit, University of Graz, Austria;1. Department of Environmental Science, Aarhus University, Denmark;2. Department of Public Health, Aarhus University, Denmark;3. BERTHA – the Danish Big Data Centre for Environment and Health, Department of Public Health, Aarhus University, Denmark;4. Health Research Institute, University of Canberra, ACT, 2601, Australia;5. School of Global Public Health, New York University, United States
Abstract:ObjectivesTo examine if a preventive 20-week aerobic exercise intervention (AET) can improve emotional stress reactivity during real-life stress.DesignRandomised controlled trial; within-subject design.MethodSixty-one inactive students were randomly assigned to a waiting control and an AET group. To capture the situation-specific, intra-individual data in real life, electronic diaries were used. Participants reported their moods and perceived stress (PS) repeatedly over two days during their daily routines pre- and post-intervention. The pre-intervention baseline assessment was scheduled at the beginning of the semester, and the post-intervention assessment was scheduled at a real-life stressful episode, an academic examination. For the aerobic fitness assessment, both groups completed a cardiopulmonary exercise test on the treadmill before and after the intervention. Multilevel models (MLMs) were conducted to compare within- and between-subject associations.ResultsSignificant emotional stress reactivity was evident in both groups during all assessment periods. However, participants in the AET group showed lower emotional stress reactivity compared with their control counterparts after the 20-week training programme during the real-life stress episode (the academic examination).ConclusionsAET conferred beneficial effects on emotional stress reactivity during an academic examination, which is likely an extremely stressful real-life situation for students.AET appears to be a promising strategy against the negative health effects of accumulated emotional stress reactivity.
Keywords:Aerobic exercise  Ambulatory Assessment  Stress reactivity  Real life  Electronic diary  Randomised controlled trial
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