scholarly journals Exergaming Improves Executive Functions in Patients With Metabolic Syndrome: Randomized Controlled Trial

10.2196/13575 ◽  
2019 ◽  
Vol 7 (3) ◽  
pp. e13575 ◽  
Author(s):  
Shanshan Wu ◽  
Eun-Ah Jo ◽  
Hongqing Ji ◽  
Kyung-Hee Kim ◽  
Jung-Jun Park ◽  
...  

Background Recent studies indicate that participation in exercise-related games can improve executive function, attention processing, and visuospatial skills. Objective The aim of this study was to investigate whether exercise via exergaming (EXG) can improve executive function in patients with metabolic syndrome (MetS). Methods A total of 22 MetS patients were recruited and randomly assigned to an EXG group or a treadmill exercise (TE) group. The reaction time (RT) and electrophysiological signals from the frontal (Fz), central (Cz), and parietal (Pz) cortices were collected during a Stroop task after 12 weeks of exercise. Results During the Stroop congruence (facilitation) judgment task, both the EXG and TE groups showed significantly faster RT after 12 weeks of exercise training. For N200 amplitude, the EXG group demonstrated significantly increased electrophysiological signals from the Fz and Cz cortices. These changes were significantly larger in the EXG group than in the TE group. Separately, for the P300 amplitude, the EXG groups presented significantly increased electrophysiological signals from the Fz, Cz, and Pz cortices, whereas the TE group showed significantly increased electrophysiological signals from the Cz and Pz cortices only. During the Stroop incongruence (interference) judgment task, both the EXG and TE groups showed significantly faster RT. For P300 amplitude, the EXG group had significantly increased electrophysiological signals from the Fz and Cz cortices only, whereas the TE group had significantly increased electrophysiological signals from the Fz, Cz, and Pz cortices. Conclusions EXG improves executive function in patients with MetS as much as normal aerobic exercise does. In particular, a unique benefit of EXG beyond increased aerobic capacity is the improved selective attention among cognitive functions. Thus, EXG could be recommended to someone who needs to improve their brain responses of concentration and judgment as well as physical fitness. Trial Registration ClinicalTrials.gov NCT04015583; https://clinicaltrials.gov/ct2/show/NCT04015583

2019 ◽  
Author(s):  
Shanshan Wu ◽  
Eunah Jo ◽  
Hongqing Ji ◽  
Kyung-Hee Kim ◽  
Jung-Jun Park ◽  
...  

BACKGROUND Recent studies indicate that exercise-related games can improve executive function, attention processing, and visuospatial skills. OBJECTIVE This study investigates whether exercise with exergame can improve the executive function in patients with metabolic syndrome (MetS). METHODS Twenty-two MetS patients were recruited and randomly assigned to the exergame group (EXG) and treadmill group. The reaction time (RT) and electrophysiological signal from the frontal (Fz), central (Cz), and parietal (Pz) cortex were collected during a Stroop task after 12 weeks’ exercise. RESULTS During the Stroop congruence (facilitation) judgment task, both EXG and TEG showed significantly faster RT after 12 weeks of exercise training. For N200 amplitude, EXG significantly increased on Fz and Cz. These changes were significantly larger in EXG than TEG. For P300 amplitude, EXG significantly increased on Fz, Cz, and Pz, while TEG significantly increased on Cz and Pz only. During the Stroop incongruence (interference) judgment task, both EXG and TEG showed significantly faster RT. For P300 amplitude, EXG significantly increased on Fz and Cz only, while TEG significantly increased on Fz, Cz, and Pz. CONCLUSIONS Exergaming improves executive function in patients with MetS as much as normal aerobic exercise. Particularly, the unique benefit of the exergame beyond increased aerobic capacity is the improvement of selective attention among cognitive functions. Thus, exergaming could be recommended to someone who needs to improve brain responses of concentration and judgment as well as physical fitness.


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 663
Author(s):  
Monique T. Ngo Njembe ◽  
Barbara Pachikian ◽  
Irina Lobysheva ◽  
Nancy Van Overstraeten ◽  
Louis Dejonghe ◽  
...  

Alpha-linolenic acid (ALA), docosahexaenoic acid (DHA), rumenic acid (RmA), and punicic acid (PunA) are claimed to influence several physiological functions including insulin sensitivity, lipid metabolism and inflammatory processes. In this double-blind randomized controlled trial, we investigated the combined effect of ALA, DHA, RmA and PunA on subjects at risk of developing metabolic syndrome. Twenty-four women and men were randomly assigned to two groups. Each day, they consumed two eggs enriched with oleic acid (control group) or enriched with ALA, DHA, RmA, and PunA (test group) for 3 months. The waist circumference decreased significantly (−3.17 cm; p < 0.001) in the test group. There were no major changes in plasma insulin and blood glucose in the two groups. The dietary treatments had no significant effect on endothelial function as measured by peripheral arterial tonometry, although erythrocyte nitrosylated hemoglobin concentrations tended to decrease. The high consumption of eggs induced significant elevations in plasma low-density lipoprotein (LDL)- and high-density lipoprotein (HDL)-cholesterol (p < 0.001), which did not result in any change in the LDL/HDL ratio in both groups. These results indicate that consumption of eggs enriched with ALA, DHA, RmA and PunA resulted in favorable changes in abdominal obesity without affecting other factors of the metabolic syndrome.


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