Prefrontal cortex asymmetry and psychological responses to exercise: A systematic review.

Physiol Behav

Exercise Psychophysiology Research Group, School of Arts, Sciences and Humanities, University of São Paulo, Arlindo Béttio Avenue, 1000, Ermelino Matarazzo, São Paulo, Brazil.

Published: September 2019

AI Article Synopsis

  • - Studies indicate that higher activation in the left prefrontal cortex (PFC) before exercise is linked to more positive psychological outcomes, including better mood and reduced anxiety.
  • - A systematic review analyzed 1901 studies on this topic but narrowed it down to 8 relevant studies that met specific criteria involving EEG measurements and psychological assessments.
  • - Most of the studies (75%) supported the idea that greater left PFC activation correlates with positive states like energetic arousal and calmness, while some studies showed varying levels of bias in their methodologies.

Article Abstract

Background: Studies have shown a relationship between prefrontal cortex (PFC) activation asymmetry and psychological responses to exercise, so that a higher rest activation in left rather than right PFC has been associated with positive psychological responses to exercise such as an improved affect, anxiety and multidimensional arousal states.

Purpose: To review: 1) evidence that PFC activation asymmetry before exercise is associated with psychological responses to exercise; 2) protocols of PFC asymmetry determination.

Methods: A systematic review (SR) was performed on studies retrieved from the PubMed and Web of Science database up to 04-30-2019. Eligibility criteria were: 1) studies investigating participants submitted to aerobic exercises; 2) including cerebral activation measures through electroencephalography (EEG) before the exercise bout; 3) and psychological measures during or after the exercise bout; 4) original studies.

Results: A number of 1901 studies was retrieved from the databases and 1 study was manually inserted. Thereafter, 1858 studies were excluded during the screening stage so that 30 studies remained for the SR. After full reading, 22 studies were excluded and 8 studies composed the final SR. Methodological assessment revealed that 62.5% of the studies showed a low risk of bias, while 34.37% and 3.12% showed either an unclear or a high risk of bias, respectively. Protocols of PFC activation asymmetry used EEG at F3-F4-P3-P4 (3 studies), F3-F4 (2 studies), F3-F4-T3-T4 (1 study), F3-F4-F7-F8-T5-T6-P3-P4 (1 study) and Fp1-Fp2-Fz-F3-F4-F7-F8-Cz-C3-C4-T3-T4-T5-T6-Pz-P3-P4-Oz-O1-O2 (1 study) positions. Most studies (75%) found a higher left PFC activation associated with a greater affect (n = 2), energetic arousal (n = 2), lower anxiety (n = 2) as well as calmness and tired arousal, simultaneously (n = 1).

Conclusions: Although the heterogeneity of PFC asymmetry protocols, reviewed studies showed a low risk of bias, suggesting that a higher left PFC activation is associated with a positive psychological response to exercise.

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http://dx.doi.org/10.1016/j.physbeh.2019.112580DOI Listing

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