ADDING A SUSTAINED ATTENTION TASK TO A PHYSICALLY DEMANDING CYCLING EXERCISE EXACERBATES NEUROMUSCULAR FATIGUE AND IMPAIRS COGNITIVE PERFORMANCE IN BOTH NORMOXIA AND HYPOXIA.

Author(s): GOEPP, T., HAYES, M., DI DOMENICO, H., HOT, P., RUPP, T., Institution: UNIVERSITÉ SAVOIE MONT BLANC , Country: FRANCE, Abstract-ID: 957

INTRODUCTION:
Both cognitive motor dual-tasks (CMDT) protocols and hypoxic environments have been associated to significant impairments on cognitive and physical performances. We aimed to determine the effects of hypoxia on cognitive performance and neuromuscular fatigue during a highly physically demanding CMDT.
METHODS:
Fifteen young adults randomly participated in a separated task session in normoxia (CTLEX, CTLCOG) and in CMDT sessions in normoxia (DTNOR) and hypoxia (DTHYP). The physical exercise consisted of 20 min cycling at an “hard” perceived effort, and the cognitive task consisted of 15 min sustained attention to response time task (SART). Concurrent psycho-physiological measurements included: quadriceps neuromuscular fatigue (peripheral/central components from femoral nerve electrostimulation), prefrontal cortex (PFC) oxygenation by near-infrared spectroscopy, and perception of effort.
RESULTS:
SART performance significantly decreased in DTNOR (-15.7±15.6%, P<0.01) and DTHYP (-26.2±16.0%, P<0.01) compared to CTLCOG (-1.0±17.7%, P=0.61). Peripheral fatigue similarly increased across conditions, whereas the ability of the central nervous system to activate the working muscles was impaired similarly in DTNOR (-6.1±5.9%, P<0.001) and DTHYP (-5.4±7.3%, P<0.001) compared to CTLEX (-1.1±0.2%, P=0.52). Exercise-induced perception of effort increased in DTHYP (+1.1±0.2, P<0.001) and in DTNOR (+0.7±0.2, P=0.001), while CTLEX remained unchanged (+0.4±0.2, P=0.42). This was correlated with cognitive impairments in both normoxia (r=0.64, P=0.01) and hypoxia (r=0.53, P<0.05). PFC deoxygenation was more pronounced in DTHYP compared to DTNOR (-6.9±1.7%, P<0.001) and CTLEX (-7.6±1.7%, P<0.001).
CONCLUSION:
In conclusion, performing a sustained attention task together with physically challenging whole-body exercise promotes central neuromuscular fatigue and impairs cognitive accuracy; the latter is particularly noticeable when the CMDT is performed in hypoxia.