- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02927275
Cognition in Motion (CIM)
Cognition in Motion: Attitudes, Utilization, and Cognitive Impact of Low Intensity Exercise Among Medical Students
Study Overview
Status
Detailed Description
While studies have demonstrated the beneficial effects of exercise, even when low-intensity, on physical health, investigations into cognitive performance during these periods of activity are increasing in number. For changes in the workplace to occur, data needs to show that mental processing is not compromised while engaging in low-intensity exercise.
In this current study, participants, after giving written consent, performed quantitative, computer-based cognitive tests to evaluate for differences in performance between active and sedentary conditions. The participants engaged in four activity modalities: sitting, standing, biking slowly on a stationary bicycle, and walking at 1mph. The validated tests used were immediate and delayed verbal recall, the color-word test based on the Stroop test, and the "n-back" test. Responses were scored according to both the speed in answering along with accuracy on each test. From the scores generated, effect sizes were calculated for sitting and compared to effect sizes for cumulative activity stations for statistical analysis.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
Texas
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Houston, Texas, United States, 77030
- Baylor College of Medicine-Department of Obstetrics & Gynecology
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Student at Baylor College of Medicine
- Able to perform low-intensity exercise
Exclusion Criteria:
- Not a student at Baylor College of Medicine
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Standing Modality
Performance on computerized cognitive tests while standing at a desk.
Experimental: Standing Modality
|
Cognitive performance when standing
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Experimental: Biking Modality
Performance on computerized cognitive tests while biking at user's preferred speed on stationary bicycle.
Experimental: Biking Modality
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Cognitive performance when biking slowly
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Experimental: Walking Modality
Performance on computerized cognitive tests while walking at 1mph.
Experimental: Walking Modality
|
Cognitive performance when walking at 1mph
|
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Other: Seated Modality
Performance on computerized cognitive tests while sitting.
No Intervention: Seated Modality
|
Cognitive performance when sitting.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Cognitive Testing Performance
Time Frame: Starting in April 2012, participant enrollment was open for 41 months with data collection occurring immediately at the time of testing with no need for follow-up outcome measurements.
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Scores generated from cognitive testing
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Starting in April 2012, participant enrollment was open for 41 months with data collection occurring immediately at the time of testing with no need for follow-up outcome measurements.
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Cecilia T Valdes, MD, Baylor College of Medicine
Publications and helpful links
General Publications
- Wennberg P, Boraxbekk CJ, Wheeler M, Howard B, Dempsey PC, Lambert G, Eikelis N, Larsen R, Sethi P, Occleston J, Hernestal-Boman J, Ellis KA, Owen N, Dunstan DW. Acute effects of breaking up prolonged sitting on fatigue and cognition: a pilot study. BMJ Open. 2016 Feb 26;6(2):e009630. doi: 10.1136/bmjopen-2015-009630.
- Dunstan DW, Kingwell BA, Larsen R, Healy GN, Cerin E, Hamilton MT, Shaw JE, Bertovic DA, Zimmet PZ, Salmon J, Owen N. Breaking up prolonged sitting reduces postprandial glucose and insulin responses. Diabetes Care. 2012 May;35(5):976-83. doi: 10.2337/dc11-1931. Epub 2012 Feb 28.
- Reiff C, Marlatt K, Dengel DR. Difference in caloric expenditure in sitting versus standing desks. J Phys Act Health. 2012 Sep;9(7):1009-11. doi: 10.1123/jpah.9.7.1009.
- Teixeira PJ, Carraca EV, Markland D, Silva MN, Ryan RM. Exercise, physical activity, and self-determination theory: a systematic review. Int J Behav Nutr Phys Act. 2012 Jun 22;9:78. doi: 10.1186/1479-5868-9-78.
- Francois ME, Baldi JC, Manning PJ, Lucas SJ, Hawley JA, Williams MJ, Cotter JD. 'Exercise snacks' before meals: a novel strategy to improve glycaemic control in individuals with insulin resistance. Diabetologia. 2014 Jul;57(7):1437-45. doi: 10.1007/s00125-014-3244-6. Epub 2014 May 10.
- Wilmot EG, Edwardson CL, Achana FA, Davies MJ, Gorely T, Gray LJ, Khunti K, Yates T, Biddle SJ. Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia. 2012 Nov;55(11):2895-905. doi: 10.1007/s00125-012-2677-z. Epub 2012 Aug 14. Erratum In: Diabetologia. 2013 Apr;56(4):942-3.
- Tudor-Locke C, Schuna JM Jr, Frensham LJ, Proenca M. Changing the way we work: elevating energy expenditure with workstation alternatives. Int J Obes (Lond). 2014 Jun;38(6):755-65. doi: 10.1038/ijo.2013.223. Epub 2013 Nov 28.
- Ogden CL, Carroll MD, Fryar CD, Flegal KM. Prevalence of Obesity Among Adults and Youth: United States, 2011-2014. NCHS Data Brief. 2015 Nov;(219):1-8.
- Centers for Disease Control and Prevention (CDC). Prevalence of regular physical activity among adults--United States, 2001 and 2005. MMWR Morb Mortal Wkly Rep. 2007 Nov 23;56(46):1209-12.
- U.S. Department of Health and Human Services. 2008 physical activity guidelines for Americans. 2008; http://health.gov/PAGuidelines/pdf/paguide.pdf. Accessed May 22, 2016.
- Haskell WL. Physical activity by self-report: a brief history and future issues. J Phys Act Health. 2012 Jan;9 Suppl 1:S5-10. doi: 10.1123/jpah.9.s1.s5.
- Bey L, Hamilton MT. Suppression of skeletal muscle lipoprotein lipase activity during physical inactivity: a molecular reason to maintain daily low-intensity activity. J Physiol. 2003 Sep 1;551(Pt 2):673-82. doi: 10.1113/jphysiol.2003.045591. Epub 2003 Jun 18.
- van der Berg JD, Stehouwer CD, Bosma H, van der Velde JH, Willems PJ, Savelberg HH, Schram MT, Sep SJ, van der Kallen CJ, Henry RM, Dagnelie PC, Schaper NC, Koster A. Associations of total amount and patterns of sedentary behaviour with type 2 diabetes and the metabolic syndrome: The Maastricht Study. Diabetologia. 2016 Apr;59(4):709-18. doi: 10.1007/s00125-015-3861-8. Epub 2016 Feb 2.
- Dunstan DW, Salmon J, Owen N, Armstrong T, Zimmet PZ, Welborn TA, Cameron AJ, Dwyer T, Jolley D, Shaw JE; AusDiab Steering Committee. Associations of TV viewing and physical activity with the metabolic syndrome in Australian adults. Diabetologia. 2005 Nov;48(11):2254-61. doi: 10.1007/s00125-005-1963-4. Epub 2005 Oct 7.
- Cox RH, Guth J, Siekemeyer L, Kellems B, Brehm SB, Ohlinger CM. Metabolic cost and speech quality while using an active workstation. J Phys Act Health. 2011 Mar;8(3):332-9. doi: 10.1123/jpah.8.3.332.
- LeBlanc AG, Spence JC, Carson V, Connor Gorber S, Dillman C, Janssen I, Kho ME, Stearns JA, Timmons BW, Tremblay MS. Systematic review of sedentary behaviour and health indicators in the early years (aged 0-4 years). Appl Physiol Nutr Metab. 2012 Aug;37(4):753-72. doi: 10.1139/h2012-063.
- Buckley JP, Hedge A, Yates T, Copeland RJ, Loosemore M, Hamer M, Bradley G, Dunstan DW. The sedentary office: an expert statement on the growing case for change towards better health and productivity. Br J Sports Med. 2015 Nov;49(21):1357-62. doi: 10.1136/bjsports-2015-094618. Epub 2015 Jun 1.
- Baldo JV, Delis D, Kramer J, Shimamura AP. Memory performance on the California Verbal Learning Test-II: findings from patients with focal frontal lesions. J Int Neuropsychol Soc. 2002 May;8(4):539-46. doi: 10.1017/s135561770281428x.
- Stroop J. Studies of interference in serial verbal reactions. Journal of Experimental Psychology. 1935;18:643-62.
- KIRCHNER WK. Age differences in short-term retention of rapidly changing information. J Exp Psychol. 1958 Apr;55(4):352-8. doi: 10.1037/h0043688. No abstract available.
- Donner Y. Computational Approaches to Scaling Up Experimental Science. Stanford University Libraries: Computer Science, Stanford University; 2015.
- Ebara T, Kubo T, Inoue T, Murasaki GI, Takeyama H, Sato T, Suzumura H, Niwa S, Takanishi T, Tachi N, Itani T. Effects of adjustable sit-stand VDT workstations on workers' musculoskeletal discomfort, alertness and performance. Ind Health. 2008 Oct;46(5):497-505. doi: 10.2486/indhealth.46.497.
- Dutta N, Koepp GA, Stovitz SD, Levine JA, Pereira MA. Using sit-stand workstations to decrease sedentary time in office workers: a randomized crossover trial. Int J Environ Res Public Health. 2014 Jun 25;11(7):6653-65. doi: 10.3390/ijerph110706653.
- Thorp AA, Kingwell BA, Owen N, Dunstan DW. Breaking up workplace sitting time with intermittent standing bouts improves fatigue and musculoskeletal discomfort in overweight/obese office workers. Occup Environ Med. 2014 Nov;71(11):765-71. doi: 10.1136/oemed-2014-102348. Epub 2014 Aug 28.
- Labonte-LeMoyne E. Santhanam R., Leger P.M., Courtemanche F., Fredette M., Senecal S. The delayed effect of treadmill desk usage on recall and attention. Computers in Human Behavior. 2015;46:1-5.
- Commissaris DA, Konemann R, Hiemstra-van Mastrigt S, Burford EM, Botter J, Douwes M, Ellegast RP. Effects of a standing and three dynamic workstations on computer task performance and cognitive function tests. Appl Ergon. 2014 Nov;45(6):1570-8. doi: 10.1016/j.apergo.2014.05.003. Epub 2014 Jun 17.
- Thompson WG, Levine JA. Productivity of transcriptionists using a treadmill desk. Work. 2011;40(4):473-7. doi: 10.3233/WOR-2011-1258.
- Bantoft C, Summers MJ, Tranent PJ, Palmer MA, Cooley PD, Pedersen SJ. Effect of Standing or Walking at a Workstation on Cognitive Function: A Randomized Counterbalanced Trial. Hum Factors. 2016 Feb;58(1):140-9. doi: 10.1177/0018720815605446. Epub 2015 Sep 24.
- John D, Bassett D, Thompson D, Fairbrother J, Baldwin D. Effect of using a treadmill workstation on performance of simulated office work tasks. J Phys Act Health. 2009 Sep;6(5):617-24. doi: 10.1123/jpah.6.5.617.
- Ohlinger CM, Horn TS, Berg WP, Cox RH. The effect of active workstation use on measures of cognition, attention, and motor skill. J Phys Act Health. 2011 Jan;8(1):119-25. doi: 10.1123/jpah.8.1.119.
- Alderman BL, Olson RL, Mattina DM. Cognitive function during low-intensity walking: a test of the treadmill workstation. J Phys Act Health. 2014 May;11(4):752-8. doi: 10.1123/jpah.2012-0097.
- Swagerman SC, de Geus EJ, Koenis MM, Hulshoff Pol HE, Boomsma DI, Kan KJ. Domain dependent associations between cognitive functioning and regular voluntary exercise behavior. Brain Cogn. 2015 Jul;97:32-9. doi: 10.1016/j.bandc.2015.04.001. Epub 2015 May 24.
- Pontifex MB, Hillman CH. Neuroelectric and behavioral indices of interference control during acute cycling. Clin Neurophysiol. 2007 Mar;118(3):570-80. doi: 10.1016/j.clinph.2006.09.029. Epub 2006 Nov 13.
- Davranche K, Hall B, McMorris T. Effect of acute exercise on cognitive control required during an Eriksen flanker task. J Sport Exerc Psychol. 2009 Oct;31(5):628-39. doi: 10.1123/jsep.31.5.628.
- Straker L, Levine J, Campbell A. The effects of walking and cycling computer workstations on keyboard and mouse performance. Hum Factors. 2009 Dec;51(6):831-44. doi: 10.1177/0018720810362079.
- Larson MJ, LeCheminant JD, Hill K, Carbine K, Masterson T, Christenson E. Cognitive and typing outcomes measured simultaneously with slow treadmill walking or sitting: implications for treadmill desks. PLoS One. 2015 Apr 15;10(4):e0121309. doi: 10.1371/journal.pone.0121309. eCollection 2015.
- Levine JA, Miller JM. The energy expenditure of using a "walk-and-work" desk for office workers with obesity. Br J Sports Med. 2007 Sep;41(9):558-61. doi: 10.1136/bjsm.2006.032755. Epub 2007 May 15.
- MacEwen BT, MacDonald DJ, Burr JF. A systematic review of standing and treadmill desks in the workplace. Prev Med. 2015 Jan;70:50-8. doi: 10.1016/j.ypmed.2014.11.011. Epub 2014 Nov 28.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- H-31608
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.