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Brain Products Press Release April 2012, Volume 42 IN THE FOCUS A journey to MARS – Exercise as neurocognitive enhancement by Stefan Schneider & Vera Abeln, German Sport University Cologne, Institute of Movement and Neurosciences Moscow (Russia): Six men. 200 m2. 520 days. Mars in sight. A combined study of the Russian, European, German and Chinese space agencies simulated a 520 day journey to the red planet, the earth’s nearest neighbor in space. Starting June 3rd 2010 to November 4th 2012 three Russians, two Europeans and one Chinese inhabited a specifically designed MARSspaceship located in the Institute for Biomedical Problems (IBMP) in the heart of Moscow. Their journey included a 240 day trip to MARS, a 40day exploration time of the Martian surface as well as the 240-day trip back to earth. Also on board: A greenhouse to supply the crew with fresh salad and vegetables, a huge refrigerator carrying all the food for 520 days – and an experiment of the Institute of Movement and Neurosciences at the German Sport University Cologne, supported by a 16 channel V-Amp system from Brain Products. Figure 1: 16 ch actiCAP system) as well as the design of appropriate countermeasures predominated, with ongoing duration of missions (currently astronauts and cosmonauts stay for an average of six months on board of the International Space Station (ISS)), neuropsychological challenges increase and in order to maintain and enhance mission success and mission safety it seems of utterly importance to define stressors and develop adequate countermeasures. This has been done exhaustively during the last decade and a significant number of studies have well defined corner points to ensure mission success and mission safety during long-term inhabitation of space. However, these studies mainly remained on a descriptive level without formulating consequences or identifying appropriate countermeasures. Today more and more researchers agree that the next step would be to define and evaluate adequate countermeasures to ensure mission safety and mission success during long-term inhabitation of space. Life in zero gravity II. Psychological stressors2 Life in space is accompanied by a number of stressors, which can be classified in physiological stressors, provoked by e.g. missing gravity or disruption of circadian rhythms, and psychological stressors e.g. caused by the isolated and confined environment. Whereas physiological stressors mainly manifest in bodily symptoms as changes in the cardiovascular and musculoskeletal system, psychological stressors affect executive function, decision making and mental health and therefore might be of relevance for mission safety and mission success. - 3,8 Brain activity - e.g. isolation Cognitive capabilities, mantal health and general wellbeing 6,7 1 Iwasaki et al, J Physiol 2007 Fowler et al, Ergonomics 2000 3 Cheron et al, Brain Res 2006 4 Schneider et al, Med Sci Sport Exerc 2010 5 Kanas, Aviat Space Environ Med. 1998 6 Schneider et al, Physiol Behav 2009 7 Hillman, Neuroscience 2009 8 Schneider et al, Neuroimage 2008 + 2 + Scientific background 2,5 I. Physiological stressors1 e.g. cardiovascular changes 4,7 Sport + Brain activity negative effect positive effect Figure 2: Life in zero gravity So it’s not only that life science in space integrated a holistic approach realizing that the interaction of physiology and psychology seems of utterly importance, but also started to evaluate possible strategies to prevent and counteract different kinds of stressors. Here exercise plays a dominant role, as exercise is not only able to counteract physiological problems occurring during space flight but also might act to counteract the accumulation of psychological stressors (better to hit the treadmill than your neighbors nose when stressed) (Figure 3). Accordingly life in space is not only a challenge to diverse biological systems (e.g. impairments in immune defense, 90 minute day-night circles), but also has an impact on the whole human being: Day-to-day work life is tense and demands high precision, time management and discipline. In addition the supply with nearly everything, especially food and contact to family and friends, is limited. With ongoing duration of missions and mission simulations respectively, during the last years a change in paradigms is observable. Whereas in the last three decades problems in peripheral physiology (cardiovascular system, musculoskeletal www.brainproducts.com Figure 3: Meassuring the effects of exercise on brain cortical activity page 2 of 19 Brain Products Press Release Our research interests are dedicated to understand the effects of exercise on brain cortical activity and relating effects in cognitive performance and emotional well-being. From a number of studies we know that exercise has a positive impact on mood and cognitive performance, but so far the underling neurophysiological effects remain widely unknown. This is probably due the limitation of imaging processes during and immediately after exercise. Neither PET nor fMRI deliver acceptable temporal resolution or are applicable during exercise. In contrast, EEG in combination with source localization algorithms offers the possibility to record and localize brain cortical activity easily in extreme and remote environments. In order to ensure a ‘psycho-hygienic’ or ‘neuro-enhancing’ effect of exercise, three general principles seem to be of importance: 1. Positive aspects of exercise are discussed to be related to specific changes in frontal lobe activity. In order to maintain exercise capacities at a high level and taking into account limited resources within the central nervous system (CNS), the theory of a transient hypofrontality (Dietrich 2003) assumes a shift of cortical activity away from frontal and temporal brain regions (i.e. a decrease of activity in exercise irrelevant regions) towards regions of the brain that are involved in the planning, execution and programming of motor output like the primary motor cortex, supplementary and associated motor areas. This down-regulation of frontal cortex activity, which can be regarded as the main entity for cognitive and emotional processing in the human brain, seems to free resources, that – after exercise – could be made responsible for an increase in cognitive performance. It is as if someone resets the overloaded working memory of a computer. % ot total cortex activity 70 before EXERCISE 60 after EXERCISE 50 40 *** * 30 20 10 0 Frontal Parietal Temporal Occipital neurophysiological effects (decrease in fronto-temporal brain regions) as well as neuropsychological effects (increase in mood and cognitive performance) of exercise are dependent on a personal bias towards exercise (Schneider et al. 2009a; Schneider et al. 2009b). We were able to show that passionate runners show positive effects of exercise only if they were allowed to run at their preferred pace but not if they were forced to run a foreseen speed, nor if they were asked to bike instead of running (Schneider et al. 2009a; Brümmer et al. 2011). This shows that it is not only important to exercise, as widely recommended, but also to identify the right kind, the right duration and the right intensity of exercise. If these factors are not considered, neither will subjects experience the positive effects of exercise on mental performance, nor will they show any kind of compliance, which is essential to have an outlasting physiological benefit. These three principles have been the experimental preconditions for the MARS500 study. It was hypothesized that an individualized exercise program will provoke specific changes in brain cortical activity, namely a decrease in prefrontal cortex activity, that will go along with an increase in cognitive performance and mood after exercise and therefore contribute to mission success and mission safety. Of course, data analysis is still in progress but we are able to display already some preliminary and selected results here: Methods: Participants were allocated to six different exercise protocols that were performed in random order across the isolation: Running, biking, strength training and vibration training. Before and after each exercise session a 16-channel EEG was recorded in relaxed state for three minutes. Every second week a number of commercially available cognitive tests on an iPod® have been performed before exercise, in every other second week after exercise. Cortical current density was calculated in each lobe using the BrainVision Analyzers’ LORETA tool and described as percent of total cortex activity. Subsequently post-exercise activity within each lobe was subtracted from pre-exercise activity within each lobe. Results show a reduced activity after exercise in the frontal and temporal lobe (Figure 4). At the same time selected results of the cognitive tasks (here: Chalkboard Challenge by lumosity. com) were found to be enhanced (Figure 5). Further analysis now Figure 4: cortex activity before and after exercise 3. Beside these two principles, we were able to define an exercise prefer encehypothesis, assuming that 12000 maximum of points 2. The described changes in frontal and temporal lobe activity seem to be highly dependent on exercise intensity, which is expressed in a dose-response relationship. Actually the same is known from exercise psychology: Neither when intensity (including duration) is too high nor too low, but only when exercise intensity is on an individual optimum, positive effects of exercise on mood and cognitive performance are reported (Ekkekakis 2009). April 2012, Volume 42 * 9000 6000 3000 0 before EXERCISE after EXERCISE Figure 5: Cognitive performance before and after exercise page 3 of 19 Brain Products Press Release needs (1) to determine changes across the whole isolation period and (2) to determine if specific changes occur after specific exercise protocols. With respect to current models on exercise neuroscience, these data support the idea of a transient hypofrontality theory. Whether a dose-response relationship and an exercise preference hypothesis exist, needs to be evaluated with a closer look on the data. It might be that the exercise program during the confinement will not confirm these ideas, as during the daily routine, exercise is a favored activity, distracting from the daily monotony. Not only concerning space but also with respect to daily life on earth these results demonstrate the relevance and April 2012, Volume 42 effectiveness of exercise programs for physical and mental health. The human being is made for exercise. From the early years of mankind until the late 1970 s man has been physically active to ensure food and survival. Only since these times lifestyle diseases like diabetes, obesity and spinal disorders but also mental disorders as depression increased. A regular daily activity seems essential for a holistic health approach following the definition of the Word Health Organization, defining health as a „state of complete physical, mental, and social well-being. Besides a generous support from Brain Products, this study was supported by German Space Agency (DLR, 50WB0819). More information about ESAs MARS500 program is available at www. esa.int/mars500. page 4 of 19