Effects of Trampoline Exercise on Attentional Control and Daytime Sleepiness among Young Adults with Anxiety Disorders in Malaysia
Purpose: Anxiety disorder has been linked to deficient attentional control and sleep problems in young adults. This study aimed to investigate the possible effects of trampoline exercise on attentional control and daytime sleepiness among young adults with anxiety disorders.
Method: This single-blinded randomised controlled trial involved 40 young adults with anxiety disorders. All the participants were initially screened for eligibility using Beck Anxiety Inventory and Physical Activity Readiness Questionnaire, and randomly assigned to either an experimental group (n=20) or a control group (n=20). While the experimental group was subjected to trampoline exercise for 4 weeks, all the participants in both the groups were taught deep breathing exercise. Attentional control and daytime sleepiness of the participants were evaluated using Attentional Control Scale and Epworth Sleepiness Scale respectively.
Results: The experimental group showed statistically significant improvement in Attentional Control Scale (p=0.009) and Epworth Sleepiness Scale (p=0.005) compared to the control group.Conclusion: Trampoline training resulted in reduction in daytime sleepiness and improvement in attentional control after 4 weeks of trial. This highlights the potential of trampoline exercise training as an adjunct to established clinical treatment.
Axe J (2017). The benefits of a trampoline workout and rebounding. Available from: https://draxe.com/trampoline-workout/. [Accessed on 21 December 2017].
Basta M, Lin H, Pejovic S, Sarrigiannidis A, Bixler EO, Alexandros N (2008). Lack of regular exercise, depression, and degree of Apnoea are predictors of excessive daytime sleepiness in patients with Sleep Apnoea: sex differences. Journal of Clinical Sleep Medicine; 15 4(1): 19–25. PMCID: PMC2276821
Berggren N, Derakshan N (2013). Attentional control deficits in trait anxiety: Why you see them and why you don't. Biological Psychology; 92(3): 440-446. doi: 10.1016/j.biopsycho.2012.03.007
Boloban VN, Tereshchenko IA, Otsupok AP, Krupenia SV, Kovalenko YO, Otsupok P (2016). Perfection of coordination with the help of jump exercises on trampoline. Physical Education of Students; 20(6): 4-16. https://doi.org/10.15561/20755279.2016.0601
Buddea H, Voelcker-Rehage C, Kendziorraa PS, Ribeiroc P, Gunter G (2008). Acute coordinative exercise improves attentional performance in adolescents. Neuroscience Letters; 441: 219–223. doi: 10.1016/j.neulet.2008.06.024
Carter A (2017). Rebounder & stress relief. Available from https://rebound-air.com/stress-relief-best-rebounders/ [Accessed on 21 December 2017].
Chen W, Lina M, Jhong Y, Chen S (2014). Exercise prevents the increased anxiety-like behaviour in lactationaldi-(2-ethylhexyl) phthalate-exposed female rats in late adolescence by improving the regulation of hypothalamus-pituitary-adrenal axis. Hormones and Behaviour; 66(4): 674-84. doi: 10.1016/j.yhbeh.2014.09.010
Chervin RD, Ruzicka DL, Giordani BJ, Weatherly RA, Dillon JE, Hodges EK (2006). Sleep-disordered breathing, behaviour, and cognition in children before and after adenotonsillectomy. Pediatrics; 117: 769–778. doi:10.1542/peds.2005-1837
Chien HC, Chung YC, Yeh ML, Lee JF (2015). Breathing exercise combined with cognitive behavioural intervention improves sleep quality and heart rate variability in major depression. Journal of Clinical Nursing; 24(21-22): 3206-14. doi: 10.1111/JOCN.12972
Collins S (2015). Neuroscience for learning and development: How to apply neuroscience and psychology for improved learning and training. Kogan Page Publishers.
Course-Choi J, Saville H, Derakshan N (2017). The effects of adaptive working memory training and mindfulness meditation training on processing efficiency and worry in high Worriers. Behaviour Research and Therapy; 87: 1-13. doi: 10.1016/j.brat.2016.11.002
Derakshan N, Eysenck MW (2009). Anxiety, processing efficiency, and cognitive performance: New developments from attentional control theory. European Psychologist; 14(2): 168-176. doi: 10.1027/1016-9040.14.2.168
Diedrichsen J, Criscimagna-Hemminger SE, Shadmehr R (2007). Dissociating timing and coordination as functions of the cerebellum. Journal of Neuroscience; 27: 6291–6301. https://doi.org/10.1523/JNEUROSCI.0061-07.2007
Eda SA, Ackel-D'Elia C, Luz GP, Cunha TC, Carneiro G, Tufik S, Bittencourt LR, de Mello MT (2013). Does physical exercise reduce excessive daytime sleepiness by improving inflammatory profiles in obstructive sleep apnoea patients? Sleep and Breathing; 17(2): 505-10. doi.org/10.1007/s11325-012-0729-8
Eysenck MW, Derakshan N, Santos R, Calvo MG (2007). Anxiety and cognitive performance: Attentional control theory. Emotion; 7(2): 336-353. doi: 10.1037/1528-35188.8.131.526
Florentino H, Zahonero J, Sanabria D, Lupianez J (2011). Functioning of the attentional networks at rest vs. during acute bouts of aerobic exercise. Human Kinetics Journals; 33(5): 649-665. doi.org/10.1123/jsep.33.5.649
Fydrich T, Dowdall D, Chambless DL (1992). Reliability and validity of the Beck Anxiety Inventory. Journal of Anxiety Disorders; 6(1): 55-61. http://dx.doi.org/10.1016/0887-6185(92)90026-4
Hernandez MT, Sauerwein HC, Jambaque I, Guise ED, Lussie F, Lortie A, Dulac O, Lassonde OM (2002). Deficits in executive functions and motor coordination in children with frontal lobe epilepsy. Neuropsychologia; 40: 384–400. PMID: 11684172. https://doi.org/10.1016/S0028-3932(01)00130-0
Hillman CH, Erickson KI, Kramer AF (2008). Be smart, exercise your heart: exercise effects on brain and cognition. Nature Reviews Neuroscience; 9: 58–65. doi:10.1038/nrn2298
Johns MW (1994). Sleepiness in different situations measured by the Epworth Sleepiness Scale. Sleep; 17(8): 703-10. PMID: 7701181. https://doi.org/10.1093/sleep/17.8.703
Judah MR, Grant DM, Mills AC, Lechner WV (2014). Factor structure and validation of the attentional control scale. Cognitive Emotion; 28(3): 433-51. doi: 10.1080/02699931.2013.835254
Lai PP, Say YH (2013). Associated factors of sleep quality and behaviour among students of two tertiary institutions in Northern Malaysia. Medical Journal of Malaysia; 68(3): 195-203. PMID: 23749006
Lambourne K, Tomporowski PD (2010). The effect of exercise-induced arousal on cognitive task performance: a meta-regression analysis. Brain Research; 1341: 12-24. doi: 10.1016/j.brainres.2010.03.091
Lutz A, Slagter HA, Rawlings NB, Francis AD, Greischar LL, Davidson RJ (2009). Mental training enhances sustained attention: neural and behavioural evidence. Journal of Neuroscience; 29: 13418-13427. https://doi.org/10.1523/JNEUROSCI.1614-09.2009. PMid:19846729. PMCid: PMC2789281
Miller A (2007). Rebound Therapy – Where is the evidence? Retrieved from www.reboundtherapy.org/papers/rebound_therapy/rebound_therapy.doc [Accessed on 28 October 2017].
Mohr K (2016). Summit spotlight: Cross train your brain. Retrieved from https://certification.acsm.org/blog/2016/april/summit-spotlight-cross-train-your-brain. [Accessed on 28 Oct 2017]
National Health and Morbidity Survey (2015). Available from: http://huibee.com/2017/02/statistics-mental-health-in-malaysia/ [Accessed on 21 Oct 2017].
O'Halloran CJ (2012). The cerebellum and neuropsychological functioning: A critical review. Journal of Clinical and Experimental Neuropsychology; 34(1): 35-56. doi: 10.1080/13803395.2011.614599.
Ohayon MM (2002). Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Reviews; 6(2): 97-111. PMID: 12531146. https://doi.org/10.1053/smrv.2002.0186
Paus T, Keshavan M, Giedd JN (2008). Why do many psychiatric disorders emerge during adolescence? Nature Reviews Neuroscience; 9: 947-57. doi: 10.1038/nrn2513
Picard N, Strick PL (1996). Motor areas of the medial wall: A review of their location and functional activation. Cerebral Cortex; 6: 342–353. PMID: 8670662. https://doi.org/10.1093/cercor/6.3.342
Pine DS, Klein RG (2008). Anxiety disorders. Oxford: Blackwell. https://doi.org/10.1002/9781444300895.ch39
Pramanik T, Pudasaini B, Prajapati R (2010). Immediate effect of a slow pace breathing exercise Bhramari pranayama on blood pressure and heart rate. Nepal Medical College Journal; (3): 154-7. PMid:21446363
Reid KJ, Baron KG, Lu B, Naylor E, Wolfe L, Zee PC (2010). Aerobic exercise improves self-reported sleep and quality of life in older adults with insomnia. Sleep Medicine; 11(9): 934–940. doi: 10.1016/j.sleep.2010.04.014.
Rethorst CD, Greer TL, Toups MS, Bernstein I, Carmody TJ, Trivedi MH (2015). IL-1β and BDNF are associated with improvement in hypersomnia but not insomnia following exercise in major depressive disorder. Translational Psychiatry; 5: 611-18. doi:10.1038/tp.2015.104
Serrien DJ, Ivry RB, Swinnen SP (2006). Dynamics of hemispheric specialisation and integration in the context of motor control. Nature Reviews Neuroscience; 7: 160–166. doi:1038/nrn1849. PMid:16429125
Shamsuddin K, Fadzil F, Ismail WS, Shah SA, Omar K, Muhammad NA, Jaffar A, Ismail A, Mahadevan R (2013). Correlates of depression, anxiety and stress among Malaysian university students. Asian Journal of Psychiatry; 6(4): 318-23. doi: 10.1016/j.ajp.2013.01.014.
Shephard RJ (1988). PAR-Q, Canadian home fitness test and exercise screening alternatives. Sports Medicine; 5(3): 185-195. PMID: 3368685. https://doi.org/10.2165/00007256-198805030-00005
Sportel BE, Nauta MH, Hullu E, Jong PJ, Hartman CA (2011). Behavioural inhibition and attentional control in adolescents: Robust relationships with anxiety and depression. Journal of Child and Family Studies; 20(2): 149–156. doi: 10.1007/s10826-010-9435-y
Tomporowski PD (2003). Effects of acute bouts of exercise on cognition, Acta Psychologica; 112: 297–324. PMID: 12595152. https://doi.org/10.1016/S0001-6918(02)00134-8
Vgontzas AN, Legro RS, Bixler EO, Grayev A, Kales A, Chrousos GP (2001). Polycystic ovary syndrome is associated with obstructive sleep apnoea and daytime sleepiness: Role of insulin resistance. The Journal of Clinical Endocrinology & Metabolism; 86: 517–20. doi: 10.1210/jcem.86.2.7185
Wannamethee SG, Shaper AG, Alberti KG (2000). Physical activity, metabolic factors, and incidence of coronary heart disease and type 2 diabetes. Archives of Internal Medicine; 160: 2108–16. PMID: 10904453. https://doi.org/10.1001/archinte.160.14.2108
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