Low Metabolic Demand Research Articles

Physiological Responses of Elite Cheerleaders During Training and Simulated Competition Routines.

Competitive cheerleading (cheersport) is a physically demanding sport; however, there is a lack of information regarding its acute physiological responses during training or competition in these athletes. Thus, this study aimed to investigate these responses during both training sessions and simulated cheerleading competition routines (full-outs) among elite cheersport athletes. Six Coed and 10 All Girl elite cheerleaders were included in this study. Countermovement-jump (CMJ) height and blood lactate concentration were measured prepractice, after warm-up, after a full-out, and at the end of the training session. Heart rate (HR) was monitored throughout all the sessions. One-way analysis of variance was used to analyze changes over time. Most of the training time (51%-68%) was spent between 50% and69% maximum HR. Only 3% to 4% was spent above 90% HRmax. During full-outs, most of the time (67%-80%), HR was ≥80% maximum HR. The blood lactate concentration was significantly elevated post-full-out (6.4 [1.6]mmol/L) compared with pretraining and post-warm-up (P < .001). In addition, blood lactate concentration was higher after training (3.4 [2.2]mmol/L) compared with prepractice and post-warm-up (P ≤ .025). CMJ height did not change over time (P ≤ .268). Cheersport training leads to a low overall metabolic demand but is interspersed with short, high-intensity "intervals." The highest intensities were achieved during full-outs, indicating the anaerobic nature of competition routines. Therefore, cheerleaders should train both the aerobic and the anaerobic systems to increase recovery capacity between drills and to maximize anaerobic power during competition.

Fractal Geometry in Vertebrate Respiratory Systems: A Comparative Analysis of Branching Patterns Across Species

This study investigates the application of fractal geometry to the analysis of vertebrate respiratory systems, focusing on the branching patterns of the bronchial tree across diverse species. Using a combination of mathematical modeling and computational visualization, we explore how fractal dimensions and branching characteristics reflect evolutionary adaptations to various habitats and physiological demands. The research encompasses a range of vertebrates, including humans, horses, dolphins, chickens, iguanas, and bullfrogs, representing diverse taxonomic groups and ecological niches. Our analysis reveals a clear gradient of complexity in respiratory structures, correlating strongly with metabolic rates and environmental adaptations. Mammals, particularly those adapted for high‐performance activities like horses, demonstrate the most complex fractal patterns, indicating highly efficient gas exchange systems. In contrast, ectothermic species such as iguanas and bullfrogs exhibit simpler structures, reflecting their lower metabolic demands and alternative respiratory strategies. The study employs fractal dimension calculations, L‐system modeling, and lacunarity analysis to quantify and visualize these differences. Our findings suggest that fractal analysis provides valuable insights into the relationship between form and function in vertebrate respiratory systems, offering a novel perspective on comparative physiology and evolutionary biology. This research not only enhances our understanding of respiratory system evolution but also has potential applications in biomimetic design, medical diagnostics, and ecological physiology. It demonstrates the power of interdisciplinary approaches, combining advanced mathematics with biological principles to uncover fundamental patterns in nature.

Effects of concentric and eccentric exercise regimens on bioenergetic efficiency of lymphocytes in sedentary males.

Eccentric exercise training (EET) increases physical performance while having lower metabolic demand than concentric exercise training (CET). Whether EET influences bioenergetic efficiency in peripheral blood mononuclear cells (PBMCs) remains unclear. This study investigates the effects of EET and CET on PBMC phenotypes and mitochondrial functions in blood. Thirty three sedentary healthy males were randomly assigned to either EET (n=11) or CET (n=11) that performed at progressively increased from 60% to 80% of maximal absolute workload for 30min/day, 5days/week for 6weeks, or a control group (n=11) that did not receive any exercise intervention. A graded exercise stress test (GXT) was performed before and after the intervention. PBMC phenotypes and mitochondrial respiratory capacity were analyzed using flowcytometry and high-resolution respirometry, respectively. In the same absolute workload, EET elicited lower heart rate and rating of perceived exertion than CET. However, EET as CET increased the VO2 level at the ventilatory threshold. Notably, both EET and CET increased central memory (CD45RO+/CD62+/CD3+) T cells and decreased effector memory T cells reexpressing CD45RA (CD45RA+/CD62-/CD3+). Moreover, the two exercise regimens diminished the loss of mitochondrial membrane potential (ΔΨm) caused by GXT, increased maximal/reserve O2 consumption rates (OCR), and bioenergetic health index in intact PBMCs and enhanced complex I-/II-related OCR in PBMCs with a substrate-rich environment. EET improves aerobic fitness with a lower cardiovascular response to exercise than CET. Moreover, EET as CET reduces senescent T-cell distribution in blood and improves PBMC bioenergetic efficiency by stabilizing ΔΨm and increasing capacity of oxidative phosphorylation.

Effects of Different Eccentric Cycling Intensities on Brachial Artery Endothelial Shear Stress and Blood Flow Patterns

ABSTRACT Eccentric exercise has gained attention as a novel exercise modality that increases muscle performance at a lower metabolic demand. However, vascular responses to eccentric cycling (ECC) are unknown, thus gaining knowledge regarding endothelial shear stress (ESS) during ECC may be crucial for its application in patients. The purpose of this study was to explore ECC-induced blood flow patterns and ESS across three different intensities in ECC. Eighteen young, apparently healthy subjects were recruited for two laboratory visits. Maximum oxygen consumption, power output, and blood lactate (BLa) threshold were measured to determine workload intensities. Blood flow patterns in the brachial artery were measured via ultrasound imaging and Doppler on an eccentric ergometer during a 5 min workload steady exercise test at low (BLa of 0–2 mmol/L), moderate (BLa 2–4 mmol/L), and high intensity (BLa levels > 4 mmol/L). There was a significant increase in the antegrade ESS in an intensity-dependent manner (baseline: 44.2 ± 8.97; low: 55.6 ± 15.2; moderate: 56.0 ± 10.5; high: 70.7 ± 14.9, all dynes/cm2, all p values < 0.0002) with the exception between low and moderate and Re (AU) showed turbulent flow at all intensities. Regarding retrograde flow, ESS also increased in an intensity-dependent manner (baseline 9.72 ± 4.38; low: 12.5 ± 3.93; moderate: 15.8 ± 5.45; high: 15.7 ± 6.55, all dynes/cm2, all p values < 0.015) with the exception between high and moderate and Re (AU) showed laminar flow in all intensities. ECC produced exercise-induced blood flow patterns that are intensity-dependent. This suggests that ECC could be beneficial as a modulator of endothelial homeostasis.

Growth rate affects blood flow rate to the tibia of the dinosaur Maiasaura

AbstractFossil bones were once living tissues that demanded internal blood perfusion in proportion to their metabolic requirements. Metabolic rates were primarily associated with bone growth (modeling) in the juvenile stages and with alteration and repair of existing bone affected by weight bearing and locomotion (remodeling) in later stages. This study estimates blood flow rates to the tibia shafts of the Late Cretaceous hadrosaurid Maiasaura peeblesorum, based on the size of the primary nutrient foramina in fossil bones. Foramen size quantitatively reflects arterial size and hence blood flow rate. The results showed that the bone metabolic intensity of juveniles (ca. 1 year old) was greater than fourfold higher than that of 6- to 11-year-old adults. This difference is much greater than expected from standard metabolic scaling and is interpreted as a shift from the high metabolic demands for primary bone modeling in the rapidly growing juveniles to a lower metabolic demand of adults to remodel their bones for repair of microfractures accumulated during locomotion and weight bearing. Large nutrient foramina of adults indicate a high level of cursorial locomotion characteristic of tachymetabolic endotherms. The practical value of these results is that juvenile and adult stages should be treated separately in interspecific analyses of bone perfusion in relation to body mass.

Stressful environments favor deceptive alternative mating tactics to become dominant

BackgroundDeceptive alternative mating tactics are commonly maintained at low frequencies within populations because males using them are less competitive and acquire lower fitness than those using dominant tactics. However, the successful invasion of a male deceptive tactic is plausible if deception carries no fitness cost to females. Among populations of the gift-giving spider Paratrechalea ornata, males very often offer females a deceptive worthless gift, rather than a nutritive gift. We tested the degree to which deceptive worthless gifts can occur in natural populations living under divergent environmental conditions (moderate and stressful). We examined the plasticity of morphological and behavioral traits and analyzed the fitness of females in relation to the gift type, also examining the paternity acquired by males offering either gift type.ResultsWe demonstrated that worthless gifts can become dominant under highly stressful environmental conditions (84–100%). Individuals in such environment reach smaller sizes than those in moderate conditions. We suggest that the size reduction probably favors low metabolic demands in both sexes and may reduce the costs associated with receiving deceptive worthless gifts for females. In contrast, males living under moderate conditions varied the use of the deceptive tactic (0–95%), and worthless gifts negatively influenced female fecundity. Furthermore, male size, rather than gift content, positively impacted paternity success in the moderate but not in the stressful environment.ConclusionsOverall, this is the first empirical evidence that a reversible deceptive tactic can become dominant when the environment becomes harsh and mate choice becomes limited.

Eccentric Cycling to Address Skeletal Muscle Dysfunction After Coronary Artery Bypass Surgery

Inpatient cardiac rehabilitation (CR) aims to address skeletal muscle dysfunction following coronary artery bypass grafting (CABG). Muscle lengthening (eccentric) contractions have a lower metabolic demand than concentric contractions and are advantageous for patients with reduced physiological reserve. This study aimed to assess the feasibility of incremental eccentric cycling during inpatient CR following CABG, utilising a custom-built eccentric cycle ergometer.

Benefits of Eccentric Training with Emphasis on Demands of Daily Living Activities and Feasibility in Older Adults: A Literature Review.

Aging is associated with a decline in physical capabilities and several other health-related conditions. One of the most common age-related processes is sarcopenia. Sarcopenia is usually accompanied with a decline in skeletal muscle mass and physical functioning. A decrease in these markers usually impacts basic daily living activities (DLAs), which become somewhat harder to accomplish for older individuals. Several research studies have examined the demands of DLA in older individuals with results indicating that activities such as walking, sitting, standing, stair climbing, stair descending, and running generate high demands on older adults. The forces that act on individuals are in most cases equal or multiple times higher relative to their body mass. For instance, it was reported that the GRF (ground reaction force) during stair descent ranged from 1.43 to 1.50 of BW (body weight) in an older population. Even higher demands were recorded during other related activities. These demands of DLA raise the question of appropriate rehabilitative or training management procedures. During the past decades, an eccentric form of resistance training gained popularity due to its effectiveness and lower metabolic demands, which seems to be an appropriate method to develop and maintain a basic level of strength capabilities in higher age. Multiple factors of eccentric training have been examined including modality of exercise, intensity, frequency, and safety of the elderly. Several modalities of eccentric exercise have been shown to be effective including traditional methods, as well as machine-based ones, with or without using some equipment. The studies included in this review varied in intensity from low to high; however, the most frequently used intensity was ≥50% of the maximal eccentric strength during two or three eccentric sessions per week. Importantly, the prevalence of injury of older adults appears to have been low to none, highlighting the safety of this approach. In summary, eccentric training prescriptions for older adults should consider the demands of DLA and the characteristics of the elderly for appropriate management of training recommendations.

Depth distribution of the bigeye hound sharkIago omanensisand other deep-sea species observed by baited-camera in the Red Sea

AbstractThe Red Sea is a largely homogeneous water column beyond the top 300 m, unique in exhibiting warm bottom water (~21.5 °C) at depths down to ~2900 m. The unusual conditions coupled with barriers to colonization by primary deep-sea species has resulted in an impoverished but distinct deep fauna. This study presents a rare investigation of the deep Red Sea. The bigeye hound sharkIago omanensisis a known deep-sea shark in the Red Sea. However, its full depth distribution has never been conclusively studied. Here, we confirm with videographic evidence the presence ofI. omanensisat depths to 2522 m in the Red Sea, along with observations of other deep-sea species.Iago omanensiswas the only species of scavenging fish observed and only in moderate numbers. The additional six species were mostly crustacea in low abundance. The lack of scavenging species present in the deep Red Sea is likely explained by the low productivity of the overlying surface waters and unusually warm water temperature resulting in low energetic input but high metabolic demands in deep communities.

Embryonic development timeline in skates (Chondrichthyes: Rajiformes): Sympterygia acuta as the first case study in the family Arhynchobatidae

Oviparous elasmobranch embryos (Chondrichthyes) have been the focus of several embryological studies; they are useful models for studying early ontogeny in vertebrates, as can help explore the existence of common developmental patterns among species. Skates (Rajiformes) are the most speciose order of oviparous elasmobranchs, however, few studies are focused on embryo development and only based on one skate family: Rajidae. Here, we extended the study of embryo development to other skate family, Arhynchobatidae, which represent about 1/3 of all skate species. Three adult female bignose fanskates (Sympterygia acuta) were held in captivity in order to provide the first complete embryonic development timeline for any species within the Arhynchobatidae family. Our results allowed further comparisons at the embryonic scale of different oviparous elasmobranch families, providing an updated cross-species overview of the early ontogeny. Incubation in S. acuta lasted 97 ± 1.4 days at 11–21.7 °C, and hatching size was 93.2 ± 0.2 mm in total length and 49.2 ± 0.3 mm in disc width. Early embryos of S. acuta were anatomically similar to other oviparous elasmobranch embryos, with several structures appearing at the same time, but late embryonic development was comparatively delayed. The late resorption of both the external yolk sac and the external gill filaments, and also the delay in the slit opening could indicate a low metabolic demand in S. acuta, which would probably be coupled with its seasonal reproductive cycle. Some structures such as external gill filaments and claspers appeared at a similar time in some species of Rajidae and also in Arhynchobatidae, but at different times in species of the same family, showing an inconsistency also found within shark families. Although the sequential scheme remained relatively constant, small heterochronies would be present within skates, within sharks, and also between skates and sharks.

Cerebrovascular reactivity during visual stimulation: Does hypnotizability matter?

Hypnotizability is a trait associated with several physiological correlates including cardiovascular control. The present study aimed to investigate the posterior cerebral artery flow velocity (PCAv) in basal closed eyes (B) and during visual stimulation (VS) conditions in med-highs and med-lows. Twenty-four healthy volunteers were submitted to the hypnotic assessment through the Stanford Hypnotic Susceptibility Scale, form A which classified 13 low-to-medium (med-lows) and 10 high-to-medium (med-highs) hypnotizable participants. One subject scoring 6 out of 12 was excluded from the comparisons between groups. Arterial blood pressure, heart rate, and partial pressure of end-tidal CO2 were monitored during both B and VS conditions. Simultaneously, PCAv was assessed by transcranial Doppler. Cerebrovascular Reactivity (CVR) was computed as a percentage of the PCAv change occurring during VS with respect to B (ΔPCAv). During VS both groups increased their PCAv (mean ± SD: 7.9 ± 5.2 %) significantly with no significant group difference. However, among med-highs, CVR was negatively correlated with hypnotizability scores. Thus, higher hypnotizability may be associated with lower metabolic demand in response to VS only within med-highs hypnotizable participants.

Assessing the relationship between the cerebral metabolic rate of oxygen and the oxidation state of cytochrome-c-oxidase.

.SignificanceHyperspectral near-infrared spectroscopy (hsNIRS) combined with diffuse correlation spectroscopy (DCS) provides a noninvasive approach for monitoring cerebral blood flow (CBF), the cerebral metabolic rate of oxygen () and the oxidation state of cytochrome-c-oxidase (oxCCO). is calculated by combining tissue oxygen saturation () with CBF, whereas oxCCO can be measured directly by hsNIRS. Although both reflect oxygen metabolism, a direct comparison has yet to be studied.AimWe aim to investigate the relationship between and oxCCO during periods of restricted oxygen delivery and lower metabolic demand.ApproachA hybrid hsNIRS/DCS system was used to measure hemodynamic and metabolic responses in piglets exposed to cerebral ischemia and anesthetic-induced reductions in brain activity.ResultsAlthough a linear relationship was observed between and oxCCO during ischemia, both exhibited a nonlinear relationship with respect to CBF. In contrast, linear correlation was sufficient to characterize the relationships between and CBF and between the two metabolic markers during reduced metabolic demand.ConclusionsThe observed relationship between and oxCCO during periods of restricted oxygen delivery and lower metabolic demand indicates that the two metabolic markers are strongly correlated.

Skin and composite grafts

Skin grafts may be used for coverage of facial defects in situations in which alternative methods of reconstruction, such as local flaps, are not an option. They may also be beneficial for patients who wish to avoid or who are not good candidates for more complex reconstruction. Full-thickness skin grafts often have a better color and texture match to adjacent skin when compared to split-thickness grafts; however, split-thickness grafts have lower metabolic demand and increased survival rate. Composite grafts may be very useful in the repair of defects with unique contour and support requirements, such as the nasal ala and eyelid. With all grafts, thoughtful planning and sound surgical technique are critical in achieving the best possible functional and aesthetic result.

Ontogenetic habitat shifts and vulnerability: lake-outlet-spawning sockeye salmon (Oncorhynchus nerka) sensitivity to habitat connectivity and hydrologic change

Sockeye salmon that spawn downstream of rearing lakes are an important example of the challenges faced by organisms with complex life histories requiring connectivity in aquatic habitat complexes. Specifically, newly emerged juvenile sockeye salmon must migrate upstream, against the flow of water, if they are to reach lake rearing habitat. Here, we examine the spatial and temporal dynamics of the water velocity landscape and juvenile sockeye salmon movement and condition at increasing distances downstream from the lake outlet of an important sockeye salmon system, the Babine Lake of British Columbia, one of Canada’s largest and most important sockeye salmon rearing lakes. The results of this study indicate that (i) there were seasonal and spatial patterns of water velocities that exceed the ability of juveniles to swim upstream to lake rearing habitat, (ii) higher water discharge was associated with more velocity barriers and potentially with less upstream movement of juveniles, and (iii) juveniles rearing in the lake obtained larger sizes (30% longer and 150% heavier) than those in downstream river habitats. Multiple processes that may be influencing these patterns could include more abundant food resources, lower metabolic demands, or size-selective immigration, emigration, or mortality among habitats. Years and seasons with high discharge may temporarily create one-way, downstream transport routes at lake outlets. Long-term changes in hydrology, perhaps driven by climate variability or land-use change, may control the degree to which lake outlets function as bidirectional travel corridors or one-way travel routes for young sockeye salmon.

The Higher the Needs, the Lower the Tolerance: Extreme Events May Select Ectotherm Recruits With Lower Metabolic Demand and Heat Sensitivity

Ongoing climate warming demands a better understanding of whether or how the ectotherms that evolved in response to fluctuating stress regimes may acquire increased heat tolerance. Using blue mussels, Mytilus spp., a globally important and well-studied species, we provide empirical evidence supporting that (i) extremely warm (future) summer conditions may select rare recruits that are more capable of expressing metabolic (feeding and respiration) suppression and recovery in response to daily thermal fluctuations in mild to critical temperature range, (ii) this higher heat tolerance can be mediated by lower baseline metabolic demand, possibly decreasing the risks of heat-induced supply and demand mismatch and its associated stress during thermal fluctuations, and (iii) the capacity to acquire such heat tolerance through acclimation is minor. We discuss our results, methodological limitations and offer a perspective for future research. Further evaluation of mechanistic hypotheses such as the one tested here (based on the role of metabolic demand) is needed to generalize the significance of drivers of fast warm adaptation in ectothermic metazoan populations.

Prolonged ventilation and postnatal growth of preterm infants.

Background Extremely premature infants often need invasive respiratory support from birth, but have low nutritional reserves and high metabolic demands. Our aim was to determine if there was a relationship between prolonged ventilation and reduced postnatal growth in such infants. Methods A retrospective, observational study was undertaken. Data from infants born at less than 28 weeks of gestational age and ventilated for 7 days or more were collected and analysed including gestational age, gender, birth and discharge weight, birth and discharge head circumference, days of invasive mechanical ventilation and use of postnatal corticosteroids. The duration of invasive mechanical ventilation and the differences in weight (ΔWz) and head circumference (ΔHz) z-score from birth to discharge were calculated. Results Fifty-five infants were studied with a median [interquartile range (IQR)] gestational age at birth of 25.3 (24.3-26.7) weeks and birth weight of 0.73 (0.65-0.87) kg. The median duration of mechanical ventilation was 45 (33-68) days. Both ΔWz and ΔHz were significantly negatively correlated to the number of invasive mechanical ventilation days (P = 0.01 and P = 0.03, respectively), but not to the use of postnatal corticosteroids. Conclusion Poor postnatal growth is significantly negatively associated with a longer duration of mechanical ventilation in extremely prematurely born infants.

Induced cardiac pacemaker cells survive metabolic stress owing to their low metabolic demand

Cardiac pacemaker cells of the sinoatrial node initiate each and every heartbeat. Compared with our understanding of the constituents of their electrical excitation, little is known about the metabolic underpinnings that drive the automaticity of pacemaker myocytes. This lack is largely owing to the scarcity of native cardiac pacemaker myocytes. Here, we take advantage of induced pacemaker myocytes generated by TBX18-mediated reprogramming (TBX18-iPMs) to investigate comparative differences in the metabolic program between pacemaker myocytes and working cardiomyocytes. TBX18-iPMs were more resistant to metabolic stresses, exhibiting higher cell viability upon oxidative stress. TBX18-induced pacemaker myocytes (iPMs) expensed a lower degree of oxidative phosphorylation and displayed a smaller capacity for glycolysis compared with control ventricular myocytes. Furthermore, the mitochondria were smaller in TBX18-iPMs than in the control. We reasoned that a shift in the balance between mitochondrial fusion and fission was responsible for the smaller mitochondria observed in TBX18-iPMs. We identified a mitochondrial inner membrane fusion protein, Opa1, as one of the key mediators of this process and demonstrated that the suppression of Opa1 expression increases the rate of synchronous automaticity in TBX18-iPMs. Taken together, our data demonstrate that TBX18-iPMs exhibit a low metabolic demand that matches their mitochondrial morphology and ability to withstand metabolic insult.

Dynamic Metabolic State of Tissue Resident CD8 T Cells.

In the past years, there have been significant advances in the understanding of how environmental conditions alone or in conjunction with pathogen invasion affect the metabolism of T cells, thereby influencing their activation, differentiation, and longevity. Detailed insights of the interlinked processes of activation and metabolism can contribute to major advances in immunotherapies. Naive and memory T cells circulate the body. In a quiescent state with low metabolic demands, they predominantly use oxidative phosphorylation for their energy needs. Recognition of cognate antigen combined with costimulatory signals results in a proliferative burst and effector molecule production, requiring rapid release of energy, achieved via dynamically reprogramming metabolic pathways. After activation, most T cells succumb to activation induced cell death, but few differentiate into memory T cells. Of note, some memory T cells permanently occupy tissues without circulating. These, tissue resident T cells are predominantly CD8 T cells, maintained in a metabolic state distinct from naïve and circulating memory CD8 T cells with elements similar to effector CD8 T cells but without undergoing proliferative burst or secreting immune mediators. They continually interact with tissue cells as part of an immune surveillance network, are well-adapted to the tissues they have made their home and where they may encounter different metabolic environments. In this review, we will discuss recent insights in metabolic characteristics of CD8 T cell biology, with emphasis on tissue resident CD8 T cells at the epithelial barriers.

Cardiorespiratory and Autonomic Nervous System Responses to Prolonged Eccentric Cycling.

Offering large muscle benefits despite low metabolic demand, continuous eccentric exercise appears to be an interesting alternative to concentric exercise. Nevertheless, further knowledge is needed about prolonged eccentric exercise. This work sought to investigate the cardiovascular responses to prolonged constant-load eccentric compared to concentric cycling. Ten healthy males performed two 45-min exercise sessions of either concentric or eccentric cycling separated by a month and matched for heart rate during the first 5 min of exercise. Cardiorespiratory, autonomic nervous system and vascular responses were assessed at rest, and during exercise and recovery. During cycling, oxygen uptake, cardiac output and systolic blood pressure were similar but heart rate and diastolic blood pressure were greater whereas stroke volume was lower during eccentric than concentric cycling (118±21 vs. 104±10 bpm; 77±9 vs. 65±8 mmHg; 122±12 vs. 135±13 mL). Baroreflex and noradrenaline concentration were altered during eccentric cycling, and after eccentric exercise, vascular tone was greater than after concentric cycling. We observed increased cardiovascular strain and altered baroreflex activity during eccentric compared with concentric exercise, suggesting eccentric cycling triggers greater sympathetic activity.

Is There a Preferred Mode of Exercise for Cognition Enhancement in Older Age?-A Narrative Review.

The aim of this review is to examine the moderating effect of the mode of exercise on the exercise-cognition relationship. Is one mode of exercise more efficient in enhancing cognition than the other? For example, is aerobic exercise preferable over balance training? Based on official guidelines for old age, exercise modes include aerobic activity, strength (resistance) training, flexibility, balance, and coordination. In relation to cognition, these exercise modes are further divided into two categories: physical training—aerobic and strength, and motor training—balance, coordination, and flexibility. The physical training activities are repetitive and automatic in nature, and require high metabolic energy and relatively low neuromuscular effort. The motor activities involve high neuromuscular demands and relatively low metabolic demands. In addition, there are specific movement skills that require more neuromuscular effort (e.g., Tai Chi), and sometimes also greater metabolic demands (e.g., tennis). Selected studies examining the effect of various modes of exercise on cognition contend that both training categories affect neuroplasticity, and consequently cognitive functioning. However, there are two main differences between them: (1) Physical training affects cognition via improvement in cardiovascular fitness, whereas motor training affects cognition directly; (2) Physical training affects neuroplasticity and cognition in a global manner, while motor training is task-specific in increasing brain neuroplasticity and in affecting cognition. Examining the underpinnings of these pathways reveals that there is a difference in the underlying forces behind the two training categories. In the physical training category, it is the intensity of training that enhances neuroplasticity and consequently improves cognition, while in the motor activities it is the task complexity that increases neuroplasticity, which improves cognition. Dual-task training, which includes cognitive demands in addition to physical or motor activity, has proven more effective in improving cognitive functioning than a single task. The implications are that if all training components traditionally recommended by official bodies—physical as well as motor training—are efficient in enhancing cognition, then we merely have to emphasize the inclusion of all exercise modes in our routine exercise regimen for physical as well as cognitive health in advanced age.