Mental Fatigue Research Articles

High frequency of mental fatigue after treatment of graves' hyperthyroidism but low rate of sick-leave - report from a longitudinal cohort in sweden

High frequency of mental fatigue after treatment of graves' hyperthyroidism but low rate of sick-leave - report from a longitudinal cohort in sweden

Chronotype Differences and Symptom Network Dynamics of Post-Pandemic Sleep in Adolescents and Young Adults.

Background: Social restrictions during the COVID-19 pandemic resulted in altered sleep patterns and mental health challenges, particularly among adolescents and young adults. Our objective was to examine the potential difference in insomnia prevalence and sleep patterns in this population between the first COVID-19 lockdown and the post-lockdown period, with a focus on chronotype. Additionally, we explored the network of sleep-related differences between these two periods. Methods: A total of 946 respondents participated in our online questionnaire. We performed mixed ANOVA, Ising network and Directed Acyclic Graph (DAG) analyses. Results: Respondents reported going to bed earlier, waking up earlier, sleeping less, and feeling less mentally tired than during the lockdown. The severity of insomnia symptoms did not change. The lethargic chronotype reported more insomnia symptoms, depressive feelings, and agitation than others. Mental fatigue was the central symptom in the Ising network and served as the parent node in the DAG. Conclusions: Post-lockdown, adolescents and young adults have shifted to earlier sleep and wake times with reduced overall sleep, and they experience fewer depressive feelings and less agitation, though insomnia symptoms remain unchanged. Participants who reported increased irritability or poorer sleep quality during confinement also reported similar or diminished attentional capacities compared to their usual levels.

Effects of isolated and combined mental and physical fatigue on motor skill and endurance exercise performance

BackgroundMental fatigue, elicited by cognitive demands, can impair sport and exercise performance. The effects of isolated mental fatigue on performance are well documented but few studies have explored the effects of combined mental and physical fatigue on skilled motor and endurance exercise performance. ObjectiveThis study explored the effects of isolated mental, isolated physical, and combined (mental plus physical) fatigue on skill and exercise task performance. Method164 athletes were randomly assigned to 1 of 4 groups: mental fatigue, physical fatigue, combined fatigue, control (no fatigue). Mental fatigue was induced by a 15-min time-load dual-back cognitive task. Physical fatigue was induced by a 90-s burpee exercise task. Next, all participants completed a throwing skill task and performed burpee exercises to failure. Objective (brief Psychomotor Vigilance Task, PVT-B) and subjective (self-report) measures of mental fatigue and Ratings of Perceived Exertion were obtained throughout. ResultsThe mental fatigue and combined fatigue groups performed the worst on both the throwing and burpee tasks compared with the physical fatigue and control groups. The former reported higher mental fatigue throughout and had worse response accuracy and variation on the end-of-session PVT-B task. The combined fatigue group performed better than the mental fatigue group on the throwing and burpee tasks. ConclusionA demanding cognitive task induced a state of mental fatigue and impaired skill and endurance performance. Mental fatigue alone was more detrimental than combined fatigue to skill and endurance performance, suggesting that the physical activity manipulation reduced the negative effects of mental fatigue on performance.

The mediating effect of resilience between work fatigue and psychological distress among healthcare workers in Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia.

To test the hypothesis that resilience has a mediating effect on the association between work fatigue and psychological distress. A cross-sectional survey was conducted online in eight countries in 2021: Brazil, Lebanon, Nigeria, Pakistan, Poland, Qatar, Serbia, and Tunisia. A total of 1094 healthcare professionals specialized in medicine, pharmacy, and nurse practitioners that were exposed to/worked with COVID-19 patients were included (age: 33.89 ± 10.79 years; 59.6% females). After adjusting for potential confounders (i.e., country, gender, primary work in emergency department, primary work in infectious disease, primary work in intensive care unit, working in a COVID-19 ward, and working voluntary hours), the results of the mediation analysis showed that resilience fully mediated the association between physical work fatigue and psychological distress and partially mediated the associations between mental and emotional work fatigue and psychological distress. Higher work fatigue was significantly associated with less resilience; higher resilience was significantly associated with less psychological distress. Finally, higher mental and emotional, but not physical, work fatigue, were directly and significantly associated with more psychological distress. Identifying resilience as an important mediator in the path from fatigue to distress helps elucidate underlying mechanisms and pathways leading to the mental health-alteration process among healthcare workers during COVID-19. New strategies targeting resilience may be developed to further improve mental health outcomes among healthcare workers.

Factors Associated with Anxiety and Depression among Elite Collegiate Badminton Players in Japan: Exploratory Analysis

This study focused on mental health and fatigue in elite university student-athletes competing in badminton at the national level, comparing them with control university students and examining related factors. Among university athletes, anxiety and depression showed a moderately negative correlation with life satisfaction outside of sports, as determined by partial correlation tests adjusted for fatigue. Athletes demonstrated a 47% rate of anxiety and a 30% rate of depression. These values showed no significant difference from those of the anxiety (29%) and depression (21%) rates in a non-athlete university student sample. In addition, this study suggested that the evaluation of fatigue using a checklist of individual strength might produce low reliability and validity for elite university student-athletes in badminton. These exploratory findings highlight the importance of focusing on athletes’ overall life satisfaction and suggest the potential need for effective mental health interventions beyond sports. However, because of the exploratory nature of this study and the small sample size, further research is necessary to confirm these results.

It Is Not Just a Matter of Motivation: The Role of Self-Control in Promoting Physical Activity in Older Adults—A Bayesian Mediation Model

This study aimed to understand how psychological factors affect regular exercise in older adults, hypothesising that trait self-control mediates the relationship between motivation types (intrinsic, extrinsic, and amotivation) and exercise time. In this cross-sectional study, 430 older adults (mean age = 68.8 ± 6.72) completed questionnaires regarding their perceived trait self-control, motivation towards leisure activities, and level of physical activity. A Bayesian mediation analysis was performed, controlling for demographics. We documented positive direct (c′ = 0.021, 95%CI [0.001, 0.043]) and indirect (ab = 0.028, 95%CI [0.014, 0.043]) effects of intrinsic motivation on exercise, a fully mediated indirect effect of extrinsic motivation on exercise (ab = 0.027, 95%CI [0.011, 0.046]), and negative direct (c′ = −0.281, 95%CI [−0.368, −0.194]) and indirect (ab = −0.161, 95%CI [−0.221, −0.105]) effects of amotivation on exercise. There was no direct association between extrinsic motivation and exercise (c′ = 0.013, 95% CI [−0.013, 0.037]). In conclusion, trait self-control mediates motivation to influence exercise behaviour in older adults. Intrinsically motivated individuals resist sedentary living and show higher self-control, while extrinsically motivated ones rely on self-control and are more susceptible to non-adherence during mental fatigue. High amotivation is linked to less exercise and reduced self-control, suggesting potential non-compliance with structured exercise interventions.

Internet of things and ensemble learning-based mental and physical fatigue monitoring for smart construction sites

The construction industry substantially contributes to the economic growth of a country. However, it records a large number of workplace injuries and fatalities annually due to its hesitant adoption of automated safety monitoring systems. To address this critical concern, this study presents a real-time monitoring approach that uses the Internet of Things and ensemble learning. This study leverages wearable sensor technology, such as photoplethysmography and electroencephalography sensors, to continuously track the physiological parameters of construction workers. The sensor data is processed using an ensemble learning approach called the ChronoEnsemble Fatigue Analysis System (CEFAS), comprising deep autoregressive and temporal fusion transformer models, to accurately predict potential physical and mental fatigue. Comprehensive evaluation metrics, including mean square error, mean absolute scaled error, and symmetric mean absolute percentage error, demonstrated the superior prediction accuracy and reliability of the proposed model compared to standalone models. The ensemble learning model exhibited remarkable precision in predicting physical and mental fatigue, as evidenced by the mean square errors of 0.0008 and 0.0033, respectively. The proposed model promptly recognizes potential hazards and irregularities, considerably enhancing worker safety and reducing on-site risks.

Decoding IBS: a machine learning approach to psychological distress and gut-brain interaction

PurposeIrritable bowel syndrome (IBS) is a diagnosis defined by gastrointestinal (GI) symptoms like abdominal pain and changes associated with defecation. The condition is classified as a disorder of the gut-brain interaction (DGBI), and patients with IBS commonly experience psychological distress. The present study focuses on this distress, defined from reports of fatigue, anxiety, depression, sleep disturbances, and performance on cognitive tests. The aim was to investigate the joint contribution of these features of psychological distress in predicting IBS versus healthy controls (HCs) and to disentangle clinically meaningful subgroups of IBS patients.MethodsIBS patients (n=49\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$n = 49$$\\end{document}) and HCs (n=28\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$n = 28$$\\end{document}) completed the Chalder Fatigue Scale (CFQ), the Hamilton Anxiety and Depression Scale (HADS), and the Bergen Insomnia Scale (BIS), and performed tests of memory function and attention from the Repeatable Battery Assessing Neuropsychological Symptoms (RBANS). An initial exploratory data analysis was followed by supervised (Random Forest) and unsupervised (K-means) classification procedures.ResultsThe explorative data analysis showed that the group of IBS patients obtained significantly more severe scores than HCs on all included measures, with the strongest pairwise correlation between fatigue and a quality measure of sleep disturbances. The supervised classification model correctly predicted belongings to the IBS group in 80% of the cases in a test set of unseen data. Two methods for calculating feature importance in the test set gave mental and physical fatigue and anxiety the strongest weights. An unsupervised procedure with K=3\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$K = 3$$\\end{document} showed that one cluster contained 24% of the patients and all but two HCs. In the two other clusters, their IBS members were overall more impaired, with the following differences. One of the two clusters showed more severe cognitive problems and anxiety symptoms than the other, which experienced more severe problems related to the quality of sleep and fatigue. The three clusters were not different on a severity measure of IBS and age.ConclusionThe results showed that psychological distress is an integral component of IBS symptomatology. The study should inspire future longitudinal studies to further dissect clinical patterns of IBS to improve the assessment and personalized treatment for this and other patient groups defined as disorders of the gut-brain interaction. The project is registered at https://classic.clinicaltrials.gov/ct2/show/NCT04296552 20/05/2019.

Exploring the affordances of service robots and the effects on frontline employees in China: a qualitative research in hotels

Purpose This study aims to investigate the affordances of service robots (SRs) in hotels and their effects on frontline employees (FLEs). Design/methodology/approach Purposive and referral samplings methods were used to conduct 28 semistructured interviews with hotel FLEs, and the transcribed manuscript was analyzed based on grounded theory. Findings The study identifies six dimensions of SR affordances: physical, sensory, task, safety, social and emotional affordances. The main effects of SR affordances on FLEs involve reducing work stress and mental fatigue and increasing positive emotions in the psychological aspects of FLEs. In terms of behavioral aspects, shifts in task priorities and enhancements in SR usage behaviors were observed. Accordingly, a mechanistic framework was revealed through which SR affordances influence FLEs via direct and indirect interactions between FLEs and SRs. Originality/value This paper expands robotics research from a supply-side perspective and is one of the few studies to investigate SR affordances in the field of hospitality research. Findings of this study provide practical guidelines for designing and implementing SRs to support hotel FLEs in their daily work.

Iron deficiency-related symptoms in non-anemic whole blood donors.

Whole blood donors are at increased risk for iron deficiency (ID). ID anemia is associated with several symptoms, such as fatigue, cognitive dysfunction, pica, and restless leg syndrome (RLS). However, it is unclear if these symptoms also occur when a donor has developed ID without anemia. This study aims to determine whether non-anemic ID (NAID) is associated with the occurrence of ID-related symptoms. We combined data from three studies in whole blood donors (i.e., Donor Insight-III, FIND'EM, and FORTE) to create a substantial sample size (N = 12,143). The self-reported occurrence and severity of ID-related symptoms, such as physical and mental health, fatigue, cognitive functioning, pica, and RLS, was measured using validated questionnaires. Associations were studied using logistic regression modeling with ID-related symptoms derived from the questionnaires as the dependent variable and ferritin level group (0-15 μg/L, 15-30 μg/L, and >30 μg/L) as explanatory variable. After applying inclusion and exclusion criteria, 9829 donors were eligible for analysis. In the models corrected for age, body mass index, Hb level, and cohort, only fatigue was shown to be associated with ferritin levels in men, showing lower odds (OR 1.41, 95% CI 1.11-1.79) for fatigue with higher ferritin levels. In these studies, NAID was only associated with self-reported fatigue in male donors. Although selection bias may have led to underestimated associations, ferritin measurements in donors should be primarily considered as a measure to prevent anemia, rather than to prevent or mitigate NAID-related symptoms.

Impact of Laparoscopic Sleeve Gastrectomy on Fatigue in Obese Patients.

Background: Fatigue with obesity negatively affects the motivation to lose weight and causes failure of treatment. So, obesity and fatigue are two related entities that worsen each other in a vicious circle. This study aimed to examine the changes in fatigue levels in obese patients undergoing laparoscopic sleeve gastrectomy (LSG). Methods: Preoperative and postoperative BMI, fat percentage, and obesity degree were determined based on Tanita test results, and the rates of change were calculated. The Fatigue Assessment Scale (FAS) was used to assess the impact of obesity on mental and physical fatigue. Results: Six months after LSG, there was a 29.7% decrease in Body Mass Index (BMI) across all patients (45.0 to 31.4, p < 0.001). Significant reductions in the percentage of body fat, obesity grade, and HgA1C were observed in both women and men and overall (p < 0.001 for all comparisons). Scores on the Fatigue Assessment Scale (FAS) for total, mental, and physical scales decreased significantly for women, men, and all participants (p < 0.001 for all comparisons). There was a weak but significant positive correlation between the percentage change in FAS total and FAS physical scale scores and the change in BMI% (p = 0.015 and 0.004; r = 0.089, 0.106, respectively). Change in obesity grade and FAS physical subscale scores negatively correlated (p = 0.029, r = 0.080). Conclusions: LSG not only leads to significant weight reduction but also improves fatigue levels in patients with obesity.

The moderating role of coping styles on the associations of fatigue with life satisfaction in Chinese nurses: a cross-sectional study

BackgroundFatigue affects nurses negatively and may influence life satisfaction. According to the stress process model, active coping might influence the impact of adverse conditions such as fatigue on well-being measures such as life satisfaction. However, no research examined the associations among nurses’ fatigue, coping styles, and life satisfaction.MethodsThe cross-sectional study was conducted in Liaoning Province, China. 482 effective questionnaires were collected (effective response rate of 80.3%). The questionnaire included Fatigue Scale-14, Simplified Coping Style Questionnaire and Satisfaction with Life Scale. The association among fatigue, coping styles and fatigue × coping styles interaction with life satisfaction was examined by hierarchical multiple regression analysis. The interaction was visualized by simple slope analysis.ResultsMean score of life satisfaction was 22.74 ± 6.11. Active coping moderated the relationship between mental fatigue and life satisfaction. The impacts of mental fatigue on life satisfaction gradually decreased in the low (1 SD below the mean, β=-0.400, P < 0.001), mean (β=-0.312, P < 0.001), and high (1 SD above the mean, β=-0.224, P < 0.001) groups of active coping.ConclusionThe life satisfaction of Chinese nurses was relatively low. Active coping could alleviate the impact of mental fatigue on life satisfaction. Developing active coping styles might be a crucial strategy to alleviate nurses’ mental fatigue and improve life satisfaction.

Cognitive and Perceptual Augmentation Through Neuromodulation during Fatiguing Tasks is Sex-specific

Transformative paradigms to proactively mitigate fatigue through noninvasive neurostimulation, such as transcranial direct current stimulation (tDCS), have been shown to be more effective than existing interventions. The study aimed to evaluate the effectiveness of HD-tDCS (High-Definition) as a fatigue countermeasure on vigilance and perceived fatigue on longer bouts of mental fatigue. Thirty-two participants were assigned to active stimulation and sham groups, and they took part in a 2 hr fatigue protocol of 2-back visuospatial working-memory tests. To evaluate the effect of active stimulation, separate linear mixed-effect models with the group (stimulation/sham), phase (pre/post), and sex (male/female) were analyzed. The results showed the effectiveness of HD-tDCS in slowing fatigue-related declines across both cognitive and perceptual channels, with fatigue reduction being more effective in women. These observations could inform sex-based considerations to improve the operational readiness of tDCS-based countermeasure systems to help mitigate fatigue among emergency and military personnel.

Overt and Covert Effects of Mental Fatigue on Attention Networks: Evidence from Event-Related Potentials during the Attention Network Test.

Mental fatigue is a variation in the psychophysiological state that subjects encounter during or after prolonged cognitive activity periods, affecting top-down attention and cognitive control. The present study aimed to investigate the effects of mental fatigue on attention in the context of the three attention networks according to the Posnerian model (alerting, orienting, and executive networks) by combining the Attentional Network Test (ANT) and event-related potentials technique. Thirty healthy subjects were enrolled in the study. A continuous arithmetic task lasting one hour induced mental fatigue, and EEG recordings were conducted before and after the task while subjects were performing the ANT. The efficiencies of three networks were comparable between groups, while RTs shortened only in the control group and the accuracy related to the alerting and conflict networks declined only after mental effort. Mental fatigue reduced N1 amplitude during alerting network engagement and p3 amplitude during orienting. It also reduced N2 and P3 amplitude during the conflict, particularly the incongruent target-locked response. These findings underscore the covert effects of mental fatigue on attention, suggesting that even in healthy young subjects, compensatory mechanisms may maintain adequate overt performances, but fatigue still has a detrimental effect on top-down attentional mechanisms.

The impact of the COVID-19 pandemic on the psychosomatic status of emeritus professors: The importance of active lifestyles

AbstractPurposeThe COVID-19 pandemic has had an enormous negative impact on the psychosomatic status of the general population, and especially of more vulnerable populations, such as older people. The present study aimed to assess changes in psychosomatic status before and after the COVID-19 pandemic among emeritus professors over 70 years of age.Materials/MethodsA total of 56 emeritus professors aged 77.4 ± 6.1 (74.1% male) participated in the study. The study was conducted between September 2022 and January 2023, after approximately two and a half years of the COVID-19 pandemic. Sociodemographic characteristics, including socioeconomic status, were assessed in the questionnaire, along with active involvement in academic life and healthcare/sports. Physical and mental fatigue were assessed using a self-report questionnaire, and the impact of fatigue on physical and cognitive function was measured using the Fatigue Impact Scale. Participants evaluated their physical/mental fatigue and physical/cognitive function before and after the COVID-19 pandemic.ResultsAmong the participating emeritus professors, 15% reported higher levels of physical fatigue (Z = −1.992, P = 0.046, r = 0.28) and mental fatigue (Z = −2.154, P = 0.031, r = 0.31) following the COVID-19 pandemic. A significant difference was found in physical function assessed before and after the COVID-19 pandemic, t(51) = −2.986, P = 0.004, g = 0.22, while cognitive function showed a non-significant difference, t(51) = −1.265, P = 0.212, g = 0.12. After the COVID-19 pandemic, 26.9% of participants reported reduced physical function and 19.2% showed reduced cognitive function. Infection with the COVID-19 virus resulted in increased mental fatigue and reduced cognitive function among the participating emeritus professors.ConclusionThe COVID-19 pandemic (and the introduction of restrictions on social activities) had a substantial and similar impact on the psychosomatic status of emeritus professors at both medical and sports universities. Furthermore, the reduction in physical and mental/cognitive function was exacerbated in those who were infected by SARS-CoV-2. Importantly, however, the overall impact of the COVID-19 pandemic was smaller in the population of emeritus professors than in the general elderly population. This may be due to the better maintenance of physical and mental activity in the former population, thus emphasising the importance of remaining physically and mentally active in old age, especially in the context of critical life events.

The Double Burden: A Study on Women's Dual Roles in the Workplace and Household Responsibilities in Kerala

This study examines the dual roles of women in Kerala, India, balancing professional responsibilities with traditional household duties using Work-Family Conflict theory. Despite Kerala's educational advancements and higher sex ratio, cultural expectations impose significant pressures on women, causing self-doubt, anxiety, and mental fatigue. The research reveals that while some women receive spousal support, the unequal division of household chores exacerbates work-family conflicts. A descriptive research design with convenience sampling was used to select respondents, and Chi-square tests assessed the impact of gender on beliefs about societal norms causing emotional and mental conflicts. Pearson’s Correlation evaluated the relationship between spousal support and job pressure among women. Despite the crucial role of economic contributions from both partners, traditional gender roles continue to impede women’s career progression and overall well-being. The study highlights the need for supportive workplace policies and societal changes to ease the dual burden on women, enhance gender equality, and improve mental health.

EEG-based detection of adverse mental state under multi-dimensional unsafe psychology for construction workers at height

Working at height in construction sites is universal but dangerous, which can directly or indirectly lead to numerous injuries and fatalities. Meanwhile, workers' adverse mental state exerts a significant influence on the occurrence of safety accidents. Recent attempts have been made to precisely detect workers' unsafe psychology using electroencephalogram (EEG) technology. Unfortunately, unidimensional psychological factors considered in previous studies cannot represent complicated mental state. To fill this major knowledge gap, this study proposed a framework for comprehensively considering the effects of multi-dimensional critical unsafe psychology (i.e., fear of height, distraction, and mental fatigue) on workers’ adverse mental state at height. Results show that the four support vector machines (SVMs) achieved excellent performance with 96.33%, 96.75%, 95.50%, and 96.50% accuracy, respectively, when inputting the critical EEG features for adverse mental state assessment, verifying the effectiveness of the proposed framework. In addition, the Gaussian kernel SVM achieved 96.50% accuracy and balanced classification performance, making it most applicable to the development of adverse mental state assessment approach. The framework proposed reveals the complex interactions between unsafe psychology and adverse mental states, enriching the theoretical models of occupational safety and mental health. It provides a more comprehensive perspective on the factors influencing unsafe environments at high altitudes. This offers the possibility for the automatic detection of adverse mental states, contributing to a more proactive approach to safety management in high-altitude operations.

Adaptive cognitive tasks for mental fatigue: An innovative paradigm for cognitive loading in human performance

ObjectivesMental fatigue (MF) can impair cognitive and physical performance in sport. We tested the hypothesis that a shorter adaptive Time Load Dual Back (TLDB) task induces MF faster than a longer Stroop; and subsequently impairs cognitive and intermittent running performance. DesignThis study employed a randomized within-participant design. Methods25 trained individuals performed a Yo-Yo test after one of four experimental conditions (30-min Stroop, 20-min and 10-min TLDB tasks, and active control). Cognitive performance was assessed using the Psychomotor Vigilance Task (PVT) before and after the experimental conditions. Measures of mood, workload, MF, RPE, heart rate (HR), heart rate variability (HRV) and blood lactate were collected. ANOVAs determined the effect of the 4 conditions. ResultsStroop and 20-min TLDB conditions impaired running performance similarly (p = .015), while no differences are reported for 10-min TLDB and Control. No significant differences in physiological parameters were reported during the Yo-Yo test although RPE was significantly higher in the Stroop and 20-min TLDB conditions (p = .014). Stroop and both TLDBs conditions impaired PVT's cognitive performance (p = .029), MF (p = .012), mental demand (p < .001), HR (p = .021) and HRV (p = .033); with 20-min TLDB task having the higher significant impact. Mood alterations were similar between Stroop and TLDB conditions. ConclusionsIntermittent running (Yo-Yo) and cognitive (PVT) performances, and subjective ratings were impaired by 30-min Stroop and 20-min TLDB tasks; while 10-min TLDB did not to impair performance. Shorter adaptive modes seem to be more effective in inducing MF and could have relevant clinical applications to assess conditions such as traumatic brain injury and concussion.

Brain endurance training improves soccer-specific technical skills and cognitive performance in fatigued professional soccer players

ObjectivesBrain Endurance Training (BET) — the addition of mentally fatiguing cognitive tasks to standard physical training — could improve performance in soccer. We tested whether BET, with cognitive tasks intermixed with physical training activities, improved players' cognitive and soccer-specific technical performance compared to physical training alone when fresh and fatigued. DesignThe study employed a pre/training/midtest/training/posttest design. Methods31 professional male soccer players were randomly assigned to BET or control groups and completed 18 physical training sessions over 6 weeks. In between the physical training activities, the BET group completed demanding cognitive tasks, whereas the control group rested. Players completed the Loughborough soccer passing (LSPT) and shooting test (LSST) before and after completing a 30-min Stroop task. A brief psychomotor vigilance test (PVT-B), a visual analog rating of mental fatigue (MF-VAS), and rating of perceived exertion (RPE) were measured during testing and training. ResultsDuring testing, the 30-min Stroop task elicited a state of MF, confirmed by higher subjective ratings (P < .01). Compared to pre-testing, at mid- and post-testing, the BET group improved passing (all P < .01), shooting (all P < .01), and PVT-B performance (all P < .01) when tested after (fatigued) but not before (fresh) the Stroop task, whereas the control group did not change performance either way. During training the BET group reported higher MF (P < .01) and exhibited slower PVT-B responses (P < .01) compared to control. ConclusionsIntermixed BET was more effective than physical training alone at improving cognitive and soccer-specific technical performance of professional soccer players when fatigued.

Effectiveness of meditation for fatigue management: Insight from a comprehensive systematic review and meta-analysis

ObjectiveThis systematic review and meta-analysis revealed the effectiveness of meditation in addressing fatigue, given its widespread use as a remedy for sleep disturbances and fatigue. MethodWe analyzed 29 randomized controlled trials from MEDLINE and the Cochrane Library, spanning from December 31, 2022. We conducted two metaanalyses using mean difference (MD) with normalized data and standardized mean difference (SMD) with original data. ResultsThese trials included various populations, with baseline fatigue severity observed at 52.2 ± 16.0 points among 4104 participants. After an average meditation duration of 9.6 ± 4.7 weeks, fatigue scores decreased significantly by 6.4 points of MD [95% CI, 4.3–8.5] compared to controls. The most significant reduction occurred in the sub-healthy group (MD 8.2 [95% CI, 2.7 to 13.8]), followed by the general group (MD 6.9 [95% CI, 0.4 to 13.4]), and the disease group (MD 5.7 [95% CI, 3.4 to 8.0]). Notably, meditation-based anti-fatigue effects were particularly pronounced for mental fatigue (MD 10.0 [95% CI, 4.3 to 15.6]), especially with expert guidance and supplementary homework. ConclusionThese findings align with meta-analysis results using standardized mean difference (SMD), providing evidence for meditation as an effective nonpharmacological intervention for fatigue management, while also informing effective meditation approaches.Registration number: CRD42023395551 in PROSPERO.