Effects of acute bouts of aerobic exercise of varied intensity on subjective mood experiences in women of different age groups across time.
Cox, Richard H. ; Thomas, Tom R. ; Hinton, Pam S. 等
In this investigation, the focus is upon the effects of an acute
bout of aerobic exercise upon positive and negative affect as measured
by McAuley and Courneya's (1994) exercise specific Subjective
Exercise Experiences Scale (SEES). Other inventories that have been used
to study the effects of exercise upon positive and negative affect
include: Gauvin and Rejeski's (1993) exercise specific
Exercise-Induced Feeling Inventory (EFI), the Profile of Mood States (POMS; McNair, Lorr & Droppleman, 1992), Watson, Clark and
Tellegen's (1988) Positive and Negative Affect Schedule (PANAS),
and the Revised Multiple Affect Adjective Checklist (MAACL-R; Zuckerman
& Lubin, 1985).
Berger and Motl (2000) reviewed 25 investigations in which the
Profile of Mood States (POMS) was used to measure changes in mood
associated with acute bouts of aerobic exercise and physical activity.
The vast majority of results show decreases in tension, depression,
anger, and confusion associated with acute bouts of moderate intensity
exercise. Moderate intensity exercise may not optimize fitness and sport
training benefits, but it has consistently been associated with
desirable mood changes (Berger & Owen, 1988; Motl, Berger &
Wilson, 1996; Tuson, Sinyor, & Pelletier, 1995). Conversely, high
intensity exercise has been linked with either no mood changes or
undesirable mood changes (Motl et al., 1996; Steptoe & Cox, 1988).
Results obtained when using the POMS are generally consistent with those
obtained with other instruments such as the EFI and SEES (Treasure &
Newberry, 1998; Szabo, Mesko, Caputo & Gill, 1998).
From this brief review of the literature, it would appear that a
moderate bout of exercise is superior to either a high or low bout of
aerobic exercise for reducing negative affect and increasing positive
affect. However, a closer examination is warranted. In the negative
affect literature (state anxiety), the notion that high intensity
exercise leads to an increase in state anxiety comes primarily from a
study reported by Steptoe and Cox (1988). This research was flawed,
however, in that exercise intensity was ascertained and manipulated
using absolute as opposed to relative workloads. More recently, Cox,
Thomas, Hinton and Donahue (2004) manipulated exercise intensity using
relative workloads and observed that a high intensity bout of exercise
was more effective than a moderate bout in reducing state anxiety in
women. The notion that a moderate bout of aerobic exercise is superior
to a more intense bout of exercise, in terms of mood modification, was
also questioned by research reported by Blanchard, Rodgers, Wilson and
Bell (2004). Blanchard et al. (2004) observed that both moderate and
intense bouts of aerobic exercise are equally effective in increasing
positive well-being and decreasing psychological distress when total
volume of work between exercise conditions is equated. Furthermore, in a
longitudinal study involving chronic exercise of older adults it was
observed that a decrease in exercise intensity across an eight year
period was associated with increased depression (Lampinen, Heikkinen
& Ruoppila, 2000). These studies question the conventional wisdom
that a moderate bout of aerobic exercise is always superior to a more
intense bout of exercise. In the current investigation we manipulated
exercise intensity as a percent of measured aerobic capacity, as opposed
to either an estimate of aerobic capacity or as perceived exercise
intensity.
Another important variable that has been studied in the anxiety
literature is the notion of a delayed anxiolytic effect. In a study
reported by Cox, Thomas, and Davis (2000) it was observed that a
moderate or high intensity bout of aerobic exercise did not result in an
immediate reduction in state anxiety, but 30 and 60-min following
exercise it did. This delay in a reduction in anxiety following a bout
of exercise was also observed by Raglin, Turner, and Eksten (1993),
Raglin and Wislon (1996) and Cox et al. (2004). A similar effect has not
been observed or studied systematically for positive affect. In the
current investigation, positive and negative affect are measured up to
90-min post exercise. Because of the similarity between psychological
distress and state anxiety it is logical to expect that a similar
delayed reduction in psychological distress might occur following
exercise.
Variables that have not been adequately studied, relative to
positive and negative mood, include age of exerciser and the influence
of iron deficiency in female exercisers. Berger, Owen, Mott and Parks
(1998) identified age differences as an important independent variable
that should be investigated. In the present investigation we included
age in the model because we reasoned that older women might respond
differently to exercise in terms of mood response. This reasoning was
based upon a meta-analysis reported by Petruzzello, Landers, Hatfield,
Kubitz and Salazar (1991). In their meta-analysis they observed that the
effect size for individuals between the ages of 31-45 was nearly twice
as large as for exercisers 18-30 years of age. Also, Cox et al. (2004)
reported an interaction between age and exercise intensity after
controlling for iron status.
While direct evidence relating iron status to mood is sparse, the
biological consequences of iron deficiency may affect mood changes
associated with exercise. Iron deficiency results in decreased
performance during aerobic exercise (Haas & Brownlie, 2001; Beard,
2001), and in alterations in neurotransmitter systems (Beard, 2001).
Furthermore, iron deficiency, determined by low hematocrit (Hct) and
hemoglobin (Hb) and by depleted iron stores, i.e., low serum ferritin (sFer) is common in women of reproductive age (Looker, Dallman, Carrol,
Gunter, & Johnson, 1997). In this investigation, these hematological variables were taken into consideration to control for iron status and
to assess any impact that iron status may have on psychological mood.
The purpose of the present investigation was to study the effects
of an acute bout of aerobic exercise on the positive and negative affect
of women of different ages, while controlling for iron status.
Manipulated independent variables included intensity of exercise, age of
participant, and time of measurement. The dependent variables in this
investigation were fatigue, psychological distress, and positive
well-being. Research hypotheses included the following:
1. Moderate and high intensity bouts of acute aerobic exercise will
be superior to a control group in terms of improving perceived fatigue,
psychological distress, and psychological well-being.
2. An exercise intensity of 60% V[O.sub.2] max (moderate) will be
more effective than an exercise intensity of 80% of V[O.sub.2] max
(high) in terms of modifying psychological affect.
3. A delayed psychological distress reduction effect will be
observed for moderate and high intensity bouts of aerobic exercise.
4. After controlling for iron status, age of participant alone or
in combination with exercise intensity and/or time of measurement will
differentially modify positive and : negative affect.
Method
Participants
Participants for the study were 24 active Caucasian females.
Participants were recruited according to age and were categorized into
18-20 year (n=12) or 35-45 year (n=12) groups. Active was defined as
being in good physical health and participating in cardiovascular
exercise at least three times a week for 20-min or more each day.
Potential participants were not accepted if competing for an
intercollegiate team, or if training for a long distance run of greater
than ten miles. Because criteria for selection were included in all
pre-study announcements, no prospective participants were turned away.
Participants were informed of the risks associated with the study and
were required to complete an informed consent form approved by the
campus human subjects IRB. Each participant was paid $52.50 to serve as
a research subject. Participant characteristics are displayed in Table
1.
Measures
Positive and negative psychological affect. Psychological affect
associated with exercise was assessed using McAuley and Courneya's
(1994) Subjective Exercise Experiences Scale (SEES). The SEES is a
12-item inventory (7-point Likert scale) which measures positive
well-being, psychological stress, and fatigue. In completing the
inventory, participants were asked to respond to the items according to
how they feel "now, at this point in time." In terms of
internal reliability, McAuley and Coumeya (1994) reported alpha
coefficients of .84 to .92 for the three subscaleS. With respect to
convergent validity, the SEES subscales display moderately high
correlations (.6 to .7) with other scales that measure positive and
negative affect. At the same time that participants completed the SEES,
they also completed Spielberger's (1983) State-Trait Anxiety
Inventory (STAI; Form Y-1). Results of research associated with the
state anxiety data are reported elsewhere (Cox, Thomas, Hinton &
Donahue, 2004).
Perceived exertion and heart rate. Perceived exertion was measured
using Borg's Rating of Perceived Exertion (RPE) scale (Borg, 1977),
which requires participants to rate, on a 6 to 20 point category scale,
their perceptions of exertion during exercise. Participants were asked
to provide ratings of perceived exertion at the 15, 20, 25, and 30-min
points of a 33-min bout of acute exercise. Measurement of perceived
exertion was used to provide a manipulation check for intensity of
exercise. Heart rate was measured using a Polar Vantage Heart Rate
Monitor and recorded at the 0, 15, 20, 25, 30, and 33-min points of the
33-min exercise bout. HR was also used to provide a manipulation check
of intensity of exercise. Concurrent validity of the RPE scale has been
determined by correlating RPE scores with heart rate (HR) and other
measures of physiological exertion. Borg (1982) reported correlations of
.80 to .90 between RPE scores and HR. Test-retest and intra-class
reliability coefficients of .78 to .83 have also been reported (Noble
& Robertson, 1996).
Blood collection. Blood was collected from a butterfly needle inserted into an antecubital vein. All blood samples were collected into
7 ml tubes containing EDTA (anticoagulant and chelating agent). All
samples were separated by centrifugation at 4[degrees]C for 15-min at
2000g in a Marathon 22100R centrifuge (Fisher Scientific, Pittsburgh,
PA). The separated plasma was transferred to 1.8 ml cryogenic vials and
stored at -70[degrees]C for later analysis. Hematocrit (Hct) was
measured immediately following each blood draw using the microhematocrit
method. Hemoglobin (Hb) measurements were also completed immediately
following each blood draw using a standard diagnostic kit (Procedure
#525, Sigma Diagnostics, St. Louis, MO). Using the commercially
available ELISA kit (Catalog #S-22, RAMCO Labortories, Stafford, Texas),
serum ferritin (sFer) measurements were completed using stored plasma
samples.
Procedures
Orientation and screening. During a potential participant's
initial visit, the individual was informed about the purpose of the
research. If the individual agreed to participate, they were required to
complete a health history questionnaire and a prospective screening
questionnaire. In order to control for mood, an additional medical
questionnaire identifying the proliferative phase of their menstrual
cycle was completed. The proliferative phase (10 days post menstruation)
was the window of time utilized to perform all submaximal exercise
sessions, but not necessarily the V[O.sub.2] max test. At the time of
the initial screening, blood was collected to determine Hct, Hb, and
sFer concentrations. Prospective participants were excused if they were
being treated for high blood pressure, epilepsy, eating disorders,
psychological disorders; or if they possessed more than one
cardiovascular disease (CVD) risk factor as defined by the American
College of Sports Medicine (ACSM; 2000) or any disease symptoms. Percent
body fat was determined using skin-fold calipers and the measurement of
skinfolds at three body sites after the method of Jackson, Pollock, and
Ward (1980). Participants were informed that when they report for
V[O.sub.2]max testing, they should abstain from food and beverages
(except water) for three hours prior to testing, and abstain from
exercise for a period of 48 hours prior to testing.
Maximal aerobic capacity. Maximal aerobic capacity was determined
through an incremental exercise test on a Quinton treadmill (Model
18-60). The results of each V[O.sub.2] max test determined the
appropriate exercise intensity to be used during the subsequent
submaximal exercise sessions. Initially, participants warmed up at a
walking speed of 3.0 mph. Following the warm-up, the speed of the
treadmill was set at 4.0 mph for 2-min. Speed was increased 0.5 mph
every min until reaching 6.5 mph. Following this time point, the grade
of the treadmill was increased 2.0% every min at 6.5 mph until the test
was completed. Expired gases were monitored using a metabolic cart. The
point of V[O.sub.2] max was determined using the following criteria:
volitional exhaustion, a respiratory exchange ratio higher than 1.1, and
a plateau in oxygen consumption. Following V[O.sub.2] max testing,
appointments were made for each participant to return for their first
sub-maximal exercise test. Furthermore, they were asked to abstain from
food and beverages (except water) for two hours prior to testing, and
abstain from exercise for a period of 24 hours prior to testing.
Submaximal exercise testing. Approximately one week after the
V[O.sub.2]max testing, each participant returned to the Exercise
Physiology Laboratory (EPL) for the first of three experimental sessions
consisting of a control and two exercise sessions. Each session was
separated by approximately 48 hours, and all three sessions were
scheduled within the participant's self-determined proliferative
phase of her menstrual cycle. For all three experimental sessions, when
the participant first entered the EPL, she was asked to sit down at a
table and complete the SEES. Because all participants had previously
completed a V[O.sub.2] max test, they were sufficiently habituated to
the laboratory and to the operation of the treadmill.
Following psychological testing, participants were prepared for
exercise at their assigned intensity for that day (or control).
Participants either did not exercise (control condition) or exercised at
60% or 80% of V[O.sub.2] max for 33-min according to a predetermined
randomly assigned diagram balanced Latin square (Wagenar, 1969).
Counterbalancing the presentation of experimental conditions was used to
control for systematic carry over effect due to order (Kepple, 1991).
While in the control condition, participants were treated identical to
other conditions, with the exception that they sat quietly for 33-min on
a chair placed on the treadmill instead of exercising. While sitting on
the chair, participant's HR was monitored and she was connected to
a metabolic cart as if actually exercising. Control participant's
perceived exertion was not monitored or requested.
During submaximal exercise sessions, participants began by wanning
up for 2-min at 3.0 mph. The following 8-min were used to slowly
increase the speed of the treadmill until the participant was near their
randomly assigned target range of 60% or 80% V[O.sub.2] max as
determined from V[O.sub.2] max data. Once this was achieved,
participants ran for 20-min at their target intensity. Following the
20-min at the target intensity, the participant was allowed to walk for
three minutes in order to cool down. The total time of the submaximal
exercise bouts was 33-min. Perceived exertion and HR were recorded at
the 15, 20, 25, and 30-min point of the exercise bout. Heart rate was
also recorded at the 0 and 33-min points.
Post experimental session. Following the 33-min bout of aerobic
exercise (or control), participants were again seated at a table and
asked to complete the SEES. The SEES was administered approximately
5-min after cessation of exercise, and again at 30, 60, and 90-min after
cessation of exercise. All administrations of the SEES took place in a
quiet room adjacent to the exercise testing room, but still in the EPL.
This was the same quiet room in which the preexercise measurement of
mood was taken. During the time the participants were relaxing they were
offered cool water and allowed to dry off and to read while sitting at a
table. Reading material included back issues of the National Geographic
Explorer and Better Homes and Gardens. Each participant completed the
SEES five times within each exercise intensity condition, for a total of
15 times.
Data Analysis
As a manipulation check for intensity of exercise, an age by
intensity by time (2x3x4) ANOVA on HR and an age by intensity by time
(2x2x4) ANOVA on RPE was conducted. A significant main effect for
intensity was expected for both HR and RPE. This outcome would verify
that manipulation of V[O.sub.2] max was effective in changing exercise
intensity.
Perceived fatigue, psychological distress and positive well-being
were each analyzed using separate age by intensity by time (2x3x5)
analysis of covariance (ANCOVA) procedure with repeated measures on the
intensity and time variables. Both hemoglobin (Hb) and serum ferritin
(sFer) served as covariates in the models. Interactions were interpreted
by studying the simple effects of one variable at different levels of a
second variable (Kepple, 1991). Planned comparisons, involving the time
effect, included contrasts between baseline measures of psychological
affect and all other times, and four trend contrasts (linear, quadratic,
cubic, quartic).
All main effects, simple effects, and mean comparisons were
interpreted using a type 1 error rate of .05 (alpha). Probability level
of effects involving repeated measures were corrected for violations of
sphericity as outlined by Huynh and Feldt (1970). Effect sizes were
reported using partial Eta-square ([eta.sup.2] p) as recommended by
Tabachnick and Fidell (2001, p. 52). Etasquare represents effect size as
a function of total variance accounted for by the independent variable.
Results
Data Screening
Prior to data analyses, all data were screened for outliers and
means and standard deviations were scrutinized. This process revealed a
skewness index of 2.00 and a kurtosis index of 3.54 for serum ferritin
(sFer). Using 2.00 as a reasonable criterion and observing that the
variance for the older women was 14 times larger than the variance for
the younger women (see Table 1), a decision was made to transform sFer
scores to log10. The skewness and kurtosis indices for the transformed
sFer scores were .69 and .20 respectively. Furthermore, it was observed
that the correlation between Hct and Hb was .80. Because these two
variables were highly correlated, only Hb and Sfer were entered into the
ANCOVA model as covariates (Tabachnick & Fidell, 2001). The
correlation between participant's overall SEES scores with Hb and
sFer was .08 and .30 respectively for perceived fatigue, .25 and .03
respectively for psychological distress, and. 11 and .02 respectively
for psychological well-being; suggesting that the covariates will have
minimal effect on the dependent variables. As part of the ANCOVA
procedure, tests were conducted to verify that an interaction was not
present between the grouping variable (age of participant) and the
covariates.
Exercise Intensity Manipulation Check
The ANOVA on HR revealed significant main effects for age,
intensity, and time; as well as significant interactions between
intensity and age, and between intensity and time. Not-with-standing the
complexity of significant interactions, plotting and testing of main and
simple effect means revealed significant differences in heart rate as a
function of intensity manipulation. Higher HR was associated with higher
exercise intensity. Similarly, the ANOVA on RPE revealed significant
effects for the main effects of intensity and time; as well as a
significant intensity by time interaction. Plotting and testing of
simple effect means revealed significant differences in perceived
exertion as a function of intensity manipulation. Higher RPE was
associated with higher exercise intensity.
Analysis of Covariance on SEES Subscales
Fatigue. The three factor ANCOVA on fatigue yielded a significant
main effect for time, F(4, 80) = 4.07, p = .01, [[eta].sup.2] p =. 17.
No other main effects or their interactions were significant at the .05
level. Planned contrasts between baseline and all other measurement
times revealed a significant difference between baseline and when
fatigue was measured 90-min post exercise (p=.02, [[eta].sup.2] p =
.25). Additionally, a planned trend analysis revealed significant linear
(p=.01, [[eta].sup.2] p = .27) and quartic trends (p=.005, [[eta].sup.2]
p = .33). The means and standard deviations for the five fatigue scores
across time were as follows: 7.75 [+ or -] 4.00, 8.69 [+ or -] 4.83,
7.25 [+ or -] 3.58, 7.31 [+ or -] 4.10, 6.40 [+ or -] 3.54.
Psychological distress. The three factor ANCOVA on psychological
distress yielded a significant main effect for time, F(4, 80) = 8.58, p
= .001, [[eta].sup.2] p = .30, and a significant intensity by age
interaction, F(2, 40) = 4.25, p = .03, [[eta].sup.2] p =. 17. No other
main effects or their interactions were significant at the .05 level.
Collapsing across age of participant and exercise intensity, planned
comparisons between baseline and all other measurement times revealed a
significant difference between baseline and when psychological distress
was measured 5-min (p=.05, [[eta].sup.2] p = 18), 30-min (p= .00,3,
[[eta].sup.2] p = .36), 60-min (p=.001, [[eta].sup.2] p =.42), and
90-min (p=.004, [[eta].sup.2] p =.35)post exercise. Additionally, a
planned trend analysis revealed significant linear (p=.001,
[[eta].sup.2] p =.43) and quadratic trends (p=.01, [[eta].sup.2] p
=.28). The means and standard deviations for the five psychological
distress scores across time were as follows: 5.53 [+ or -] 2.64, 4.76 [+
or -] 1.43, 4.38 [+ or -] 1 04, 4 72 [+ or -] 1 48, and4.19 [+ or -]
0.62.
The nature of the interaction between age of participants and
exercise intensity was studied by plotting cell means; and by testing
for simple effects of intensity at the two different levels of age, and
simple effects of age at the three different levels of exercise
intensity. The plotting of means suggested that a difference might exist
(a) between the younger and older participants in the control condition,
and (b) between the control group and the exercise conditions in the
older participants. However, none of the simple comparisons or simple
ANOVA's revealed significant differences between age groups or
among exercise intensities at the .05 level. Actual means and standard
deviations are displayed in Table 2.
Positive well-being. The three factor ANCOVA on positive well-being
yielded a significant main effect for intensity, F(2, 40) = 18.7, p =
.0001, [[eta].sup.2] = .48, and for the intensity by time by age
interaction, F(8, 160) = 2.31, p = .03, [[eta].sup.2] =. 10. No other
main effects or their interactions were significant at the .05 level.
The significant triple interaction suggests that the intensity by time
interaction for the younger participants is different than the same
interaction for the older participants. As a first step in interpreting
the triple interaction, separate intensity by time ANOVA's were
calculated for the younger and older participants separately.
The intensity by time (3 x 5) repeated measures ANOVA for the
younger participants resulted in a significant intensity main effect,
F(2, 22) = 7.02, p = .004, [[eta].sup.2] = .39, but insignificant
effects for the time and the intensity by time interaction. The nature
of the insignificant intensity by time interaction for the younger
participants is illustrated in Figure 1 and Table 3. While it appears
that a difference exists among the exercise conditions at baseline, this
was not verified statistically (p=. 12, [[eta].sup.2] p =. 18).
Collapsing across time, comparisons among exercise intensity means
revealed a significant difference between the control condition and the
80% V[O.sub.2]max condition (p=.005, [[eta].sup.2] p =.53), and between
the 60% V[O.sub.2], max condition and the 80% V[O.sub.2] max condition
(p=.03, [[eta].sup.2] p =.36). Means and standard deviations for the
control, 60% V[O.sub.2]max and 80% V[O.sub.2]max conditions were 18.30
[+ or -] 6.02, 19.37 [+ or -] 5.26 and 21.02 [+ or -] 5.33 respectively.
The intensity by time (3 x 5) repeated measures ANOVA for the older
participants resulted in a significant intensity main effect, F(2, 22) =
11.59, p = .0005, [[eta].sup.2] p =.51, and a significant intensity by
time interaction, F(8, 88) = 3.31, p = .005, [[eta].sup.2] p = .23. The
nature of the significant intensity by time interaction for the older
participants is illustrated in Figure 2 and Table 3. The exercise
intensity by time interaction was interpreted by looking at the simple
effects of intensity at the five different time periods, and by looking
at the simple main effects of time at the three different levels of
exercise intensity.
Relative to the simple effects of exercise intensity at the
different levels of time, all effects were significant except for the
simple effect of intensity at time 1. At time 2, significant mean
comparisons were observed between control and the 60% condition (p=.02,
[[eta].sup.2] p =.39) and between control and the 80% condition (p=.002,
[[eta].sup.2] p =.60). At time 3, significant mean comparisons were
observed between control and the 60% condition (p=.004, [[eta].sup.2] p
=.54) and between control and the 80% condition (p=.0001, [[eta].sup.2]
p =.77). At time 4, significant mean comparisons were again observed
between control and the 60% condition (p=.02, [[eta].sup.2] p =.40) and
between control and the 80% condition (p=.003, [[eta].sup.2] p =.71). At
time 5, significant mean comparisons were observed between control and
the 60% condition (p=.025, [[eta].sup.2] p =.38) and between control and
the 80% condition (p=.002, [[eta].sup.2] p =.74).
Relative to the simple effects of time at the different levels of
exercise intensity, only the simple effect for the 80% V[O.sub.2]max
condition was significant (p=.05, [[eta].sup.2] p =.21). For the 80%
condition, significant or borderline significant differences (p=.06)
were observed between time 1 (baseline) and time 2 (p=.06, [[eta].sup.2]
=.28), time 1 and time 3 (p=.03, [[eta].sup.2] p =.38), and time 1 and
time 5 (p=.06, [[eta].sup.2] p =.28). A significant cubic trend was also
observed for the 80% condition, F(1, 11) = 5.01, p = .047, [[eta].sup.2]
p =.31.
Discussion
Consistent with hypothesis one, moderate and high intensity bouts
of acute aerobic were generally observed to be superior to a control
group in terms of increased psychological well-being. However, in terms
of post-exercise perceived fatigue and psychological distress, the
results were not consistent with hypothesis one. Inconsistent with
hypothesis two, a moderate bout of aerobic exercise was not superior to
a high intensity bout of exercise for modifying psychological affect in
a positive direction. No differences were observed between the two
exercise intensities for fatigue and psychological distress, but for
positive well-being it was observed that a high intensity condition was
superior to a moderate intensity exercise condition for elevating
positive affect. The implications of the results of this investigation
are significant, in that they call in to question the conventional
wisdom that an acute bout of moderate aerobic exercise is always
superior to a more intense bout of exercise.
The main observation for fatigue was that it decreases across time
following a 33-min bout of exercise, regardless of age of participant
and exercise intensity (including the control group). It is easy to
understand why the perception of fatigue (e.g. tired, drained) would
dissipate following a vigorous bout of exercise of any intensity, but
not for the control condition. Apparently, sitting on a treadmill for
33-min also makes one feel tired and fatigued (perhaps tired of
sitting). Here, we conclude that fatigue associated with exercise and
sitting dissipates across time regardless of exercise intensity.
As with fatigue, psychological distress decreased linearly and in a
somewhat quadratic manner across time regardless of exercise intensity
condition. In the absence of a control condition, it might have been
concluded that moderate and high intensity exercise effectively reduces
psychological distress (Cox et al., 2001). However, as the current
investigation demonstrates, compared to a control group neither moderate
or high intensity exercise reduces psychological distress. Related
research has demonstrated that, 30-min post-exercise, state anxiety of
high intensity exercisers decreases significantly below baseline
compared to a control condition (Cox et al., 2004). From this we
conclude that psychological distress as measured by the SEES is not the
same as state anxiety as measured by Spielberger's STAI (1983).
Relative to positive well-being, the results clearly demonstrate
the superiority of the two exercise intensity conditions over the
control condition for both the younger (Figure 1) and older women
(Figure 2). The results also suggest a superiority of the 80% V[O.sub.2]
max exercise condition over the 60% V[O.sub.2] max condition in terms of
elevating positive affect. This seems to be true despite the lack of a
significant time by intensity interaction for the younger women. These
results are consistent with Cox et al. (2004) and Blanchard et al.
(2004), but inconsistent with an earlier study reported by Tuson et al.
(1995). In this earlier study, differences between high and medium
exercise intensities were not observed when considering exercise
intensity as being a percent of estimated V[O.sub.2] max. However, when
data were re-conceptualized as a function of perceived exertion, as
opposed to actual manipulated intensity, the results suggested a
superiority of the moderate perceived exertion group over the high
exertion group.
Inconsistent with hypothesis three a delayed psychological distress
effect was not observed following exercise. Relative to state anxiety,
many previous investigations have reported a delayed effect in observing
a reduction in anxiety following an acute bout of aerobic exercise (Cox
et al., 2000, 2004; Raglin et al., 1993; Raglin & Wilson, 1996).
That is, a reduction in anxiety was not observed for the exercise
condition immediately after exercise, but appeared 30 to 60 min after
exercise. No such effect was observed in the present investigation for
psychological distress, providing further evidence that the SEES measure
of psychological distress is different than state anxiety as measured by
Spielberger's STAI.
Inconsistent with hypothesis four, after controlling for iron
status, significant main effects were not observed between the two age
groups for any of the SEES subscales. Organized as a function of age,
total adjusted means and total actual means and standard deviations for
each SEES subscale are displayed in Table 1. After controlling for iron
status, only two interactions involving age (grouping variable) were
observed to be significant. These were the age by intensity interaction
for psychological distress and the age by intensity by time interaction
for positive well-being. In the case of the triple interaction for
positive well-being, the simple interactions between the two repeated
measures (intensity & time) are displayed separately for the younger
and older women in Figures 1 and 2. These two figures show how
psychological well-being varies across time and exercise intensity for
the different age groups. From these figures it appears that, compared
to a control condition, the two exercise conditions result in increased
positive well-being. The exact nature of these relationships differs as
a function of age of participant.
Compared to the control group, acute bouts of aerobic exercise had
little effect upon fatigue or psychological distress, but a beneficial
effect upon positive well-being. This conclusion is particularly true
for the 80% V[O.sub.2] exercise condition. It is unlikely that
controlling for iron status had more than a minor effect on the outcome
of this research. This conclusion is based on the observation that iron
status and total SEES subscales were poorly correlated, and the
observation that actual means and adjusted means associated with the
between subject variable (age) were nearly identical. Nevertheless,
because of the potential mood effect that iron status may have upon
women of different ages it is recommended that this line of inquiry
continue. The triple interaction between age, exercise intensity, and
time for positive well-being was intriguing. This interaction suggests
that age of female participant may be an important moderator variable for understanding the relationship between positive and negative mood at
different levels of exercise intensity and across time. While mode of
exercise was not utilized as an independent variable in this
investigation, it is recommended that it be included in future research.
This is based on two previous investigations that suggested that mode of
exercise may also have a moderating effect upon the relationship between
affect and exercise intensity (Cox,Thomas & Davis, 2001; Thomas,
Londeree, Lawson, Ziogas & Cox, 1994).
While great care was taken in developing a carefully controlled
investigation, we may have created some circumstances that could be
considered limitations. For example, sitting quietly on a treadmill for
33-min may have been stressful for some participants and may have
negatively affected mood scores. Similarly, spending 90-min in a
laboratory situation following exercise may have been very different
than doing the same thing following no exercise. Another limitation to
the study might be the controlled nature of the exercise environment.
Exercising in a laboratory on a treadmill is not the same as exercising
in a naturalistic environment.
Authos Note
This research was supported in part by an internal Research Council
Grant from the University of Missouri-Columbia.
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Richard H. Cox, Tom R. Thomas, Pam S. Hinton, and Owen M. Donahue
University of Missouri--Columbia
Address Correspondence To: Richard H. Cox, Department of ESCP, 16
Hill Hall, University of Missouri-Columbia, Columbia, MO 65211,
[email protected], Phone:573-882-7602 Fax: 573-884-5989
Table 1
Participant Characteristics Grouped as a Function of Group (values are
means [+ or -] s.d.)
Group Younger Women Older Women
Age 18.6 [+ or -] 0.7 * 40.2 [+ or -] 3.4
Height (cm) 164 [+ or -] 6.4 168 [+ or -] 5.0
Weight (kg) 57.5 [+ or -] 6.9 * 63.1 [+ or -] 5.9
% Body Fat 22.7 [+ or -] 4.4 22.6 [+ or -] 5.8
V[O.sub.2]Max 42.3 [+ or -] 4.3 * 36.2 [+ or -] 5.3
(ml/kg/min)
Hemo-globin (Hb) 13.3 [+ or -] 1.3 13.3 [+ or -] 1.3
Serum Ferritin 13.9 [+ or -] 5.0 * 28.9 [+ or -] 19
(sFer)
SEES Fatigue 7.8 [+ or -] 2.2 (7.4) # 7.2 [+ or -] 2.2 (7.6)
SEES Distress 4.6 [+ or -] 0.9 (4.7) 4.7 [+ or -] 0.8 (4.6)
SEES Well-being 19.6 [+ or -] 5.3 (19.5) 20.0 [+ or -] 2.9 (20.0)
* Indicates significant difference between means in the column (p <.05)
# Adjusted SEES subscale means
Table 2
Actual Means and Standard Deviations (in parentheses) Associated with
the Intensity by Age Interaction for Psychological Distress
Exercise Intensity
Age of Participant Control 60%V[O.sub.2]max 80%V[O.sub.2]max
Younger Women 4.60 4.63 4.68
(0.91) (1.24) (1.17)
Older Women 5.23 4.35 4.50
(1.80) (0.45) (0.53)
Table 3
Gender by Intensity by Time Interaction Means and Standard Deviations
(in parentheses) Associated with Positive Well-being.
Age Younger Women
Intensity Control 60%V[O.sub.2]max 80%V[O.sub.2]max
Time
Baseline (T1) 18.17 18.00 20.58
(05.87) (05.01) (04.58)
+05 Min (T2) 18.58 19.83 21.33
(05.88) (05.78) (06.18)
+30 Min (T3) 17.92 19.25 21.33
(06.16) (05.35) (05.07)
+60 Min (T4) 18.25 19.83 20.33
(06.45) (05.42) (05.63)
+90 Min (T5) 18.58 19.92 21.50
(06.72) (05.38) (05.89)
Age Older Women
Intensity Control 60%V[O.sub.2]max 80%V[O.sub.2]max
Time
Baseline (T1) 18.92 20.83 19.50
(04.08) (04.65) (04.32)
+05 Min (T2) 17.75 21.08 22.10
(03.49) (03.82) (02.39)
+30 Min (T3) 17.75 20.92 21.75
(03.70) (03.06) (03.00)
+60 Min (T4) 17.92 20.25 21.25
(04.03) (03.67) (03.25)
+90 Min (T5) 17.92 20.00 21.58
(04.06) (03.30) (02.71)