Elsevier

Psychiatry Research

Volume 145, Issue 1, 29 November 2006, Pages 79-83
Psychiatry Research

Hypothesis
Transient hypofrontality as a mechanism for the psychological effects of exercise

https://doi.org/10.1016/j.psychres.2005.07.033Get rights and content

Abstract

Although exercise is known to promote mental health, a satisfactory understanding of the mechanism underlying this phenomenon has not yet been achieved. A new mechanism is proposed that is based on established concepts in cognitive psychology and the neurosciences as well as recent empirical work on the functional neuroanatomy of higher mental processes. Building on the fundamental principle that processing in the brain is competitive and the fact that the brain has finite metabolic resources, the transient hypofrontality hypothesis suggests that during exercise the extensive neural activation required to run motor patterns, assimilate sensory inputs, and coordinate autonomic regulation results in a concomitant transient decrease of neural activity in brain structures, such as the prefrontal cortex, that are not pertinent to performing the exercise. An exercise-induced state of frontal hypofunction can provide a coherent account of the influences of exercise on emotion and cognition. The new hypothesis is proposed primarily on the strength of its heuristic value, as it suggests several new avenues of research.

Introduction

Exercise is beneficial to mood and cognition (e.g., Colcombe and Kramer, 2003, Scully et al., 1998, Tomporowski, 2003). Extensive evidence shows that in the moderate, aerobic range, exercise reduces stress, decreases anxiety, and alleviates depression (Salmon, 2001). Despite decades of research attempting to explicate a neurochemical basis for these phenomena, a sound mechanistic explanation is still lacking. Previous research has concentrated heavily on alterations in neurotransmitter mechanisms such as norepinephrine (Dishman, 1997), endorphins (Hoffman, 1997), serotonin (Chaouloff, 1997), and most recently endocannabinoids (Sparling et al., 2003, Dietrich and McDaniel, 2004). Bearing on this long-standing gap in the medical knowledge base, it will be shown that established concepts in cognitive psychology and the neurosciences, coupled with recent findings intimating prefrontal cortex pathology in anxiety disorders and depression, can be synthesized to formulate a new hypothesis. This surprisingly simple hypothesis, “transient hypofrontality”, is based on functional neuroanatomy and should be regarded as complementary to explanations focusing on neurotransmitter changes. Importantly, this new theoretical framework yields a number of eminently testable hypotheses.

Section snippets

Exercise-induced transient hypofrontality

Converging evidence from a number of techniques (133Xe washout, radioactive microsphere, and autoradiography as well as EEG, SPECT, and PET) has shown that exercise is associated with profound regional changes in motor, sensory, and autonomic regions of the brain. Marked increases in activation occur in neural structures responsible for generating the motor patterns that sustain the physical activity. In particular, the primary motor cortex, secondary motor cortices, basal ganglia, cerebellum,

Implications for mental health

Because neuroimaging studies of individuals with anxiety disorders and depression show evidence of frontal lobe dysfunction, the concept of exercise-induced transient hypofrontality suggests a new neural mechanism by which exercise might be beneficial to mental health. Briefly, in obsessive–compulsive disorder (OCD), for instance, the ventromedial prefrontal cortex (VMPFC), which has been implicated in complex emotions, exhibits widespread hypermetabolism (Baxter, 1990), while individuals with

Conclusions

Supportive evidence from exercise science, psychology, and neuroscience was synthesized to develop a new mechanistic explanation for the anxiolytic, antidepressant, and cognitive effects accompanying acute exercise. The transient hypofrontality hypothesis is based on neuroanatomical, physiological, and theoretical considerations and has several advantages over other approaches. First, a state of diminished activity in prefrontal regions can account for a wide variety of well-documented

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