The effects of exercise in the heat and hydration status on cognitive function

ISRCTN ISRCTN95800060
DOI https://doi.org/10.1186/ISRCTN95800060
Secondary identifying numbers FHITP
Submission date
05/09/2016
Registration date
23/09/2016
Last edited
24/10/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Many major international competitions for field hockey take place in hot environmental conditions (such as in the Rio 2016 Olympics). There is therefore a need to better understand how the body copes with the heat stress associated with high-intensity intermittent (stop-start) exercise and how this impacts upon field-hockey players’ physical performance and cognitive function (mental processing). Field hockey not only involves intermittent high speed running and sprinting but decision-making skills. Therefore it is important to understand how field-hockey specific exercise in hot conditions effects cognitive function. In addition, previous research from our lab has demonstrated that field hockey player compete when dehydrated, particularly during tournaments. The aim of this study is to determine whether cognitive function is impaired in hot and moderate conditions and when dehydrated following hockey specific exercise.

Who can participate?
Female elite field hockey players aged 18-40.

What does the study involve?
Participants complete four field hockey simulations in a random order, a minimum of 1 week apart, on a treadmill. Before and after each of the hockey match simulations cognitive function is assessed using laptop based software. The four simulations involve exercise in the heat in a normal hydration state; exercise in the heat when dehydrated; exercise in moderate conditions in a normal hydration state; and exercise in moderate conditions in a dehydrated state. Participants are familiarised with all the techniques and measurements during preliminary laboratory visits. For each simulation, participants have their cognitive function measured before and after each exercise test. In addition, their rectal temperature, how much they felt they are pushing themselves and thirst are measured every 10 minute during exercise.

What are the possible benefits and risks of participating?
Participants benefit from being provided with information about their current fitness levels and a training programme provided should they wish. In addition, information can be provided regarding a participant’s responses to exercising in hot conditions. Intermittent exercise in the heat is physically very demanding, and places strain on the body. Therefore, there is a risk that participants may feel faint or nauseas and/or suffer from heat stroke. All participants will be closely monitored in order to avoid this.

Where is the study run from?
Nottingham Trent University (UK)

When is the study starting and how long is it expected to run?
September 2006 to September 2008

Who is funding the study?
Nottingham Trent University (UK)

Who is the main contact?
Dr Caroline Sunderland
caroline.sunderland@ntu.ac.uk

Contact information

Dr Caroline Sunderland
Scientific

Erasmus Darwin Building
Nottingham Trent University
Clifton Lane
Nottingham
NG11 8NS
United Kingdom

Phone +44 115 8486379
Email caroline.sunderland@ntu.ac.uk

Study information

Study designSingle-centre randomised cross over trial
Primary study designInterventional
Secondary study designRandomised cross over trial
Study setting(s)Other
Study typeOther
Participant information sheet No participant information sheet available
Scientific titleEffects of heat stress and dehydration on cognitive function in elite female field hockey players
Study objectivesCognitive function would be impaired when hypohydrated and under heat stress.
Ethics approval(s)Nottingham Trent University School of Science and Technology Human Ethics Committee, 14/11/2006, ref: xxxviii
Health condition(s) or problem(s) studiedSports performance
InterventionParticipants are randomised to undertake four exercise conditions in a random order. The exercise undertaken consists of 50 minutes of activity, divided into 2 x 25 min blocks of exercise separated by a 10 min intermission designed to replicate half time. This is performed on a motorised treadmill (h/p/cosmos Pulsar 4.0, Nussdorf-Traunstein, Germany) housed in an environmental chamber (WIR52-20HS, Design Environmental Ltd., Gwent, Wales, U.K) and consisted of different exercise intensities observed in match-play. Participants are required to hold a hockey stick for the entire duration of the protocol. The treadmill gradient was set at 1% to reflect the energy cost of outdoor running.

Condition 1: Participants complete exercise in heat (33.3 ± 0.1oC, 59 ± 1% rh) in a dehydrated state (achieved through undergoing a period in an chamber (~ 40oC, 75% rh))
Condition 2: Participants complete exercise in heat (33.3 ± 0.1oC, 59 ± 1% rh) in a hydrated state (ingestion of water ad libitum, in a thermally neutral environment (~ 19oC) for ~ 2 hours)
Condition 3: Participants complete exercise in a thermally neutral environment (~ 19oC) in a dehydrated state
Condition 4: Participants complete exercise in a thermally neutral environment (~ 19oC) in a hydrated state

All participants are monitored closely throughout the recovery period on completion of the main trials. Participants are fed, rehydrated and only permitted to leave the laboratory once they were euhydrated, core temperature had returned to normal levels and the participants confirmed they were feeling ‘normal’.

Participants undergo computerised cognitive function assessments at baseline and 60- minutes post-exercise in all four trial conditions. Additionally, rectal temperature, perceived exertion (self-reported) and perceived thirst (self-reported) are measured at baseline and every 10 minutes throughout exercise in each condition.
Intervention typeOther
Primary outcome measureCognitive function is assessed using the Stroop test, visual search (VS) test and Sternberg Working memory test before and 60 minutes after each exercise condition.
Secondary outcome measures1. Rectal temperature recorded at baseline (time point 0) and every 10 minutes throughout exercise and immediately after completion of the final cognitive test battery in each exercise condition
2. Rating of perceived exertion on a scale of 6-20 using the Borg scale recorded at time point 0 and every 10 minutes throughout exercise in each exercise condition
3. Rating of perceived thirst (9 point scale ranging from not thirsty to very, very thirst) at time point 0 and every 10 minutes throughout exercise in each exercise condition
Overall study start date01/09/2006
Completion date01/09/2008

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit18 Years
Upper age limit40 Years
SexFemale
Target number of participants10
Key inclusion criteria1. 18-40 years old
2. Female elite
3. Elite field hockey players
Key exclusion criteria1. Exercise-induced asthmatics
2. History of heart problems
3. Family history of sudden death below the age of 50
Date of first enrolment01/12/2006
Date of final enrolment01/09/2007

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Nottingham Trent University
Department of Sports Science
Clifton Campus
Nottingham
NG11 8NS
United Kingdom

Sponsor information

Nottingham Trent University
University/education

Erasmus Darwin Building
Clifton Lane
Nottingham
NG11 8NS
England
United Kingdom

Phone +44 115 9418418
Email sstenquiries@ntu.ac.uk
Website www.ntu.ac.uk
ROR logo "ROR" https://ror.org/04xyxjd90

Funders

Funder type

University/education

Nottingham Trent University
Private sector organisation / Universities (academic only)
Alternative name(s)
NTU
Location
United Kingdom

Results and Publications

Intention to publish date31/07/2017
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 19/06/2018 24/10/2019 Yes No

Editorial Notes

24/10/2019: Publication reference added.