The effect of fatigue on postural control and cognitive performance

ISRCTN ISRCTN18115608
DOI https://doi.org/10.1186/ISRCTN18115608
Secondary identifying numbers H1402563451425
Submission date
05/08/2025
Registration date
05/08/2025
Last edited
05/08/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The ability to maintain attention and react quickly is essential for military personnel, especially after physical exertion. This study aims to investigate whether the level of cardiorespiratory fitness (CRF) affects changes in vigilance and reaction time after intense physical exercise in trained soldiers.

Who can participate?
Healthy male soldiers aged 25–40 years, with normal or corrected vision, who had passed the Annual Military Physical Fitness Test, and had no neurological, sensory, postural or gait disorders.

What does the study involve?
Participants performed a computer-based attention test (go/no-go Psychomotor Vigilance Task) before and immediately after a maximal incremental treadmill running test to exhaustion. Reaction time, commission errors, and omission errors were recorded. The treadmill test followed the Bruce protocol with continuous gas exchange measurement. Based on VO₂max results, participants were classified into high or low CRF groups.

What are the possible benefits and risks of participating?
This research can help improve training strategies to optimise cognitive performance after physical exertion in military and similar professions. Risks are minimal but may include temporary fatigue, dizziness, or mild gastrointestinal discomfort, which typically resolve within 12 hours.

Where is the study run from?
The Exercise Physiology Laboratory, Faculty of Physical Activity and Sport Sciences, University of Valencia (Spain)

When is the study starting and how long is it expected to run for?
September 2014 to June 2015

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Jose Luis Bermejo Ruiz, j.luis.bermejo@uv.es

Contact information

Dr Jose Luis Bermejo Ruiz
Public, Scientific, Principal Investigator

University of Valencia
Faculty of Physical Activity and Sport Sciences
C/ Gascó Oliag, 3
Valencia
46010
Spain

ORCiD logoORCID ID 0000-0002-1550-0564
Phone +34 (0)686225802
Email j.luis.bermejo@uv.es

Study information

Study designInterventional non-randomized controlled within-subject design
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Training facility/simulation, University/medical school/dental school
Study typeOther
Participant information sheet 47782_PIS.pdf
Scientific titleCardiorespiratory fitness modulates the effect of acute exercise on vigilance performance in trained soldiers
Study acronymCRF-Cognition
Study objectivesPrimary objective:
To determine whether cardiorespiratory fitness level modulates the effect of acute maximal exercise on vigilance performance in trained soldiers.

Secondary objectives:
1. To compare changes in reaction time, commission errors, and omission errors before and after maximal exercise between high- and low-fitness groups.
2. To analyse whether the magnitude of improvement in vigilance differs according to baseline fitness level.

Study hypothesis:
Acute maximal exercise will improve vigilance performance in trained soldiers, and the magnitude of improvement will differ depending on cardiorespiratory fitness level.
Ethics approval(s)

Approved 25/07/2014, Ethics Committee of the University of Valencia (Av. Blasco Ibáñez, 13, Valencia, 46010, Spain; +34 (0)96 16 25 834; ceih@uv.es), ref: H1402563451425

Health condition(s) or problem(s) studiedCognitive performance, vigilance, and reaction time in healthy trained soldiers under acute physical fatigue
InterventionParticipants completed a maximal incremental treadmill running protocol to exhaustion, followed by immediate post-exercise assessment of vigilance performance using a go/no-go psychomotor vigilance task (PVT). The same task was performed before exercise as baseline. Participants were classified into high- or low-cardiorespiratory fitness groups according to ACSM guidelines.
Intervention typeBehavioural
Primary outcome measureReaction time (milliseconds) is measured using a computer-based go/no-go Psychomotor Vigilance Task (PVT) at baseline (pre-exercise) and immediately after completion of the maximal incremental treadmill test (post-exercise)
Secondary outcome measures1. Commission errors (%) are measured using the same go/no-go PVT at baseline and immediately post-exercise
2. Omission errors (%) are measured using the same go/no-go PVT at baseline and immediately post-exercise
Overall study start date01/09/2014
Completion date30/06/2015

Eligibility

Participant type(s)Healthy volunteer
Age groupAdult
Lower age limit25 Years
Upper age limit40 Years
SexMale
Target number of participants34
Total final enrolment34
Key inclusion criteria1. Male soldiers aged 25–40 years
2. Passed Annual Military Physical Fitness Test (AMPFT)
3. Normal or corrected-to-normal vision
4. No neurological, sensory, postural, or gait disorders
5. No history of neuropsychological impairment
Key exclusion criteria1. Cardiovascular disease or other contraindications to maximal exercise
2. Recent musculoskeletal injury
3. Consumption of stimulants or alcohol within 24 hours prior to testing
Date of first enrolment01/09/2014
Date of final enrolment30/06/2015

Locations

Countries of recruitment

  • Spain

Study participating centre

University of Valencia
Faculty of Physical Activity and Sport Sciences
C/ Gascó Oliag, 3
Valencia
46010
Spain

Sponsor information

Universitat de València
University/education

Faculty of Physical Activity and Sport Sciences
C/ Gascó Oliag
Valencia
46010
Spain

Website https://www.uv.es
ROR logo "ROR" https://ror.org/043nxc105

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date31/12/2025
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planThe results of this study will be disseminated through publication in peer‑reviewed scientific journals, including the current submission to Scientific Reports. Findings will also be presented at national and international conferences in the fields of sports science, exercise physiology, and cognitive neuroscience. In addition, summaries of the results will be made available to participants upon request, and data will be shared with the research community in line with the University of Valencia’s open science policy, ensuring that confidentiality and ethical guidelines are respected.
IPD sharing planThe datasets generated and/or analysed during the current study are not publicly available due to participant confidentiality but are available from the corresponding author on reasonable request. All shared data will be fully anonymised, and requests will be considered for research purposes only, subject to approval by the research team and in compliance with institutional and ethical guidelines.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 05/08/2025 No Yes
Protocol file 05/08/2025 No No

Additional files

47782_PIS.pdf
47782_PROTOCOL.pdf

Editorial Notes

05/08/2025: Study's existence confirmed by the Ethics Committee of the University of Valencia.