Purpose: We sought to verify if alterations in prefrontal cortex (PFC) activation and psychological responses would play along with impairments in pacing and performance of mentally fatigued cyclists.Materials and Methods: Eight recreational cyclists performed two preliminary sessions to familiarize them with the rapid visual information processing (RVP) test, psychological scales and 20 km cycling time trial (TT20km) (session 1), as well as to perform a VO2MAX test (session 2). Thereafter, they performed a TT20km either after a RVP test (30 min) or a time-matched rest control session (session 3 and 4 in counterbalanced order). Performance and psychological responses were obtained throughout the TT20km while PFC electroencephalography (EEG) was obtained at 10 and 20 km of the TT20km and throughout the RVP test. Increases in EEG theta band power indicated a mental fatigue condition. Repeated-measures mixed models design and post-hoc effect size (ES) were used in comparisons.Results: Cyclists completed the trial ~2.7% slower in mental fatigue (34.3 ± 1.3 min) than in control (33.4 ± 1.1 min, p = 0.02, very large ES), with a lower WMEAN (224.5 ± 17.9 W vs. 240.2 ± 20.9 W, respectively; p = 0.03; extremely large ES). There was a higher EEG theta band power during RVP test (p = 0.03; extremely large ES), which remained during the TT20km (p = 0.01; extremely large ES). RPE increased steeper in mental fatigue than in control, together with isolated reductions in motivation at 2th km (p = 0.04; extremely large ES), felt arousal at the 2nd and 4th km (p = 0.01; extremely large ES), and associative thoughts to exercise at the 6th and 16th km (p = 0.02; extremely large ES) of the TT20km.Conclusions: Mentally fatigued recreational cyclists showed impaired performance, altered PFC activation and faster increase in RPE during a TT20km.

This study verified if a prior 5 repetition maximum (5RM) strength exercise would improve the cycling performance during a 20-km cycling time trial (TT20km). After determination of the 5RM leg press exercise load, 11 trained cyclists performed a TT20km in a control condition and 10-minute after 4 sets of 5RM strength exercise bouts (potentiation condition). Oxygen uptake, blood lactate concentration, ratings of perceived exertion (RPE), and power output data were recorded during the TT20km. Cycling economy index was assessed before the TT20km, and pacing strategy was analyzed assuming a "J-shaped" power output distribution profile. Results were a 6.1% reduction (p ≤ 0.05) in the time to complete the TT20km, a greater cycling economy (p < 0.01), and power output in the first 10% of the TT20km (i.e., trend; p = 0.06) in the potentiation condition. However, no differences were observed in pacing strategy, physiological parameters, and RPE between the conditions. These results suggest that 5RM strength exercise bouts improve the performance in a subsequent TT20km.

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Introduction: Mental exertion is a psychophysiological state caused by sustained and prolonged cognitive activity. The understanding of the possible effects of acute mental exertion on physical performance, and their physiological and psychological responses are of great importance for the performance of different occupations, such as military, construction workers, athletes (professional or recreational) or simply practicing regular exercise, since these occupations often combine physical and mental tasks while performing their activities. However, the effects of implementation of a cognitive task on responses to aerobic exercise and sports are poorly understood. Our narrative review aims to provide information on the current research related to the effects of prior acute mental fatigue on physical performance and their physiological and psychological responses associated with exercise and sports.Methods:The literature search was conducted using the databases PubMed, ISI Web of Knowledge and PsycInfo using the following terms and their combinations: “mental exertion”, “mental fatigue”, “mental fatigue and performance”, “mental exertion and sports” “mental exertion and exercise”.Results:We concluded that prior acute mental exertion affects effectively the physiological and psychophysiological responses during the cognitive task, and performance in exercise. Conclusion:Additional studies involving prior acute mental exertion, exercise/sports and physical performance still need to be carried out in order to analyze the physiological, psychophysiological and neurophysiological responses subsequently to acute mental exertion in order to identify cardiovascular factors, psychological, neuropsychological associates.

This paper discusses the importance of territorialization for Medical Education based on the analysis of a teaching experience in a medical course. The medical course in this higher education institution is made up of modules, one of which is the primary health care module. It addresses territorialization, with activities linked to five basic health units, recorded in cartographic journals. The experience in one of the units was analyzed using four axes: the participation of community health agents in medical training; learning about equity; the importance of the team-community bond; the role of students, professionals and the community; and learning through territorialization. The analysis of this experience showed the importance of understanding that is sensitive to territory mapping from the ethical-estheticpolitical perspective of the devir of the subject group for Primary Health Care and Service, according to the needs of the population.