Studying the Effect of 12 Weeks of Combined Exercise and Ginkgo Biloba Supplementation on Brain Wave Patterns of Middle-Aged Individuals

Document Type : Original Article

Authors

1 Department of Exercise Physiology, Faculty of Education and Psychology, University of Sistan and Baluchestan, Zahedan, Iran

2 Department of Exercise Physiology, Sport Sciences Research Institute, , Tehran, Iran

Abstract

Purpose:
Exercise and low-risk herbal supplements are essential in middle age to prevent the damage of this period. The aim of this study was to investigate the effect of 12 weeks of combined exercise and Ginkgo biloba supplementation on the brain wave patterns of middle-aged individuals.
Methods:
The present study is semi-experimental. The statistical population was middle-aged men in Zabol city; 20 people with the age range of 55-64 years were selected as a convenience sample and randomly assigned into 2 groups (n=10): 1. Combined exercise and 2. Ginkgo biloba supplement. The exercise group performed aerobic exercises with an intensity of 55 to 75% of maximum heart rate and progressive resistance training with 50 to 60% of one repetition maximum (1RM) for 12 weeks, 2 sessions per week, 60 minutes each session, in a circuit at 11 stations on the large muscles of the body in four sets of 12 repetitions and 60 seconds of rest between sets. The supplement group used 2 capsules of dry Ginkgo biloba extract containing 1.6 mg of total flavonoids daily for three months. Before and after the intervention (exercise and Ginkgo biloba supplementation), brain function was assessed using an electroencephalography (EEG) device. Paired t-test was used to compare pre- and post-test results and independent t-test was used to compare the results of the two groups, using SPSS-25 software at a significance level of less than 0.05 (P≤0.05).
Results:
The results showed that in exercise group, the brain wave patterns of alpha (from 0.9 to 10.4 Hz) (p=0.001), beta (from 18.9 to 21.6 Hz) (p=0.001), cognitive status (from 22.8 to 25.3) (p=0.001), and quality of life (from 71.95 to 79.114) (p=0.001) significantly increased, and the theta (from 5.5 to 4.6 Hz) (p=0.001) and delta (from 2.2 to 1.6 Hz) (p=0.005) significantly decreased. In the Ginkgo biloba supplement group, the alpha wave pattern (from 9.1 to 10.9 Hz) (p=0.001), beta (from 19.2 to 22.7 Hz) (p=0.001), theta (from 4.8 to 5.8 Hz) (p=0.001), cognitive status (from 21.7 to 0.26) (p=0.001), and quality of life (from 2.98 to 1.114) (p=0.001) showed a significant increase, and the delta wave (from 2.5 to 1.7 Hz) (p=0.005) showed a significant decrease. When comparing the two groups, a significant difference was observed only in the theta wave (p=0.002).
Conclusion:
The results indicate that combined exercise and Ginkgo biloba supplementation, each independently, produce positive and beneficial effects on brain wave patterns and information processing processes, ultimately improving cognitive status and quality of life in middle-aged individuals.

Keywords


  1. Gholizadeh A, Shirani E. The relation between personal, family, social and economic factors with the rate of life satisfaction of aged people of Isfahan. Journal of Applied Sociology 2010; 21(37): 69-82. 
  2. Soheyli Sh, Gaieni AL. Effect of resistance training on systemic inflammatory indices in age men. Olympic Quarterly 2009; 4(41): 51-62.
  3. Kochaki G, Hojjati H, Sanagoo A. The Relationship between Loneliness and Life Satisfaction of the Elderly in Gorgan and Gonbad Cities. J Res Dev Nurs Midw 2012; 9(1): 61-68. [Persian]
  4. Morgan JA, Corrigan F, Baune BT. Effects of physical exercise on central nervous system functions: a review of brain region specific adaptations. J Mol Psychiatry 2015; 18; 3(1): 3-10.
  5. Poels MM, Ikram MA, Vernooij MW, Krestin GP, Hofman A, Messen WJ, et al. Total cerebral blood flow in relation to cognitive function: The Rotterdam Scan Study. J Cereb Blood Flow Metab 2008; 28(10): 1652-1625.
  6. Halalizadeh M, Gaini Aa, Kordi MR, Rawasi AA, Hedayati M. The effect of 12 weeks of combined training on plasma apelin and insulin resistance in relatively obese women, Harakat Scientific and Research Quarterly Journal (Biological Sciences) 2015; 7(1): 20-32.
  7. Taylor E. The Benefits of Exercise and Quality of Life, translated by Pouran Derakhshandeh 2003; 37-40
  8. Voss MW, Prakash RS, Erickson KI, Basak C, et al Plasticity of brain networks in a randomized intervention trial of exercise training in older adults. Front Aging Neurosci 2010; 2(1): 32-40.
  9. Erickson KI, Voss MW, Prakash RS, Basak C, Szabo A, et al. Exercise training increases size of hippocampus and improves memory. Proc Natl Acad Sci USA 2011; 108(7): 3017-3022.
  10. Garakhanlou R, Eslami R. The role of trophic factors in neuromuscular adaptations to physical activity. Publications of the Physical Education and Sport Sciences Research Institute, Tehran 2016.
  11. DeFeudis FV, Drieu K. Ginkgo biloba extract (EGb 761) and CNS functions basic studies and clinical applications. Curr Drug Targets 2000; 1(1): 25-58.
  12. Halalizadeh M, Behjat A. Evaluation of the effect of transcranial electrical stimulation (tDCS) and Ginkgo biloba supplementation on brain wave patterns, reaction time, speed and fatigue of female kickboxers. Master's thesis, Alborz University and Sports Sciences Research Institute 2019.
  13. Savaskan E, Mueller H, Hoerr R, von Gunten A, Gauthier S. Treatment effects of Ginkgo biloba extract EGb 761® on the spectrum of behavioral and psychological symptoms of dementia: Meta-analysis of randomized controlled trials. Int Psychogeriatr 2018; 30(3): 285-93.
  14. Uzlaşır S, Özdıraz KY, Dağ O, Tunay VB. The effects of stroboscopic balance training on cortical activities in athletes with chronic ankle instability. Phys Ther Sport 2021; 50: 50-58.
  15. Rezaei K, Nami M, Sinaei E, Bagheri Z, Kordi Yoosefinejad A. A comparison between effects of neurofeedback and balance exercise on balance of healthy older adults. J Biomed Phys Eng 2021; 11(6): 713-722.
  16. Niedermeyer E, da Silva FL, editors. Electroencephalography: basic principles, clinical applications, and related fields. Lippincott Williams & Wilkins 2005.
  17. Li J-Y, Kuo TB, Hung C-T, Yang CC. Voluntary exercise enhances hippocampal theta rhythm and cognition in the rat. Behav Brain Res 2021; 399: 112916.
  18. Kalbe E, Roheger M, Paluszak K, Meyer J, et al. Effects of a cognitive training with and without additional physical activity in healthy older adults: a follow-up 1 year after a randomized controlled trial. Frontiers Aging Neurosci 2018;10: 407.
  19. Dessy E, Mairesse O, Van Puyvelde M, Cortoos A, et al. Train your brain? Can we really selectively train specific eeg frequencies with neurofeedback training. Frontiers Human Neurosci 2020;14: 22. 
  20. Conley AC, Cooper PS, Karayanidis F, Gardner AJ, et al. Resting state electroencephalography and sports-related concussion: a systematic review. J Neurotrauma 2019; 36(1): 1-13.
  21. Seidel O, Carius D, Roediger J, Rumpf S, Ragert P. Changes in neurovascular coupling during cycling exercise measured by multi-distance fNIRS: a comparison between endurance athletes and physically active controls. Exp Brain Res 2019; 237(11): 2957-2972.
  22. Kim H, Hong T, Kim J, Yeom S. A psychophysiological effect of indoor thermal condition on college students’ learning performance through EEG measurement. Building and Environment 2020; 184: 107223.
  23. Rebelo MA, Padovan CM, Pereira AC, Moraes Cd. Moderate-intensity exercise training improves long-term memory in fructose-fed rats. Motriz: Revista de Educação Física 2020; 26(4): e10200081.
  24. Demos JN. Getting Started with Neurofeedback. New York.London: WW Norton &Company 2005.
  25. Iber, C. The AASM manual for the scoring of sleep and associated events: rules, terminology and technical specifications. (1 st edition). Westchester, Illinois: American Academy of Sleep Medicine 2007.
  26. Thut G, Nietzel A, Brandt SA, & Pascual-Leone A. α-Band electroencephalographic activity over occipital cortex indexes visuospatial attention bias and predicts visual target detection. J Neurosci 2006; 26(37): 9494-9502.
  27. Jann K, Koenig T, Dierks T, Boesch C, Federspiel A. Association of individual resting state EEG alpha frequency and cerebral blood flow. Neuroimage 2010; 51(1): 365-372.
  28. Smith J, Luo Y. Elevation of oxidative free radicals in Alzheimer’s disease models can be attenuated by Ginkgo biloba extract EGb 761. J Alzheimers Dis 2003; 761(5): 287-300.
  29. Moraes H, Ferreira C, Deslandes A, Cagy M, et al. beta and alpha electroencephalographic activity changes after acute exercise. Arq Deneuropsiquiatria 2007; 65(3A): 637-641.
  30. Pennington B, Bennetto L, & McAleer O. Executive functions and working memory, in attention, memory, and executive function. Attention, memory and executive functions. Baltimore, MD: Paul H. Brookes 1996; 327-348.
  31. St-Louis-Deschenes M., Moore R, & Ellemberg D. The Effect of Acute Aerobic Exercise on Spontaneous Brain Activity in Children. Pediat Therapeut 2015; 5(1): 1-4.
  32. Eskandernejad M. The effect of neurofeedback training on electroencephalographic changes and performance of novice archers and shooters. Doctoral thesis. Faculty of Physical Education and Sport Sciences. Shahid Beheshti University, 2010.
  33. Babiloni C, Marzano N, Iacoboni M, Infarinato F, et al. Resting state cortical rhythms in athletes: a high-resolution EEG study. Brain Res Bull 2010; 81(1): 149-156.
  34. Huertas F, Zahonero J, Sanabria D, Lupianez J. Functioning of the attentional networks at rest vs. during acute bouts of aerobic exercise. J Sport Exerc Psychol 2011; 33(5): 649- 655.
  35. Weinstein AM, Voss MW, Prakash RS, Chaddock L, et al. The association between aerobic fitness and executive function is mediated by prefrontal cortex volume. Brain Behav Immun 2012; 26(5): 811-819.
  36. Vreugdenhil A, Cannell J, Davies A, Razay G. A community‐based exercise programme to improve functional ability in people with Alzheimer’s disease: A randomized controlled trial. Scand J Caring Sci 2012; 26(1): 12-19.
  37. Renaud M, Bherer L, & Maquestiaux F. A high level of physical fitness is associated with more efficient response preparation in older adults. J Gerontol B Psychol Sci Soc Sci 2010; 65(3): 317-322.
  38. Boucard GK, Albinet CT, Bugaiska A, Bouquet CA, et al. Impact of physical activity on executive functions in aging: a selective effect on inhibition among old adults. J Sport Exerc Psychol 2012; 34(6): 808-827.
  39. Salthouse TA, Davis HP. Organization of cognitive abilities and neuropsychological variables across the lifespan. Developmental Review 2006; 26(1): 31-54.
  40. Perez L, Padilla C, Parmentier FB, Andres P. The effects of chronic exercise on attentional networks. PLoS ONE. 2014; 9(7): e101478.
  41. Padilla C, Perez L, Andres P. Chronic exercise keeps working memory and inhibitory capacities fit. Front behav neurosci 2014; 8(1): 49-59.
  42. Pitsikas N, Rigamonti A, Cella S, Muller E. The GABA< sub> B receptor and recognition memory: possible modulation of its behavioral effects by the nitrergic system. Neuroscience 2003; 118(4): 1121-1127.
  43. Lee T, Shiao YJ, Chen CF, Wang LCH. Effect of Ginseng Saponins on b-Amyloid-Suppressed Acetylcholine Release from Rat Hippocampal Slices. Planta Med 2001; 67(634): 634-637.
  44. Elsabagh S, Hartley DE, Ali O, Williamson EM, File SE. Differential cognitive effects of Ginkgo biloba after acute and chronic treatment in healthy young volunteers, Psychopharmacology 2005; 179(2): 437–446.
  45. Salamon J, Becker J, Fink GR, Kessler J, et al. Cognitive training with and without additional physical activity in healthy older adults: cognitive effects, neurobiological mechanisms, and prediction of training success. Front Aging Neurosci 2002; 7(2): 187-197.
  46. Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States’ version of the world health organization quality of life (WHOQOL) instrument. J Clin Epidemiol 2000; 53(1): 1-12.
  47. St Leger L. Declarations, Charters and Statements–Their role in health promotion. health promotion Int 2007; 22(3) 179-181.
  48. Ebrahimi Z, Esmaeilzadeh Ghandehari MR, Veisi K. The Effect of Physical Activity Based on Intergenerational Programs on the Quality of Life of Older Adults Iranian Journal of Ageing 2020; 14(4): 406-421. [Persian]
  49. Bastani M, Ghasemi Gh. Sadeghi M. The effect of selected central stability exercises on restless legs syndrome and quality of life in hemodialysis patients. Qom Univmed Sci J 2018; 12(8): 48-58.
  50. Hasani N, Karimavi M, Rezheh N, Ashtiani M, et al. The effect of Pilates exercises on the quality of life of elderly women with type 2 diabetes. Payesh 2018; 17(5): 531-539.
  51. Zarei H, Norasteh A, Koohboomi M. The effect of combined training (strength and stretching) on balance, fall risk and quality of life of the elderly. J Rehab Med 2018; 7(2): 201-208.
  52. Tavakoli Ebrahim Zadeh N, Nikbakht AH. The motivational effect of the tracker along with physical activity on cardiovascular endurance and quality of life of sedentary elderly. Journal of Disability Studies (Scientific-Research) 2020; 10: 114-120.
  53. UN-Ahmadi M, Noudehi M, Esmaeili M, Sadrollahi A. Comparing the Quality of Life Between Active and Non-Active Elderly Women with an Emphasis on Physical Activity. Iranian Journal of Ageing 2017; 12(3): 262-275. (Persian)
  54. Cieza A, Maier P, Poppel E. Effects of Ginkgo biloba on mental functioning in healthy volunteers, Arch Med Res 2003; 34(5): 373-381.
  55. Ratey JJ, Loehr JE. The positive impact of physical activity on cognition during adulthood: a review of underlying mechanisms, evidence and recommendations. Rev Neurosci 2011; 22(2): 171-185.
  56. McMorris T, Hale BJ. Is there an acute exercise-induced physiological/biochemical threshold which triggers increased speed of cognitive functioning? A meta-analytic investigation. Journal of Sport and Health Science 2015; 4(1): 4-13.