Can Your Brain Fight Fatigue?

FatigueMaisie Paterson/Getty Images

Recently, researchers in England discovered that simply rinsing your mouth with a sports drink may fight fatigue. In the experiment, which was published online in February in the Journal of Physiology, eight well-trained cyclists completed a strenuous, all-out time trial on stationary bicycles in a lab. The riders were hooked up to machines that measured their heart rate and power output. Throughout the ride, the cyclists swished various liquids in their mouths but did not swallow. Some of the drinks contained carbohydrates, the primary fuel used during exercise. The other drinks were just flavored, sugar-free water.

Phys Ed

By the end of the time trials, the cyclists who had rinsed with the carbohydrate drinks — and spit them out — finished significantly faster than the water group. Their heart rates and power output were also higher. But when rating the difficulty of the ride, on a numerical scale, their feelings about the effort involved matched those for the water group.

In a separate portion of the experiment, the scientists, using a functional M.R.I., found that areas within the brain that are associated with reward, motivation and emotion were activated when subjects swished a carbohydrate drink. It seems that the brains of the riders getting the carbohydrate-containing drinks sensed that the riders were about to get more fuel (in the form of calories), which appears to have allowed their muscles to work harder even though they never swallowed the liquid.

The role of the brain in determining how far and hard we can exercise — its role, in other words, in fatigue — is contentious. Until recently, most researchers would have said that the brain played little role in determining how hard we can exercise. Muscles failed, physiologists thought, because of biochemical reactions within the muscles themselves. They began getting too little oxygen or were doused with too much lactic acid or calcium. They stiffened and seized.

But there are problems with the idea that fatigue involves only the muscles. “We know that people speed up at the end of exercise,” says Ross Tucker, a researcher with the Sports Science Institute of South Africa, who has extensively studied fatigue in athletes. “If calcium” or other biochemical changes in the muscles “caused muscle failure, this would be impossible at the end, when these changes are at their greatest levels.”

Instead, he and many (but not all) physiologists now believe that exhaustion isn’t just in the muscles but also involves the brain. “What we now think is that the muscle isn’t acting on its own,” he says. “There’s an interplay of central processing and muscular exertion.” From the outset of exercise, “the brain asks for and gets constant feedback from the muscles and other systems especially about body temperature” and checks on “how are things going,” says Carl Foster, a professor in the department of exercise and sports science at the University of Wisconsin in La Crosse. Through mechanisms that aren’t fully understood, the brain tracks and calibrates the amount of fuel that is in the muscles, as well as the body’s core temperature. As the amount of fuel drops and the temperature rises, the brain decides that some danger zone is being approached. It starts reducing “the firing frequency of motor neurons to the exercising muscle, leading to a loss of force production,” says Ed Chambers, a researcher at the School of Sport and Exercise Sciences at the University of Birmingham in England and an author of the carbohydrate-drinks study. In other words, the mind, recognizing that the body may be going too hard, starts sending fewer of the messages that tell the muscles to contract. The muscles contract less frequently and more feebly. In a sensation familiar to anyone who exercises, your legs die beneath you.

The mental choreography of fatigue is intricate, involving messages sent not only from the brain to the straining muscles but also to various areas within the mind as well. Data from some recent brainwave studies of athletes showed that during long, hard exercise, there’s often a moment when portions of the brain become “de-aroused,” Foster says. “It’s similar to depression,” he adds, and plays out in motivation. You begin to wonder why in the world you’re running, swimming or pedaling so hard. You slow down.

“I think the training effect of this theory is potentially very profound,” Tucker says. “Training is no longer simply an act of getting the muscles used to lactate or teaching the lungs how to breathe harder.” It’s also about getting your brain to accept new limits by pushing yourself, safely. “Once your brain recognizes that you’re not going to damage yourself,” Foster says, “it’ll be happy to let you go.”

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Very interesting! I’ll experiment with this. Too bad this method can rot the teeth!

Alex Lickerman, M.D. July 15, 2009 · 11:09 am

If this article is accurate, science is far behind the experience of most athletes who know very well their motivation and mental state have everything to do with their body’s performance. As often happens, what’s regarded as common sense drawn from experience gets quantified scientifically long after it’s become accepted wisdom. The power of resolve in sports performance, and in life performance for that matter, to enable people to accomplish the “impossible” cannot be underestimated.

//www.happinessinthisworld.com/2009/06/28/the-power-of-resolve/

Well, if you drink water when you feel thirsty, you stop feeling thirsty as soon as the water is down your esophagus, not 60 minutes later after the water is absorbed. Since thirst is triggered by the effects of increasing serum osmolality in parts of the brain, and there is no way that you have diluted your serum in the time it takes you to swallow the water, it stands to reason that there must be some other mechanism at work to make you stop feeling thirsty.

Based on this, is bulemia good for you?

I think that there is an interplay between the situation in the muscle and the brain’s response to it. Sure, you can speed up at the end of a race. Physiologically, it would be impossible, though, to do this for the entire race. If you were not allowed to stop when you thought you could after a final sprint, I don’t think that you would have much reserve left. Most athletes develop an instinct regarding how to push themselves to the limit, but not over. Speeding up at the end is one way that they accomplish that.

would swilling alcohol but spitting it out cause some form of drunkenness?

Mike,

Chew sugar free gum afterward. It prevents tooth decay.

As for the study, I might have to try this later today.

My husband and I used to do triathlons and marathons and with all due respect, we figured this out a long time ago. It’s pretty much a given that all elite athletes have trained their muscles to a high state of fitness and the deciding factor in who wins is usually psychological, perhaps especially in endurance sports. Even back of the packers are subject to these challenges. One objective of training, in my opinion, is to acquaint you with these feelings so you can deal with them in the race. It is interesting that they can be tracked physiologically.

just look at the recent article about the ultra-marathoner who had partof her brain removed to stop siezures.. the article said it also removed her mental awareness about how far she was going and with this mental concern removed she has fewer limitations in that respect than her colleagues.

Also, the state of mind required to push physical boundaries is no surprise.. there is a reason that distance runners peak later than most athletes.. it is because of the state of mind and focu needed to compete in such event.

I know that i often feel an andrenal rush instantly when drinking a sports drink after a real hard workout/race. Never tried spitting, but my assumption was that some of the sugar was instantly absorbed through the lining of my mouth/stomach. This is know to happen with alcohol, which i understand is moleculary very similar to sugar. My anectodatal experience is that this doesn’t happen with water alone, though if the water is cold it does feel real nice anyway.

Im sure there is some kind of psychological reaction as well, just throwing my thoughts out there also.

Which of our brilliant scientific and medical minds assert that the muscles perform independently of the brain? Buy these folks an extra few ounces of sports drink and assign a few minutes in the duh corner. Still, the whole premise of testing this way as if brain function with muscles is in doubt seems like a dubious exercise in discerning the obvious. Everything
is connected to everything is what my workouts tell me.

Being ahead of the curve, I have always spit out these sports drinks.

Having just completed a 224 mile ride in 14 hours I am 65 the article confirms what I have experience during my 15 years of endurance activities-that my mental attitude about discomfort is as important as my physical preperation. My physical preperation for the above ride began in March and finished in early June my mental preperation began yearrs ago as I grew more and more tolerant of discomfort and could push myself further during my “longer rides” . I would anticipate being able to ride-given health and motivation even further during the coming months and years. Ross Albany NY

This is hardly new. Weightlifters talk about central nervous system (“CNS”) recruitment constantly. It’s the reason you can lift more with unilateral movements (one arm or one leg at a time) than you can with both arms or both legs. Your CNS limits how much you lift to roughly 30% of what the muscle can actually handle, in order to protect against tears.

Similarly for endurance, special-forces trainers have said for decades things along the lines of “When you say you can’t go anymore, you still have 80% of your energy. When you really believe you can’t go anymore, you still have 70%. When you collapse in exhaustion, you still have 50%.”

This is important, because the single biggest factor in getting some returns from your exercise is intensity. What your specific routine is matters far less than how intense the workout. People who read or watch TV while on the treadmill are getting more of a psychological benefit than physiological.

Unfortunately, the “conventional wisdom” that moderation is always better has made its way into mainstream exercise philosophy — but when it comes to exercise, moderation is NOT better (unless you’re just starting out). Intensity — puking, or near puking — is.

//www.boldizar.com

The Healthy Librarian July 15, 2009 · 1:13 pm

Fascinating! The same principle seems to hold true whether pushing yourself to work harder, learn something difficult, run longer or acquire a new skill.

The brain pushes back–you might feel tired, the task seems too hard, you want to give up–but if you keep at it, your brain adjusts–you break through barriers.

Voila the training effect! What once was hard seems easier.

Seems we can do more than we thought. We can train our bodies & minds.

But, just like muscles need rest periods to repair themselves & get stronger, so does the brain.

The hard part is knowing when it’s wise to push hard and when it’s best to just take a rest.

Psychologists have known for decades about the “second wind” effect. We have all experienced it with many different things, not just exercise. Read one book continuously, and you get tired of it and put down (e.g.,, maybe you feel your eyes getting heavy, lose focus, etc.). But if instead you read one book for a period, put it down, and read another, you would able to read for a much longer period of time before tiring from reading. Similarly, male rats who have just had intercourse are able to recover and perform again more quickly if you place a new female in the cage with them (thus, they have a “second wind”). There is absolutely no question that the brain plays a huge role in telling us when we are tired. Physiologists need to wake up and read some psychology texts!

I’ll just show the folks at my gym this article if they give me a hard time about spitting out sugar-water while I work out.

So, wouldn’t actually taking a sip of a sports drink be roughly doubly effective, i.e., if the reward/motivation/emotive centers are stimulated by the possibility of carbohydrate ingestion, and this stimulation leads to positive output, then combined with the actual ingestion of carbohydrate, which does lead to continual or better performance, would effectually boost overall output.

Put in another way, does this stimulation not already occur with a (each) sip of carbohydrate/sports drink? It seems rather akin to the feeling of hunger one may get when smelling onions sauteeing or some other cooking food. Rather primal, no?

Yes, very interesting — my personal experience is totally in line with what is described. For instance, it’s always physically easier to get through a long-distance race when you have done the course before, and know what to expect. When I am not familiar with the course, it’s mentally harder–but I also feel like my legs give in sooner… According to these studies, might that be because my body’s telling me that I can’t go on at a certain pace indefinitely?

Fake it ’til you make it always works for me. Eventually, the mind and body connect, which turns into a fantastic workout.

this is moronic- what probably happened was NOT a psychological issue, but just that the exercising athletes absorbed a fair amount of sugar through their gums. ANY diabetic knows that glucose (what is in sports drinks) can be absorbed directly through your mouth (they market glucose paste for diabetics for this reason).

Im very surprised the study didnt control for this.

We are perhaps more accustomed to ideas such as mental focus, discipline, and attention. These mental qualities are perfected by athletes such as Tiger Woods and Michael Jordan to name a few. It is precisely these attributes that distinguish these professionals as superstars relative to the other great athletes.
Dr. Paul Nussbaum
//www.fitbrains.com

People who read or watch TV while on the treadmill are getting more of a psychological benefit than physiological.

People always say this, but I am not sure why watching television is supposed to have such a bad effect on workouts. Reading, I get, but I can go much longer and more intense on a stationary bike when I have a tv on to distract me than I do otherwise. I can see that being true of something like weightlifting or maybe Olympian level efforts, where every tiny bit counts, but telling regular exercisers not to watch the television is more likely to discourage them or result in a shorter workout then it is to up their intensity.

All the mind over matter thoughts aside, I hate the swish and spit crowds in races, esp. larger crowded ones, b/c I always end up getting energy drink spit on my shoes, legs, shorts, everywhere. Very sticky.

The article makes it sound as if just the thought of carbs and energy will boost your performance. It won’t. Nothing replaces good old fashioned training, especially interval or graduated training. There are great interval training workouts posted for free on Holosfitness.com. No gimmicks, just real workouts.