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  • 标题:A dimensional investigation of the State Anxiety Inventory (SAI) in an exercise setting: cognitive vs. somatic.
  • 作者:Bixby, Walter R. ; Hatfield, Bradley D.
  • 期刊名称:Journal of Sport Behavior
  • 印刷版ISSN:0162-7341
  • 出版年度:2011
  • 期号:November
  • 语种:English
  • 出版社:University of South Alabama
  • 摘要:This distinction is not trivial as Spieiberger, Lushene, and McAdoo (1977) stated that increases in state anxiety occur when a cognitive appraisal of threat is made with a concomitant increase in the autonomic system activity (i.e., a physiologic or somatic response; Ekkekakis et al., 1999, Spielberger et al., 1977). Thus, the SAI incorporates items that assess perceived autonomic arousal (i.e., tense, calm) in addition to those that assess cognitive appraisal of threat (i.e., worried, frightened). In this manner, the self-report nature of the scale may be insensitive to the distinction between arousal of a psychogenic nature and that of an ergogenic nature. In this manner the alteration in the pattern of SAI response during work of varying intensity may be due to the influence of metabolic demand rather than anxiety per se.
  • 关键词:Antianxiety agents;Anxiety;Exercise

A dimensional investigation of the State Anxiety Inventory (SAI) in an exercise setting: cognitive vs. somatic.


Bixby, Walter R. ; Hatfield, Bradley D.


The anxiolytic effects of acute aerobic exercise have been widely reported (Bahrke & Morgan, 1978; Buckworth & Dishman, 2002; Landers & Arent, 2001; Morgan, 1979; Petruzzello, Landers, Hatfield, Kubitz, & Salazar, 199 l; Raglin, 1997). The primary instrument employed in such studies has been the state anxiety sub-scale (SAD of the State-Trait Anxiety Inventory (STAI; Spielberger, 1983). Morgan (1979) first elaborated on the delayed self-reported anxiolytic effect of aerobic exercise, which typically occurs between 5 and 30 min following work, and the magnitude of the response appears similar for work of varying intensity (Cox, 2000; Ekkekakis, Hall, & Petruzzello, 1999; Petruzzello et al., 1991). However, the pattern of change during and immediately following exercise appears to be more intensity dependent (Ekkekakis et al., 1999; Petruzzello et al., 1991). As such, self-reported anxiety typically increases during and immediately following exercise of higher intensity (i.e., ~ 75% of VO2 max) while showing little increase, and in some cases a decrease, during and immediately following exercise of lower intensity (i.e., < ~ 65% of VO2 max). The SAI was originally developed to assess anxiety responses to various psychologically threatening stimuli and to this end the validity and reliability of the scale is well established. However, the SAI was not designed specifically to assess exercise-induced state anxiety changes in which physiological arousal is inherently increased as a result of ergogenic demand.

Recently, the SAI has drawn criticism as a valid measure of state anxiety in an exercise setting (for full review see Ekkekakis et al., 1999). Beyond the points raised previously in the literature, it appears that the main criticism of the scale is an inability to distinguish arousal from ergogenic demands and that associated with cognitive appraisal of threat. Despite these concerns, researchers have continued to use the SAI in an exercise setting with little to no discussion of the difference between increased arousal from ergogenic demands and that associated with a cognitive appraisal of threat (Cox, Thomas, & Davis, 2000; Focht & Hausenbals, 2004; Kahn, Marlow, & Head, 2008; Kraemer & Marquez, 2009; Masters, LaCaille, & Shearer, 2003; Motl, O'Connor, & Dishman, 2004; Szabo, 2003).

This distinction is not trivial as Spieiberger, Lushene, and McAdoo (1977) stated that increases in state anxiety occur when a cognitive appraisal of threat is made with a concomitant increase in the autonomic system activity (i.e., a physiologic or somatic response; Ekkekakis et al., 1999, Spielberger et al., 1977). Thus, the SAI incorporates items that assess perceived autonomic arousal (i.e., tense, calm) in addition to those that assess cognitive appraisal of threat (i.e., worried, frightened). In this manner, the self-report nature of the scale may be insensitive to the distinction between arousal of a psychogenic nature and that of an ergogenic nature. In this manner the alteration in the pattern of SAI response during work of varying intensity may be due to the influence of metabolic demand rather than anxiety per se.

In the majority of experimental settings, this possibility is not a limitation, as the stimuli employed typically involve arousal of a psychogenic nature (i.e., perceived threat and autonomic activity). However, this is likely not the case in an acute exercise setting as the ergogenic nature of the work stimulus (i.e., exercise) also causes an increase in self-reported arousal that would be difficult to distinguish from that caused by a perception of threat with employment of a self-report instrument. As such, self-report items that assess autonomic arousal may increase during and immediately following the negotiation of exercise without a concomitant increase in items that assess cognitive appraisal of threat and misrepresent the actual state anxiety response. Accordingly, it would be logically expected that anxiety, as measured by the SAI, would increase during and immediately following acute exercise stress of sufficient intensity. And this is indeed the pattern of response typically described in studies that use the SAI during and immediately following exercise. However, this often reported observation might be driven by the nature of the instrument, and not an actual increase in state anxiety.

The majority of factor-analytic investigations of the SAI have revealed a two-factor structure (Brown & Duren, 1988; Sherwood & Westerback, 1983; Spielberger, 1983; Spileberger, Vagg, Barker, Donham, & Westberry, 1980; Vagg, Spielberger, & O'Hearn, 1980), which is manifest as anxiety-present (i.e., cognitive appraisal of threat) and anxiety-absent items (i.e., somatic or autonomic arousal: Ekkekakis et al., 1999) but the SAI scale is typically scored as a unidimensional measure. Interestingly, Spielberger, Golzalez, Taylor, Algaze, and Anton (1978) acknowledged the two-dimensional nature of anxiety (distinguishing between anxiety present and anxiety absent items) in an earlier report; however, when the STAI was revised (Spielberger, 1983), no attempt was made to recognize the scoring of the two dimensions. As such, the SAI fails to identify the two factors separately and, in essence, the instrument yields a composite score, or a one-dimensional measure, comprised of anxiety-present and anxiety-absent items.

Related to this point, a number of researchers have suggested that affect is made up of two consistent dimensions, a valence dimension and an arousal dimension (Russell, 1980; Thayer, 1967, 1986; Watson, Clark, & Tellegen, 1988; Watson & Tellegen, 1985). Additionally, numerous instruments have been developed to examine the multidimensional nature of affect (e.g, AD-ACL; Thayer, 1986; PANAS; Watson & Tellegen, 1985; Watson et al., 1988). Thus, based on the structure of affect, these investigators have attempted to account for the multidimensionality in affective response. No such attempt to account for the multidimensionality of affect has been made in the SAI. Ekkekakis et al. (1999) conducted two investigations into the internal consistency of the SAI in an exercise setting. In the first examination, using the eight-item version of the SAI, a divergent pattern of response for individual scale items was found, suggesting poor inter-item reliability or non-homogeneity between items. In the second investigation, using the ten-item version of the SAI, similar item divergence was found. Interestingly, in both investigations, the overall pattern of response for the SAI to exercise was consistent with that commonly reported. The fmdings indicate that the two-dimensional nature of the SAI could misrepresent self-reported anxiety in a physiologically arousing setting when reported as a single outcome score (Ekkekakis et al., 1999).

One logical way to examine the construct validity of the SAI in response to exercise would be to assess the two dimensions of the SAI (cognitive and somatic) separately. Theoretically, if the SAI is not confounded by the ergogenic demands of exercise, than both the cognitive and somatic factors should respond in a similar manner to the exercise stimulus. Conversely, if the SAI is confounded by the ergogenic demands of exercise, the cognitive and somatic factors would be expected to respond differently. As such, if the factors of the SAI do indeed respond differently, the cognitive factor would mirror the perception of threat, while the somatic factor would mirror the ergogenic demands of the exercise stimulus. Thus, in a young healthy population, little change in the cognitive factor would be expected during the work stimulus, which is unlikely to be viewed as threatening. A reduction following exercise would likely occur due to a number of factors such as the time-out hypothesis or the attendant physiological changes such as cortical relaxation, thermogenic influences, or alterations in biogenic amines (Hatfield, 1991; Bahrke & Morgan, 1978). However, the somatic factor would be expected to increase during the exercise stimulus in proportion to the intensity of the work (i.e., higher somatic score during higher intensity exercise). Also the elevation in the somatic factor would likely persist for a period of time following the exercise, as the associated physiologic arousal would be maintained as a result of the work involved. As the recovery period progresses, and physiologic arousal decreases, a decrease in the somatic factor would then be expected; however, the time course for this change would be dependent on the intensity of the exercise. To date, no attempt has been made to examine the SAI in a two-dimensional manner in an exercise setting, separating out the cognitive (anxiety present) and somatic (anxiety absent) factors.

Therefore, the purpose of this investigation was to examine the two-dimensional nature of the SAI before, during, and following acute bouts of exercise. Specifically, participants completed two 30-min bouts of aerobic exercise at low- and high-intensity. The SAI was administered at numerous points throughout the protocol allowing for thorough temporal resolution of self-reported anxiety. Additionally, the two dimensions (i.e., anxiety-present and anxiety-absent items) were examined separately to determine if the cognitive and somatic factors would exhibit different response patterns. We predicted that the overall response pattern for both low- and high-intensity exercise would be similar to that typically reported in the literature. For low-intensity exercise we predicted little to no change during and a significant reduction following the work, while for high-intensity exercise we predicted a significant increase during and a similar reduction following the work. Examination of the two factors separately was expected to reveal a divergence in response pattern. Specifically, the cognitive factor was expected to show little to no change during exercise accompanied by a reduction following both low- and high-intensity work. Alternately, the somatic factor was expected to significantly increase during both low- and high-intensity exercise, with higher elevation for the latter. Following exercise, a return to baseline in the somatic factor was expected for both intensities but that the time course would be delayed for higher intensity work.

Methods

Participants

Participants were 32 (20 female) healthy, nonsmoking volunteers recruited from kinesiology classes at a large university on the east coast of the United States. Participant characteristics are presented in Table 1. Participants were informed of the requirements of the study and provided written consent on a form approved by the institutional review board.

Psychological Instruments

Anxiety was assessed with the State Anxiety Inventory (SAI) of the State-Trait Anxiety Inventory (STAI: Spielberger, 1983). The SAI was the 10-item version that could yield a score between 10 and 40. A higher score was representative of greater anxiety. Speilberger (1983) found that alpha coefficients for the State Inventory were above .90 suggesting strong internal reliability and validity of the scale was established by showing that scores increased when subjects were put in anxiety provoking situations. The 10-item short form was used to decrease test reactivity as multiple measures were employed. The SAI was recorded 10-min before the start of exercise, at the initiation of exercise, 10-, 20-, and 30-min during exercise, and 10-, 20-, and 30-min during recovery for a total of eight recording times.

Procedures

The experiment involved testing on three separate days. Prior to each visit to the laboratory participants were instructed to refrain from eating within 2 hr of testing, to avoid exercising and the consumption of alcoholic and caffeinated beverages on the day of testing, and to be well rested (i.e., to obtain 8 hr of sleep the night before testing).

Aerobic Capacity and Ventilatory Breakpoint Testing

On the first day of testing participants were given a brief description of the study and provided informed consent. Height and weight were obtained. Participants then completed a graded exercise test on a cycle ergometer (Monark Exercise AB, model 818, Sweden) to determine aerobic capacity. The exercise test began with a warmup period during which the participant cycled for 3 min with no load. Thereafter, the load (determined by output wattage) was increased every min until voluntary exhaustion was reached. The increase in load was based on the participant's exercise history and weight (Wasserman, Hansen, Sue, Whipp, & Casaburi, 1994). ECG was monitored throughout via a Sensormedics VMAX 229 metabolic cart (Sensormedics, Inc., Yorba Linda, CA) from pregelled, disposable Ag/AgCL electrodes (Marquette Medical Systems, #900703-230, Jupiter, FL) attached to the participant in a V5 configuration. Ratings of perceived exertion (RPE; Borg, 1982) were obtained every minute during the test. Expired gases were analyzed with a calibrated Sensormedics VMAX 229 metabolic cart (Sensormedics, Inc., Yorba Linda, CA) to obtain breath-by-breath averages of minute volume and fractional gas concentrations of oxygen and carbon dioxide. An estimate of V[O.sub.2] max was deemed valid if two of the following three criteria were met: 1) heart rate equaled the agepredicted maximum +/- 10 bpm, 2) the increase in oxygen consumption was less than 150 ml with an increase in workload, and 3) the respiratory quotient exceeded 1.10 (Taylor, Buskirk, & Henschel, 1955). All participants met these criteria. The calculation of V[O.sub.2] max (ml*[kg.sup.-1] * [min.sup.-1]) was based on the highest oxygen consumption value obtained. The ventilatory breakpoint was defined as the percentage of aerobic capacity associated with an upward deflection in VE/ V[O.sub.2] without a change in VE/VC[O.sub.2] (Wilmore & Costill, 1994) and was chosen with the use of VMAX229 software (Sensormedics, Inc., Yorba Linda, CA). The calculated values were also compared to values derived from visual inspection of the data for accuracy.

Exercise Testing

On the second and third visits to the laboratory participants completed 30 min of steady state exercise at either a low or high intensity. The order of exercise intensities was randomly assigned and counterbalanced across participants. Except for exercise intensity, the procedures on the second and third days were the same. The participant was seated on a recumbent cycle (Lifecycle, Inc., model 9500R, Franklin Park, IL) that was equipped with toe straps to secure the participant's feet on the pedals and the seat position was adjusted to maximize the efficiency and comfort of pedaling (i.e., such that the knee was bent slightly when the foot pedal was fully depressed), after which the experiment was initiated. The protocol involved three contiguous periods: a 15-min baseline, a 30-min bout of exercise, and 30 min of recovery. Throughout the experiment the participant was seated on the cycle with the feet secured on the pedals. Participants were instructed to sit quietly during the baseline. After the baseline ended the participant began pedaling at 75 rpm and 67 watts. The load (i.e., wattage) was progressively increased during the first 5 min of the exercise period to bring the participant's heart rate to the appropriate level. In the high intensity condition participants worked just below a target heart rate that was associated with the ventilatory breakpoint determined during the exercise capacity test (heart rate M= 151.5 bpm, SD = 8.4; RPEM= 15.1, SD = 1.7). In the low intensity condition participants maintained heart rate at a level corresponding to 75% of that observed at ventilatory breakpoint (heart rate M= 111.6 bpm, SD = 6.9; RPEM= 10.4, SD = 2.1). Heart rate was derived from continuous ECG recordings (Hewlett Packard, model 78352C) using a V5 configuration and workload was adjusted accordingly to ensure that the participant worked at the targeted intensity. Upon completion of the exercise bout the participant was allowed 2 5 min of active recovery (i.e., pedaling < 60 rpm with no load), after which he or she sat quietly until the end of recovery. SAI, heart rate, and RPE measures were taken 5 min into baseline and every 10 min thereafter for a total of 8 recordings during each exercise session. The recordings corresponded to the 5-min baseline measure, initiation of exercise, 10-min into exercise, 20-min into exercise, 30-min into exercise, 10-min into recovery, 20-min into recovery, and 30-min into recovery.

Results

Statistical Analyses

An initial analysis was conducted to verify that the participants exercised at the targeted intensities. Heart rate and RPE were subjected to separate 2 (intensity: low vs. high) x 8 (time) multivariate analyses of variance (MANOVA: Wilks' Lambda) with repeated measures on both factors. To examine changes in anxiety, SAI scores were subjected to a 2 (intensity: low vs. high) x 8 (time) MANOVA (Wilks' Lambda) with repeated measures on both factors. The factor scores were then subjected to a 2 (dimension: cognitive and somatic) x 2 (intensity: low vs. high) x 8 (time) MANOVA (Wilks' Lambda) with repeated measures on all three factors. Where appropriate, post-hoc analysis was performed using a Student Neuman-Keuls procedure and effect sizes were calculated for the two dimensions of the SAI to determine the magnitude of any significant differences.

Heart Rate and Ratings of Perceived Exertion

MANOVA revealed a significant intensity x time interaction for both heart rate, F (7, 25) = 122.76,p < .001; and RPE, F(7, 25) = 17.34,p < .001. Post hoc analysis showed that there was no difference in heart rate or RPE at baseline between the low-intensity and high intensity. Heart rate and RPE were significantly elevated from baseline during both exercise sessions; however, a larger elevation occurred during the high-intensity exercise, relative to the low intensity for both heart rate and RPE. Following exercise, heart rate decreased in both the low-and high-intensity exercise; however, the decrease occurred more rapidly in the low-intensity exercise relative to the high-intensity (see figure 1A). RPE following exercise decreased below exercise levels for both the low- and high-intensity conditions and the decrease was not different between the conditions (see figure 1B).

State Anxiety Inventory scores

MANOVA revealed a significant intensity x time interaction, F (7, 25) = 6.23, p < 0.001 for the overall SAI scores. Post hoc inspection revealed no difference between the low- and high-intensity scores at both baseline and recovery. During exercise, scores were significantly higher in the high-intensity relative to the low-intensity condition. For the low-intensity condition, SAI scores did not change from baseline to exercise and then significantly decreased during recovery. For the high-intensity condition, SAI scores significantly increased from baseline to exercise and significantly decreased below baseline levels during recovery. See figure 2 for details.

Cognitive and Somatic Factors of the SAI

To examine the dimensions of the SAI, factor scores were calculated by summing the 5 items that make up the cognitive (4, 5, 6, 7, & 9) and somatic (1, 2, 3, 8, & 10) factors. This yielded possible scores of between 5 and 20 for each factor. Following calculation of factor scores, a 2 (dimension) x 2 (intensity) x 8 (time) MANOVA (Wilks' Lambda) was performed, which revealed a Dimension x Intensity x Time interaction, F(7, 25) = 4.26, p = .003. Post hoc analysis showed that for both the low- and high-intensity conditions, the somatic factor was significantly higher than the cognitive factor. For the somatic factor, baseline and recovery scores were not different between the low- and high-intensity conditions; however, scores during exercise were significantly higher in the high-intensity condition, relative to the low-intensity condition. For low-intensity, somatic factor scores increased relative to baseline at the start and 10-min into exercise, returned to baseline level at 20- and 30-min into exercise and 10- and 20-min into recovery and then decreased below baseline level at 30-min into recovery. For high-intensity, somatic factor scores remained at baseline level at the start of exercise, increased relative to baseline at 10-min, 20-min, and 30-min into exercise, and then decreased below baseline at 10-min, 20-min, and 30-min into recovery. For the cognitive factor, scores were not different at all time points between the low- and high-intensity conditions. For the low-intensity condition, cognitive scores remained at baseline level throughout the exercise and recovery, except for 30-min into recovery, which was lower than baseline. For the high-intensity condition, cognitive factor scores remained at baseline level at the start of exercise,

[FIGURE 1 OMITTED]

[FIGURE 2 OMITTED]

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Discussion

Employment of the overall State Anxiety Inventory (SAI: Spielberger, 1983) revealed an increase in scores during higher intensity exercise followed by a decrease below baseline levels during recovery. For lower intensity work, little to no change was observed during exercise followed by a decrease below baseline levels during recovery. This pattern of change for the overall SAI is in line with other investigations, which have shown similar response patterns (Landers & Arent, 2001; Morgan, 1979; Petruzzello, Landers, Hatfield, Kubitz, & Salazar, 1991; Raglin, 1997). However, the examination of the SAI as a two-dimensional measure revealed divergent response patterns for the cognitive and somatic factors. This result brings into question the use of the SAI as a composite measure of anxiety in an exercise setting as it appears that the anxiety-absent items fail to distinguish perceived arousal of a psychogenic nature and that resulting from ergogenic demand. In this manner it would seem desirable to score the anxiety-present (cognitive) and anxiety-absent (somatic) items separately to assess the anxiolytic effects of exercise in an unambiguous manner.

For the cognitive factor, there was little to no change during and a decrease following both the low- and high-intensity exercise, thus the negotiation of the exercise stimulus did not cause an increase in the cognitive appraisal of anxiety while a significant decrease in the cognitive appraisal of anxiety occurred following the exercise session. Therefore, the changes in the cognitive factor of the SAI lend support to the widely held belief of an anxiolytic effect following exercise. The magnitude of this change was considered large based on effect size calculations (.77 to .9, see table 2 for details). This finding appears logical, as exercise would not be thought to cause an increase in the cognitive appraisal of threat, which is necessary for an increase in anxiety, in such a young healthy population. Additionally, the reduction in the cognitive factor (i.e., the "feel better" effect; Bahrke & Morgan, 1978) following exercise may be a result of a "time-out" from the stresses of the daily routine (Bahrke & Morgan, 1978) or possibly a result of the thermogenic effect of the exercise stimulus (Hatfield, 1991). Thus, it appears that a cognitive anxiolytic effect occurs following exercise; however, the pattern of anxiolytic response may be different than that commonly reported in the exercise psychology literature for the composite score, in which anxiety increases during and immediately following exercise and then decreases following the exercise session (Landers & Arent, 2001; Morgan, 1979; Petruzzello, et al., 1991; Raglin, 1997).

For the somatic factor, a significant increase occurred during both the low- and high-intensity exercise followed by a significant decrease during recovery. The elevation during exercise was greater for the high-intensity exercise, relative to the low-intensity (see figure 3). Interestingly, the pattern of change for the somatic factor is strikingly similar to the pattern of change for both the heart rate and RPE (Borg, 1982) response (see figure 4). The change in the somatic factor occurred without a corresponding change in the cognitive factor which suggests that the somatic factor is sensitive to physiologic arousal not just from threatening situations, but also from non-threatening situations that require an increase in ergogenic demands (i.e., exercise). Therefore, the somatic factor appears to be influenced by the ergogenic demands of the exercise, causing a misrepresentation of the anxiety response. Thus, when using the SAI as an undifferentiated measure of anxiety in an exercise setting, care must be taken to determine if the changes in anxiety are actual concomitant changes in the cognitive and somatic factors, or the result of a divergence in response pattern for the two factors. Through examining the cognitive and somatic factors separately, a clearer picture of the anxiety response during and following exercise will develop.

In summary, this investigation showed the typical anxiety response reported in the literature using the SAI to low- and high-intensity exercise, with both intensities leading to a reduction in anxiety following the exercise session. However, by examining the SAI as a two-dimensional measure, it was further shown that the exercise stimulus caused a divergence in response pattern for the two factors which make up the SAI (i.e., cognitive and somatic). This divergence brings into question the nature of anxiety change commonly reported in the exercise psychology literature, as the majority of investigations have employed the SAI.

However, this investigation did show an anxiolytic effect of exercise, as the cognitive factor decreased significantly following both low- and high-intensity exercise. This finding indicates that individuals felt better (i.e., less cognitive anxiety) following the exercise session and the magnitude of this finding was large. This is important, as the anxiolytic effects of exercise have been widely touted in both the scientific and popular literature as a benefit of participation in exercise. The present investigation does not refute this finding; however, the magnitude and pattern of the anxiety changes during and following exercise of varying intensities needs to be examined more closely to determine the influence of the increased ergogenic demands of exercise. The present findings point to the need for closer examination of the selfreport measures used in exercise psychology, as the physiological requirements of exercise could confound the affective response both during and following the exercise session. As exercise psychologists, an essential goal of the field is the discovery of the psychological changes associated with exercise, while reducing the artifact associated with assessment instruments. Only through a better understanding of the measures employed in exercise psychology will we be able to more clearly understand the affective response pattern during and following exercise.

[FIGURE 4 OMITTED]

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Address Correspondence to: Walter R. Bixby, Department of Exercise Science, Elon University, CB 2525, Elon, NC 27244. E-mail: wbixby@elon.edu

Walter R. Bixby

Elon University

Bradley D. Hatfield

University of Maryland
Table 1. Mean (SD) Participant Characteristics

                                    Men (n = 12)   Women (n = 20)

Age (years)                          24.3 (2.9)     23.1 (3.3)
Height (cm)                         182.6 (6.4)    167.4 (9.0)
Weight (kg)                          77.7 (10.1)    61.6 (10.8)
V[O.sub.2]max                        48.3 (8.6)     37.3 (7.5)
(m 1 * kg.sup.-1] * [min.sup.-1])

Table 2. Effect Size Calculations for the Somatic and Cognitive
Factors of the SAI across Time within Low and High Intensity

SAI Somatic to intensity   Baseline   Start   10 ex   20 ex   30 ex

Baseline                          *    0.42    0.64    0.31    0.32
Start of exercise                         *    0.23     0.1    0.07
10-min into exercise                              *    0.32    0.29
20-min into exercise                                      *    0.02
30-min into exercise                                              *
10-min into recovery
20-min into recovery
30-min into recovery

SAI Somatic to intensity   10 rec   20 rec   30 rec

Baseline                     0.33     0.42     0.51
Start of exercise            0.78     0.88     0.96
10-min into exercise            1     1.09     1.18
20-min into exercise         0.64     0.73     0.82
30-min into exercise         0.65     0.74     0.82
10-min into recovery            *     0.09      0.2
20-min into recovery                     *     0.11
30-min into recovery                              *

SAI Somatic hi intensity   Baseline   Start   10 ex   20 ex   30 e

Baseline                          *    0.25    1.16    1.16   1.08
Start of exercise                         *    0.95    0.95   0.87
10-min into exercise                              *    0.01   0.08
20-min into exercise                                      *   0.08
30-min into exercise                                             *
10-min into recovery
20-min into recovery
30-min into recovery

SAI Somatic hi intensity   10 rec   20 rec   30 rec

Baseline                     0.51     0.44      0.6
Start of exercise            0.87     0.77     0.95
10-min into exercise         2.08     1.91     2.14
20-min into exercise         2.07      1.9     2.12
30-min into exercise         1.95     1.79     2.01
10-min into recovery            *     0.06     0.13
20-min into recovery                     *     0.18
30-min into recovery                              *

SAI Co anitive to intensity   Baseline  Start   10 ex   20 ex   30 ex

Baseline                             *   0.17     0.5    0.71    0.67
Start of exercise                           *    0.35    0.57    0.52
10-min into exercise                                *    0.19    0.14
20-min into exercise                                        *    0.06
30-min into exercise                                                *
10-min into recovery
20-min into recovery
30-min into recovery

SAI Co anitive to intensity   10 rec   20 rec   30 rec

Baseline                        0.79     0.73      0.9
Start of exercise               0.66      0.6     0.78
10-min into exercise            0.27     0.24     0.39
20-min into exercise            0.09     0.06     0.22
30-min into exercise            0.16     0.03     0.12
10-min into recovery               *     0.03     0.14
20-min into recovery                        *     0.14
30-min into recovery

SAI Cognitive hi intensity  Baseline   Start   10 ex   20 ex   30 ex

Baseline                           *    0.27    0.68    0.55    0.52
Start of exercise                          *    0.39    0.26    0.23
10-min into exercise                               *    0.15     0.2
20-min into exercise                                       *    0.05
30-min into exercise                                               *
10-min into recovery
20-min into recovery
30-min into recovery

SAI Cognitive hi intensity   10 rec   20 rec   30 rec

Baseline                       0.77      0.8     0.81
Start of exercise              0.48     0.49     0.52
10-min into exercise           0.08     0.09     0.16
20-min into exercise           0.25     0.27     0.31
30-min into exercise           0.31     0.33     0.37
10-min into recovery              *        0     0.09
20-min into recovery                       *     0.11
30-min into recovery                                *
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