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Sustained AttentionEXCOGNCT07400432

Acute Effects of Moderate-Intensity Continuous Exercise Versus HIIT on Cognitive Performance and Psychophysiological Responses in Physically Active Adults

A study testing Moderate-Intensity Continuous Exercise (MICE) and High-Intensity Interval Training (HIIT) in people with Sustained Attention and Cognitive Performance, run by Qassim University at 1 site in Saudi Arabia.

Enrolling by invitation

Enrolling by invitation. The study team selects and invites participants, usually from an existing group of patients.

Sites and contacts
Official record
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Trial summary

This study aims to compare the immediate effects of two common types of exercise-moderate-intensity continuous exercise and high-intensity interval training (HIIT)-on attention, alertness, and physiological responses in physically active young adults. Read more about this study

Who is it for?
Ages 18 to 30 yearsHealthy volunteers can take part
What is being tested?
Moderate-Intensity Continuous Exercise (MICE) and High-Intensity Interval Training (HIIT)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
38 participants
Where
1 siteSaudi Arabia
Study dates
1 Oct 2025to 5 Apr 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 30 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Aged between 18 and 30 years.
  • Physically active individuals, as assessed by the International Physical Activity Questionnaire (IPAQ).
  • In good general health.
  • Cleared for physical activity participation based on the Physical Activity Readiness Questionnaire (PAR-Q).
  • Enrolled as university students.
  • Able and willing to provide written informed consent.

Who cannot join

  • History of cardiovascular, neurological, or musculoskeletal disorders that may affect exercise safety or cognitive performance.
  • Presence of uncontrolled hypertension, recent concussion, or any medical condition contraindicating exercise.
  • Use of medications that may influence cognition, mood, or cardiovascular responses.
  • Pregnancy.
  • Failure to pass PAR-Q screening without medical clearance.
  • Heavy smoking or history of substance abuse.
  • Visual or hearing impairments that could interfere with computerized cognitive task performance.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Saudi Arabia1 site
  • Qassim University

    Buraidah, Al-Qassim Region, 2100

Other trials in Saudi Arabia

About this study

Official title: Acute Effects of Moderate-Intensity Continuous Exercise Versus High-Intensity Interval Training on Cognitive Performance and Psychophysiological Responses in Physically Active Adults: A Randomized Crossover Study

This study aims to compare the immediate effects of two common types of exercise-moderate-intensity continuous exercise and high-intensity interval training (HIIT)-on attention, alertness, and physiological responses in physically active young adults.

Attention and mental alertness are essential for learning, academic performance, and daily functioning. Previous research suggests that a single session of exercise can temporarily improve cognitive performance, but it is not clear whether moderate exercise or high-intensity interval exercise is more effective in producing these immediate benefits.

Read more

In this study, participants will complete two supervised treadmill exercise sessions on separate days: one session of moderate-intensity continuous exercise and one session of high-intensity interval training. The order of the two exercise sessions will be randomized, and there will be a rest period of 48 to 72 hours between sessions.

Before and immediately after each exercise session, participants will complete computerized cognitive tests that measure sustained attention and reaction time. Heart rate, oxygen saturation, perceived exertion, mood, and alertness will also be measured to evaluate physiological and psychological responses to exercise.

By comparing the effects of these two exercise approaches within the same individuals, this study aims to identify which type of exercise leads to better immediate cognitive performance and favorable physiological responses. The findings may help guide exercise recommendations for improving attention, alertness, and overall mental performance in young adults.

Read the detailed description

This study is a randomized within-subject crossover clinical trial designed to compare the acute effects of moderate-intensity continuous exercise (MICE) and high-intensity interval training (HIIT) on cognitive performance and psychophysiological responses in physically active young adults.

Each participant will complete two supervised treadmill exercise sessions-one MICE session and one HIIT session-on separate days, with a 48-72-hour washout period. The order of the two exercise conditions will be randomized using a computer-generated sequence. This crossover design allows each participant to serve as their own control, reducing inter-individual variability and increasing statistical power.

Cognitive performance will be assessed immediately before and after each exercise session using validated computerized tests of sustained attention and vigilance, including the Sustained Attention to Response Task (SART) and the Psychomotor Vigilance Task (PVT). Primary cognitive outcomes will include reaction time, accuracy, response inhibition, and attentional lapses.

Psychophysiological responses will be monitored throughout the exercise sessions and immediately post-exercise. These include heart rate, oxygen saturation, rating of perceived exertion, mood, and alertness. Exercise intensity will be prescribed based on percentages of age-predicted maximum heart rate and continuously monitored to ensure protocol adherence and participant safety.

Data will be analyzed using within-subject statistical comparisons to evaluate differences between exercise conditions. The findings are expected to provide evidence on how acute exercise intensity influences immediate cognitive and physiological responses, informing exercise recommendations for optimizing attention and alertness in young adults.

Being tested
Moderate-Intensity Continuous Exercise (MICE), High-Intensity Interval Training (HIIT)
Keywords
Exercise, High-Intensity Interval Training, Aerobic Exercise, SART, Psychomotor Vigilance Task, Exercise Intensity
Medical subject headings
Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Moderate-Intensity Continuous Exercise (MICE)Other

    Also called Moderate Aerobic Exercise, Continuous Aerobic Exercise

    Participants perform continuous treadmill exercise for 20 minutes at 60-70% of age-predicted maximum heart rate. Each session includes a standardized warm-up period of approximately 3 minutes and a cool-down period of 2-3 minutes. Heart rate, oxygen saturation, and rating of perceived exertion are monitored throughout the session to ensure adherence to the target intensity and participant safety.

  • High-Intensity Interval Training (HIIT)Other

    Also called High-Intensity Interval Exercise, Interval Aerobic Training

    Participants perform treadmill-based high-intensity interval training consisting of repeated short bouts of exercise at 85-95% of age-predicted maximum heart rate, interspersed with brief recovery periods. Total session duration is approximately 20 minutes, including standardized warm-up and cool-down periods. Heart rate, oxygen saturation, and rating of perceived exertion are continuously monitored to ensure safety and protocol compliance.

Study groups in NCT07400432
Study groupRoleWhat they receive
Moderate-Intensity Continuous Exercise (MICE)ExperimentalParticipants perform continuous treadmill exercise for 20 minutes at 60-70% of age-predicted maximum heart rate, including standardized warm-up and cool-down periods. Heart rate, oxygen saturation, and perceived exertion are monitored throughout the session to ensure protocol adherence and participant safety.
Receives: Other: Moderate-Intensity Continuous Exercise (MICE)
High-Intensity Interval Training (HIIT)ExperimentalParticipants perform treadmill-based high-intensity interval training consisting of repeated short bouts at 85-95% of age-predicted maximum heart rate interspersed with brief recovery periods, with a total session duration of approximately 20 minutes including warm-up and cool-down. Heart rate, oxygen saturation, and perceived exertion are continuously monitored.
Receives: Other: High-Intensity Interval Training (HIIT)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sustained Attention to Response Task (SART) Performance

    Sustained attention and response inhibition will be assessed using the Sustained Attention to Response Task (SART). Outcome variables will include reaction time, accuracy, commission errors, and omission errors, reflecting participants' ability to maintain sustained attention and inhibitory control following acute exercise.

    Measured: Immediately before each exercise session (within the same day for both intervention conditions)

  2. Sustained Attention to Response Task (SART) Performance

    Sustained attention and response inhibition will be assessed using the Sustained Attention to Response Task (SART). Outcome variables will include reaction time, accuracy, commission errors, and omission errors, reflecting participants' ability to maintain sustained attention and inhibitory control following acute exercise.

    Measured: immediately after each exercise session (within the same day for both intervention conditions)

  3. Psychomotor Vigilance Task (PVT) Performance

    Vigilance and reaction time will be evaluated using the Psychomotor Vigilance Task (PVT). Outcome variables will include mean reaction time, number of attentional lapses, and response accuracy, reflecting participants' sustained alertness following acute exercise.

    Measured: Immediately before each exercise session (within the same day for both intervention conditions)

  4. Psychomotor Vigilance Task (PVT) Performance

    Vigilance and reaction time will be evaluated using the Psychomotor Vigilance Task (PVT). Outcome variables will include mean reaction time, number of attentional lapses, and response accuracy, reflecting participants' sustained alertness following acute exercise.

    Measured: immediately after each exercise session (within the same day for both intervention conditions)

Secondary outcomes (8)
  1. Heart Rate Response During and After Exercise

    Heart rate will be continuously monitored during each exercise session and recorded at baseline, during exercise, and immediately post-exercise to evaluate physiological responses to moderate-intensity continuous exercise and high-intensity interval training.

    Measured: During each exercise session

  2. Heart Rate Response During and After Exercise

    Heart rate will be continuously monitored during each exercise session and recorded at baseline, during exercise, and immediately post-exercise to evaluate physiological responses to moderate-intensity continuous exercise and high-intensity interval training.

    Measured: Immediately after each exercise session

  3. Oxygen Saturation (SpO₂) Response

    Peripheral oxygen saturation will be measured using a pulse oximeter before, during, and immediately after each exercise session to assess acute cardiorespiratory responses to exercise intensity.

    Measured: During each exercise session

  4. Oxygen Saturation (SpO₂) Response

    Peripheral oxygen saturation will be measured using a pulse oximeter before, during, and immediately after each exercise session to assess acute cardiorespiratory responses to exercise intensity.

    Measured: Immediately after each exercise session

  5. Rating of Perceived Exertion Assessed by the Borg Rating of Perceived Exertion Scale (6-20)

    Perceived exertion will be assessed using the Borg Rating of Perceived Exertion (RPE) Scale (6-20) during and immediately after each exercise session to evaluate subjective exercise intensity and effort. The scale ranges from 6 (no exertion at all) to 20 (maximal exertion). Higher scores indicate greater perceived physical effort.

    Measured: During each exercise session

  6. Rating of Perceived Exertion Assessed by the Borg Rating of Perceived Exertion Scale (6-20)

    Perceived exertion will be assessed using the Borg Rating of Perceived Exertion (RPE) Scale (6-20) during and immediately after each exercise session to evaluate subjective exercise intensity and effort. The scale ranges from 6 (no exertion at all) to 20 (maximal exertion). Higher scores indicate greater perceived physical effort.

    Measured: Immediately after each exercise session

  7. Mood and Alertness Assessed by Numeric Rating Scales (0-10)

    Subjective mood and alertness will be assessed using separate 10-point Numeric Rating Scales (0-10) administered immediately before and immediately after each exercise session. For each scale, 0 represents the lowest level (very poor mood / extremely sleepy) and 10 represents the highest level (excellent mood / fully alert). Higher scores indicate better mood and greater alertness.

    Measured: Immediately before each exercise session

  8. Mood and Alertness Assessed by Numeric Rating Scales (0-10)

    Subjective mood and alertness will be assessed using separate 10-point Numeric Rating Scales (0-10) administered immediately before and immediately after each exercise session. For each scale, 0 represents the lowest level (very poor mood / extremely sleepy) and 10 represents the highest level (excellent mood / fully alert). Higher scores indicate better mood and greater alertness.

    Measured: Immediately after each exercise session

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Feb 2026
  2. Study start1 Oct 2025
  3. Primary completion1 Mar 2026 (estimated)
  4. Study completion5 Apr 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Model description
This study uses a randomized within-subject crossover design in which each participant completes two exercise interventions-moderate-intensity continuous exercise and high-intensity interval training-on separate days, with a 48-72-hour washout period. The order of the interventions is randomized so that each participant serves as their own control.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
38 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07400432
Sponsor's protocol ID
QU 10-20-26
Acronym
EXCOG
Status last verified
Feb 2026
First submitted
30 Jan 2026
Last updated
10 Feb 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data (IPD) will not be shared publicly. All collected data will be analyzed and reported in aggregate form only to ensure participant confidentiality and data protection.

Publications

  • Nanda B, Balde J, Manjunatha S. The Acute Effects of a Single Bout of Moderate-intensity Aerobic Exercise on Cognitive Functions in Healthy Adult Males. J Clin Diagn Res. 2013 Sep;7(9):1883-5. doi: 10.7860/JCDR/2013/5855.3341. Epub 2013 Sep 10.

    PubMed 24179888
  • Pujari V. Moving to Improve Mental Health - The Role of Exercise in Cognitive Function: A Narrative Review. J Pharm Bioallied Sci. 2024 Feb;16(Suppl 1):S26-S30. doi: 10.4103/jpbs.jpbs_614_23. Epub 2024 Feb 29.

    PubMed 38595617
  • Singh B, Bennett H, Miatke A, Dumuid D, Curtis R, Ferguson T, Brinsley J, Szeto K, Petersen JM, Gough C, Eglitis E, Simpson CE, Ekegren CL, Smith AE, Erickson KI, Maher C. Effectiveness of exercise for improving cognition, memory and executive function: a systematic umbrella review and meta-meta-analysis. Br J Sports Med. 2025 Jun 3;59(12):866-876. doi: 10.1136/bjsports-2024-108589.

    PubMed 40049759
  • Olivo G, Nilsson J, Garzon B, Lebedev A, Wahlin A, Tarassova O, Ekblom M, Lovden M. Immediate effects of a single session of physical exercise on cognition and cerebral blood flow: A randomized controlled study of older adults. Neuroimage. 2021 Jan 15;225:117500. doi: 10.1016/j.neuroimage.2020.117500. Epub 2020 Oct 24.

    PubMed 33169699
  • Yildirim MS, Guclu-Gunduz A, Ozkul C, Korkmaz S. Investigating the acute effect of low and moderate intensity aerobic exercise on whole-body task learning and cognition in young adults. Eur J Neurosci. 2024 Sep;60(6):5203-5216. doi: 10.1111/ejn.16504. Epub 2024 Aug 13.

    PubMed 39136270
  • Basso JC, Suzuki WA. The Effects of Acute Exercise on Mood, Cognition, Neurophysiology, and Neurochemical Pathways: A Review. Brain Plast. 2017 Mar 28;2(2):127-152. doi: 10.3233/BPL-160040.

    PubMed 29765853

Questions about this trial

What is this clinical trial studying?

A study testing Moderate-Intensity Continuous Exercise (MICE) and High-Intensity Interval Training (HIIT) in people with Sustained Attention and Cognitive Performance, run by Qassim University at 1 site in Saudi Arabia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: enrolling by invitation, as of the sponsor's last update on 10 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Saudi Arabia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sustained Attention to Response Task (SART) Performance (time frame: Immediately before each exercise session (within the same day for both intervention conditions)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07400432, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Feb 2026.

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