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Table 2 Overview of the included studies, with participants characteristics, mental fatigue task aspects and overall effects on endurance performance. Effects on endurance performance attributed to mental fatigue are highlighted in bold

From: Interindividual Variability in Mental Fatigue-Related Impairments in Endurance Performance: A Systematic Review and Multiple Meta-regression

References

Participant characteristics

Intervention

Control

Duration

Manipulation check

Effect on performance (summary)

Brietzke et al. [79]

N: 20 cyclists (♂)

Age: 35.00 ± 7.00 y

Mass: 80.50 ± 10.40 kg

Height: 176.00 ± 5.00 cm

BMI: 26.04 ± 2.94 kg/m2

Level: PL 2/3 (PPO = 358.63 ± 21.96 W, YoE = 7.56 ± 5.89 y, TV = 310.6 ± 128.1 km/week)

RVIP test (PC)

40 min

S: MF ↑ in I2 vs I1 (assessed using M-VAS)

B: ↓ in RT and ACC in I2 vs I1 (assessed during RVIP)

P: ↑ θ band activity in I2 vs I1 (assessed using EEG)

↓ in TTE (small) and PPO (small) in I vs Baseline, no effects on VO2Peak or VT (measured using a MIET) (ES(d))

Campos et al. [29]

N: 13 judo athletes (9♂/4♀)

Age: 19.50 ± 3.00 y

Mass: 68.10 ± 13.30 kg

Height: 169.00 ± 5.10 cm

Body fat: 12.20 ± 3.80%

Level: NA (YoE = 7.20 ± 3.90 y; TL = 11.20 ± 4.60 h/wk)

Incongruent Stroop task with RI (paper version)

Docu

30 min

S: MF ↑ in I2 vs I1 and in I2 vs C2 (assessed using M-VAS)

No significant effects on number of throws (trivial) or physical performance index (small) (measured using a specific judo fitness test)

Clark et al. [33]

(1) Competitive group:

N: 10 competitive athletes (♂)

Age: 27.40 ± 6.30 y

Mass: 75.60 ± 9.70 kg

Height: 179.00 ± 6.00 cm

Level: PL3 (VO2 peak = 58.30 ± 4.10 mL/kg.min; PPO = 401.00 ± 36.00 W; Wget = 149.00 ± 32.00; TL = 9.50 ± 2.50 h/week; PA-R = 9.70 ± 0.70; TET = 9.50 ± 2.50 h/week)

(2) Non-competitive group:

N: 10 healthy participants (♂)

Age: 25.80 ± 4.60 y

Mass: 93.30 ± 17.00 kg

Height: 183.00 ± 6.00 cm

Level: PL1 (VO2 peak = 39.00 ± 7.30 ml/kg.min; PPO = 280.00 ± 27.00 W; Wget = 91.00 ± 25.00 W; TL = 3.20 ± 1.90 h/week; PA-R = 3.80 ± 1.90; TET = 3.20 ± 1.90 h/week)

Modified (congruent, incongruent and neutral) Stroop task and N-back task (PC)

Docu

30 min

B: No effects on ACC or RT in both groups (assessed during the intervention tasks)

P: No effects on cerebral oxygenation in both groups (assessed using fNIRS)

No evidence of MF based on manipulation checks

Filipas et al. [68]

N: 18 rowers (11♂/6♀)

Age: 11.00 ± 1.06 y

Mass: 46.72 ± 11.14 kg

Height: 154.79 ± 9.41 cm

Level: NA (TF: > 2 sessions/week; YoE; 1.50 ± 0.85 y)

(1) Incongruent Stroop task (PC)

(2) Customised arithmetic test (Paper)

Drawing a mandala

60 min

B: no effects on RT, ↑ in ACC in I6 vs I1 (assessed during the Stroop task)

No evidence of MF based on manipulation checks

Filipas et al. [69]

N: 10 U23 cyclists (♂)

Age: 20.00 ± 1.20 y

Mass: 66.10 ± 7.60 kg

Height: 180.40 ± 5.60 cm

Level: PL4 (calc.) (VO2Max = 69.00 ± 4.40 ml/min.kg; PPO = 380.00 ± 39.00 W; TF > 4 sessions/week; TL > 300 h/week; YoE > 3 y)

Modified (congruent and incongruent) Stroop task (PC)

Docu

30 min

B: no effects on RT and ACC (assessed during Stroop task)

P: no effects on HRV (assessed using a Polar T61)

No evidence of MF based on manipulation checks

Filipas et al. [35]

(1) U14 group:

N: 12 soccer players U14 (♂)

Mass: 55.00 ± 8.00 kg

Height: 168.00 ± 4.00 cm

Level: NA (Exp = competing at national level; YoE > 3 y)

(2) U16 group:

N: 12 soccer players U16 (♂)

Mass: 62.00 ± 8.00 kg

Height: 170.00 ± 5.00 cm

Level: NA (Exp = competing at national level; YoE > 3 y)

(3) U18 group:

N: 12 soccer players U18 (♂)

Mass: 69.00 ± 8.00 kg

Height: 177.00 ± 7.00 cm

Level: NA (Exp = competing at national level; YoE > 3 y)

Incongruent Stroop task (PC)

Reading a selection of emotionally neutral online magazines

I: 30 min

C: 15 min

S: MF ↑ in I vs C (assessed using M-VAS)

B: No effects on ACC and RT (assessed during Stroop task)

↓ in test distance (small to large) in I vs C in all age groups (measured using the Yo-Yo IR test) (ES(d))

Filipas et al. [32]

(1) Training group:

N: 10 participants (3♂/7♀)

Age: 27.60 ± 6.30 y

Mass: 69.60 ± 18.40 kg

Height: 169.40 ± 6.80 cm

Level: PL1 (calc.) (VO2peak = 32.90 ± 6.90 ml/min.kg)

(2) Placebo group:

N: 10 participants (3♂/7♀)

Age: 27.50 ± 6.00 y

Mass: 68.70 ± 14.30 kg

Height: 169.50 ± 9.60 cm

Level: PL1 (calc.) (VO2peak = 32.80 ± 5.60 ml/min.kg)

(1) Cognitive test battery (45 min)

(2) Modified Stroop task (40 min)

(3) task switching (5 min)

Staring at a white screen

I: 90 min

C: 15 min

S: MF ↑ in I vs C (assessed using M-VAS)

↓ in total distance (small) in I vs C in both groups (measured using a time-based time trial) (ES(d))

Fortes et al. [87]

N: 25 swimmers (14♂/11♀)

Age: 20.40 ± 2.06 y

Mass: 72.00 ± 9.00 kg

Height: 181.00 ± 7.00 cm

Level: NA (TF = 5.80 ± 0.50 sessions/week; TL = 42.50 ± 6.20 km/week; YoE =  ~ 8.40 y; FINApoints = 602.61 ± 25.78 (♂)/611.84 ± 26.61 (♀); Exp = international-level)

Smartphone use (Social networking apps)

Docu

30 min

S: MF ↑ in I vs C and in I1 vs I2 (assessed using M-VAS)

B: no effect on ACC, ↑ in RT in I vs C (assessed using a short Stroop task)

P: no effects on HRV (assessed using a Polar H10)

↑ in completion time (medium) in I vs C (mostly visible in the second block) (assessed using a 200 m (distance based) swimming trial) (ES(η2))

Franco- Alvarenga et al. [67]

N: 12 cyclists (?)

Age: 34.30 ± 6.20 y

Mass: 77.60 ± 6.80 kg

Height: 179.30 ± 5.10 cm

Level: PL3 (VO2Max = 58.90 ± 6.20 mL/kg.min; PPO = 367.00 ± 32.50 W; TF = 4.70 ± 2.30 sessions/wk; TL = 283.70 ± 138.60 km/wk; Experience =  ~ 6.50 y)

Caffeine consumption: non-consumers (≤ 40 mg/day) = 3; occasional consumers (≤ 250 mg/day) = 5; daily consumers (between 250 and 572 mg/day) = 4

RVIP test (PC)

40 min

S: MF ↑ in I2 vs I1 (assessed using M-VAS)

P: ↑ in θ activity in I2 vs I1 (assessed using EEG)

↑ in completion time (very large) and ↓ in APO (very large) in I vs C (assessed using a distance based time trial) (ES(d))

Holgado et al. [77]

N: 30 participants (24♂/6♀)

Age: 23.50 ± 6.30 y

Level: PL1 (calc.) (VO2max: 41.88 ± 9.08 ml/min.kg)

AX-CPT (PC)

Documentary

90 min

S: MF ↑ in I vs C (assessed using M-VAS)

B: no effects on ACC (assessed during the AX-CPT task)

No effects on a TTE (assessed using a 80% VO2 Max TTE test)

Lam et al. [76] study 1

N: 9 participants (♂)

Age: 22.00 ± 2.60 y

Mass:70.00 ± 7.50 kg

Height: 173.00 ± 2.00 cm

Incongruent Stroop task

/

30 min

S: MF ↑ in I vs Baseline (assessed using M-VAS)

↓ in distance covered (small) in I vs Baseline (assessed using a Yo-Yo IR1 test) (ES(d))

Lam et al. [76] study 2

N: 9 participants (7♂/2♀)

Age: 21.10 ± 1.20 y

Mass:74.00 ± 8.50 kg

Height: 179.00 ± 4.00 cm

Incongruent Stroop task

30 min

S: MF ↑ in I vs Baseline (assessed using M-VAS)

↑ in completion time (small) in I vs Baseline (assessed using a distance based time trial) (ES(d))

Lopes et al. [36]

(1) Male group:

N: 18 runners (♂)

Age: 25.00 ± 1.00 y

Mass: 63.20 ± 1.30 kg

Height: 172.70 ± 1.50 cm

Level: PL5 (calc.) (IAAF score = 846.00 ± 49.00; TF = 8 sessions/wk; TL = 12 ± 1 km/session or 96 ± 9 km/week; RE = 215.00 ± 4.00 ml/kg.km; VO2Max = 73.24 ± 1.37 ML/kg.min; maxHR = 191.00 ± 2.00; MaxSpeed = 21.90 ± 0.30 km/h; VE = 160.00 ± 4.20 l/min)

(2) Female group:

N: 17 runners (♀)

Age: 25.00 ± 1.00 y

Mass: 52.40 ± 1.00 kg

Height: 163.80 ± 1.20 cm

Level: PL5 (calc.) (IAAF score = 867.00 ± 36.00; TF = 7 sessions/wk; TL = 12 ± 1 km/session or 88 ± 7 km/week; RE = 229.00 ± 4.00 ml/kg.km; VO2Max = 61.29 ± 1.45 mL/kg.min; maxHR = 186.00 ± 2.00; MaxSpeed = 18.80 ± 0.30 km/h; VE = 112.00 ± 2.40 l/min)

Stroop task (PC)

Docu

45 min

S: MF ↑ in I2 vs C2 and in I2 vs I1 in both groups (assessed using M-VAS)

B: no effects on RT and ACC (assess using a shorter and distinct Stroop task)

↓ in TTE (small) in I vs C in both groups (measured using a running TTE test) (ES(d))

Macmahon et al. [3]

N: 20 participants (18♂/2♀)

Age: 25.40 ± 3.24 y

Level: NA (TF = 2.84 ± 1.79 h/week)

AX-CPT

Docu

90 min

B: no difference in I vs C (assessed using AX-CPT)

No evidence of MF based on manipulation checks

Macmahon et al. [71]

N: 13 participants (10♂/3♀)

Age: 19.92 ± 1.75 y

Level: NA (TL = 3.55 ± 1.44 sessions/week; TF = 6.72 ± 4.03 h/week; YoE = 10.80 ± 4.48 y; Exp = registered recreational leagues or higher)

Incongruent Stroop task (PC)

Congruent Stroop task

30 min

S: MF ↑ in I2 vs C2 and in I2 vs I1 (assessed using a 7-pt Likert scale)

B: ↑ in RT in I vs C, no effect on ACC (assessed during the Stroop tasks)

↓ in duration time (medium) in I vs C (measured using a beep test) (ES(η2p))

Marcora et al. [78]

N: 16 subjects (10♂/6♀)

Age: 26.00 ± 3.00 y

Mass: 69.00 ± 10.00 kg

Height: 175.00 ± 9.00 cm

Level: PL2 (calc.) (PPO = 288.00 ± 70.00 W; VO2peak = 52.00 ± 8.00 ml/kg.min)

AX-CPT

Docu

90 min

B: ↓ in ACC (assessed during the AX-CPT)

P: no effect on glucose (assessed using a Physioflow PF05L1)

↓ in TTE (small) in I vs C, no effects on RPM (assessed using a TTE test) (ES(d))

Martin et al. [31]

(1) Elite group (EG)

N: 8 cyclists (♂)

Age: 23.40 ± 6.40 y

Mass: 68.20 ± 4.30 kg

Height: 180.00 ± 7.00 cm

Level: PL5 (PPO: 414.00 ± 48.00 W; TL > 5 sessions/week; TV > 500 km/week; YoE > 5y)

(2) Non-elite group (NEG)

N: 9 participants (♂)

Age: 25.60 ± 5.30 y

Mass: 80.70 ± 11.30 kg

Height: 177.00 ± 7.00 cm

Level: PL1/2 (PPO: 261.00 ± 28.00 W; TL ~ 3 sessions/week; TV ~ 80 km/week; YoE = 2 y)

Modified incongruent Stroop task (PC)

Sitting and focussing on a centred black cross

I: 30 min

C: 10 min

B: ↓ in RT with no effects on ACC (assessed during the Stroop task)

No evidence of MF based on manipulation checks

O’Keeffe et al. [81]

N: 15 active participants (♂)

Age: 24.00 ± 3.00 y

TDLoadDback

Resting

I: 16 min

C: 2 min

S: MF ↑ in I1 vs I2 (assessed using VAS)

No performance effects (PPO, APO and oxygen consumption) in I vs C (assessed using a time-based time trial)

Pageaux et al. [72]

N: 12 adults (8♂/ 4♀)

Age: 21.00 ± 1.00 y

Mass: 69.00 ± 11.00 kg

Height: 174.00 ± 12.00 cm

Level: PL2 (TF ≥ 2 aerobic activities/week)

Modified incongruent Stroop task (PC)

Congruent Stroop task (PC)

30 min

B: ↑ in RT in I vs C, no effect on ACC (comparison of Stroop task responses)

P: no effect on glucose (assessed using Biosen EFK Diagnostics)

↑ in completion time (medium) and ↓ in running speed (medium) in I vs C, no effect on pacing (measured using a 5 km running time trial) (ES(η2p))

Penna et al. [84]

N: 16 swimmers (11♂/ 5♀)

Age: 15.45 ± 0.51 y

Level: NA (TL = 30,000 m/week; YoE = 7.35 ± 2.20 y; Exp = competing in state and national competitions)

Stroop task (paper version)

Docu

30 min

S: MF ↑ in I2 vs I1 and in I vs C (assessed using M-VAS)

P: no effect on HRV (assessed using a polar V800)

↑ in completion time (trivial), ↓ in mean speed (trivial) and impaired pacing (trivial) in I vs C (measured using a 1500 m swimming task) (ES(d))

Penna et al. [83]

N: 12 handball players (?)

Age: 17.50 ± 3.63 y

Level: NA (TL =  ~ 6 h/week; YoE = 5.00 ± 2.20 y; Exp = regional level)

Stroop task (paper version)

Docu

30 min

S: MF ↑ in I2 vs I1 and in I2 vs C2 (assessed using M-VAS)

↓ in total distance covered (small) in I vs C (measured using the Yo-Yo IR1) (ES(d))

Pires et al. [80]

N: 8 cyclists (♂)

Age: 29.30 ± 7.90 y

Mass: 67.60 ± 7.50 kg

Height: 177.20 ± 4.60 cm

Level: PL3 (calc.) (PPO = 318.90 ± 22.40 W; VO2Max = 64.10 ± 4.80 ml/kg.min; YoE = 5.00 ± 3.20 y; Exp = competing at regional level)

RVIP test (PC)

Rest

30 min

B: ↑ in errors and ↓ in ACC, no effects on RT (assessed during RVP test)

P: ↑ in θ PFC power in I1,2,3 vs C1,2,3 (blocks during RVP test) (assessed using EEG)

↑ in time to completion (moderate) and ↓ in APO (moderate) in I vs C (measured using a cycling time trial) (ES(d))

Salam et al. [73]

N: 11 cyclists (♂)

Age: 38.00 ± 6.00 y

Mass: 76.50 ± 9.60 kg

Level: PL3 (calc.) (VO2peak = 60.50 ± 4.10 ml/kg.min; TL > 5 h of training/week; YoE ≥ 3y)

Modified Stroop task (PC)

Reading magazines

30 min

S: MF ↑ in I2 vs C2 (assessed using a 10 pt Likert scale)

↓ in TTE (small to moderate) and estimated W’ (moderate) in I vs C, no effects on CP (measured using a TTE test) (ES(d))

Schücker et al. [74]- study 1

N: 12 sport/endurance athletes (3♂, 9♀)

Age: 29.41 ± 14.47 y

Level: NA (TF = 5.87 ± 3.52 sessions/week; TL = 8.25 ± 4.31 h/week; YoE = 10.00 ± 7.35y)

Unmatched Stroop task (PC)

Matched Stroop task (PC)

10 min

S: MF ↑ in I vs C (assessed using a Likert scale)

B: ↑ in RT and ↓ in ACC in I vs C (assessed during the Stroop task)

P: no effect on glucose (assessed using Accu-Chek performa meter)

No effects on running time in I vs C (measured using a beep test)

Schücker et al. [74]- study 2

N: 14 sport/endurance athletes (5♂, 9♀)

Age: 30.64 ± 13.11 y

Level: NA (TF = 5.04 ± 2.77 sessions/week; TL = 7.89 ± 4.16 h/week; YoE = 14.54 ± 8.65y)

Unmatched Stroop task (PC)

Matched Stroop task (PC)

10 min

S: MF ↑ in I vs C (assessed using a Likert scale)

B: ↑ in RT and ↓ in ACC in I vs C (assessed during the Stroop task)

No effects on running time in I vs C (measured using a beep test)

Slimani et al. [85]

N: 10 active endurance athletes (♂)

Age: 16.00 ± 1.05 y

Mass: 55.50 ± 4.20 kg

Height: 1.62 ± 0.04 cm

Level: PL1 (calculated based on performance parameters) (VO2 Max = 39.20 ± 4.80 ml/min/kg; Exp = “engaged in track events”)

Stroop task (paper version)

Reading magazines

30 min

B: ↓ in concentration performance and ↑ in errors in I2 vs C2 (assessed using the d2 test)

↓ in estimated (moderate) and speed related (moderate) VO2Max values in I vs C (measured using a beep test) (ES(d))

Smith et al. [86]

N: 12 soccer players (♂)

Age: 24.00 ± 0.40 y

Mass: 76.10 ± 2.00 kg

Height: 175.30 ± 1.30 cm

Level: NA (Exp = recreational)

Modified Stroop task (paper version)

Reading emotionally neutral magazines

30 min

S: MF ↑ in I2 vs C2 (assessed using M-VAS)

↓ in total distance (small) (measured using the Yo-Yo IR1) (ES(d))

Veness et al. [75]

N: 10 cricket players (♂)

Age: 21.00 ± 8.00 y

Mass: 77.10 ± 9.90 kg

Height: 1.85 ± 0.08 m

Level: NA (Exp = “elite”; YoE ≥ 2 y)

Modified Stroop task (PC)

Reading emotionally neutral magazines

30 × 60 s Stroop

S: MF ↑ in I vs C (assessed using M-VAS)

↓ in total distance (small) (measured using the Yo-Yo IR1) (ES(d))

Weerakoddy et al. [70]

N: 25 Australian football players (♂)

Age: 23.80 ± 4.60 y

Level: NA (Exp = community level)

Incongruent Stroop task (app)

Documentary

I: 35 min

C: 30 min

B: ↓ in test score in I1 vs I30 (assessed during Stroop)

↓ in total distance (small) (measured using the Yo-Yo IR1) (ES(d))

Zering et al. [82]

N: 15 university students (8♀/7♂)

Age: 19.56 ± 1.69

Level: PL 1 (Frequency of PA = 6.00 ± 2.00 sessions (> 10 min)/week)

Stop signal task (PC)

Documentary

10.5 min

S: MF ↑ in I2 vs C2 (assessed using ME Borg scale)

↓ in PPO (medium) and VO2Peak (moderate) in I vs C (measured using a graded exhaustion test) (ES(η2p + d))

  1. Effect size scales (effect sizes were interpreted using the originally reported value of the literature):
  2. Range of effect sizes (Cohen's d): < 0.2 = trivial; 0.2–0.6 = small; 0.6–1.2 = moderate; 1.2–2.0 = large; > 2.0 = very large
  3. Range of effect size (Cohen's dz): < 0.2 = trivial; 0.2–0.5 = small; 0.5–0.8 = moderate; > 0.8 = large
  4. Range of effect size (h2): < 0.25 = trivial; 0.25–0.5 = small; 0.5–1.0 = moderate; ≥ 1.0 = large
  5. Range of effect size (η2): < 0.02 = trivial; 0.02–0.13 = small; 0.13–0.26 = moderate; > 0.26 = large
  6. Range of effect size (η2p): ~ 0.01 = small; ~ 0.06 = medium; ≥ 0.1 = large
  7. Range of effect size (SMD): < 0.2 = trivial; 0.2–0.5 = small; 0.5–0.8 = moderate; > 0.8 = large
  8. ♀ = female; ♂ = male; θ = theta, ACC = accuracy; APO = average power output; AX-CPT = AX continuous performance task; B = behavioural; C = control group (C1 = pre, C2 = post); calc = calculated based on given performance parameters; cm = centimeters; CP = critical power; d = Cohen’s d; Docu = documentary; EEG = electroencephalography; EG = elite group; ES = effect size; Exp = expertise; FINA points = points of the fédération internationale de natation; fNIRS = functional near infrared spectroscopy; h = hours; HRV = heart rate variability; I = intervention group (I1 = pre/first block, I2 = post/second/last block, I3 = third block,…); IAAF score = 2017 scoring tables of the international association of athletics federation; kg = kilogram; maxHR = maximal heart rate; ME = mental exertion; MF = mental fatigue; mg = milligrams; MIET = maximal incremental exercise test; min = minutes; ml = milliliters; M-VAS = mental visual analogue scale; NA = not available; NEG = non elite group; P = physiological; PA = physical activity; PA-R = physical activity rating tool; PC = portable computer; Plevel = performance level; PPO = peak power output; pt = point; RE = running economy; RI = response inhibition; RPM = revolutions per minute; RT = reaction time; RVIP = rapid visual information processing test; S = subjective; TF = training frequency; TL = training load; TTE = time to exhaustion; TV = training volume; VT = ventilatory threshold; W = watt; W’ = watt prime; Wget = rate of work that precipitated metabolic rate at gas exchange threshold; y = years; YoE = years of experience; YoY o IR1 test = Yo-Yo intermittent recovery test variant 1; η2 = eta squared