Effects of music and video on perceived exertion during high-intensity exercise

Enoch C.Chow,Jennifer L.Etnier

Department of Kinesiolog y,University of North Carolina at Greensboro,Greensboro,NC 27412,USA

Original article

Effects of music and video on perceived exertion during high-intensity exercise

Enoch C.Chow,Jennifer L.Etnier*

Department of Kinesiolog y,University of North Carolina at Greensboro,Greensboro,NC 27412,USA

Background:Dissociative attentional stimuli(e.g.,music,video)are effective in decreasing ratings of perceived exertion(RPE)during low-tomoderate intensity exercise,but have inconsistent results during exercise at higher intensity.The purpose of this study was to assess attentional focus and RPE during high-intensity exercise as a function of being exposed to music,video,both(music and video),or a no-treatment control condition.

Methods:During the firs session,healthy men(n=15)completed a maximal fitnes test to determine the workload necessary for high-intensity exercise(operationalized as 125%ventilatory threshold)to be performed during subsequent sessions.On 4 subsequent days,they completed 20 min of high-intensity exercise in a no-treatment control condition or while listening to music,watching a video,or both.Attentional focus,RPE, heart rate,and distance covered were measured every 4 min during the exercise.

Results:Music and video in combination resulted in significanty lower RPE across time(partialη2=0.36)and the size of the effect increased over time(partialη2=0.14).Additionally,music and video in combination resulted in a significanty more dissociative focus than the other conditions (partialη2=0.29).

Conclusion:Music and video in combination may result in lower perceived exertion during high-intensity exercise when compared to music or video in isolation.Future research will be necessary to test if reductions in perceived exertion in response to dissociative attentional stimuli have implications for exercise adherence.

?2017 Production and hosting by Elsevier B.V.on behalf of Shanghai University of Sport.This is an open access article under the CC BY-NC-ND license(http://creativecommons.org/licenses/by-nc-nd/4.0/).

Acute exercise;Attentional focus;Effort;Perceived exertion

1.Introduction

There are many physical and mental health benefit associated with participation in physical activity(PA).However, physical inactivity is widespread and has contributed to the increase in rates of obesity and chronic diseases.1Identifying ways to limit sedentary behavior,motivate individuals to become physically active,or encourage exercisers to continue their PA behaviors has developed into a popular area of research.One direction that this research has taken is to test the potential of music and/or video to influenc attention in a way that may ultimately result in a change in PA behavior.2–8

The term“attention”describes the focus of an individual.9The direction of attention or attentional focus during PA has been described as ranging on a continuum from associative to dissociative and as potentially changing throughout the course of the activity.10When an individual has an associative focus,he or she concentrates on bodily sensations important for task performance,11such as breathing patterns,rhythm in movement,feelings of fatigue in the muscles,and/or heart rate(HR). In contrast,when using a dissociative focus,an individual concentrates on cues that are not relevant for task performance11such as auditory/visual stimuli and the environment,and this dissociative focus may provide distraction from his or her internal sensations(fatigue,breathing,and exertion).Based on the parallel-processing model and relevant to PA and exercise,perception is considered an active process that can influenc judgments of sensory cues.12According to this model,dissociative strategies can reduce ratings of perceived exertion(RPE)during exercise conducted at low-to-moderate intensities.This effect occurs because,while physiological input is important for judgments of exertion,dissociative strategies compete for thelimited channel capacity necessary to bring perceptions of exertion to awareness.Given this model,identifying ways to increase the extent to which an individual uses a dissociative focus during low-to-moderate intensity exercise may result in a significan reduction in perceived exertion,which may ultimately result in an acute benefi to PA behavior(i.e.,greater work output).One way to encourage a dissociative focus is through using music and/or video.13Research on music and video shows that each of these stimuli possesses dissociative attentional qualities that may result in an individual perceiving less exertion and increasing performance(work output)during PA.2–4

Research conducted on the effectofmusic during PAsuggests that music can be used as an aid to reduce negative bodily sensations and perceived exertion.14,15However,consonant with the parallel-processing model,the benefit of music seem to be most consistently evident when an individual participates in low-tomoderate intensity PA.3,8,14–16When an individual engages in PA at higher intensity levels,music has been shown to lose its beneficia effect.16,17This is in accord with the parallel-processing model because this model suggests that there is a point at which exercise intensity ishigh enough thata person’sfocusnecessarily becomes more associative and at this intensity,external cues are no longer useful for maintaining a dissociative focus.

A relevant question,of course,is what is meant by“high enough”with regard to the point at which internal bodily sensations dominate attentional capacity despite efforts to adopt a dissociative focus.The dual mode theory suggests that this critical point may be at ventilatory threshold(VT).18,19When an individual exercises below his or her VT,cognitive strategies (such as dissociating)are useful to maintain enjoyment of an activity and help an individual perceive that he or she is feeling better.However,when an individual exercises at an intensity level above VT,the dual-mode theory suggests that cognitive processes are more difficul to maintain,the focus shifts to an internal or associative focus due to bodily cues,and pleasure is reduced.

This is further explained by Hutchinson and Tenenbaum10who indicate that the relationship between exercise intensity and music’s effect on exertion is due to a shift in attentional focus(dissociative to associative)when an individual progresses from low-to-moderate to high-intensity PA.They suggest that at low-to-moderate intensity,individuals can effectively utilize music as a dissociative strategy to distract their focus from their bodily and internal sensations(exertion, fatigue).However,if individuals begin to engage in highintensity activity,an individual’s focus shifts away from the distracter(music)to a more associative strategy(bodily sensations)and the combined effect of the increased physiological effort and the decreased ability to focus externally are reflecte in the observed increases in RPE.The result of this increase in perceived exertion is that individuals may perceive PA as too difficul or uncomfortable and the implication is that they may fail to maintain a habit of regular PA.Thus,understanding specificaly how music might be used to facilitate the use of a dissociative focus has implications for perceived exertion and performance.

Research examining the effect of video on PA is less prevalent than research on music effects.6,7,9,13,20However,from the studies exploring the effects of video in the absence of music,it has also been shown to reduce RPE during exercise.7,9,20A limited number of studies2,5–7have also compared the combined effects of music and video to the effects of music or video in isolation based on the premise that the 2 in combination may have a stronger effect on attentional focus and RPE.2

Barwood et al.2examined the effects of no-treatment,a nonmotivational video,and a combination of a motivational video and music on performance of a 30 min run consisting of a 15 min warm-up and a 15 min run at maximal effort(average HR=179.38 bpm)performed in a warm(～26°C)moist(～50% relative humidity)environment.Results showed that participants ran farther in the music and video condition than in either other condition despite reporting similar levels of RPE.Based on participants running farther without experiencing an increase in RPE,Barwood et al.2concluded that combined music and video did have a beneficia effect on perceived exertion during maximal exertion exercise,apparently countering finding of previous literature.However,even if one accepts Barwood et al.’s interpretation of their findings their study design negates the ability to attribute their finding to the unique effects of music and video in combination.In particular, their independent variable was actually motivational quality (absent,non-motivational,and motivational)rather than comparing combined music and video effects to effects of either in isolation.

In another study designed to explore the combined effects of music and video,Lin and Lu7asked participants to exercise“as hard as possible”on a stationary bicycle for 12 min while in no-treatment,music,video,and combined music and video conditions.Results indicated that HR was equivalent across the 4 conditions(range of means=174–178 bpm).However,RPE were significanty less in all treatment conditions as compared to the control condition,and the amount of work completed was significanty greater in the combined condition than in the control condition.Importantly,this is the firs study to demonstrate that the effects of combined music and video differ from those of music or video in isolation when participants exercise at a high-intensity level(average HR=88%age-predicted maximum HR,JH Lin,personal communication,February 27, 2015).However,there are 2 limitations of this study.First,the researchers did not assess the effects on attentional focus,hence limiting our ability to identify the role of attentional focus in this relationship.Second,because participants were asked to exercise at a particular level of perceived exertion(i.e.,“as hard as possible”),the influenc of the combined intervention on perceived exertion actually had the potential to influenc the exercise intensity itself and this is clearly a threat to the internal validity of the study.

Two studies have tested the effects of music and video in combination on attentional focus and/or RPE at objectivelydetermined high intensity levels.Jones et al.6asked participants to exercise for 10 min at+10%VT(average HR=150.44 bpm) and?5%VT(average HR=131.87 bpm)under conditionswhere they listened to music,watched video,had the combination of music and video,or were in a control condition.Results indicated that attention was most dissociative in the combined condition as compared to the other 3 conditions and this effect was evident regardless of exercise intensity.However,one limitation of this study is that they did not include measures of RPE so it is not clear if this dissociative focus was reflecte in a decreased perception of exertion.

Hutchinson et al.5used a within-subjects design to compare the effects of music,music and video,and no-treatment on exercise performance at?10VT(target HR=148.4 bpm)and at +10VT(target HR=181.5 bpm).Their results showed that regardless of exercise intensity,the music and video condition resulted in significanty lower RPE as compared to the no-treatment condition.Additionally,irrespective of exercise intensity,the extent to which the participants were able to dissociate was significanty greater for music and video as compared to music only which was also significanty greater than the no-treatment condition.The limitation of this study is that the researchers did not include a video only condition,so their results do not allow for conclusions as to whether or not music and video is better than video alone in terms of its impact on attentional focus and RPE.

Given the limitations of the extant literature exploring the possibility that music and video in combination can benefi exercise performance and perceived exertion during exercise above VT,the purpose of this study was to use a complete design to compare the effects of music,video,and the combination of music and video on attentional focus and RPE during high-intensity exercise.This study was designed to address the limitations of the past research in 3 ways:(1)by measuring attentional focus and RPE,(2)by including all 4 possible combinations of music(present/absent)and video(present/absent), and(3)by using an objective and self-referenced exercise intensity to ensure that participants were exercising at a highintensity(operationalized as+25%VT).It was hypothesized that participants in the combined music and video treatment group would report a more dissociative focus and lower RPE when compared to the music only,video only,or control conditions.Based on past research and the parallel processing model,it was further hypothesized that at this high-intensity of exercise,music alone and video alone would have a negligible impact on attentional focus and RPE as compared to the control condition.

2.Methods

2.1.Participants

Healthy male participants(n=15;age:21.87±1.41 years, mean±SD)were recruited from a large university in the southeastern United States for participation.We limited the sample to men because we were concerned that even regularly active female participants might not be able to complete the exercise protocol on the stationary cycle at+25%VT because of their lesser muscle mass in the legs.All participants signed a consent form(approved by the institutional review board)and confi med that they were healthy enough to participate in PA using the American College of Sports Medicine’s(ACSM’s)Preparticipation Questionnaire(2006).Our inclusion criteria required that if a participant had a prior history of health problems(heart disease,pulmonary disease,and stroke),was physically unable to perform the cycling task,was taking medication (e.g.,for asthma)that could influenc exertion or coordination during PA,or had a condition that limited maximal output during PA,he would not be permitted to participate without consent from a medical doctor.However,all of our participants were healthy enough to participate without a physician’s consent.All participants had to be regularly active(30 min/ week at least 3 time/week)for 6 months prior to beginning the study.This was assessed using the Godin Leisure Time Exercise Questionnaire.21This requirement was necessary to ensure that participants would be able to complete the high-intensity exercise sessions.

2.2.Materials and measures

2.2.1.RPE

During all sessions,a participant’s RPE was measured using the Borg RPE scale22as a measure of perceived exercise intensity.This scale ranges from 6(very,very light)to 20(very,very hard).Scherr et al.23reported strong correlations between RPE and HR(r=0.74)and between RPE and blood lactate (r=0.83)during incremental exercise and concluded that RPE could be used as an accurate tool to monitor an individual’s exercise intensity.

2.2.2.Attention

Attentional focus was measured using a visual analog scale ranging from“0”indicating pure dissociation to“10”indicating pure association.3,24Attention was measured in millimeters (mm);thus,a 100 mm vertical line separated the numeric anchors.Participants were asked to draw a line perpendicular to the line reflectin their attentional focus.The location of this perpendicular line was measured starting from the 0 mm mark. Fifty millimeters was considered a neutral focus where a participant was equally dissociating and associating while cycling. Any measurement less than 50 mm was considered a dissociative focus,while a measurement more than 50 mm was considered an associative focus.

2.2.3.HR

Participants were fitte with a Polar HR monitor(Model F6; Polar Electro,Lake Success,NY,USA)prior to beginning the exercise.Participants were asked to wear the HR monitor and sit quietly for 5 min.Upon completion of the sitting period, baseline HR was assessed.HR was then assessed after the 5 min warm-up(0 min)and every 4 min during the 20 min exercise bout.

2.2.4.Distance

The distance covered(in kilometers)during the exercise session was recorded after the 5 min warm-up(0 min)and every 4 min during the 20 min exercise bout.Distance covered by the participant was displayed on a digital screen located on the bicycle such that only the researcher could view the screen.

2.2.5.Exercise intensity

Exercise intensity was determined relative to VT calculated following a maximal exercise test.This was done because VT is thought to be critical in determining the extent to which central physiological cues dominate over external psychological factors.16,18Participants were fitte with a facemask that covered their nose and mouth and that allowed for the capture of exhaled air by the Viasys Vmax Encore 29c metabolic cart (SensorMedics,Yorba Linda,CA,USA).Participantsperformed a ramped exercise protocol in which they started exercising at 100 W for 3 min and resistance was increased by 25 W every 3 min untilvolitionalexhaustion.VT wascalculated by the Vmax Series Software V20-1a(Viasys Health Care,Yorba Linda,CA, USA)from data collected by the metabolic cartduring the graded exercise test.Thissoftware system usesdualcriteria ofthe ratio of pulmonary ventilation to oxygen consumption(Ve/VO2)and the ratio of pulmonary ventilation to carbon dioxide production(Ve/ VCO2)to identify VT.The VT identifie by the software was confi med for the firs 5 participants using the modifie V-slope method which requires visual inspection of the test data plotted with VO2on thex-axisand Ve on they-axisto identify the pointat which the slope of the relationship changes from linear to exponential.After a participant’s VO2maxand VT were calculated,the participant’s workload(resistance on the ergometerin Watts)that corresponded to high intensity(125%VT)was identified In the rare instances(n=2)when the participant’s 125%VT fell in between 2 workloads,the researcher identifie the workload which corresponded to 70%VO2max(another measure of high intensity)and this was used as the workload for the subsequent exercise sessions.The ACSM guidelines25classify 125%VT and/or 70%VO2maxas high-intensity exercise.The maximal exercise test and all exercise sessions were performed on a Corival Lode recumbent bicycle ergometer(Lode,Groningen,the Netherlands).

2.2.6.Treatment conditions

In all treatment conditions,the fina 20 min(before credits containing songs“Urban”and“Jardin Chinois”)of Cirque du Soleil:La Noubawas selected and presented to the participants. This particular choice for the treatments was selected because the music and video had audio or visual consistency when presented in isolation,and when combined the stimulus was still harmonious and did not give the perception of being disjointed.The entertainment selection also did not have any vocals and the music was an acoustic-based instrumental.All participants selected a comfortable volume level for the headphones(QuietComfort?noise-canceling headphones;BOSE GmbH,Friedrichsdorf,Germany)during their firs session and then in future exercise sessions,this same volume was used.

In the music condition,participants listened to music through noise-canceling headphones.Participants only heard the music and were not able to view the video.In the video condition,participants watched the segment of video on a computer monitor(Apple MacBook 13″×8.5″display;Apple Inc., Cupertino,CA,USA).While viewing the video segment,participants wore noise-canceling headphones but no music or noise was projected through them.In the music and video combined condition,participants listened to the music through noise-canceling headphones and viewed the video segment simultaneously.In the control condition,participants were fitte with noise-canceling headphones but no sound was projected through them and the television remained turned off.

2.3.Procedures

The study consisted of 5 sessions for each participant.Every session was separated by at least 48 h and occurred during the same hour of the day.Participants were asked not to engage in any PA 2 h prior to testing,not to engage in high-intensity PA at all on the day of the test,and not to eat or consume caffeine 3 h before the test.

On the firs day ofthe study,participantssigned the consentand completed questionnaires.Participants were then equipped with an HR monitor and their baseline HR was measured.After this measure was taken,they began the ramped exercise test.Participants were asked to cycle on a stationary bicycle at 80–95 rpm, and the workload on the bicycle was set at 100 W for all participants.Every 3 min the workload was increased by 25 W until the participant reached his volitional exhaustion.During the last minute of every 3 min interval,RPE,attentional focus,HR,and distance were measured.The graded exercise testconcluded when the participantcould no longertolerate an increase in workload or maintain the minimumcycling cadence of70 rpmand volitionally terminated the test.Participants were deemed to have reached a“true”VO2maxifthey metatleast2 of3 criteriaforthemaximaltest (RPE over 17,HR over 170 which equates to approximately 85% age-predicted max forthissample,respiratory quotientover1.10). All participants met this requirement.Upon completion of the VO2maxtest,participants were randomly assigned to one of 4 possible orders of presentation of the 4 treatment conditions.

During the 4 experimentalsessions,allparticipants performed the same cycling task;only the treatmentdiffered.Allparticipants were given an HRmonitorand proceeded to the stationary bicycle. The cart holding the video projector and the stationary bicycle were positioned in the exact same location for every session regardless if a participant was exposed to a treatment.The video projector was a 13-inch fla screen computer monitor positioned on a cartapproximately 3.5 feetfrom the seatofthe bicycle and at eyelevelofa seated participant.The monitorwasslightly offsetto the rightby 2 inchesso thatthe bicycle pedalswould notstrike the cart and so that the monitor was in the direct eye line of the participant.Participants were free to adjust the seat before an exercise bout to compensate for their height.During the 5 min warm-up,exercise intensity wasgradually raised to the calculated workload reflectin 125%VT and thistime-pointwasrecorded as the0 min measurement.Allparticipantsmaintained cycling atthis workload and pedaled at a speed of between 80 and 95 rpm for additional 20 min.RPE,HR,attentional focus,and distance were recorded during the last40 s ofevery 4 min segmentuntilconclusion of the 20 min.If a participant was not maintaining his work rate at 80–95 rpm,he was encouraged to increase or decrease his cycling speed in order to return to the desired rpm range.In all cases,workload was reduced by 10 W if the participant could not maintain the rpm requirementso thatparticipantscould complete 20 min ofactivity.Thisoccurred for2 participantson 2 occasions.Verbal cues were not otherwise given to a participant during a session.When participants completed all experimental conditions,they were debriefed and compensated USD50 for completing the study.

2.4.Statistical analysis

The study used a randomized-conditions within-subjects experimental design.Given the design of the study,a power analysis conducted using G*Power 3.0.1026indicated that withn=16,there would be sufficien statistical power(β=0.80)to observe a statistically significan effect(α<0.05)with an observed medium-to-large effect(f=0.30).Data for distance and HRwere evaluated using two-way repeated measuresanalyses of variance(RMANOVAs)to test the effects of treatment (control,music,video,and combined)and time(0 min,4 min, 8 min,12 min,16 min,20 min).Data for RPE and attentional focus were evaluated using two-way RMANOVAs to test the effects of treatment(control,music,video,and combined)and time(4 min,8 min,12 min,16 min,and 20 min).Mauchly’stest of sphericity was examined for all effects and when necessary a Huynh–Feldt adjustment was made.Post hocanalyses were conducted for significan main effects and simple effects were compared for significan interactions.Analyses were conducted using IBM SPSS Statistics Version 21.0(IBM Corp.,Armonk, NY,USA).

3.Results

Descriptive data for HR,RPE,attentional focus,and work completed for each condition and at each measurement point are presented in Table 1.

3.1.Distance

Distance was not normally distributed for any combination of Treatment×Time.Hence,the necessary assumptions for repeated measures ANOVA were not satisfied For this reason,we only present descriptive data in Table 1 to illustrate that the distance covered increased as time increased on the cycling task from the end of the 5 min warm-up (0 min:1.93±0.07 kg,mean±SE)through the 20 min of exercise (4 min: 3.85±0.12 kg; 8 min: 5.98±0.16 kg; 12 min:8.23±0.26 kg;16 min:10.52±0.29 kg;20 min: 12.53±0.35 kg)with the increase over time remaining steady across the various time periods.

3.2.HR

There were no significan differences in HR as a function of the interaction of Treatment×Time(F(8.87,124.22)=1.18,p>0.32,partialη2=0.08.)As expected,there was a significan difference in HR as a function of time(F(1.29,18.01)=442.73,p<0.001,partialη2=0.97),but there was no significan difference in HR as a function of treatment(F(3,42)=0.38,p>0.77, partialη2=0.03).The main effect for time indicated that HR increased significanty from baseline(73.47±1.79 bpm) to the firs 4 min of exercise(144.30±3.31 bpm)and then continued to increase significanty as time engaged on the cycling task increased(8 min:151.03±3.72 bpm;12 min: 154.30±3.89 bpm; 16 min: 157.22±3.92 bpm; 20 min: 160.23±3.93 bpm).

3.3.RPE

There was a significan interaction between treatment and time(F(7.67,107.42)=2.34,p=0.03,partialη2=0.14).In particular,from 8 min to 12 min and from 16 min to 20 min, RPE increased less during the combined condition(8 min–12 min:Mchange=0.67;16 min–20 min:Mchange=0.00)than it did for the other 3 treatment conditions(8 min–12 min: Mchange=1.22;16 min–20 min:Mchange=0.62)(Fig.1A).

Table 1 Descriptive statistics by measurement time and condition(mean±SD).

Fig.1.Means±SE values for(A)ratings of perceived exertion(RPE)and(B) attentional focus as a function of the significan interaction of time by treatment.Anchors for the attentional focus scale are included on they-axis. *Combined group is significanty different from all 3 other groups;#Combined group is significanty different from the music only and video only groups;?Combined group is significanty different from control group;?Combined group is significanty different from the control group and the music only group.

3.4.Attentional focus

There was no significan interaction between treatment and time(F(12,168)=1.25,p=0.26,partialη2=0.08).There were significan main effects for treatment(F(3,42)=5.68,p=0.002,partialη2=0.29)and time(F(1.38,19.30)=81.08,p<0.001, partialη2=0.85). Attentional focus was significanty(p<0.05)more dissociative in the combined condition (41.92±4.21)when compared to the music only(57.83±4.66),video only(54.16±4.68),and control (64.23±5.34)conditions.There was no significan difference in attentional focus between the music only,video only,and control conditions(p>0.05).The main effect for time showed that an individual’s attentional focus shifted significanty toward a more associative focus as time engaged in the cycling task increased (4 min: 31.03±3.78; 8 min: 45.30±3.50;12 min:58.10±3.67;16 min:66.67±3.87; 20 min:71.57±3.53)(Fig.1B).

4.Discussion

The parallel-processing model predicts that dissociative strategies that focus attention away from task-relevant bodily cues will compete with physiological input for access to limited attentional challenges and will result in the perception of less exertion during low-to-moderate intensity exercise.However,at higher intensities of exercise,physiological cues are expected to dominate attention to the extent that dissociative strategies lose their effectiveness.12It has been suggested that by combining music and video,perceived exertion may be lowered even at higher intensities of exercise.2However,research examining the potential benefit of presenting music and video in combination is very limited,2,5–7and there is no past research in which defini tive statements could be drawn regarding the potential additive effects of music and video in combination on attentional focus and RPE during high-intensity exercise.Hence,the purpose of this study was to examine if the presentation of combined music and video while cycling would influenc an individual’s perceived exertion during high-intensity exercise.

Results of this study support previous research2,16,17in that during high-intensity exercise,music or video in isolation is not effective at influencin attentional focus or RPE in comparison to a control condition.As previous researchers have noted10and concordant with the parallel-processing model,12it is likely that at this higher intensity of exercise,an associative focus begins to dominate as the physiological demands of the exercise become increasingly attention-demanding.However,the find ings also indicated that when participants were presented with music and video simultaneously,they reported a significanty lower RPE when compared to the other treatment conditions (music only,video only,and control),despite exercising at the same workload,having the same HR response,and covering the same virtual distance.Importantly,this effect tended to increase with time so that as the duration of higher intensity exercise increased,the benefit of the combined music and video actually became more pronounced.This findin supports our hypothesis that participants would report a lower RPE when presented with music and video simultaneously compared to the other conditions.We also hypothesized that participants would report a more dissociative focus throughout the cycling task in the combined condition than when given music only, video only,or the control condition.The results also supported this hypothesis as participants rated their attentional focus as significanty more dissociative in the combined condition than when compared to the other conditions.This provides an important extension to the literature because the finding demonstrate that music and video in combination do provide greater benefitto exercisers than either provided in isolation even when performing high-intensity exercise.

The results of this study demonstrate that participants cycling for 20 min at an intensity level above VT were unable to maintain a dissociative attention style when presented with music only,video only,or control conditions.This was determined through the participants’rating of attentional focus at each 4 min time point.In all conditions,the main effect for time indicated that attentional focus became increasingly less dissociative over the course of the 20 min exercise session(Fig.1B). However,when in the combined condition,participants started out with a focus that was much more dissociative than when in the other conditions,and hence they were able to maintain a dissociative or neutral focus through 12 min and their focus only became slightly associative by 16 min.In contrast,when in the other 3 conditions,participants switched from a dissociative to an associative focus by the 12 min point.Thus,it appears that the combined music and video provided an attentional distraction that kept participants’focus more dissociative and this occurred in conjunction with the reporting of a lower RPE. Future research will be necessary to determine if the change in attentional focus over time due to external distracters mediates the delayed onset of perceived exertion over time.

Before discussing the conclusions of this study,it is important to consider the limitations.The firs limitation is that the sample was a relatively homogeneous group consisting of young,regularly active men.Hence,the results may not generalize to other samples,and future research is necessary to determine if these effects are possible in other populations. Second,the specifi type of music/video that was selected was purposefully selected to ensure that treatment conditions only differed in the intended fashion(i.e.,due to the level of the independent variable).Future research will be necessary to see if other music/video combinations that differ in terms of potentially relevant variables(e.g.,beat,motivational quality,preference,and synchronicity)produce similar effects as were found with this particular selection.Third,although we chose an intensity of exercise that is considered to be hard(highintensity)according to ACSM guidelines,25obviously there are higher intensities of exercise at which we might not see the same beneficia effects of music and video in combination. Relatedly,because this level of exercise intensity is not one that would likely be chosen by a recreational exerciser,the implications relative to enhancing exercise adherence through music and video remain to be explored.Lastly,although it has been suggested that the effects of music/video on RPE are mediated by attentional focus,the within-subjects design of this study limited our ability to statistically test for mediation.Future study using a between-subjects design and appropriate meditational techniques will be necessary to assess the extent to which differences in attentional focus actually explain differences in RPE.

5.Conclusion

Based on the finding of this research,it is concluded that young,regularly active men engaging in a 20 min bout of highintensity exercise are ableto use music and video in combination as a method to maintain a dissociative focus and perceive significanty lower exertion during their exercise bout.This findin is important because it suggests that by combining video and music,benefit can be obtained at a higher intensity of exercise than previously observed.If these effects are replicated and found to extend to other populations,the implication is that combined video and music may serve to lessen the perceived exertion required for a high-intensity exercise bout and that a mediatorofthiseffectisattentionalfocus.Onelogicalfollow-up to this research would be to explore whether or not this effect on perceived exertion hasimplicationsforexercise adherence.Ifan exerciserperceivesthathe isworking lesshard,itispossible that he willexercise forlongerorthathe willreturn to exerciseagain. Furthermore,given that the current guidelines for PA25include vigorousintensity exercise asone option formeeting recommendations,understanding ways to reduce perceptions of exertion during high-intensity exercise may have important public health implications.Although future study in this area is necessary and encouraged,the finding of this study make an important extension to the literature by demonstrating that music and video can be used in combination to reduce RPE even when exercising ata high intensity.

Acknowledgment

This research was supported by the Theodore&Loretta Williams Graduate Research Award Fund for Arts Health at the University of North Carolina at Greensboro.The funding agency did not have any input with regards to any aspect of study design,study conductance,or manuscript preparation or submission.

Authors’contributions

ECC conceived of the study,collected and analyzed the data, and drafted the manuscript;JLE provided input into the design of the study,assisted with data analysis and interpretation,and provided input and editorial feedback throughout the writing and revising of the manuscript.Both authors have read and approved the fina version of the manuscript,and agree with the order of presentation of the authors.

Competing interests

Neither of the authors declare competing financia interests.

1.Booth FW,Hawley JA.The erosion of physical activity in Western societies:an economic death march.Diabetologia 2015;58:1730–4.

2.Barwood MJ,Weston NJV,Thelwell R,Page J.A motivational music and video intervention improves high-intensity exercise performance.J Sports Sci Med 2009;8:435–42.

3.Razon S,Basevitch I,Land WM,Thompson B,Tenenbaum G.Perception of exertion and attention allocation as a function of visual and auditory conditions.Psychol Sport Exerc 2009;10:636–43.

4.Annesi JJ.Effects of music,television,and a combination entertainment system on distraction,exercise adherence,and physical output in adults. Can J Behav Sci 2001;33:193–202.

5.Hutchinson JC,Karageorghis CI,Jones L.See hear:psychological effects of music and music-video during treadmill running.Ann Behav Med 2015;49:199–211.

6.Jones L,Karageorghis CI,Ekkekakis P.Can high-intensity exercise be more pleasant?:attentional dissociation using music and video.J Sport Exerc Psychol 2014;36:528–41.

7.Lin JH,Lu FJH.Interactive effects of visual and auditory intervention on physical performance and perceived effort.J Sports Sci Med 2013;12: 388–93.

8.Potteiger JA,Schroeder JM,Goff KL.Influenc of music on ratings of perceived exertion during 20 minutes of moderate intensity exercise. Percept Mot Skills 2000;91:848–54.

9.Stanley CT,Pargman D,Tenenbaum G.The effect of attentional coping strategies on perceived exertion in a cycling task.J Appl Sport Psychol 2007;19:352–63.

10.Hutchinson JC,Tenenbaum G.Attention focus during physical effort:the mediating role of task intensity.Psychol Sport Exerc 2007;8:233–45.

11.Stevinson CD,Biddle SJH.Cognitive orientations in marathon running and“hitting the wall”.Br J Sports Med 1998;32:229–35.

12.Rejeski WJ.Perceived exertion:an active or passive process.J Sport Psychol 1985;7:371–8.

13.Nethery VM.Competition between internal and external sources of information during exercise:influenc on RPE and the impact of the exercise load.J Sports Med Phys Fitness 2002;42:172–8.

14.Karageorghis CI,Terry PC.The psychophysical effects of music in sport and exercise:a review.J Sport Behav 1997;20:54–68.

15.Karageorghis CI,Terry PC,Lane AM,Bishop DT,Priest DL.The BASES Expert Statement on use of music in exercise.J Sports Sci 2012;30:953–6.

16.Boutcher SH,Trenske M.The effects of sensory deprivation and music on perceived exertion and affect during exercise.J Sport Exerc Psychol 1990;12:167–76.

17.Schwartz SE,Fernhall B,Plowman SA.Effects of music on exercise performance.J Cardiopulm Rehabil Prev 1990;10:312–6.

18.Ekkekakis P.The dual-mode theory of affective responses to exercise in metatheoretical context:I.Initial impetus,basic postulates,and philosophical framework.Int Rev Sport Exerc Psychol 2009;2:73–94.

19.Ekkekakis P.The dual-mode theory of affective responses to exercise in metatheoretical context:II.Bodiless heads,ethereal cognitive schemata, and other improbable dualistic creatures,exercising.Int Rev Sport Exerc Psychol 2009;2:139–60.

20.Schücker L,Anheier W,Hagemann N,Strauss B,V?lker K.On the optimal focus of attention for efficien running at high-intensity.Sport Exerc Perform Psychol 2013;2:207–19.

21.Godin G,Shephard RJ.A simple method to assess exercise behavior in the community.Can J Appl Sport Sci 1985;10:141–6.

22.Borg GA.Psychophysical bases of perceived exertion.Med Sci Sports Exerc 1982;14:377–81.

23.Scherr J,Wolfarth B,Christle JW,Pressler A,Wagenpfeil S, Halle M.Associations between Borg’s rating of perceived exertion and physiological measures of exercise intensity.Eur J Appl Physiol 2013;113:147–55.

24.Tammen VV.Elite middle and long distance runners associative/ dissociative coping.J Appl Sport Psychol 1996;8:1–8.

25.American College of Sports Medicine.Guidelines for exercise testing and prescription.Philadelphia,PA:Lippincott Williams&Wilkins; 2006.

26.Faul F,Erdfelder E,Lang AG,Buchner A.G*Power 3:a fl xible statistical power analysis program for the social,behavioral,and biomedical sciences. Behav Res Methods 2007;39:175–91.

Received 8 April 2015;revised 3 September 2015;accepted 11 October 2015 Available online 5 January 2016

Peer review under responsibility of Shanghai University of Sport.

*Corresponding author.

E-mail address:jletnier@uncg.edu(J.L.Etnier).

http://dx.doi.org/10.1016/j.jshs.2015.12.007

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