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Day 174 MCAT Practice Question

image of nursing advising your dream school
Passage 9

Sedentary behavior (defined as an energy expenditure of <1.5 METs while lying,

sitting, or reclining, while awake can be detrimental for cognitive performance,

whereas acute physical activity breaks may elicit positive effects. One of the main

underlying mechanisms driving the acute physical activity-induced improvements

on cognitive performance is assumed to be changes in cerebral blood flow driven by

neural activation. Previous research findings have demonstrated that a single bout of

physical activity (about 10–20 min) can increase such task-related cerebral blood

flow, with coinciding improvements in prefrontal cortex-dependent cognitive tasks.

However, decreases in task-related cerebral blood flow after an exercise bout with

concomitant enhancement in cognitive performance has also been observed.



In this randomized crossover study, the effects of frequent, short physical activity

breaks during prolonged sitting on cognitive task-related activation of the prefrontal

cortex were investigated. The effects on working memory, psychological factors,

and blood glucose were also examined, and whether arterial stiffness moderated

prefrontal cortex activation. Thirteen subjects (mean age 50.5 years; eight men)

underwent three 3-h sitting conditions, interrupted every 30-min by a different 3-min

break on separate, randomized-ordered days: seated social interactions (SOCIAL),

walking (WALK), or simple resistance activities (SRA). Arterial stiffness was assessed

at baseline. Before and after each 3-h condition, psychological factors (stress, mood,

sleepiness, and alertness) were assessed through questionnaires and functional nearinfrared spectroscopy (fNIRS) was used to measure changes in prefrontal oxygenated

hemoglobin (Oxy-Hb), indicative of cortical activation, while performing working

memory tasks [1- (baseline), 2-, and 3-back]. Blood glucose levels were continuously

measured throughout the conditions.



Results revealed no significant changes in Oxy-Hb during the 2-back compared

with the 1-back test in any condition, and no time-by-condition interactions. During

the 3-back test, there was a significant decrease in Oxy-Hb compared with the

1-back after the WALK condition in the right prefrontal cortex, but there were no

time-by-condition interactions, although 3-back reaction time improved only in the

WALK condition. Mood and alertness improved after the WALK condition, which was

significantly different from the SOCIAL condition. Arterial stiffness moderated the

effects, such that changes in Oxy-Hb were significantly different between WALK and

SOCIAL conditions only among those with low arterial stiffness. Blood glucose during

the interventions did not differ between conditions. Thus, breaking up prolonged

sitting with frequent, short physical activity breaks may reduce right prefrontal

cortex activation, with improvements in some aspects of working memory, mood,

and alertness.



Interrupting prolonged sitting, with frequent, short walking breaks decreased taskrelated right prefrontal cortex activation as measured by Oxy-Hb during a high load

working memory task. Still, frequent, short walking breaks also enhanced working

memory performance, suggesting that physical activity breaks during prolonged

sitting may help preserve or even improve neural efficiency. Of further importance,

alertness and positive mood were enhanced by frequent, short walking breaks

compared with prolonged sitting. While more experimental scrutiny is needed to

clarify the physiological mechanisms underlying such improved neural efficiency,

frequent, short walking breaks may be recommended in middle-aged adults to

support psychological well-being during extended periods of sitting and cognitive

performance on mentally demanding tasks.



Frequent, Short Physical Activity Breaks Reduce Prefrontal Cortex Activation but

Preserve Working Memory in Middle-Aged Adults: ABBaH Study. Adapted from

Heiland et al. (2021).
Which of the following structures in the diagram above is responsible for

speeding action potentials along the axon?

A) Structure A

B) Structure C

C) Structure D

D) Structure E
Click to reveal answer
Correct answer is D

The diagram shown depicts the various parts of the neuron, which is the functional

unit of the brain. Neurons are the cells primarily responsible for transmitting

information within and around the brain, and are created and destroyed as various

neural pathways are removed, strengthened, or created.

In the diagram above,

Structure A corresponds to the dendrites

Structure B corresponds to the cell body, where the nucleus of the neuron is housed.

Structure C corresponds to the axon hillock

Structure D corresponds to the myelin sheath

Structure E corresponds to the nodes of Ranvier

Structure F corresponds to the axon terminals

Of the structures listed, the myelin sheath (Structure D) is responsible for

speeding action potentials along the axon from the axon hillock (Structure C)

to the axon terminals (Structure F), which then connect to other neurons and

provide information that can then be further transmitted. Composed of either

oligodendrocytes (for the central nervous system, or CNS) or Schwann cells (for the

peripheral nervous system, or PNS), the myelin sheath (Structure D) is a structure

composed of specialized lipids, and serves as a type of insulation material that

prevents electrical potential from being lost as propagation of the action potential

occurs. The myelin sheath is discontinuous, and between sections of myelin sheath

are the nodes of Ranvier (Structure E), which help speed action potentials along the

axon. For this reason, Answer D is correct and Answers A, B, and C are incorrect.
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