Comparison of the acute effects of Tai chi versus high-intensity interval training on inhibitory control in individuals with substance use disorder
Question
How do the acute effects of Tai Chi and high-intensity interval training compare for inhibitory control in individuals with substance use disorder?
Summary
In men with methamphetamine use disorder in a compulsory rehabilitation center, one 30-minute session of either Tai Chi or treadmill HIIT improved inhibitory-control task performance acutely. HIIT produced higher heart rate and RPE, and showed broader Stroop accuracy gains, but the study cannot separate exercise type from intensity and had no non-exercise control.
Methodology
- Male methamphetamine-dependent individuals in a compulsory rehabilitation center.
- 46 participants.
- Treadmill running and walking.
- Work intervals: 2 min running.
- Recovery: 2 min self-paced walking.
- Intensity: 85-95% HRmax during running.
- 30 min.
- Single session.
- Acute.
- Assessor-blind randomized acute exercise trial
- Go/No-go, Stroop, and Exercise intensity were tracked.
Outcomes
Go RT
Go reaction time improved after exercise regardless of group.
393.5 to 376.2 ms; time effect F(1,44)=8.424, p=0.006; no time x group p=0.274.
No-go accuracy
No-go accuracy improved in both Tai Chi and HIIT groups.
No-go accuracy p=0.003; TC p=0.028; HIIT p=0.037.
Stroop accuracy
Stroop accuracy improved more broadly in HIIT than Tai Chi.
Time x group p=0.047; post-HIIT accuracy higher than Tai Chi, p<0.001.
Stroop RT
Stroop reaction time improved over time without group interaction.
615.5 to 580.0 ms; time effect p<0.001.
Intensity
HIIT produced higher HR and perceived exertion than Tai Chi.
TC HR 121 +/- 8 bpm and RPE 13 +/- 1; HIIT HR 148 +/- 21 bpm and RPE 16 +/- 2; group p<0.001.
Insights
- A 5 x 2-min HIIT session may acutely improve some cognitive task measures under supervision.
- Lower-intensity Tai Chi may be preferable in early or higher-risk rehabilitation stages.
- Do not translate acute cognitive task changes into addiction-treatment claims.
Limitations
- Acute-only study
- Men only
- Clinical institutional sample
- No non-exercise control group
- Exercise type and intensity were confounded
- Fixed cognitive task order
- No substance-cue inhibitory task
Safety
- No adverse events were reported.
- HIIT allowed speed changes or quitting if needed.
- Participants were screened for major respiratory, cardiovascular, nervous system, and psychiatric exclusions.