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      <title-group>
        <article-title>Cognitive Control of Pacing During Endurance Exercise: Everyone is a Quitter</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Marine Dr. Blaine</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Cognitive Control of Pacing</institution>
        </aff>
      </contrib-group>
      <fpage>505</fpage>
      <lpage>510</lpage>
      <abstract>
        <p>Contemporary accounts of control of pacing during endurance exercise focus on physical limitations, generally assuming humans work to that physical limit. Conceptually, control is ceded to the body at the beginning of an exercise bout and is returned to central cognition upon achieving a state of exhaustion. We advance an alternative decision-making model of control of pacing, where the decision whether to persist in the effort is revisited continuously, and cessation of the exercise bout is an explicit, cognitively controlled decision. Our model depends on the following assumptions and features: 1) decisions are made in discrete cycles, 2) repetitive bodily motions depend on a central pattern generator, 3) afferent physiological feedback produces a sense of perceived exertion, 4) central cognition mediates between perceived exertion and the value of persisting (motivation) to perform an ongoing cost-benefit analysis, and 5) cessation of exercise occurs when an explicit decision is made to discontinue the effort.</p>
      </abstract>
      <kwd-group>
        <kwd>cognitive control of pacing</kwd>
        <kwd>central pattern generator</kwd>
        <kwd>perceived exertion</kwd>
        <kwd>cognitive models of exercise</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>Why do we continue in the face of fatigue, and when and
why do we give up? This question is so fundamental, an
entire body of research in the field of exercise physiology
has been dedicated to answering it. Much of the field has
focused on physical determinants of eventual performance,
whether it be maximal oxygen consumption, hydration, or
mechanical factors such as leg length or body composition.
Motivational factors are often assumed away, frequently by
studying world-class athletes who can be broadly
characterized as exceptionally motivated, and cognitive
factors are easily neglected. The physical performance is
treated much as one would test an internal combustion
engine, with maximal performance determined by the
physical properties of the engine. That these athletes would
persist during testing is a given, and that they produce a
maximal effort is one of the further assumptions that defines
the implications of the studies. Cognition is given short
shrift, both in terms of theory and methodology.</p>
      <p>Common protocols consist of exercising to exhaustion at
a specified intensity, or completing a set distance in a
minimal time. Pacing models have been proposed to
describe human behavior; these are predicated on an often
hidden assumption that physiology determines pacing (via
physical fatigue), rather than that behavior drives pacing
(via cognition). This assumption is rarely exposed in
constant load exercise because experimenters have worked
to remove cognition from the performance and isolate the
physical aspect, often through the use of expert athletes who
can push themselves to the limits of physiology. A maximal
physical effort, if it is purely limited by bodily constraints,
has little need to involve cognition. A sufficiently motivated
participant is assumed to produce a maximal effort, and
cognition is reduced to a simple on/off switch, where it
invokes the required effort.</p>
      <p>
        Pacing strategy is a matter of identifying the maximal
power output that can be sustained across the expected time
interval. For the elite athletes commonly used in pacing
studies, the self selection of a maximal pace is done with
relative ease, resulting in models that have slight variations
from constant power output, but which can be explained
through simple physiological explanations such as reserves
of anaerobic energy. One commonly used model, known as
the Hill model (after A.V. Hill), is based on the idea that
exercise produces linear changes in metabolism, until
demand exceeds capacity, resulting in fatigue and cessation
of exercise. This simple, conventional model of exercise
performance also produces some surprising predictions,
however, which have been justifiably criticized
        <xref ref-type="bibr" rid="ref9">(Noakes,
2011)</xref>
        . Among these suspect predictions are the existence of
a single maximal workload (regardless of distance or time),
and the inability to lift the pace at the end of a “maximal”
session. The ubiquity of a mad sprint for the line in long
distance endurance events falsifies the prediction outright.
That the Hill model has survived nearly a century of
application is a testament to its utility in explaining some
important phenomena, and to the lengths to which
experimenters have succeeded in removing the brain of the
experimental participant from the experiment.
      </p>
      <p>
        Putting the Brain Back in Charge of Pacing
The trend toward removing cognitive aspects of “exercise to
fatigue” has been turned on its head in several studies,
however, where deception about pacing has been used to
examine the cognitive inputs to sustained physical exertion.
For example,
        <xref ref-type="bibr" rid="ref12">(Stone et al., 2011)</xref>
        conducted a study in
which participants completed a cycling time trial (a timed
solo effort across a fixed distance) in a simulation
environment against an avatar that represented their own
best prior performance (supposedly a maximal effort). The
critical manipulation was a deception condition, where that
prior performance was augmented with a 2% increase in
power output. Participants, believing that performance
represented something they had already done, consistently
outperformed the deceptive performance. The researchers
concluded that participants all had a metabolic reserve that
they strategically conserved, and thus none had completed a
truly maximal effort during their initial best efforts. From
this perspective, pacing strategy reflects cognitive budgeting
of available resources against anticipated demands.
      </p>
      <p>
        <xref ref-type="bibr" rid="ref14">Tucker (2013)</xref>
        argues that pacing is the application of a
plan, the entirety of which the participant is not completely
aware of, to spend available resources to achieve the goal in
a near-optimal fashion (where the difference between
optimal and failure is often less than 1%). He defines pacing
during exercise as an attempt to optimally meet the
following goals and constraints:
1. use available energy at the optimal rate
2. gain heat slowly enough to complete the task, but
not so slowly as to reduce intensity
3. accumulate metabolites at a low enough rate to
avoid being overwhelmed by them
4. meet oxygen requirements of muscle, brain and
other tissues
5. compete with other runners, the clock or whatever
other motivational factors impact on performance
The conceptual model of
        <xref ref-type="bibr" rid="ref14">Tucker (2013)</xref>
        depends on a
template matching process that occurs continuously,
weighing task demands against these templates for
performance.
        <xref ref-type="bibr" rid="ref14">Tucker (2013)</xref>
        additionally posits that pacing
differences are due to “uncertainty” about the interpretation
of templates in the context of the task, which results in the
maintenance of a metabolic reserve. What this model lacks,
however, is any specificity or concrete definition of what
these templates might be, or what the uncertainty is and how
it is applied.
      </p>
      <p>It is exactly those theoretical gaps that we intend to
address here, by making our model computationally explicit.
We assert that, while participants may have a rough goal to
do their best, they are engaged in an ongoing comparison
between the expected duration of the work bout and their
current intensity of effort with reference to their prior
experiences. That is, they are retrieving prior events from
memory for comparison, where the content of this memory
includes aspects such as effort, duration, environmental
conditions, and, critically, sustainability of the effort.</p>
      <p>The participant need not balance, nor even be aware of,
most of the factors that define endurance performance
during the majority of work bouts. The surprising
concordance of physiological limitations (where body
temperature, energy reserves, and cardiac output, for
example, simultaneously reach their limits during work to
exhaustion) can be explained largely by physiological
adaptations: systems that fail often adapt first, until all are
roughly on par with each other. For example, the ability to
handle heat stress can change dramatically with only a few
weeks of training. There is no need for the athlete to attempt
to optimize these factors individually, much less be aware of
them in many cases. On the other hand, a participant is
likely to be acutely aware of any single system (whether
body cooling, oxygen delivery, or bodily afferent feedback
such as muscular pain) that signals an impending or realized
failure. Thus, by reacting to the system that corresponds to
the weakest link and matching the current effort level based
on personal history, cognitive control can give the
appearance of near-optimality without reference to a
preconceived plan.</p>
      <p>In the remainder of this paper we will 1) formalize this
theory within the framework of a cognitive architecture, and
2) demonstrate its utility through a computational model of
exercise pacing.</p>
      <p>Using a Unified Theory of Cognition to Constrain a</p>
      <p>
        Theory of Cognitive Control of Pacing
Unified theories of cognition
        <xref ref-type="bibr" rid="ref8">(UTCs; Newell, 1994)</xref>
        attempt
to collect the invariants of human cognitive behavior within
a single, computationally realizable framework. One of the
primary benefits of depending on UTCs is the requirement
to make process models explicit and comprehensive. We
turn to one candidate UTC, the ACT-R cognitive
architecture
        <xref ref-type="bibr" rid="ref2">(Anderson et. al., 2004)</xref>
        , as a source of
structural constraints on cognitive processing to inform the
development of a theory of cognitive pacing. Critical to this
paper, ACT-R has also been mapped onto a variety of brain
areas, and can be used to predict and explain brain activity
during task performance. A core tenet of ACT-R is that
central cognition can be very finely approximated using a
discrete decision-making cycle., with a pattern matching
system implemented as a production system (that maps onto
the basal ganglia) performing a repetitive decision-making
inner loop during task performance. The central
decisionmaking process interacts on each cycle with peripheral
systems such as memory, visual, auditory, and haptic,
perception, and bodily motor functions through a set of low
capacity interfaces, or buffers, which allow limited
parallelism.
      </p>
      <p>When running or cycling, ~150-200 individual leg
movements are typically made per minute. This
automaticity requires a helper system capable of regulating
repetitive motions without the need to burden central
cognition. That is, without such a helper system, one would
be unable to do anything other than perform the exercise
itself because there would be no free cycles to devote
anywhere else. Thus, it is apparent, even without recourse to
a UTC-based analysis, that because endurance exercise does
not overwhelm central cognition, it follows that it must
primarily be handled elsewhere.</p>
      <p>
        Turning back to UTCs, modeling highly interactive
realtime tasks often requires helper systems running at higher
frequencies than central cognition. For example,
        <xref ref-type="bibr" rid="ref3">Best and
Lebiere (2003)</xref>
        were only able to demonstrate smooth
targeting, object tracking, and movement behavior in a
virtual environment by reducing the cycle time to ~10ms,
violating the fundamental of the ACT-R cognitive
architecture (“overclocking” central cognition).
        <xref ref-type="bibr" rid="ref10">Salvucci et
al. (2001)</xref>
        addressed this limitation in a driving task by
modifying the core architecture to interact with a slave
system running at a higher frequency, thereby respecting the
constraints ACT-R places on central cognition.
      </p>
      <p>The implication of this analysis is that, in the context of
endurance exercise, there must be a “helper” that conducts
and regulates much of the activity involved in endurance
exercise, and central cognition can be expected to primarily
interact with that helper.</p>
      <p>
        One candidate slave system that might provide a link
between central cognition and endurance exercise is the
Central Pattern Generator, a spinal network capable of
producing rhythmic limb movements in the absence of
cognitive control
        <xref ref-type="bibr" rid="ref5">(Dimitrijevic et al., 1998)</xref>
        . The CPG tends
toward a natural resonant frequency of just under 3Hz,
which corresponds to a natural cadence of ~90, matching up
closely with observed freely selected cadences of runners
and cyclists. This proposed model of control thus provides a
level of indirection between central cognition and the
exercising muscles. Fatigue signals from the muscles
operate directly on CPG, which then passes this information
on to the central executive. An effort signal from the Central
Executive causes firing, but fatigue of neural pathways will
cause reduced output for the same input firing signal.
      </p>
      <p>Within the central executive, this model of control is
based on the retrieval of relevant templates and comparison
to ratings of perceived exertion (RPE). Given a target
time/distance, memory can be scanned for a relevant effort
that was successfully made at that time/distance. Given
ongoing RPE feedback, the effort can be increased or
reduced relative to the current effort.</p>
      <p>Using this model, undershooting and overshooting of
pacing efforts are both possible and likely. Overshooting has
worse outcomes (failure), while undershooting can result in
less than optimal performance. Specifically, undershooting
leaves energy to be spent more rapidly at the end (end
spurt), but due to task limitations, it may not be possible to
spend all of the available energy. In all cases, these
experiences are learned and stored, resulting in accumulated
knowledge with experience. In the absence of experience,
pacing can be expected to fail often, since there are no
successes to draw from. This naturally produces learning
predictions as well, since lack of experience should result in
many more failures in pacing.</p>
      <p>Specific Theoretical Predictions The constraints discussed
above result in the following theoretical predictions:
• Completely inexperienced athletes (as young athletes
often are) are likely to have more failures of
overpacing and under-pacing
• Experienced athletes, after learning to avoid failures,
will pace conservatively, and will need to spend more
of their energy budget at the end of the effort,
producing an end spurt (increase in output intensity
near the end of a work bout)
• Attentional manipulations that divide attention will
negatively impact pacing (often through a reduction in
cadence that reduces work rate)
• Attentional manipulations that focus attention will
positively impact pacing (through maintenance of an
even pacing strategy)
• Perceived Effort interacts by way of interruption,
focuses attention on perception of effort (pain,
discomfort, effort)
• Central Executive needs to increase effort signal to
CPG as fatigue occurs to maintain the same muscular
input
• Pacing should not be natural, but should emerge with
learned experience over time
• With experience, cadence will tend toward just under
90, but while learning it will be lower. This is not
automaticity or power law speedup, but rather a
removal of the cognitive effort of deliberative
processing that is replaced with the natural frequency
(speedup beyond a cadence of 90 should not happen
with greater experience).</p>
      <p>We will next examine whether these predictions are
sustained or contradicted by the existing literature, and we
will explore a computational model that implements this
model, providing a proof of the theoretical concept.
Constraints of Human Physiology on Endurance</p>
      <p>The preceding discussion focuses on the cognitive control
of pacing. There are also hard limits on endurance
performance imposed directly by human physiology. An
individual's capacity to perform endurance exercise is
characterized by many features; chief among these are:
• Aerobic capability: the ability to metabolize oxygen to
produce work, at lower intensities and long time scales.
This ability may be defined in terms of critical power
(the maximal work rate that can be indefinitely
sustained), and is commonly expressed in units of
oxygen consumed per measure of body weight.
• Anaerobic work capacity (AWC): the conversion of
stored chemical energy to work without the use of
oxygen), at higher intensities and shorter time scales.
This anaerobic work creates an oxygen debt that must
be repaid through respiration.
• Heat tolerance: the ability to maintain homeostasis in
response to heat produced through exercise, primarily
through sweat production and diversion of blood to
surface skin capillaries to radiate heat.
• Maximal power output: the greatest work rate that can
be sustained regardless of the timespan.
• Muscular fatigue: the generation of chemical waste
products that inhibit further muscular action.</p>
      <p>
        While there are many other factors that influence the
ability to perform endurance exercise, these factors capture
many of the main constraints that impact pacing. Aerobic
capability and anaerobic work capacity are the two factors
used in the critical power model of
        <xref ref-type="bibr" rid="ref7">Monod and Scherrer
(1965)</xref>
        , which predicts the maximal duration Tlim of
endurance exercise as a function of work rate P, the
anaerobic work capacity AWC, and the work rate that can be
sustained indefinitely CP. Their relationship is given by:
Tlim=AWC/(P-CP)
      </p>
      <p>Graphically, the CP model traces an asymptotic
hyperbolic curve, predicting work rates that approach
infinity as the time approaches 0, and work rates that never
decrease beyond asymptote as time approaches infinity.
Despite this limitation, the CP model provides an excellent
account of performance from durations of several minutes to
several hours. Figure 1 below depicts the CP model in
relation to actual historical performances for one individual
athlete, showing the ability of this model to predict
limitations while taking individual differences into account.
1200
1000
)
t(W 800
u
p
t
ruO 600
e
w
oP 400
200
CP Model
Performance
0.5
1.0
1.5 2.0 2.5
Time: Log(seconds)
3.0
3.5
4.0</p>
      <p>
        Our modeling goal is to predict these work rate – duration
curves through a model of cognitive control, given a set of
inputs available to the cognitive system. This requires
interaction with a physiology module that incorporates the
modeling of heat generation and dissipation, oxygen
consumption (as a function of resting metabolism, aerobic
exercise, and repayment of oxygen debts), anaerobic energy
use and reserves, and the provision of a perceived exertion
signal. This last quantity, perceived exertion, is primarily
based on cardiac output (the original RPE scale, in fact, was
a linear transformation of heart rate), but also includes heat
stress, and muscular fatigue components
        <xref ref-type="bibr" rid="ref4">(Borg, 1982)</xref>
        . We
have implemented such a module, allowing us to derive
oxygen consumption, heart rate, heat generation, and
anaerobic energy status from a particular work rate given an
athlete's individual physiological parameters. We now turn
to the model of control.
      </p>
      <p>Cognitive Control of Pacing Behavior</p>
      <p>
        The preceding discussion outlines the effort-duration
relationship for endurance exercise. The cornerstone of our
model is the use of memory for historical efforts as the basis
for establishing and refining a current effort. Those
memories, or their absence, are exactly the source of
predictions of expert-novice differences. Given a specific
duration, an athlete will gauge their effort based on
historical experience. Specifically, we suggest that a
blended memory retrieval
        <xref ref-type="bibr" rid="ref2">(Anderson et al., 2004)</xref>
        is
performed, which combines prior experiences similar to the
current context, producing an assessment of whether a
particular effort will succeed or fail, weighted toward recent
memories (that is, exhibiting recency). Thus, we might
expect athletes after a layoff period of reduced or no
training to overestimate the appropriate pace, because their
last memory corresponded to a higher level of performance.
In our model, this matching process is a noisy, inexact
match to prior memory, which might be influenced by
context, recency, and other similar factors known to
influence memorability.
      </p>
      <p>The conventional orient-decide-act cycle, embedded
within cognitive architectures, is also a critical component
of our model. As we previously pointed out, if endurance
exercise required constant attention, it would overwhelm
attentional resources. The central pattern generator may
largely be responsible for handling the continuance of
exercise under non-challenging circumstances. The critical
question relates to when and how often attention focuses the
individual on reconsidering the decision to either persist,
increase, decrease, or entirely cease the effort, during
challenging efforts.</p>
      <p>
        Fatigue and pain are both implicated in this refocusing of
attention. Anyone who has ever engaged in repetitive
physical activity knows that the activity will become more
difficult during a work bout, no matter the intensity. One
important reason for this is the fatigue of neuromuscular
circuits. Specifically, achieving the same muscular output
(measured via EMG) requires stronger and stronger neural
input, which corresponds to an increasing perception of
effort. Voluntary muscle activation, which is measured as
the percentage of neural activity achieved under voluntary
control when compared to direct electrical stimulation, is
approximately 90% prior to fatigue, but drops to less than
75% under conditions of fatigue. This mechanism protects
muscle from catastrophic damage, regulating exercise by
adjusting output from the brain
        <xref ref-type="bibr" rid="ref1">(Amann, et al, 2008)</xref>
        .
      </p>
      <p>Exercising muscles also experience microscopic damage
and produce metabolic waste products, leading to a
perception of muscular pain and fatigue. This
everincreasing pain signal further attracts attention. The neural
fatigue protective mechanism also interacts with regulation
of activity via the CPG indirectly. At exactly the time when
an athlete needs to focus attention on making the decision to
maintain an effort (to increase the neural output signal to the
exercising muscles), they may be interrupted to process the
urgent sensory input of a pain signal.</p>
      <p>Finally, while the CPG might allow the repetition of
rhythmic activities, it will not drive effortful performance on
its own. In the absence of a decision to continue,
CPGdriven behavior will revert to the natural resonant frequency
of the CPG, possibly reducing cadence during high effort
times, and the same CPG signal will result in a decreasing
output effort due to fatigue of neural pathways, despite any
conscious decision to continue.</p>
      <p>The decision to persist during endurance exercise to
exhaustion, thus, must be revisited more and more
frequently as the interval continues through the involuntary</p>
    </sec>
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