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. 2024 Aug 27;109(10):1768–1781. doi: 10.1113/EP091789

TABLE 1.

Cognitive performance outcomes.

Time point
Parameter Baseline R1 Pre R1 Post R2 Post P‐value
Stroop incongruent correct (%)

PLA

KME

93.9 ± 5.1

93.5 ± 5.3

91.2 ± 4.6

92.6 ± 4.2

89.5 ± 6.0

90.3 ± 4.0

91.1 ± 4.7

91.7 ± 4.9

Time, = 0.006

Condition, = 0.471

Interaction, = 0.660

Stroop incongruent correct RT (ms)

PLA

KME

741.7 ± 146.9

735.7 ± 98.4

683.5 ± 108.4

698.2 ± 99.6

718.9 ± 111.2

688.0 ± 131.5

700.7 ± 112.3

659.6 ± 94.1

Time, = 0.002

Condition, = 0.409

Interaction, = 0.288

Stroop interference score

PLA

KME

24.05 ± 6.1

23.3 ± 6.5

25.51 ± 5.8

23.45 ± 4.7

22.06 ± 6.3

24.44 ± 6.6

24.03 ± 7.2

26.52 ± 6.1

Time, = 0.19

Condition, = 0.63

Interaction, = 0.06

DANA CSD correct RT (ms)

PLA

KME

969.8 ± 241.2

994.6 ± 169.5

978.7 ± 245.0

1008.3 ± 276.7

985.6 ± 152.9

932.0 ± 200.7

933.1 ± 205.6

948.6 ± 118.7

Time, = 0.26

Condition, = 0.68

Interaction, = 0.54

DANA CSD efficiency (correct response/min)

PLA

KME

57.3 ± 14.1

60.6 ± 11.0

56.1 ± 12.8

54.3 ± 13.6

56.6 ± 12.7

55.7 ± 15.2

60.0 ± 11.7

60.1 ± 9.2

Time, = 0.20

Condition, = 0.84

Interaction, = 0.50

DANA CSS correct RT (ms)

PLA

KME

1146.4 ± 197.4

1186.1 ± 307.8

1117.2 ± 171.4

1134.0 ± 197.2

1140.2 ± 201.6

1118.2 ± 222.7

1055.7 ± 156.7

1074.8 ± 176.1

Time, = 0.01

Condition, = 0.71

Interaction, = 0.53

DANA CSS efficiency (correct response/min)

PLA

KME

53.05 ± 9.0

52.63 ± 12.5

53.30 ± 7.2

52.93 ± 8.9

52.71 ± 8.7

53.99 ± 10.0

56.18 ± 7.2

55.35 ± 8.6

Time. P = 0.04

Condition, = 0.96

Interaction, = 0.72

VirTra correct RT (ms)
PLA 1.29 ± 0.07 1.27 ± 0.07 1.30 ± 0.05 Time, = 0.08
KME 1.29 ± 0.07 1.25 ± 0.06 1.27 ± 0.07

Condition, = 0.26

Interaction, = 0.19

VirTra correct RT (#)

PLA

23.68 ± 7.9

27.0 ± 9.8

26.87 ± 8.1

Time, = 0.003

KME

22.12 ± 6.3

27.75 ± 7.5

25.06 ± 9.0

Condition, = 0.59

Interaction, = 0.55

Note: Data are presented as the mean ± SD, n = 16. Baseline was taken as −150 min before the start of exercise; see Figure 1 for more details.

Abbreviations: CSD, Code Substitution Delayed; CSS, Code Substitution Simultaneous; DANA, Defense Automated Neurobehavioral Assessment; KME, ketone monoester; PLA, placebo; RT, reaction time.