Skip to main content
Scientific Reports logoLink to Scientific Reports
. 2025 Apr 15;15:13040. doi: 10.1038/s41598-025-97179-w

Effects of long-term mindfulness meditation training on attentional capacity in professional male fencer athletes

Hong Ding 1, Lei Zhang 1, Chao Ma 1, Hebao Wen 1, Xiaojiang Zhao 1,
PMCID: PMC12000601  PMID: 40234661

Abstract

Attention is a crucial cognitive ability for sports performance. The current research aimed to investigate whether long-term mindfulness meditation (MM) intervention enhances male athletes’ attentional function and alters the activity of brain regions related to attention. In this experiment, we recruited 47 professional male fencer athletes completed two main trials—an MM trial and a control trial. In MM trial, the participants were provided with 3 sessions/wk (20 min/session) of mindfulness meditation training for 20 weeks. In control trial, the participants were instead assigned a mind-wandering related audio to listen to at that time. In each main trial, the five facets of mindfulness questionnaire (FFMQ), cognitive function (i.e. attention span, attention concentrativeness, attention stability, attentional network, distractibility and attentional blink), salivary cortisol, blood lactate and mental fatigue were measured at baseline (pretest) and after the intervention (posttest). The cerebral oxygenation status was recorded using functional near-infrared spectroscopy(fNIRS) during the cognitive function test. In cognition test, participants’ attention span, attention concentrativeness, attention stability, attentional networks on task-relevant information (targets) were better in the MM group, supported by eliciting increased oxygenated haemoglobin (HbO) concentration in the prefrontal cortex of the brain. Conversely, there are no remarkable different of distractibility and attentional blink on task-irrelevant information in the MM group than in the Con group (p > 0.05). Moreover, a lower mental fatigue level and lower salivary cortisol concentration were observed in the MM group than in the Con group after the intervention at posttest. Overall, 20-week MM training interventions after physical training improve attentive capacity and cerebral oxygenation concentration, decrease salivary cortisol concentrations and mental fatigue. The findings suggest that long-term MM training interventions after physical training facilitates focus during competition and improves athletic performance.

Keywords: Mindfulness meditation training, Fencer athletes, Cognition, fNIRS

Subject terms: Health care, Health occupations

Introduction

Attention, the prioritization of goal-relevant stimuli, represent one of the most important main endogenous determinants of visual cognition, which is crucial in our perception of a stable world1. Attention is often classified into the following elements: distractibility2, attention span3, attention network4, selective attention5, attention stability6, attentional blink, attention shifting7. Previous research has proven to the importance of attention in sports performance8,9, especially competitions that rely on precision, such as shooting, archery10, and golf11. To get a good performance in contest, athletes are required to keep a high level of attention focusing and selective attention. For instance, during the competition, athletes actively focus attention on competition-related message (e.g., the objective) and avoid being distracted by competition-irrelated message (e.g., depress and /or anxiety status, environment). Compared with traditional behavioral paradigm and questionnaire survey12,13, cognitive function test software is widely used in the field of psychology and brain science because of its direct, accurate and objective advantages1416.

Despite the important of traditional psychological skills training (PST) in the improving performance has been acknowledged in professional and semi-professional sports, a lack of convincing evidence and theoretical underpinning concerning PST to enhance performance in sports17. On the one hand, the efficacy of traditional PST do not meet the criteria for evidence-based empirical support18. On the other hand, traditional PST mainly controlling athletes’ mind by eliminating unexpected cognitive and emotional content, which has certain side effects, such as making the athletes unable to pay full attention to the competition19. On the contrary, mindfulness-based intervention is an orientation toward the present moment characterized by non-judgmental and opennes when suffering internal and/or external stimuli, including one’s feelings, thoughts, body states, awareness, and environment20. The body of literature on mindfulness-based interventions has been widely applied in competitive sports for improving performance has increased exponentially in recent years2123. It was pointed out that two mainly important components of mindfulness, one is involves self-regulation of attention, and the other is involves an attitude of present-centred, curiosity, openness, and acceptance24. Therefore, from a theoretical perspective, mindfulness-based intervention should affect attention, as attention is a key component of the conceptualization of mindfulness25.

Mindfulness-based interventions are a promising approach and have received increasing attention in the field of competitive sports26. Tóth and colleagues highlighted that mindfulness-based interventions can improve ice hockey athletes’ corrected shifting abilities in the SWITCH test and information processing speed in the trail making test that tested by a computer-based psychological testing system, the Vienna test system27. Furthermore, mindfulness-related interventions are adopted in the field of sports psychology, including but not limited to competitive sports, such as brief mindfulness-based intervention28,29, long-term mindfulness-based intervention3032, online mindfulness-based intervention33,34, brief mindfulness-based intervention coupled with fluid intake35, and so on. Among them, long-term meditation is the most common intervention by reviewing the literature, and those literature mainly focus on the benefits of mindfulness-based intervention on individual, such as improving athletic performance (e.g., free-throw accuracy in basketball, ranking points in table tennis, serve accuracy in tennis)36,37. However, the effect of long-term mindfulness on enhancing attention in athletes has yet to be investigated. However, it is unknown whether brain correlates represent the process by which mindfulness enhances attention.

Mindfulness meditation theoretical frameworks conceptualise the cultivation of focused attention and emotional state management, as well as attitudinal underpinnings that promote nonjudgment and acceptance, in order to ease cognitive and affective processing and hence improve brain health38. Several networks have been most consistently linked to mindfulness-related modulation of their functional connectivity. A review reported by Uddin et al. presented six common macro-scale brain network according taxonomy of functional brain networks: occipital network-visual, pericentral network-somatomotor, dorsal frontoparietal network-attention, lateral frontoparietal network-control, midcinguloinsular network-salience, mmedial frontoparietal network-default. We can learn from six common macro-scale brain network that attention is connected closely with dorsal frontoparietal network (DFPN)39. The core regions of dorsal frontoparietal network, include the superior parietal lobule, middle temporal complex and the putative frontal eye fields (BA8), which is given the cognitive label “attention” because of its broad significance in visuospatial attention40. The DFPN mainly regulates the activity of task-related in the brain to achieve top-down attention41,42. The functional magnetic resonance imaging scanner in Go/NoGo tasks revealed that healthy participants increased their brain activations more over the right dorsolateral prefrontal cortex (DLPFC) and superior parietal lobe under gaming cue distraction43. Conversely, an event-related electrophysiological study examined an auditory version of the delayed-match-to-sample task and found that neurological patients with focal lesions in the dorsolateral prefrontal cortex showed a failure in inhibitory control of sensory processing and reductions of neural activity as well as additional intrahemispheric reductions of attention-related frontal activity44. Previous studies have demonstrated that mindfulness-based interventions are associated with changes in the DFPN45. Based on above, we suppose that the neural mechanism of mindfulness improves attention in professional male fencer athletes may also be reflected in the activation or functional connectivity of the DFPN.

Therefore, the first objective of this study was to determine the influence of long-term mindfulness meditation intervention on male athletes’ attentional function. In addition to verifying the influence of mindfulness meditation on attention, understanding the mechanism underlying such an effect is vital. A functional near-infrared spectroscopy study revealed that long-term mindfulness practice led to the neural benefits of efficient activation in the prefrontal cortex, which is associated with the increase of cerebral blood oxygen levels46. Mindfulness meditation is a psychological intervention that may change mental parameters. Therefore, the second objective of our study was to investigate the impact of long-term mindfulness meditation intervention on mental fatigue and/or the potential involvement of cortisol on mental fatigue and attention. We hypothesized that that compared with the Con group, the MM group would (1) benefit attention and be associated with higher oxygenated haemoglobin concentrations in the prefrontal cortex, supported by eliciting increased activation of the right dlPFC; (2) accompanied by a lower cortisol concentration and mental fatigue level.

Materials and methods

Study design and participants

Fifty professional male fencer athletes from China were enrolled in this study. All the participant were meet the following inclusion criteria: (1) All the participants are aged 18 to 30; and (2) No regular mindfulness practice in the past year; and (3) No participate in other organized mindfulness-related training in spare time; and (4) No cognitive, physical, or eyesight impairments; and (5) No surgery or drug use in the last six months. Three participants were excluded due to surgery issues. The 47 eligible participants were randomly assigned to the MM group (n = 25) and the Con group (n = 22) using a randomization sequence. The participants in the MM group were provided with 3 sessions/wk (20 min/session) of mindfulness meditation training for 20 weeks, while the participants in the Con group were instead assigned a travel-related audio to listen to at the same time. Finally, all the participants were required to attend FFMQ, cognitive function with fNIRS, salivary cortisol, blood lactate and mental fatigue test at pretest and posttest, details as shown in Fig. 1. Written informed consent was obtained from all the participants prior to participation. The experiment in this study was approved by Capital University of Physical Education and Sports ‘s Human Research Ethics Committee. The study was following the Declaration of Helsinki.

Fig. 1.

Fig. 1

The detailed protocol.

Mindfulness interventions

The participants in the MM group were asked to concentrate their attention on a single object (i.e., their breath), keep an eye out for distractions, and nonjudgmentally redirect their attention back to the object if one occurred. For example, the participants in the MM group did a breath count task in which they counted their breathing cycles from 1 to 9, using the left arrow key to count and the right arrow key to reset the count after the ninth breath. When they lost count, they pressed the spacebar to reset the counter and began counting again using the left arrow. This intervention has been reported to induce mindfulness47,48. While the participants in the Con group were required to read books related to the auditory system and press the right arrow key to navigate to the next page at the same time.

Measures

Body morphology

All the participants in this study were assessed for body height and weight as well as body mass index. Height and weight evaluations were conducted using the Holtain stadiometer and Inbody J10 (Biospace Corp., Seoul, Korea). Weight in kilograms divided by the square of height in meters (measured in kg/m2) to get each participant’s body composition.

Perception outcomes

FFMQ After long-term mindfulness meditation training or reading task, all the participants were asked to finish the five facets of mindfulness questionnaire (FFMQ), which was used as measure individual mindfulness states with regards to thoughts, experiences, and actions in daily life. Each of the 39-items uses a five-point scale: 1 (Never or very rarely true), 2(Rarely true), 3(Sometimes true), 4(Often true), 5(Very often or always true). In this test, a higher total score in the FFMQ of the participants means a better state of mindfulness49,50.

Mental fatigue Mental fatigue was assessed using 1–10 point RPE scale, ranging from 1 (resting) to 10 (mmaximal).This evaluation method has also been used in previous studies51.

Attentional capacity test

Attentional abilities were evaluated by means of multitask computerized assessment. A test of cognitive function comprising the attention span, attention concentrativeness, attention stability, attentional network, distractibility and attentional blin in an event design was administered from one computer52,53.

Attention span: This is a test of attention. After the test began, the subjects were asked to focus their attention on the center of the screen. Note that the target appears in a short time, after each viewing, the subjects should fill in the number of targets as soon as possible.

Attention concentrativeness: When the test starts, a character matrix will appear on the screen. Please check the matrix in order from left to right and from top to bottom. As long as the target character is found, it is marked with the left mouse button until this matrix is checked, click “Next page” to continue the check. Leaks and errors are recorded incorrectly. The subject needs to react as quickly as possible while remaining accurate.

Attention stability: After the test starts, several words will appear on the screen, some of which will blink several times. When they start to move, keep your eye on the picture that just flashed and keep track of them. After a while, all the words will change, and one of the words you’ve been tracking will become a “p” or a “q.” If you see “p”, press the P key on your keyboard as soon as possible, and if you see “q”, press the q key. Please react as quickly as possible while remaining correct.

Attentional network: After the test starts, a center point will appear in the center of the screen, and then a set of arrows will appear above or below it. Please identify the arrow in the middle of this set of arrows and press the corresponding arrow key on the keyboard.

Distractibility: In the following test, subjects will see three kinds of red, yellow and blue circles and four Chinese characters “up”, “down”, “left” and “right”. According to different conditions, the subjects’ left and right hands will complete three tasks respectively or together. Task 1 is to identify different colored circles with the left hand; The second task is to recognize the Chinese character representing the direction with the right hand; In Task three, both hands are required to respond to their respective goals, depending on the situation. Please react as quickly as possible while remaining correct.

Attentional blink: After the test starts, multiple letters will flash in sequence in the center of the screen, please remember the red letter, and pay attention to whether the letter X appears after the red letter, and then answer the relevant questions.

Hemodynamic changes

Spontaneous changes of cerebral oxygenation in prefrontal cortex is measured using functional near-infrared spectroscopy (fNIRS) as previously described54,55. The system constituent part with dual wavelengths (760 and 850 nm) and a 3 cm source-detector separation comparison channel (NIRx Medical Technologies LLC, New York, US). The detectors are positioned on the participant’s prefrontal cortex (PFC). The system includes eight light sources and eight detectors, for a total of 16 channels. It is worth mentioning that the attention-relevant regions in this study and prior research were identified as Brodmann areas 9 (BA9) and BA10. BA9 includes the dorsolateral/anterior PFC, whereas BA10 includes the anterior PFC56. Resting-state fNIRS data were collected after attention test 10 min, and the participants sat comfortably in a chair with their eyes closed. Raw fNIRS data were recorded for lasting 20 min at 5 Hz. The necessary collection software (MATLAB 2021Ra software and the Homer2 fNIRS processing package) was used to collect NIR spectral data and assess the signal-to-noise ratio57.

Salivary cortisol

Saliva samples were collected using a mouth swab (Salivette® Cortisol, with synthetic swab) measured with salivary cortisol. A cotton swab is placed on the front of the tongue to collect saliva, then removed from the mouth and inserted into a syringe bucket. After centrifugation (CS150NX, Eppendorf, Hamburg, Germany), the saliva samples were stored in an ultra-low temperature refrigerator (906GP-ULTS, Thermo-fisher Scientific, Pittsburgh, USA) at – 80 °C and analyzed within 2 weeks. Salivary cortisol levels were assessed using a commercial enzyme-linked immunosorbent assay kit (96T, H094-1-2, Nanjing Jiancheng Bioengineering Institute, Nanjing, China) according to the manufacturer’s instructions58.

Statistical analyses

All the baseline (pretest) and posttest data are presented as means standard deviations (SDs). SPSS was used for statistical analysis (version 26, IBM SPSS, Armonk, NY, USA). The sample size was conducted by G*Power analysis. The variances of the sample data for normality, homogeneity were evaluated by the Shapiro-Wilk and Levene, respectively. A paired sample t-test was used to determine group differences of mindfulness state based on their FFMQ scores. A 2 (conditions: MM and control) × 2 (times: pretest and posttest) repeated-measures analysis of variance (ANOVA) was conducted to examine the between- and within-condition effects. The significance level was set to 0.05.

Results

Long-term mindfulness meditation training

The mindfulness status in each group are shown in Fig. 2. Significant interaction and time effects were observed for mindfulness levels, (F (1, 90) = 5.61, p < 0.05 for interaction effect; F(1, 90) = 11.45, p < 0.05 for time effect). We can learn from the Fig. 2 that at the pretest stage, no significant group differences of the score in FFMQ test were observed in the MM and Con groups (p > 0.05). At the posttest, a significantly higher mindfulness state was observed on FFMQ in the MM group compared with the Con group (p < 0.001). There were no significant differences at pre- and post-test in Con group (p > 0.05), while a significant time effect was detected pre- and post-test in the MM group (p < 0.01). These results revealed that the participants in the MM group demonstrated higher mindfulness levels on the FFMQ than that in the Con group. Hence, the intervention was successful.

Fig. 2.

Fig. 2

State mindfulness in each group. ###p < 0.001 represent pre-test vs. post-test in the MM group. &&p < 0.01 represent compared with Con in the post-test stage.

Attention results

Figure 3 presents the attention data in each group. Significant interaction and time effects were observed for attention capacity, (attention span: F (1, 90) = 5.782, p < 0.05, attention concentrativeness: F (1, 90) = 5.524, p < 0.05, attention stability: F (1, 90) = 35.05, p < 0.05, attentional network: F (1, 90) = 46.95, p < 0.05, distractibility: F (1, 90) = 1.215, p < 0.05, attentional blink: F (1, 90) = 0.207, p < 0.05, for interaction effect; attention span: F (1, 90) = 16.42, p < 0.05, attention concentrativeness: F (1, 90) = 22.99, p < 0.05, attention stability: F (1, 90) = 46.36, p < 0.05, attentional network: F (1, 90) = 91.60, p < 0.05, distractibility: F (1, 90) = 0.197, p < 0.05, attentional blink: F (1, 90) = 0.65, p < 0.05, for time effect). There were no significant differences of attention span, attention concentrativeness, attention stability, and attentional network in attention test between the two groups at the pretest stage (p > 0.05). After 20 weeks interventions, a significant improvement was detected for attention span, attention concentrativeness, attention stability, and attentional network in the MM group when compared with Con group in the post-test stage (p < 0.05), but there was no significant difference between the two groups in terms of distractibility and attentional blink (p > 0.05).

Fig. 3.

Fig. 3

Effect of mindfulness meditation training on attentive capacity in (A) attention span; (B) attention concentrativeness; (C) attention stability; (D) attentional network; (E) distractibility; (F) attentional blink. ###p < 0.001 pre-test vs. post-test in the MM group. &&p < 0.01 represent represent compared with Con in the post-test stage.

A significant improvement in attention span, attention concentrativeness, attention stability, and attentional network subscores pre- to post-intervention (time effect) was seen for MM group (p < 0.05). In addition, no significant interaction effect or group effect was observed for distractibility and attentional blink (p > 0.05). In conclusion, the participants in the MM group demonstrated higher attentive capacity on the attentional test than that in the Con group. These data collectively suggested that a higher attentive capacity of athletes response to mindfulness meditation intervention observed in this study highlights the importance of mindfulness meditation intervention to training athletes.

fNIRS outcomes

Figure 4. revealed the fNIRS outcomes in each group. We conducted an analysis of variance to compare the HbO in different regions between the two groups during the attention test. We can learn from the Fig. 4. that there were no significant differences in terms of HbO before and after treatment between the two group in the left BA9 (p > 0.05) and the right BA9 (p > 0.05).

Fig. 4.

Fig. 4

Effect of mindfulness meditation training on oxygenated haemoglobin concentration in (A) left BA9; (B) right BA9; (C) left BA10; (D) right BA10. #p < 0.05 represent pre-test vs. post-test in the MM group. &p < 0.05 represent compared with Con in the post-test stage.

However, significant interaction and time effects were observed for HbO (F (1, 90) = 0.13, p < 0.05 for interaction effect; (F (1, 90) = 13.33, p < 0.05 for time effect) in the left BA10 (p < 0.05,) and the right BA10 (p < 0.05). We can learn from the Fig. 4. that the pretest–posttest difference was significant in the MM group (p < 0.05) but not in the Con group (p < 0.05). Furthermore, the MM group had a greater HbO than did the Con group at the posttest p < 0.05). Figure 4 displays the differences in HbO2 concentrations in the BA10 after physical exercise pretreatment, while no differ in the BA9. Such evidences collectively supported that mindfulness meditation intervention induced a remarkable increase of HbO in anterior PFC regions of professional male fencer athletes.

Salivary cortisol

Figure 5 depicts the changes in the salivary cortisol concentration in each group at pre-and-posttest in response to exercise. Significant interaction and time effects were observed for salivary cortisol, (F (1, 90) = 8.069, p < 0.05 for interaction effect; F(1, 90) = 8.14, p < 0.05 for time effect). The results indicated that the pretest–posttest difference was significant in the MM group (p < 0.01), but not in the Con group (p > 0.01). Furthermore, the MM group had a lower salivary cortisol concentration than did the Con group at the posttest (p < 0.05). This result indicated that the professional male fencer athletes exhibited lower cortisol concentrations after 20-week mindfulness meditation intervention, meaning that the athletes have a relaxing status after mindfulness meditation intervention, given its advantages.

Fig. 5.

Fig. 5

Effect of mindfulness meditation training on salivary cortisol in each group. ##p < 0.05 represent pre-test vs. post-test in the MM group. &p < 0.01 represent compared with Con in the post-test stage.

Mental fatigue

We observed from the Fig. 6. that regarding the RPE, the main effect of time was significant (F (1, 90) = 11.4, p < 0.05) and that of interaction (F (1, 90) = 21.65, p < 0.05) were significant. Findings suggest that participants’ mental fatigue significantly decreased after mindfulness meditation training (p < 0.001).

Fig. 6.

Fig. 6

Effect of mindfulness meditation training on mental fatigue in each group. ###p < 0.001 represent pre-test vs. post-test in the MM group. &&&p < 0.001 represent compared with Con in the post-test stage.

Discussion

This study explored the effects of long-term mindfulness meditation on the attention in professional male fencer athletes. Participants were required to finish 20-week mindfulness meditation interventions or to read books related to the auditory system at the same time. The key finding of this study is that long-term mindfulness meditation may potentially benefit fencer athletes’ attention, as the fNIRS results indicated significant changes in HbO concentration within specific brain areas after the intervention. In addition, the concentration of salivary cortisol and level of mental fatigue decreased after mindfulness meditation interventions. In general, our results supported our hypotheses at both the behavioural and neurological levels.

Previously studies provided adequately documented beneficial effects of mindfulness meditation on attentional capacity. The results in this study provides elementary evidence of the long-term mindfulness meditation on attentional capacity in professional male fencer athletes. Consistent with previous hypothesis, the results in this study demonstrated that the participants’ attention (i.e., attention span, attention concentrativeness, attention stability, attentional networks) on task-relevant information in the MM group was significantly improved after 20-week mindfulness meditation interventions in the post-test than those in the pre-test, conversely, the significant difference both distractibility and attentional blink on task-irrelevant information was not detected in the MM group at pre-and posttest. Our finding is consisted with a recent study that explored the effectiveness of long-term mindfulness meditation on attention59, but this study was only an intra-group comparison because of no control group. However, in our study, we further demonstrated that the significant between-group difference of attentional capacity at posttest was detected, in other words, the MM group showed higher attentional capacity than the control group. This results also confirmed in previously study60.

It is well known that it is essential for the brain to receive optimal oxygen and blood supply during the process of improving attentional capacity61. Studies have shown that brain oxygenation and hemodynamics can be altered by both internal and external interventions62,63. Therefore, in order to better understand the relationship between brain oxyge nation/hemodynamics and attentional processing, we adopted fNIRS to quantify noninvasive changes in brain oxygenation, including oxygenated hemoglobin (HbO) in the human brain. Our results demonstrated that after 20-week mindfulness meditation interventions, the participants in the MM group exhibited a characteristic response of increased HbO in the right BA9 and BA10. Shakrawal and his colleague also consisted with this results that meditation was associated with significant increase in cortex oxygenation, including but not limited to a significant increase of HbO and significant decrease of HbR64. We suspect that the increased of brain oxygenation level after long-term mindfulness meditation is associated with the increased of neural activity induced by attentional processing. This hypothesis has been tested by subsequent results. The fMRI results revealed that mindfulness meditation interventions caused increased neural activation in the right dorsolateral prefrontal cortex involved in sustaining and monitoring the focus of attention65. This is explained by the fact that areas of high neural activity, including PFC, tend to have increased oxygen consumption and enhanced blood supply to ensure the required HbO supply66. A recent study by Aly et al. showed that the neurophysiological evidence of the transient beneficial effects of a brief mindfulness exercise on cognitive processing using ERP measures. This study demonstrated that mindful exercise in healthy young adults could enhance the accuracy of cognitive performance and calm the neural response in P3 during the Flanker task, indicating more efficient cognitive processing, and enriching the effects of mindfulness meditation on attentional and cognitive performance67. In addition, further study showed that the increased of brain oxygenation level after long-term mindfulness meditation is associated with cerebral blood flow (CBF), which plays a critical role in cognitive performance68. For example, meditation experts pointed out that specific hemodynamic responses in the right temporo-parietal junction while meditating on an auditory stimulus69. Another study by single photon emission computed tomography neuroimaging reveals that 5-days mindfulness meditation significantly enhanced cerebral blood flow (CBF) in subgenual/adjacent ventral anterior cingulate cortex, medial prefrontal cortex and insula70.

A growing body of literature has documented that the relationship between mindfulness meditation and salivary cortisol7173. Cognitive decline is related with a higher levels of cortisol74, while cognitive improvement (including but not limited to mindfulness meditation training)7577 is often associated with reduced cortisol. For example, Creswell and his colleague observed that mindfulness meditation training reduced individuals’ stress reactivity by regulating salivary cortisol reactivity78; Ooishi et al. reported that mindfulness meditation training can improve physiological relaxation, or elevate physiological arousal, both of which are associated with a decrease in salivary cortisol levels79, this result is similarly with other’s study80. Zhu et al. also directly revealed that the reduced salivary cortisol after mindfulness meditation training is related with the improvement of attention in the Stroop congruent and incongruent tasks81. This conclusion is consistent with our results in present study that the participants showed a lower salivary cortisol after 20-week mindfulness meditation intervention. It was reported that even a single (e.g., 20-minute)82, or short-term7183 (e.g., seven 20-minute sessions or 3 days) mindfulness meditation intervention, all can significantly reduce cortisol levels. Thus, we concluded that the decreased salivary cortisol associated with increased attention after mindfulness meditation training.

In competitive sports, mental fatigue is considered as a psychological index that can affect athlete’s performance84,85 and attention86, which is essential because mental fatigue can influence decision accuracy and attentional flexibility in competition. The results in this study demonstrated that the athletes both in the MM and Con groups showed higher levels of mental fatigue at the pre-test, which is consistent with Gantois et al.,87, who suggested that higher levels of mental fatigue are associated with worsening attention. Mechanistically, mental problem (e.g., chronic fatigue, depress) is closely related to the autonomic nervous system (including (sympathetic and parasympathetic) imbalances88. And Sympathetic hyperactivity, due to decreased parasympathetic activity, is linked to mental fatigue caused by extended cognitive stress89. However, mindfulness meditation can ameliorate the negative effect of mental fatigue in professional athlete population. The benefit of mindfulness meditation intervention on psychological statuses has been acknowledged in the field of athletic psychology and neurobiology, such as reduce the feeling of fatigue and stress, help adjust the mental state, and enhance satisfaction and happiness9092. A randomized controlled follow-up study indicated that mindfulness intervention effectively reduced mental fatigue caused by competing in volleyball athletes93. Our results revealed that mental fatigue significantly decreased after mindfulness meditation intervention in fencer athletes. The findings of the current study support this hypothesis with participants in mindfulness meditation condition, in an accepting, openness mood and relaxed attitude, may be able to ameliorate mental fatigue by control the biological system and94. in other words, mindfulness meditation can ameliorate induced mental fatigue by improving autonomic balance of sympatho-vagal, for instance, reducing sympathetic and increasing parasympathetic influence95. As a result, implementing using a mindfulness meditation training to reduce mental fatigue appears viable.

In summary, this study demonstrated 20-week MM training interventions after physical training improve attentive capacity and cerebral oxygenation concentration, decrease salivary cortisol concentrations and mental fatigue. Therefore, we recommend the application of mindfulness practice in professional athletes, especially in closed-skill sports that require high attention participation (e.g., shooting, archery, darts, golf, gymnastics, skating etc.). But there are still some limitations in this study. First, all the participants in this study are male athletes. The lack of female athletes may have limited the generality of the results. Future studies should consider including female participants and further expand the sample size. Second, this paper demonstrates the positive effects of long-term mindfulness meditation on fencer athletes, but the effects on athletes in other sports (e.g., shooting, golf, etc.) need to be further demonstrated. Third, heart rate of athletes was not monitored in cognitive function tasks. Given that heart rate may affect cognitive performance, future research should involve human resource monitoring or cardiovascular index during cognitive tasks. Lastly, in our experiment, we use FFMQ was used to evaluate individual mindfulness states with regards to thoughts, experiences, and actions in daily life, which may product response bias because of the reliance on self-reported FFMQ data. More appropriate methods for assessing the state of mindfulness should be adopted in the next step research.

Conclusion

The results showed that after 20-week mindfulness meditation training interventions, participants exhibited better attentional capacity and lower salivary cortisol concentrations and mental fatigue. At the neural level, long-term mindfulness meditation induction significantly enhanced neural activity in PFC. Given these findings, we recommend that psychologists advocate long-term mindfulness mindfulness practices to enhance athletes’ attentive capacity prior to competitions.

Author contributions

“HD wrote the main manuscript text. LZ, MC helped complete the experiment.HBW prepared figures. XJZ revised the manuscript. All authors reviewed the manuscript.”

Funding

This work was supported by the Philosophy and Social Sciences Foundation of the Anhui Higher Education Institutions of China (2024AH052821 and 2024AH052823). Natural Science Foundation of the Higher Education Institutions of Anhui Province (2022AH051434).

Data availability

All data can be obtained from the corresponding author.

Competing interests

The authors declare no competing interests.

Footnotes

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

  • 1.Jiang, J., Summerfield, C. & Egner, T. Attention sharpens the distinction between expected and unexpected percepts in the visual brain. J. Neurosci.33(47), 18438–18447 (2013). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Meier, M. E. Testing the attention-distractibility trait. Mem. Cognit49(7), 1490–1504 (2021). [DOI] [PubMed] [Google Scholar]
  • 3.Singer, C. M. et al. Attention, speech-language dissociations, and stuttering chronicity. Am. J. Speech Lang. Pathol.29(1), 157–167. 10.1044/2019_AJSLP-19-00039 (2020). [DOI] [PMC free article] [PubMed]
  • 4.Huang, P. et al. Attention-Aware residual network based manifold learning for white blood cells classification. IEEE J. Biomed. Health Inf.25(4), 1206–1214 (2021). [DOI] [PubMed] [Google Scholar]
  • 5.Fernandez, N. B., Trost, W. J. & Vuilleumier, P. Brain networks mediating the influence of background music on selective attention. Soc. Cogn. Affect. Neurosci.14(12), 1441–1452 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Britton, J. C. et al. Training-associated changes and stability of attention bias in youth: implications for attention bias modification treatment for pediatric anxiety. Dev. Cogn. Neurosci.4, 52–64 (2013). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Commodari, E. & Guarnera, M. Attention and aging. Aging Clin. Exp. Res.20(6), 578–584 (2008). [DOI] [PubMed] [Google Scholar]
  • 8.Miller, B. T. & Clapp, W. C. From vision to decision: the role of visual attention in elite sports performance. Eye Contact Lens. 37(3), 131–139 (2011). [DOI] [PubMed] [Google Scholar]
  • 9.Ishihara, T., Kobayashi, T., Kuroda, Y. & Mizuno, M. Relationship between attention shifting and tennis performance during singles matches. J. Sports Med. Phys. Fit.58(12), 1883–1888 (2018). [DOI] [PubMed] [Google Scholar]
  • 10.Dirik, H. B. & Ertan, H. Hemispheric synchronization patterns linked with shooting performance in archers. Behav. Brain Res.460, 114813 (2024). [DOI] [PubMed] [Google Scholar]
  • 11.He, Q., Liu, Y. & Yang, Y. The effect of quiet eye training on golf putting performance in pressure situation. Sci. Rep.14(1), 5182 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Ozen, S., Senlikci, H. B., Guzel, S. & Yemisci, O. U. Computer game assisted task specific exercises in the treatment of motor and cognitive function and quality of life in stroke: a randomized control study. J. Stroke Cerebrovasc. Dis.30(9), 105991 (2021). [DOI] [PubMed] [Google Scholar]
  • 13.Ho, H. Y., Chen, M. D., Tsai, C. C. & Chen, H. M. Effects of computerized cognitive training on cognitive function, activity, and participation in individuals with stroke: a randomized controlled trial. NeuroRehabilitation51(1), 79–89 (2022). [DOI] [PubMed] [Google Scholar]
  • 14.Ten Brinke, L. F. et al. The effects of computerized cognitive training with and without physical exercise on cognitive function in older adults: an 8-Week randomized controlled trial. J. Gerontol. Biol. Sci. Med. Sci.75 (4), 755–763 (2020). [DOI] [PubMed] [Google Scholar]
  • 15.Hao, L. et al. Functional physical training improves fitness and cognitive development in 4 –5 years old children. Front. Psychol.14, 1266216 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Cheng, X., Qian, L., Fan, Y., Tang, Q. & Wu, H. The effect of Equine-Assisted activities in children aged 7–8 years inhibitory control: an fNIRS study. J. Integr. Neurosci.22(4), 89 (2023). [DOI] [PubMed] [Google Scholar]
  • 17.Birrer, D. & Morgan, G. Psychological skills training as a way to enhance an athlete’s performance in high-intensity sports. Scand. J. Med. Sci. Sports. 20(Suppl 2), 78–87 (2010). [DOI] [PubMed] [Google Scholar]
  • 18.Gardner, F. & Moore, Z. Clinical sport psychology. Clin. Sport Psychol.41, 7 (2006).
  • 19.Wegner, D. M. Ironic processes of mental control. Psychol. Rev.101(1), 34–52 (1994). [DOI] [PubMed] [Google Scholar]
  • 20.Hofmann, S. G. & Gómez, A. F. Mindfulness-based interventions for anxiety and depression. Psychiatr Clin. North. Am.40(4), 739–749 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 21.Josefsson, T., Gustafsson, H., Iversen Rostad, T., Gardner, F. L. & Ivarsson, A. Mindfulness and shooting performance in biathlon. A prospective study. Eur. J. Sport Sci.21(8), 1176–1182 (2021). [DOI] [PubMed] [Google Scholar]
  • 22.Li, L. et al. Association of mindfulness with perfectionism, exercise self-efficacy, and competitive state anxiety in injured athletes returning to sports. Healthc. (Basel)11(20), 2703 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 23.Dehghani, M., Saf, A. D., Vosoughi, A., Tebbenouri, G. & Zarnagh, H. G. Effectiveness of the mindfulness-acceptance-commitment-based approach on athletic performance and sports competition anxiety: a randomized clinical trial. Electron. Physician. 10(5), 6749–6755 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Bishop, S. R. Mindfulness: a proposed operational definition. Clin. Psychol. Sci. Pract.11(3), 230–241 (2004).
  • 25.Wang, Y., Lei, S. M. & Fan, J. Effects of mindfulness-based interventions on promoting athletic performance and related factors among athletes: a systematic review and Meta-Analysis of randomized controlled trial. Int. J. Environ. Res. Public. Health. 20(3), 2038 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Scott-Hamilton, J., Schutte, N. S. & Brown, R. F. Effects of a mindfulness intervention on Sports-Anxiety, pessimism, and flow in competitive cyclists. Appl. Psychol. Health Well Being8(1), 85–103 (2016). [DOI] [PubMed] [Google Scholar]
  • 27.Tóth, R., Turner, M. J., Mannion, J. & Tóth, L. The effectiveness of rational emotive behavior therapy (REBT) and mindfulness-based intervention (MBI) on psychological, physiological and executive functions as a proxy for sports performance. BMC Psychol.11(1), 442 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Norris, C. J., Creem, D., Hendler, R. & Kober, H. Brief mindfulness meditation improves attention in novices: evidence from ERPs and moderation by neuroticism. Front. Hum. Neurosci.12, 315. 10.3389/fnhum.2018.00315 (2018). [DOI] [PMC free article] [PubMed]
  • 29.Sousa, G. M., Lima-Araújo, G. L., Araújo, D. B. & Sousa, M. B. C. Brief mindfulness-based training and mindfulness trait attenuate psychological stress in university students: a randomized controlled trial. BMC Psychol.9(1), 21 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Saarinen, A., Hintsanen, M., Vahlberg, T., Hankonen, N. & Volanen, S. M. School-based mindfulness intervention for depressive symptoms in adolescence: for whom is it most effective? J. Adolesc.94(2), 118–132 (2022). [DOI] [PubMed] [Google Scholar]
  • 31.Gotink, R. A., Meijboom, R., Vernooij, M. W., Smits, M. & Hunink, M. G. 8-week mindfulness based stress reduction induces brain changes similar to traditional long-term meditation practice—a systematic review. Brain Cogn.108, 32–41 (2016). [DOI] [PubMed] [Google Scholar]
  • 32.Tsai, C. C. et al. The efficacy of a mindfulness-based exercise program in older residents of a long-term care facility in Taiwan. Geriatr. Nurs.50, 227–233 (2023). [DOI] [PubMed] [Google Scholar]
  • 33.Bossi, F. et al. Mindfulness-based online intervention increases well-being and decreases stress after Covid-19 lockdown. Sci. Rep.12(1), 6483 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Hulsbosch, L. P. et al. Online mindfulness-based intervention for women with pregnancy distress: a randomized controlled trial. J. Affect. Disord. 332, 262–272 (2023). [DOI] [PubMed] [Google Scholar]
  • 35.Zhu, Y., Sun, F., Li, C., Chow, D. H. K. & Wang, K. Acute effect of brief Mindfulness-Based intervention coupled with fluid intake on athletes’ cognitive function. J. Sports Sci. Med.19(4), 753–760 (2020). [PMC free article] [PubMed] [Google Scholar]
  • 36.Tebourski, K., Bernier, M., Ben Salha, M., Souissi, N. & Fournier, J. F. Effects of mindfulness for performance programme on actual performance in ecological sport context: two studies in basketball and table tennis. Int. J. Environ. Res. Public. Health. 19(19), 12950 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 37.Hoja, S. & Jansen, P. Mindfulness-based intervention for tennis players: a quasi-experimental pilot study. BMJ Open. Sport Exerc. Med.5(1), e000584. 10.1136/bmjsem-2019-000584 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 38.Prakash, R. S. Mindfulness meditation: impact on attentional control and emotion dysregulation. Arch. Clin. Neuropsychol.36(7), 1283–1290 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Uddin, L. Q., Yeo, B. T. T. & Spreng, R. N. Towards a universal taxonomy of Macro-scale functional human brain networks. Brain Topogr. 32 (6), 926–942 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 40.Corbetta, M. & Shulman, G. L. Control of goal-directed and stimulus-driven attention in the brain. Nat. Rev. Neurosci.3(3), 201–215 (2002). [DOI] [PubMed] [Google Scholar]
  • 41.Wong, C. H. Y. et al. Causal influences of salience/cerebellar networks on dorsal attention network subserved age-related cognitive slowing. Geroscience45(2), 889–899 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 42.Schurz, M., Maliske, L. & Kanske, P. Cross-network interactions in social cognition: a review of findings on task related brain activation and connectivity. Cortex130, 142–157 (2020). [DOI] [PubMed] [Google Scholar]
  • 43.Liu, G. C. et al. Brain activation for response Inhibition under gaming cue distraction in internet gaming disorder. Kaohsiung J. Med. Sci.30(1), 43–51 (2014). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 44.Chao, L. L. & Knight, R. T. Contribution of human prefrontal cortex to delay performance. J. Cogn. Neurosci.10(2), 167–177 (1998). [DOI] [PubMed] [Google Scholar]
  • 45.Taren, A. A. et al. Mindfulness meditation training and executive control network resting state functional connectivity: a randomized controlled trial. Psychosom. Med.79(6), 674–683 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 46.Li, X., Zhou, Y., Zhang, C., Wang, H. & Wang, X. Neural correlates of breath work, mental imagery of yoga postures, and meditation in yoga practitioners: a functional near-infrared spectroscopy study. Front. Neurosci.18, 1322071 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Elcin, D., Velasquez, M. & Colombo, P. J. Effects of acute and long-term mindfulness on neural activity and the conflict resolution component of attention. Front. Hum. Neurosci.18, 1359198 (2024 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.Levinson, D. B., Stoll, E. L., Kindy, S. D., Merry, H. L. & Davidson, R. J. A mind you can count on: validating breath counting as a behavioral measure of mindfulness. Front. Psychol.5, 202 (2014). [DOI] [PMC free article] [PubMed]
  • 49.Baer, R. A., Carmody, J. & Hunsinger, M. Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program. J. Clin. Psychol.68(7), 755–765 (2012). [DOI] [PubMed] [Google Scholar]
  • 50.Carpenter, J. K., Conroy, K., Gomez, A. F., Curren, L. C. & Hofmann, S. G. The relationship between trait mindfulness and affective symptoms: a meta-analysis of the five facet mindfulness questionnaire (FFMQ). Clin. Psychol. Rev.74, 101785 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 51.Gantois, P. et al. Mental fatigue from smartphone use reduces volume-load in resistance training: a randomized, single-blinded cross-over study. Percept. Mot Skills. 128 (4), 1640–1659 (2021). [DOI] [PubMed] [Google Scholar]
  • 52.Holm, H. et al. Cognitive test results are associated with mortality and rehospitalization in heart failure: Swedish prospective cohort study. ESC Heart Fail.7(5), 2948–2955 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 53.Klee, D., Colgan, D. D., Hanes, D. & Oken, B. The effects of an internet-based mindfulness meditation intervention on electrophysiological markers of attention. Int. J. Psychophysiol.158, 103–113 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54.Huppert, T. J., Diamond, S. G., Franceschini, M. A. & Boas, D. A. HomER: a review of time-series analysis methods for near-infrared spectroscopy of the brain. Appl. Opt.48(10), D280–D298 (2009). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 55.Pinti, P., Scholkmann, F., Hamilton, A., Burgess, P. & Tachtsidis, I. Current status and issues regarding Pre-processing of fNIRS neuroimaging data: an investigation of diverse signal filtering methods within a general linear model framework. Front. Hum. Neurosci.12, 505 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 56.Kazemi, R. et al. Alpha frequency rTMS modulates theta lagged nonlinear connectivity in dorsal attention network. Brain Res. Bull.162, 271–281 (2020). [DOI] [PubMed] [Google Scholar]
  • 57.Hirasawa, A. et al. Near-infrared spectroscopy determined cerebral oxygenation with eliminated skin blood flow in young males. J. Clin. Monit. Comput.30(2), 243–250 (2016). [DOI] [PubMed] [Google Scholar]
  • 58.Moreira, A. et al. Salivary BDNF and cortisol responses during High-Intensity exercise and official basketball matches in sedentary individuals and elite players. J. Hum. Kinet. 65, 139–149 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 59.Izzetoglu, M. et al. Short-Term effects of meditation on sustained attention as measured by fNIRS. Brain Sci.10(9), 608 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 60.Liu, Y. et al. Mindfulness training improves attention: evidence from behavioral and Event-related potential analyses. Brain Topogr. 36(2), 243–254 (2023). [DOI] [PubMed] [Google Scholar]
  • 61.Herold, F., Wiegel, P., Scholkmann, F. & Müller, N. G. Applications of functional Near-Infrared spectroscopy (fNIRS) neuroimaging in exercise⁻cognition science: a systematic, methodology-focused review. J. Clin. Med.7(12), 466 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 62.Zeidan, F. et al. Brain mechanisms supporting the modulation of pain by mindfulness meditation. J. Neurosci.31(14), 5540–5548 (2011). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 63.Viguier, C. et al. Impact of physical activity on brain oxidative metabolism and intrinsic capacities in young Swiss mice fed a high fat diet. Neuropharmacology241, 109730 (2023). [DOI] [PubMed] [Google Scholar]
  • 64.Shakrawal, J. et al. Meditation increases occipital cortex oxygenation in primary open angle glaucoma. In ARVO Annual Meeting 2020.2020 (2020).
  • 65.Tomasino, B. & Fabbro, F. Increases in the right dorsolateral prefrontal cortex and decreases the rostral prefrontal cortex activation after-8 weeks of focused attention based mindfulness meditation. Brain Cogn.102, 46–54 (2016). [DOI] [PubMed] [Google Scholar]
  • 66.Ichinose, Y., Morishita, S., Suzuki, R., Endo, G. & Tsubaki, A. Comparison of the effects of continuous and intermittent exercise on cerebral oxygenation and cognitive function. Adv. Exp. Med. Biol.1232, 209–214 (2020). [DOI] [PubMed] [Google Scholar]
  • 67.Aly, M. et al. Neurophysiological evidence of the transient beneficial effects of a brief mindfulness exercise on cognitive processing in young adults: an ERP study. Mindfulness5(14), 1102–1112 (2023). [Google Scholar]
  • 68.Ainslie, P. N. et al. Elevation in cerebral blood flow velocity with aerobic fitness throughout healthy human ageing. J. Physiol.586(16), 4005–4010 (2008). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 69.Carvalho, C. T. D. et al. Synthesis and characterization of solid 2-methoxycinnamylidenepyruvic acid. Eclética Química33(4), 276–285 (2008).
  • 70.Tang, Y. Y., Lu, Q., Feng, H., Tang, R. & Posner, M. I. Short-term meditation increases blood flow in anterior cingulate cortex and Insula. Front. Psychol.6, 212 (2015). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 71.Fan, Y. et al. Salivary testosterone and cortisol response in acute stress modulated by seven sessions of mindfulness meditation in young males. Stress27(1), 2316041 (2024). [DOI] [PubMed] [Google Scholar]
  • 72.Wagner Robb, S. et al. Relationship between meditation and waking salivary cortisol secretion among Long-Term MBSR instructors. Complement. Med. Res.26(2), 101–109 (2019). [DOI] [PubMed] [Google Scholar]
  • 73.Black, D. S. et al. Mindfulness practice reduces cortisol blunting during chemotherapy: a randomized controlled study of colorectal cancer patients. Cancer123(16), 3088–3096 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 74.Lee, B. K. et al. Associations of salivary cortisol with cognitive function in the Baltimore memory study. Arch. Gen. Psychiatry. 64 (7), 810–818 (2007). [DOI] [PubMed] [Google Scholar]
  • 75.Rosnick, C. B. et al. Cognitive-behavioral therapy augmentation of SSRI reduces cortisol levels in older adults with generalized anxiety disorder: a randomized clinical trial. J. Consult Clin. Psychol.84(4), 345–352 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 76.Venturelli, M. et al. Effectiveness of Exercise- and Cognitive-Based treatments on salivary cortisol levels and sundowning syndrome symptoms in patients with Alzheimer’s disease. J. Alzheimers Dis.53(4), 1631–1640 (2016). [DOI] [PubMed] [Google Scholar]
  • 77.Pascoe, M. C., Thompson, D. R., Jenkins, Z. M. & Ski, C. F. Mindfulness mediates the physiological markers of stress: systematic review and meta-analysis. J. Psychiatr Res.95, 156–178 (2017). [DOI] [PubMed] [Google Scholar]
  • 78.Creswell, J. D., Pacilio, L. E., Lindsay, E. K. & Brown, K. W. Brief mindfulness meditation training alters psychological and neuroendocrine responses to social evaluative stress. Psychoneuroendocrinology44, 1–12 (2014). [DOI] [PubMed] [Google Scholar]
  • 79.Ooishi, Y., Fujino, M., Inoue, V., Nomura, M. & Kitagawa, N. Differential effects of focused attention and open monitoring meditation on autonomic cardiac modulation and cortisol secretion. Front. Physiol.12, 675899 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 80.Aguilar-Raab, C. et al. Effects of a mindfulness-based intervention on mindfulness, stress, salivary alpha-amylase and cortisol in everyday life. Psychophysiology58(12), e13937 (2021). [DOI] [PubMed] [Google Scholar]
  • 81.Zhu, Y. et al. Acute effects of mindfulness-based intervention on athlete cognitive function: an fNIRS investigation. J. Exerc. Sci. Fit.20 (2), 90–99 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 82.Warth, M. et al. Characteristics of salivary cortisol and alpha-amylase as psychobiological study outcomes in palliative care research. BMC Palliat. Care. 21(1), 226 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 83.Gardi, C., Fazia, T., Stringa, B. & Giommi, F. A short mindfulness retreat can improve biological markers of stress and inflammation. Psychoneuroendocrinology135, 105579 (2022). [DOI] [PubMed] [Google Scholar]
  • 84.Yuan, R. et al. The effects of mental fatigue on sport-specific motor performance among team sport athletes: A systematic scoping review. Front. Psychol.14, 1143618 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 85.Sun, H., Soh, K. G., Roslan, S., Wazir, M. R. W. N. & Soh, K. L. Does mental fatigue affect skilled performance in athletes? A systematic review. PLoS One. 16(10), e0258307 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 86.Shen, Y., Liu, J., Zhang, X., Wu, Q. & Lou, H. Experimental study of transcranial pulsed current stimulation on relieving athlete’s mental fatigue. Front. Psychol.13, 957582 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 87.Gantois, P. et al. Effects of mental fatigue on passing decision-making performance in professional soccer athletes. Eur. J. Sport Sci.20(4), 534–543 (2020). [DOI] [PubMed] [Google Scholar]
  • 88.Zeng, W. et al. Interactions between central nervous system and peripheral metabolic organs. Sci. China Life Sci.65(10), 1929–1958 (2022). [DOI] [PubMed] [Google Scholar]
  • 89.Mizuno, K. et al. Mental fatigue caused by prolonged cognitive load associated with sympathetic hyperactivity. Behav. Brain Funct.7, 17 (2011). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 90.Haraldsdottir, K. et al. Mindfulness practice is associated with improved Well-Being and reduced injury risk in female NCAA division I athletes. Sports Health. 16(2), 295–299 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 91.Mo, X. et al. Effects of breathing meditation training on sustained attention level, mindfulness attention awareness level, and mental state of operating room nurses. Am. J. Health Behav.45(6), 993–1001 (2021). [DOI] [PubMed] [Google Scholar]
  • 92.Terres-Barcala, L. et al. Effects of impulsivity on competitive anxiety in female athletes: the mediating role of mindfulness trait. Int. J. Environ. Res. Public. Health. 19(6), 3223 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 93.Coimbra, D. R., Bevilacqua, G. G., Pereira, F. S. & Andrade, A. Effect of mindfulness training on fatigue and recovery in elite volleyball athletes: a randomized controlled Follow-Up study. J. Sports Sci. Med.20(1), 1–8 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 94.Kudesia, R. S., Pandey, A. & Reina, C. S. .Doing more with less: interactive effects of cognitive resources and mindfulness training in coping with mental fatigue from Multitasking[J]. J. Manag.48(2), 410–439 (2020). [Google Scholar]
  • 95.Nijjar, P. S. et al. Modulation of the autonomic nervous system assessed through heart rate variability by a mindfulness based stress reduction program. Int. J. Cardiol.177(2), 557–559 (2014). [DOI] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

All data can be obtained from the corresponding author.


Articles from Scientific Reports are provided here courtesy of Nature Publishing Group

RESOURCES