Volume 62, Issue 1 e14747
REVIEW

Mental fatigue causes significant activation of the prefrontal cortex: A systematic review and meta-analysis of fNIRS studies

Yunyun Yan

Yunyun Yan

Research Center of Experimental Acupuncture Science, Tianjin University of Traditional Chinese Medicine, Tianjin, China

National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China

Contribution: Conceptualization, Data curation, Formal analysis, ​Investigation, Resources, Supervision, Writing - original draft, Writing - review & editing

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Yi Guo

Yi Guo

Research Center of Experimental Acupuncture Science, Tianjin University of Traditional Chinese Medicine, Tianjin, China

National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China

School of Acupuncture-Moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin, China

Contribution: Supervision

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Dan Zhou

Corresponding Author

Dan Zhou

Research Center of Experimental Acupuncture Science, Tianjin University of Traditional Chinese Medicine, Tianjin, China

National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, China

School of Acupuncture-Moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine, Tianjin, China

Correspondence

Dan Zhou, Research Center of Experimental Acupuncture Science, Tianjin University of Traditional Chinese Medicine, Tianjin, China.

Email: [email protected]

Contribution: Conceptualization, Data curation, Formal analysis, ​Investigation, Resources, Supervision, Writing - original draft, Writing - review & editing

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First published: 19 December 2024
Citations: 1

Abstract

Mental fatigue, a psychobiological prevalent and underestimated condition, is defined by increased lethargy and impaired concentration. This condition is not restricted by age and is exacerbated by various predisposing factors. Prolonged mental fatigue in occupational environments raises the probability of accidents or fatalities. Its fundamental mechanism is largely obscure and inherently subjective, thus there is no universally accepted parameter for its detection. Recently, there has been an increase in research that focuses on the use of functional near-infrared spectroscopy (fNIRS) to observe changes in brain hemoglobin during mental fatigue. Thus, this study assessed the reliability of oxygenhemoglobin and deoxyhemoglobin as fatigue biomarkers and conducted a systematic review and meta-analysis of studies which used fNIRS to monitor mental fatigue. The findings revealed significant activation of the prefrontal lobe under mental fatigue, and its activation level is intricately associated with the monitoring of diverse states during mental fatigue. Importantly, the type of induced mental fatigue and whether pre-trial training was provided to subjects were independent of the prefrontal lobe activation level. Overall, fNIRS proves to be an effective tool in tracking brain activity during mental fatigue, with a highly active prefrontal cortex acting as a dependable indicator for early identification of mental fatigue.

CONFLICT OF INTEREST STATEMENT

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

DATA AVAILABILITY STATEMENT

The data that supports the findings of this study are available in the supplementary material of this article.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.