Health Psychology Research / HPR / Volume 14 / Issue 1 / DOI: 10.14440/hpr.0132
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RESEARCH ARTICLE

Mental- and Temporal-Demand NASA-Task Load Index Scores Correlate with Decreases in Irisin Serum Levels in Healthy Individuals Subjected to 10-Day Bed Rest

Patrizia Pignataro1†* Uros Marusic2,3† Roberta Zerlotin4 Angela Oranger4 Manuela Dicarlo4 Clelia Suriano1 Paolo Taurisano1 Rado Pišot2 Boštjan Šimunič2 Marco Narici5 Maria Grano4 Silvia Colucci1 Graziana Colaianni4
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1 Department of Translational Biomedicine and Neuroscience, University of Bari, Bari 70121, Apulia, Italy
2 Institute for Kinesiology Research, Science and Research Centre Koper, Koper 6000, Slovenia
3 Department of Health Sciences, Alma Mater Europaea University, Maribor 2000, Slovenia
4 Department of Precision and Regenerative Medicine and Ionian Area, , University of Bari, Bari 70121, Apulia, Italy
5 Department of Biomedical Sciences, University of Padova, Padova 35122, Veneto, Italy
HPR 2026 , 14(1), e81240050; https://doi.org/10.14440/hpr.0132
Submitted: 14 May 2025 | Revised: 3 December 2025 | Accepted: 12 December 2025 | Published: 26 March 2026
© 2026 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Background

Bed rest (BR) is a widely used analogue of space flight that aims to replicate microgravity conditions, such as immobilization and a lack of sensorimotor stimuli. In a previous BR study, we evaluated the changes in irisin serum levels, a myokine produced mainly by skeletal muscle that exerts pleiotropic effects on several organs, including the brain.

Objective

Here, we evaluated whether the decline in circulating irisin concentrations during 10 days of horizontal BR correlated with the National Aeronautics and Space Administration Task Load Index (NASA-TLX).

Methods

NASA-TLX was obtained from young healthy participants at the end of the BR protocol. It is a self-report measure of task load that includes six subscales: mental demand, physical demand, temporal demand, performance, effort, and frustration. Each subscale score was correlated with the decline in serum irisin levels measured while participants were supine. Irisin decline was calculated as the difference between levels on the first day of BR (BR0) and the last day (BR9).

Results

Our results show a significant positive correlation between irisin decline and both mental demand and temporal demand, whereas correlations with the remaining subscales showed a positive association with irisin decline but did not reach statistical significance.

Conclusion

These findings suggest that reduced irisin levels are associated with increased perceived mental demand and time pressure (temporal demand) during BR. Because temporal demand can exacerbate high mental activity in a state of cognitive overload, maintaining higher circulating irisin levels could represent an effective countermeasure to improve the cognitive performance of participants during future BR studies and may help astronauts manage mental and temporal pressure during space missions.

Keywords
NASA Task Load Index
Workload assessment
Irisin
Bed rest immobilization
Healthy individuals
Funding
This work was supported by funding from Regione Puglia and CNR for the Tecnopolo per la Medicina di Precisione (D.G.R. No. 2117, 21 November 2018; CUPB84I18000540002), in collaboration with the University of Bari “Aldo Moro” to Maria Grano. Additional support was provided by the Italian Space Agency (ASI) and the European Space Agency (ESA) (Grant No.4000128599/19/NL/PG), awarded to Maria Grano. The authors also acknowledge co-funding from Next Generation EU under the National Recovery and Resilience Plan, Investment PE8 – Project Age-It: “Ageing Well in an Ageing Society”. This project was co-financed by the Next Generation EU (DM 1557, 11 October 2022; CUP: H33C22000680006) to Maria Grano.
References
  1. Hargens AR,  Vico    Long-duration bed rest as an analog to microgravity. J Appl Physiol. 2016;120(8):891-903. doi: 10.1152/japplphysiol.00935.2015

 

  1. Hajj-Boutros G, Sonjak V, Faust A, et al. Impact of 14 Days of Bed Rest in Older Adults and an Exercise Countermeasure on Body Composition, Muscle Strength,  and   Cardiovascular Function: Canadian Space Agency Standard Measures.  Gerontology. 2023;69(11):1284- 1294. doi: 10.1159/000534063

 

  1. Marusic U, Kavcic V, Pisot R, Goswami N. The Role of Enhanced Cognition to Counteract Detrimental Effects of Prolonged Bed Rest: Current Evidence  and  Front Physiol.   2018;9:1864.  doi: 10.3389/fphys.2018.01864

 

  1. Vico L, Hargens A. Skeletal changes during and after spaceflight. Nat Rev Rheumatol. 2018;14(4):229-245. doi: 10.1038/nrrheum.2018.37

 

  1. Armbrecht G, Belavy DL, Backstrom M, et al. Trabecular and cortical bone density and architecture in women after 60 days of bed rest using high-resolution pQCT: WISE 2005. J Bone Miner Res. 2011;26(10):2399-2410. doi: 10.1002/jbmr.482

 

  1. Oranger A, Storlino G, Dicarlo M, et al. Impact of 10-day bed rest on serum levels of irisin and markers of musculoskeletal metabolism. FASEB J. 2023;37(1):e22668. doi: 10.1096/fj.202201005RR

 

  1. Dorfman TA, Levine BD, Tillery T, et al. Cardiac atrophy in women following bed rest. J Appl Physiol. 2007;103(1):8-16.  doi: 10.1152/ applphysiol.01162.2006

 

  1. Marusic U, Narici M, Simunic B, Pisot R, Ritzmann Nonuniform  loss  of  muscle strength and atrophy during bed rest: a systematic review. J Appl Physiol. 2021;131(1):194- 206. doi: 10.1152/japplphysiol.00363.2020

 

  1. Monti E, Reggiani C, Franchi MV, et al. Neuromuscular junction instability and altered intracellular calcium handling as early determinants of force loss during unloading in humans. J Physiol. 2021;599(12):3037-3061. doi: 10.1113/JP281365

 

  1. Van Ombergen A, Demertzi A, Tomilovskaya E, et al. The effect of spaceflight and microgravity on the human brain. J Neurol. 2017;264 (suppl 1):18-22. doi: 10.1007/s00415-017-8427-x

 

  1. Buoite Stella  A,  Ajcevic  M,  Furlanis G, Manganotti    Neurophysiological adaptations to spaceflight and simulated microgravity. Clin Neurophysiol. 2021;132(2):498-504. doi: 10.1016/j.clinph.2020.11.033

 

  1. Messerotti Benvenuti S, Bianchin M, Angrilli A. Effects of simulated microgravity on brain plasticity: a startle reflex habituation study. Physiol Behav. 2011;104(3):503-506. doi: 10.1016/j.physbeh.2011.05.019

 

  1. Ball JR, Evans CH Jr, eds. Institute of Medicine (US) Committee on Creating a Vision for Space Medicine During Travel Beyond Earth Orbits. In: Safe Passage: Astronaut Care for Exploration Missions. Washington, DC: National Academies Press; 2001. doi: 10.17226/10218

 

  1. Islam MR, Valaris S, Young MF, et al. Exercise hormone irisin is a critical regulator of cognitive function. Nat Metab. 2021;3(8):1058-1070. doi: 10.1038/s42255-021-00438-z

 

  1. Pignataro P, Dicarlo M, Suriano C, et al. Once- Daily Subcutaneous  Irisin Administration Mitigates  Depression-  and  Anxiety-like Behavior  in  Young  Int  J  Mol Sci. 2023;24(7):6715. doi: 10.3390/ijms24076715

 

  1. Wrann CD,  White  JP,  Salogiannnis  J, et al.  Exercise  induces  hippocampal BDNF through a PGC-1alpha/FNDC5 pathway. Cell Metab. 2013;18(5):649-659. doi: 10.1016/j.cmet.2013.09.008

 

  1. Pignataro P, Dicarlo M, Zerlotin R, et al. FNDC5/ Irisin System in Neuroinflammation and Neurodegenerative Diseases: Update and Novel Perspective. Int J Mol Sci. 2021;22(4):1605. doi: 10.3390/ijms22041605

 

  1. Wang S, Pan J. Irisin ameliorates depressive-like behaviors in rats by regulating energy metabolism. Biochem Biophys Res Commun. 2016;474(1):22-28. doi: 10.1016/j.bbrc.2016.04.047

 

  1. Siteneski A, Cunha MP, Lieberknecht V, et al. Central  irisin  administration  affords antidepressant-like  effect  and  modulates neuroplasticity-related genes in the hippocampus and prefrontal cortex of mice. Prog Neuropsychopharmacol  Biol Psychiatry. 2018;84(pt  A):294-303.  doi: 10.1016/j.pnpbp.2018.03.004

 

  1. Pignataro P, Dicarlo M, Zerlotin R, et al. Antidepressant Effect of Intermittent Long- Term Systemic Administration of Irisin in Mice. Int J Mol Sci. 2022;23(14):7596. doi: 10.3390/ijms23147596

 

  1. Hart SG, Staveland LE. Development of NASA- TLX (Task Load Index): Results of Empirical and Theoretical Research. In: Hancock PA, Meshkati N, eds. Advances in Psychology. Vol 52. North-Holland; 1988:139-183. doi: 10.1016/S0166-4115(08)62386-9

 

  1. Anastasilakis AD, Polyzos SA, Saridakis ZG, et al. Circulating irisin in healthy, young individuals: day-night rhythm, effects of food intake and exercise, and associations with gender, physical activity, diet, and body composition. J Clin Endocrinol Metab. 2014;99(9):3247-3255. doi: 10.1210/jc.2014-1367

 

  1. Dolenc P, Petric M. The effects of prolonged physical inactivity induced by bed rest on cognitive functioning in healthy male participants. Ann Kinesiol. 2013;4:129-143.

 

  1. Ishizaki Y, Fukuoka H, Tanaka H, et al. Executive function on the 16-day of bed rest in young healthy men. Acta Astronaut. 2009;64(9-10):864-868. doi: 10.1016/j.actaastro.2008.10.006

 

  1. Seaton KA, Slack KJ, Sipes WA, Bowie KE. Cognitive functioning in long-duration head- down bed rest. Aviat Space Environ Med. 2009;80(5)(suppl):A62-A65. doi: 10.3357/asem.BR09.2009

 

  1. Shehab RL, Schlegel RE, Schiflett SG, Eddy DR. The NASA Performance Assessment Workstation: cognitive  performance  during head-down bed rest. Acta Astronaut. 1998;43(3-6):223-233.   doi:   1016/s0094-5765(98)00156-8

 

  1. Li S, Liu Y, Li K, et al. Validation and effect of the NASA-TLX score on the assessment of the workload of pediatric robotic operations. Surg Endosc. 2023;37(7):5077-5085. doi: 10.1007/ s00464-023-09959-y

 

  1. Jasper U, Yadav L, Dollard J, Jadczak AD, Yu S, Visvanathan R. Sedentary Behaviour in Hospitalised Older People: A Scoping Review. Int J Environ Res Public Health. 2020;17(24):9359. doi: 10.3390/ijerph17249359

 

  1. Loyd C, Markland AD, Zhang Y, et al. Prevalence of Hospital-Associated Disability in Older Adults: A Meta-analysis. J Am Med Dir Assoc. 2020;21(4):455-461.e5. doi: 10.1016/j. jamda.2019.09.015

 

  1. Hoffmann B, Dehkordi P, Khosrow-Khavar F, Goswami N, Blaber AP, Tavakolian K. Mechanical deconditioning of the heart due to long-term bed rest as observed on seismocardiogram morphology. NPJ Microgravity. 2022;8(1):25. doi: 10.1038/s41526-022-00206-7

 

  1. Belavy DL, Seibel MJ, Roth HJ, Armbrecht G, Rittweger J, Felsenberg D. The effects of bed-rest and countermeasure exercise on the endocrine system in male adults: evidence for immobilization-induced reduction in sex hormone-binding globulin levels. J Endocrinol Invest. 2012;35(1):54-62. doi: 10.3275/7606

 

  1. Lipnicki DM, Gunga HC, Belavy DL, Felsenberg D. Bed rest and cognition: effects on executive functioning and reaction time. Aviat Space Environ Med.  2009;80(12):1018-1024. doi: 10.3357/asem.2581.2009
Conflict of interest
All authors declare that they have no financial or non-financial competing interests.
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Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research