Review Article

Chewing and Attention: A Positive Effect on Sustained Attention

Table 1

Studies on the effects of chewing on attention.

StudyCognitive tests and psychological rating scalesChewing objectsSummary of results (compared with nonchewing condition unless stated)Attributes of effects on attention

Wilkinson et al. (2002) [10]15 tests on memory and attentionSugar-free spearmint gumImprovements of scores on episode and working memory and simple reaction time. Elevation of heart rate. No significant differences in attention.Not significant

Tucha et al. (2004) [11]12 tests on memory and attentionSugar-free spearmint gum and sugar-free tasteless gumShortening of reaction time on sustained attention, prolongation of reaction time on alertness, and increase of number of errors on flexibility. No significant differences in memory and pulse rate.Positive or negative depending on task

Stephens and Tunney (2004) [37]8 tests on memory and attentionSugar-free mint flavored gumImprovements of scores on episode and working memory, attention, and processing speed. No significant differences in executive function.Positive

Kohler et al. (2006) [36]Psychomotor vigilance, tracking, and grammatical reasoning and alertnessParafilm (sugar-free, tasteless)Not significant or detrition of performance of speed and accuracy on simple and complex cognitive tasks except for a simple motor tracking task early during the period of sleep deprivation. No significant differences in alertness, heart rate, and root mean square of successive differences in R-R intervals.Positive or negative depending on task and time

Sakamoto et al. (2009) [15]Reaction timeOdorless and tasteless gum baseShortening of reaction time and the peak latencies of event-related potentials (P300 and N100) in second and third session after chewing.Positive

Smith (2009) [16]Mood, alertness, intelligence test, and short term and working memoryVolunteer’s preferred gumImprovement of intelligence test. No significant difference in memory. Increased alertness at the end of the test session.Positive

Scholey et al. (2009) [21]4 tests including memory, attention, and moodVolunteer’s preferred gumOverall better performance on the cognitive tasks. Increase of alertness and reduction of stress and salivary cortisol.Positive

Smith (2009) [18]5 tests on alertness and moodCaffeinated gum or placebo gumMore positive mood after chewing and at the end of the study regardless of caffeine. Higher alertness after chewing. No significant difference in alertness without caffeine.Not significant

Sakamoto et al. (2009) [14]Reaction timeOdorless and tasteless gum baseShortened reaction time at third trials after chewing. Increased contingent negative variation (CNV) at second and third trials after chewing. No significant differences in movement-related control potentials.Positive

Tänzer et al. (2009) [30]16-minute concentration testSugar-free fruit gumImprovement of concentration performance with time in 8-9-year-olds.Positive

Smith (2010) [17]10 tests on memory, attention, and moodSpearmint or fruit gumImprovement of alertness and selective and sustained attention. Shortened reaction time; this effect became bigger as the task became more difficult. Increase of heart rate and saliva cortisol.Positive

Tucha et al. (2010) [42]Vigilance and sustained attentionSugar-free spearmint gumDeterioration of vigilance performance in both healthy children and children with ADHD (mean age 10.8 years). No significant difference in sustained attention.Negative

Tucha and Simpson (2011) [29]Sustained attentionSugar-free spearmint gumDetriment on sustained attention in earlier stages of 30-minute task and benefit on sustained attention at later stages.Negative early to positive later within 30-min period

Johnson et al. (2011) [25]4 tasks including memory and attention, mood, and alertnessRegular chewing gumIncrease of self-rated alertness and stress. No significant differences in task performance and saliva cortisol.Positive

Onyper et al. (2011) [41]5 tasks including memory and attentionSpearmint or doublemint gum with or without sugarImprovements of performance of several tasks in chewing for 5 minutes prior to testing. No significant differences in chewing throughout testing.Positive in chewing prior to testing

Sketchley-Kaye et al. (2011) [26]Acute stress task, mood, anxiety, and alertnessRegular chewing gumAttenuation of state anxiety and increase of alertness under condition of acute social stress task. No significant differences in contentedness or calmness.Positive

Allen and Smith (2012) [31]4 tasks on attention and moodVolunteer’s preferred gumIncreased alertness, mood, and performance of attention test and shortened reaction time. Initial extended vigilance reaction times were shortened after trials.Positive, but some tests showed negative effects initially

Allen and Smith (2012) [38]4 tasks on attention and moodVolunteer’s preferred gumIncreased reported alertness for positive and neutral demand characteristics. Improved selective attention. Reduced performances of two attention tasks only at specific time of trials. Better response organization on categoric search task when demand characteristics and pretest attitudes to gum were both negative.Positive, but some tests showed negative effects at specific time of trials

Hirano et al. (2013) [12]Alerting and executive controlOdorless and tasteless gum baseShortened reaction time. No significant differences in alerting and conflict effects. Higher activations in the anterior cingulate cortex and left frontal gyrus for the executive network and motor-related regions for both attentional networksPositive

Johnson et al. (2013) [28]Sustained attention, alertness, and moodCool Breeze gumImproved attentional task performance. Higher alertness and mood. Shortened response times. No time-on-task effect.Positive

Morgan et al. (2014) [32]Short-term memory, vigilance, and moodSugar-free spearmint gumAttenuated time-dependent decrement on both performance and subjective alertness. Shorter correct reaction time in the latter stage of the task.Positive, especially in the latter stage of the task

Allen et al. (2014) [35]Vigilance and moodGum baseShortened reaction time and increased rate of hits. Heightened heart rate during chewing. Increased EEG beta power at F7 and T3 immediately after chewing.Positive