1 2277 69 THE ROLES OF EXERCISE AND YOGA IN AMELIORATING DEPRESSION AS A RISK FACTOR FOR COGNITIVE DECLINE. CURRENTLY, THERE ARE NO EFFECTIVE PHARMACEUTICAL TREATMENTS TO REDUCE COGNITIVE DECLINE OR PREVENT DEMENTIA. AT THE SAME TIME, THE GLOBAL POPULATION IS AGING, AND RATES OF DEMENTIA AND MILD COGNITIVE IMPAIRMENT (MCI) ARE ON THE RISE. AS SUCH, THERE IS AN INCREASING INTEREST IN COMPLEMENTARY AND ALTERNATIVE INTERVENTIONS TO TREAT OR REDUCE THE RISK OF COGNITIVE DECLINE. DEPRESSION IS ONE POTENTIALLY MODIFIABLE RISK FACTOR FOR COGNITIVE DECLINE AND DEMENTIA. NOTABLY, EXERCISE AND YOGA ARE TWO INTERVENTIONS KNOWN TO BOTH REDUCE SYMPTOMS OF DEPRESSION AND IMPROVE COGNITIVE FUNCTION. THE CURRENT REVIEW DISCUSSES THE EFFICACY OF EXERCISE AND YOGA TO AMELIORATE DEPRESSION AND THEREBY REDUCE THE RISK OF COGNITIVE DECLINE AND POTENTIALLY PREVENT DEMENTIA. POTENTIAL MECHANISMS OF CHANGE, TREATMENT IMPLICATIONS, AND FUTURE DIRECTIONS ARE DISCUSSED. 2016 2 2179 27 THE EFFECTS OF YOGA ON PATIENTS WITH MILD COGNITIVE IMPAIRMENT AND DEMENTIA: A SCOPING REVIEW. YOGA IS AN ANCIENT MIND BODY PRACTICE. ALTHOUGH YOGA HAS BEEN USED AS A COMPLEMENTARY HEALTH APPROACH FOR ENHANCING WELLNESS AND ADDRESSING A VARIETY OF HEALTH ISSUES, LITTLE IS KNOWN ABOUT THE IMPACT OF YOGA ON COGNITIVE FUNCTIONING IN ADULTS WITH MILD COGNITIVE IMPAIRMENT (MCI) AND DEMENTIA. WE CONDUCTED A LITERATURE REVIEW TO EXAMINE THE IMPACT OF YOGA ON PERSONS WITH MCI AND DEMENTIA. EIGHT STUDIES WERE IDENTIFIED THAT REPORTED ON YOGA AS EITHER THE PRIMARY INTERVENTION OR ONE COMPONENT OF A MULTI-COMPONENT INTERVENTION IN SAMPLES OF PERSONS WITH MCI OR DEMENTIA. RESULTS SUGGEST THAT YOGA MAY HAVE BENEFICIAL EFFECTS ON COGNITIVE FUNCTIONING, PARTICULARLY ON ATTENTION AND VERBAL MEMORY. FURTHER, YOGA MAY AFFECT COGNITIVE FUNCTIONING THROUGH IMPROVED SLEEP, MOOD, AND NEURAL CONNECTIVITY. THERE ARE A NUMBER OF LIMITATIONS OF THE EXISTING STUDIES, INCLUDING A LACK OF INTERVENTION DETAILS, AS WELL AS VARIABILITY IN THE FREQUENCY/DURATION AND COMPONENTS OF THE YOGA INTERVENTIONS. A FURTHER COMPLICATING ISSUE IS THE ROLE OF VARIOUS UNDERLYING ETIOLOGIES OF COGNITIVE IMPAIRMENT. DESPITE THESE LIMITATIONS, PROVIDERS MAY CONSIDER RECOMMENDING YOGA TO PERSONS WITH MCI OR DEMENTIA AS A SAFE AND POTENTIALLY BENEFICIAL COMPLEMENTARY HEALTH APPROACH. 2019 3 455 24 CHANGES IN NEURAL CONNECTIVITY AND MEMORY FOLLOWING A YOGA INTERVENTION FOR OLDER ADULTS: A PILOT STUDY. BACKGROUND: NO STUDY HAS EXPLORED THE EFFECT OF YOGA ON COGNITIVE DECLINE AND RESTING-STATE FUNCTIONAL CONNECTIVITY. OBJECTIVES: THIS STUDY EXPLORED THE RELATIONSHIP BETWEEN PERFORMANCE ON MEMORY TESTS AND RESTING-STATE FUNCTIONAL CONNECTIVITY BEFORE AND AFTER A YOGA INTERVENTION VERSUS ACTIVE CONTROL FOR SUBJECTS WITH MILD COGNITIVE IMPAIRMENT (MCI). METHODS: PARTICIPANTS ( >/= 55 Y) WITH MCI WERE RANDOMIZED TO RECEIVE A YOGA INTERVENTION OR ACTIVE "GOLD-STANDARD" CONTROL (I.E., MEMORY ENHANCEMENT TRAINING (MET)) FOR 12 WEEKS. RESTING-STATE FUNCTIONAL MAGNETIC RESONANCE IMAGING WAS USED TO MAP CORRELATIONS BETWEEN BRAIN NETWORKS AND MEMORY PERFORMANCE CHANGES OVER TIME. DEFAULT MODE NETWORKS (DMN), LANGUAGE AND SUPERIOR PARIETAL NETWORKS WERE CHOSEN AS NETWORKS OF INTEREST TO ANALYZE THE ASSOCIATION WITH CHANGES IN VERBAL AND VISUOSPATIAL MEMORY PERFORMANCE. RESULTS: FOURTEEN YOGA AND 11 MET PARTICIPANTS COMPLETED THE STUDY. THE YOGA GROUP DEMONSTRATED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN DEPRESSION AND VISUOSPATIAL MEMORY. WE OBSERVED IMPROVED VERBAL MEMORY PERFORMANCE CORRELATED WITH INCREASED CONNECTIVITY BETWEEN THE DMN AND FRONTAL MEDIAL CORTEX, PREGENUAL ANTERIOR CINGULATE CORTEX, RIGHT MIDDLE FRONTAL CORTEX, POSTERIOR CINGULATE CORTEX, AND LEFT LATERAL OCCIPITAL CORTEX. IMPROVED VERBAL MEMORY PERFORMANCE POSITIVELY CORRELATED WITH INCREASED CONNECTIVITY BETWEEN THE LANGUAGE PROCESSING NETWORK AND THE LEFT INFERIOR FRONTAL GYRUS. IMPROVED VISUOSPATIAL MEMORY PERFORMANCE CORRELATED INVERSELY WITH CONNECTIVITY BETWEEN THE SUPERIOR PARIETAL NETWORK AND THE MEDIAL PARIETAL CORTEX. CONCLUSION: YOGA MAY BE AS EFFECTIVE AS MET IN IMPROVING FUNCTIONAL CONNECTIVITY IN RELATION TO VERBAL MEMORY PERFORMANCE. THESE FINDINGS SHOULD BE CONFIRMED IN LARGER PROSPECTIVE STUDIES. 2016 4 176 34 A RANDOMIZED CONTROLLED TRIAL OF KUNDALINI YOGA IN MILD COGNITIVE IMPAIRMENT. BACKGROUND: GLOBAL POPULATION AGING WILL RESULT IN INCREASING RATES OF COGNITIVE DECLINE AND DEMENTIA. THUS, EFFECTIVE, LOW-COST, AND LOW SIDE-EFFECT INTERVENTIONS FOR THE TREATMENT AND PREVENTION OF COGNITIVE DECLINE ARE URGENTLY NEEDED. OUR STUDY IS THE FIRST TO INVESTIGATE THE EFFECTS OF KUNDALINI YOGA (KY) TRAINING ON MILD COGNITIVE IMPAIRMENT (MCI). METHODS: OLDER PARTICIPANTS (>/=55 YEARS OF AGE) WITH MCI WERE RANDOMIZED TO EITHER A 12-WEEK KY INTERVENTION OR MEMORY ENHANCEMENT TRAINING (MET; GOLD-STANDARD, ACTIVE CONTROL). COGNITIVE (I.E. MEMORY AND EXECUTIVE FUNCTIONING) AND MOOD (I.E. DEPRESSION, APATHY, AND RESILIENCE) ASSESSMENTS WERE ADMINISTERED AT BASELINE, 12 WEEKS AND 24 WEEKS. RESULTS: AT BASELINE, 81 PARTICIPANTS HAD NO SIGNIFICANT BASELINE GROUP DIFFERENCES IN CLINICAL OR DEMOGRAPHIC CHARACTERISTICS. AT 12 WEEKS AND 24 WEEKS, BOTH KY AND MET GROUPS SHOWED SIGNIFICANT IMPROVEMENT IN MEMORY; HOWEVER, ONLY KY SHOWED SIGNIFICANT IMPROVEMENT IN EXECUTIVE FUNCTIONING. ONLY THE KY GROUP SHOWED SIGNIFICANT IMPROVEMENT IN DEPRESSIVE SYMPTOMS AND RESILIENCE AT WEEK 12. CONCLUSION: KY GROUP SHOWED SHORT- AND LONG-TERM IMPROVEMENTS IN EXECUTIVE FUNCTIONING AS COMPARED TO MET, AND BROADER EFFECTS ON DEPRESSED MOOD AND RESILIENCE. THIS OBSERVATION SHOULD BE CONFIRMED IN FUTURE CLINICAL TRIALS OF YOGA INTERVENTION FOR TREATMENT AND PREVENTION OF COGNITIVE DECLINE (NCT01983930). 2017 5 1304 20 HATHA YOGA PRACTICE IMPROVES ATTENTION AND PROCESSING SPEED IN OLDER ADULTS: RESULTS FROM AN 8-WEEK RANDOMIZED CONTROL TRIAL. BACKGROUND: AGE-RELATED COGNITIVE DECLINE IS WELL DOCUMENTED ACROSS VARIOUS ASPECTS OF COGNITIVE FUNCTION, INCLUDING ATTENTION AND PROCESSING SPEED, AND LIFESTYLE BEHAVIORS SUCH AS PHYSICAL ACTIVITY PLAY AN IMPORTANT ROLE IN PREVENTING COGNITIVE DECLINE AND MAINTAINING OR EVEN IMPROVING COGNITIVE FUNCTION. PURPOSE: THE PURPOSE OF THIS STUDY WAS TO EVALUATE THE EFFECTS OF AN 8-WEEK HATHA YOGA INTERVENTION ON ATTENTION AND PROCESSING SPEED AMONG OLDER ADULTS. METHODS: PARTICIPANTS (N = 118; MEAN AGE, 62 +/- 5.59) WERE RANDOMLY ASSIGNED TO AN 8-WEEK HATHA YOGA GROUP OR A STRETCHING CONTROL GROUP AND COMPLETED COGNITIVE ASSESSMENTS-ATTENTION NETWORK TASK, TRAIL MAKING TEST PARTS A AND B, AND PATTERN COMPARISON TEST-AT BASELINE AND AFTER THE 8-WEEK INTERVENTION. RESULTS: ANALYSES OF COVARIANCE REVEALED SIGNIFICANTLY FASTER REACTION TIMES FOR THE YOGA GROUP ON THE ATTENTION NETWORK TASK'S NEUTRAL, CONGRUENT, AND INCONGRUENT CONDITIONS (P NEUTRAL) WAS OBSERVED IN LIMBIC REGIONS (E.G., AMYGDALA), OF WHICH THE MAGNITUDE WAS INVERSELY RELATED TO DLPFC ACTIVATION. EXPLORATORY ANALYSES REVEALED THAT THE MAGNITUDE OF AMYGDALA ACTIVATION PREDICTED DECREASED SELF-REPORTED POSITIVE AFFECT IN THE CG, BUT NOT AMONG YOGA PRACTITIONERS. DURING STROOP TRIALS, YOGA PRACTITIONERS HAD GREATER ACTIVATION IN VENTROLATERAL PREFRONTAL CORTEX (VLPFC) DURING STROOP TRIALS WHEN NEGATIVE, COMPARED TO NEUTRAL, EMOTIONAL DISTRACTOR WERE PRESENTED; THE CG EXHIBITED THE OPPOSITE PATTERN. TAKEN TOGETHER, THESE DATA SUGGEST THAT THOUGH YOGA PRACTITIONERS EXHIBIT LIMBIC REACTIVITY TO NEGATIVE EMOTIONAL STIMULI, SUCH REACTIVITY DOES NOT HAVE DOWNSTREAM EFFECTS ON LATER MOOD STATE. THIS UNCOUPLING OF VIEWING NEGATIVE EMOTIONAL IMAGES AND AFFECT AMONG YOGA PRACTITIONERS MAY BE OCCASIONED BY THEIR SELECTIVE IMPLEMENTATION OF FRONTAL EXECUTIVE-DEPENDENT STRATEGIES TO REDUCE EMOTIONAL INTERFERENCE DURING COMPETING COGNITIVE DEMANDS AND NOT DURING EMOTIONAL PROCESSING PER SE. 2012 18 288 19 ADJUNCTIVE COGNITIVE REMEDIATION FOR SCHIZOPHRENIA USING YOGA: AN OPEN, NON-RANDOMIZED TRIAL. BACKGROUND: YOGA THERAPY (YT) IMPROVES COGNITIVE FUNCTION IN HEALTHY INDIVIDUALS, BUT ITS IMPACT ON COGNITIVE FUNCTION AMONG PERSONS WITH SCHIZOPHRENIA (SZ) HAS NOT BEEN INVESTIGATED. AIMS: EVALUATE ADJUNCTIVE YT FOR COGNITIVE DOMAINS IMPAIRED IN SZ. METHODS: PATIENTS WITH SZ RECEIVED YT OR TREATMENT AS USUAL (TAU; N = 65, N = 23, RESPECTIVELY). ACCURACY AND SPEED FOR SEVEN COGNITIVE DOMAINS WERE ASSESSED USING A COMPUTERIZED NEUROCOGNITIVE BATTERY (CNB), THUS MINIMIZING OBSERVER BIAS. SEPARATELY, YT WAS EVALUATED AMONG PATIENTS WITH BIPOLAR I DISORDER (N = 40), MAJOR DEPRESSIVE DISORDER (N = 37), AND CARDIOLOGY OUTPATIENTS (N = 68). ALL PATIENTS ALSO RECEIVED ROUTINE PHARMACOTHERAPY. PATIENTS WERE NOT RANDOMIZED TO YT OR TAU. RESULTS: COMPARED WITH THE SZ/TAU GROUP, THE SZ/YT GROUP SHOWED SIGNIFICANTLY GREATER IMPROVEMENT WITH REGARD TO MEASURES OF ATTENTION FOLLOWING CORRECTIONS FOR MULTIPLE COMPARISONS; THE CHANGES WERE MORE PROMINENT AMONG THE MEN. IN THE OTHER DIAGNOSTIC GROUPS, DIFFERING PATTERNS OF IMPROVEMENTS WERE NOTED WITH SMALL TO MEDIUM EFFECT SIZES. CONCLUSIONS: OUR INITIAL ANALYSES SUGGEST NOMINALLY SIGNIFICANT IMPROVEMENT IN COGNITIVE FUNCTION IN SCHIZOPHRENIA WITH ADJUNCTIVE THERAPIES SUCH AS YT. THE MAGNITUDE OF THE CHANGE VARIES BY COGNITIVE DOMAIN AND MAY ALSO VARY BY DIAGNOSTIC GROUP. 2012 19 2743 23 YOGA PRACTICE IMPROVES EXECUTIVE FUNCTION BY ATTENUATING STRESS LEVELS. BACKGROUND: PROLONGED ACTIVATION OF THE HYPOTHALAMUS-PITUITARY-ADRENAL SYSTEM IS THOUGHT TO HAVE DELETERIOUS EFFECTS ON BRAIN FUNCTION. NEUROENDOCRINE STUDIES SUGGEST THAT BRAIN EXPOSURE TO HIGHER CORTISOL CONCENTRATIONS CONTRIBUTE TO COGNITIVE DEFICITS AS WE AGE. MIND-BODY TECHNIQUES SUCH AS YOGA HAVE SHOWN TO IMPROVE STRESS LEVELS BY RESTORING THE BODY'S SYMPATHETIC-PARASYMPATHETIC BALANCE. THE OBJECTIVE OF THIS STUDY WAS TO DETERMINE WHETHER YOGA PRACTICE MODERATED THE STRESS RESPONSE RESULTING IN IMPROVED EXECUTIVE FUNCTION. METHODS: SEDENTARY COMMUNITY DWELLING OLDER ADULTS (N=118, MEAN AGE=62.02) WERE RANDOMIZED TO AN 8-WEEK YOGA INTERVENTION OR A STRETCHING CONTROL GROUP. AT BASELINE AND FOLLOWING 8 WEEKS, ALL PARTICIPANTS COMPLETED MEASURES OF EXECUTIVE FUNCTION, SELF-REPORTED STRESS AND ANXIETY AND PROVIDED SALIVA SAMPLES BEFORE AND AFTER COGNITIVE TESTING TO ASSESS CORTISOL. RESULTS: YOGA PARTICIPANTS SHOWED IMPROVED ACCURACY ON EXECUTIVE FUNCTION MEASURES AND AN ATTENUATED CORTISOL RESPONSE COMPARED TO THEIR STRETCHING COUNTERPARTS WHO SHOWED INCREASED CORTISOL LEVELS AND POOR COGNITIVE PERFORMANCE AT FOLLOW UP. THE CHANGE IN CORTISOL LEVELS AS WELL AS SELF-REPORTED STRESS AND ANXIETY LEVELS PREDICTED PERFORMANCE ON THE RUNNING SPAN TASK, N-BACK WORKING MEMORY AND TASK SWITCHING PARADIGM (BETA'S=0.27-0.38, P'S