1 1472 122 INSULAR CORTEX MEDIATES INCREASED PAIN TOLERANCE IN YOGA PRACTITIONERS. YOGA, AN INCREASINGLY POPULAR DISCIPLINE AMONG WESTERNERS, IS FREQUENTLY USED TO IMPROVE PAINFUL CONDITIONS. WE INVESTIGATED POSSIBLE NEUROANATOMICAL UNDERPINNINGS OF THE BENEFICIAL EFFECTS OF YOGA USING SENSORY TESTING AND MAGNETIC RESONANCE IMAGING TECHNIQUES. NORTH AMERICAN YOGIS TOLERATED PAIN MORE THAN TWICE AS LONG AS INDIVIDUALLY MATCHED CONTROLS AND HAD MORE GRAY MATTER (GM) IN MULTIPLE BRAIN REGIONS. ACROSS SUBJECTS, INSULAR GM UNIQUELY CORRELATED WITH PAIN TOLERANCE. INSULAR GM VOLUME IN YOGIS POSITIVELY CORRELATED WITH YOGA EXPERIENCE, SUGGESTING A CAUSAL RELATIONSHIP BETWEEN YOGA AND INSULAR SIZE. YOGIS ALSO HAD INCREASED LEFT INTRAINSULAR WHITE MATTER INTEGRITY, CONSISTENT WITH A STRENGTHENED INSULAR INTEGRATION OF NOCICEPTIVE INPUT AND PARASYMPATHETIC AUTONOMIC REGULATION. YOGIS, AS OPPOSED TO CONTROLS, USED COGNITIVE STRATEGIES INVOLVING PARASYMPATHETIC ACTIVATION AND INTEROCEPTIVE AWARENESS TO TOLERATE PAIN, WHICH COULD HAVE LED TO USE-DEPENDENT HYPERTROPHY OF INSULAR CORTEX. TOGETHER, THESE FINDINGS SUGGEST THAT REGULAR AND LONG-TERM YOGA PRACTICE IMPROVES PAIN TOLERANCE IN TYPICAL NORTH AMERICANS BY TEACHING DIFFERENT WAYS TO DEAL WITH SENSORY INPUTS AND THE POTENTIAL EMOTIONAL REACTIONS ATTACHED TO THOSE INPUTS LEADING TO A CHANGE IN INSULAR BRAIN ANATOMY AND CONNECTIVITY. 2014 2 2760 46 YOGA PRACTITIONERS UNIQUELY ACTIVATE THE SUPERIOR PARIETAL LOBULE AND SUPRAMARGINAL GYRUS DURING EMOTION REGULATION. CHRONIC STRESS CONTRIBUTES TO BOTH MENTAL AND PHYSICAL ILLNESS. A HIGH PREVALENCE AND COST OF STRESS-RELATED ILLNESSES NORTH AMERICA WARRANTS INVESTIGATION INTO ALTERNATIVE OR COMPLEMENTARY THERAPIES WHICH MAY HELP REDUCE ADVERSE REACTIONS TO STRESSFUL STIMULI. EMOTION REGULATION IS THE PROCESS OF MONITORING AND ADJUSTING EMOTIONAL RESPONSES TO ENVIRONMENTAL STIMULI AND STRESSORS. INDIVIDUALS WHO PARTICIPATE IN PHYSICAL ACTIVITY ARE LESS LIKELY TO HAVE ADVERSE RESPONSES TO POTENTIALLY STRESSFUL SITUATIONS, POTENTIALLY DUE TO ADAPTIONS IN EMOTION REGULATION. YOGA IS A FORM OF PHYSICAL ACTIVITY INVOLVING STRETCHING EXERCISES AND MEDITATION, THAT MAY LESSEN INDIVIDUALS' LEVELS OF STRESS AND ANXIETY AND IMPROVE EMOTION REGULATION. HIGH-FREQUENCY HEART RATE VARIABILITY (HF-HRV) IS CONSIDERED A MEASURE OF PARASYMPATHETIC NERVOUS SYSTEM (PNS) ACTIVITY DURING THE EMOTION REGULATION. MEASURING HRV AND BRAIN ACTIVITY USING FUNCTIONAL MAGNETIC RESONANCE IMAGING (FMRI) OFFERS A USEFUL, NONINVASIVE APPROACH TO EVALUATING "NEUROVISCERAL" COMPONENTS OF EMOTION REGULATION. WE AIMED TO DETERMINE WHETHER YOGA PRACTITIONERS (YP) EXHIBIT DIFFERENT PATTERNS OF BRAIN ACTIVATION COMPARED TO RECREATIONAL ATHLETES (RA) WITHOUT CURRENT YOGA EXPERIENCE, WHILE VIEWING EMOTIONALLY AROUSING VISUAL STIMULI. OUR SECONDARY AIM WAS TO EXAMINE POTENTIAL DIFFERENCES ACROSS GROUPS IN HRV THROUGHOUT THE PRESENTATION OF THESE STIMULI. ANALYSIS OF FMRI DATA DURING EXPOSURE TO EMOTION-EVOKING (EE) STIMULI REVEALED THAT THE YP GROUP ACTIVATED TWO UNIQUE BRAIN AREAS, NAMELY THE SUPERIOR PARIETAL LOBULE AND THE SUPRAMARGINAL GYRUS. THESE AREAS HAVE BEEN ASSOCIATED WITH ATTENTIONAL AWARENESS AND REDUCED EGOCENTRIC BIAS, PROCESSES THAT HAVE BEEN IMPLICATED IN EMOTION REGULATION BY OTHERS. THE RA GROUP ACTIVATED THE INFERIOR MIDDLE FRONTAL CORTEX, AN AREA ASSOCIATED WITH COGNITIVE REAPPRAISAL DURING EMOTION REGULATION. THE YP GROUP ALSO DEMONSTRATED A TREND TOWARDS A HIGHER RATIO OF LOW- TO HIGH-FREQUENCY HRV COMPARED TO THE RA GROUP. THE PRESENT FINDINGS SUPPORT THE PRESENCE OF EXPERIENCE-DEPENDENT NEUROVISCERAL MECHANISMS ASSOCIATED WITH EMOTION REGULATION. INDIVIDUALS WHO PRACTICE YOGA REGULATE THEIR NEUROVISCERAL RESPONSES TO POTENTIALLY STRESSFUL EXTERNAL STIMULI IN A DIFFERENT MANNER THAN RECREATIONAL ATHLETES WHO DO NOT ENGAGE IN YOGA PRACTICE. THE PRESENT STUDY HAD A SMALL SAMPLE SIZE (RA: N = 12; YP: N = 19), WHICH SHOULD BE TAKEN INTO ACCOUNT WHEN INTERPRETING THE RESULTS. 2018 3 1695 26 P300 FOLLOWING FOUR VOLUNTARILY REGULATED YOGA BREATHING PRACTICES AND BREATH AWARENESS. ATTENTION WAS INFLUENCED BY YOGA BREATHING IN PREVIOUSLY PUBLISHED RESEARCH. EACH YOGA BREATHING PRACTICE UNIQUELY MODIFIES SPECIFIC BREATH CHARACTERISTICS. DIFFERENCES IN THE STUDY DESIGNS, ASSESSMENT METHODS AND INTERVENTIONS RESULTED IN DIFFICULTY IN COMPARING EFFECTS BETWEEN YOGA BREATHING PRACTICES. THIS STUDY AIMED (I) TO COMPARE FOUR YOGA BREATHING PRACTICES ON ATTENTION USING AN AUDITORY ODDBALL TASK AND (II) TO DETERMINE CARDIAC AUTONOMIC ACTIVITY ASSOCIATED WITH ATTENTION USING HEART RATE VARIABILITY. P300 EVENT RELATED POTENTIAL WAS RECORDED SIMULTANEOUSLY WITH HEART RATE VARIABILITY BEFORE AND AFTER 18-MINUTE PERIODS EACH OF (I) HIGH FREQUENCY YOGA BREATHING (WITH INCREASED BREATH FREQUENCY), (II) BELLOWS YOGA BREATHING (WITH INCREASED DEPTH OF RESPIRATION), (III) ALTERNATE NOSTRIL YOGA BREATHING (WITH ALTERNATE NOSTRIL PATENCY), (IV) BUMBLEBEE YOGA BREATHING (WITH PROLONGED EXHALE), (V) BREATH AWARENESS (WITH ATTENTION TO THE BREATH) AND (VI) QUIET SEATED REST AS CONTROL IN 38 YOGA EXPERIENCED MALES (AVERAGE AGE +/- SD; 24.08 +/- 4.01 YEARS). THE SIX SESSIONS WERE ON SEPARATE, RANDOMLY ALLOCATED DAYS. THE P300 PEAK AMPLITUDE RECORDED AT PZ WAS SIGNIFICANTLY INCREASED AFTER FOUR YOGA BREATHING PRACTICES (BONFERRONI ADJUSTED POST-HOC TESTS, REPEATED MEASURES ANOVA). NO SIGNIFICANT CHANGES WERE NOTED IN HEART RATE VARIABILITY FOLLOWING YOGA BREATHING OR CONTROL SESSIONS. THESE FINDINGS SUGGEST THAT THE FOUR YOGA BREATHING PRACTICES INCREASE THE ATTENTIONAL NEURAL RESOURCES ENGAGED FOR THIS AUDITORY ODDBALL TASK, IRRESPECTIVE OF THE CHARACTERISTIC OF BREATH UNIQUELY REGULATED IN THE FOUR YOGA BREATHING PRACTICES. 2022 4 2033 21 TEACHING YOGA TO SENIORS: ESSENTIAL CONSIDERATIONS TO ENHANCE SAFETY AND REDUCE RISK IN A UNIQUELY VULNERABLE AGE GROUP. BACKGROUND: SENIORS AGE 65 AND OLDER REPRESENT THE FASTEST-GROWING SECTOR OF THE POPULATION AND, LIKE MANY AMERICANS, ARE INCREASINGLY DRAWN TO YOGA. THIS PRESENTS BOTH AN EXTRAORDINARY OPPORTUNITY AND A SERIOUS CHALLENGE FOR YOGA INSTRUCTORS WHO MUST BE BOTH A RESOURCE AND GUARDIANS OF SAFETY FOR THIS UNIQUELY VULNERABLE GROUP. A TYPICAL CLASS OF SENIORS IS LIKELY TO REPRESENT THE MOST DIVERSE MIX OF ABILITIES OF ANY AGE GROUP. WHILE SOME MAY BE EXCEEDINGLY HEALTHY, MOST FIT THE PROFILE OF THE AVERAGE OLDER ADULT IN AMERICA, 80% OF WHOM HAVE AT LEAST ONE CHRONIC HEALTH CONDITION AND 50% OF WHOM HAVE AT LEAST TWO. OBJECTIVES: THIS ARTICLE DISCUSSES THE THERAPEUTIC YOGA FOR SENIORS PROGRAM, OFFERED SINCE 2007 AT DUKE INTEGRATIVE MEDICINE TO FILL A CRITICAL NEED TO HELP YOGA INSTRUCTORS WORK SAFELY AND EFFECTIVELY WITH THE INCREASING NUMBER OF OLDER ADULTS COMING TO YOGA CLASSES, AND EXPLORES THREE AREAS THAT POSE THE GREATEST RISK OF COMPROMISE TO OLDER ADULT STUDENTS: SEDENTARY LIFESTYLE, CARDIOVASCULAR DISEASE, AND OSTEOPOROSIS. TO PROVIDE A SKILLFUL FRAMEWORK FOR TEACHING YOGA TO SENIORS, WE HAVE DEVELOPED SPECIFIC PRINCIPLES OF PRACTICE THAT INTEGRATE THE KNOWLEDGE GAINED FROM WESTERN MEDICINE WITH YOGIC TEACHINGS. 2010 5 1670 37 NEUROPROTECTIVE EFFECTS OF YOGA PRACTICE: AGE-, EXPERIENCE-, AND FREQUENCY-DEPENDENT PLASTICITY. YOGA COMBINES POSTURES, BREATHING, AND MEDITATION. DESPITE REPORTED HEALTH BENEFITS, YOGA'S EFFECTS ON THE BRAIN HAVE RECEIVED LITTLE STUDY. WE USED MAGNETIC RESONANCE IMAGING TO COMPARE AGE-RELATED GRAY MATTER (GM) DECLINE IN YOGIS AND CONTROLS. WE ALSO EXAMINED THE EFFECT OF INCREASING YOGA EXPERIENCE AND WEEKLY PRACTICE ON GM VOLUME AND ASSESSED WHICH ASPECTS OF WEEKLY PRACTICE CONTRIBUTED MOST TO BRAIN SIZE. CONTROLS DISPLAYED THE WELL DOCUMENTED AGE-RELATED GLOBAL BRAIN GM DECLINE WHILE YOGIS DID NOT, SUGGESTING THAT YOGA CONTRIBUTES TO PROTECT THE BRAIN AGAINST AGE-RELATED DECLINE. YEARS OF YOGA EXPERIENCE CORRELATED MOSTLY WITH GM VOLUME DIFFERENCES IN THE LEFT HEMISPHERE (INSULA, FRONTAL OPERCULUM, AND ORBITOFRONTAL CORTEX) SUGGESTING THAT YOGA TUNES THE BRAIN TOWARD A PARASYMPATICALLY DRIVEN MODE AND POSITIVE STATES. THE NUMBER OF HOURS OF WEEKLY PRACTICE CORRELATED WITH GM VOLUME IN THE PRIMARY SOMATOSENSORY CORTEX/SUPERIOR PARIETAL LOBULE (S1/SPL), PRECUNEUS/POSTERIOR CINGULATE CORTEX (PCC), HIPPOCAMPUS, AND PRIMARY VISUAL CORTEX (V1). COMMONALITY ANALYSES INDICATED THAT THE COMBINATION OF POSTURES AND MEDITATION CONTRIBUTED THE MOST TO THE SIZE OF THE HIPPOCAMPUS, PRECUNEUS/PCC, AND S1/SPL WHILE THE COMBINATION OF MEDITATION AND BREATHING EXERCISES CONTRIBUTED THE MOST TO V1 VOLUME. YOGA'S POTENTIAL NEUROPROTECTIVE EFFECTS MAY PROVIDE A NEURAL BASIS FOR SOME OF ITS BENEFICIAL EFFECTS. 2015 6 178 18 A RANDOMIZED CONTROLLED TRIAL OF THE EFFECT OF YOGA AND PEER SUPPORT ON GLYCAEMIC OUTCOMES IN WOMEN WITH TYPE 2 DIABETES MELLITUS: A FEASIBILITY STUDY. BACKGROUND: TYPE TWO DIABETES IS A COMPLEX AND DEMANDING CHRONIC DISEASE AND ITS IMPACT IN A STATE (KERALA) WHICH LEADS INDIA IN TERMS OF THE NUMBER OF PEOPLE WITH DIABETES IS PROFOUND. THOUGH THE MALE TO FEMALE RATIO AMONG THE PEOPLE WITH DIABETES IS ROUGHLY EQUAL, WOMEN ARE UNIQUELY AND MORE SEVERELY AFFECTED. MANAGEMENT OF TYPE TWO DIABETES REQUIRES CONSIDERABLE DEXTERITY ON THE PART OF THE PATIENT TO MANAGE DRUGS, DIET AND EXERCISE. THEREFORE, IN A LOW MIDDLE-INCOME COUNTRY LIKE INDIA IT IS NECESSARY TO LOOK AT LOW COST INTERVENTIONS THAT CAN EMPOWER THE PATIENT AND BUILD ON AVAILABLE RESOURCES TO HELP MANAGE DIABETES. HENCE, WE STUDIED THE FEASIBILITY AND EFFECT OF TWO LOW COST INTERVENTIONS; YOGA AND PEER SUPPORT ON GLYCAEMIC AND OTHER OUTCOMES AMONG WOMEN WITH TYPE TWO DIABETES. METHODS: AN OPEN LABEL PARALLEL THREE ARMED RANDOMIZED CONTROL TRIAL WAS CONDUCTED AMONG 124 RECRUITED WOMEN WITH DIABETES FOR THREE MONTHS. BLOCK RANDOMIZATION WITH A BLOCK LENGTH OF SIX WAS CARRIED OUT WITH EACH GROUP HAVING AT LEAST 41 WOMEN. IN THE YOGA ARM, SESSIONS BY AN INSTRUCTOR, CONSISTING OF A GROUP OF POSTURES COORDINATED WITH BREATHING WERE CONDUCTED FOR AN HOUR, TWO DAYS A WEEK. IN THE PEER SUPPORT ARM EACH PEER MENTOR AFTER TRAINING VISITED 13-14 WOMEN WITH DIABETES EVERY WEEK FOLLOWED BY A PHONE CALL. THE MEETING WAS ABOUT APPLYING DISEASE MANAGEMENT OR PREVENTION PLANS IN DAILY LIFE. RESULTS: THERE WAS A TREND IN DECLINE OF FASTING PLASMA GLUCOSE IN THE PEER AND YOGA GROUP AND OF GLYCOSYLATED HAEMOGLOBIN (HBA1C) IN THE YOGA GROUP ONLY, THOUGH NOT SIGNIFICANT. A SIGNIFICANT DECREASE WAS OBSERVED IN DIASTOLIC BLOOD PRESSURE AND HIP CIRCUMFERENCE IN THE YOGA GROUP. THE PROCESS INDICATED THAT MOST (80%) OF THE WOMEN IN THE YOGA GROUP ATTENDED CLASSES REGULARLY AND 90% OF THE WOMEN IN THE PEER GROUP REPORTED THAT PEER MENTORING WAS USEFUL. CONCLUSION: THE EFFECT OF YOGA AND PEER SUPPORT ON GLYCAEMIC OUTCOMES WAS INCREMENTAL. LONGER TERM STUDIES ARE NECESSARY TO ASCERTAIN THE BENEFITS SHOWN BY THIS FEASIBILITY STUDY. TRIAL REGISTRATION: CTRI/2011/12/002227 DATED 14/12/2011. 2017 7 1286 43 GRAY MATTER AND FUNCTIONAL CONNECTIVITY IN ANTERIOR CINGULATE CORTEX ARE ASSOCIATED WITH THE STATE OF MENTAL SILENCE DURING SAHAJA YOGA MEDITATION. SOME MEDITATION TECHNIQUES TEACH THE PRACTITIONER TO ACHIEVE THE STATE OF MENTAL SILENCE. THE AIM OF THIS STUDY WAS TO INVESTIGATE BRAIN REGIONS THAT ARE ASSOCIATED WITH THEIR VOLUME AND FUNCTIONAL CONNECTIVITY (FC) WITH THE DEPTH OF MENTAL SILENCE IN LONG-TERM PRACTITIONERS OF SAHAJA YOGA MEDITATION. TWENTY-THREE LONG-TERM PRACTITIONERS OF THIS MEDITATION WERE SCANNED USING MAGNETIC RESONANCE IMAGING. IN ORDER TO IDENTIFY THE NEURAL CORRELATES OF THE DEPTH OF MENTAL SILENCE, WE TESTED WHICH GRAY MATTER VOLUMES (GMV) WERE CORRELATED WITH THE DEPTH OF MENTAL SILENCE AND WHICH REGIONS THESE AREAS WERE FUNCTIONALLY CONNECTED TO UNDER A MEDITATION CONDITION. GMV IN MEDIAL PREFRONTAL CORTEX INCLUDING ROSTRAL ANTERIOR CINGULATE CORTEX WERE POSITIVELY CORRELATED WITH THE SUBJECTIVE PERCEPTION OF THE DEPTH OF MENTAL SILENCE INSIDE THE SCANNER. FURTHERMORE, THERE WAS SIGNIFICANTLY INCREASED FC BETWEEN THIS AREA AND BILATERAL ANTERIOR INSULA/PUTAMEN DURING A MEDITATION-STATE SPECIFICALLY, WHILE DECREASED CONNECTIVITY WITH THE RIGHT THALAMUS/PARAHIPPOCAMPAL GYRUS WAS PRESENT DURING THE MEDITATION-STATE AND THE RESTING-STATE. THE CAPACITY OF LONG-TERM MEDITATORS TO ESTABLISH A DURABLE STATE OF MENTAL SILENCE INSIDE AN MRI SCANNER WAS ASSOCIATED WITH LARGER GRAY MATTER VOLUME IN A MEDIAL FRONTAL REGION THAT IS CRUCIAL FOR TOP-DOWN COGNITIVE, EMOTION AND ATTENTION CONTROL. THIS IS FURTHERMORE CORROBORATED BY INCREASED FC OF THIS REGION DURING THE MEDITATION-STATE WITH BILATERAL ANTERIOR INSULA/PUTAMEN, WHICH ARE IMPORTANT FOR INTEROCEPTION, EMOTION, AND ATTENTION REGULATION. THE FINDINGS HENCE SUGGEST THAT THE DEPTH OF MENTAL SILENCE IS ASSOCIATED WITH MEDIAL FRONTO-INSULAR-STRIATAL NETWORKS THAT ARE CRUCIAL FOR TOP-DOWN ATTENTION AND EMOTIONAL CONTROL. 2018 8 1641 23 MONITORING THE NEURAL ACTIVITY OF THE STATE OF MENTAL SILENCE WHILE PRACTICING SAHAJA YOGA MEDITATION. OBJECTIVE: TO IDENTIFY THE NEURAL CORRELATES OF THE STATE OF MENTAL SILENCE AS EXPERIENCED THROUGH SAHAJA YOGA MEDITATION. DESIGN: NINETEEN EXPERIENCED MEDITATORS UNDERWENT FUNCTIONAL MAGNETIC RESONANCE IMAGING DURING THREE SHORT CONSECUTIVE MEDITATION PERIODS, CONTRASTED WITH A CONTROL RELAXATION CONDITION. RESULTS: RELATIVE TO BASELINE, AT THE BEGINNING OF THE MEDITATION SESSIONS THERE WAS A SIGNIFICANT INCREASE OF ACTIVATION IN BILATERAL INFERIOR FRONTAL AND TEMPORAL REGIONS. ACTIVATION BECAME PROGRESSIVELY MORE REDUCED WITH DEEPER MEDITATION STAGES AND IN THE LAST MEDITATION SESSION IT BECAME LOCALIZED TO THE RIGHT INFERIOR FRONTAL CORTEX/ RIGHT INSULA AND RIGHT MIDDLE/SUPERIOR TEMPORAL CORTEX. FURTHERMORE, RIGHT INFERIOR FRONTAL ACTIVATION WAS DIRECTLY ASSOCIATED WITH THE SUBJECTIVE DEPTH OF THE MENTAL SILENCE EXPERIENCE. CONCLUSIONS: MEDITATORS APPEAR TO PASS THROUGH AN INITIAL INTENSE NEURAL SELF-CONTROL PROCESS NECESSARY TO SILENCE THEIR MIND. AFTER THIS THEY EXPERIENCE RELATIVELY REDUCED BRAIN ACTIVATION CONCOMITANT WITH THE DEEPENING OF THE STATE OF MENTAL SILENCE OVER RIGHT INFERIOR FRONTAL CORTEX, PROBABLY REFLECTING AN EFFORTLESS PROCESS OF ATTENTIONAL CONTEMPLATION ASSOCIATED WITH THIS STATE. 2015 9 2371 32 WHAT HAS NEUROIMAGING TAUGHT US ON THE NEUROBIOLOGY OF YOGA? A REVIEW. YOGA IS BECOMING INCREASINGLY POPULAR WORLDWIDE, WITH SEVERAL IMPLICATED PHYSICAL AND MENTAL BENEFITS. HERE WE PROVIDE A COMPREHENSIVE AND CRITICAL REVIEW OF THE RESEARCH GENERATED FROM THE EXISTING NEUROIMAGING LITERATURE IN STUDIES OF YOGA PRACTITIONERS. WE REVIEWED 34 INTERNATIONAL PEER-REVIEWED NEUROIMAGING STUDIES OF YOGA USING MAGNETIC RESONANCE IMAGING (MRI), POSITRON EMISSION TOMOGRAPHY (PET), OR SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHY (SPECT): 11 MORPHOLOGICAL AND 26 FUNCTIONAL STUDIES, INCLUDING THREE STUDIES THAT WERE CLASSIFIED AS BOTH MORPHOLOGICAL AND FUNCTIONAL. CONSISTENT FINDINGS INCLUDE INCREASED GRAY MATTER VOLUME IN THE INSULA AND HIPPOCAMPUS, INCREASED ACTIVATION OF PREFRONTAL CORTICAL REGIONS, AND FUNCTIONAL CONNECTIVITY CHANGES MAINLY WITHIN THE DEFAULT MODE NETWORK. THERE IS QUITE SOME VARIABILITY IN THE NEUROIMAGING FINDINGS THAT PARTIALLY REFLECTS DIFFERENT YOGA STYLES AND APPROACHES, AS WELL AS SAMPLE SIZE LIMITATIONS. DIRECT COMPARATOR GROUPS SUCH AS PHYSICAL ACTIVITY ARE SCARCELY USED SO FAR. FINALLY, HYPOTHESES ON THE UNDERLYING NEUROBIOLOGY DERIVED FROM THE IMAGING FINDINGS ARE DISCUSSED IN THE LIGHT OF THE POTENTIAL BENEFICIAL EFFECTS OF YOGA. 2020 10 2720 35 YOGA MEDITATION PRACTITIONERS EXHIBIT GREATER GRAY MATTER VOLUME AND FEWER REPORTED COGNITIVE FAILURES: RESULTS OF A PRELIMINARY VOXEL-BASED MORPHOMETRIC ANALYSIS. HATHA YOGA TECHNIQUES, INCLUDING PHYSICAL POSTURES (ASANAS), BREATHING EXERCISES (PRANAYAMA), AND MEDITATION, INVOLVE THE PRACTICE OF MINDFULNESS. IN TURN, YOGA MEDITATION PRACTICES MAY INDUCE THE STATE OF MINDFULNESS, WHICH, WHEN EVOKED RECURRENTLY THROUGH REPEATED PRACTICE, MAY ACCRUE INTO TRAIT OR DISPOSITIONAL MINDFULNESS. PUTATIVELY, THESE CHANGES MAY BE MEDIATED BY EXPERIENCE-DEPENDENT NEUROPLASTIC CHANGES. THOUGH PRIOR STUDIES HAVE IDENTIFIED DIFFERENCES IN GRAY MATTER VOLUME (GMV) BETWEEN LONG-TERM MINDFULNESS PRACTITIONERS AND CONTROLS, NO STUDIES TO DATE HAVE REPORTED ON WHETHER YOGA MEDITATION IS ASSOCIATED WITH GMV DIFFERENCES. THE PRESENT STUDY INVESTIGATED GMV DIFFERENCES BETWEEN YOGA MEDITATION PRACTITIONERS (YMP) AND A MATCHED CONTROL GROUP (CG). THE YMP GROUP EXHIBITED GREATER GM VOLUME IN FRONTAL, LIMBIC, TEMPORAL, OCCIPITAL, AND CEREBELLAR REGIONS; WHEREAS THE CG HAD NO GREATER REGIONAL GREATER GMV. IN ADDITION, THE YMP GROUP REPORTED SIGNIFICANTLY FEWER COGNITIVE FAILURES ON THE COGNITIVE FAILURES QUESTIONNAIRE (CFQ), THE MAGNITUDE OF WHICH WAS POSITIVELY CORRELATED WITH GMV IN NUMEROUS REGIONS IDENTIFIED IN THE PRIMARY ANALYSIS. LASTLY, GMV WAS POSITIVELY CORRELATED WITH THE DURATION OF YOGA PRACTICE. RESULTS FROM THIS PRELIMINARY STUDY SUGGEST THAT HATHA YOGA PRACTICE MAY BE ASSOCIATED WITH THE PROMOTION OF NEUROPLASTIC CHANGES IN EXECUTIVE BRAIN SYSTEMS, WHICH MAY CONFER THERAPEUTIC BENEFITS THAT ACCRUE WITH REPEATED PRACTICE. 2012 11 1439 34 INCREASED GREY MATTER ASSOCIATED WITH LONG-TERM SAHAJA YOGA MEDITATION: A VOXEL-BASED MORPHOMETRY STUDY. OBJECTIVES: TO INVESTIGATE REGIONAL DIFFERENCES IN GREY MATTER VOLUME ASSOCIATED WITH THE PRACTICE OF SAHAJA YOGA MEDITATION. DESIGN: TWENTY THREE EXPERIENCED PRACTITIONERS OF SAHAJA YOGA MEDITATION AND TWENTY THREE NON-MEDITATORS MATCHED ON AGE, GENDER AND EDUCATION LEVEL, WERE SCANNED USING STRUCTURAL MAGNETIC RESONANCE IMAGING AND THEIR GREY MATTER VOLUME WERE COMPARED USING VOXEL-BASED MORPHOMETRY. RESULTS: GREY MATTER VOLUME WAS LARGER IN MEDITATORS RELATIVE TO NON-MEDITATORS ACROSS THE WHOLE BRAIN. IN ADDITION, GREY MATTER VOLUME WAS LARGER IN SEVERAL PREDOMINANTLY RIGHT HEMISPHERIC REGIONS: IN INSULA, VENTROMEDIAL ORBITOFRONTAL CORTEX, INFERIOR TEMPORAL AND PARIETAL CORTICES AS WELL AS IN LEFT VENTROLATERAL PREFRONTAL CORTEX AND LEFT INSULA. NO AREAS WITH LARGER GREY MATTER VOLUME WERE FOUND IN NON-MEDITATORS RELATIVE TO MEDITATORS. CONCLUSIONS: THE STUDY SHOWS THAT LONG-TERM PRACTICE OF SAHAJA YOGA MEDITATION IS ASSOCIATED WITH LARGER GREY MATTER VOLUME OVERALL, AND WITH REGIONAL ENLARGEMENT IN SEVERAL RIGHT HEMISPHERIC CORTICAL AND SUBCORTICAL BRAIN REGIONS THAT ARE ASSOCIATED WITH SUSTAINED ATTENTION, SELF-CONTROL, COMPASSION AND INTEROCEPTIVE PERCEPTION. THE INCREASED GREY MATTER VOLUME IN THESE ATTENTION AND SELF-CONTROL MEDIATING REGIONS SUGGESTS USE-DEPENDENT ENLARGEMENT WITH REGULAR PRACTICE OF THIS MEDITATION. 2016 12 457 21 CHANGES IN P300 FOLLOWING ALTERNATE NOSTRIL YOGA BREATHING AND BREATH AWARENESS. THIS STUDY ASSESSED THE EFFECT OF ALTERNATE NOSTRIL YOGA BREATHING (NADISUDDHI PRANAYAMA) ON P300 AUDITORY EVOKED POTENTIALS COMPARED TO A SESSION OF BREATH AWARENESS OF EQUAL DURATION, IN 20 MALE ADULT VOLUNTEERS WHO HAD AN EXPERIENCE OF YOGA BREATHING PRACTICES FOR MORE THAN THREE MONTHS. PEAK AMPLITUDES AND PEAK LATENCIES OF THE P300 WERE ASSESSED BEFORE AND AFTER THE RESPECTIVE SESSIONS. THERE WAS A SIGNIFICANT INCREASE IN THE P300 PEAK AMPLITUDES AT FZ, CZ, AND PZ AND A SIGNIFICANT DECREASE IN THE PEAK LATENCY AT FZ ALONE FOLLOWING ALTERNATE NOSTRIL YOGA BREATHING. FOLLOWING BREATH AWARENESS THERE WAS A SIGNIFICANT INCREASE IN THE PEAK AMPLITUDE OF P300 AT CZ. THIS SUGGESTS THAT ALTERNATE NOSTRIL YOGA BREATHING POSITIVELY INFLUENCES COGNITIVE PROCESSES WHICH ARE REQUIRED FOR SUSTAINED ATTENTION AT DIFFERENT SCALP SITES (FRONTAL, VERTEX AND PARIETAL), WHEREAS BREATH AWARENESS BRINGS ABOUT CHANGES AT THE VERTEX ALONE. 2013 13 1089 23 EFFECTS OF YOGA ON THE AUTONOMIC NERVOUS SYSTEM, GAMMA-AMINOBUTYRIC-ACID, AND ALLOSTASIS IN EPILEPSY, DEPRESSION, AND POST-TRAUMATIC STRESS DISORDER. A THEORY IS PROPOSED TO EXPLAIN THE BENEFITS OF YOGA PRACTICES IN DIVERSE, FREQUENTLY COMORBID MEDICAL CONDITIONS BASED ON THE CONCEPT THAT YOGA PRACTICES REDUCE ALLOSTATIC LOAD IN STRESS RESPONSE SYSTEMS SUCH THAT OPTIMAL HOMEOSTASIS IS RESTORED. IT IS HYPOTHESIZED THAT STRESS INDUCES (1) IMBALANCE OF THE AUTONOMIC NERVOUS SYSTEM (ANS) WITH DECREASED PARASYMPATHETIC NERVOUS SYSTEM (PNS) AND INCREASED SYMPATHETIC NERVOUS SYSTEM (SNS) ACTIVITY, (2) UNDERACTIVITY OF THE GAMMA AMINO-BUTYRIC ACID (GABA) SYSTEM, THE PRIMARY INHIBITORY NEUROTRANSMITTER SYSTEM, AND (3) INCREASED ALLOSTATIC LOAD. IT IS FURTHER HYPOTHESIZED THAT YOGA-BASED PRACTICES (4) CORRECT UNDERACTIVITY OF THE PNS AND GABA SYSTEMS IN PART THROUGH STIMULATION OF THE VAGUS NERVES, THE MAIN PERIPHERAL PATHWAY OF THE PNS, AND (5) REDUCE ALLOSTATIC LOAD. DEPRESSION, EPILEPSY, POST TRAUMATIC STRESS DISORDER (PTSD), AND CHRONIC PAIN EXEMPLIFY MEDICAL CONDITIONS THAT ARE EXACERBATED BY STRESS, HAVE LOW HEART RATE VARIABILITY (HRV) AND LOW GABAERGIC ACTIVITY, RESPOND TO PHARMACOLOGIC AGENTS THAT INCREASE ACTIVITY OF THE GABA SYSTEM, AND SHOW SYMPTOM IMPROVEMENT IN RESPONSE TO YOGA-BASED INTERVENTIONS. THE OBSERVATION THAT TREATMENT RESISTANT CASES OF EPILEPSY AND DEPRESSION RESPOND TO VAGAL NERVE STIMULATION CORROBORATES THE NEED TO CORRECT PNS UNDERACTIVITY AS PART OF A SUCCESSFUL TREATMENT PLAN IN SOME CASES. ACCORDING TO THE PROPOSED THEORY, THE DECREASED PNS AND GABAERGIC ACTIVITY THAT UNDERLIES STRESS-RELATED DISORDERS CAN BE CORRECTED BY YOGA PRACTICES RESULTING IN AMELIORATION OF DISEASE SYMPTOMS. THIS HAS FAR-REACHING IMPLICATIONS FOR THE INTEGRATION OF YOGA-BASED PRACTICES IN THE TREATMENT OF A BROAD ARRAY OF DISORDERS EXACERBATED BY STRESS. 2012 14 455 28 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 15 2531 23 YOGA EFFECTS ON BRAIN HEALTH: A SYSTEMATIC REVIEW OF THE CURRENT LITERATURE. YOGA IS THE MOST POPULAR COMPLEMENTARY HEALTH APPROACH PRACTICED BY ADULTS IN THE UNITED STATES. IT IS AN ANCIENT MIND AND BODY PRACTICE WITH ORIGINS IN INDIAN PHILOSOPHY. YOGA COMBINES PHYSICAL POSTURES, RHYTHMIC BREATHING AND MEDITATIVE EXERCISE TO OFFER THE PRACTITIONERS A UNIQUE HOLISTIC MIND-BODY EXPERIENCE. WHILE THE HEALTH BENEFITS OF PHYSICAL EXERCISE ARE WELL ESTABLISHED, IN RECENT YEARS, THE ACTIVE ATTENTIONAL COMPONENT OF BREATHING AND MEDITATION PRACTICE HAS GARNERED INTEREST AMONG EXERCISE NEUROSCIENTISTS. AS THE SCIENTIFIC EVIDENCE FOR THE PHYSICAL AND MENTAL HEALTH BENEFITS OF YOGA CONTINUES TO GROW, THIS ARTICLE AIMS TO SUMMARIZE THE CURRENT KNOWLEDGE OF YOGA PRACTICE AND ITS DOCUMENTED POSITIVE EFFECTS FOR BRAIN STRUCTURE AND FUNCTION, AS ASSESSED WITH MRI, FMRI, AND SPECT. WE REVIEWED 11 STUDIES EXAMINING THE EFFECTS OF YOGA PRACTICE ON THE BRAIN STRUCTURES, FUNCTION AND CEREBRAL BLOOD FLOW. COLLECTIVELY, THE STUDIES DEMONSTRATE A POSITIVE EFFECT OF YOGA PRACTICE ON THE STRUCTURE AND/OR FUNCTION OF THE HIPPOCAMPUS, AMYGDALA, PREFRONTAL CORTEX, CINGULATE CORTEX AND BRAIN NETWORKS INCLUDING THE DEFAULT MODE NETWORK (DMN). THE STUDIES OFFER PROMISING EARLY EVIDENCE THAT BEHAVIORAL INTERVENTIONS LIKE YOGA MAY HOLD PROMISE TO MITIGATE AGE-RELATED AND NEURODEGENERATIVE DECLINES AS MANY OF THE REGIONS IDENTIFIED ARE KNOWN TO DEMONSTRATE SIGNIFICANT AGE-RELATED ATROPHY. 2019 16 1668 33 NEUROCOGNITIVE CORRELATES OF THE EFFECTS OF YOGA MEDITATION PRACTICE ON EMOTION AND COGNITION: A PILOT STUDY. MINDFULNESS MEDITATION INVOLVES ATTENDING TO EMOTIONS WITHOUT COGNITIVE FIXATION OF EMOTIONAL EXPERIENCE. OVER TIME, THIS PRACTICE IS HELD TO PROMOTE ALTERATIONS IN TRAIT AFFECTIVITY AND ATTENTIONAL CONTROL WITH RESULTANT EFFECTS ON WELL-BEING AND COGNITION. HOWEVER, RELATIVELY LITTLE IS KNOWN REGARDING THE NEURAL SUBSTRATES OF MEDITATION EFFECTS ON EMOTION AND COGNITION. THE PRESENT STUDY INVESTIGATED THE NEUROCOGNITIVE CORRELATES OF EMOTION INTERFERENCE ON COGNITION IN YOGA PRACTITIONERS AND A MATCHED CONTROL GROUP (CG) UNDERWENT FMRI WHILE PERFORMING AN EVENT-RELATED AFFECTIVE STROOP TASK. THE TASK INCLUDES IMAGE VIEWING TRIALS AND STROOP TRIALS BRACKETED BY NEUTRAL OR NEGATIVE EMOTIONAL DISTRACTORS. DURING IMAGE VIEWING TRIALS, YOGA PRACTITIONERS EXHIBITED LESS REACTIVITY IN RIGHT DORSOLATERAL PREFRONTAL CORTEX (DLPFC) TO NEGATIVE AS COMPARED TO NEUTRAL IMAGES; WHEREAS THE CG HAD THE OPPOSITE PATTERN. A MAIN EFFECT OF VALENCE (NEGATIVE > 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 17 1698 20 PAIN-RELATED ENCEPHALIC REGIONS INFLUENCED BY YOGA MEDITATION: AN INTEGRATIVE REVIEW. INTRODUCTION: THE MECHANISMS UNDERLYING THE USE OF YOGA IN PAIN RELIEF ARE STILL UNCLEAR. THIS STUDY REVIEWED LITERATURE REPORTS ON ENCEPHALIC ACTIVITY RELATED TO ANALGESIA INDUCED BY YOGA MEDITATION PRACTICE. METHODS: THIS INTEGRATIVE REVIEW EXAMINED STUDIES PUBLISHED IN THE PUBMED, LILACS AND MEDLINE DATABASES WITHOUT RESTRICTION OF THE YEAR OF PUBLICATION. THE RESEARCH INVOLVED 16 DESCRIPTORS RELATED TO THE WORDS: YOGA, PAIN AND NEUROIMAGING METHODS. INCLUSION CRITERIA INVOLVED ONLY THE PUBLICATIONS AVAILABLE ONLINE, WITH FREE ACCESS AND WRITTEN IN ENGLISH. RESULTS: 2 CASE STUDIES AND 1 PILOT STUDY MET THE CRITERIA. YOGA MEDITATION PRACTICE INDUCES ANALGESIA PRIMARILY THROUGH ATTENUATION OF THE MEDIAL PAIN PERCEPTION SYSTEM INCLUDING THE ANTERIOR CINGULATE CORTEX AND INSULA REGIONS, AS WELL AS THE LATERAL SYSTEM INCLUDING THE SECONDARY SENSORY CORTEX AND THALAMUS. CONCLUSION: YOGA INDUCED ANALGESIA IS A POTENTIALLY IMPORTANT ADJUNCT TO CURRENT PAIN MANAGEMENT. THIS INTEGRATIVE REVIEW REVEALED THAT THERE IS A NEED FOR FURTHER RESEARCH THAT ANALYZES THE ENCEPHALIC REGIONS RELATED TO ANALGESIA INDUCED BY YOGA PRACTICE. 2018 18 1098 31 EFFECTS OF YOGA RESPIRATORY PRACTICE (BHASTRIKA PRANAYAMA) ON ANXIETY, AFFECT, AND BRAIN FUNCTIONAL CONNECTIVITY AND ACTIVITY: A RANDOMIZED CONTROLLED TRIAL. PRANAYAMA REFERS TO A SET OF YOGA BREATHING EXERCISES. RECENT EVIDENCE SUGGESTS THAT THE PRACTICE OF PRANAYAMA HAS POSITIVE EFFECTS ON MEASURES OF CLINICAL STRESS AND ANXIETY. THIS STUDY EXPLORED THE IMPACT OF A BHASTRIKA PRANAYAMA TRAINING PROGRAM ON EMOTION PROCESSING, ANXIETY, AND AFFECT. WE USED A RANDOMIZED CONTROLLED TRIAL DESIGN WITH THIRTY HEALTHY YOUNG ADULTS ASSESSED AT BASELINE AND AFTER 4 WEEKS OF PRANAYAMA PRACTICES. TWO FUNCTIONAL MAGNETIC RESONANCE IMAGING (MRI) PROTOCOLS WERE USED BOTH AT BASELINE AND POST-INTERVENTION: AN EMOTION TASK AS WELL AS A RESTING-STATE ACQUISITION. OUR RESULTS SUGGEST THAT PRANAYAMA SIGNIFICANTLY DECREASED STATES OF ANXIETY AND NEGATIVE AFFECT. THE PRACTICE OF PRANAYAMA ALSO MODULATED THE ACTIVITY OF BRAIN REGIONS INVOLVED IN EMOTIONAL PROCESSING, PARTICULARLY THE AMYGDALA, ANTERIOR CINGULATE, ANTERIOR INSULA, AND PREFRONTAL CORTEX. RESTING-STATE FUNCTIONAL MRI (FMRI) SHOWED SIGNIFICANTLY REDUCED FUNCTIONAL CONNECTIVITY INVOLVING THE ANTERIOR INSULA AND LATERAL PORTIONS OF THE PREFRONTAL CORTEX. CORRELATION ANALYSIS REVEALED THAT CHANGES IN CONNECTIVITY BETWEEN THE VENTROLATERAL PREFRONTAL CORTEX AND THE RIGHT ANTERIOR INSULA WERE ASSOCIATED WITH CHANGES IN ANXIETY. ALTHOUGH IT SHOULD BE NOTED THAT THESE ANALYSES WERE PRELIMINARY AND EXPLORATORY, IT PROVIDES THE FIRST EVIDENCE THAT 4 WEEKS OF B. PRANAYAMA SIGNIFICANTLY REDUCE THE LEVELS OF ANXIETY AND NEGATIVE AFFECT, AND THAT THESE CHANGES ARE ASSOCIATED WITH THE MODULATION OF ACTIVITY AND CONNECTIVITY IN BRAIN AREAS INVOLVED IN EMOTION PROCESSING, ATTENTION, AND AWARENESS. THE STUDY WAS REGISTERED AT HTTPS://WWW.ENSAIOSCLINICOS.GOV.BR/RG/RBR-2GV5C2/(RBR-2GV5C2). 2020 19 1897 25 RESTING STATE FUNCTIONAL CONNECTIVITY ASSOCIATED WITH SAHAJA YOGA MEDITATION. NEUROSCIENCE RESEARCH HAS SHOWN THAT MEDITATION PRACTICES HAVE EFFECTS ON BRAIN STRUCTURE AND FUNCTION. HOWEVER, FEW STUDIES HAVE COMBINED INFORMATION ON THE EFFECTS ON STRUCTURE AND FUNCTION IN THE SAME SAMPLE. LONG-TERM DAILY MEDITATION PRACTICE PRODUCES REPEATED ACTIVITY OF SPECIFIC BRAIN NETWORKS OVER YEARS OF PRACTICE, WHICH MAY INDUCE LASTING STRUCTURAL AND FUNCTIONAL CONNECTIVITY (FC) CHANGES WITHIN RELEVANT CIRCUITS. THE AIM OF OUR STUDY WAS THEREFORE TO IDENTIFY DIFFERENCES IN FC DURING THE RESTING STATE BETWEEN 23 SAHAJA YOGA MEDITATION EXPERTS AND 23 HEALTHY PARTICIPANTS WITHOUT MEDITATION EXPERIENCE. SEED-BASED FC ANALYSIS WAS PERFORMED DEPARTING FROM VOXELS THAT HAD SHOWN STRUCTURAL DIFFERENCES BETWEEN THESE SAME PARTICIPANTS. THE CONTRAST OF CONNECTIVITY MAPS YIELDED THAT MEDITATORS SHOWED INCREASED FC BETWEEN THE LEFT VENTROLATERAL PREFRONTAL CORTEX AND THE RIGHT DORSOLATERAL PREFRONTAL CORTEX BUT REDUCED FC BETWEEN THE LEFT INSULA AND THE BILATERAL MID-CINGULATE AS WELL AS BETWEEN THE RIGHT ANGULAR GYRUS AND THE BILATERAL PRECUNEUS/CUNEUS CORTICES. IT THUS APPEARS THAT LONG-TERM MEDITATION PRACTICE INCREASES DIRECT FC BETWEEN VENTRAL AND DORSAL FRONTAL REGIONS WITHIN BRAIN NETWORKS RELATED TO ATTENTION AND COGNITIVE CONTROL AND DECREASES FC BETWEEN REGIONS OF THESE NETWORKS AND AREAS OF THE DEFAULT MODE NETWORK. 2021 20 1347 29 HYPOXIA IN CNS PATHOLOGIES: EMERGING ROLE OF MIRNA-BASED NEUROTHERAPEUTICS AND YOGA BASED ALTERNATIVE THERAPIES. CELLULAR RESPIRATION IS A VITAL PROCESS FOR THE EXISTENCE OF LIFE. ANY CONDITION THAT RESULTS IN DEPRIVATION OF OXYGEN (ALSO TERMED AS HYPOXIA) MAY EVENTUALLY LEAD TO DELETERIOUS EFFECTS ON THE FUNCTIONING OF TISSUES. BRAIN BEING THE HIGHEST CONSUMER OF OXYGEN IS PRONE TO INCREASED RISK OF HYPOXIA-INDUCED NEUROLOGICAL INSULTS. THIS IN TURN HAS BEEN ASSOCIATED WITH MANY DISEASES OF CENTRAL NERVOUS SYSTEM (CNS) SUCH AS STROKE, ALZHEIMER'S, ENCEPHALOPATHY ETC. ALTHOUGH SEVERAL STUDIES HAVE INVESTIGATED THE PATHOPHYSIOLOGICAL MECHANISMS UNDERLYING ISCHEMIC/HYPOXIC CNS DISEASES, THE KNOWLEDGE ABOUT PROTECTIVE THERAPEUTIC STRATEGIES TO AMELIORATE THE AFFECTED NEURONAL CELLS IS MEAGER. THIS HAS AUGMENTED THE NEED TO IMPROVE OUR UNDERSTANDING OF THE HYPOXIC AND ISCHEMIC EVENTS OCCURRING IN THE BRAIN AND IDENTIFY NOVEL AND ALTERNATE TREATMENT MODALITIES FOR SUCH INSULTS. MICRORNA (MIRNAS), SMALL NON-CODING RNA MOLECULES, HAVE RECENTLY EMERGED AS POTENTIAL NEUROPROTECTIVE AGENTS AS WELL AS TARGETS, UNDER HYPOXIC CONDITIONS. THESE 18-22 NUCLEOTIDE LONG RNA MOLECULES ARE PROFUSELY PRESENT IN BRAIN AND OTHER ORGANS AND FUNCTION AS GENE REGULATORS BY CLEAVING AND SILENCING THE GENE EXPRESSION. IN BRAIN, THESE ARE KNOWN TO BE INVOLVED IN NEURONAL DIFFERENTIATION AND PLASTICITY. THEREFORE, TARGETING MIRNA EXPRESSION REPRESENTS A NOVEL THERAPEUTIC APPROACH TO INTERCEDE AGAINST HYPOXIC AND ISCHEMIC BRAIN INJURY. IN THE FIRST PART OF THIS REVIEW, WE WILL DISCUSS THE NEUROPHYSIOLOGICAL CHANGES CAUSED AS A RESULT OF HYPOXIA, FOLLOWED BY THE CONTRIBUTION OF HYPOXIA IN THE NEURODEGENERATIVE DISEASES. SECONDLY, WE WILL PROVIDE RECENT UPDATES AND INSIGHTS INTO THE ROLES OF MIRNA IN THE REGULATION OF GENES IN OXYGEN AND GLUCOSE DEPRIVED BRAIN IN ASSOCIATION WITH CIRCADIAN RHYTHMS AND HOW THESE CAN BE TARGETED AS NEUROPROTECTIVE AGENTS FOR CNS INJURIES. FINALLY, WE WILL EMPHASIZE ON ALTERNATE BREATHING OR YOGIC INTERVENTIONS TO OVERCOME THE HYPOXIA ASSOCIATED ANOMALIES THAT COULD ULTIMATELY LEAD TO IMPROVEMENT IN CEREBRAL PERFUSION. 2017