1 302 162 AN EIGHT-WEEK YOGA INTERVENTION IS ASSOCIATED WITH IMPROVEMENTS IN PAIN, PSYCHOLOGICAL FUNCTIONING AND MINDFULNESS, AND CHANGES IN CORTISOL LEVELS IN WOMEN WITH FIBROMYALGIA. OBJECTIVES: FIBROMYALGIA (FM) IS A CHRONIC CONDITION CHARACTERIZED BY WIDESPREAD MUSCULOSKELETAL PAIN, FATIGUE, DEPRESSION, AND HYPOCORTISOLISM. TO DATE, PUBLISHED STUDIES HAVE NOT INVESTIGATED THE EFFECTS OF YOGA ON CORTISOL IN FM. THIS PILOT STUDY USED A TIME SERIES DESIGN TO EVALUATE PAIN, PSYCHOLOGICAL VARIABLES, MINDFULNESS, AND CORTISOL IN WOMEN WITH FM BEFORE AND AFTER A YOGA INTERVENTION. METHODS: PARTICIPANTS (N = 22) WERE RECRUITED FROM THE COMMUNITY TO PARTICIPATE IN A 75 MINUTE YOGA CLASS TWICE WEEKLY FOR 8 WEEKS. QUESTIONNAIRES CONCERNING PAIN (INTENSITY, UNPLEASANTNESS, QUALITY, SUM OF LOCAL AREAS OF PAIN, CATASTROPHIZING, ACCEPTANCE, DISABILITY), ANXIETY, DEPRESSION, AND MINDFULNESS WERE ADMINISTERED PRE-, MID- AND POST-INTERVENTION. SALIVARY CORTISOL SAMPLES WERE COLLECTED THREE TIMES A DAY FOR EACH OF TWO DAYS, PRE- AND POST-INTERVENTION. RESULTS: REPEATED MEASURES ANALYSIS OF VARIANCE (ANOVA) REVEALED THAT MEAN +/- STANDARD DEVIATION (SD) SCORES IMPROVED SIGNIFICANTLY (P < 0.05) FROM PRE- TO POST-INTERVENTION FOR CONTINUOUS PAIN (PRE: 5.18 +/- 1.72; POST: 4.44 +/- 2.03), PAIN CATASTROPHIZING (PRE: 25.33 +/- 14.77; POST: 20.40 +/- 17.01), PAIN ACCEPTANCE (PRE: 60.47 +/- 23.43; POST: 65.50 +/- 22.93), AND MINDFULNESS (PRE: 120.21 +/- 21.80; POST: 130.63 +/- 20.82). INTENTION-TO-TREAT ANALYSIS SHOWED THAT MEDIAN AUC FOR POST-INTERVENTION CORTISOL (263.69) WAS SIGNIFICANTLY HIGHER (P < 0.05) THAN MEDIAN AUC FOR PRE-INTERVENTION LEVELS (189.46). MEDIATION ANALYSIS REVEALED THAT MID-INTERVENTION MINDFULNESS SCORES SIGNIFICANTLY (P < 0.05) MEDIATED THE RELATIONSHIP BETWEEN PRE- AND POST-INTERVENTION PAIN CATASTROPHIZING SCORES. DISCUSSION: THE RESULTS SUGGEST THAT A YOGA INTERVENTION MAY REDUCE PAIN AND CATASTROPHIZING, INCREASE ACCEPTANCE AND MINDFULNESS, AND ALTER TOTAL CORTISOL LEVELS IN WOMEN WITH FM. THE CHANGES IN MINDFULNESS AND CORTISOL LEVELS MAY PROVIDE PRELIMINARY EVIDENCE FOR MECHANISMS OF A YOGA PROGRAM FOR WOMEN WITH FM. FUTURE STUDIES SHOULD USE AN RCT DESIGN WITH A LARGER SAMPLE SIZE. 2011 2 2449 33 YOGA AND THE INTERPLAY BETWEEN ATTENTIONAL LOAD AND EMOTION INTERFERENCE. THIS STUDY COMPARED 45 YOGA PRACTITIONERS (M AGE = 29.7 YR., SD = 6.4) AND 45 MATCHED CONTROLS (M AGE = 29.3 YR., SD = 6.2) ON THE PERFORMANCE OF A BEHAVIORAL TASK THAT ASSESSED NEGATIVE EMOTION INTERFERENCE DURING A HIGH- AND A LOW-ATTENTIONAL DEMAND CONDITION, AS WELL AS ON STATE AND TRAIT ANXIETY SCORES. OUTCOMES WERE ALSO COMPARED BETWEEN BEGINNER AND ADVANCED PRACTITIONERS. FOR THE BEHAVIORAL TASK, THE FINAL SAMPLE COMPRISED 36 YOGA AND 38 CONTROL PARTICIPANTS. THE YOGA GROUP PRESENTED LOWER EMOTION INTERFERENCE IN THE HIGH ATTENTIONAL CONDITION, COMPARED TO THE LOW ATTENTIONAL CONDITION; RATED EMOTIONAL IMAGES AS LESS UNPLEASANT, COMPARED TO CONTROLS; AND REPORTED LOWER STATE AND TRAIT ANXIETY SCORES RELATIVE TO CONTROLS. ALSO, EMOTION INTERFERENCE IN THE LOW ATTENTIONAL CONDITION WAS LOWER AMONG ADVANCED PRACTITIONERS AND STATE ANXIETY WAS LOWER AMONG PRACTITIONERS ATTENDING MORE THAN TWO WEEKLY YOGA CLASSES. THE RESULTS SUGGESTED THAT YOGA MAY HELP IMPROVE SELF-REGULATORY SKILLS AND LOWER ANXIETY. THE PSYCHOLOGICAL MECHANISMS UNDERLYING THE RELATIONSHIP BETWEEN YOGA AND EMOTION REGULATION SHOULD BE FURTHER INVESTIGATED IN LONGITUDINAL STUDIES. 2015 3 2369 38 WHAT ARE THE KNOWN EFFECTS OF YOGA ON THE BRAIN IN RELATION TO MOTOR PERFORMANCES, BODY AWARENESS AND PAIN? A NARRATIVE REVIEW. OBJECTIVE: THE CURRENT BODY OF LITERATURE WAS REVIEWED TO EVALUATE THE EFFECTS OF YOGA ON THE BRAIN IN RELATION TO MOTOR PERFORMANCE, BODY AWARENESS AND PAIN. BACKGROUND: YOGA HAS BEEN INCREASINGLY POPULAR IN THE WESTERN COUNTRIES ESPECIALLY FOR ITS UNIQUE INTEGRATION OF THE MIND AND BODY. YOGA HAS BEEN STUDIED MORE INTENSELY IN THE LAST DECADE. ALTHOUGH IT HAS BEEN SHOWN TO IMPROVE COGNITIVE FUNCTIONS, FEW STUDIES HAVE LOOKED INTO THE EFFECTS OF YOGA ON IMPROVING MOTOR PERFORMANCE, BODY AWARENESS OR PAIN AND THE POSSIBLE UNDERLYING BRAIN MECHANISMS ASSOCIATED WITH THEM. METHODS: A SEARCH OF THE CURRENT LITERATURE WAS MADE USING KEYWORDS SUCH AS: "YOGA BRAIN MOTOR", "YOGA BRAIN PAIN", "EFFECTS YOGA BRAIN" AND "EFFECTS YOGA BRAIN MOTOR PERFORMANCE". THE FINDINGS WERE THEN DISCUSSED IN RELATION TO MOTOR PERFORMANCE, BODY AWARENESS AND PAIN AND THEIR REPORTED MECHANISMS OF ACTION ON THE BRAIN. RESULTS: A TOTAL OF 61 ARTICLES WERE SELECTED, OUT OF WHICH 29 WERE EXCLUDED BECAUSE THEY DID NOT MEET OUR CRITERIA. A TOTAL OF THIRTY-TWO ARTICLES WERE INCLUDED IN THIS REVIEW, WHICH WE FURTHER SUBDIVIDED BY FOCUS: MOTOR PERFORMANCE (N=10), BODY AWARENESS (N=14) AND PAIN (N=8). DISCUSSION: OUR REVIEW SHOWS THAT YOGA HAS A POSITIVE EFFECT ON LEARNING RATE, SPEED AND ACCURACY OF A MOTOR TASK BY INCREASING ATTENTION AND DECREASING STRESS THROUGH A BETTER CONTROL OF SENSORIMOTOR RHYTHMS. YOGA ALSO SEEMS TO IMPROVE SENSORY AWARENESS AND INTEROCEPTION, REGULATE AUTONOMIC INPUT, INCREASE PARASYMPATHETIC ACTIVITY AND PROMOTE SELF-REGULATION. YOGA WAS ALSO SHOWN TO REDUCE THE THREAT SIGNAL, INCREASE PAIN TOLERANCE, DECREASE PAIN UNPLEASANTNESS AND DECREASE THE ANXIETY AND DISTRESS ASSOCIATED WITH PAIN. THOSE CHANGES ARE ASSOCIATED WITH THE RECRUITMENT OF SPECIFIC BRAIN AREAS SUCH AS THE INSULA, THE AMYGDALA AND THE HIPPOCAMPUS. CONCLUSION: BASED ON THE STUDIES REVIEWED IN THIS REPORT, WE FOUND THAT THE PRACTICE OF YOGA SEEMS TO FACILITATE MOTOR LEARNING, TO INCREASE BODY AWARENESS AND TO DECREASE PAIN. THESE ARE ASSOCIATED WITH A WIDE VARIETY OF CHANGES IN TERMS OF BRAIN ACTIVITY AND STRUCTURE. FURTHER STUDIES ARE NECESSARY TO REVEAL ITS PRECISE MECHANISM OF ACTION ON THE BRAIN AND TO VALIDATE ITS WIDER APPLICATION IN CLINICAL SETTINGS. 2019 4 1668 30 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 5 1098 42 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 6 1266 28 FLUID INTELLIGENCE AND BRAIN FUNCTIONAL ORGANIZATION IN AGING YOGA AND MEDITATION PRACTITIONERS. NUMEROUS STUDIES HAVE DOCUMENTED THE NORMAL AGE-RELATED DECLINE OF NEURAL STRUCTURE, FUNCTION, AND COGNITIVE PERFORMANCE. PRELIMINARY EVIDENCE SUGGESTS THAT MEDITATION MAY REDUCE DECLINE IN SPECIFIC COGNITIVE DOMAINS AND IN BRAIN STRUCTURE. HERE WE EXTENDED THIS RESEARCH BY INVESTIGATING THE RELATION BETWEEN AGE AND FLUID INTELLIGENCE AND RESTING STATE BRAIN FUNCTIONAL NETWORK ARCHITECTURE USING GRAPH THEORY, IN MIDDLE-AGED YOGA AND MEDITATION PRACTITIONERS, AND MATCHED CONTROLS. FLUID INTELLIGENCE DECLINED SLOWER IN YOGA PRACTITIONERS AND MEDITATORS COMBINED THAN IN CONTROLS. RESTING STATE FUNCTIONAL NETWORKS OF YOGA PRACTITIONERS AND MEDITATORS COMBINED WERE MORE INTEGRATED AND MORE RESILIENT TO DAMAGE THAN THOSE OF CONTROLS. FURTHERMORE, MINDFULNESS WAS POSITIVELY CORRELATED WITH FLUID INTELLIGENCE, RESILIENCE, AND GLOBAL NETWORK EFFICIENCY. THESE FINDINGS REVEAL THE POSSIBILITY TO INCREASE RESILIENCE AND TO SLOW THE DECLINE OF FLUID INTELLIGENCE AND BRAIN FUNCTIONAL ARCHITECTURE AND SUGGEST THAT MINDFULNESS PLAYS A MECHANISTIC ROLE IN THIS PRESERVATION. 2014 7 2743 45 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