Abstract
Thirty-eight individuals (mean age: 34.8 years old) participating in a 3-month yoga and meditation retreat were assessed before and after the intervention for psychometric measures, brain derived neurotrophic factor (BDNF), circadian salivary cortisol levels, and pro- and anti-inflammatory cytokines. Participation in the retreat was found to be associated with decreases in self-reported anxiety and depression as well as increases in mindfulness. As hypothesized, increases in the plasma levels of BDNF and increases in the magnitude of the cortisol awakening response (CAR) were also observed. The normalized change in BDNF levels was inversely correlated with BSI-18 anxiety scores at both the pre-retreat (r = 0.40, p < 0.05) and post-retreat (r = 0.52, p < 0.005) such that those with greater anxiety scores tended to exhibit smaller pre- to post-retreat increases in plasma BDNF levels. In line with a hypothesized decrease in inflammatory processes resulting from the yoga and meditation practices, we found that the plasma level of the anti-inflammatory cytokine Interleukin-10 was increased and the pro-inflammatory cytokine Interleukin-12 was reduced after the retreat. Contrary to our initial hypotheses, plasma levels of other pro-inflammatory cytokines, including Interferon Gamma (IFN-γ), Tumor Necrosis Factor (TNF-α), Interleukin-1β (IL-1β), Interleukin-6 (IL-6), and Interleukin-8 (IL-8) were increased after the retreat. Given evidence from previous studies of the positive effects of meditative practices on mental fitness, autonomic homeostasis and inflammatory status, we hypothesize that these findings are related to the meditative practices throughout the retreat; however, some of the observed changes may also be related to other aspects of the retreat such as physical exercise-related components of the yoga practice and diet. We hypothesize that the patterns of change observed here reflect mind-body integration and well-being. The increased BDNF levels observed is a potential mediator between meditative practices and brain health, the increased CAR is likely a reflection of increased dynamic physiological arousal, and the relationship of the dual enhancement of pro- and anti-inflammatory cytokine changes to healthy immunologic functioning is discussed.
Highlights
Decades of research have linked meditation-based practices to positive psychological and health outcomes in both clinical and nonclinical populations (Grossman et al, 2004; Cahn and Polich, 2006; Rubia, 2009; Chiesa and Serretti, 2010; Keng et al, 2011; Davidson and McEwen, 2012)
We assessed Brain-derived neurotrophic factor (BDNF) levels in this study of the psychoneuroimmunologic effects of a sustained yoga and meditation retreat in order to investigate the possibility that BDNF may play a key signaling role in the promotion of stress resilience and integrated mind-body wellness
The results of this 3-month pre-post study indicate that participation in this yoga and meditation retreat was associated with alterations in psychological functioning, neurotrophic pathways, hypothalamic pituitary adrenal (HPA) axis activity, and inflammatory pathway signaling suggesting enhanced stress resilience and well-being
Summary
Decades of research have linked meditation-based practices to positive psychological and health outcomes in both clinical and nonclinical populations (Grossman et al, 2004; Cahn and Polich, 2006; Rubia, 2009; Chiesa and Serretti, 2010; Keng et al, 2011; Davidson and McEwen, 2012). Increasing evidence points towards the possibility that sustained engagement with meditative practices has both salubrious psychological and neurophysiological benefits (Cahn and Polich, 2006; Dahl et al, 2015; Tang et al, 2015; Luders and Cherbuin, 2016) and positively enhances biological functioning through both hypothalamic pituitary adrenal (HPA) effects and the regulation of inflammatory processes (Bower and Irwin, 2015). BDNF is a key neurotrophin that promotes development, survival and plasticity of neurons in the central and peripheral nervous systems (Huang and Reichardt, 2001; Binder and Scharfman, 2004). This potent neuromodulator is most active in brain areas that play pivotal roles in learning, memory and higher cognition such as the hippocampus and cortex. We assessed BDNF levels in this study of the psychoneuroimmunologic effects of a sustained yoga and meditation retreat in order to investigate the possibility that BDNF may play a key signaling role in the promotion of stress resilience and integrated mind-body wellness
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