Month: June 2018

Relieve the Side Effects of Cancer Treatment with Yoga

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Relieve the Side Effects of Cancer Treatment with Yoga

 

By John M. de Castro, Ph.D.

 

“Cancer patients who practice yoga as therapy during their treatment often refer to their yoga practice as a life-saver. The healing power of yoga helps both cancer patients and cancer survivors. No matter how sick from treatments and no matter how little energy, many find that the one thing that would bring relief were a gentle set of therapeutic yoga poses geared for cancer patients.” – Yoga U

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. These feeling can result from changes in body image, changes to family and work roles, feelings of grief at these losses, and physical symptoms such as pain, nausea, or fatigue. People might also fear death, suffering, pain, or all the unknown things that lie ahead. So, coping with the emotions and stress of a cancer diagnosis is a challenge and there are no simple treatments for these psychological sequelae of cancer diagnosis.

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. Yoga practice is a form of mindfulness training that has been shown to be beneficial for cancer patients.  In today’s Research News article “Yoga for the Management of Cancer Treatment-Related Toxicities.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901971/ ), Lin and colleagues review and summarize the published research literature on the effectiveness of yoga practice for the relief of the problematic effects of cancer treatments.

 

They review 24 published clinical trials. Based upon this literature, they conclude that yoga practice helps relieve the sleep disturbance that occurs in the majority of cancer patients. They also report that gentle yoga practice, such as Hatha yoga, helps relieve the physical fatigue and cognitive impairments (known as “chemobrain”) that occurs in the most cancer patients. Gentle yoga practice also appears to help relieve the psychological distress, including anxiety, depression, and mood disorders that are almost universal symptoms of cancer diagnosis. Finally, they report that gentle yoga practice helps relieve the musculoskeletal pain, muscle aches, and total physical discomfort that can accompany cancer treatment.

 

These findings suggest that yoga practice has a wide array of positive physical, psychological, and emotional benefits for cancer patients. They suggest that gentle forms of yoga are probably best. This would make sense given the compromised physical conditions of most yoga patients. The exact mechanisms by which yoga practice produces these benefits has not been adequately researched and identified. But, yoga appears to improve responses to stress, the immune response, and the cardiovascular system which may be responsible. Regardless, yoga practice should be recommended to help relieve the suffering and promote recovery of patients with cancer.

 

So, relieve the side effects of cancer treatment with yoga

 

“As with many types of complementary therapy one of the main reasons that people with cancer use yoga is because it makes them feel good. .  .  . Generally, it can help to lift your mood and enhance well being. Some people with cancer say it helps calm their mind so that they can cope better with their cancer and its treatment. Others say it helps to reduce symptoms and side effects such as pain, tiredness, sleep problems and depression.” – Cancer Research UK

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Lin, P.-J., Peppone, L. J., Janelsins, M. C., Mohile, S. G., Kamen, C. S., Kleckner, I. R., … Mustian, K. M. (2018). Yoga for the Management of Cancer Treatment-Related Toxicities. Current Oncology Reports, 20(1), 5. http://doi.org/10.1007/s11912-018-0657-2

 

Abstract

Purpose of Review

To (1) explain what yoga is, (2) summarize published literature on the efficacy of yoga for managing cancer treatment-related toxicities, (3) provide clinical recommendations on the use of yoga for oncology professionals, and (4) suggest promising areas for future research.

Recent Findings

Based on a total of 24 phase II and one phase III clinical trials, low-intensity forms of yoga, specifically gentle hatha and restorative, are feasible, safe, and effective for treating sleep disruption, cancer-related fatigue, cognitive impairment, psychosocial distress, and musculoskeletal symptoms in cancer patients receiving chemotherapy and radiation and cancer survivors.

Summary

Clinicians should consider prescribing yoga for their patients suffering with these toxicities by referring them to qualified yoga professionals. More definitive phase III clinical trials are needed to confirm these findings and to investigate other types, doses, and delivery modes of yoga for treating cancer-related toxicities in patients and survivors.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901971/

 

Strengthen the Brain’s Interoceptive Networks with Mindfulness

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Strengthen the Brain’s Interoceptive Networks with Mindfulness

 

By John M. de Castro, Ph.D.

 

“mindfulness strengthens interoception, operationalized here as the mean insula connection strength within the overall connectome.” – Strong et al.

 

Most of us spend the majority of our lives lost in thought. Even when we become aware of our surroundings it is principally of the sights and sounds surrounding us. It is usually only when something is very wrong that we become aware of our bodies, what is called interoceptive awareness. We are generally unaware of the signals from our bodies such as the breath, movements in the GI tract, heart beats accompanied with surges in blood pressure, the sensations from our muscles and joints, even the sensations from our skin. Adding to the lack of awareness of our bodies we are also unaware of our implicit beliefs and attitudes about our bodies and the emotions that accompany these attitudes.

 

To exemplify this, just for a moment start paying attention to the sensations coming from the contact of your clothing with your skin. You were in all probability totally unaware of these sensations until your attention was directed toward them. Now notice the feelings from your facial muscles. Are they tense, relaxed, or something in-between. You probably were not aware of their state yet they can be good indicators of stress and your emotional state. This can be a real problem as interoceptive awareness is extremely important for our awareness of our emotional state which is in turn needed to regulate and respond appropriately to the emotions. Being aware of the state of our bodies is also important for maintaining health, both for recognizing our physical state and also for making appropriate decisions about health-related behaviors. Interoceptive awareness is even fundamental to our sense of self and world view.

 

Most contemplative practices focus attention on our internal state and thus improve our body awareness. But, in fact there is little empirical evidence on how this is accomplished. The insula cortex is a large piece of cerebral cortex has been covered and is buried deep inside at the juncture of the parietal, temporal, and frontal lobes. The insula is highly interconnected with a wide variety of other cortical and subcortical areas of the brain and it has been implicated in interoceptive awareness. So, changes in the insula may well reflect changes in interoceptive awareness. This suggests that mindfulness training would produce changes in the insula cortex.

 

In today’s Research News article “Mindfulness training induces structural connectome changes in insula networks.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962606/ ), Sharp and colleagues examined the Magnetic Resonance Images (MRIs) from two groups of participants in a larger study. Both groups had received cognitive training plus physical fitness training, while one group received an additional mindfulness training. Training consisted of 3 70-minute training sessions per week for 16 weeks. Functional Magnetic Resonance Images (f-MRIs) were obtained before and after training as well as a subjective interoceptive awareness measure.

 

They found that only after the training that included mindfulness training was there a significant increase in the strength of the connections between the insula cortex on the right side of the brain and the rest of the brain. These results suggest that mindfulness training alters the connectivity of the brain region that underlies interoceptive awareness. This may explain how mindfulness training improves body awareness and in turn the ability to sense and regulate emotions. Because emotion regulation is so fundamental to psychological health, these findings could explain how mindfulness training improves mental health and relieves mental illness.

 

So, strengthen the brain’s interoceptive networks with mindfulness.

 

“”Mindfulness” is a capacity for heightened present-moment awareness that we all possess to a greater or lesser extent. Training this capacity seems to have a quieting effect on brain areas associated with our subjective appraisal of our self. By considering thoughts and feelings as transitory mental events that occur, but are separate from the self, people are able to lessen their hold on their worries and positive mental health outcomes follow.” – Sian Bellock

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Paul B. Sharp, Bradley P. Sutton, Erick J. Paul, Nikolai Sherepa, Charles H. Hillman, Neal J. Cohen, Arthur F. Kramer, Ruchika Shaurya Prakash, Wendy Heller, Eva H. Telzer, Aron K. Barbey. Mindfulness training induces structural connectome changes in insula networks. Sci Rep. 2018; 8: 7929. Published online 2018 May 21. doi: 10.1038/s41598-018-26268-w

 

Abstract

Although mindfulness meditation is known to provide a wealth of psychological benefits, the neural mechanisms involved in these effects remain to be well characterized. A central question is whether the observed benefits of mindfulness training derive from specific changes in the structural brain connectome that do not result from alternative forms of experimental intervention. Measures of whole-brain and node-level structural connectome changes induced by mindfulness training were compared with those induced by cognitive and physical fitness training within a large, multi-group intervention protocol (n = 86). Whole-brain analyses examined global graph-theoretical changes in structural network topology. A hypothesis-driven approach was taken to investigate connectivity changes within the insula, which was predicted here to mediate interoceptive awareness skills that have been shown to improve through mindfulness training. No global changes were observed in whole-brain network topology. However, node-level results confirmed a priori hypotheses, demonstrating significant increases in mean connection strength in right insula across all of its connections. Present findings suggest that mindfulness strengthens interoception, operationalized here as the mean insula connection strength within the overall connectome. This finding further elucidates the neural mechanisms of mindfulness meditation and motivates new perspectives about the unique benefits of mindfulness training compared to contemporary cognitive and physical fitness interventions.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5962606/

 

Improve PTSD After Sexual Trauma with Mindfulness Plus Exercise

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Improve PTSD After Sexual Trauma with Mindfulness Plus Exercise

 

By John M. de Castro, Ph.D.

 

“Clinical studies have shown that mindfulness-based treatments can be helpful for people suffering from PTSD. The non-judgmental outlook that mindfulness works to cultivate can help folks accept their thoughts, emotions, and experiences, and reduce the avoidance, intrusive thoughts, and numbness symptoms characteristic of PTSD. Mindfulness practices may decrease survivors’ feelings of guilt, shame, and other negative emotions, and increase their positive feelings toward themselves and others.” – Jezmina Von Thiele

 

Experiencing trauma is quite common. It has been estimated that 60% of men and 50% of women will experience a significant traumatic event during their lifetime. Many, but, only a fraction will develop Post-Traumatic Stress Disorder (PTSD). But this still results in a frightening number of people with 7%-8% of the population developing PTSD at some point in their life. PTSD can be produced by interpersonal violence which includes physical or sexual violence. Sexual violence is all too common with 1 out of every 6 women having experienced attempted or completed rape in their lifetime.

 

PTSD involves a number of troubling symptoms including reliving the event with the same fear and horror in nightmares or with a flashback. PTSD sufferers avoid situations that remind them of the event this may include crowds, driving, movies, etc. and may avoid seeking help because it keeps them from having to think or talk about the event. They often experience negative changes in beliefs and feelings including difficulty experiencing positive or loving feelings toward other people, avoiding relationships, memory difficulties, or see the world as dangerous and no one can be trusted. Sufferers may feel hyperarousal, feeling keyed up and jittery, or always alert and on the lookout for danger. They may experience sudden anger or irritability, may have a hard time sleeping or concentrating, may be startled by a loud noise or surprise.

 

Obviously, these are serious and troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. Exercise also appears to be effective in treating the symptoms of PTSD. So, it would seem reasonable to examine the combination of exercise and mindfulness training in treating PTSD.

 

In today’s Research News article “MAP Training My Brain™: Meditation Plus Aerobic Exercise Lessens Trauma of Sexual Violence More Than Either Activity Alone.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5924799/ ), Shors and colleagues recruited adult college women and randomly assigned them to one of four conditions; meditation, aerobic exercise, meditation plus aerobic exercise, or no treatment. Meditation and aerobic exercise sessions lasted 30 minutes each. There were 2 sessions per week for 6 weeks. They were measured before and after training for thoughts and feelings following trauma, self-worth, rumination, and stressful life memories.

 

They found that after the combined meditation plus exercise condition and meditation alone, but not exercise alone or no treatment, there was a significant reduction in thoughts and feelings following trauma. They also found that only after the combined meditation plus exercise condition were there significant reductions in rumination and increases in self-worth. When women who had experience sexual trauma were examined, they found that only after the combined meditation plus exercise condition, were there significant reductions in thoughts and feelings following trauma, and rumination and increases in self-worth.

 

These results suggest that the combination of exercise plus meditation is much more effective in reducing trauma related psychological symptoms than either alone especially in women who had experienced sexual trauma. This suggests that treating both the mind and the body is particularly effective in dealing with the psychological sequela of trauma. It will be interesting in future research to see if this is also true in treating PTSD in men and with physical and combat trauma.

 

So, improve PTSD after sexual trauma with mindfulness plus exercise.

 

“Women who experience sexual violence, and people who experience trauma, tend to ruminate over what happened—asking themselves why it happened or if they could have done something differently. The more you think about it, the more you go over the memories, the more memories you make. MAP Training diminished those thoughts in women who experienced violence.” – Tracey Shors

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are available also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Tracey J. Shors, Han Y. M. Chang, Emma M. Millon. MAP Training My Brain™: Meditation Plus Aerobic Exercise Lessens Trauma of Sexual Violence More Than Either Activity Alone. Front Neurosci. 2018; 12: 211. Published online 2018 Apr 23. doi: 10.3389/fnins.2018.00211

 

Abstract

Sexual violence against women often leads to post-traumatic stress disorder (PTSD), a mental illness characterized by intrusive thoughts and memories about the traumatic event (Shors and Millon, 2016). These mental processes are obviously generated by the brain but often felt in the body. MAP Training My Brain™ is a novel clinical intervention that combines mental training of the brain with physical training of the body (Curlik and Shors, 2013; Shors et al., 2014). Each training session begins with 20-min of sitting meditation, followed by 10-min of slow-walking meditation, and ending with 30-min of aerobic exercise at 60–80% of the maximum heart rate (see maptrainmybrain.com). In previous studies, the combination of mental and physical (MAP) training together significantly reduced symptoms of depression and ruminative thoughts, while reducing anxiety (Shors et al., 2014, 2017; Alderman et al., 2016). We also documented positive changes in brain activity during cognitive control and whole-body oxygen consumption in various populations. In the present pilot study, we asked whether the combination of meditation and aerobic exercise during MAP Training would reduce trauma-related thoughts, ruminations, and memories in women and if so, whether the combination would be more effective than either activity alone. To test this hypothesis, interventions were provided to a group of women (n = 105), many of whom had a history of sexual violence (n = 32). Groups were trained with (1) MAP Training, (2) meditation alone, (3) aerobic exercise alone, or (4) not trained. Individuals in training groups completed two sessions a week for at least 6 weeks. MAP Training My Brain™ significantly reduced post-traumatic cognitions and ruminative thoughts in women with a history of sexual violence, whereas meditation alone, and exercise alone did not. MAP Training significantly enhanced a measure of self-worth, whereas meditation and exercise alone did not. Similar positive effects were observed for all participants, although meditation alone was also effective in reducing trauma-related thoughts. Overall, these data indicate the combination of meditation and exercise is synergistic. As a consequence, MAP Training is preferable and especially so for women who have experienced sexual violence in their past. Simply put, the whole is greater than the sum of its parts.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5924799/

 

Different Types of Meditation Techniques Affect Neural Activity Differently

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Different Types of Meditation Techniques Affect Neural Activity Differently

 

By John M. de Castro, Ph.D.

 

“The picture we have is that mindfulness practice increases one’s ability to recruit higher order, pre-frontal cortex regions in order to down-regulate lower-order brain activity.” – Adrienne Taren

 

Meditation training has been shown to improve health and well-being. It has also been found to be effective for a large array of medical and psychiatric conditions, either stand-alone or in combination with more traditional therapies. As a result, meditation training has been called the third wave of therapies. One problem with understanding meditation effects is that there are, a wide variety of meditation techniques and it is not known which work best for improving different conditions.

 

There are a number of different types of meditation. Many can be characterized on a continuum with the degree and type of attentional focus. In focused attention meditation, the individual practices paying attention to a single meditation object, learns to filter out distracting stimuli, including thoughts, and learns to stay focused on the present moment, filtering out thoughts centered around the past or future. Transcendental meditation is a silent mantra-based focused meditation in which a word or phrase is repeated over and over again with the meditator focusing attention on the mantra. This is designed to evoke the experience of pure awareness. In open monitoring meditation, the individual opens up awareness to everything that’s being experienced regardless of its origin. These include bodily sensations, external stimuli, and even thoughts. The meditator just observes these thoughts and lets them arise and fall away without paying them any further attention. Loving Kindness Meditation is designed to develop kindness and compassion to oneself and others. The individual systematically pictures different individuals from self, to close friends, to enemies and wishes them happiness, well-being, safety, peace, and ease of well-being.

 

These techniques have common properties of restful attention on the present moment, but there are large differences. These differences are likely to produce different effects on the practitioner. One way to distinguish between the effects of these different meditation techniques is to observe the effects of each technique on the brain’s activity. This can be measured by recording the electroencephalogram (EEG). The brain produces rhythmic electrical activity that can be recorded from the scalp. It is usually separated into frequency bands. Delta activity consists of oscillations in the 0.5-3 cycles per second band. Theta activity in the EEG consists of oscillations in the 4-7.5 cycles per second band. Alpha activity consists of oscillations in the 8-12 cycles per second band. Beta activity consists of oscillations in the 13-30 cycles per second band while Gamma activity occurs in the 30-100 cycles per second band.

 

 

In today’s Research News article “.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890111/ ), and colleagues review and summarize the published research literature on the effects of various meditation techniques on neural activity as measured with the electroencephalogram (EEG). They report that meditation practice, in general, is associated with increased brain oscillations and the greater the amount of practice the greater the increase in oscillations. This suggests that meditation practice, regardless of type, effects neural activity.

 

Activity in the Theta band of the EEG (4-7.5 hz.) differs with the type of meditation practiced. Both, focused and open monitoring meditation increase Theta oscillations in the anterior portions of the cerebral cortex. But, focused meditation also increases Theta activity in the posterior cortex. Theta activity is associated with positive emotional states and memory.

 

Activity in the Alpha band of the EEG (6-12 hz.) differs with the type of meditation practiced. Both, focused and open monitoring meditation increase Alpha oscillations in the posterior portions of the cerebral cortex. But, focused meditation also increases Alpha activity in the anterior cortex while open monitoring meditation decreases Alpha on the left side of the frontal cortex. Alpha activity is associated with relaxation and drowsiness.

 

Activity in the Gamma band of the EEG (6-12 hz.) increases in the frontal regions with all forms of meditation. This is sometimes known as fast wave activity and is associated with sensory and cognitive processing. There is conflicting evidence regarding the effects of meditation practice on the other oscillatory bands.

 

This research makes it clear that meditation practice increases the brains electrical activity and there appears to be differences in the oscillatory patterns produced by different meditation techniques. This may help in identifying the underlying processes responsible for the differing effects of these practices. But, the research is at a very early stage of development and much more work will be required to come to any firm conclusions.

 

So, it is clear that different types of meditation techniques affect neural activity differently.

 

“It was already known that during meditation brain wave activity increases in areas like alpha waves. These MRIs showed something more permanent: denser gray matter in specific regions like the hippocampus, which is crucial for learning and memory, as well as in other areas associated with self-awareness, compassion, and reflection.” – Deepak Chopra

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Lee, D. J., Kulubya, E., Goldin, P., Goodarzi, A., & Girgis, F. (2018). Review of the Neural Oscillations Underlying Meditation. Frontiers in Neuroscience, 12, 178. http://doi.org/10.3389/fnins.2018.00178

 

Abstract

Objective: Meditation is one type of mental training that has been shown to produce many cognitive benefits. Meditation practice is associated with improvement in concentration and reduction of stress, depression, and anxiety symptoms. Furthermore, different forms of meditation training are now being used as interventions for a variety of psychological and somatic illnesses. These benefits are thought to occur as a result of neurophysiologic changes. The most commonly studied specific meditation practices are focused attention (FA), open-monitoring (OM), as well as transcendental meditation (TM), and loving-kindness (LK) meditation. In this review, we compare the neural oscillatory patterns during these forms of meditation.

Method: We performed a systematic review of neural oscillations during FA, OM, TM, and LK meditation practices, comparing meditators to meditation-naïve adults.

Results: FA, OM, TM, and LK meditation are associated with global increases in oscillatory activity in meditators compared to meditation-naïve adults, with larger changes occurring as the length of meditation training increases. While FA and OM are related to increases in anterior theta activity, only FA is associated with changes in posterior theta oscillations. Alpha activity increases in posterior brain regions during both FA and OM. In anterior regions, FA shows a bilateral increase in alpha power, while OM shows a decrease only in left-sided power. Gamma activity in these meditation practices is similar in frontal regions, but increases are variable in parietal and occipital regions.

Conclusions: The current literature suggests distinct differences in neural oscillatory activity among FA, OM, TM, and LK meditation practices. Further characterizing these oscillatory changes may better elucidate the cognitive and therapeutic effects of specific meditation practices, and potentially lead to the development of novel neuromodulation targets to take advantage of their benefits.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890111/

 

Improve Balance in Breast Cancer Patients with Qigong Practice

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Improve Balance in Breast Cancer Patients with Qigong Practice

 

By John M. de Castro, Ph.D.

 

“In terms of qigong influence on my cancer, a bone density scan carried some months ago has shown that, not only have I not lost further bone material, but, bone density has improved and there is growth of new material. I attribute this to my qigong practice since this is beyond the power of medication to effect this kind of outcome.” – Jean Caron

 

Receiving a diagnosis of cancer has a huge impact on most people. Feelings of depression, anxiety, and fear are very common and are normal responses to this life-changing and potentially life-ending experience. But cancer diagnosis is not necessarily a death sentence. Over half of the people diagnosed with cancer are still alive 10 years later and this number is rapidly increasing. But, surviving cancer carries with it a number of problems. Cancer and its treatment often results in bone loss making the individual more vulnerable to fractures especially after falls.

 

Mindfulness training has been shown to help with cancer recovery and help to alleviate many of the residual physical and psychological symptoms, including stress,  sleep disturbance, and anxiety and depression. Tai Chi or Qigong practice has been shown to improve quality of life, reduce fatigue, lower blood pressure and cortisol levels, improve balance and reduce the likelihood of falls. It is not known, however, if Qigong practice can help to strengthen bones and reduce the likelihood of fractures.

 

In today’s Research News article “Bone Mineral Density, Balance Performance, Balance Self-Efficacy, and Falls in Breast Cancer Survivors With and Without Qigong Training: An Observational Study.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950950/ ), Fong and colleagues recruited breast cancer survivors who had undergone standard treatments and separated them into two groups; those who performed Qigong practice for at least 3 months and those who did not practice. They also recruited a healthy control group that did not engage in Qigong practice. The participants were measured for whole body, hip, and arm bone density, balance, history of falls and fear of falling.

 

They found that the Breast cancer group that performed Qigong practice had significantly better balance and lower fear of falling than those who did not practice. In fact, those who practiced were equivalent to healthy controls in balance and fear of falling. It was those who didn’t practice who were deficient. They did not find differences between the groups in bone density. So, although Qigong practice did not appear to strengthen bones in breast cancer survivors, it did appear to improve balance and reduce their fear of falling making fractures less likely.

 

Falls and the resultant bone fractures are a significant threat not only to the quality of life of breast cancer survivors but also to their longevity. Hence, the benefits of improvements in balance for these patients should not be underappreciated. They could well lead to longer and better lives.

 

So, improve balance in breast cancer patients with qigong practice.

 

“Tai Chi may lead to better physical balance and stronger circulation of blood and energy. Tai Chi is a complimentary method for both preparing and recovering from surgery. Practicing with a positive, motivated group of people who are interested in empowering themselves with mind/body tools is a great support group for people who like to take an active role in their journey to better health.” – Cancer Wellness TV

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Shirley S. M. Fong, Anna W. M. Choi, W. S. Luk, Timothy T. T. Yam, Joyce C. Y. Leung, Joanne W. Y. Chung. Bone Mineral Density, Balance Performance, Balance Self-Efficacy, and Falls in Breast Cancer Survivors With and Without Qigong Training: An Observational Study. Integr Cancer Ther. 2018 Mar; 17(1): 124–130. Published online 2017 Jan 4. doi: 10.1177/1534735416686687

 

Abstract

Purpose: A deterioration in bone strength and balance performance after breast cancer treatment can result in injurious falls. Therefore, interventions need to be developed to improve the bone strength and balance ability of breast cancer survivors. This cross-sectional exploratory study aimed to compare the bone mineral density (BMD), balance performance, balance self-efficacy, and number of falls between breast cancer survivors who practiced qigong, breast cancer survivors who did not practice qigong, and healthy individuals. Methods: The study included 40 breast cancer survivors with more than 3 months of qigong experience, 17 breast cancer survivors with no qigong experience, and 36 healthy controls. All the participants underwent dual-energy X-ray absorptiometry scans to measure their lumbar spine, total hip, femoral neck, and total radius BMDs. The participants also underwent a timed one-leg stand test to measure their single-leg standing balance. The participants’ balance self-efficacy was assessed using the activities-specific balance confidence scale, and the number of falls experienced by each participant was assessed in a face-to-face interview. Results: The lumbar spine, total hip, femoral neck, and total radius BMDs were similar between the 3 groups (P > .05). The breast cancer-qigong group outperformed the breast cancer-control group by 27.3% when they performed the one-leg stand test on a foam surface (P = .025), and they also had a higher balance self-efficacy score (P = .006). Nevertheless, the numbers of falls were comparable between the 3 groups (P > .05). Conclusion: Qigong may be a suitable exercise for improving the balance performance and balance self-efficacy of breast cancer survivors.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5950950/

Improve Pain Tolerance After Athletic Injuries with Mindfulness

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Improve Pain Tolerance After Athletic Injuries with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Meditation is not something that only benefits yogis. Meditation gives athletes the ability to stay calm in the eye of the storm, it improves your ability to ignore distractions, and it has a powerful impact on the state of your nervous systems. All of these elements are significant to recovery time.” – Jennifer Houghton

 

Athletic performance requires the harmony of mind and body. Excellence is in part physical and in part psychological. That is why an entire profession of Sports Psychology has developed. “In sport psychology, competitive athletes are taught psychological strategies to better cope with a number of demanding challenges related to psychological functioning.” They use a number of techniques to enhance performance including mindfulness training. It has been shown to improve attention and concentration and emotion regulation and reduces anxiety and worry and rumination, and the physiological and psychological responses to stress. As a result, mindfulness training has been employed by athletes and even by entire teams to enhance their performance.

 

Athletes, however, often get injured. It has been shown that mindfulness can help with pain management. But, it is not known if mindfulness training can help in dealing with and recovering from severe athletic injuries. In today’s Research News article “Effect of Mindfulness Based Stress Reduction (MBSR) in Increasing Pain Tolerance and Improving the Mental Health of Injured Athletes.” (See summary below or view the full text of the study at: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00722/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_650705_69_Psycho_20180524_arts_A ), Mohammed and colleagues examined the ability of a Mindfulness Based Stress Reduction (MBSR) program to reduce the physical and psychological effects of severe athletic injuries.

 

They recruited university athletes who had severe injuries that kept them from participating in their sport for at least 3 months. All athletes received usual care consisting of the standard physiotherapy treatments throughout the study. They were randomly assigned to receive either an additional 8-week program of Mindfulness Based Stress Reduction (MBSR). They met once a week for 90 minutes and were asked to practice at home for 20 minutes per day. MBSR contains meditation, yoga and body scan practices. For this study the practices were adapted to the physical needs and capabilities of the injured athletes. All athletes were measured before and after training for pain tolerance with a cold pressor test, rated their own levels of pain, and completed measures of mindfulness, positive and negative emotions, anxiety, and depression.

 

They found that following training the athletes receiving MBSR training had a significantly greater level of pain tolerance, and mindfulness compared to baseline and the control group. Both groups had significant improvements in mood, especially significant reductions in anxiety and stress. This is a small study and it needs to be repeated with larger groups and an active control condition. But, the results indicate that Mindfulness Based Stress Reduction (MBSR) improves pain tolerance and mindfulness in injured athletes. It has been previously demonstrated that mindfulness training reduces pain perception in general. The present study suggests that it also does so for severely injured athletes. This may be important for the athlete’s recovery from their injuries.

 

It will be interesting to see if the heightened mindfulness produces improved athletic performance when the athletes recover and return to their respective sporting activities. It has been shown that mindfulness training improves athletic performance. But it is not known whether it is effective with athletes returning to competition after serious injury.

 

So, improve pain tolerance after athletic injuries with mindfulness.

 

“Athletes that fall into reactive habits are being mindful when under stress.  They are at the mercy of these destructive habits.  Becoming mindful creates a pause between the stimulus that occurs and the athletes reaction to the event.” – Robert Andrews

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Mohammed WA, Pappous A and Sharma D (2018) Effect of Mindfulness Based Stress Reduction (MBSR) in Increasing Pain Tolerance and Improving the Mental Health of Injured Athletes. Front. Psychol. 9:722. doi: 10.3389/fpsyg.2018.00722

 

Abstract

Literature indicates that injured athletes face both physical and psychological distress after they have been injured. In this study, a Mindfulness Based Stress Reduction (MBSR) was utilised as an intervention for use during the period of recovery with injured athletes and, to the best of our knowledge, this is the first study using MBSR as an intervention for this purpose.

Objective: The aim of this research was to investigate the role of MBSR practise in reducing the perception of pain and decreasing anxiety/stress, as well as increasing pain tolerance and mindfulness. An additional aim was to increase positive mood and decrease negative mood in injured athletes.

Methods: The participants comprised of twenty athletes (male = 14; female = 6; age range = 21–36 years) who had severe injuries, preventing their participation in sport for more than 3 months. Prior to their injury, the participants had trained regularly with their University teams and participated in official university championships. Both groups followed their normal physiotherapy treatment, but in addition, the intervention group practised mindfulness meditation for 8 weeks (one 90-min session/week). A Cold Pressor Test (CPT) was used to assess pain tolerance. In contrast, the perception of pain was measured using a Visual Analogue Scale. Other measurements used were the Mindful Attention Awareness Scale (MAAS), Depression Anxiety and Stress Scale (DASS), and Profile of Mood States (POMS).

Results: Our results demonstrated an increase in pain tolerance for the intervention group and an increase in mindful awareness for injured athletes. Moreover, our findings observed a promising change in positive mood for both groups. Regarding the Stress/Anxiety scores, our findings showed a notable decrease across sessions; however, no significant changes were observed in other main and interaction effects in both groups.

Conclusion: Injured athletes can benefit from using mindfulness as part of the sport rehabilitation process to increase their pain tolerance and awareness. Further research is required to assess whether increasing pain tolerance could help in the therapeutic process.

https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00722/full?utm_source=F-AAE&utm_medium=EMLF&utm_campaign=MRK_650705_69_Psycho_20180524_arts_A

Improve the Symptoms of COPD with Mindful Movement Practices

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Improve the Symptoms of COPD with Mindful Movement Practices

 

By John M. de Castro, Ph.D.

 

“a low-cost exercise intervention is equivalent to formal pulmonary rehabilitation, and this may enable a greater number of patients to be treated. Physical activity is key to reducing symptoms in COPD. We do recommend [pulmonary rehabilitation], but our study shows that tai chi is a viable alternative when there is no local [pulmonary rehabilitation] service.” – Yuan-Ming Luo

 

Chronic obstructive pulmonary diseases (COPD) are progressive lung diseases that obstruct airflow. The two main types of COPD are chronic bronchitis and emphysema. COPD is very serious being the third leading cause of death in the United States, over 140,000 deaths per year and the number of people dying from COPD is growing. More than 11 million people have been diagnosed with COPD, but an estimated 24 million may have the disease without even knowing it. COPD causes serious long-term disability and early death. Symptoms develop slowly. Over time, COPD can interfere with the performance of routine tasks and is thus a major cause of disability in the United States. The most common cause of COPD is smoking. But, COPD also occurs with miners and is called black lung disease. COPD is not contagious. Most of the time, treatment can ease symptoms and slow progression.

 

There is no cure for COPD. Treatments include lifestyle changes, medicine, bronchodilators, steroids, pulmonary rehabilitation, oxygen therapy, and surgery. They all attempt to relieve symptoms, slow the progress of the disease, improve exercise tolerance, prevent and treat complications, and improve overall health. Gentle exercise such as Yoga practice could improve COPD symptoms as it has been shown to improve exercise tolerance and overall health and includes breathing exercises. Indeed, it has been shown that yoga practice improves the mental and physical health of patients with COPD. Mindful Movement practices such Tai Chi and qigong are ancient Chinese practices involving mindfulness and gentle movements. They are easy to learn, safe, and gentle. So, it may be appropriate for patients with COPD who lack the ability to engage in strenuous exercises to engage in these gentle practices.

 

In today’s Research News article “Effectiveness of meditative movement on COPD: a systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909800/ ), Wu and colleagues review and summarize the published literature on the use of yoga practice or Tai Chi and qigong (meditative movements) for the treatment of Chronic obstructive pulmonary diseases (COPD). They discovered 16 studies of which 7 evaluated yoga, 4 tai chi, 3 qigong, and 2 tai chi and qigong combined. The studies involved 1176 total COPD patients.

 

They found that the studies reported that COPD patients who engaged in meditative movements were able to walk further in 6 minutes than controls even when the control condition was walking exercise. Further meditative movement was reported to significantly improve lung function and quality of life with COPD and reduce fatigue. Hence the published literature supports the use of meditative movements, yoga, Tai Chi and Qigong, for the treatment of the symptoms of Chronic obstructive pulmonary diseases (COPD).

 

These findings are particularly important as mindful movement practices, are gentle and safe, having no appreciable side effects, they appropriate for all ages including the elderly and for individuals with illnesses that limit their activities or range of motion, are inexpensive to administer, can be performed in groups or alone, at home or in a facility, and can be quickly learned. In addition, they can be practiced in social groups. This can make it fun, improving the likelihood of long-term engagement in the practice. So, the mindful movement practices of yoga, Tai Chi and Qigong would appear to be almost ideal, safe and effective treatments for the symptoms of Chronic obstructive pulmonary diseases (COPD).

 

So, improve the symptoms of COPD with mindful movement practices.

 

“Finding a way to relieve stress when dealing with COPD is key to sustaining good health.  Tai Chi is an easy, graceful exercise that is highly effective for reducing stress levels.” – Lung Institute

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Wu, L.-L., Lin, Z.-K., Weng, H.-D., Qi, Q.-F., Lu, J., & Liu, K.-X. (2018). Effectiveness of meditative movement on COPD: a systematic review and meta-analysis. International Journal of Chronic Obstructive Pulmonary Disease, 13, 1239–1250. http://doi.org/10.2147/COPD.S159042

 

Abstract

Background

The effectiveness of meditative movement (tai chi, yoga, and qigong) on COPD remained unclear. We undertook a systematic review and meta-analysis to determine the effectiveness of meditative movement on COPD patients.

Methods

We searched PubMed, Web of Science, EMBASE, and the Cochrane Center Register of Controlled Trials for relevant studies. The methods of standard meta-analysis were utilized for identifying relevant researches (until August 2017), quality appraisal, and synthesis. The primary outcomes were the 6-minute walking distance (6MWD), lung function, and dyspnea levels.

Results

Sixteen studies involving 1,176 COPD patients were included. When comparing with the control group, the 6MWD was significantly enhanced in the treatment group (3 months: mean difference [MD]=25.40 m, 95% CI: 16.25 to 34.54; 6 months: MD=35.75 m, 95% CI: 22.23 to 49.27), as well as functions on forced expiratory volume in 1 s (FEV1) (3 months: MD=0.1L, 95% CI: 0.02 to 0.18; 6 months: MD=0.18L, 95% CI: 0.1 to 0.26), and FEV1 % predicted (3 months: 4L, 95% CI: 2.7 to 5.31; 6 months: MD=4.8L, 95% CI: 2.56 to 7.07). Quality of life for the group doing meditative movement was better than the control group based on the Chronic Respiratory Disease Questionnaire dyspnea score (MD=0.9 units, 95% CI: 0.51 to 1.29) and fatigue score (MD=0.75 units, 95% CI: 0.42 to 1.09) and the total score (MD=1.92 units, 95% CI: 0.54 to 3.31).

Conclusion

Meditative movement may have the potential to enhance lung function and physical activity in COPD patients. More large-scale, well-designed, multicenter, randomized controlled trials should be launched to evaluate the long-range effects of meditative movement.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5909800/

 

Relieve the Symptoms of Post-Traumatic Stress Disorder with Mindfulness

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Relieve the Symptoms of Post-Traumatic Stress Disorder with Mindfulness

 

By John M. de Castro, Ph.D.

 

“Mindfulness can help people train themselves to get unstuck from a vicious cycle of negative thinking, often a cornerstone of trauma.” – Jennifer Wolkin

 

Experiencing trauma is quite common. It has been estimated that 60% of men and 50% of women will experience a significant traumatic event during their lifetime. But, only a fraction will develop Post-Traumatic Stress Disorder (PTSD). But this still results in a frightening number of people with 7%-8% of the population developing PTSD at some point in their life. For military personnel, it’s much more likely for PTSD to develop with about 11%-20% of those who have served in a war zone developing PTSD.

 

PTSD involves a number of troubling symptoms including reliving the event with the same fear and horror in nightmares or with a flashback. PTSD sufferers avoid situations that remind them of the event this may include crowds, driving, movies, etc. and may avoid seeking help because it keeps them from having to think or talk about the event. They often experience negative changes in beliefs and feelings including difficulty experiencing positive or loving feelings toward other people, avoiding relationships, memory difficulties, or see the world as dangerous and no one can be trusted. Sufferers may feel hyperarousal, feeling keyed up and jittery, or always alert and on the lookout for danger. They may experience sudden anger or irritability, may have a hard time sleeping or concentrating, may be startled by a loud noise or surprise.

 

Obviously, these are troubling symptoms that need to be addressed. There are a number of therapies that have been developed to treat PTSD. One of which, mindfulness training has been found to be particularly effective. But, it is not known which components of mindfulness training are effective and which are not. In today’s Research News article “A Qualitative Study of Mindfulness Among Veterans With Posttraumatic Stress Disorder: Practices Differentially Affect Symptoms, Aspects of Well-Being, and Potential Mechanisms of Action.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871168/ ), Colgan and colleagues recruited military veterans with chronic Post-Traumatic Stress Disorder (PTSD)and assigned them to practice either body scan, mindful breathing, slow breathing, or sitting quietly. The veterans were trained once a week for six weeks for 20 minutes. They were asked to practice once daily at home. After the interventions they were interviewed and asked “Did you benefit from the intervention?” and “Did your PTSD symptoms improve?” Their responses were recorded, transcribed and subjected to qualitative analysis.

 

They found that the participants in the mindfulness conditions of mindful breathing and body scan reported significantly greater improvements in PTSD symptoms than participants who practiced either slow breathing or sitting quietly. They reported “enhanced present moment awareness, increased nonreactivity, increased nonjudgmental acceptance, decreased physiological arousal and stress reactivity, increased active coping skills, and greater relaxation.“

 

These findings are consistent with the literature that mindfulness training is effective in relieving the symptoms of PTSD. These findings, however, begin to identify the effective components of mindfulness trainings. For, example Mindfulness-Based Stress Reduction (MBSR) is frequently used as an intervention for PTSD. MBSR, however, is a package of techniques including meditation, body scan, and yoga. It is not clear which of these components is necessary and sufficient for the relief of the symptoms of PTSD. The present findings demonstrate that either body scan alone or mindful breathing alone are effective, but simply sitting quietly or slow breathing are not. In other words, only those practices that produce mindfulness are effective. This suggests that the induction of mindfulness is the critical component for the effectiveness of the technique to relieve the symptoms of PTSD.

 

So, relieve the symptoms of post-traumatic stress disorder with mindfulness.

 

“Mindfulness practices can be very helpful in relieving the symptoms of toxic stress and PTSD, however, some caution is advised. It is important to choose the practices that fit the learning style and tolerance levels of the person who uses them.” – Trauma Recovery

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Colgan, D. D., Wahbeh, H., Pleet, M., Besler, K., & Christopher, M. (2017). A Qualitative Study of Mindfulness Among Veterans With Posttraumatic Stress Disorder: Practices Differentially Affect Symptoms, Aspects of Well-Being, and Potential Mechanisms of Action. Journal of Evidence-Based Complementary & Alternative Medicine, 22(3), 482–493. http://doi.org/10.1177/2156587216684999

 

Abstract

This qualitative study explored and compared the subjective experiences of 102 veterans with posttraumatic stress disorder (PTSD) who were randomly assigned to 1 of 4 arms: (a) body scan, (b) mindful breathing, (c) slow breathing, or (d) sitting quietly. Qualitative data were obtained via semistructured interviews following the intervention and analyzed using conventional content analysis. The percentage of participants within each intervention who endorsed a specific theme was calculated. Two-proportion z tests were then calculated to determine if the differences among themes endorsed in specific groups were statistically significant. Six core themes emerged from analysis of participant responses across the 4 groups: (a) enhanced present moment awareness, (b) increased nonreactivity, (c) increased nonjudgmental acceptance, (d) decreased physiological arousal and stress reactivity, (e) increased active coping skills, and (f) greater relaxation. More participants in the mindfulness intervention groups reported improvement in PTSD symptoms when compared to participants in non-mindfulness groups. Different types of intervention targeted different symptoms and aspects of well-being. Furthermore, type of intervention may have also differentially targeted potential mechanisms of action. This article highlights the importance of employing both quantitative and qualitative research methods when investigating the dynamic process of mindfulness and may inform how practices can be tailored to the needs of the veteran with PTSD.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5871168/

 

Can Prosocial Behavior be Improved with Mindfulness

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Can Prosocial Behavior be Improved with Mindfulness

 

By John M. de Castro, Ph.D.

 

“meditation made people feel moderately more compassionate or empathic, compared to if they had done no other new emotionally-engaging activity. But further analysis revealed that it played no significant role in reducing aggression or prejudice or improving how socially-connected someone was.” – James Anderson

 

Humans are social animals. This is a great asset for the species as the effort of the individual is amplified by cooperation. In primitive times, this cooperation was essential for survival. But in modern times it is also essential, not for survival but rather for making a living and for the happiness of the individual. This ability to cooperate is so essential to human flourishing that it is built deep into our DNA and is reflected in the structure of the human nervous system. Empathy and compassion are essential for appropriate social engagement and cooperation. In order for these abilities to emerge and strengthen, individuals must be able to see that other people are very much like themselves.

 

Mindfulness has been found to increase prosocial behaviors such as altruism, compassion and empathy and reduce antisocial behaviors such as violence and aggression. In today’s Research News article “The limited prosocial effects of meditation: A systematic review and meta-analysis.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799363/ ), Kreplin and colleagues review, summarize and perform a meta-analysis of the published research literature on the effectiveness of meditation practice for the promotion of prosocial behaviors. They reviewed randomized controlled trials that examined meditation or mindfulness effects on “empathy, relationship, connectedness, compassion, love, interpersonal, anger, social, altruism, outgroup, thankfulness, forgiveness, prosocial.”

 

They found 16 published randomized controlled trials. The meta-analysis indicated that there were overall small but significant effects of meditation or mindfulness training on prosocial behavior, especially compassion and empathy. There were no significant effects on aggression or prejudice. These results suggest that meditation or mindfulness training has small but positive effects on prosocial but not antisocial behaviors.

 

Limiting the interpretation of the findings, they found that the effects on compassion were only present when the trainer for meditation or mindfulness was a listed author on the study. This raises the possibility that experimenter bias may have had a major influence such that the beliefs of the researcher that the training would be effective influenced the participants behaviors. In addition, they found that the effects on compassion were only present when the control, comparison, condition was passive, such as a wait-list or no-treatment control, with no significant effects when an active, alternative treatment, control condition was included. This raises the possibility that participant expectancies may have had major influences such that the beliefs of the participants that the training would be effective influenced the participants behaviors. Hence, the small positive results on prosocial behaviors may have been due to weaknesses in the research designs of the studies rather than to the effects of meditation and mindfulness training.

 

These results are important in that they point to issues with the research design that may have been responsible for significant effects. This calls into question the actual effectiveness of meditation and mindfulness training on prosocial behavior. Obviously, more tightly controlled research is necessary to determine if meditation and mindfulness training can be used to improve positive social behaviors.

 

“Mindfulness is more than just moment-to-moment awareness. It is a kind, curious awareness that helps us relate to ourselves and others with compassion.” – Shauna Shapiro

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Kreplin, U., Farias, M., & Brazil, I. A. (2018). The limited prosocial effects of meditation: A systematic review and meta-analysis. Scientific Reports, 8, 2403. http://doi.org/10.1038/s41598-018-20299-z

 

Abstract

Many individuals believe that meditation has the capacity to not only alleviate mental-illness but to improve prosociality. This article systematically reviewed and meta-analysed the effects of meditation interventions on prosociality in randomized controlled trials of healthy adults. Five types of social behaviours were identified: compassion, empathy, aggression, connectedness and prejudice. Although we found a moderate increase in prosociality following meditation, further analysis indicated that this effect was qualified by two factors: type of prosociality and methodological quality. Meditation interventions had an effect on compassion and empathy, but not on aggression, connectedness or prejudice. We further found that compassion levels only increased under two conditions: when the teacher in the meditation intervention was a co-author in the published study; and when the study employed a passive (waiting list) control group but not an active one. Contrary to popular beliefs that meditation will lead to prosocial changes, the results of this meta-analysis showed that the effects of meditation on prosociality were qualified by the type of prosociality and methodological quality of the study. We conclude by highlighting a number of biases and theoretical problems that need addressing to improve quality of research in this area.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5799363/

 

Relieve Chronic Fatigue Syndrome with Yoga

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Relieve Chronic Fatigue Syndrome with Yoga

 

By John M. de Castro, Ph.D.

 

“Severe fatigue is a significant problem for many cancer survivors.  A meta-analysis of yoga studies of cancer survivors found yoga programs produced large reductions in distress, anxiety, and depression; moderate reductions in fatigue; moderate increases in quality of life, emotional function and social functioning; and a small increase in functional well-being.” – Cort Johnson

 

Chronic Fatigue Syndrome (CFS) occurs in about 0.2% of the population. It produces a profound, prolonged, and debilitating tiredness. When severe, it can produce a chronic and extreme tiredness, so severe that sufferers can become bed-bound or need to use a wheel-chair. It produces muscle pain, brain fog and dizziness, poor memory, disturbed sleep and trouble with digestion. But, deep fatigue can also be produced by a myriad of conditions including diseases and their treatment, including cancer, multiple sclerosis, rheumatoid arthritis, insomnia, and chronic obstructive pulmonary disease (COPD). Fatigue is also associated with aging. Fatigue is widespread. Some form of chronic fatigue has been reported by about 10% of the population.

 

Unfortunately, there are no known cures for CFS. The usual treatments for fatigue are targeted at symptom relief and include exercise and drugs. As an alternative to these traditional treatments, mindfulness training has been shown to reduce fatigue. The mindfulness practice of Yoga also includes exercise and it has been shown to be an effective treatment for the symptoms of Chronic Fatigue Syndrome (CFS). But, the mechanism is not known of how yoga may be affecting the symptoms of CFS.

 

In today’s Research News article “Changes in fatigue, autonomic functions, and blood biomarkers due to sitting isometric yoga in patients with chronic fatigue syndrome.” (See summary below or view the full text of the study at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891891/ ), Oka and colleagues recruited patients suffering from Chronic Fatigue Syndrome (CFS) who had not responded in six months to traditional treatments and who completed 8-weeks, of twice a week for 20 minutes seated yoga practice. To examine the immediate, acute effects of the yoga practice, the final 20-minute session was preceded and followed by measures of fatigue, vigor, mood, heart rate, and respiration. In addition, a medical exam and a blood draw was included. The blood was assayed for cortisol, prolactin, 3-methoxy-4-hydroxyphenylglycol (MHPG), homovanillic acid (HVA), Brain-derived neurotrophic factor (BDNF), DHEA-s, TGF-β1, IL-6, TNF-α, IFN-α, and IFN-γ.

 

They found, as expected that the 20-minute yoga practice resulted in significantly decreased fatigue and increased vigor. This was accompanied by a decrease in heart rate and an increase in the high frequency components of the electrocardiogram. In the blood, there were significant increases following yoga in DHEA-s and decreases in cortisol and TNF-α. To determine which factors were associated with fatigue and vigor, they performed a correlational analysis. They found that the larger the changes in TGF- β1 and BDNF the greater the reduction in fatigue. Also, the greater the increase in homovanillic acid (HVA) the greater the increase in vigor.

 

The pattern of results suggests that, on a short-term basis, yoga practice tends to reduce stress, as indicated by heart rate changes and DHEA-s and cortisol levels and reduce inflammatory responses, as indicated by changes in TNF-α and TGF- β1. This suggests that yoga may improve the symptoms of Chronic Fatigue Syndrome (CFS) by decreasing stress and inflammation. This is an interesting conclusion that may help lead to more effective treatments to end the suffering of CFS patients.

 

So, relieve chronic fatigue syndrome with yoga.

 

“CFS, or Chronic Fatigue Syndrome can be debilitating. It causes all kinds of non-specific symptoms including weakness, impaired memory, and fatigue for no reason, loss of concentration, varied muscle pains, headaches, sore throat, insomnia and apathy. . .  Yoga addressed the root of the problem, because instead of exhausting the body further, as traditional exercise might, it re-stores energy in the body for use in healing itself. Yoga does this primarily through pranayama (breathing exercise), relaxation, meditation and in this case, gentle, restorative asana.” – YogiDiva

 

CMCS – Center for Mindfulness and Contemplative Studies

 

This and other Contemplative Studies posts are also available on Google+ https://plus.google.com/106784388191201299496/posts and on Twitter @MindfulResearch

 

Study Summary

 

Oka, T., Tanahashi, T., Sudo, N., Lkhagvasuren, B., & Yamada, Y. (2018). Changes in fatigue, autonomic functions, and blood biomarkers due to sitting isometric yoga in patients with chronic fatigue syndrome. Biopsychosocial Medicine, 12, 3. http://doi.org/10.1186/s13030-018-0123-2

 

Abstract

Background

In a previous randomized controlled trial, we found that sitting isometric yoga improves fatigue in patients with chronic fatigue syndrome (CFS) who are resistant to conventional therapy. The aim of this study was to investigate possible mechanisms behind this finding, focusing on the short-term fatigue-relieving effect, by comparing autonomic nervous function and blood biomarkers before and after a session of isometric yoga.

Methods

Fifteen patients with CFS who remained symptomatic despite at least 6 months of conventional therapy practiced sitting isometric yoga (biweekly 20 min practice with a yoga instructor and daily home practice) for eight weeks. Acute effects of sitting isometric yoga on fatigue, autonomic function, and blood biomarkers were investigated after the final session with an instructor. The effect of a single session of sitting isometric yoga on fatigue was assessed by the Profile of Mood Status (POMS) questionnaire immediately before and after the session. Autonomic nervous function (heart rate (HR) variability) and blood biomarkers (cortisol, DHEA-S, TNF-α, IL-6, IFN-γ, IFN-α, prolactin, carnitine, TGF-β1, BDNF, MHPG, and HVA) were compared before and after the session.

Results

Sitting isometric yoga significantly reduced the POMS fatigue score (p < 0.01) and increased the vigor score (p < 0.01). It also reduced HR (p < 0.05) and increased the high frequency power (p < 0.05) of HR variability. Sitting isometric yoga increased serum levels of DHEA-S (p < 0.05), reduced levels of cortisol (p < 0.05) and TNF-α (p < 0.05), and had a tendency to reduce serum levels of prolactin (p < 0.1). Decreases in fatigue scores correlated with changes in plasma levels of TGF-β1 and BDNF. In contrast, increased vigor positively correlated with HVA.

Conclusions

A single session of sitting isometric yoga reduced fatigue and increased vigor in patients with CFS. Yoga also increased vagal nerve function and changed blood biomarkers in a pattern that suggested anti-stress and anti-inflammatory effects. These changes appear to be related to the short-term fatigue-relieving effect of sitting isometric yoga in patients with CFS. Furthermore, dopaminergic nervous system activation might account for sitting isometric yoga-induced increases in energy in this patient population.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891891/