Effects of Mindfulness and Exercise on Growth Factors, Inflammation, and Stress Markers in Chronic Stroke: The MindFit Project Randomized Clinical Trial DOI Open Access
Adrià Bermudo-Gallaguet, Mar Ariza, Daniela Agudelo

и другие.

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(8), С. 2580 - 2580

Опубликована: Апрель 9, 2025

Background/Objectives: Stroke often leads to persistent cognitive and emotional impairments, which rehabilitation may mitigate. However, the biological mechanisms underlying such improvements remain unclear. This study investigated whether supplementing computerized training (CCT) with mindfulness-based stress reduction (MBSR) or physical exercise (PE) modulated biomarkers of neuroplasticity, inflammation, in patients chronic stroke compared CCT alone. We also explored biomarker changes mediated correlated behavioral improvements. Methods: In a three-arm, single-blind, randomized controlled trial (NCT04759950), 141 were (1:1:1) MBSR+CCT, PE+CCT, CCT-only for 12 weeks. Plasma levels brain-derived neurotrophic factor (BDNF), insulin-like growth factor-1 (IGF-1), vascular endothelial (VEGF), C-reactive protein (CRP), interleukin-6 (IL-6), cortisol measured at baseline post-intervention. Cognitive, mental health, mindfulness, fitness outcomes assessed. Between- within-group analyzed using ANCOVA paired t-tests. Per-protocol complete-case analyses conducted. Results: Among 109 participants ≥80% adherence, only significant between-group difference was VEGF: it remained stable MBSR+CCT group but declined PE+CCT CCT-only. Within-group showed decreases while IGF-1 across all groups. contrast, BDNF, IL-6, CRP did not show changes, significantly associated Complete-case analysis (n = 126) yielded similar findings. Conclusions: Our findings suggest that combining MBSR PE modulate certain processes relevant recovery. help maintain VEGF levels, could support contribute lowering levels. since no clear association found, further research is needed determine clinical relevance these

Язык: Английский

Borderline in a linear city: Urban living brings borderline personality disorder to crisis through neuroplasticity—an urgent call to action DOI Creative Commons

Mohamed Hesham Khalil

Frontiers in Psychiatry, Год журнала: 2025, Номер 15

Опубликована: Янв. 6, 2025

Borderline in a linear city: Urban living is bringing borderline personality disorder into crisis via neuroplasticity-an urgent call to action Provisionally accepted

Язык: Английский

Процитировано

3

Walking and Hippocampal Formation Volume Changes: A Systematic Review DOI Creative Commons

Mohamed Hesham Khalil

Brain Sciences, Год журнала: 2025, Номер 15(1), С. 52 - 52

Опубликована: Янв. 8, 2025

Sustaining the human brain's hippocampus from atrophy throughout ageing is critical. Exercise proven to be effective in promoting adaptive hippocampal plasticity, and has a bidirectional relationship with physical environment. Therefore, this systematic review explores effects of walking, simple activity environment, on formation volume changes for lifelong brain cognitive health. PubMed, Scopus, Web Science were searched studies humans published up November 2022 examining walking. Twelve met inclusion criteria. Study quality was assessed using PEDro scale ROBINS-I tool. A narrative synthesis explored walking factors associated total, subregional, hemisphere-specific changes. Overall, had positive volumes. Several found benefits higher-intensity greater amounts total volume. The subiculum increased after low-intensity nature exposure, while parahippocampal gyrus benefited vigorous intensity. right spatial navigation during No examined effect dentate gyrus. This highlights as multifaceted variable that can lead manifold These findings support promotion simple, strategy enhance health prevent decline, suggesting design environments natural biophilic characteristics layouts walkability stimulation. Future research encouraged explore subregional instead focusing volume, since multicompartmental subfields respond differently different walking-related variables.

Язык: Английский

Процитировано

2

Home Environment as a Therapeutic Target for Prevention and Treatment of Chronic Diseases: Delivering Restorative Living Spaces, Patient Education and Self-Care by Bridging Biophilic Design, E-Commerce and Digital Health Technologies DOI Open Access
Dorothy Day Huntsman,

Grzegorz Bułaj

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(2), С. 225 - 225

Опубликована: Фев. 5, 2025

A high prevalence of chronic diseases exposes diverse healthcare pain points due to the limited effectiveness pharmaceutical drugs and biologics, sedentary lifestyles, insufficient health literacy, stress, unsatisfactory patient experience, environmental pollution competition with commercial determinants health. To improve care long-term outcomes, impact home environment is overlooked underutilized by healthcare. This cross-disciplinary work describes perspectives on (1) as a therapeutic target for prevention treatment (2) transforming health-centric household goods e-commerce platforms into digital interventions. We provide rationale creating environments grounded in biophilic design (multisensory, enrichment) supporting physical activities, quality sleep, nutrition, music, stress reduction, self-efficacy, social support education, hence providing clinical benefits through modulation autonomic nervous system, neuroplasticity behavior change. These pleiotropic "active non-pharmacological ingredients" can be personalized people living depression, anxiety, migraine, pain, cancer, cardiovascular other conditions. discuss prospects integrating create "therapeutic environment" interventions delivered therapeutics their combinations prescription drugs. multimodal approach enhance engagement while bridging consumer spending outcomes.

Язык: Английский

Процитировано

0

Architecturally Mediated Allostasis and Neurosustainability: A Proposed Theoretical Framework for the Impact of the Built Environment on Neurocognitive Health DOI Creative Commons
Cleo Valentine, Heather Mitcheltree,

Isabelle A. K. Sjövall

и другие.

Brain Sciences, Год журнала: 2025, Номер 15(2), С. 201 - 201

Опубликована: Фев. 15, 2025

The global rise in mental health-related disorders represents a significant health and wellbeing challenge, imposing substantial social economic burden on individuals, communities, healthcare systems. According to the World Health Organization, one four people globally will be affected by or neurological at some point their lives, highlighting concern that warrants carefully considered innovative responses. While challenges arise from complex, multifaceted factors, emerging research indicates built environment-the architecture of our homes, workplaces, public spaces-may exert critical but underappreciated influence outcomes. This paper outlines novel theoretical framework for how visual stressors environment might trigger neurophysiological stress responses via HPA SAM axes, potentially contributing over time allostatic load. In this paper, it is proposed chronic physiological strain can alter neuroplastic processes neurogenesis key brain regions-such as hippocampus, prefrontal cortex (PFC), anterior cingulate (ACC), amygdala-thereby affecting cognitive health, emotional regulation, overall wellbeing. Drawing principle neurosustainability, suggests long-term exposure stress-inducing environments may create feedback loops, particularly involving amygdala, have downstream effects other areas linked adverse outcomes such depression. By presenting framework, aims inspire further inquiry applied experimental into intersection neurophysiology, environment, with particular emphasis rigorous testing validation mechanisms, then translated practical architectural design strategies supporting doing so, hoped work contribute more holistic approach improving integrates creation nurturing, resilient spaces broader agenda.

Язык: Английский

Процитировано

0

The Impact of Walking on BDNF as a Biomarker of Neuroplasticity: A Systematic Review DOI Creative Commons

Mohamed Hesham Khalil

Brain Sciences, Год журнала: 2025, Номер 15(3), С. 254 - 254

Опубликована: Фев. 27, 2025

Background/Objectives: The brain-derived neurotrophic factor (BDNF) is a critical exercise-induced modulator of various neuroplasticity processes, including adult hippocampal neurogenesis. Environmental affordance for physical activity novel theory that aims to increase the BDNF through walking or climbing stairs, stimulated by urban and interior environment. In systematic review, this paper explores association between walking, as structured free-living form activity, changes in humans with healthy locomotion. Method: A review registered protocol, INPLASY2024110093, following PRISMA guidelines, includes English-language original research articles on older human subjects who are locomotor-healthy, studies exercise presented non-combined intervention, must report dependent variable. search was conducted using three databases: PubMed, Web Science, Scopus, resulting 21 eligible studies. Results: This finds impact evidenced, but subject moderate high intensities single bouts. At same time, long-term effects yet be fully understood, potentially due uptake functional brain improvements, muscle repair, instead an accumulation itself, still confirm important role neurosustainability. Age environmental factors such heat also found affect BDNF. narrative synthesis provides elaborate explanations understanding those complex dynamics before reaching future conclusions concentrations. Conclusions: highlights potential played moderate- high-intensity lifestyle intervention can utilised built environment promote adaptive changes, sustainable regulation

Язык: Английский

Процитировано

0

Effects of Mindfulness and Exercise on Growth Factors, Inflammation, and Stress Markers in Chronic Stroke: The MindFit Project Randomized Clinical Trial DOI Open Access
Adrià Bermudo-Gallaguet, Mar Ariza, Daniela Agudelo

и другие.

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(8), С. 2580 - 2580

Опубликована: Апрель 9, 2025

Background/Objectives: Stroke often leads to persistent cognitive and emotional impairments, which rehabilitation may mitigate. However, the biological mechanisms underlying such improvements remain unclear. This study investigated whether supplementing computerized training (CCT) with mindfulness-based stress reduction (MBSR) or physical exercise (PE) modulated biomarkers of neuroplasticity, inflammation, in patients chronic stroke compared CCT alone. We also explored biomarker changes mediated correlated behavioral improvements. Methods: In a three-arm, single-blind, randomized controlled trial (NCT04759950), 141 were (1:1:1) MBSR+CCT, PE+CCT, CCT-only for 12 weeks. Plasma levels brain-derived neurotrophic factor (BDNF), insulin-like growth factor-1 (IGF-1), vascular endothelial (VEGF), C-reactive protein (CRP), interleukin-6 (IL-6), cortisol measured at baseline post-intervention. Cognitive, mental health, mindfulness, fitness outcomes assessed. Between- within-group analyzed using ANCOVA paired t-tests. Per-protocol complete-case analyses conducted. Results: Among 109 participants ≥80% adherence, only significant between-group difference was VEGF: it remained stable MBSR+CCT group but declined PE+CCT CCT-only. Within-group showed decreases while IGF-1 across all groups. contrast, BDNF, IL-6, CRP did not show changes, significantly associated Complete-case analysis (n = 126) yielded similar findings. Conclusions: Our findings suggest that combining MBSR PE modulate certain processes relevant recovery. help maintain VEGF levels, could support contribute lowering levels. since no clear association found, further research is needed determine clinical relevance these

Язык: Английский

Процитировано

0