Cited by 167Mindfulness and Compassion InterventionsTreatment of Major DepressionStress Responses and Cortisol

Yoga- and meditation-based lifestyle intervention increases neuroplasticity and reduces severity of major depressive disorder: A randomized controlled trial

Tolahunase, Madhuri R., Sagar, Rajesh, Faiq, Muneeb, Dada, Rima·2018·Restorative Neurology and Neuroscience

Abstract

Background: Current interventions for major depressive disorder (MDD) are suboptimal, and only one third respond to them on initial treatment. Neuroplasticity theories are the basis for several emerging treatments. Evidence on the impact of yoga, a well-known mind-body intervention, on neuroplasticity in MDD is limited. Objectives: To determine the effects of 12-week yoga- and meditation-based lifestyle intervention (YMLI) on depression severity and systemic biomarkers of neuroplasticity in adult MDD patients on routine drug treatment. Methods: A total of 58 MDD patients were randomized into yoga or control group. The severity of depression was assessed with Beck Depression Inventory-II scale (BDI-II). Blood samples were collected before and after intervention for the measurement of the biomarkers that characterize neuroplasticity, including mind-body communicative and cellular health biomarkers. Results: There was a significant decrease [difference between means, (95% CI)] in BDI-II score [–5.83 (–7.27, –4.39), p < 0.001] and significant increase in BDNF (ng/ml) [5.48 (3.50, 7.46), p < 0.001] after YMLI compared to control group. YMLI significantly increased DHEAS, sirtuin 1, and telomerase activity levels, and decreased cortisol, and IL-6 levels, in addition to decreasing DNA damage and balancing oxidative stress. Multiple regression analyses were used to associate neuroplasticity biomarkers with depression severity. A ‘post-intervention change in BDNF’ x ‘group’ interaction indicated that yoga group had more BDNF in association with less BDI-II scores relative to controls. Increased sirtuin 1 and telomerase activity and decreased cortisol significantly predicted this association (all p < 0.05). Conclusion: These results suggest that decrease in depression severity after YMLI in MDD is associated with improved systemic biomarkers of neuroplasticity. Thus YMLI can be considered as a therapeutic intervention in MDD management.

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Crossref · 10.3233/rnn-170810

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Authors
Tolahunase, M. R., Sagar, R., Faiq, M., & Dada, R.
Affiliations
All India Institute of Medical Sciences (IN)
Corresponding author
Dada, Rima
Venue
Restorative Neurology and Neuroscience
Published
2018-03-25
Volume
36
Issue
3
Pages
423-442
ISSN
  • 0922-6028 (ISSN-L)
  • 1878-3627
OpenAlex
W2794914738
Cited by
167
References
134
Citations by year
2026: 12 · 2025: 23 · 2024: 27 · 2023: 23 · 2022: 25 · 2021: 20 · 2020: 22 · 2019: 10 · 2018: 5
FWCI
16.71
Type
journal article
Language
en
Open access
closed
Locations
  • Restorative Neurology and Neuroscience (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
Keywords
major depressive disorder, yoga, meditation, lifestyle intervention, neuroplasticity, brain-derived neurotrophic factor, dehydroepiandrosterone sulfate, SIRT1, telomerase activity, cortisol, interleukin-6, oxidative stress, DNA damage, mind-body interventions, depression severity
MeSH terms
Adult, Depression, Major Depressive Disorder, Female, Humans, Life Style, Male, Middle Aged, Neuronal Plasticity, Psychiatric Status Rating Scales, Yoga, Meditation, Young Adult

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