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      Long-Term Effects of Mind-Body Exercises on the Physical Fitness and Quality of Life of Individuals With Substance Use Disorder—A Randomized Trial

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          Abstract

          Background: Mind-body exercises (MBE) are sequences of low to medium-intensity activities that benefit healthy performers physically and mentally. In contrast to the unmodified application of traditional tai chi, qi gong, or yoga in the healthy population, MBEs are typically tailored for individuals with substance abuse disorder (SUD). Despite numerous applications in practice, the detailed effects of tailor-made MBEs for SUD are unclear.

          Objectives: This study aimed to analyze and compare changes in the physical fitness and quality of life of individuals with SUD that underwent conventional or tailor-made MBEs.

          Methods: A total of 100 subjects obtained from the Shanghai Mandatory Detoxification and Rehabilitation Center with SUD were randomly assigned into two groups. The subjects in the experimental group ( n = 50) practiced tailored MBE for 60 min a day, five times a week, for 3 months. The subjects ( n = 50) in the control group were treated with conventional rehabilitation exercises with the same intervention protocol. The outcomes of fitness and quality of life for drug addiction were measured at the beginning and after 3 and 6 months by a questionnaire (QOL-DA). A two-way repeated measure analysis of variance was applied to compare the difference of treatments in the two groups.

          Results: Statistically significant differences for the experimental group were found in systolic ( p < 0.01, η 2 = 0.124) and diastolic blood pressure ( p < 0.01, η 2 = 0.097), pulse ( p < 0.01, η 2 = 0.086), vital capacity ( p < 0.05, η 2 = 0.036), flexibility ( p < 0.01, η 2 = 0.143), and aerobic endurance ( p < 0.01, η 2 = 0.165). Results of the QOL-DA showed statistically significant differences between the experimental and control groups in total score ( p < 0.01, η 2 = 0.158) with greater effects on the former.

          Conclusions: This study provided evidence that tailored MBE could lead to remarkable effects with regard to blood pressure, vital capacity, flexibility, and aerobic endurance in comparison with conventional rehabilitation methods.

          Clinical Trial Registration: ChiCTR-IPR-14005343.

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          How Does Mindfulness Meditation Work? Proposing Mechanisms of Action From a Conceptual and Neural Perspective.

          Cultivation of mindfulness, the nonjudgmental awareness of experiences in the present moment, produces beneficial effects on well-being and ameliorates psychiatric and stress-related symptoms. Mindfulness meditation has therefore increasingly been incorporated into psychotherapeutic interventions. Although the number of publications in the field has sharply increased over the last two decades, there is a paucity of theoretical reviews that integrate the existing literature into a comprehensive theoretical framework. In this article, we explore several components through which mindfulness meditation exerts its effects: (a) attention regulation, (b) body awareness, (c) emotion regulation (including reappraisal and exposure, extinction, and reconsolidation), and (d) change in perspective on the self. Recent empirical research, including practitioners' self-reports and experimental data, provides evidence supporting these mechanisms. Functional and structural neuroimaging studies have begun to explore the neuroscientific processes underlying these components. Evidence suggests that mindfulness practice is associated with neuroplastic changes in the anterior cingulate cortex, insula, temporo-parietal junction, fronto-limbic network, and default mode network structures. The authors suggest that the mechanisms described here work synergistically, establishing a process of enhanced self-regulation. Differentiating between these components seems useful to guide future basic research and to specifically target areas of development in the treatment of psychological disorders. © Association for Psychological Science 2011.
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            A Review of the Effects of Physical Activity and Exercise on Cognitive and Brain Functions in Older Adults

            Studies supporting the notion that physical activity and exercise can help alleviate the negative impact of age on the body and the mind abound. This literature review provides an overview of important findings in this fast growing research domain. Results from cross-sectional, longitudinal, and intervention studies with healthy older adults, frail patients, and persons suffering from mild cognitive impairment and dementia are reviewed and discussed. Together these finding suggest that physical exercise is a promising nonpharmaceutical intervention to prevent age-related cognitive decline and neurodegenerative diseases.
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              Nasal Respiration Entrains Human Limbic Oscillations and Modulates Cognitive Function.

              The need to breathe links the mammalian olfactory system inextricably to the respiratory rhythms that draw air through the nose. In rodents and other small animals, slow oscillations of local field potential activity are driven at the rate of breathing (∼2-12 Hz) in olfactory bulb and cortex, and faster oscillatory bursts are coupled to specific phases of the respiratory cycle. These dynamic rhythms are thought to regulate cortical excitability and coordinate network interactions, helping to shape olfactory coding, memory, and behavior. However, while respiratory oscillations are a ubiquitous hallmark of olfactory system function in animals, direct evidence for such patterns is lacking in humans. In this study, we acquired intracranial EEG data from rare patients (Ps) with medically refractory epilepsy, enabling us to test the hypothesis that cortical oscillatory activity would be entrained to the human respiratory cycle, albeit at the much slower rhythm of ∼0.16-0.33 Hz. Our results reveal that natural breathing synchronizes electrical activity in human piriform (olfactory) cortex, as well as in limbic-related brain areas, including amygdala and hippocampus. Notably, oscillatory power peaked during inspiration and dissipated when breathing was diverted from nose to mouth. Parallel behavioral experiments showed that breathing phase enhances fear discrimination and memory retrieval. Our findings provide a unique framework for understanding the pivotal role of nasal breathing in coordinating neuronal oscillations to support stimulus processing and behavior.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                18 December 2020
                2020
                : 11
                : 528373
                Affiliations
                [1] 1School of International Education, Shanghai University of Sport , Shanghai, China
                [2] 2Shanghai Drug Administration , Shanghai, China
                [3] 3Institute for Sport Science, Johannes Gutenberg-University Mainz , Mainz, Germany
                Author notes

                Edited by: Fabrizio Schifano, University of Hertfordshire, United Kingdom

                Reviewed by: Christina Athanasopoulou, University of West Attica, Greece; Laura Orsolini, University of Hertfordshire, United Kingdom

                *Correspondence: Dong Zhu zhudong@ 123456sus.edu.cn

                This article was submitted to Addictive Disorders, a section of the journal Frontiers in Psychiatry

                Article
                10.3389/fpsyt.2020.528373
                7775308
                33391039
                a99396a2-13ad-4f1f-a56f-84a32e8e920b
                Copyright © 2020 Zhu, Jiang, Xu and Schöllhorn.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 20 January 2020
                : 30 November 2020
                Page count
                Figures: 2, Tables: 3, Equations: 0, References: 76, Pages: 11, Words: 8179
                Categories
                Psychiatry
                Clinical Trial

                Clinical Psychology & Psychiatry
                mind-body exercise,methamphetamine,heroin,tai chi,qi gong,yoga,rehabilitation,quality of life

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