Khalsa Dharma Singh
Alzheimer's Research and Prevention Foundation, Tucson, AZ, USA.
Department of Internal/Integrative Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.
J Alzheimers Dis. 2015;48(1):1-12. doi: 10.3233/JAD-142766.
Although meditation is believed to be over five thousand years old, scientific research on it is in its infancy. Mitigating the extensive negative biochemical effects of stress is a superficially discussed target of Alzheimer's disease (AD) prevention, yet may be critically important. This paper reviews lifestyle and stress as possible factors contributing to AD and meditation's effects on cognition and well-being for reduction of neurodegeneration and prevention of AD. This review highlights Kirtan Kriya (KK), an easy, cost effective meditation technique requiring only 12 minutes a day, which has been successfully employed to improve memory in studies of people with subjective cognitive decline, mild cognitive impairment, and highly stressed caregivers, all of whom are at increased risk for subsequent development of AD. KK has also been shown to improve sleep, decrease depression, reduce anxiety, down regulate inflammatory genes, upregulate immune system genes, improve insulin and glucose regulatory genes, and increase telomerase by 43%; the largest ever recorded. KK also improves psycho-spiritual well-being or spiritual fitness, important for maintenance of cognitive function and prevention of AD. KK is easy to learn and practice by aging individuals. It is the premise of this review that meditation in general, and KK specifically, along with other modalities such as dietary modification, physical exercise, mental stimulation, and socialization, may be beneficial as part of an AD prevention program.
尽管冥想被认为已有五千多年的历史,但对其的科学研究仍处于起步阶段。减轻压力产生的广泛负面生化影响是阿尔茨海默病(AD)预防中一个讨论得较为肤浅的目标,但可能至关重要。本文综述了生活方式和压力作为可能导致AD的因素,以及冥想对认知和幸福感的影响,以减少神经退行性变和预防AD。本综述重点介绍了克坦克里亚(KK),这是一种简单且经济高效的冥想技巧,每天只需12分钟,已成功用于改善主观认知下降、轻度认知障碍患者以及压力极大的护理人员的记忆力,所有这些人随后患AD的风险都有所增加。KK还被证明可以改善睡眠、减轻抑郁、降低焦虑、下调炎症基因、上调免疫系统基因、改善胰岛素和葡萄糖调节基因,并使端粒酶增加43%;这是有记录以来的最大增幅。KK还能改善心理精神幸福感或精神健康,这对维持认知功能和预防AD很重要。老年人很容易学习和练习KK。本综述的前提是,一般的冥想,特别是KK,以及饮食调整、体育锻炼、精神刺激和社交等其他方式,作为AD预防计划的一部分可能会有益处。