Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Columbia University, New York, NY, USA.
Integr Cancer Ther. 2022 Jan-Dec;21:15347354221089221. doi: 10.1177/15347354221089221.
PURPOSE: Many cancer survivors experience cancer-related cognitive impairment (CRCI). We conducted a randomized controlled pilot trial of 2 types of yoga practice and evaluated their effects on participants' objective cognitive function. METHODS: Sedentary breast or ovarian cancer survivors were randomized to practice either restorative yoga (with more meditative practice and minimal physical exertion) or vigorous yoga (with considerable physical exertion and minimal meditative practice) in 60-minute supervised sessions 3 times a week for 12 weeks, followed by 12 weeks of home practice. We used the NIH Toolbox Cognition Domain to evaluate participants at baseline, week 12, and week 24. RESULTS: We enrolled 35 participants. For women in the restorative yoga group, overall cognitive function was statistically significantly improved at weeks 12 and 24 compared to baseline ( = .03 and 0.004; Cohen's = 0.3 and 0.5). Fluid cognitive function also significantly improved at weeks 12 and 24 ( = .02 and 0.0007; Cohen's = 0.3 and 0.6), whereas improvements in crystallized cognition were not significant. For women in the vigorous yoga group, significant improvement was only seen in tasks of crystallized cognition at week 24 ( = .03; Cohen's = 0.5). Between-group comparisons showed that at week 24, women in the restorative yoga group had significantly higher scores on fluid cognition tasks. CONCLUSIONS: Patients who participated in yoga practice demonstrated improvement in objective cognitive function over time. Restorative yoga may be more effective in improving fluid cognitive function at week 24 when compared to vigorous yoga. These promising findings should be confirmed in definitive studies. TRIAL REGISTRATION: Clinicaltrials.gov; NCT02305498 (Date Registered: December 2, 2014).
目的:许多癌症幸存者经历与癌症相关的认知障碍(CRCI)。我们进行了一项随机对照试验,评估了两种瑜伽练习对参与者客观认知功能的影响。
方法:久坐的乳腺癌或卵巢癌幸存者被随机分为练习恢复性瑜伽(更多冥想练习和最小体力活动)或剧烈瑜伽(大量体力活动和最小冥想练习)组,每周 3 次,每次 60 分钟,共 12 周,然后进行 12 周的家庭练习。我们使用 NIH 工具包认知域在基线、第 12 周和第 24 周评估参与者。
结果:我们共纳入 35 名参与者。对于恢复性瑜伽组的女性,与基线相比,第 12 周和第 24 周的整体认知功能均有统计学显著改善( = .03 和 0.004;Cohen's = 0.3 和 0.5)。第 12 周和第 24 周时,流体认知功能也显著改善( = .02 和 0.0007;Cohen's = 0.3 和 0.6),而晶体认知的改善不显著。对于剧烈瑜伽组的女性,仅在第 24 周时观察到晶体认知任务的显著改善( = .03;Cohen's = 0.5)。组间比较显示,第 24 周时,恢复性瑜伽组的女性在流体认知任务上的得分明显更高。
结论:随着时间的推移,参加瑜伽练习的患者在客观认知功能方面有所改善。与剧烈瑜伽相比,恢复性瑜伽在第 24 周时可能更有效地提高流体认知功能。这些有希望的发现应该在确定的研究中得到证实。
试验注册:Clinicaltrials.gov;NCT02305498(注册日期:2014 年 12 月 2 日)。
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