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基于瑜伽的干预措施对重度抑郁症患者认知和自主神经功能的影响。

Impact of yoga-based interventions on cognitive and autonomic functions in major depressive disorder population.

作者信息

Sharma Sunidhi, Kacker Sudhanshu, Saboo Neha

机构信息

Department of Physiology, RUHS College of Medical Sciences, Jaipur, Rajasthan, India.

出版信息

J Family Med Prim Care. 2024 Sep;13(9):3948-3954. doi: 10.4103/jfmpc.jfmpc_362_24. Epub 2024 Sep 11.

Abstract

BACKGROUND

Cognitive and autonomic dysfunction is increasingly being recognized as an important clinical dimension in major depressive disorder.

AIM

The aim of this study is to evaluate the effect of a combined approach of yoga and diet intervention on cognitive and autonomic functions in individuals with major depressive disorders.

METHODS

This experimental observational study was conducted at RUHS College of Medical Sciences and Associated Hospitals, Jaipur, on the major depressive disorder population of either sex cognitive function (mini-mental score, Montreal cognitive protocol A and B, P300 latency and amplitude) and autonomic function parameters (frequency and time domain) were recorded at baseline and after three months of a combined approach of yoga and diet intervention.

RESULTS

This study compared cognitive and autonomic function parameters at baseline and after three months of yoga and diet intervention in a major depressive disorder population. Analysis revealed a significant decrease in body mass index (<0.05), systolic blood pressure (<0.001), Hamilton rating scale for depression (<0.001), P300 latency (<0.001), standard deviation of NN interval (SDNN) (<0.001), and mean heart rate (<0.001), whereas there was a significant increase in mini-mental score (<0.001), Montreal cognitive protocol A and B (<0.001), high frequency (HF) (<0.001), root mean square standard deviation (RMSSD) (<0.001), and PNN50 (<0.001) after a combined approach of yoga and diet in the study group as compared to control group participants.

CONCLUSIONS

Yoga and diet combined may be an effective adjunct therapy for improving brain health and mental performance, lowering the risk of depression by affecting the neurotransmitter system and raising vagal tone which contributes to learning and memory.

摘要

背景

认知和自主神经功能障碍日益被视为重度抑郁症的一个重要临床维度。

目的

本研究旨在评估瑜伽与饮食干预相结合的方法对重度抑郁症患者认知和自主神经功能的影响。

方法

本实验观察性研究在斋浦尔的RUHS医学科学学院及附属医院对患有重度抑郁症的人群进行,记录了基线时以及在进行为期三个月的瑜伽与饮食干预相结合的方法后男女患者的认知功能(简易精神状态评分、蒙特利尔认知评估量表A和B、P300潜伏期和波幅)和自主神经功能参数(频域和时域)。

结果

本研究比较了重度抑郁症患者在基线时以及进行三个月瑜伽与饮食干预后的认知和自主神经功能参数。分析显示,体重指数(<0.05)、收缩压(<0.001)、汉密尔顿抑郁量表评分(<0.001)、P300潜伏期(<0.001)、NN间期标准差(SDNN)(<0.001)和平均心率(<0.001)显著降低,而与对照组参与者相比,研究组在进行瑜伽与饮食相结合的方法后,简易精神状态评分(<0.001)、蒙特利尔认知评估量表A和B(<0.001)、高频(HF)(<0.001)、均方根标准差(RMSSD)(<0.001)和PNN50(<0.001)显著升高。

结论

瑜伽与饮食相结合可能是一种有效的辅助治疗方法,可通过影响神经递质系统和提高迷走神经张力来改善大脑健康和心理表现,从而降低抑郁症风险,这有助于学习和记忆。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9bd/11504740/4f01f9f1aeb7/JFMPC-13-3948-g002.jpg

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