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认知功能障碍——一条通过瑜伽促进老年在押人员健康却被忽视的途径。

Cognitive dysfunction-an under looked avenue to promote health in incarcerated elderly population through yoga.

作者信息

Maity Kalyan, Majumdar Vijaya, Patra Sanjib, Anand Akshay

机构信息

Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana Samsthana (S-VYASA), Bengaluru, India.

Neuroscience Research Lab, Department of Neurology, Post Graduate Institute of Medical Education & Research, Chandigarh, India.

出版信息

Front Hum Neurosci. 2025 May 9;19:1553845. doi: 10.3389/fnhum.2025.1553845. eCollection 2025.

DOI:10.3389/fnhum.2025.1553845
PMID:40416901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12098061/
Abstract

The correctional "ageing crisis" underlined by accelerated ageing, attributed to a prior history of poor health and lifestyle choices amongst prisoners, and other imprisonment-related factors has been associated with a global burgeoning burden of cognitive impairment in prison settings. Cognitive impairment imposes a crucial, urgent economic and medical challenge for carceral healthcare systems. Further, lack of awareness and absence of regular diagnostic screenings and lack of implementation of appropriate interventions in the prison settings worsen the scenario. Amongst the limited efficacy and reported side effects of pharmacological treatments for cognitive dysfunction, Yoga, a cost-effective and scalable intervention could provide better avenues for halting cognitive deterioration in elderly prisoners. This article presents a perspective on how the adaptation of Yoga-based regimes in carceral settings could improve the needs of people with cognitive deficits across Indian prison settings. However, we also emphasize the need to understand the essence of readiness to achieve clinical effectiveness for combating cognitive deterioration, via the implementation of well-structured Yoga based rehabilitative programs.

摘要

矫正“衰老危机”因加速衰老而凸显,这归因于囚犯先前的健康状况不佳和生活方式选择,以及其他与监禁相关的因素,它与监狱环境中认知障碍的全球负担迅速增加有关。认知障碍给监狱医疗系统带来了至关重要且紧迫的经济和医疗挑战。此外,监狱环境中缺乏认识、缺乏定期诊断筛查以及缺乏适当干预措施的实施,使情况更加恶化。在认知功能障碍药物治疗效果有限且有副作用报道的情况下,瑜伽作为一种经济有效且可扩展的干预措施,可为阻止老年囚犯认知衰退提供更好的途径。本文阐述了在监狱环境中采用基于瑜伽的养生法如何能满足印度各地监狱中认知缺陷者的需求。然而,我们也强调需要通过实施结构完善的基于瑜伽的康复计划,来理解为对抗认知衰退实现临床效果的准备工作的本质。

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本文引用的文献

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Understanding the Effectiveness of Cognitive Behavioural Therapy: A Study on Offenders.了解认知行为疗法的有效性:一项针对罪犯的研究。
Ann Neurosci. 2024 Nov 4:09727531241288609. doi: 10.1177/09727531241288609.
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Yoga and its effect on sperm genomic integrity, gene expression, telomere length and perceived quality of life in early pregnancy loss.瑜伽及其对精子基因组完整性、基因表达、端粒长度和早期妊娠丢失时生活质量感知的影响。
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Yoga-based lifestyle intervention for healthy ageing in older adults: a two-armed, waitlist randomized controlled trial with multiple primary outcomes.基于瑜伽的生活方式干预对老年人健康老龄化的影响:一项双臂、等待期随机对照试验,具有多个主要结局。
Geroscience. 2024 Dec;46(6):6039-6054. doi: 10.1007/s11357-024-01149-5. Epub 2024 Apr 7.
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Lancet Public Health. 2024 Apr;9(4):e250-e260. doi: 10.1016/S2468-2667(24)00023-9.
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Inequalities in physical and mental health among people in prison.监狱服刑人员身心健康方面的不平等现象。
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The effects of genetic and modifiable risk factors on brain regions vulnerable to ageing and disease.遗传和可改变的风险因素对易受衰老和疾病影响的大脑区域的影响。
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Influence of yogic breathing in increasing social connectedness among Indian adults.瑜伽呼吸对增加印度成年人社会联系的影响。
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Cognitive training for older prisoners: a qualitative analysis of prisoners' and staff members' perceptions.老年囚犯的认知训练:对囚犯和工作人员看法的定性分析
Front Aging Neurosci. 2024 Jan 8;15:1332136. doi: 10.3389/fnagi.2023.1332136. eCollection 2023.
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Training cognition in older male prisoners: lessons learned from a feasibility study.老年男性囚犯的认知训练:可行性研究的经验教训
Health Justice. 2023 Oct 27;11(1):45. doi: 10.1186/s40352-023-00247-4.