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Mindfulness

Gepubliceerd in:

07-07-2023 | ORIGINAL PAPER

Meditation and Cognitive Outcomes: A Longitudinal Analysis Using Data From the Health and Retirement Study 2000–2016

Auteurs: Snehal Lopes, Lu Shi, Xi Pan, Yian Gu, Christine Dengler-Crish, Yan Li, Biplav Tiwari, Donglan Zhang

Gepubliceerd in: Mindfulness | Uitgave 7/2023

Abstract

Objective

We aimed to assess the association between meditation practice and cognitive function over time among middle-aged and older adults.

Method

We included Health and Retirement Study (HRS) participants assessed for meditation practice in the year 2000 as part of the HRS alternative medicine module (n = 1,160) and were followed up for outcomes over 2000–2016 period. We examined the association between meditation ≥ twice a week vs none/less frequent practice and changes in the outcomes of recall, global cognitive function, and quantitative reasoning using generalized linear regression models. Stratified analyses among persons with/without self-reported baseline depressive symptoms were conducted to assess the link between meditation and cognitive outcomes.

Results

Among our full study sample, meditation ≥ twice a week was not significantly associated with total recall [β = -0.20; 95% CI: -0.97, 0.57; p = 0.61], global cognitive function [β = 0.05; 95% CI: -1.01, 1.12; p = 0.92], and quantitative reasoning [β = -11.48; 95% CI: -31.27, 8.32; p = 0.26]. However, among those who did not have self-reported depressive symptoms at baseline, meditation ≥ twice a week was associated with improvement in cognitive outcomes such as total recall [β = 0.11; 95% CI: 0.03, 0.18; p = 0.01] and global cognitive function [β = 0.22; 95% CI: 0.05, 0.40; p = 0.01] over time.

Conclusions

Frequent meditation practice might have a protective effect on cognitive outcomes over time, but this protection could be limited to those without self-reported baseline depressive symptoms. Future studies could incorporate more precise meditation practice assessment, investigate the effect of meditation on cognitive outcomes over time, and include more rigorous study designs with randomized group assignment.

Pre-registration

This study is not preregistered.

vorige artikel Believing in the Powers of Mindfulness: A Thematic Narrative Approach and the Development of a New Scale

volgende artikel Investigation of the Factor Structure and Differential Item Functioning of the Child and Adolescent Mindfulness Measure (CAMM): Analysis of Data from a School-Based Cluster Randomised Controlled Trial

Alleen toegankelijk voor geautoriseerde gebruikers

Berk, L., Hotterbeekx, R., van Os, J., & van Boxtel, M. (2018). Mindfulness-based stress reduction in middle-aged and older adults with memory complaints: A mixed-methods study. Aging & Mental Health, 22(9), 1107–1114. https://doi.org/10.1080/13607863.2017.1347142CrossRef

Berk, L., van Boxtel, M., & van Os, J. (2017). Can mindfulness-based interventions influence cognitive functioning in older adults? A review and considerations for future research. Aging & Mental Health, 21(11), 1113–1120. https://doi.org/10.1080/13607863.2016.1247423CrossRef

Cardoso, R., de Souza, E., Camano, L., & Leite, J. R. (2004). Meditation in health: An operational definition. Brain Research Protocols, 14(1), 58–60. https://doi.org/10.1016/j.brainresprot.2004.09.002CrossRefPubMed

Cásedas, L., Pirruccio, V., Vadillo, M. A., & Lupianez, J. (2020). Does mindfulness meditation training enhance executive control? A systematic review and meta-analysis of randomized controlled trials in adults. Mindfulness, 11(2), 411–424. https://doi.org/10.1007/s12671-019-01279-4CrossRef

Chandla, S. S., Sood, S., Dogra, R., Das, S., Shukla, S. K., & Gupta, S. (2013). Effect of short-term practice of pranayamic breathing exercises on cognition, anxiety, general well being and heart rate variability. Journal of the Indian Medical Association, 111(10), 662–665.PubMed

Chen, S. T., Volle, D., Jalil, J., Wu, P., & Small, G. W. (2019). Health-promoting strategies for the aging brain. The American Journal of Geriatric Psychiatry, 27(3), 213–236. https://doi.org/10.1016/j.jagp.2018.12.016CrossRefPubMed

Chodosh, J., Seeman, T. E., Keeler, E., Sewall, A., Hirsch, S. H., Guralnik, J. M., & Reuben, D. B. (2004). Cognitive decline in high-functioning older persons is associated with an increased risk of hospitalization. Journal of the American Geriatrics Society, 52(9), 1456–1462. https://doi.org/10.1111/j.1532-5415.2004.52407.xCrossRefPubMed

Cramer, H., Hall, H., Leach, M., Frawley, J., Zhang, Y., Leung, B., Adams, J., & Lauche, R. (2016). Prevalence, patterns, and predictors of meditation use among US adults: A nationally representative survey. Scientific Reports, 6, 36760. https://doi.org/10.1038/srep36760CrossRefPubMedPubMedCentral

Dickinson, W. J., Potter, G. G., Hybels, C. F., McQuoid, D. R., & Steffens, D. C. (2011). Change in stress and social support as predictors of cognitive decline in older adults with and without depression. International Journal of Geriatric Psychiatry, 26(12), 1267–1274. https://doi.org/10.1002/gps.2676CrossRefPubMedPubMedCentral

Doshi, J. A., Cen, L., & Polsky, D. (2008). Depression and retirement in late middle-aged U.S. workers. Health Services Research, 43(2), 693–713. https://doi.org/10.1111/j.1475-6773.2007.00782.xCrossRefPubMedPubMedCentral

Fam, J., Sun, Y., Qi, P., Lau, R. C., Feng, L., Kua, E. H., & Mahendran, R. (2020). Mindfulness practice alters brain connectivity in community-living elders with mild cognitive impairment. Psychiatry and Clinical Neurosciences, 74(4), 257–262. https://doi.org/10.1111/pcn.12972CrossRefPubMed

Farhang, M., Miranda-Castillo, C., Rubio, M., & Furtado, G. (2019). Impact of mind-body interventions in older adults with mild cognitive impairment: A systematic review. International Psychogeriatrics / IPA, 31(5), 643–666. https://doi.org/10.1017/S1041610218002302CrossRef

Gard, T., Hölzel, B. K., & Lazar, S. W. (2014a). The potential effects of meditation on age-related cognitive decline: A systematic review. Annals of the New York Academy of Sciences, 1307, 89–103. https://doi.org/10.1111/nyas.12348CrossRefPubMedPubMedCentral

Gard, T., Taquet, M., Dixit, R., Hölzel, B. K., de Montjoye, Y.-A., Brach, N., Salat, D. H., Dickerson, B. C., Gray, J. R., & Lazar, S. W. (2014b). Fluid intelligence and brain functional organization in aging yoga and meditation practitioners. Frontiers in Aging Neuroscience, 6, 76. https://doi.org/10.3389/fnagi.2014.00076CrossRefPubMedPubMedCentral

Guglani, L., Havstad, S. L., Johnson, C. C., Ownby, D. R., & Joseph, C. L. (2012). Effect of depressive symptoms on asthma intervention in urban teens. Annals of Allergy, Asthma & Immunology, 109(4), 237–242. https://doi.org/10.1016/j.anai.2012.07.010CrossRef

Health and Retirement Study. (2004). (Experimental Modules) public use dataset. Produced and distributed by the University of Michigan with funding from the National Institute on Aging (grant number NIA U01AG009740). Ann Arbor, MI. https://hrs.isr.umich.edu/documentation/modules

Health and Retirement Study. (2020). (RAND HRS Longitudinal File 2016) public use dataset. Produced and distributed by the University of Michigan with funding from the National Institute on Aging (grant number NIA U01AG009740). Ann Arbor, MI.

Innes, K. E., Montgomery, C., Selfe, T. K., Wen, S., Khalsa, D. S., & Flick, M. (2021). Incorporating a usual care comparator into a study of meditation and music listening for older adults with subjective cognitive decline: a randomized feasibility trial. Journal of Alzheimer’s Disease Reports, 5(1), 187–206. https://doi.org/10.3233/ADR-200249CrossRefPubMedPubMedCentral

Innes, K. E., Selfe, T. K., Brundage, K., Montgomery, C., Wen, S., Kandati, S., Bowles, H., Khalsa, D. S., & Huysmans, Z. (2018). Effects of meditation and music-listening on blood biomarkers of cellular aging and Alzheimer’s disease in adults with subjective cognitive decline: an exploratory randomized clinical trial. Journal of Alzheimer’s Disease, 66(3), 947–970. https://doi.org/10.3233/JAD-180164CrossRefPubMed

Jeynes, W. (2020). A meta-analysis on the relationship between prayer and student outcomes. Education and Urban Society, 52(8), 1223–1237. https://doi.org/10.1177/0013124519896841CrossRef

Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive, Affective & Behavioral Neuroscience, 7(2), 109–119. https://doi.org/10.3758/CABN.7.2.109CrossRef

Jors, K., Büssing, A., Hvidt, N. C., & Baumann, K. (2015). Personal prayer in patients dealing with chronic illness: a review of the research literature. Evidence-Based Complementary and Alternative Medicine, 2015, 927973. https://doi.org/10.1155/2015/927973CrossRefPubMedPubMedCentral

Joshi, M., & Telles, S. (2008). Immediate effects of right and left nostril breathing on verbal and spatial scores. Indian Journal of Physiology and Pharmacology, 52(2), 197–200.PubMed

Karim, J., Weisz, R., Bibi, Z., & urRehman, S. (2015). Validation of the eight-item center for epidemiologic studies depression scale (CES-D) among older adults. Current Psychology, 34, 681–692. https://doi.org/10.1007/s12144-014-9281-yCrossRef

Kent, P. (2017). Fluid intelligence: A brief history. Applied Neuropsychology: Child, 6(3), 193–203. https://doi.org/10.1080/21622965.2017.1317480CrossRefPubMed

Kim, G., Shin, S. H., Scicolone, M. A., & Parmelee, P. (2019). Purpose in life protects against cognitive decline among older adults. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 27(6), 593–601. https://doi.org/10.1016/j.jagp.2019.01.010CrossRefPubMed

Kim, Y. H., Kim, H. J., Ahn, S. D., Seo, Y. J., & Kim, S. H. (2013). Effects of meditation on anxiety, depression, fatigue, and quality of life of women undergoing radiation therapy for breast cancer. Complementary Therapies in Medicine, 21(4), 379–387. https://doi.org/10.1016/j.ctim.2013.06.005CrossRefPubMed

Klimecki, O., Marchant, N. L., Lutz, A., Poisnel, G., Chetelat, G., & Collette, F. (2019). The impact of meditation on healthy ageing—the current state of knowledge and a roadmap to future directions. Current Opinion in Psychology, 28, 223–228. https://doi.org/10.1016/j.copsyc.2019.01.006CrossRefPubMed

Koenig, A. M., Bhalla, R. K., & Butters, M. A. (2014). Cognitive functioning and late-life depression. Journal of the International Neuropsychological Society, 20(5), 461–467. https://doi.org/10.1017/S1355617714000198CrossRefPubMedPubMedCentral

Kraal, A. Z., Sharifian, N., Zaheed, A. B., Sol, K., & Zahodne, L. B. (2019). Dimensions of religious involvement represent positive pathways in cognitive aging. Research on Aging, 41(9), 868–890. https://doi.org/10.1177/0164027519862745CrossRefPubMedPubMedCentral

Laditka, J. N., Laditka, S. B., & Lowe, K. B. (2012). Promoting cognitive health: A web site review of health systems, public health departments, and senior centers. American Journal of Alzheimer’s Disease and Other Dementias, 27(8), 600–608. https://doi.org/10.1177/1533317512460564CrossRefPubMed

Lavery, L. L., Dodge, H. H., Snitz, B., & Ganguli, M. (2009). Cognitive decline and mortality in a community-based cohort: The Monongahela Valley Independent Elders Survey. Journal of the American Geriatrics Society, 57(1), 94–100. https://doi.org/10.1111/j.1532-5415.2008.02052.xCrossRefPubMed

Lekhak, N., Bhatta, T. R., & Zauszniewski, J. A. (2020). Episodic memory in later life: benefits of prayer and meditation. Journal of Holistic Nursing: Official Journal of the American Holistic Nurses’ Association, 38(1), 30–40. https://doi.org/10.1177/0898010119898547CrossRefPubMed

Lenze, E. J., Hickman, S., Hershey, T., Wendleton, L., Ly, K., Dixon, D., Doré, P., & Wetherell, J. L. (2014). Mindfulness-based stress reduction for older adults with worry symptoms and co-occurring cognitive dysfunction. International Journal of Geriatric Psychiatry, 29(10), 991–1000. https://doi.org/10.1002/gps.4086CrossRefPubMedPubMedCentral

Lövdén, M., Fratiglioni, L., Glymour, M. M., Lindenberger, U., & Tucker-Drob, E. M. (2020). Education and cognitive functioning across the life span. Psychological Science in the Public Interest, 21(1), 6–41. https://doi.org/10.1177/1529100620920576CrossRefPubMedPubMedCentral

Malinowski, P., & Shalamanova, L. (2017). Meditation and cognitive ageing: the role of mindfulness meditation in building cognitive reserve. Journal of Cognitive Enhancement, 1(2), 96–106. https://doi.org/10.1007/s41465-017-0022-7CrossRef

Mallya, S., & Fiocco, A. J. (2016). Effects of mindfulness training on cognition and well-being in healthy older adults. Mindfulness, 7(2), 453–465. https://doi.org/10.1007/s12671-015-0468-6CrossRef

Manjunath, N. K., & Telles, S. (2004). Spatial and verbal memory test scores following yoga and fine arts camps for school children. Indian Journal of Physiology and Pharmacology, 48(3), 353–356.PubMed

Moynihan, J. A., Chapman, B. P., Klorman, R., Krasner, M. S., Duberstein, P. R., Brown, K. W., & Talbot, N. L. (2013). Mindfulness-based stress reduction for older adults: Effects on executive function, frontal alpha asymmetry and immune function. Neuropsychobiology, 68(1), 34–43. https://doi.org/10.1159/000350949CrossRefPubMed

Naveen, K. V., Nagarathna, R., Nagendra, H. R., & Telles, S. (1997). Yoga breathing through a particular nostril increases spatial memory scores without lateralized effects. Psychological Reports, 81(2), 555–561.CrossRefPubMed

Njegovan, V., Hing, M. M., Mitchell, S. L., & Molnar, F. J. (2001). The hierarchy of functional loss associated with cognitive decline in older persons. The Journals of Gerontology Series A, Biological Sciences and Medical Sciences, 56(10), M638–M643. https://doi.org/10.1093/gerona/56.10.M638CrossRefPubMed

Ofstedal, M. B., Fisher, G. G., & Herzog, A. R. (2005). Documentation of cognitive functioning measures in the Health and Retirement Study. University of Michigan. http://hrsonline.isr.umich.edu/sitedocs/userg/dr-006.pdf

Ospina, M. B., Bond, K., Karkhaneh, M., Tjosvold, L., Vandermeer, B., Liang, Y., Bialy, L., Hooton, N., Buscemi, N., Dryden, D. M., & Klassen, T. P. (2007). Meditation practices for health: state of the research (07-E010). Agency for Healthcare Research and Quality.

Pandya, S. P. (2020). Older adults who meditate regularly perform better on neuropsychological functioning and visual working memory tests: a three-month waitlist control design study with a cohort of seniors in assisted living facilities. Experimental Aging Research, 46(3), 214–235. https://doi.org/10.1080/0361073X.2020.1743951CrossRefPubMed

Pargament, K. I., Kennell, J., Hathaway, W., Grevengoed, N., Newman, J., & Jones, W. (1988). Religion and the problem-solving process: Three styles of coping. Journal for the Scientific Study of Religion, 27, 90–104. https://doi.org/10.2307/1387404CrossRef

Paul, E. J., Larsen, R. J., Nikolaidis, A., Ward, N., Hillman, C. H., Cohen, N. J., Kramer, A. F., & Barbey, A. K. (2016). Dissociable brain biomarkers of fluid intelligence. NeuroImage, 137, 201–211. https://doi.org/10.1016/j.neuroimage.2016.05.037CrossRefPubMed

Pischke, C. R., Frenda, S., Ornish, D., & Weidner, G. (2010). Lifestyle changes are related to reductions in depression in persons with elevated coronary risk factors. Psychology & Health, 25(9), 1077–1100. https://doi.org/10.1080/08870440903002986CrossRef

Prakhinkit, S., Suppapitiporn, S., Tanaka, H., & Suksom, D. (2014). Effects of Buddhism walking meditation on depression, functional fitness, and endothelium-dependent vasodilation in depressed elderly. Journal of Alternative and Complementary Medicine, 20(5), 411–416. https://doi.org/10.1089/acm.2013.0205CrossRefPubMed

Rabe-Hesketh, S., Skrondal, A., & Pickles, A. (2002). Reliable estimation of generalized linear mixed models using adaptive quadrature. The Stata Journal, 2(1), 1–21. https://doi.org/10.1177/1536867X0200200101CrossRef

Rabe-Hesketh, S., Skrondal, A., & Pickles, A. (2005). Maximum likelihood estimation of limited and discrete dependent variable models with nested random effects. Journal of Econometrics, 128(2), 301–323. https://doi.org/10.1016/j.jeconom.2004.08.017CrossRef

Robert-McComb, J. J., Cisneros, A., Tacón, A., Panike, R., Norman, R., Qian, X.-P., & McGlone, J. (2015). The effects of mindfulness-based movement on parameters of stress. International Journal of Yoga Therapy, 25(1), 79–88. https://doi.org/10.17761/1531-2054-25.1.79CrossRefPubMed

Roehr, S., Luck, T., Pabst, A., Bickel, H., König, H.-H., Lühmann, D., Fuchs, A., Wolfsgruber, S., Wiese, B., Weyerer, S., Mösch, E., Brettschneider, C., Mallon, T., Pentzek, M., Wagner, M., Mamone, S., Werle, J., Scherer, M., Maier, W., … Riedel-Heller, S. G. (2017). Subjective cognitive decline is longitudinally associated with lower health-related quality of life. International Psychogeriatrics, 29(12), 1939–1950https://doi.org/10.1017/S1041610217001399

Saenz, J. L., Garcia, M. A., & Downer, B. (2020). Late life depressive symptoms and cognitive function among older Mexican adults: The past and the present. Aging & Mental Health, 24(3), 413–422. https://doi.org/10.1080/13607863.2018.1544214CrossRef

Schjoedt, U., Stødkilde-Jørgensen, H., Geertz, A. W., & Roepstorff, A. (2009). Highly religious participants recruit areas of social cognition in personal prayer. Social Cognitive and Affective Neuroscience, 4(2), 199–207. https://doi.org/10.1093/scan/nsn050CrossRefPubMedPubMedCentral

Shapero, B. G., Greenberg, J., Mischoulon, D., Pedrelli, P., Meade, K., & Lazar, S. W. (2018). Mindfulness-based cognitive therapy improves cognitive functioning and flexibility among individuals with elevated depressive symptoms. Mindfulness, 9(5), 1457–1469. https://doi.org/10.1007/s12671-018-0889-0CrossRef

Sperduti, M., Makowski, D., Blondé, P., & Piolino, P. (2017). Meditation and successful aging: Can meditative practices counteract age-related cognitive decline? Geriatrie Et Psychologie Neuropsychiatrie Du Vieillissement, 15(2), 205–213. https://doi.org/10.1684/pnv.2017.0672CrossRefPubMed

Sullivan, M. D., Katon, W. J., Lovato, L. C., Miller, M. E., Murray, A. M., Horowitz, K. R., Bryan, R. N., Gerstein, H. C., Marcovina, S., Akpunonu, B. E., Johnson, J., Yale, J. F., Williamson, J., & Launer, L. J. (2013). Association of depression with accelerated cognitive decline among patients with type 2 diabetes in the ACCORD-MIND trial. JAMA Psychiatry, 70(10), 1041–1047. https://doi.org/10.1001/jamapsychiatry.2013.1965CrossRefPubMedPubMedCentral

Teut, M., Roesner, E. J., Ortiz, M., Reese, F., Binting, S., Roll, S., Fischer, H. F., Michalsen, A., Willich, S. N., & Brinkhaus, B. (2013). Mindful walking in psychologically distressed individuals: A randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2013, 489856. https://doi.org/10.1155/2013/489856CrossRefPubMedPubMedCentral

van Elk, M., & Aleman, A. (2017). Brain mechanisms in religion and spirituality: An integrative predictive processing framework. Neuroscience and Biobehavioral Reviews, 73, 359–378. https://doi.org/10.1016/j.neubiorev.2016.12.031CrossRefPubMed

Wetherell, J. L., Hershey, T., Hickman, S., Tate, S. R., Dixon, D., Bower, E. S., & Lenze, E. J. (2017). Mindfulness-based stress reduction for older adults with stress disorders and neurocognitive difficulties: a randomized controlled trial. The Journal of Clinical Psychiatry, 78(7), e734–e743. https://doi.org/10.4088/JCP.16m10947CrossRefPubMed

Yu, J., Rawtaer, I., Feng, L., Fam, J., Kumar, A. P., Kee-MunCheah, I., Honer, W. G., Su, W., Lee, Y. K., Tan, E. C., Kua, E. H., & Mahendran, R. (2021). Mindfulness intervention for mild cognitive impairment led to attention-related improvements and neuroplastic changes: Results from a 9-month randomized control trial. Journal of Psychiatric Research, 135, 203–211. https://doi.org/10.1016/j.jpsychires.2021.01.032CrossRefPubMed

Titel: Meditation and Cognitive Outcomes: A Longitudinal Analysis Using Data From the Health and Retirement Study 2000–2016
Auteurs: Snehal Lopes
Lu Shi
Xi Pan
Yian Gu
Christine Dengler-Crish
Yan Li
Biplav Tiwari
Donglan Zhang
Publicatiedatum: 07-07-2023
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-023-02165-w

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Abstract

Objective

Method

Results

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