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Yang B, Miao R, Tian Z, Wang T, Zhu F, Li T, Li W, Wu J. The influence of traditional Chinese exercise on brain function compared with other sports: A meta-analysis on functional neuroimaging studies. Heliyon 2024; 10:e36736. [PMID: 39281439 PMCID: PMC11395735 DOI: 10.1016/j.heliyon.2024.e36736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Revised: 08/20/2024] [Accepted: 08/21/2024] [Indexed: 09/18/2024] Open
Abstract
Traditional Chinese Exercise (TCE) has been shown to improve quality of life, and functional magnetic resonance imaging (fMRI) is a highly used method for investigating its mechanism. However, there is currently a lack of systematic reviews and meta-analyses focusing on TCE-related brain changes. This study aims to fill this gap by conducting a meta-analysis on brain changes of TCE with fMRI technology. We searched relevant studies published until February 2024. Independent researchers conducted literature screening, quality assessment, and clinical and neuroimaging data extraction. Focis were filtered from eligible studies, and meta-analysis was performed using seed-based d mapping. Twenty-three studies involving 1182 participants were included in this study. The result found that longitudinal TCE increased brain activity in the left anterior cingulate gyri, right fusiform gyrus, right middle temporal gyrus, left middle occipital gyrus and left frontal superior compared with other exercises or healthcare. Subgroup analysis showed that the brain activity in the right superior frontal gyrus dorsolateral; right cortico-spinal projections; corpus callosum; right inferior network; right gyrus rectus; left middle occipital gyrus were decreased after TCE compared to other exercise among healthy participants. The right median cingulate gyri was increased after Baduanjin (one of the TCE) compared to other exercise; the left precentral gyrus activity was increased after Tai chi chuan (TCC) practice compared to other exercise. The brain activity in the right insula, right supplementary motor area, and left anterior thalamic were significantly increased after long-time TCC exercise. TCE effectively improved the cognitive level of the subjects. Among them, the MoCA score increased, but Memory Quotient was not improved. Research results indicate that TCE have specific neuromodulatory effects, and different TCE have different neuromodulatory patterns.
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Affiliation(s)
- Bin Yang
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Runqing Miao
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Zilei Tian
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Tianyu Wang
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Fengya Zhu
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Tao Li
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Wuyu Li
- Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
- People's Hospital of Leshan, China
| | - Jie Wu
- Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
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Hu L, He H, Roberts N, Chen J, Yan G, Pu L, Song X, Luo C. Insular dysfunction of interoception in major depressive disorder: from the perspective of neuroimaging. Front Psychiatry 2023; 14:1273439. [PMID: 37840807 PMCID: PMC10568471 DOI: 10.3389/fpsyt.2023.1273439] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Accepted: 09/14/2023] [Indexed: 10/17/2023] Open
Abstract
Interoception plays a crucial role in maintaining bodily homeostasis and promoting survival, and is considered the basis of human emotion, cognition, and self-formation. A malfunction of interoception is increasingly suggested to be a fundamental component of different mental health conditions, and depressive disorders have been especially closely associated. Interoceptive signaling and processing depends on a system called the "interoceptive pathway," with the insula, located in the deep part of the lateral fissure, being the most important brain structure in this pathway. Neuroimaging studies have revealed alterations in the structure and function of the insula in a large number of individuals with depression, yet the precise relationship between these alterations and interoceptive dysfunction remains unclear. The goal of this review is to examine the evidence that exists for dysfunction of interoception in people with Major Depressive Disorder (MDD), and to determine the associated specific alterations in the structure and function of the insula revealed by neuroimaging. Overall, three aspects of the potential relationship between interoceptive dysfunction and alterations in insular function in people with depression have been assessed, namely clinical symptoms, quantitative measures of interoceptive function and ability, and interoceptive modulation. To conclude, several specific limitations of the published studies and important lines of enquiry for future research are offered.
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Affiliation(s)
- Lan Hu
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
- The Fourth People’s Hospital of Chengdu, Chengdu, China
| | - Hui He
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
- The Fourth People’s Hospital of Chengdu, Chengdu, China
| | - Neil Roberts
- Centre for Reproductive Health (CRH), School of Clinical Sciences, University of Edinburgh, Edinburgh, United Kingdom
| | - Jiajia Chen
- The Fourth People’s Hospital of Chengdu, Chengdu, China
| | - Guojian Yan
- The Fourth People’s Hospital of Chengdu, Chengdu, China
| | - Li Pu
- The Fourth People’s Hospital of Chengdu, Chengdu, China
| | - Xufeng Song
- The Fourth People’s Hospital of Chengdu, Chengdu, China
| | - Cheng Luo
- The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China
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Wu J, Song J, He Y, Li Z, Deng H, Huang Z, Xie X, Wong NML, Tao J, Lee TMC, Chan CCH. Effect of Tai Chi on Young Adults with Subthreshold Depression via a Stress-Reward Complex: A Randomized Controlled Trial. SPORTS MEDICINE - OPEN 2023; 9:90. [PMID: 37768381 PMCID: PMC10539242 DOI: 10.1186/s40798-023-00637-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 09/17/2023] [Indexed: 09/29/2023]
Abstract
BACKGROUND Subthreshold depression is a highly prevalent mood disorder in young adults. Mind-body exercises, such as Tai Chi, have been adopted as interventions for clinical depressive symptoms. However, the possible effect and underlying mechanism of Tai Chi on subthreshold depression of young individuals remain unclear. This randomized controlled study aimed to evaluate the effects of Tai Chi training and tested the combined stress and reward circuitry model for subthreshold depression. RESULTS A total of 103 participants completed this trial, with 49 in the 12-week 24-style Tai Chi group and 54 participants in control group. Our results showed significantly lower scores on depressive symptoms (P = 0.002) and anxiety symptoms (P = 0.009) and higher scores on quality of life (P = 0.002) after Tai Chi training. There were significant reductions in salivary cortisol levels (P = 0.007) and putamen gray matter volume (P < 0.001) in the Tai Chi group. The changes in cortisol levels and putamen gray matter volume had direct (bootstrapping confidence interval [- 0.91, - 0.11]) and indirect effects (bootstrapping confidence interval [- 0.65, - 0.19]) on the changes induced by Tai Chi training on depressive symptoms, respectively. CONCLUSION The stress-reward complex results indicated an interaction between lowering stress levels and increasing reward circuitry activity associated with the alleviation of depressive symptoms among participants. The 12-week Tai Chi training was effective in improving the symptoms and quality of life of young adults with subthreshold depression. Trial Registration Chinese Registry of Clinical Trials (Registration Number: ChiCTR1900028289, Registered December 12, 2019).
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Affiliation(s)
- Jingsong Wu
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
- The Academy of Rehabilitation Industry, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
| | - Jian Song
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
- The Academy of Rehabilitation Industry, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
| | - Youze He
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
- The Academy of Rehabilitation Industry, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
| | - Zhaoying Li
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
| | - Haiyin Deng
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
| | - Zhenming Huang
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
| | - Xiaoting Xie
- College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China
| | - Nichol M L Wong
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Rm 656, The Jockey Club Tower, Pokfulam Road, Pokfulam, Hong Kong, People's Republic of China
- Laboratory of Neuropsychology and Human Neuroscience, The University of Hong Kong, Pokfulam, Hong Kong, People's Republic of China
| | - Jing Tao
- National-Local Joint Engineering Research Center of Rehabilitation Medicine Technology, Fujian University of Traditional Chinese Medicine, Fuzhou, People's Republic of China.
- Fujian Key Laboratory of Rehabilitation Technology, Fujian University of Traditional Chinese Medicine, 1 Huatuo Road, Minhou Shangjie, Fuzhou, 350122, Fujian, People's Republic of China.
| | - Tatia M C Lee
- State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Rm 656, The Jockey Club Tower, Pokfulam Road, Pokfulam, Hong Kong, People's Republic of China.
- Laboratory of Neuropsychology and Human Neuroscience, The University of Hong Kong, Pokfulam, Hong Kong, People's Republic of China.
| | - Chetwyn C H Chan
- Department of Psychology, The Education University of Hong Kong, Tai Po, Hong Kong, People's Republic of China.
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