We hypothesize that the patterns of change observed here reflect mind-body integration and well-being. Given evidence from previous studies of the positive effects of meditative practices on mental fitness, autonomic homeostasis and inflammatory status, we hypothesize that these findings are related to the meditative practices throughout the retreat however, some of the observed changes may also be related to other aspects of the retreat such as physical exercise-related components of the yoga practice and diet. Contrary to our initial hypotheses, plasma levels of other pro-inflammatory cytokines, including Interferon Gamma (IFN-γ), Tumor Necrosis Factor (TNF-α), Interleukin-1β (IL-1β), Interleukin-6 (IL-6), and Interleukin-8 (IL-8) were increased after the retreat. In line with a hypothesized decrease in inflammatory processes resulting from the yoga and meditation practices, we found that the plasma level of the anti-inflammatory cytokine Interleukin-10 was increased and the pro-inflammatory cytokine Interleukin-12 was reduced after the retreat. The normalized change in BDNF levels was inversely correlated with BSI-18 anxiety scores at both the pre-retreat ( r = 0.40, p < 0.05) and post-retreat ( r = 0.52, p < 0.005) such that those with greater anxiety scores tended to exhibit smaller pre- to post-retreat increases in plasma BDNF levels. As hypothesized, increases in the plasma levels of BDNF and increases in the magnitude of the cortisol awakening response (CAR) were also observed. Participation in the retreat was found to be associated with decreases in self-reported anxiety and depression as well as increases in mindfulness. Thirty-eight individuals (mean age: 34.8 years old) participating in a 3-month yoga and meditation retreat were assessed before and after the intervention for psychometric measures, brain derived neurotrophic factor (BDNF), circadian salivary cortisol levels, and pro- and anti-inflammatory cytokines. 7Department of Ophthalmology, Indiana University School of Medicine, Indianapolis, IN, United States.6Midwest Eye Institute, Indianapolis, IN, United States.5Department of Ayurveda and Yoga Research, Chopra Foundation, Carlsbad, CA, United States.4Center of Excellence for Research and Training in Integrative Health, Department of Family Medicine and Public Health, University of California, San Diego, La Jolla, CA, United States.3California School of Professional Psychology, Alliant International University, San Diego, CA, United States.2Brain and Creativity Institute, University of Southern California, Los Angeles, CA, United States.1Department of Psychiatry and Behavioral Sciences, University of Southern California, Los Angeles, CA, United States.
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