Jismoniy mashqlarning neyrobiologik ta'siri - Neurobiological effects of physical exercise - Wikipedia

Neyrobiologik ta'siri
jismoniy mashqlar
Mashq qilish terapiyasi - tibbiy aralashuv
Yugurayotgan ayol tasviri
Aerobik mashqlar bilan shug'ullanadigan ayol
ICD-9-CM93.19
MeSHD005081
LOINC73986-2
eTibbiyot324583

The jismoniy mashqlarning neyrobiologik ta'siri juda ko'p va miya tuzilishi, miya faoliyati va boshqalarga o'zaro bog'liq ta'sirlarning keng doirasini o'z ichiga oladi bilish.[1][2][3][4] Odamlarda o'tkazilgan katta tadqiqotlar shuni isbotladi aerob mashqlari (masalan, har kuni 30 minut) ma'lum darajada doimiy yaxshilanishga olib keladi kognitiv funktsiyalar, sog'lom o'zgarishlar gen ekspressioni miyada va foydali shakllari neyroplastiklik va xulq-atvorning plastikligi; ushbu uzoq muddatli ta'sirlardan ba'zilari quyidagilarni o'z ichiga oladi: ortdi neyron o'sishi, nevrologik faollikni kuchayishi (masalan, c-Fos va BDNF signalizatsiya), yaxshilangan stressni engish, kuchaytirilgan xatti-harakatlarning kognitiv nazorati yaxshilandi deklarativ, fazoviy va ishlaydigan xotira va miya tuzilmalarida tarkibiy va funktsional yaxshilanishlar va yo'llar kognitiv nazorat va xotira bilan bog'liq.[1][2][3][4][5][6][7][8][9][10] Mashqning idrokga ta'siri yaxshilanishda muhim ahamiyatga ega akademik ko'rsatkichlar bolalar va kollej o'quvchilarida, kattalar samaradorligini oshirish, saqlash kognitiv funktsiya keksa yoshda, ba'zi bir narsalarning oldini olish yoki davolash asab kasalliklari va umuman yaxshilanadi hayot sifati.[1][11][12][13]

Sog'lom kattalarda aerobik mashqlar bitta mashg'ulot mashg'ulotidan so'ng idrokka vaqtinchalik ta'sirlarni keltirib chiqarishi va bir necha oy davomida muntazam mashg'ulotlardan so'ng bilishga doimiy ta'sir ko'rsatishi isbotlangan.[1][10][14] Doimiy ravishda aerobik mashqlarni bajaradigan odamlar (masalan, yugurish, yugurish, tez yurish, suzish va velosipedda chiqish) ko'proq ballarga ega neyropsikologik funktsiya va ishlash testlari kabi ba'zi bir bilim funktsiyalarini o'lchaydigan diqqat nazorati, inhibitiv nazorat, kognitiv moslashuvchanlik, ishlaydigan xotira yangilash va imkoniyatlar, deklarativ xotira, fazoviy xotira va axborotni qayta ishlash tezligi.[1][5][7][9][10][14] Mashqning idrokka vaqtinchalik ta'siriga ko'pchilik ijro etuvchi funktsiyalarni takomillashtirish kiradi (masalan, diqqat, ish xotirasi, bilim moslashuvchanligi, inhibitorlik nazorati, muammolarni hal qilish va qaror qabul qilish) va mashqdan keyin 2 soatgacha bo'lgan vaqt davomida axborotni qayta ishlash tezligi.[14]

Aerobik mashqlar targ'ib qilish orqali kayfiyat va hissiy holatlarga qisqa va uzoq muddatli ta'sirlarni keltirib chiqaradi ijobiy ta'sir, inhibe qiluvchi salbiy ta'sir va o'tkirga biologik ta'sirni kamaytirish psixologik stress.[14] Qisqa muddatli aerobik mashqlar ikkala vazifani bajaradi antidepressant va eyforiya,[15][16][17][18] holbuki doimiy mashqlar umumiy yaxshilanishlarni keltirib chiqaradi kayfiyat va o'z-o'zini hurmat.[19][20]

Muntazam aerob mashqlari turli xil belgilar bilan bog'liq simptomlarni yaxshilaydi markaziy asab tizimining buzilishi va sifatida ishlatilishi mumkin qo'shimcha terapiya ushbu buzilishlar uchun. Uchun mashqlar bilan davolash samaradorligining aniq dalillari mavjud katta depressiv buzilish va diqqat etishmasligi giperaktivlik buzilishi.[11][17][21][22][23] The Amerika Nevrologiya Akademiyasi "s klinik amaliyot qo'llanmasi uchun engil kognitiv buzilish klinisyenler ushbu kasallik aniqlangan shaxslarga muntazam ravishda (haftasiga ikki marta) mashq qilishni tavsiya qilishlari kerakligini ko'rsatadi.[24] Klinik dalillarni ko'rib chiqish, shuningdek, jismoniy mashqlar uchun qo'shimcha terapiya sifatida foydalanishni qo'llab-quvvatlaydi neyrodejenerativ kasalliklar, ayniqsa Altsgeymer kasalligi va Parkinson kasalligi.[25][26][27][28][29][30] Muntazam jismoniy mashqlar, shuningdek, neyrodejenerativ kasalliklarni rivojlanish xavfi pastligi bilan bog'liq.[28][31] Katta tanasi klinikadan oldin dalillar va paydo bo'lgan klinik dalillar jismoniy mashqlar sifatida foydalanishni qo'llab-quvvatlaydi qo'shimcha terapiya davolash va oldini olish uchun giyohvandlik.[32][33][34][35][36] Muntazam jismoniy mashqlar, shuningdek, qo'shimcha terapiya sifatida taklif qilingan miya saratoni.[37]

Uzoq muddatli ta'sir

Neyroplastiklik

Neyroplastiklik bu jarayon neyronlar vaqt o'tishi bilan bezovtalanishga moslashish va ko'pincha stimullarning takroriy ta'siriga javoban sodir bo'ladi.[38] Aerobik mashqlar ishlab chiqarishni ko'paytiradi neyrotrofik omillar[eslatma 1] (masalan, BDNF, IGF-1, VEGF ) targ'ib qilish orqali bilish funktsiyalari va xotiraning turli shakllarini takomillashtirishda vositachilik qiladi qon tomirlarining shakllanishi miyada, kattalar neyrogenezi,[2-eslatma] va neyroplastikaning boshqa shakllari.[40][2][5][19][41][42] Bir necha oy davomida izchil aerobik mashqlar o'tkazishga turtki beradi klinik jihatdan ahamiyatli takomillashtirish ijro funktsiyalari va ortdi kulrang modda miyaning deyarli barcha mintaqalarida hajmi,[43] miya funktsiyalari ijro etuvchi funktsiyalarni keltirib chiqaradigan mintaqalarda sodir bo'lgan eng sezilarli o'sish bilan.[1][5][6][7][9] Aerobik mashqlarga javoban kulrang moddalar hajmining eng katta yaxshilanishlarini ko'rsatadigan miya tuzilmalari prefrontal korteks, kaudat yadrosi va gipokampus;[1][5][6][8] kulrang moddalar hajmining unchalik katta bo'lmagan o'sishi oldingi singulat korteksi, parietal korteks, serebellum va akkumulyator yadrosi.[5][6][8] Prefrontal korteks, kaudat yadrosi va oldingi singulat korteksi miya tarkibidagi eng muhim tuzilmalardan biridir. dopamin va noradrenalin tizimlari kognitiv nazoratni keltirib chiqaradi.[6][44] Gipokampusda jismoniy mashqlar bilan bog'liq neyrogenez (ya'ni kulrang moddalar hajmining oshishi) yaxshilanishi bilan bog'liq. fazoviy xotira.[6][8][20][45] Yuqori jismoniy tayyorgarlik ball bilan belgilanadi VO2 maksimal, ijro etuvchi funktsiyaning yaxshilanishi, axborotni tezroq ishlash tezligi va boshqalar bilan bog'liq kulrang modda hipokampus, kaudat yadrosi va akumbens yadrosi hajmi.[1][6] Uzoq muddatli aerobik mashqlar ham doimiy foydali bilan bog'liq epigenetik stressni engish, kognitiv funktsiyalarni yaxshilash va neyronlarning faolligini oshirishga olib keladigan o'zgarishlar (c-Fos va BDNF signalizatsiya).[4][46]

Strukturaviy o'sish

Neyroimaging tadqiqotlarining sharhlari shuni ko'rsatadiki, izchil aerobik mashqlar ko'paymoqda kulrang modda miyaning deyarli barcha mintaqalarida hajmi,[43] xotirani qayta ishlash, kognitiv nazorat bilan bog'liq miya mintaqalarida aniqroq o'sish bilan, vosita funktsiyasi va sovrin;[1][5][6][8][43] kulrang moddalar hajmidagi eng muhim yutuqlar kognitiv nazorat va xotirani qayta ishlashni qo'llab-quvvatlaydigan prefrontal korteks, kaudat yadrosi va hipokampusda, boshqa kognitiv funktsiyalar qatorida kuzatiladi.[1][6][8][9] Bundan tashqari, prefrontal korteksning chap va o'ng yarmi, gipokampus va singulat korteks ko'proq bo'lib ko'rinadi funktsional jihatdan o'zaro bog'liq izchil aerobik mashqlarga javoban.[1][7] Uchta sharh shuni ko'rsatadiki, prefrontal va hipokampal kulrang moddalar hajmining sezilarli yaxshilanishi bir necha oy davomida o'rtacha intensiv mashqlar bilan shug'ullanadigan sog'lom kattalarda sodir bo'ladi.[1][6][47] Neyro ko'rish paytida miyaning o'rtacha yoki unchalik katta bo'lmagan yutuqlarini ko'rsatadigan miyaning boshqa hududlariga quyidagilar kiradi oldingi singulat korteksi, parietal korteks, serebellum va akkumulyator yadrosi.[5][6][8][48]

Muntazam jismoniy mashqlar hipokampusning qisqarishiga va voyaga etganida tabiiy ravishda yuzaga keladigan xotiraning zaiflashishiga qarshi turishini ko'rsatdi.[5][6][8] 55 yoshdan katta bo'lgan harakatsiz kattalar har yili gipokampal hajmining 1-2% pasayishini ko'rsatadi.[8][49] 120 nafar kattalardan iborat bo'lgan neyroimaging tadqiqotlari shuni ko'rsatdiki, muntazam aerobik mashqlarda qatnashish bir yil davomida chap hipokampus hajmini 2,12% ga va o'ng hipokampusni 1,97% ga oshirdi.[8][49] Dastlabki darajadagi fitness darajasi yuqori bo'lgan past zichlikdagi cho'ziluvchan guruhdagi sub'ektlar hipokampal hajmining kam yo'qotilishini ko'rsatib, jismoniy mashqlar uchun yoshga bog'liq kognitiv pasayishdan himoya qiladi.[49] Umuman olganda, ma'lum bir davrda ko'proq jismoniy mashqlar bilan shug'ullanadigan shaxslar hipokampal hajmiga va xotira funktsiyalariga ega.[5][8] Aerobik mashqlar, shuningdek, o'sishni keltirib chiqarishi isbotlangan oq materiya oldingi yo'llar korpus kallosum, odatda yoshga qarab kamayadi.[5][47]

Miya tuzilmalarining kulrang moddalar miqdori ortib borishini ko'rsatadigan turli funktsiyalariga quyidagilar kiradi.

Idrokka doimiy ta'sir

Miya strukturalarining funktsional rollariga mos ravishda kulrang moddalar miqdori ortib bormoqda, bir necha oy davomida muntazam ravishda mashq qilish ko'plab ijro funktsiyalari va xotiraning bir nechta shakllarini doimiy ravishda yaxshilashi ko'rsatilgan.[5][7][9][56][57][58] Xususan, izchil aerobik mashqlar yaxshilanishi ko'rsatilgan diqqat nazorati,[3-eslatma] axborotni qayta ishlash tezligi, kognitiv moslashuvchanlik (masalan, vazifani almashtirish ), inhibitiv nazorat,[4-eslatma] ishlaydigan xotira yangilash va imkoniyatlar,[5-eslatma] deklarativ xotira,[6-eslatma] va fazoviy xotira.[5][6][7][9][10][56][57] Sog'lom yosh va o'rta yoshdagi kattalarda effekt o'lchamlari kognitiv funktsiyalarni takomillashtirish ijro funktsiyalari ko'rsatkichlari uchun eng kattasi, xotira va axborotni qayta ishlash tezligi jihatidan kichikdan o'rtacha darajagacha.[1][10] Ehtimol, katta yoshlilarda jismoniy shaxslar kamida o'rtacha intensivlikdagi aerobik va qarshilik turidagi mashqlarda qatnashib, kognitiv jihatdan foyda ko'rishadi.[60] Yashash turmush tarziga ega bo'lgan shaxslar jismoniy faol bo'lmagan boshqa jismoniy mashqlar bilan solishtirganda ijro funktsiyalarini buzishadi.[9][56] Jismoniy mashqlar va ijro etuvchi funktsiyalar o'rtasidagi o'zaro bog'liqlik ham qayd etildi: ijro nazorati jarayonlarining yaxshilanishi, masalan, diqqat nazorati va inhibitorlik nazorati jismoniy shaxsning jismoniy mashqlar qilishga moyilligini oshiradi.[9]

Ta'sir mexanizmi

BDNF signalizatsiyasi

Jismoniy mashqlar miyaga eng muhim ta'sirlardan biri bu sintez va ekspresiyaning kuchayishi BDNF, a neyropeptid va gormon, miya va atrofda, natijada u orqali signal kuchayadi retseptorlari tirozin kinaz, tropomiyozin retseptorlari kinaz B (TrkB).[4][63][64] Chunki BDNF chegarani kesib o'tishga qodir qon-miya to'sig'i, yuqori periferik BDNF sintezi ham miyada BDNF signalizatsiyasini oshiradi.[41] BDNF signalizatsiyasining jismoniy mashqlar bilan bog'liq o'sishi foydali bilan bog'liq epigenetik o'zgarishlar, kognitiv funktsiyalarni yaxshilash, kayfiyatni yaxshilash va xotirani yaxshilash.[4][8][19][63] Bundan tashqari, tadqiqotlar BDNFning hipokampal neyrogenez, sinaptik plastika va asabni tiklashdagi roliga katta yordam berdi.[5][63] Yugurish, suzish va velosiped kabi o'rtacha yuqori intensivlikdagi aerobik mashqlar bilan shug'ullanish BDNFni oshiradi biosintez orqali miyokin signalizatsiya, natijada uch baravargacha o'sish qon plazmasi va BDNF darajalari;[4][63][64] jismoniy mashqlar intensivligi BDNF biosintezi va ekspressionining ko'payishi bilan ijobiy bog'liqdir.[4][63][64] Jismoniy mashqlar BDNF darajalariga ta'sirini o'z ichiga olgan tadqiqotlarning meta-tahlili shuni ko'rsatdiki, doimiy mashqlar dam olayotgan BDNF darajasini ham kamtarona oshiradi.[19] Bu stressni kamaytirish mexanizmi sifatida jismoniy mashqlar uchun muhim ahamiyatga ega, chunki stress hipokampustaki BDNF darajasining pasayishi bilan chambarchas bog'liq. Aslida, tadqiqotlar shuni ko'rsatadiki, BDNF antidepressantlarning bezovtalikni kamaytiradigan ta'siriga hissa qo'shadi. Jismoniy mashqlar natijasida kelib chiqqan BDNF darajasining oshishi, qisqa muddatli stressni vositachilik qiladigan va uzoq muddatli stress bilan bog'liq kasalliklarga qarshi buferlarni kamaytiradigan BDNFdagi stressni kamayishiga olib keladi.[65]

IGF-1 signalizatsiyasi

IGF-1 a peptid va neyrotrofik omil ning ba'zi ta'siriga vositachilik qiladi o'sish gormoni;[66] IGF-1 fiziologik ta'sirini o'ziga xos xususiyat bilan bog'lash orqali keltirib chiqaradi retseptorlari tirozin kinaz, IGF-1 retseptorlari, to'qimalarning o'sishini va qayta tiklanishini nazorat qilish.[66] Miyada IGF-1 shunga o'xshash neyrotrofik omil sifatida ishlaydi BDNF, bilish, neyrogenez va neyronlarning omon qolishida muhim rol o'ynaydi.[63][67][68] Jismoniy faollik IGF-1 darajasining oshishi bilan bog'liq qon zardobi, bu o'tish qobiliyati tufayli miyada neyroplastikaga hissa qo'shishi ma'lum qon-miya to'sig'i va qon-miya omurilik suyuqligi to'sig'i;[5][63][66][67] Binobarin, bitta sharhda IGF-1 jismoniy mashqlar bilan bog'liq bo'lgan kattalar neyrogenezining asosiy vositachisi ekanligi ta'kidlangan bo'lsa, ikkinchi tekshiruvda uni "tanadagi fitnes" bilan "miya fitnesini" bog'laydigan omil sifatida tavsiflangan.[66][67] Jismoniy mashqlar paytida qon plazmasiga chiqarilgan IGF-1 miqdori mashqlar intensivligi va davomiyligi bilan ijobiy bog'liqdir.[69]

VEGF signalizatsiyasi

VEGF neyrotrofik va angiogen (ya'ni qon tomirlarining o'sishini ta'minlaydi) signal beruvchi oqsil ikki retseptorlari tirozin kinaz bilan bog'langan, VEGFR1 va VEGFR2 bilan ifodalanadigan neyronlar va glial hujayralar miyada.[68] Gipoksiya yoki uyali kislorodning etarli darajada ta'minlanmaganligi, VEGF ekspressionini qat'iyan tartibga soladi va VEGF gipoksik neyronlarda neyroprotektiv ta'sir ko'rsatadi.[68] Yoqdi BDNF va IGF-1, aerobik mashqlar periferik to'qimalarda VEGF biosintezini kuchaytirishi, keyinchalik qon-miya to'sig'idan o'tib neyrogenez va qon tomirlarining shakllanishi ichida markaziy asab tizimi.[41][42][70] VEGF signalizatsiyasining jismoniy mashqlar natijasida ortishi miya qon hajmini yaxshilashi va gipokampusda jismoniy mashqlar bilan bog'liq neyrogenezga hissa qo'shishi aniqlandi.[5][42][70]

GPLD1

2020 yil iyul oyida olimlar sichqonlar mashq qilgandan so'ng, jigarlari oqsilni ajratib turishini aytdi GPLD1 Bu muntazam ravishda jismoniy mashqlar bilan shug'ullanadigan keksa odamlarda ham ko'tariladi, bu keksa sichqonlarda kognitiv funktsiyalarni yaxshilashi va eski sichqonlarda sichqon jigari tomonidan ishlab chiqarilgan GPLD1 miqdorini oshirish bilan bog'liq. gen muhandisligi ularning miyalari uchun muntazam ravishda mashq qilishning ko'plab afzalliklarini berishi mumkin - masalan, BDNF darajasining oshishi, neyrogenez va testlarda kognitiv ishlashning yaxshilanishi.[71][72]

Qisqa muddatli effektlar

Idrokka vaqtinchalik ta'sir

Bir necha oylik kundalik mashqlar natijasida paydo bo'ladigan bilishga doimiy ta'siridan tashqari, o'tkir mashqlar (ya'ni bitta mashqlar bilan kurash) bir qator kognitiv funktsiyalarni vaqtincha yaxshilaydi.[14][73][74] Sog'lom yosh va o'rta yoshdagi kattalardagi o'tkir mashqlarning bilishga ta'siri bo'yicha o'tkazilgan tadqiqotlarning obzorlari va meta-tahlillari axborotni qayta ishlash tezligi va bir qator ijro funktsiyalari, shu jumladan diqqat, ish xotirasi, muammolarni hal qilish, bilim moslashuvchanligi, og'zaki ravonlik degan xulosaga keldi. , qaror qabul qilish va inhibitiv nazorat - mashqdan keyin 2 soatgacha yaxshilanadi.[14][73][74] Bolalar bo'yicha olib borilgan tadqiqotlarni muntazam ravishda qayta ko'rib chiqish shuni ko'rsatdiki, ijro etuvchi funktsiyalarning ayrim yaxshilanishlari bir martalik mashg'ulotlardan so'ng aniq ko'rinadi, boshqa jihatlar (masalan, diqqat nazorati) doimiy ravishda doimiy mashqlar natijasida yaxshilanadi.[57] Boshqa tadqiqotlar shuni ko'rsatadiki, mashq paytida tezkor bajariladigan yaxshilanishlar, masalan, vizual ish xotirasi vazifalari paytida ishlov berish tezligini bir vaqtning o'zida takomillashtirish.[75]

Jismoniy mashqlar bilan bog'liq bo'lgan eyforiya

Doimiy jismoniy mashqlar vaqtinchalik holatni keltirib chiqarishi mumkin eyforiya - a ijobiy valentli affektiv holat tajribasini o'z ichiga olgan zavq va chuqur mamnunlik, ko'ngil ko'tarish va farovonlik hissi - bu so'zma-so'z "yuguruvchi baland"ichida masofaga yugurish yoki "eshkak eshish baland"ichida eshkak eshish.[15][16][76][77] Hozirgi tibbiy tekshiruvlar shuni ko'rsatadiki, bir nechta endogen eyforiya jismoniy mashqlar bilan bog'liq eyforiya ishlab chiqarish uchun javobgardir, xususan fenetilamin (endogen) psixostimulyator ), b-endorfin (an endogen opioid ) va anandamid (an endogen kannabinoid ).[78][79][80][81][82]

Neyrokimyoga ta'siri

b-feniletilamin

b-feniletilamin, odatda deb nomlanadi fenetilamin, inson iz omin va kuchli katekolaminerjik va glutamaterjik neyromodulyator shunga o'xshash psixostimulyator va eyforiya effektlar va shunga o'xshash narsalar kimyoviy tuzilish ga amfetamin.[86] O'rtacha va yuqori intensivlikdagi o'ttiz daqiqalik jismoniy mashqlar siydikning ulkan o'sishiga olib kelishi aniqlandi b-fenilatsetik kislota, fenetilaminning asosiy metaboliti.[78][79][80] Ikki sharhda o'rtacha 24 soatlik siydik chiqaradigan tadqiqotlar qayd etildi b-fenilatsetik kislota atigi 30 daqiqalik shiddatli mashqdan so'ng ishtirokchilar o'rtasida kontsentratsiya dam olish nazorati predmetlarida boshlang'ich konsentrasiyalarga nisbatan 77% ga oshdi;[78][79][80] sharhlar shuni ko'rsatadiki, jismoniy mashqlar paytida fenetilamin sintezi keskin o'sib boradi va shu vaqt ichida uning yarim yarim umri taxminan 30 sekund bo'lganligi sababli u tez metabolizmga uchraydi.[78][79][80][87] Tinch holatda fenetilamin sintezlanadi katekolamin neyronlar L-fenilalanin tomonidan aromatik aminokislota dekarboksilaza (AADC) taxminan bir xil tezlikda dopamin ishlab chiqariladi.[87]

Ushbu kuzatuv asosida asl qog'oz va har ikkala sharh shuni ko'rsatadiki, fenetilamin kayfiyatni ko'tarish vositachiligida muhim rol o'ynaydi eyforik Yuguruvchining yuqori darajadagi ta'siri, chunki fenetilamin ham, amfetamin ham kuchli eyforiya hisoblanadi.[78][79][80]

b-endorfin

b-endorfin (shartnoma "endosaxiy morfine ") endogen hisoblanadi opioid neyropeptid bog'laydigan m-opioid retseptorlari, o'z navbatida ishlab chiqarish eyforiya va og'riqni yo'qotish.[81] A metanalitik ko'rib chiqish shuni ko'rsatdiki, jismoniy mashqlar sekretsiyasini sezilarli darajada oshiradi b-endorfin va bu sekretsiya yaxshilangan kayfiyat holatlari bilan bog'liqligini.[81] O'rtacha intensiv mashqlar eng katta o'sishni keltirib chiqaradi b-endorfin sintez, mashqlarning yuqori va quyi intensiv shakllari esa kichik o'sish bilan bog'liq b-endorfin sintez.[81] Sharh b-endorfin va jismoniy mashqlar shuni ko'rsatdiki, jismoniy mashqdan keyingi kun davomida odamning kayfiyati yaxshilanadi va uning kayfiyati umumiy kundalik jismoniy faollik darajasi bilan ijobiy bog'liqdir.[81]

Anandamid

Anandamid bu endogen kannabinoid va retrograd neyrotransmitter bog'laydigan kannabinoid retseptorlari (birinchi navbatda CB1 ), o'z navbatida eyforiya hosil qiladi.[76][82] Aerobik mashqlar plazmadagi anandamid darajasining o'sishiga olib kelishi ko'rsatilgan, bu erda bu o'sish kattaligi o'rtacha mashqlar intensivligida eng yuqori (ya'ni ~ ⁠70⁠ - ⁠ 80⁠% da yurak urish tezligi).[82] Plazmadagi anandamid darajasining oshishi bilan bog'liq psixoaktiv ta'sir chunki anandamid kesib o'tishga qodir qon-miya to'sig'i va markaziy asab tizimida harakat qilish.[82] Shunday qilib, anandamid eyforiya ekanligi va aerobik mashqlar eyforik effektlar bilan bog'liqligi sababli anandamid mashqlarning qisqa muddatli kayfiyatni ko'tarish ta'siriga (masalan, yuguruvchining balandligi eyforiyasi) qisman vositachilik qilish natijasida ortib borishi taklif qilingan. uning sintezi.[76][82]

Sichqonlarda yuguruvchining balandligi ba'zi xususiyatlari kannabinoid retseptorlariga bog'liq ekanligi isbotlangan. Kannabinoid retseptorlari orqali kannabinoid signalizatsiyasining farmakologik yoki genetik buzilishi yugurishning analjezik va xavotirni kamaytiruvchi ta'sirini oldini oladi.[88][birlamchi bo'lmagan manba kerak ]

Kortizol va psixologik stress reaktsiyasi

"Stress gormoni", kortizol, a glyukokortikoid bog'laydigan glyukokortikoid retseptorlari.[89][90][91] Psixologik stress dan kortizolning ajralishini keltirib chiqaradi buyrak usti bezi faollashtirish orqali gipotalamus-gipofiz-buyrak usti o'qi (HPA o'qi).[89][90][91] Kortizol darajasining qisqa muddatli o'sishi inhibitiv nazoratni kuchaytirish kabi adaptiv kognitiv takomillashtirish bilan bog'liq;[42][90][91] ammo haddan tashqari yuqori ta'sir qilish yoki uzoq vaqt davomida kortizolning yuqori darajalariga ta'sir qilish kognitiv nazoratni buzilishiga olib keladi neyrotoksik inson miyasidagi ta'sirlar.[42][56][91] Masalan, surunkali psixologik stress kamayadi BDNF hipokampal hajmiga zararli ta'sir ko'rsatadigan va olib kelishi mumkin bo'lgan ifoda depressiya.[42][89]

Jismoniy stress omil sifatida aerob mashqlari intensivlikka bog'liq holda kortizol sekretsiyasini rag'batlantiradi;[90] ammo, bu kortizol ishlab chiqarishning uzoq muddatli o'sishiga olib kelmaydi, chunki kortizolga ushbu jismoniy mashqlar ta'siri vaqtinchalik salbiy ta'sirga javob beradi. energiya balansi.[7-eslatma][90] Yaqinda jismoniy mashqlar bilan shug'ullangan shaxslar stressni engish xatti-harakatlarini yaxshilashdi.[4][42][46] Aerobik mashqlar ko'payadi jismoniy tayyorgarlik va tushiradi neyroendokrin (ya'ni, HPA o'qi) reaktivlik va shuning uchun odamlarda psixologik stressga biologik ta'sirni kamaytiradi (masalan, kortizolning pasayishi va susayishi) yurak urish tezligi javob).[14][42][92] Jismoniy mashqlar, shuningdek, stress tufayli yuzaga keladigan pasayishni qaytaradi BDNF miyadagi ifoda va signalizatsiya, shu bilan depressiya kabi stress bilan bog'liq kasalliklarga qarshi bufer vazifasini bajaradi.[42][89][92]

Glutamat va GABA

Glutamat, miyada eng keng tarqalgan neyrokimyoviy moddalardan biri bu qo'zg'atuvchi nörotransmitter miya faoliyatining ko'plab jihatlari, shu jumladan o'rganish va xotirada ishtirok etadi.[93] Hayvonlarning modellariga asoslanib, jismoniy mashqlar glutamat nörotransmisyonunun haddan tashqari darajasini normallashtiradi akkumulyator yadrosi giyohvandlikda yuzaga keladi.[33] Klinikadan oldingi modellarda jismoniy mashqlar neyrokardiyak funktsiyasiga ta'sirini o'rganish shuni ko'rsatdiki, jismoniy mashqlar bilan bog'liq neyroplastiklik rostral ventrolateral medulla (RVLM) ushbu mintaqada glutamatergik nörotransmisyonga inhibitiv ta'sir ko'rsatadi, o'z navbatida kamayadi simpatik faoliyat;[94] sharhda RVLMdagi ushbu neyroplastiklik mexanizmning harakatsizlik bilan bog'liqligini oldini olish mexanizmi ekanligi taxmin qilingan. yurak-qon tomir kasalliklari.[94]

Monoamin neyrotransmitterlari

Asetilkolin

Bolalardagi ta'sir

Bolalar mashq qilishadi

Sibley va Etnier (2003) bolalardagi jismoniy faoliyat va kognitiv ko'rsatkichlar o'rtasidagi bog'liqlikni ko'rib chiqadigan meta-tahlil o'tkazdilar.[95] Ular jismoniy faollik bilan bog'liq emasligi aniqlangan xotira bundan mustasno, idrok etish qobiliyatlari, aql-idrok ko'rsatkichlari, yutuqlar, og'zaki testlar, matematik testlar, rivojlanish darajasi / akademik tayyorgarligi va boshqalar toifalarida foydali munosabatlar haqida xabar berishdi.[95] 4-7 va 11-13 yosh oralig'ida korrelyatsiya eng kuchli edi.[95] Boshqa tomondan, Chaddok va uning hamkasblari (2011) Sibley va Etnierning meta-tahliliga zid bo'lgan natijalarni topdilar. O'zlarining tadqiqotlarida gipoteza shuni ko'rsatdiki, pastroq formadagi bolalar yuqori xotiraga ega bolalar bilan taqqoslaganda xotirani boshqarishda yomon ishlaydi va gipokampal hajmlari kichikroq bo'ladi.[96] 4 yoshdan 18 yoshgacha bo'lgan bolalarda jismoniy mashqlar xotirasi bilan bog'liq emas, balki yuqori jismoniy tayyorgarlikning o'spirinlari gipokampal hajmiga ega bo'lishlari mumkin, ammo past darajadagi yoshlarga nisbatan. Chaddok va uning hamkasblari (Chaddok) tomonidan o'tkazilgan avvalgi tadqiqotga ko'ra va boshq. 2010), hipokampal hajmi kattaroq bo'lsa, xotirani ijro etuvchi boshqaruv yaxshilanadi.[97] Ular hipokampal hajmi relyatsion xotira vazifalarini bajarish bilan ijobiy bog'liq degan xulosaga kelishdi.[97] Ularning topilmalari birinchi bo'lib aerobik fitnesning yoshgacha bo'lgan miyaning tuzilishi va faoliyati bilan bog'liqligini ko'rsatmoqda.[97] Best's (2010) faoliyatining bolalarning ijro etuvchi funktsiyalariga ta'sirini meta-tahlilida, bilishga aerob mashqlarini baholash uchun ishlatiladigan ikkita aniq eksperimental dizayn mavjud. Birinchisi, surunkali mashqlar bo'lib, unda bolalar tasodifiy ravishda bir necha hafta davomida aerobik mashqlar jadvaliga tayinlanadi va keyinchalik oxirida baholanadi.[98] Ikkinchisi - har bir mashg'ulotdan so'ng kognitiv faoliyatning darhol o'zgarishini tekshiradigan o'tkir mashqlar.[98] Ikkala natijalar shuni ko'rsatadiki, aerobik mashqlar bolalarning ijroiya funktsiyalariga qisqacha yordam berishi va shuningdek, ijro etuvchi funktsiyalarni yanada yaxshilanishiga ta'sir qilishi mumkin.[98] Boshqa tadqiqotlar shuni ko'rsatadiki, mashqlar akademik yutuqlar bilan bog'liq emas, ehtimol akademik yutuqlarning aniqligini aniqlash uchun ishlatiladigan parametrlar tufayli.[99] Ushbu o'quv yo'nalishi jismoniy tarbiya maktab o'quv dasturida amalga oshirilishi kerakmi, jismoniy tarbiyaga qancha vaqt ajratilishi kerakligi va uning boshqa o'quv mavzulariga ta'siri to'g'risida qaror qabul qiladigan ta'lim kengashlari diqqat markazida bo'ldi.[95]

Boshqa bir tadqiqot shuni ko'rsatdiki, haftada kamida uch marta kuchli jismoniy faollik bilan qatnashgan oltinchi sinf o'quvchilari o'rtacha jismoniy mashqlar bilan shug'ullanadiganlar bilan taqqoslaganda eng yuqori ko'rsatkichlarga ega bo'lishgan. Jismoniy faol jismoniy mashqlar bilan shug'ullangan bolalar matematikadan, fanlardan, ingliz tilidan va dunyodan o'rganishdan iborat akademik testdan o'rtacha uch ball yuqori to'pladilar.[100]

Hayvonot tadqiqotlari shuni ko'rsatdiki, jismoniy mashqlar hayotning boshida miyaning rivojlanishiga ta'sir qilishi mumkin. Yugurish g'ildiraklari va boshqa shu kabi mashq uskunalariga ega bo'lgan sichqonlar o'rganish va xotirada ishtirok etadigan asab tizimlarida neyronlarning o'sishini yaxshilagan.[99] Inson miyasini neyroimayografiya qilish shunga o'xshash natijalarni berdi, bu erda jismoniy mashqlar miya tuzilishi va funktsiyasining o'zgarishiga olib keladi.[99] Ba'zi tekshiruvlar keksa yoshdagi ijro etuvchi funktsiyasi buzilgan bolalarda aerobik fitnesning past darajalarini bir-biriga bog'lab qo'ydi, ammo bu tanlangan e'tibor, javobni inhibe qilish va shovqinlarni nazorat qilishning etishmasligi bilan bog'liq bo'lishi mumkin bo'lgan dalillar mavjud.[96]

Markaziy asab tizimining buzilishlariga ta'siri

Giyohvandlik

Klinik va klinikadan oldingi dalillar shuni ko'rsatadiki, izchil aerobik mashqlar, ayniqsa chidamlilik mashqlari (masalan, marafon yugurish ), aslida ma'lumlarning rivojlanishiga to'sqinlik qiladi giyohvandlik va giyohvandlik, xususan psixostimulyatorli giyohvandlik uchun samarali qo'shimcha davolash.[32][33][34][35][36] Doimiy aerobik mashqlar kattaligiga bog'liq (ya'ni davomiyligi va intensivligi bo'yicha) giyohvandlik xavfini kamaytiradi, bu giyohvandlikka bog'liq, giyohvandlik bilan bog'liq neyroplastisitni qaytarish orqali yuzaga keladi.[33][34] Bir sharhda ta'kidlanishicha, jismoniy mashqlar giyohvandlikning rivojlanishiga to'sqinlik qilishi mumkin OsFosB yoki c-Fos immunoreaktivlik ichida striatum yoki boshqa qismlari mukofotlash tizimi.[36] Bundan tashqari, aerobik mashqlar psixostimulyatorni o'z-o'zini boshqarishni pasaytiradi, kamaytiradi qayta tiklash (ya'ni qayt qilish) giyohvand moddalarni qidirish va unga qarama-qarshi ta'sirlarni keltirib chiqaradi striatal dopamin retseptorlari D2 (DRD2) patologik stimulyatorni qo'llash natijasida kelib chiqadigan signallarga (DRD2 zichligi oshdi) (DRD2 zichligining pasayishi).[33][34] Binobarin, izchil aerob mashqlari giyohvandlikka qo'shimcha davolash sifatida foydalanganda davolanishning yaxshi natijalariga olib kelishi mumkin.[33][35] 2016 yildan boshlab, giyohvandlikni davolash va oldini olishda mexanizmlarni tushunish va mashqlar samaradorligini tasdiqlash uchun ko'proq klinik tadqiqotlar o'tkazish kerak.[32][36]

Narkomaniya bilan bog'liq bo'lgan plastisitning qisqacha mazmuni
Shakli neyroplastiklik
yoki xulq-atvorning plastikligi
Turi mustahkamlovchiManbalar
OpiatPsixostimulyatorlarYog 'yoki shakar miqdori yuqori bo'lgan oziq-ovqatJinsiy aloqaJismoniy mashqlar
(aerobik)
Atrof-muhit
boyitish
OsFosB ifoda
akkumulyator yadrosi D1 turi MSNlar
[34]
Xulq-atvorning plastikligi
Qabul qilishning eskalatsiyasiHaHaHa[34]
Psixostimulyator
o'zaro sezgirlik
HaQo'llanilmaydigan, qo'llab bo'lmaydiganHaHaZaiflashdiZaiflashdi[34]
Psixostimulyator
o'z-o'zini boshqarish
[34]
Psixostimulyator
shartli joy afzalligi
[34]
Giyohvand moddalarni qidirish xatti-harakatlarini tiklash[34]
Neyrokimyoviy plastika
CREB fosforillanish
ichida akkumulyator yadrosi
[34]
Ta'sirchan dopamin javob
ichida akkumulyator yadrosi
Yo'qHaYo'qHa[34]
O'zgartirilgan striatal dofamin signalizatsiyasiDRD2, ↑DRD3DRD1, ↓DRD2, ↑DRD3DRD1, ↓DRD2, ↑DRD3DRD2DRD2[34]
O'zgartirilgan striatal opioid signalizatsiyasiO'zgarishlar yo'q yoki
m-opioid retseptorlari
m-opioid retseptorlari
b-opioid retseptorlari
m-opioid retseptorlarim-opioid retseptorlariO'zgarish yo'qO'zgarish yo'q[34]
Striatal o'zgarishlar opioid peptidlardinorfin
O'zgarish yo'q: enkefalin
dinorfinenkefalindinorfindinorfin[34]
Mezokortikolimbik sinaptik plastika
Soni dendritlar ichida akkumulyator yadrosi[34]
Dendritik orqa miya zichlik
The akkumulyator yadrosi
[34]

Diqqat etishmasligi giperaktivligi buzilishi

Muntazam jismoniy mashqlar, xususan, aerobik mashqlar samarali hisoblanadi qo'shimcha davolash bolalar va kattalardagi DEHB uchun, ayniqsa stimulyator dorilar bilan birgalikda (ya'ni, amfetamin yoki metilfenidat ), ammo simptomlarni yaxshilash uchun aerob mashqlarining eng yaxshi intensivligi va turi hozircha ma'lum emas.[22][23][101] Xususan, DEHB odamlarida muntazam aerobik mashqlarning uzoq muddatli ta'siri yaxshi xulq-atvor va motor qobiliyatlarini yaxshilaydi ijro funktsiyalari (shu jumladan e'tibor, inhibitiv nazorat va rejalashtirish, boshqa bilim sohalari qatorida), tezroq axborotni qayta ishlash tezligi va yaxshi xotira.[22][23][101] Ota-onalar o'qituvchilarining muntazam aerobik mashqlarga javoban xulq-atvor va ijtimoiy-emotsional natijalar reytingiga quyidagilar kiradi: umumiy funktsiyalarning yaxshilanishi, DEHB belgilarining pasayishi, o'zini o'zi qadrlash, tashvish va tushkunlik darajasining pasayishi, kam miqdordagi badiy shikoyatlar, yaxshi o'quv va sinfdagi xatti-harakatlar va ijtimoiy xulq-atvorni takomillashtirish.[22] Rag'batlantiruvchi dori-darmonlarni iste'mol qilish paytida mashq qilish stimulyator dorilarning ijro etuvchi funktsiyalarga ta'sirini kuchaytiradi.[22] Jismoniy mashg'ulotning ushbu qisqa muddatli samaralari ko'pligi ortib borishiga ishoniladi sinaptik miyada dopamin va noradrenalin.[22]

Asosiy depressiv buzilish

Bir qator tibbiy tekshiruvlar shuni ko'rsatdiki, mashqlar sezilarli va qat'iydir antidepressant odamlarda ta'siri,[5][17][18][21][102][103] kuchaytirilgan vositachilikka ishoniladi BDNF miyada signal berish.[8][21] Bir nechta muntazam tekshiruvlar davolashda jismoniy mashqlar qilish imkoniyatlarini tahlil qildi depressiv kasalliklar. 2013 yil Cochrane hamkorlik ko'rib chiqish jismoniy mashqlar depressiya uchun cheklangan dalillarga asoslanib, bu nazorat aralashuvidan ko'ra samaraliroq ekanligini va psixologik yoki antidepressant dori terapiyasi bilan taqqoslanishini ta'kidladi.[102] Cochrane tekshiruvini o'z tahlillariga qo'shgan 2014 yilgi uchta muntazam sharh shu kabi xulosalar bilan yakunlandi: biri jismoniy mashqlar samaradorligi sifatida samarali ekanligini ko'rsatdi. qo'shimcha davolash (ya'ni birgalikda ishlatiladigan davolash usullari) antidepressant dorilar bilan;[21] qolgan ikkitasi jismoniy mashqlar antidepressant ta'sirini ko'rsatganligini ko'rsatdi va jismoniy faoliyatni engil-mo''tadil depressiya va umuman ruhiy kasalliklar uchun qo'shimcha davolash sifatida qo'shishni tavsiya qildi.[17][18] Tizimli tekshiruvlardan birida ta'kidlangan yoga simptomlarini yumshatish uchun samarali bo'lishi mumkin tug'ruqdan oldin tushkunlik.[104] Boshqa bir tekshiruv ushbu dalillarni tasdiqladi klinik sinovlar 2-4 oy davomida depressiyani davolash sifatida jismoniy mashqlar samaradorligini qo'llab-quvvatlaydi.[5] Ushbu imtiyozlar ham qayd etilgan qarilik, 2019 yilda o'tkazilgan tekshiruv bilan mashqlar keksa kattalardagi klinik tashxis qo'yilgan depressiyani samarali davolash vositasi ekanligi aniqlandi.[105]

A meta-tahlil 2016 yil iyul oyidan boshlab jismoniy mashqlar depressiyaga chalingan odamlarda boshqaruvga nisbatan hayotning umumiy sifatini yaxshilaydi degan xulosaga keldi.[11][106]

Miya saratoni

Yengil kognitiv buzilish

The Amerika Nevrologiya Akademiyasi ularning 2018 yil yanvaridagi yangilanishi klinik amaliyot qo'llanmasi uchun engil kognitiv buzilish klinisyenler ushbu kasallik tashxisi qo'yilgan shaxslarga muntazam ravishda (haftasiga ikki marta) mashq qilishni tavsiya qilishlari kerakligini ta'kidlamoqda.[24] Ushbu qo'llanma o'rtacha jismoniy mashqlar samaradorligini qo'llab-quvvatlaydigan o'rtacha miqdordagi yuqori sifatli dalillarga asoslangan (6 oy davomida haftasiga ikki marta) engil kognitiv nuqsoni bo'lgan odamlarda kognitiv simptomlarni yaxshilash uchun.[24]

Neyrodejenerativ kasalliklar

Altsgeymer kasalligi

Altsgeymer kasalligi kortikal neyrodejenerativ buzilish va eng keng tarqalgan shakli dementia, demansning barcha holatlarining taxminan 65% ni tashkil qiladi; u kognitiv funktsiyalarning buzilishi, xatti-harakatlarning anormalliklari va bajarish qobiliyatining pasayishi bilan tavsiflanadi kundalik hayotning asosiy faoliyati.[25][26] Ikki meta-analitik sistematik sharh randomizatsiyalangan boshqariladigan sinovlar 3-12 oylik muddat bilan jismoniy mashqlar Altsgeymer kasalligining yuqorida aytib o'tilgan xususiyatlariga ta'sirini o'rganib chiqdi.[25][26] Sharhlar jismoniy mashqlar kognitiv funktsiyaga, kognitiv pasayish tezligiga va Altsgeymer kasalligiga chalingan odamlarda kundalik hayot faoliyatini amalga oshirish qobiliyatiga foydali ta'sir ko'rsatdi.[25][26] Bir ko'rib chiqishda transgen sichqon modellari asosida mashqlar Altsgeymer kasalligiga kognitiv ta'siri miqdorining kamayishi natijasida kelib chiqishi mumkinligi taxmin qilingan. amiloid blyashka.[25][107]

The Caerphilly istiqbolli tadqiqot 30 yoshdan oshgan 2375 erkak sub'ektlarini kuzatib bordi va boshqa omillar qatorida sog'lom turmush tarzi va demans o'rtasidagi bog'liqlikni tekshirdi.[108] Caerphilly tadqiqot ma'lumotlarini tahlillari shuni ko'rsatdiki, jismoniy mashqlar demansning past darajasi va kognitiv buzilishning pasayishi bilan bog'liq.[108][109] Keyinchalik tizimli ko'rib chiqish uzunlamasına tadqiqotlar shuningdek, jismoniy faoliyatning yuqori darajalarini demans va kognitiv pasayish xavfini kamaytirish bilan bog'liqligini aniqladi;[31] ushbu ko'rib chiqishda jismoniy faollikning oshishi ushbu kamaytirilgan xatarlar bilan bog'liqligi aniqlandi.[31]

Parkinson kasalligi

Parkinson kasalligi (PD) kabi alomatlarni keltirib chiqaradigan harakat buzilishi bradikineziya, qat'iylik, tebranish va zaiflashuv yurish.[110]

Kramer va uning hamkasblari tomonidan ko'rib chiqilgan (2006) ba'zi nörotransmitter tizimlarga jismoniy mashqlar ijobiy ta'sir ko'rsatadi.[111] Bir nechta tadqiqotlar shuni ko'rsatdiki, jismoniy mashqlar tufayli miya salomatligi va bilim faoliyati yaxshilanadi.[111][112] Kramer va uning hamkasblari tomonidan olib borilgan maxsus tadqiqotlardan biri (1999) aerobik mashg'ulotlar miyaning frontal va prefrontal mintaqalari tomonidan qo'llab-quvvatlanadigan ijro etuvchi boshqaruv jarayonlarini yaxshilaganligini aniqladi.[113] Ushbu mintaqalar PD kasallarida kognitiv nuqsonlar uchun javobgardir, ammo PD bemorlarining frontal loblaridagi neyrokimyoviy muhitdagi farq aerobik mashqlar foydasini inhibe qilishi mumkin degan taxminlar mavjud edi.[114] Nocera va uning hamkasblari (2010) ushbu adabiyotga asoslangan holda amaliy tadqiqotlar o'tkazdilar, ularda ishtirokchilarga erta bosqichdan o'rta bosqichgacha bo'lgan PD va mashqlar rejimlari bilan nazorat guruhiga kognitiv / til baholarini berishdi. Jismoniy shaxslar statsionar mashqlar tsikli bo'yicha 8 hafta davomida haftasiga uch marta 20 daqiqadan aerobik mashq bajarishdi. Aerobik mashqlar kognitiv funktsiyalarning bir nechta ko'rsatkichlarini yaxshilaganligi aniqlandi,[114] bunday mashqlar sxemalari PD bilan og'rigan bemorlar uchun foydali bo'lishi mumkinligiga dalillarni taqdim etish.

Shuningdek qarang

Izohlar

  1. ^ Neyrotrofik omillar peptidlar yoki o'sishga, omon qolishga yordam beradigan va boshqa kichik oqsillar farqlash ular bilan bog'lanish va faollashtirish orqali neyronlarning tirozin kinazalari.[39]
  2. ^ Voyaga etganlarning neyrogenezi - bu yangi neyronlarning tug'ruqdan keyingi (tug'ilishdan keyin) o'sishi, neyroplastikaning foydali shakli.[38]
  3. ^ Diqqat nazorati shaxsga o'z e'tiborini ma'lum bir manbaga yo'naltirishga imkon beradi va e'tibor uchun raqobatlashadigan boshqa stimullarni e'tiborsiz qoldiradi,[44] kabi mexnat partiyasining effekti.
  4. ^ Tormozlash nazorati - bu ma'lum bir maqsadni bajarishni osonlashtiradigan, ba'zan "oldindan potentsial javoblar" deb nomlangan, o'rganilgan xulq-atvor javoblarini o'zgartirish jarayoni.[50][59] Inhibitorlik nazorati, zarurat yoki istakda shaxslarga o'zlarining impulslari va odatlarini boshqarishga imkon beradi,[50][56][59] masalan, engib o'tish keyinga qoldirish; kechiktirish.
  5. ^ Ishchi xotira - bu har qanday lahzada shaxs tomonidan ma'lumotni faol qayta ishlash uchun foydalanadigan xotira shakli,[44] masalan, ensiklopediya maqolasini o'qish yoki yozish paytida. Ishlaydigan xotira cheklangan imkoniyatlarga ega va kompyuterga o'xshash axborot buferi vazifasini bajaradi ma'lumotlar buferi, bu tushunish, qaror qabul qilish va xatti-harakatlarga rahbarlik qilish uchun ma'lumotni manipulyatsiya qilishga imkon beradi.[50]
  6. ^ Deklarativ xotira, shuningdek ma'lum aniq xotira, bu voqea va hodisalarga tegishli bo'lgan xotira shakli.[53]
  7. ^ Sog'lom odamlarda bu energiya tanqisligi jismoniy mashqlar bilan shug'ullangandan keyin etarli miqdordagi oziq-ovqat va ichimliklarni iste'mol qilish va iste'mol qilishdan xalos bo'ladi.

Adabiyotlar

  1. ^ a b v d e f g h men j k l m Erikson KI, Xillman CH, Kramer AF (avgust 2015). "Jismoniy faoliyat, miya va idrok". Xulq-atvor fanlari bo'yicha hozirgi fikr. 4: 27–32. doi:10.1016 / j.cobeha.2015.01.005. S2CID  54301951.
  2. ^ a b v Paillard T, Rolland Y, de Souto Barreto P (2015 yil iyul). "Altsgeymer kasalligi va Parkinson kasalligida jismoniy mashqlarning himoyaviy ta'siri: hikoyali sharh". J Clin Neurol. 11 (3): 212–219. doi:10.3988 / jcn.2015.11.3.212. PMC  4507374. PMID  26174783. Aerobik jismoniy mashqlar (PE) neyrotrofik omillarning tarqalishini faollashtiradi va angiogenezni kuchaytiradi va shu bilan neyrogenez va sinaptogenezni osonlashtiradi, bu esa o'z navbatida xotira va kognitiv funktsiyalarni yaxshilaydi. ... Jismoniy mashqlar nigraning asosidagi dopaminerjik neyronlarning o'zgarishini cheklaydi va motor buyruqlari va dopamin va glutamat nörotransmissiyasini o'z ichiga olgan adaptiv mexanizmlar yordamida boshqariladigan bazal ganglionlarning optimal ishlashiga yordam beradi.
  3. ^ a b McKee AC, Daneshvar DH, Alvarez VE, Stein TD (yanvar 2014). "Sport nevropatologiyasi". Acta Neuropathol. 127 (1): 29–51. doi:10.1007 / s00401-013-1230-6. PMC  4255282. PMID  24366527. Yurak-qon tomir va miya salomatligi bo'yicha muntazam mashqlar, jismoniy tarbiya va sport bilan shug'ullanishning foydalari shubhasizdir ... Shuningdek, jismoniy mashqlar psixologik salomatlikni yaxshilaydi, yoshga bog'liq miya hajmini yo'qotishini kamaytiradi, idrokni yaxshilaydi, demans rivojlanish xavfini kamaytiradi va neyrodejeneratsiyaga to'sqinlik qiladi.
  4. ^ a b v d e f g h Denham J, Marques FZ, O'Brien BJ, Charchar FJ (February 2014). "Exercise: putting action into our epigenome". Sport mediasi. 44 (2): 189–209. doi:10.1007/s40279-013-0114-1. PMID  24163284. S2CID  30210091. Aerobic physical exercise produces numerous health benefits in the brain. Regular engagement in physical exercise enhances cognitive functioning, increases brain neurotrophic proteins, such as brain-derived neurotrophic factor (BDNF), and prevents cognitive diseases [76–78]. Recent findings highlight a role for aerobic exercise in modulating chromatin remodelers [21, 79–82]. ... These results were the first to demonstrate that acute and relatively short aerobic exercise modulates epigenetic modifications. The transient epigenetic modifications observed due to chronic running training have also been associated with improved learning and stress-coping strategies, epigenetic changes and increased c-Fos-positive neurons ... Nonetheless, these studies demonstrate the existence of epigenetic changes after acute and chronic exercise and show they are associated with improved cognitive function and elevated markers of neurotrophic factors and neuronal activity (BDNF and c-Fos). ... The aerobic exercise training-induced changes to miRNA profile in the brain seem to be intensity-dependent [164]. These few studies provide a basis for further exploration into potential miRNAs involved in brain and neuronal development and recovery via aerobic exercise.
  5. ^ a b v d e f g h men j k l m n o p q r Gomez-Pinilla F, Hillman C (January 2013). "The influence of exercise on cognitive abilities". Kompleks fiziologiya. Kompr. Fiziol. 3. pp. 403–428. doi:10.1002/cphy.c110063. ISBN  9780470650714. PMC  3951958. PMID  23720292.
  6. ^ a b v d e f g h men j k l m n Erickson KI, Leckie RL, Weinstein AM (September 2014). "Physical activity, fitness, and gray matter volume". Neyrobiol. Qarish. 35 Suppl 2: S20–528. doi:10.1016/j.neurobiolaging.2014.03.034. PMC  4094356. PMID  24952993.
  7. ^ a b v d e f Guiney H, Machado L (February 2013). "Benefits of regular aerobic exercise for executive functioning in healthy populations". Psychon Bull Rev.. 20 (1): 73–86. doi:10.3758/s13423-012-0345-4. PMID  23229442. S2CID  24190840.
  8. ^ a b v d e f g h men j k l m n Erickson KI, Miller DL, Roecklein KA (2012). "The aging hippocampus: interactions between exercise, depression, and BDNF". Nevrolog. 18 (1): 82–97. doi:10.1177/1073858410397054. PMC  3575139. PMID  21531985.
  9. ^ a b v d e f g h Buckley J, Cohen JD, Kramer AF, McAuley E, Mullen SP (2014). "Cognitive control in the self-regulation of physical activity and sedentary behavior". Front Hum Neurosci. 8: 747. doi:10.3389/fnhum.2014.00747. PMC  4179677. PMID  25324754.
  10. ^ a b v d e Cox EP, O'Dwyer N, Cook R, Vetter M, Cheng HL, Rooney K, O'Connor H (August 2016). "Relationship between physical activity and cognitive function in apparently healthy young to middle-aged adults: A systematic review". J. Sci. Med. Sport. 19 (8): 616–628. doi:10.1016/j.jsams.2015.09.003. PMID  26552574. A range of validated platforms assessed CF across three domains: executive function (12 studies), memory (four studies) and processing speed (seven studies). ... In studies of executive function, five found a significant ES in favour of higher PA, ranging from small to large. Although three of four studies in the memory domain reported a significant benefit of higher PA, there was only one significant ES, which favoured low PA. Only one study examining processing speed had a significant ES, favouring higher PA.
    CONCLUSIONS: A limited body of evidence supports a positive effect of PA on CF in young to middle-aged adults. Further research into this relationship at this age stage is warranted. ...
    Significant positive effects of PA on cognitive function were found in 12 of the 14 included manuscripts, the relationship being most consistent for executive function, intermediate for memory and weak for processing speed.
  11. ^ a b v Schuch FB, Vancampfort D, Rosenbaum S, Richards J, Ward PB, Stubbs B (July 2016). "Exercise improves physical and psychological quality of life in people with depression: A meta-analysis including the evaluation of control group response". Psixiatriya Res. 241: 47–54. doi:10.1016/j.psychres.2016.04.054. PMID  27155287. S2CID  4787287. Exercise has established efficacy as an antidepressant in people with depression. ... Exercise significantly improved physical and psychological domains and overall QoL. ... The lack of improvement among control groups reinforces the role of exercise as a treatment for depression with benefits to QoL.
  12. ^ Pratali L, Mastorci F, Vitiello N, Sironi A, Gastaldelli A, Gemignani A (November 2014). "Motor Activity in Aging: An Integrated Approach for Better Quality of Life". Xalqaro ilmiy izlanishlar. 2014: 257248. doi:10.1155/2014/257248. PMC  4897547. PMID  27351018. Research investigating the effects of exercise on older adults has primarily focused on brain structural and functional changes with relation to cognitive improvement. In particular, several cross-sectional and intervention studies have shown a positive association between physical activity and cognition in older persons [86] and an inverse correlation with cognitive decline and dementia [87]. Older adults enrolled in a 6-month aerobic fitness intervention increased brain volume in both gray matter (anterior cingulate cortex, supplementary motor area, posterior middle frontal gyrus, and left superior temporal lobe) and white matter (anterior third of corpus callosum) [88]. In addition, Colcombe and colleagues showed that older adults with higher cardiovascular fitness levels are better at activating attentional resources, including decreased activation of the anterior cingulated cortex. One of the possible mechanisms by which physical activity may benefit cognition is that physical activity maintains brain plasticity, increases brain volume, stimulates neurogenesis and synaptogenesis, and increases neurotrophic factors in different areas of the brain, possibly providing reserve against later cognitive decline and dementia [89, 90].
  13. ^ Mandolesi, Laura; Polverino, Arianna; Montuori, Simone; Foti, Francesca; Ferraioli, Giampaolo; Sorrentino, Pierpaolo; Sorrentino, Giuseppe (27 April 2018). "Effects of Physical Exercise on Cognitive Functioning and Wellbeing: Biological and Psychological Benefits". Psixologiyadagi chegara. 9: 509. doi:10.3389/fpsyg.2018.00509. PMC  5934999. PMID  29755380.
  14. ^ a b v d e f g h men j Basso JC, Suzuki WA (March 2017). "The Effects of Acute Exercise on Mood, Cognition, Neurophysiology, and Neurochemical Pathways: A Review". Miyaning plastikligi. 2 (2): 127–152. doi:10.3233/BPL-160040. PMC  5928534. PMID  29765853. XulosaCan A Single Exercise Session Benefit Your Brain? (2017 yil 12-iyun). A large collection of research in humans has shown that a single bout of exercise alters behavior at the level of affective state and cognitive functioning in several key ways. In terms of affective state, acute exercise decreases negative affect, increases positive affect, and decreases the psychological and physiological response to acute stress [28]. These effects have been reported to persist for up to 24 hours after exercise cessation [28, 29, 53]. In terms of cognitive functioning, acute exercise primarily enhances executive functions dependent on the prefrontal cortex including attention, working memory, problem solving, cognitive flexibility, verbal fluency, decision making, and inhibitory control [9]. These positive changes have been demonstrated to occur with very low to very high exercise intensities [9], with effects lasting for up to two hours after the end of the exercise bout (Fig. 1A) [27]. Moreover, many of these neuropsychological assessments measure several aspects of behavior including both accuracy of performance and speed of processing. McMorris and Hale performed a meta-analysis examining the effects of acute exercise on both accuracy and speed of processing, revealing that speed significantly improved post-exercise, with minimal or no effect on accuracy [17]. These authors concluded that increasing task difficulty or complexity may help to augment the effect of acute exercise on accuracy. ... However, in a comprehensive meta-analysis, Chang and colleagues found that exercise intensities ranging from very light (<50% MHR) to very hard (>93% MHR) have all been reported to improve cognitive functioning [9].
  15. ^ a b Cunha GS, Ribeiro JL, Oliveira AR (June 2008). "[Levels of beta-endorphin in response to exercise and overtraining]". Arq Bras Endocrinol Metabol (portugal tilida). 52 (4): 589–598. doi:10.1590/S0004-27302008000400004. PMID  18604371. Interestingly, some symptoms of OT are related to beta-endorphin (beta-end(1-31)) effects. Some of its effects, such as analgesia, increasing lactate tolerance, and exercise-induced euphoria, are important for training.
  16. ^ a b Boecker H, Sprenger T, Spilker ME, Henriksen G, Koppenhoefer M, Wagner KJ, Valet M, Berthele A, Tolle TR (2008). "The runner's high: opioidergic mechanisms in the human brain". Sereb. Korteks. 18 (11): 2523–2531. doi:10.1093/cercor/bhn013. PMID  18296435. The runner's high describes a euphoric state resulting from long-distance running.
  17. ^ a b v d Josefsson T, Lindwall M, Archer T (2014). "Physical exercise intervention in depressive disorders: meta-analysis and systematic review". Scand J Med Ilmiy sport turlari. 24 (2): 259–272. doi:10.1111/sms.12050. PMID  23362828. S2CID  29351791.
  18. ^ a b v Rosenbaum S, Tiedemann A, Sherrington C, Curtis J, Ward PB (2014). "Physical activity interventions for people with mental illness: a systematic review and meta-analysis". J klinik psixiatriya. 75 (9): 964–974. doi:10.4088/JCP.13r08765. PMID  24813261. This systematic review and meta-analysis found that physical activity reduced depressive symptoms among people with a psychiatric illness. The current meta-analysis differs from previous studies, as it included participants with depressive symptoms with a variety of psychiatric diagnoses (except dysthymia and eating disorders). ... This review provides strong evidence for the antidepressant effect of physical activity; however, the optimal exercise modality, volume, and intensity remain to be determined. ...
    Xulosa
    Few interventions exist whereby patients can hope to achieve improvements in both psychiatric symptoms and physical health simultaneously without significant risks of adverse effects. Physical activity offers substantial promise for improving outcomes for people living with mental illness, and the inclusion of physical activity and exercise programs within treatment facilities is warranted given the results of this review.
  19. ^ a b v d Szuhany KL, Bugatti M, Otto MW (October 2014). "A meta-analytic review of the effects of exercise on brain-derived neurotrophic factor". J Psychiatr Res. 60C: 56–64. doi:10.1016/j.jpsychires.2014.10.003. PMC  4314337. PMID  25455510. Consistent evidence indicates that exercise improves cognition and mood, with preliminary evidence suggesting that brain-derived neurotrophic factor (BDNF) may mediate these effects. The aim of the current meta-analysis was to provide an estimate of the strength of the association between exercise and increased BDNF levels in humans across multiple exercise paradigms. We conducted a meta-analysis of 29 studies (N = 1111 participants) examining the effect of exercise on BDNF levels in three exercise paradigms: (1) a single session of exercise, (2) a session of exercise following a program of regular exercise, and (3) resting BDNF levels following a program of regular exercise. Moderators of this effect were also examined. Results demonstrated a moderate effect size for increases in BDNF following a single session of exercise (Hedges' g = 0.46, p < 0.001). Further, regular exercise intensified the effect of a session of exercise on BDNF levels (Hedges' g = 0.59, p = 0.02). Finally, results indicated a small effect of regular exercise on resting BDNF levels (Hedges' g = 0.27, p = 0.005). ... Effect size analysis supports the role of exercise as a strategy for enhancing BDNF activity in humans.
  20. ^ a b Lees C, Hopkins J (2013). "Effect of aerobic exercise on cognition, academic achievement, and psychosocial function in children: a systematic review of randomized control trials". Oldingi surunkali disk. 10: E174. doi:10.5888/pcd10.130010. PMC  3809922. PMID  24157077. This omission is relevant, given the evidence that aerobic-based physical activity generates structural changes in the brain, such as neurogenesis, angiogenesis, increased hippocampal volume, and connectivity (12,13). In children, a positive relationship between aerobic fitness, hippocampal volume, and memory has been found (12,13). ... Mental health outcomes included reduced depression and increased self-esteem, although no change was found in anxiety levels (18). ... This systematic review of the literature found that [aerobic physical activity (APA)] is positively associated with cognition, academic achievement, behavior, and psychosocial functioning outcomes. Importantly, Shephard also showed that curriculum time reassigned to APA still results in a measurable, albeit small, improvement in academic performance (24). ... The actual aerobic-based activity does not appear to be a major factor; interventions used many different types of APA and found similar associations. In positive association studies, intensity of the aerobic activity was moderate to vigorous. The amount of time spent in APA varied significantly between studies; however, even as little as 45 minutes per week appeared to have a benefit.
  21. ^ a b v d Mura G, Moro MF, Patten SB, Carta MG (2014). "Exercise as an add-on strategy for the treatment of major depressive disorder: a systematic review". CNS Spektr. 19 (6): 496–508. doi:10.1017/S1092852913000953. PMID  24589012. Considered overall, the studies included in the present review showed a strong effectiveness of exercise combined with antidepressants. ...
    Xulosa
    This is the first review to have focused on exercise as an add-on strategy in the treatment of MDD. Our findings corroborate some previous observations that were based on few studies and which were difficult to generalize.41,51,73,92,93 Given the results of the present article, it seems that exercise might be an effective strategy to enhance the antidepressant effect of medication treatments. Moreover, we hypothesize that the main role of exercise on treatment-resistant depression is in inducing neurogenesis by increasing BDNF expression, as was demonstrated by several recent studies.
  22. ^ a b v d e f Den Heijer AE, Groen Y, Tucha L, Fuermaier AB, Koerts J, Lange KW, Thome J, Tucha O (July 2016). "Sweat it out? The effects of physical exercise on cognition and behavior in children and adults with ADHD: a systematic literature review". J. asabiy transm. (Vena). 124 (Suppl 1): 3–26. doi:10.1007/s00702-016-1593-7. PMC  5281644. PMID  27400928.
  23. ^ a b v Kamp CF, Sperlich B, Holmberg HC (July 2014). "Exercise reduces the symptoms of attention-deficit/hyperactivity disorder and improves social behaviour, motor skills, strength and neuropsychological parameters". Acta Paediatr. 103 (7): 709–14. doi:10.1111/apa.12628. PMID  24612421. S2CID  45881887. The present review summarises the impact of exercise interventions (1–10 weeks in duration with at least two sessions each week) on parameters related to ADHD in 7-to 13-year-old children. We may conclude that all different types of exercise (here yoga, active games with and without the involvement of balls, walking and athletic training) attenuate the characteristic symptoms of ADHD and improve social behaviour, motor skills, strength and neuropsychological parameters without any undesirable side effects. Available reports do not reveal which type, intensity, duration and frequency of exercise is most effective in this respect and future research focusing on this question with randomised and controlled long-term interventions is warranted.
  24. ^ a b v Petersen RC, Lopez O, Armstrong MJ, Getchius T, Ganguli M, Gloss D, Gronseth GS, Marson D, Pringsheim T, Day GS, Sager M, Stevens J, Rae-Grant A (January 2018). "Practice guideline update summary: Mild cognitive impairment – Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology". Nevrologiya. Special article. 90 (3): 126–135. doi:10.1212/WNL.0000000000004826. PMC  5772157. PMID  29282327. XulosaExercise may improve thinking ability and memory (27 December 2017). In patients with MCI, exercise training (6 months) is likely to improve cognitive measures and cognitive training may improve cognitive measures. ... Clinicians should recommend regular exercise (Level B). ... Recommendation
    For patients diagnosed with MCI, clinicians should recommend regular exercise (twice/week) as part of an overall approach to management (Level B).
  25. ^ a b v d e Farina N, Rusted J, Tabet N (yanvar 2014). "Altsgeymer kasalligida kognitiv natijalarga jismoniy mashqlar aralashuvining ta'siri: muntazam ravishda qayta ko'rib chiqish". Int Psychogeriatr. 26 (1): 9–18. doi:10.1017 / S1041610213001385. PMID  23962667. Six RCTs were identified that exclusively considered the effect of exercise in AD patients. Exercise generally had a positive effect on rate of cognitive decline in AD. A meta-analysis found that exercise interventions have a positive effect on global cognitive function, 0.75 (95% CI = 0.32–1.17). ... The most prevalent subtype of dementia is Alzheimer’s disease (AD), accounting for up to 65.0% of all dementia cases ... Cognitive decline in AD is attributable at least in part to the buildup of amyloid and tau proteins, which promote neuronal dysfunction and death (Hardy and Selkoe, 2002; Karran et al., 2011). Evidence in transgenic mouse models of AD, in which the mice have artificially elevated amyloid load, suggests that exercise programs are able to improve cognitive function (Adlard et al., 2005; Nichol et al., 2007). Adlard and colleagues also determined that the improvement in cognitive performance occurred in conjunction with a reduced amyloid load. Research that includes direct indices of change in such biomarkers will help to determine the mechanisms by which exercise may act on cognition in AD.
  26. ^ a b v d Rao AK, Chou A, Bursley B, Smulofsky J, Jezequel J (January 2014). "Systematic review of the effects of exercise on activities of daily living in people with Alzheimer's disease". Am J Occup Ther. 68 (1): 50–56. doi:10.5014/ajot.2014.009035. PMC  5360200. PMID  24367955. Alzheimer’s disease (AD) is a progressive neurological disorder characterized by loss in cognitive function, abnormal behavior, and decreased ability to perform basic activities of daily living [(ADLs)] ... All studies included people with AD who completed an exercise program consisting of aerobic, strength, or balance training or any combination of the three. The length of the exercise programs varied from 12 weeks to 12 months. ... Six studies involving 446 participants tested the effect of exercise on ADL performance ... exercise had a large and significant effect on ADL performance (z = 4.07, p < .0001; average effect size = 0.80). ... These positive effects were apparent with programs ranging in length from 12 wk (Santana-Sosa et al., 2008; Teri et al., 2003) and intermediate length of 16 wk (Roach et al., 2011; Vreugdenhil et al., 2012) to 6 mo (Venturelli et al., 2011) and 12 mo (Rolland et al., 2007). Furthermore, the positive effects of a 3-mo intervention lasted 24 mo (Teri et al., 2003). ... No adverse effects of exercise on ADL performance were noted. ... The study with the largest effect size implemented a walking and aerobic program of only 30 min four times a week (Venturelli et al., 2011).
  27. ^ a b Mattson MP (2014). "Interventions that improve body and brain bioenergetics for Parkinson's disease risk reduction and therapy". J Parkinsons Dis. 4 (1): 1–13. doi:10.3233/JPD-130335. PMID  24473219.
  28. ^ a b v Grazina R, Massano J (2013). "Physical exercise and Parkinson's disease: influence on symptoms, disease course and prevention". Rev Neurosci. 24 (2): 139–152. doi:10.1515/revneuro-2012-0087. PMID  23492553. S2CID  33890283.
  29. ^ a b van der Kolk NM, King LA (September 2013). "Effects of exercise on mobility in people with Parkinson's disease". Mov. Tartibsizlik. 28 (11): 1587–1596. doi:10.1002/mds.25658. PMID  24132847. S2CID  22822120.
  30. ^ a b Tomlinson CL, Patel S, Meek C, Herd CP, Clarke CE, Stowe R, Shah L, Sackley CM, Deane KH, Wheatley K, Ives N (September 2013). "Physiotherapy versus placebo or no intervention in Parkinson's disease". Cochrane Database Syst Rev.. 9 (9): CD002817. doi:10.1002/14651858.CD002817.pub4. PMC  7120224. PMID  24018704.
  31. ^ a b v Blondell SJ, Hammersley-Mather R, Veerman JL (May 2014). "Does physical activity prevent cognitive decline and dementia?: A systematic review and meta-analysis of longitudinal studies". BMC sog'liqni saqlash. 14: 510. doi:10.1186/1471-2458-14-510. PMC  4064273. PMID  24885250. Longitudinal observational studies show an association between higher levels of physical activity and a reduced risk of cognitive decline and dementia. A case can be made for a causal interpretation. Future research should use objective measures of physical activity, adjust for the full range of confounders and have adequate follow-up length. Ideally, randomised controlled trials will be conducted. ... On the whole the results do, however, lend support to the notion of a causal relationship between physical activity, cognitive decline and dementia, according to the established criteria for causal inference.
  32. ^ a b v Carroll ME, Smethells JR (February 2016). "Sex Differences in Behavioral Dyscontrol: Role in Drug Addiction and Novel Treatments". Old. Psixiatriya. 6: 175. doi:10.3389/fpsyt.2015.00175. PMC  4745113. PMID  26903885. There is accelerating evidence that physical exercise is a useful treatment for preventing and reducing drug addiction ... In some individuals, exercise has its own rewarding effects, and a behavioral economic interaction may occur, such that physical and social rewards of exercise can substitute for the rewarding effects of drug abuse. ... The value of this form of treatment for drug addiction in laboratory animals and humans is that exercise, if it can substitute for the rewarding effects of drugs, could be self-maintained over an extended period of time. Work to date in [laboratory animals and humans] regarding exercise as a treatment for drug addiction supports this hypothesis. ... However, a RTC study was recently reported by Rawson et al. (226), whereby they used 8 weeks of exercise as a post-residential treatment for METH addiction, showed a significant reduction in use (confirmed by urine screens) in participants who had been using meth 18 days or less a month. ... Animal and human research on physical exercise as a treatment for stimulant addiction indicates that this is one of the most promising treatments on the horizon. [urg'u qo'shildi]
  33. ^ a b v d e f Lynch WJ, Peterson AB, Sanchez V, Abel J, Smith MA (September 2013). "Exercise as a novel treatment for drug addiction: a neurobiological and stage-dependent hypothesis". Neurosci Biobehav Rev.. 37 (8): 1622–1644. doi:10.1016/j.neubiorev.2013.06.011. PMC  3788047. PMID  23806439.
  34. ^ a b v d e f g h men j k l m n o p q Olsen CM (2011 yil dekabr). "Tabiiy mukofotlar, neyroplastiklik va giyohvandlikka qaram bo'lmaganlar". Neyrofarmakologiya. 61 (7): 1109–1122. doi:10.1016 / j.neuropharm.2011.03.010. PMC  3139704. PMID  21459101. Atrof muhitni boyitishga o'xshash tadqiqotlar shuni ko'rsatdiki, jismoniy mashqlar o'z-o'zini boshqarish va giyohvandlikdan qaytishni kamaytiradi (Cosgrove va boshq., 2002; Zlebnik va boshq., 2010). Bundan tashqari, ushbu klinikadan oldingi topilmalar odam populyatsiyasiga aylantirilganligi haqida ba'zi bir dalillar mavjud, chunki jismoniy mashqlar chekuvchi odamlarda chekish alomatlari va qayt qilishni kamaytiradi (Daniel va boshq., 2006; Prochaska va boshq., 2008) va bitta giyohvand moddalarni qayta tiklash dasturi ishtirokchilarda muvaffaqiyat qozondi. dastur doirasida marafonda qatnashadigan va unda qatnashadigan (Butler, 2005). ... Odamlarda dopamin signalizatsiyasining rag'batlantirish-sensibilizatsiya jarayonlaridagi roli yaqinda dopaminerjik dorilarni qabul qilayotgan ayrim bemorlarda dopamin disregulyatsiyasi sindromi kuzatilishi bilan ta'kidlangan. Ushbu sindrom, giyohvandlik, xarid qilish yoki jinsiy aloqa kabi giyohvand bo'lmagan mukofotlarga dori vositasida (yoki majburiy) qo'shilish bilan tavsiflanadi (Evans va boshq., 2006; Aiken, 2007; Lader, 2008).
  35. ^ a b v Linke SE, Ussher M (2015). "Exercise-based treatments for substance use disorders: evidence, theory, and practicality". Am J giyohvand moddalarni suiiste'mol qilish. 41 (1): 7–15. doi:10.3109/00952990.2014.976708. PMC  4831948. PMID  25397661. The limited research conducted suggests that exercise may be an effective adjunctive treatment for SUDs. In contrast to the scarce intervention trials to date, a relative abundance of literature on the theoretical and practical reasons supporting the investigation of this topic has been published. ... numerous theoretical and practical reasons support exercise-based treatments for SUDs, including psychological, behavioral, neurobiological, nearly universal safety profile, and overall positive health effects.
  36. ^ a b v d Zhou Y, Zhao M, Zhou C, Li R (July 2015). "Sex differences in drug addiction and response to exercise intervention: From human to animal studies". Old. Neyroendokrinol. 40: 24–41. doi:10.1016/j.yfrne.2015.07.001. PMC  4712120. PMID  26182835. Collectively, these findings demonstrate that exercise may serve as a substitute or competition for drug abuse by changing ΔFosB or cFos immunoreactivity in the reward system to protect against later or previous drug use. ... As briefly reviewed above, a large number of human and rodent studies clearly show that there are sex differences in giyohvandlik va mashq qilish. The sex differences are also found in the effectiveness of exercise on drug addiction prevention and treatment, as well as underlying neurobiological mechanisms. The postulate that exercise serves as an ideal intervention for drug addiction has been widely recognized and used in human and animal rehabilitation. ... In particular, more studies on the neurobiological mechanism of exercise and its roles in preventing and treating drug addiction are needed.
  37. ^ a b Cormie P, Nowak AK, Chambers SK, Galvão DA, Newton RU (April 2015). "The potential role of exercise in neuro-oncology". Old. Onkol. 5: 85. doi:10.3389/fonc.2015.00085. PMC  4389372. PMID  25905043.
  38. ^ a b Malenka RC, Nestler EJ, Hyman SE (2009). Sydor A, Brown RY (tahrir). Molekulyar neyrofarmakologiya: Klinik nevrologiya uchun asos (2-nashr). Nyu-York: McGraw-Hill Medical. pp. 5, 351. ISBN  9780071481274. The clinical actions of fluoxetine, like those of many neuropharmacologic agents, reflect drug-induced neural plasticity, which is the process by which neurons adapt over time in response to chronic disturbance. ... For example, evidence indicates that prolonged increases in cortisol may be damaging to hippocampal neurons and can suppress hippocampal neurogenesis (the generation of new neurons postnatally).
  39. ^ Malenka RC, Nestler EJ, Hyman SE (2009). "Chapter 8:Atypical Neurotransmitters". Sydor A, Brown RY (tahr.). Molekulyar neyrofarmakologiya: Klinik nevrologiya uchun asos (2-nashr). Nyu-York: McGraw-Hill Medical. pp. 199, 215. ISBN  9780071481274. Neurotrophic factors are polypeptides or small proteins that support the growth, differentiation, and survival of neurons. They produce their effects by activation of tyrosine kinases.
  40. ^ "Neuroplasticity", Vikipediya, 23 oktyabr 2020 yil, olingan 28 oktyabr 2020
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    Miyaning endogen izamin aminlari klassik neyrotransmitterlar noradrenalin, dofamin va serotoninlarnikidan bir necha yuz baravar pastroq, ammo ularning sintez darajasi noradrenalin va dofamin ko'rsatkichlariga teng va ular juda tez aylanish tezligiga ega (Berry, 2004). Miyada o'lchangan aminlarning hujayradan tashqari to'qimalarining endogen darajasi past nanomolyariya oralig'ida. Ushbu past konsentratsiyalar ularning yarim umr ko'rish muddati juda qisqa bo'lganligi sababli paydo bo'ladi ...
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    • Sinaptik plastisitning eng ko'p o'rganilgan shakli bu hipokampustagi uzoq muddatli potentsializatsiya (LTP), bu NMDA retseptorlari kuchli faollashishi va natijada postsinaptik kaltsiy kontsentratsiyasining katta ko'tarilishi bilan bog'liq.
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