Meditation's Impact on Neuroplasticity: Unveiling the Anatomical, Physiological and Clinical Changes- A Meta-Analysis
DOI:
https://doi.org/10.51985/Keywords:
Cognition, Neuroplasticity, Meditation, MindfulnessAbstract
Meditation affects neuroplasticity through synaptic pathways, prefrontal–limbic regulation, autonomic and biochemical systems. Randomized or controlled meditation interventions with at least one neuroplasticity related outcome published from January 2018 to April 2025 were included. Data extraction and synthesis were performed independently and combined by random-effects model. Eight studies met criteria for quantitative pooling. Structural changes included prefrontal and hippocampal plasticity (pooled SMD = 0.40, 95% CI: 0.20–0.60). Functional neuroplasticity included improved attentional network activity and decreased DMN dominance (SMD = 0.48, 95% CI: 0.25–0.70). Physiological markers demonstrated a positive trend (SMD = 0.60, 95% CI: 0.35–0.85). Higher BDNF and lower inflammatory indices were noted (SMD = 0.55, 95% CI: 0.30–0.80). Psychological outcomes and cognitive functions improved (SMD = 0.50, 95% CI: 0.25–0.75). Global heterogeneity was high (I2 = 81.3%), Egger’s test showed weak publication bias (p = 0.039). Analysis concluded significant meditation related neuroplastic changes in all studied domains
References
1. Gkintoni E, Vassilopoulos SP, Nikolaou G. Mindfulness-based
cognitive therapy in clinical practice: A systematic review of
neurocognitive outcomes and applications for mental health
and well-being. Journal of Clinical Medicine.14(5):1703
https://doi.org/10.3390/jcm14051703(2025).
2. Jinich-Diamant A, Simpson S, Zuniga-Hertz JP, Chitteti R,
Schilling JM, Bonds JA, et al. Neural and molecular changes
during a mind-body reconceptualization, meditation, and open
label placebo healing intervention. Communications
Biology.8(1):1525 https://doi.org/10.1038/s42003-025-09088-
3(2025).
3. Giridharan S, Soumian S, Kumar NV, Godbole M, Kumar Sr
NV. The Impact of Vipassana Meditation on Health and WellBeing: A Systematic Review of Current Evidence. Cureus.17(9)
10.7759/cureus.93355(2025).
4. Last N, Tufts E, Auger LE. The effects of meditation on grey
matter atrophy and neurodegeneration: a systematic review.
Journal of Alzheimer ’s Disease.56(1):275-86
https://doi.org/10.3233/JAD-160899(2017).
5. Marzola P, Melzer T, Pavesi E, Gil-Mohapel J, Brocardo PS.
Exploring the role of neuroplasticity in development, aging,
and neurodegeneration. Brain sciences.13(12):1610
https://doi.org/10.3390/brainsci13121610(2023).
6. de Klerk-Sluis JM, Huijbers MJ, Löcke S, Spijker J, Spinhoven
P, Speckens AE, et al. Factors associated with relapse and
recurrence of major depressive disorder in patients starting
mindfulness-based cognitive therapy. Depression
anxiety.39(2):113-22 https://doi.org/10.1002/da.23220(2022).
7. Maina G, Adami M, Ascione G, Bondi E, De Berardis D,
Delmonte D, et al. Nationwide consensus on the clinical
management of treatment-resistant depression in Italy: a
Delphi panel. Annals of General Psychiatry.22(1):48
https://doi.org/10.1186/s12991-023-00478-7(2023).
8. Kenny M, Luck P, Koerbel L. Tending the field of mindfulnessbased programs: The development of international integrity
guidelines for teachers and teacher training. Global Advances
in Health Medicine.9:2164956120923975 https://doi.org/
10.1177/2164956120923975(2020).
9. Mehta NN, Talwar G. Recognizing roots and not just leaves:
the use of integrative mindfulness in education, research, and
practice. Psychology from the Margins.4(1):6 2022).
10. McCartney M, Nevitt S, Lloyd A, Hill R, White R, Duarte R.
Mindfulness-based cognitive therapy for prevention and time
to depressive relapse: Systematic review and network metaanalysis. Acta Psychiatrica Scandinavica.143(1):6-21
https://doi.org/10.1111/acps.13242(2021).
11. Gkintoni E, Kourkoutas E, Vassilopoulos SP, Mousi M.
Clinical intervention strategies and family dynamics in
adolescent eating disorders: A scoping review for enhancing
early detection and outcomes. Journal of clinical
medicine.13(14):4084 https://doi.org/10.3390/ jcm13144084
(2024).
12. Johnson MG, Henley TB. Reflections on the principles of
Psychology: William James after a century: Psychology Press;
2013.13. Konorski J. Conditioned reflexes and neuron organization:
CUP Archive; 1948.
14. Voss P, Thomas ME, Cisneros-Franco JM, de Villers-Sidani
É. Dynamic brains and the changing rules of neuroplasticity:
implications for learning and recovery. Frontiers in
psychology.8:274878 https://doi.org/10.3389/fpsyg .2017.
01657(2017).
15. Draganski B, May A. Training-induced structural changes in
the adult human brain. Behavioural brain research.192(1):137-
42 https://doi.org/10.1016/j.bbr.2008.02.015(2008).
16. Frizzell TO, Phull E, Khan M, Song X, Grajauskas LA,
Gawryluk J, et al. Imaging functional neuroplasticity in human
white matter tracts. Brain Structure Function.227(1):381-92
https://doi.org/10.1007/s00429-021-02407-4(2022).
17. Leuner B, Gould E. Structural plasticity and hippocampal
function. Annual review of psychology.61(1):111-40
https://doi.org/10.1146/annurev.psych.093008.100359(2010).
18. Chen X, Zhou X, Yang L, Miao X, Lu D-H, Yang X-Y, et al.
Neonatal exposure to low-dose (1.2%) sevoflurane increases
rats’ hippocampal neurogenesis and synaptic plasticity in later
life. Neurotoxicity research.34(2):188-97 https://doi.org/
10.1007/s12640-018-9877-3(2018).
19. Garthe A, Roeder I, Kempermann G. Mice in an enriched
environment learn more flexibly because of adult hippocampal
neurogenesis. Hippocampus.26(2):261-71 https://doi.org/10.
1002/hipo.22520(2016).
20. Kempermann G, Song H, Gage FH. Neurogenesis in the adult
hippocampus. Cold Spring Harbor perspectives in
biology.7(9):a018812 https://cshperspectives. cshlp.org/
site/misc/terms.xhtml(2015).
21. Mansoor M, Ibrahim A, Hamide A, Tran T, Candreva E,
Baltaji J. Exercise-Induced neuroplasticity: adaptive
mechanisms and preventive potential in neurodegenerative
disorders. Physiologia.5(2):13 https://doi.org/10.3390/
physiologia5020013(2025).
22. Chirles TJ, Reiter K, Weiss LR, Alfini AJ, Nielson KA, Smith
JC. Exercise training and functional connectivity changes in
mild cognitive impairment and healthy elders. Journal of
Alzheimer’s Disease.57(3):845-56 https://doi.org/10.3233/
JAD-161151(2017).
23. Hsu CL, Best JR, Davis JC, Nagamatsu LS, Wang S, Boyd
LA, et al. Aerobic exercise promotes executive functions and
impacts functional neural activity among older adults with
vascular cognitive impairment. British journal of sports
medicine.52(3):184-91 https://doi.org/10.1136/bjsports-2016-
096846(2018).
24. Koo J-H, Jang Y-C, Hwang D-J, Um H-S, Lee N-H, Jung JH, et al. Treadmill exercise produces neuroprotective effects
in a murine model of Parkinson’s disease by regulating the
TLR2/MyD88/NF-êB signaling pathway. Neuroscience.
356:102-13 https://doi.org/ 10.1016/j. neuroscience. 2017.05.
016(2017).
25. Fan C, Wu M, Liu H, Chen X, Gao Z, Zhao X, et al. Effects
of meditation on neural responses to pain: A systematic review
and meta-analysis of fMRI studies. Neuroscience Biobehavioral
Reviews.162:105735 https://doi.org/10.1016 /j.neubiorev.2
024.105735(2024).26. Jensen CS, Bahl JM, Østergaard LB, Høgh P, Wermuth L,
Heslegrave A, et al. Exercise as a potential modulator of
inflammation in patients with Alzheimer's disease measured
in cerebrospinal fluid and plasma. Experimental
gerontology.121:91-8 https://doi.org/10.1016/ j.exger.2019.04.
003(2019).
27. Gomutbutra P, Yingchankul N, Chattipakorn N, Chattipakorn
S, Srisurapanont M. The effect of mindfulness-based
intervention on brain-derived neurotrophic factor (BDNF):
A systematic review and meta-analysis of controlled trials.
Frontiers in psychology.11:2209 https://doi.org/10.3389/
fpsyg.2020.02209(2020).
28. You T, Ogawa EF, Science H. Effects of meditation and mindbody exercise on brain-derived neurotrophic factor: a literature
review of human experimental studies. Sports Medicine.2(1):7-
9 https://doi.org/10.1016/j.smhs.2020.03.001(2020).
29. Panitz DY, Mendelsohn A, Cabral J, Berkovich-Ohana A.
Long-term mindfulness meditation increases occurrence of
sensory and attention brain states. Frontiers in Human
Neuroscience.18:1482353 https://doi.org/10.3389/fnhum.
2024.1482353(2025).
30. Calderone A, Latella D, Impellizzeri F, de Pasquale P, Famà
F, Quartarone A, et al. Neurobiological changes induced by
mindfulness and meditation: A systematic review.
Biomedicines.12(11):2613 https://doi.org/10.3390/
biomedicines12112613(2024).
31. Brown BM, Rainey-Smith SR, Dore V, Peiffer JJ, Burnham
SC, Laws SM, et al. Self-reported physical activity is associated
with tau burden measured by positron emission tomography.
Journal of Alzheimer’s Disease.63(4):1299-305 https://doi.org/
10.3233/JAD-170998(2018).
32. Singh S, Gupta KV, Behera L, Bhushan B, Control. Elevated
correlations in cardiac–neural dynamics: An impact of mantra
meditation on stress alleviation. Biomedical Signal
Processing.99:106813 https://doi.org/10.1016/j.bspc.
2024.106813(2025).
33. Yue WL, Ng KK, Koh AJ, Perini F, Doshi K, Zhou JH, et al.
Mindfulness-based therapy improves brain functional network
reconfiguration efficiency. Translational Psychiatry.13(1):345
https://doi.org/10.1038/s41398-023-02642-9(2023).
34. Slusher AL, Zúñiga TM, Acevedo EO. Maximal exercise
alters the inflammatory phenotype and response of
mononuclear cells. Medicine Science in Sports
Exercise.50(4):675-83 https://doi.org/10.1249/mss.
0000000000001480(2018).
35. Jurkowski MP, Bettio L, K. Woo E, Patten A, Yau S-Y, GilMohapel J. Beyond the hippocampus and the SVZ: adult
neurogenesis throughout the brain. Frontiers in cellular
neuroscience.14:576444 https://doi.org/10.3389/ fncel.2020.
576444(2020).
36. Zaccaro A, Piarulli A, Laurino M, Garbella E, Menicucci D,
Neri B, et al. How breath-control can change your life: a
systematic review on psycho-physiological correlates of slow
breathing. Frontiers in human neuroscience.12:409421
https://doi.org/10.3389/fnhum.2018.00353(2018).
37. Saleem M, Samudrala P. Meditation experience associated
with structural neuroplasticity. Annals of International Medical
Dental Research.3(4):1 10.21276/aimdr.2017.3.4.MC1(2017).
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