The Adaptive Neuroplasticity Hypothesis of Behavioral Maintenance

Physical activity is a seemingly simple and clinically potent method to decrease morbidity and mortality in people with coronary heart disease (CHD). Nonetheless, long-term maintenance of physical activity remains a frustratingly elusive goal for patients and practitioners alike. In this paper, we p...

Full description

Saved in:
Bibliographic Details
Main Author: Janey C. Peterson
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2012/516364
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832556236307955712
author Janey C. Peterson
author_facet Janey C. Peterson
author_sort Janey C. Peterson
collection DOAJ
description Physical activity is a seemingly simple and clinically potent method to decrease morbidity and mortality in people with coronary heart disease (CHD). Nonetheless, long-term maintenance of physical activity remains a frustratingly elusive goal for patients and practitioners alike. In this paper, we posit that among older adults with CHD, recidivism after the initiation of physical activity reflects maladaptive neuroplasticity of malleable neural networks, and people will revert back to learned and habitual physical inactivity patterns, particularly in the setting of stress or depression. We hypothesize that behavioral interventions that successfully promote physical activity may also enhance adaptive neuroplasticity and play a key role in the maintenance of physical activity through the development of new neuronal pathways that enhance functional ability in older adults. Conversely, without such adaptive neuroplastic changes, ingrained maladaptive neuroplasticity will prevail and long-term maintenance of physical activity will fail. In this paper we will: (1) describe the enormous potential for neuroplasticity in older adults; (2) review stress and depression as examples of maladaptive neuroplasticity; (3) describe an example of adaptive neuroplasticity achieved with a behavioral intervention that induced positive affect in people with CHD; and (4) discuss implications for future work in bench to bedside translational research.
format Article
id doaj-art-f7974d907dc94f6ab7ceed28e1ddc2e3
institution Kabale University
issn 2090-5904
1687-5443
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Neural Plasticity
spelling doaj-art-f7974d907dc94f6ab7ceed28e1ddc2e32025-02-03T05:45:59ZengWileyNeural Plasticity2090-59041687-54432012-01-01201210.1155/2012/516364516364The Adaptive Neuroplasticity Hypothesis of Behavioral MaintenanceJaney C. Peterson0Weill Cornell Medical College, Center for Integrative Medicine and the Division of Clinical Epidemiology and Evaluative Sciences Research, New York, NY 10065, USAPhysical activity is a seemingly simple and clinically potent method to decrease morbidity and mortality in people with coronary heart disease (CHD). Nonetheless, long-term maintenance of physical activity remains a frustratingly elusive goal for patients and practitioners alike. In this paper, we posit that among older adults with CHD, recidivism after the initiation of physical activity reflects maladaptive neuroplasticity of malleable neural networks, and people will revert back to learned and habitual physical inactivity patterns, particularly in the setting of stress or depression. We hypothesize that behavioral interventions that successfully promote physical activity may also enhance adaptive neuroplasticity and play a key role in the maintenance of physical activity through the development of new neuronal pathways that enhance functional ability in older adults. Conversely, without such adaptive neuroplastic changes, ingrained maladaptive neuroplasticity will prevail and long-term maintenance of physical activity will fail. In this paper we will: (1) describe the enormous potential for neuroplasticity in older adults; (2) review stress and depression as examples of maladaptive neuroplasticity; (3) describe an example of adaptive neuroplasticity achieved with a behavioral intervention that induced positive affect in people with CHD; and (4) discuss implications for future work in bench to bedside translational research.http://dx.doi.org/10.1155/2012/516364
spellingShingle Janey C. Peterson
The Adaptive Neuroplasticity Hypothesis of Behavioral Maintenance
Neural Plasticity
title The Adaptive Neuroplasticity Hypothesis of Behavioral Maintenance
title_full The Adaptive Neuroplasticity Hypothesis of Behavioral Maintenance
title_fullStr The Adaptive Neuroplasticity Hypothesis of Behavioral Maintenance
title_full_unstemmed The Adaptive Neuroplasticity Hypothesis of Behavioral Maintenance
title_short The Adaptive Neuroplasticity Hypothesis of Behavioral Maintenance
title_sort adaptive neuroplasticity hypothesis of behavioral maintenance
url http://dx.doi.org/10.1155/2012/516364
work_keys_str_mv AT janeycpeterson theadaptiveneuroplasticityhypothesisofbehavioralmaintenance
AT janeycpeterson adaptiveneuroplasticityhypothesisofbehavioralmaintenance