From:  Non-pharmacological approaches for neuroprotection and symptom management in neurodegenerative disorders: the role of integrative therapies

 Summary of non-pharmacological interventions and clinical evidence.

Intervention typeMechanismsTarget populationKey outcomesReferences
Exercise↑ BDNF, ↑ mitochondrial function, ↓ inflammationAD, PD, MCI, HDCognitive function, motor control, mood[6, 2528, 3134]
Diet (Mediterranean, MIND)Antioxidant, anti-inflammatory, gut–brain modulationAD, PD, HDCognitive performance, disease progression[11, 38, 46, 48, 50, 52]
Mind–Body (MBSR, Tai Chi, Yoga)↓ HPA axis, ↑ neuroplasticity, ↓ cytokinesAD, PD, MS, HDCognition, balance, mood, QOL[59, 62, 65, 70, 74]
Sensory and neuromodulatory↑ Neurotransmitter modulation, ↓ inflammation, ↑ cortical connectivityAD, PD, HD; dementiaMood, cognition, sleep, motor function[80, 81, 84, 87, 93, 94]

↑: increases; ↓: decreases; AD: Alzheimer’s disease; HD: Huntington disease; MBSR: mindfulness-based stress reduction; MCI: mild cognitive impairment; MIND: Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay; MS: multiple sclerosis; PD: Parkinson’s disease; QOL: quality of life; BDNF: brain-derived neurotrophic factor; HPA: hypothalamic–pituitary–adrenal.