Evidence map›Paper›PMID 41337476›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Neurofluid circulation changes during a focused attention style of mindfulness meditation.

Bryce A Keating, David Vago, Kilian Hett, Ciaran Considine, Maria Garza, Caleb Han, Colin McKnight, Daniel O Claassen, Manus J Donahue

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Bryce A Keating *Department of Psychology, Vanderbilt University, Nashville, TN 37212.
David Vago *Department of Psychiatry, Brigham and Women's Hospital, Mass General Brigham, Boston, MA 02115.ORCID 0000-0002-6269-9027
Kilian HettDepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212.
Ciaran ConsidineDepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212.ORCID 0000-0002-8171-2821
Maria GarzaDepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212.
Caleb HanDepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212.ORCID 0009-0004-6299-6656
Colin McKnightDepartment of Radiology and Radiological Sciences, Vanderbilt University Medical Center, Nashville, TN 37212.ORCID 0000-0002-4386-8999
Daniel O ClaassenDepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212.
Manus J DonahueDepartment of Neurology, Vanderbilt University Medical Center, Nashville, TN 37212.ORCID 0000-0002-4123-9275

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
Quantitative Imaging of Brain Glymphatic Function in HumansR01AG062574 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CLAASSEN, DANIEL OLIVER, DONAHUE, MANUS J · 2020 to 2024
$3.0M
Quantitative imaging of choroid plexus function and neurofluid circulation in Alzheimer's Disease Related DementiaR01AG083159 · NIA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Manus J Donahue · 2023 to 2026
$2.3M
Quantitation of Glymphatic Functioning in Sleep and Meditative StatesR01AT011456 · NCCIH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CLAASSEN, DANIEL OLIVER, DONAHUE, MANUS J · 2021 to 2023
$1.1M
HHS | NIH | National Center for Complementary and Integrative Health (OAM) 5R01AT011456NCCIH NIH HHS R01 AT011456NIA NIH HHS R01 AG062574NIA NIH HHS R01 AG083159NICHD NIH HHS P50 HD103537
6 · The paper itself

Abstract

Neurofluids, including cerebrospinal fluid (CSF) and interstitial fluid, circulate through regulated central nervous system pathways to clear cerebral waste and support brain health, with elevated CSF flow hyperdynamicity and regurgitation through the cerebral aqueduct associating with aging and neurodegeneration. Sleep exerts state-dependent effects on neurofluid circulation, yet similar modulation during unique waking states, such as meditation, remains underexplored. Notably, mindfulness meditation shares several regulatory features with sleep, with core meditation practices representing distinct arousal states. We investigated whether the focused attention (FA) style of mindfulness meditation modulates neurofluid dynamics directionally opposite to aging and consistent with sleep. Using phase-contrast MRI, we assessed absolute CSF flow and velocity through the aqueduct, and using blood oxygenation level-dependent (BOLD) MRI, we assessed CSF fluctuations near the cervicomedullary junction together with total supratentorial gray matter fluctuations. Assessments were repeated in meditation-naïve adults during mind wandering (MW) without (n = 13; repeatability controls) and with (n = 14; breath controls) respiration rate modulation and in adept meditators (n = 23) during MW and FA meditation. No aqueduct CSF flow changes were observed in control groups. In meditators, aqueduct absolute CSF flow motion decreased from MW to FA meditation (4.60 ± 2.27 mL/min to 4.17 ± 2.10 mL/min,

Indexed as

AttentionCerebrospinal FluidMeditationMindfulnessAdultBrainFemaleGray MatterHumansMagnetic Resonance ImagingMaleMiddle AgedSleepcerebrospinal fluidfMRIglymphaticmeditationmindfulness

Identifiers

PMID41337476
PMCPMC12704760

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.