The Effects of Mindfulness-Based Interventions on Physiological Markers of Stress in Older Adults: A Systematic Review and Synthesis
Mindfulness December 2, 2025 Samantha Galluzzi, Claudio Singh Solorzano, Moira Marizzoni et al. 2 citations
A systematic review of 22 controlled clinical trials found that mindfulness-based interventions (MBIs) such as mindfulness-based stress reduction and mindfulness-based cognitive therapy positively affect physiological markers of stress in older adults. The interventions influenced five stress-related systems: brain circuits and signaling, the sympathetic-adrenomedullary axis, the hypothalamus-pituitary-adrenal axis, the immune system, and gene expression and epigenetic mediators. Effects on brain circuits were observed in both clinical and community populations. The authors suggest these findings support the influence of MBIs on pathophysiological pathways related to chronic stress at a system level, though they note limitations including outcome heterogeneity, small sample sizes, and risk of bias.