1   35 184 A 12-WEEK YOGA-BASED LIFESTYLE INTERVENTION MIGHT POSITIVELY MODIFY CELLULAR AGING IN INDIAN OBESE INDIVIDUALS: A RANDOMIZED-CONTROLLED TRIAL. BACKGROUND: TELOMERES AND TELOMERASE ARE CONSIDERED CARDINAL BIOMARKERS OF CELLULAR AGING. SHORTER TELOMERES AND LOW TELOMERASE ACTIVITY HAVE BEEN ASSOCIATED WITH OBESITY AND ACCELERATED AGING. OBJECTIVE: TO COMPARE THE EFFECTS OF A YOGA-BASED LIFESTYLE INTERVENTION (YBLI) WITH THE STANDARD OF CARE (SOC) ON CELLULAR AGING BY ESTIMATING TELOMERE LENGTH (TL) AND TELOMERASE ACTIVITY IN OBESITY. DESIGN AND SETTING: A PARALLEL, TWO-ARM, RANDOMIZED-CONTROLLED TRIAL WAS CONDUCTED AT THE INTEGRAL HEALTH CLINIC, DEPARTMENT OF PHYSIOLOGY, ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, FROM MARCH 2017 TO OCTOBER 2019. PARTICIPANTS: OBESE (N = 72), BODY MASS INDEX (BMI), 25-35 KG/M(2), AGED 20-45 YEARS, MALE (21), AND FEMALE (51). INTERVENTION: SEVENTY-TWO OBESE PARTICIPANTS WERE RANDOMIZED TO RECEIVE EITHER A 12-WEEK SOC (N = 36) OR YBLI (N = 36). SOC INCLUDED MANAGEMENT OF OBESITY AS PER INDIAN GUIDELINES INCLUDING A HYPOCALORIC INDIVIDUALIZED DIET AND PHYSICAL ACTIVITY. THE PRETESTED YBLI INCLUDED ASANA (PHYSICAL POSTURES), PRANAYAMA (BREATHING EXERCISES), AND MEDITATION. METHODS: BLOOD SAMPLES WERE COLLECTED FROM BOTH THE GROUPS AT BASELINE, 2, 4, AND 12 WEEKS. DNA WAS EXTRACTED FROM PERIPHERAL BLOOD MONONUCLEAR CELLS. TL WAS MEASURED BY QUANTITATIVE PCR, AND SERUM TELOMERASE LEVELS BY IMMUNOASSAY. OUTCOME MEASURES: PRIMARY OUTCOME MEASURES WERE THE CHANGES IN THE TL AND TELOMERASE LEVELS BETWEEN THE TWO GROUPS AT WEEK 12. SECONDARY OUTCOME MEASURES WERE THE CHANGES IN TL AND TELOMERASE, AND ANTHROPOMETRIC PARAMETERS (BODY WEIGHT, BMI, WAIST-TO-HIP RATIO) AT 2, 4, AND 12 WEEKS OF INTERVENTION IN BOTH SOC AND YBLI GROUPS. RESULTS: THERE WERE NO SIGNIFICANT CHANGES IN TL AND TELOMERASE LEVELS BETWEEN THE GROUPS AT WEEK 12. THE TL WAS SIGNIFICANTLY GREATER IN THE YBLI GROUP VERSUS THE SOC GROUP (P < 0.0001) AT 2 WEEKS. THE ANTHROPOMETRIC AND PHYSIOLOGICAL PARAMETERS WERE INFLUENCED POSITIVELY BY BOTH SOC AND YBLI. CONCLUSION: THE STUDY DID NOT MEET THE PRIMARY OBJECTIVE, ALTHOUGH THE RESULTS ARE SUGGESTIVE OF A POSITIVE IMPACT OF YBLI ON AGING IN OBESITY AS NOTED WITHIN THE YBLI GROUP. HOWEVER, THE RESULTS SHOULD BE INTERPRETED CAREFULLY, AND IN THE LIGHT OF OTHER PUBLISHED DATA. LARGER STUDIES TO BETTER UNDERSTAND THE POSSIBLE POSITIVE BENEFITS OF YBLI ON CELLULAR AGING ARE RECOMMENDED. CLINICAL TRAIL REGISTRATION NO. CTRI/2016/08/007136.	2022	
                        
2 2038  65 TELOMERASE ACTIVITY AND CELLULAR AGING MIGHT BE POSITIVELY MODIFIED BY A YOGA-BASED LIFESTYLE INTERVENTION. OBJECTIVES: RECENT STUDIES SHOWED THAT A BRIEF YOGA-BASED LIFESTYLE INTERVENTION WAS EFFICACIOUS IN REDUCING LEVELS OF OXIDATIVE STRESS AND CELLULAR AGING IN OBESE MEN. THE OBJECTIVE OF THIS CASE REPORT WAS TO ASSESS THE EFFICACY OF THIS INTERVENTION IN REDUCING THE LEVELS OF BIOCHEMICAL MARKERS OF CELLULAR AGEING, OXIDATIVE STRESS, AND INFLAMMATION AT BASELINE (DAY 0), AT THE END OF ACTIVE INTERVENTION (DAY 10), AND FOLLOW-UP AT DAY 90. DESIGN: SINGLE CASE REPORT FROM A PROSPECTIVE ONGOING STUDY WITH PRE-POST DESIGN ASSESSING THE LEVEL OF VARIOUS MARKERS OF CELLULAR AGING. SETTING: INTEGRAL HEALTH CLINIC, AN OUTPATIENT FACILITY CONDUCTING MEDITATION AND YOGA-BASED LIFESTYLE INTERVENTION PROGRAMS FOR MANAGEMENT OF CHRONIC DISEASES. PATIENT: A 31-YEAR-OLD MAN WITH CLASS I OBESITY (BODY-MASS INDEX, 29.5 KG/M(2)) WHO PRESENTED TO THE MEDICINE OUTPATIENT DEPARTMENT AT ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, INDIA, WITH A HISTORY OF FATIGUE, DIFFICULTY LOSING WEIGHT, AND LACK OF MOTIVATION. HE NOTED A MARKED DECREASE IN HIS ENERGY LEVEL, PARTICULARLY IN THE AFTERNOON. INTERVENTION: A PRETESTED INTERVENTION PROGRAM INCLUDED ASANAS (POSTURES), PRANAYAMA (BREATHING EXERCISES), STRESS MANAGEMENT, GROUP DISCUSSIONS, LECTURES, AND INDIVIDUALIZED ADVICE. RESULTS: FROM BASELINE (DAY 0) TO DAY 90, THE ACTIVITY OF TELOMERASE AND LEVELS OF BETA-ENDORPHINS, PLASMA CORTISOL, AND INTERLEUKIN-6 INCREASED, AND A SUSTAINED REDUCTION IN OXIDATIVE STRESS MARKERS, SUCH AS REACTIVE OXYGEN SPECIES AND 8-HYDROXY-2-DEOXY-GUANOSINE LEVELS. CONCLUSIONS: ADOPTING YOGA/MEDITATION-BASED LIFESTYLE MODIFICATION CAUSES REVERSAL OF MARKERS OF AGING, MAINLY OXIDATIVE STRESS, TELOMERASE ACTIVITY, AND OXIDATIVE DNA DAMAGE. THIS MAY NOT ONLY DELAY AGING AND PROLONG A YOUTHFUL HEALTHY LIFE BUT ALSO DELAY OR PREVENT ONSET OF SEVERAL LIFESTYLE-RELATED DISEASES, OF WHICH OXIDATIVE STRESS AND INFLAMMATION ARE THE CHIEF CAUSE. THIS REPORT SUGGESTS THIS SIMPLE LIFESTYLE INTERVENTION MAY BE THERAPEUTIC FOR OXIDATIVE DNA DAMAGE AND OXIDATIVE STRESS.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                    
3  284  57 ADIPONECTIN, INTERLEUKIN-6, AND CARDIOVASCULAR DISEASE RISK FACTORS ARE MODIFIED BY A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION IN OVERWEIGHT AND OBESE MEN. OBJECTIVE: TO INVESTIGATE THE EFFECT OF A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION ON RISK FACTORS FOR CARDIOVASCULAR DISEASE (CVD) AND MARKERS OF INFLAMMATION AND ENDOTHELIAL FUNCTION IN OVERWEIGHT AND OBESE MEN. DESIGN: NONRANDOMIZED PROSPECTIVE LIFESTYLE INTERVENTION STUDY WITH PRE-POST DESIGN. SETTING AND LOCATION: INTEGRAL HEALTH CLINIC, AN OUTPATIENT FACILITY PROVIDING YOGA-BASED LIFESTYLE INTERVENTION PROGRAMS FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASES. SUBJECTS: OVERWEIGHT AND OBESE MEN (N=51) WERE ENROLLED IN THE STUDY. SUBJECTS WHO WERE PHYSICALLY UNABLE TO PARTICIPATE AND THOSE PARTICIPATING IN OTHER INTERVENTIONS WERE EXCLUDED FROM THE STUDY. INTERVENTION: A PRETESTED INTERVENTION PROGRAM INCLUDING ASANAS (PHYSICAL POSTURES), PRANAYAMA (BREATHING EXERCISES), GROUP DISCUSSIONS, LECTURES, AND INDIVIDUALIZED ADVICE. OUTCOME MEASURES: THE PRIMARY OUTCOME MEASURE WAS WEIGHT LOSS, AND THE SECONDARY OUTCOME MEASURES WERE CLINICAL AND LABORATORY CORRELATES OF CVD RISK, LEVELS OF INTERLEUKIN-6 (IL-6), ADIPONECTIN, AND ENDOTHELIN-1 (ET-1). RESULTS: MEN (N=51, BODY MASS INDEX [BMI] 26.26+/-2.42 KG/M(2)) WERE ENROLLED AND UNDERWENT A YOGA-BASED LIFESTYLE INTERVENTION FOR 10 DAYS. OF 51 SUBJECTS, 30 COMPLETED THE STUDY. THERE WAS A SIGNIFICANT REDUCTION IN WEIGHT FROM BASELINE TO DAY 10 (74.60+/-7.98, 72.69+/-8.37 KG, P<0.001, RESPECTIVELY), BMI (26.26+/-2.42, 25.69+/-2.47 KG/M(2), P<0.001, RESPECTIVELY), AND SYSTOLIC BP (121.73+/-11.58, 116.73+/-9.00, P=0.042, RESPECTIVELY). THERE WAS A SIGNIFICANT REDUCTION IN PLASMA IL-6 FROM BASELINE TO DAY 10 (MEDIAN 2.24 VS. 1.26 PG/ML, RESPECTIVELY, P=0.012). THERE WAS A SIGNIFICANT INCREASE IN THE PLASMA ADIPONECTIN FROM BASELINE TO DAY 10 (MEDIAN 4.95 VS. 6.26 MUG/ML, RESPECTIVELY, P=0.014). PLASMA ET-1 LEVEL REMAINED UNCHANGED. CONCLUSION: THESE FINDINGS SUGGEST THAT EVEN A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION MAY BE AN IMPORTANT MODALITY TO REDUCE THE RISK FOR CVD AS INDICATED BY WEIGHT LOSS, REDUCTION IN SYSTOLIC BLOOD PRESSURE, AN INCREASE IN ADIPONECTIN, AND DECREASE IN IL-6 IN OVERWEIGHT AND OBESE MEN.	2013	
                                                                                                                                                                                                                                                                                      
4  515  42 COMPARING BETWEEN THE EFFECT OF ENERGY-RESTRICTED DIET AND YOGA ON THE RESTING METABOLIC RATE, ANTHROPOMETRIC INDICES, AND SERUM ADIPOKINE LEVELS IN OVERWEIGHT AND OBESE STAFF WOMEN. BACKGROUND: WEIGHT MANAGEMENT IS AN IMPORTANT STRATEGY TO PREVENT THE CONSEQUENCES OF OBESITY. THE AIM OF THE STUDY WAS TO COMPARE THE EFFECT OF YOGA PRACTICE AND ENERGY-RESTRICTED DIET ON RESTING METABOLIC RATE (RMR), ANTHROPOMETRIC INDICES, AND SERUM ADIPONECTIN AND LEPTIN IN OVERWEIGHT AND OBESE WOMEN. MATERIALS AND METHODS: OBESE OR OVERWEIGHT WOMEN WERE DIVIDED INTO TWO GROUPS: YOGA PRACTICING AND ENERGY-RESTRICTED DIET. EXERCISE TRIALS CONSISTED OF 60-MIN HATHA YOGA EQUAL TO 200 KILOCALORIES (KCAL) COMBINED WITH 300 KCAL RESTRICTION PER DAY, AND AN ENERGY-RESTRICTED DIET CONSISTED OF 500 KCAL RESTRICTION PER DAY. THE INTERVENTION PERIOD FOR BOTH THE GROUPS WAS 8 WEEKS. RMR, ANTHROPOMETRIC INDICES, AND SERUM ADIPONECTIN, LEPTIN, AND LIPID PROFILES WERE MEASURED AT BASELINE AND AT THE END OF THE STUDY. RESULTS: RMR WAS INCREASED IN YOGA BUT NOT IN THE DIET GROUP (P = 0.001). THE LEVEL OF ADIPONECTIN WAS INCREASED IN THE YOGA GROUP COMPARED WITH THE DIET (P = 0.035). THE CONCENTRATION OF HIGH-DENSITY LIPOPROTEIN-CHOLESTEROL WAS DECREASED IN THE DIET GROUP SIGNIFICANTLY BUT NOT IN YOGA (P = 0.006). THE LEVEL OF LEPTIN WAS DECREASED IN BOTH THE GROUPS (P = 0.001), AND THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN THE TWO GROUPS. CONCLUSION: THE FINDINGS OF THE STUDY DEMONSTRATED THE EFFECT OF YOGA PRACTICING ON RMR, AND SERUM ADIPONECTIN, IN OVERWEIGHT AND OBESE WOMEN. IT SEEMS YOGA PRACTICE WITH LESS ENERGY RESTRICTION COMPARED WITH A COMMON ENERGY RESTRICTION DIET AND IS MORE EFFECTIVE IN WEIGHT MANAGEMENT FOR THOSE WHO ARE IN WEIGHT LOSS PROGRAMS.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
5 2691  50 YOGA IN WOMEN WITH ABDOMINAL OBESITYA RANDOMIZED CONTROLLED TRIAL. BACKGROUND: ABDOMINAL OBESITY IS A MAJOR RISK FACTOR FOR MORBIDITY AND MORTALITY. THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFECT OF YOGA ON WAIST CIRCUMFERENCE AND OTHER ANTHROPOMETRIC AND SELF-REPORTED VARIABLES IN WOMEN WITH ABDOMINAL OBESITY. METHODS: 60 WOMEN WITH ABDOMINAL OBESITY (WAIST CIRCUMFERENCE >/= 88 CM; BODY-MASS INDEX [BMI] >/= 25) WERE RANDOMLY ALLOCATED IN A 2:1 RATIO TO EITHER A 12-WEEK YOGA INTERVENTION (N = 40) OR A WAITING LIST (N = 20). THE WAIST CIRCUMFERENCE WAS THE PRIMARY ENDPOINT. SECONDARY (EXPLORATORY) ENDPOINTS INCLUDED THE WAIST/HIP RATIO, BODY WEIGHT, BMI, BODY FAT PERCENTAGE, BODY MUSCLE MASS PERCENTAGE, BLOOD PRESSURE, HEALTH-RELATED QUALITY OF LIFE, SELF-ESTEEM, SUBJECTIVE STRESS, BODY AWARENESS, AND BODY RESPONSIVENESS, AND THE SAFETY OF THE INTERVENTION. THE PERSONS ASSESSING THE OUTCOMES WERE BLINDED TO THE GROUP TO WHICH THE PATIENTS BELONGED. RESULTS: THE PATIENTS IN THE YOGA GROUP PARTICIPATED IN A MEAN OF 30.2+/-9.2 (MAXIMUM, 42) HOURS OF SUPERVISED YOGA PRACTICE. THEIR ABDOMINAL CIRCUM - FERENCE WAS SIGNIFICANTLY REDUCED IN COMPARISON TO THE PARTICIPANTS ON THE WAITING LIST, WITH AN INTERGROUP DIFFERENCE OF -3.8 CM (95% CONFIDENCE INTERVAL [-6.1; -1,.5]; P = 0.001). THERE WERE FURTHER, MODERATE INTERGROUP DIFFERENCES IN THE WAIST/HIP RATIO, BODY WEIGHT, BMI, BODY FAT PERCENTAGE, BODY MUSCLE MASS PERCENTAGE, MENTAL AND PHYSICAL WELL-BEING, SELF-ESTEEM, SUBJECTIVE STRESS, BODY AWARENESS, AND TRUST IN BODILY SENSATIONS (ALL P<0.05). THERE WERE NO SERIOUS ADVERSE EVENTS. NONE OF THE PARTICIPANTS EMBARKED ON A LOW-CALORIE DIET WHILE PARTICIPATING IN THE STUDY. CONCLUSION: THE 12-WEEK YOGA INTERVENTION HAD MODERATELY STRONG POSITIVE EFFECTS ON ANTHROPOMETRIC AND SELF-REPORTED VARIABLES IN WOMEN WITH ABDOMINAL OBESITY. YOGA IS SAFE IN THIS POPULATION AND CAN BE RECOMMENDED AS A TECHNIQUE FOR COMBATING ABDOMINAL OBESITY IN WOMEN.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
6 1491  44 INTERLEUKIN-6, VITAMIN D & DIABETES RISK-FACTORS MODIFIED BY A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION IN OVERWEIGHT/OBESE INDIVIDUALS. BACKGROUND & OBJECTIVES: SEVERAL DIABETES PREVENTION PROGRAMMES HAVE DEMONSTRATED A REDUCTION IN INCIDENCE OF DIABETES IN INDIVIDUALS WITH PREDIABETES THROUGH WEIGHT LOSS. SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION PROGRAMMES HAVE ALSO BEEN SHOWN TO BE EFFICACIOUS IN WEIGHT LOSS. THIS STUDY WAS UNDERTAKEN TO INVESTIGATE IF INTERLEUKIN (IL)-6, VITAMIN D, NEOPTERIN, VASPIN, AND DIABETES RISK FACTORS CAN BE MODIFIED BY A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION IN OVERWEIGHT/OBESE SUBJECTS. METHODS: IN THIS PILOT STUDY, 34 OVERWEIGHT/OBESE [BODY MASS INDEX (BMI) >/= 23 TO <35 KG/M [2] PER ASIAN CUT-OFF VALUES] INDIVIDUALS WERE ENROLLED, AND RECEIVED DIRECTLY SUPERVISED INTERVENTION FOR 10 DAYS. THEREAFTER, THEY WERE ADVISED TO FOLLOW THIS YOGA-BASED LIFESTYLE AT HOME FOR ONE MONTH, AND WERE REASSESSED FOR STUDY VARIABLES AT DAY 30. RESULTS: THERE WAS A REDUCTION FROM BASELINE TO DAY 10 IN WEIGHT ( P <0.001), BMI ( P <0.001), WAIST/HIP-RATIO ( P <0.05), BLOOD GLUCOSE ( P <0.01), AND A SIGNIFICANT IMPROVEMENT IN LIPID PROFILE. THERE WAS A DECREASE IN MEDIAN FASTING INSULIN ( P <0.05), HOMEOSTATIC MODEL ASSESSMENT-INSULIN RESISTANCE ( P <0.01), AND IL-6 ( PP <0.05). A NON-SIGNIFICANT INCREASE IN 25-OH-VITAMIN D, AND A DECREASE IN NEOPTERIN AND VASPIN WERE OBSERVED. TWENTY SUBJECTS RETURNED FOR FOLLOW UP ASSESSMENTS. AT DAY 30, WEIGHT LOSS WAS SUSTAINED WHILE SYSTOLIC BLOOD PRESSURE ALSO SHOWED REDUCTION ( P <0.05). CHANGES IN VITAMIN D LEVELS WERE SIGNIFICANTLY AND NEGATIVELY CORRELATED WITH CHANGES IN WEIGHT, BMI AND FASTING BLOOD GLUCOSE, AND POSITIVELY WITH CHANGE IN HIGH DENSITY LIPOPROTEIN. CHANGES IN BODY WEIGHT AND BMI SIGNIFICANTLY AND POSITIVELY CORRELATED WITH INSULIN. CHANGES IN IL-6 LEVELS POSITIVELY AND SIGNIFICANTLY CORRELATED WITH CHANGE IN NEOPTERIN LEVELS. INTERPRETATION & CONCLUSIONS: THE FINDINGS SHOWED THAT IL-6, VITAMIN D, AND DIABETES RISK FACTORS WERE FAVOURABLY MODIFIED BY A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION IN OBESITY. THIS STUDY ALSO HIGHLIGHTED THE CHALLENGES IN COMPLIANCE ASSOCIATED WITH THE FOLLOW UP OF SUBJECTS FOLLOWING AN AGGRESSIVE SUPERVISED INTERVENTION OF 10 DAYS.	2015	
                                                                                                                                                                                                                                                              
7  982  43 EFFECTS OF CONTINUOUS YOGA ON BODY COMPOSITION IN OBESE ADOLESCENTS. OVERWEIGHT/OBESITY IS A PRESSING INTERNATIONAL HEALTH CONCERN, AND CONVENTIONAL TREATMENTS DEMONSTRATE POOR LONG-TERM EFFICACY. SEVERAL STUDIES HAVE SHOWN THAT YOGA CAN CONTROL RISK FACTORS FOR CARDIOVASCULAR DISEASE, OBESITY, AND PSYCHOSOCIAL STRESS. THE PRESENT STUDY AIMED TO ASSESS THE EFFECT OF CONTINUOUS YOGA (ASANAS, PRANAYAMA, AND SURYA NAMASKAR YOGA) ON BODY COMPOSITION IN OVERWEIGHT PARTICIPANTS. FORTY ADOLESCENTS WITH OBESITY WERE ENROLLED IN THIS STUDY. THE STUDY WAS CONCEIVED AS A PROSPECTIVE, SINGLE-CENTER, SINGLE-BLINDED RANDOMIZED CONTROLLED TRIAL. THE PARTICIPANTS WERE DIVIDED INTO 2 GROUPS: THE INTERVENTION GROUP (N = 20), WHICH UNDERTOOK A CONTINUOUS YOGA PRACTICE, AND THE CONTROL GROUP (N = 20). BODY COMPOSITION, INCLUDING BODY WEIGHT (BW), BODY MASS INDEX (BMI), BODY FAT MASS (BFM), AND MUSCLE MASS, WAS EVALUATED USING TETRAPOLAR BIOELECTRICAL IMPEDANCE (BIA). OUR RESULTS SHOWED THAT THE MEAN BMI AND BFM OF THE YOGA INTERVENTION GROUP WERE SIGNIFICANTLY DECREASED AT WEEK 8 AND WEEK 12. THE MUSCLE MASS OF THE YOGA GROUP CONTINUED TO IMPROVE AT A RATE OF 0.515 PER WEEK, WHICH WAS STATISTICALLY SIGNIFICANT. IN CONCLUSION, A CONTINUOUS YOGA PRACTICE HAD A TENDENCY TO DECREASE BMI AND BFM AND INCREASE MUSCLE MASS. THESE FINDINGS DEMONSTRATE INTERVENTION EFFECTIVENESS SIMILAR TO THAT OBSERVED IN OTHER CLINICAL RESEARCH AND INDICATE THAT CONTINUOUS YOGA PRACTICE MAY BE USED AS AN ALTERNATIVE THERAPY FOR OBESITY PREVENTION AND HEALTH PROMOTION IN ADOLESCENTS WITH OBESITY.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
8 1270  52 FRAMINGHAM RISK SCORE AND ESTIMATED 10-YEAR CARDIOVASCULAR DISEASE RISK REDUCTION BY A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION. OBJECTIVE: THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFICACY OF A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION PROGRAM IN LOWERING FRAMINGHAM RISK SCORE (FRS) AND ESTIMATED 10-YEAR CARDIOVASCULAR RISK. METHODS: THIS WAS A SINGLE-ARM, PRE-POST INTERVENTIONAL STUDY INCLUDING DATA FROM A HISTORICAL COHORT WITH LOW TO MODERATE RISK FOR CARDIOVASCULAR DISEASE (CVD). IT WAS CONDUCTED IN A TERTIARY-CARE HOSPITAL. PARTICIPANTS WITH LOW (0 OR 1 CVD RISK FACTORS) TO MODERATELY HIGH RISK (10-YEAR RISK BETWEEN 10% AND 20% AND TWO OR MORE CVD RISK FACTORS) WERE INCLUDED. PARTICIPANTS WITH PREVIOUSLY DIAGNOSED CVD, DEFINED AS A HISTORY OF MYOCARDIAL INFARCTION, CONGESTIVE HEART FAILURE, OR CEREBROVASCULAR ACCIDENT, WERE EXCLUDED FROM THE ANALYSIS. HOWEVER, THOSE WITH CONTROLLED HYPERTENSION WERE INCLUDED. INTERVENTION INCLUDED A PRETESTED SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION, WHICH INCLUDED ASANAS (PHYSICAL POSTURES), PRANAYAMA (BREATHING EXERCISES), MEDITATION, RELAXATION TECHNIQUES, STRESS MANAGEMENT, GROUP SUPPORT, NUTRITION AWARENESS PROGRAM, AND INDIVIDUALIZED ADVICE. THE INTERVENTION WAS FOR 10 DAYS, SPREAD OVER 2 WEEKS. HOWEVER, PARTICIPANTS WERE ENCOURAGED TO INCLUDE IT IN THEIR DAY-TO-DAY LIFE. OUTCOMES INCLUDED CHANGES IN FRS, AND ESTIMATED 10-YEAR CVD RISK FROM BASELINE TO WEEK 2. A GENDER-BASED SUBGROUP ANALYSIS WAS ALSO DONE, AND CORRELATION BETWEEN CHANGES IN FRS AND CARDIOVASCULAR RISK FACTORS WAS EVALUATED. RESULTS: DATA FOR 554 SUBJECTS WERE SCREENED, AND 386 SUBJECTS (252 FEMALES) WERE INCLUDED IN THE ANALYSIS. THERE WAS A SIGNIFICANT REDUCTION IN FRS (P < 0.001) AND ESTIMATED 10-YEAR CARDIOVASCULAR RISK (P < 0.001) FOLLOWING THE SHORT-TERM YOGA-BASED INTERVENTION. THERE WAS A STRONG POSITIVE CORRELATION BETWEEN REDUCTION IN FRS AND SERUM TOTAL CHOLESTEROL (R = 0.60; P < 0.001). THERE WAS A MODERATE POSITIVE CORRELATION BETWEEN REDUCTION IN FRS AND LOW-DENSITY LIPOPROTEIN CHOLESTEROL (R = 0.58; P < 0.001), AND A WEAK BUT POSITIVE CORRELATION BETWEEN REDUCTION IN FRS AND TRIGLYCERIDES (R = 0.26; P </= 0.001), SERUM VERY-LOW-DENSITY LIPOPROTEIN CHOLESTEROL (R = 0.29; P < 0.001), AND SYSTOLIC BLOOD PRESSURE (R = 0.20; P </= 0.001). CONCLUSIONS: THIS YOGA-BASED LIFESTYLE INTERVENTION PROGRAM SIGNIFICANTLY REDUCED THE CVD RISK, AS SHOWN BY LOWERED FRS AND ESTIMATED 10-YEAR CVD RISK. FURTHER TESTING OF THIS PROMISING INTERVENTION IS WARRANTED IN THE LONG TERM.	2017	

9  748  32 EFFECT OF SAHAJA YOGA MEDITATION ON QUALITY OF LIFE, ANXIETY, AND BLOOD PRESSURE CONTROL. OBJECTIVE: THE PRESENT STUDY INVESTIGATES THE EFFECT OF SAHAJA YOGA MEDITATION ON QUALITY OF LIFE, ANXIETY, AND BLOOD PRESSURE CONTROL. DESIGN: THE PROSPECTIVE OBSERVATIONAL COHORT STUDY ENROLLED TWO STUDY GROUPS: THOSE RECEIVING TREATMENT FROM THE INTERNATIONAL SAHAJA YOGA RESEARCH AND HEALTH CENTER (MEDITATION GROUP) AND THOSE RECEIVING TREATMENT FROM THE MAHATMA GANDHI MISSION HOSPITAL (CONTROL GROUP). RESEARCHERS MEASURED QUALITY OF LIFE, ANXIETY, AND BLOOD PRESSURE BEFORE AND AFTER TREATMENT. RESULTS: SIXTY-SEVEN (67) PARTICIPANTS IN THE MEDITATION GROUP AND 62 PARTICIPANTS IN THE CONTROL GROUP COMPLETED THE STUDY. THE TWO GROUPS WERE COMPARABLE IN DEMOGRAPHIC AND CLINICAL CHARACTERISTICS. AT BASELINE, THE MEDITATION GROUP HAD HIGHER QUALITY OF LIFE (P<0.001) THAN CONTROLS BUT SIMILAR ANXIETY LEVEL (P=0.74) TO CONTROLS. WITHIN-GROUP PRE- VERSUS POST-TREATMENT COMPARISONS SHOWED SIGNIFICANT IMPROVEMENT IN QUALITY OF LIFE, ANXIETY, AND BLOOD PRESSURE IN THE MEDITATION GROUP (P<0.001), WHILE IN CONTROLS, QUALITY OF LIFE DETERIORATED AND THERE WAS NO IMPROVEMENT IN BLOOD PRESSURE. THE IMPROVEMENT IN QUALITY OF LIFE, ANXIETY REDUCTION, AND BLOOD PRESSURE CONTROL WAS GREATER IN THE MEDITATION GROUP. THE BENEFICIAL EFFECT OF MEDITATION REMAINED SIGNIFICANT AFTER ADJUSTING FOR CONFOUNDERS. CONCLUSIONS: MEDITATION TREATMENT WAS ASSOCIATED WITH SIGNIFICANT IMPROVEMENTS IN QUALITY OF LIFE, ANXIETY REDUCTION, AND BLOOD PRESSURE CONTROL.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
10 1783  49 PREDICTORS OF HEALTH-RELATED QUALITY OF LIFE IN INDIANS WITH METABOLIC SYNDROME UNDERGOING RANDOMIZED CONTROLLED TRIAL OF YOGA-BASED LIFESTYLE INTERVENTION VS DIETARY INTERVENTION. THE PRESENT STUDY EXPLORES THE EFFICACY OF 12-WEEK YOGA + DIET-BASED LIFESTYLE INTERVENTION (YBLI) VS DIETARY INTERVENTION (DI) ON HEALTH-RELATED QUALITY OF LIFE (HRQOL) AND IDENTIFIES THE PREDICTORS OF CHANGE IN HRQOL IN INDIANS WITH METABOLIC SYNDROME (MET S). DATA FROM THE HISTORICAL RANDOMIZED CONTROLLED TRIAL WAS USED INCLUDING ADULTS (N = 260, 20-45 YEARS) WITH MET S. FOUR DOMAINS OF HRQOL WERE MEASURED AT BASELINE, 2 AND 12 WEEKS USING WHOQOL-BREF QUESTIONNAIRE. GENERALIZED ESTIMATING EQUATION AND CHI-SQUARE TEST WAS USED TO COMPARE 12-WEEK CHANGES IN HRQOL DOMAINS AND PROPORTION OF SUBJECTS, RESPECTIVELY. CHANGES IN HRQOL WERE PREDICTED USING REGRESSION MODELS CONCERNING CHANGES IN BODY MASS INDEX (BMI), PHYSICAL ACTIVITY, TOTAL CALORIE INTAKE, ADIPONECTIN, AND SUPEROXIDE DISMUTASE (SOD) LEVELS. EXPLORATORY MEDIATION ANALYSIS WAS CARRIED OUT USING BARON & KENNY APPROACH. YBLI RESULTED IN A SIGNIFICANTLY GREATER INCREASE IN THE PHYSICAL DOMAIN SCORE OF HRQOL THAN DI. A SIGNIFICANTLY GREATER PROPORTION OF SUBJECTS IN YBLI GROUP (71%) SHOWED AN INCREASE IN PHYSICAL DOMAIN SCORES COMPARED TO DI (51%). A UNIT CHANGE IN BMI NEGATIVELY PREDICTED A UNIT CHANGE IN PHYSICAL, PSYCHOLOGICAL AND ENVIRONMENTAL HEALTH. WHEREAS, A UNIT CHANGE IN ADIPONECTIN AND SOD LEVELS POSITIVELY PREDICTED A UNIT CHANGE IN PHYSICAL AND ENVIRONMENTAL HEALTH. PARTIAL MEDIATION BETWEEN YBLI INTERVENTION AND PHYSICAL HRQOL DOMAIN WAS OBSERVED VIA ADIPONECTIN. IN CONCLUSION, A 12-WEEK YBLI HAS A POSITIVE AND GREATER EFFECT ON HRQOL PHYSICAL DOMAIN SCORE THAN FOLLOWING DI ALONE. CHANGES IN BMI, ADIPONECTIN, AND SOD LEVELS MAY PREDICT CHANGES IN HRQOL DOMAINS AFTER LIFESTYLE INTERVENTION.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
11 1392  44 IMPACT OF YOGA AND MEDITATION ON CELLULAR AGING IN APPARENTLY HEALTHY INDIVIDUALS: A PROSPECTIVE, OPEN-LABEL SINGLE-ARM EXPLORATORY STUDY. THIS STUDY WAS DESIGNED TO EXPLORE THE IMPACT OF YOGA AND MEDITATION BASED LIFESTYLE INTERVENTION (YMLI) ON CELLULAR AGING IN APPARENTLY HEALTHY INDIVIDUALS. DURING THIS 12-WEEK PROSPECTIVE, OPEN-LABEL, SINGLE ARM EXPLORATORY STUDY, 96 APPARENTLY HEALTHY INDIVIDUALS WERE ENROLLED TO RECEIVE YMLI. THE PRIMARY ENDPOINTS WERE ASSESSMENT OF THE CHANGE IN LEVELS OF CARDINAL BIOMARKERS OF CELLULAR AGING IN BLOOD FROM BASELINE TO WEEK 12, WHICH INCLUDED DNA DAMAGE MARKER 8-HYDROXY-2'-DEOXYGUANOSINE (8-OH2DG), OXIDATIVE STRESS MARKERS REACTIVE OXYGEN SPECIES (ROS), AND TOTAL ANTIOXIDANT CAPACITY (TAC), AND TELOMERE ATTRITION MARKERS TELOMERE LENGTH AND TELOMERASE ACTIVITY. THE SECONDARY ENDPOINTS WERE ASSESSMENT OF METABOTROPHIC BLOOD BIOMARKERS ASSOCIATED WITH CELLULAR AGING, WHICH INCLUDED CORTISOL, BETA-ENDORPHIN, IL-6, BDNF, AND SIRTUIN-1. AFTER 12 WEEKS OF YMLI, THERE WERE SIGNIFICANT IMPROVEMENTS IN BOTH THE CARDINAL BIOMARKERS OF CELLULAR AGING AND THE METABOTROPHIC BIOMARKERS INFLUENCING CELLULAR AGING COMPARED TO BASELINE VALUES. THE MEAN LEVELS OF 8-OH2DG, ROS, CORTISOL, AND IL-6 WERE SIGNIFICANTLY LOWER AND MEAN LEVELS OF TAC, TELOMERASE ACTIVITY, BETA-ENDORPHIN, BDNF, AND SIRTUIN-1 WERE SIGNIFICANTLY INCREASED (ALL VALUES P < 0.05) POST-YMLI. THE MEAN LEVEL OF TELOMERE LENGTH WAS INCREASED BUT THE FINDING WAS NOT SIGNIFICANT (P = 0.069). YMLI SIGNIFICANTLY REDUCED THE RATE OF CELLULAR AGING IN APPARENTLY HEALTHY POPULATION.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
12 1849  39 QUASI PROSPECTIVE COMPARATIVE STUDY ON EFFECT OF YOGA AMONG PREDIABETICS ON PROGRESSION OF CARDIOVASCULAR RISK FACTORS. INTRODUCTION: PREDIABETIC PATIENTS HAVE HIGHER RISK FOR CARDIOVASCULAR DISEASES, WHICH FURTHER INCREASES THE RATE OF MORTALITY. REASON FOR THE RATE OF INCREASE MAY BE LACK OF OBSERVATION, FOLLOW-UP PROGRAMS, AND SELF-AWARENESS ABOUT THE CONDITIONS OF DISEASE. LIFESTYLE INTERVENTIONS SUCH AS YOGA CAN PROVE TO BE A BENEFICIAL NONPHARMACOLOGIC INTERVENTION IN PREVENTING PROGRESSION OF PREDIABETES TO TYPE 2 DIABETES. THIS STUDY HIGHLIGHTS IMPORTANCE OF SHORT-TERM INTERVENTION, I.E., YOGA IN PREDIABETIC PATIENTS AND USE IT AS A TOOL FOR PRIMARY PREVENTION OF DIABETES. METHODS: THIS WAS AN INTERVENTIONAL STUDY AMONG ADULTS AGED 30-50 YEARS IN RUHS COLLEGE OF MEDICAL SCIENCES AND ASSOCIATED RUKMANI DEVI BENI PRASAD JAIPURIA HOSPITAL IN JAIPUR CITY. THE DESIGN OF STUDY WAS QUASI PROSPECTIVE COMPARATIVE STUDY. A TOTAL OF 102 PREDIABETIC PATIENTS OF AGE GROUP 30-50 YEARS WERE RECRUITED FROM JAIPURIA HOSPITAL. THESE WERE DIVIDED INTO TWO GROUPS: STUDY GROUP (GROUP A, N = 51) WERE ENGAGED IN YOGA SESSION AND CONTROL GROUP (B, N = 51) NOT PERFORMED ANY YOGA SESSION. RESULTS: YOGA INTERVENTION RESULTED IN A SIGNIFICANT DECLINE IN BLOOD GLUCOSE (P < 0.001), GLYCATED HEMOGLOBIN (P < 0.01), LIPID PROFILE CHOLESTEROL (P < 0.01), TRIGLYCERIDE (P < 0.01), AND LOW-DENSITY LIPOPROTEIN (P < 0.01), BUT HIGH-DENSITY LIPOPROTEIN (P < 0.02) AND VERY LOW-DENSITY LIPOPROTEIN INCREASE (P < 0.03) BUT NOT STATISTICALLY SIGNIFICANT RELATIVE TO THE CONTROL GROUP. CONCLUSION: SHORT-TERM YOGA INTERVENTION IS HELPFUL IN THE CONTROL OF GLYCEMIC PARAMETERS LIKE BLOOD GLUCOSE, GLYCATED HEMOGLOBIN AND LIPID PROFILE IN PREDIABETIC PATIENTS. THIS PRELIMINARY STUDY INDICATES THAT A YOGA PROGRAM WOULD BE A POSSIBLE RISK REDUCTION OPTION FOR ADULTS AT HIGH RISK FOR TYPE 2 DIABETES. IN ADDITION, YOGA HOLDS PROMISE AS AN APPROACH TO REDUCING CARDIOMETABOLIC RISK FACTORS AND INCREASING EXERCISE SELF-EFFICACY FOR PREDIABETICS PERFORMING YOGA.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
13  819  44 EFFECT OF YOGA ON DEPRESSION IN HYPOTHYROIDISM: A PILOT STUDY. BACKGROUND: THE PREVALENCE OF HYPOTHYROIDISM AMONG INDIAN WOMEN IS 15.8%. DEPRESSION IS FREQUENTLY REPORTED IN HYPOTHYROIDISM. YOGA IS AN EFFECTIVE INTERVENTION FOR DEPRESSION. HOWEVER, THE INFLUENCE OF YOGA ON DEPRESSION IN PATIENTS WITH HYPOTHYROIDISM HAS NOT BEEN STUDIED. AIM: THE PRESENT STUDY INVESTIGATED THE EFFECT OF A 3-MONTH INTEGRATED YOGA INTERVENTION (3-IY) ON DEPRESSION, LIPID INDICES, AND SERUM THYROID-STIMULATING HORMONE (STSH) LEVELS AMONG FEMALE PATIENTS HAVING HYPOTHYROIDISM, AND MILD-TO-MODERATE DEPRESSION. METHOD: THE PRESENT SINGLE-ARM PRE-POST DESIGN STUDY WAS CONDUCTED IN THIRTY-EIGHT WOMEN (AVERAGE AGE 34.2 +/- 4.7 YEARS). PARTICIPANTS RECEIVED A 3-IY COMPRISING ASANAS, PRANAYAMA, AND RELAXATION TECHNIQUES FOR 60 MIN DAILY (5 DAYS A WEEK). DEPRESSION, STSH, LIPID PROFILE INDICES, BODY MASS INDEX (BMI), FATIGUE, ANXIETY, AND STRESS WERE ASSESSED AT BASELINE AND AFTER 12 WEEKS. THYROID MEDICATION WAS KEPT CONSTANT DURING THE STUDY PERIOD. DATA WERE ANALYSED USING R STUDIO SOFTWARE. RESULT: A SIGNIFICANT (P < 0.05) REDUCTION IN DEPRESSION (58%), STSH (37%), BMI (6%), FATIGUE (64%), ANXIETY (57%), LIPID PROFILE INDICES (HLD INCREASED SIGNIFICANTY), AND STRESS (55%) LEVELS WAS OBSERVED AFTER 3 MONTHS, COMPARED WITH THE CORRESPONDING BASELINE LEVELS. CONCLUSION: THE 3-IY IS USEFUL FOR REDUCING DEPRESSION, DYSLIPIDEMIA, AND STSH IN WOMEN WITH HYPOTHYROIDISM AND DEPRESSION. FURTHER STUDIES WITH A LARGER SAMPLE SIZE AND A ROBUST RESEARCH DESIGN USING OBJECTIVE VARIABLES MUST BE CONDUCTED TO STRENGTHEN THE STUDY FINDINGS.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
14  796  39 EFFECT OF YOGA INTERVENTION ON BIOCHEMICAL, OXIDATIVE STRESS MARKERS, INFLAMMATORY MARKERS AND SLEEP QUALITY AMONG SUBJECTS WITH TYPE 2 DIABETES IN SOUTH INDIA: RESULTS FROM THE SATYAM PROJECT. AIMS: THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFECT OF YOGA INTERVENTION ON THE BIOCHEMICAL, OXIDATIVE STRESS MARKERS AND INFLAMMATORY MARKERS AND SLEEP QUALITY AMONG SUBJECTS WITH TYPE 2 DIABETES. METHODS: SUBJECTS WITH TYPE 2 DIABETES ATTENDING A TERTIARY CARE CENTRE FOR DIABETES DURING FEB 2017 TO OCT 2019 IN CHENNAI, INDIA WERE RANDOMLY ASSIGNED TO TWO DIFFERENT GROUPS. GROUP1(NON-YOGA) (N = 150) WAS ADVISED ON SIMPLE PHYSICAL EXERCISES WHEREAS GROUP2(YOGA) (N = 150) WAS TRAINED AND ADVISED TO DO YOGASANAS WITH STATIC LOOSENING EXERCISES FOR 50 MIN FOR 5 DAYS IN A WEEK. BOTH THE GROUPS WERE FOLLOWED UP FOR A PERIOD OF 3 MONTHS. ANTHROPOMETRIC, BIOCHEMICAL, OXIDATIVE STRESS MARKERS, INFLAMMATORY MARKERS AND SLEEP QUALITY WERE ASSESSED AT BASELINE AND AFTER FOLLOW UP. RESULTS: THERE WAS A SIGNIFICANT REDUCTION IN BMI, BLOOD GLUCOSE LEVELS, HBA1C, LIPID LEVELS, IL6, TNFALPHA AND TBARS IN YOGA GROUP AS COMPARED TO NON-YOGA GROUP. THERE WAS MARKED IMPROVEMENT IN THE LEVELS OF ADIPONECTIN, PTGIS AND SLEEP QUALITY AMONG SUBJECTS PRACTISING YOGASANAS. CONCLUSION: REGULAR PRACTICE OF YOGASANAS IMPROVED GLYCAEMIC CONTROL, OXIDATIVE STRESS, INFLAMMATORY RESPONSE AND SLEEP QUALITY AMONG SUBJECTS WITH TYPE 2 DIABETES. HENCE, YOGASANAS CAN BE USED AS AN ADJUVANT THERAPY FOR MANAGING TYPE 2 DIABETES.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
15 1115  45 EFFICACY OF A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION IN REDUCING STRESS AND INFLAMMATION: PRELIMINARY RESULTS. OBJECTIVES: PREVIOUSLY IT WAS SHOWN THAT A BRIEF YOGA-BASED LIFESTYLE INTERVENTION WAS EFFICACIOUS IN REDUCING OXIDATIVE STRESS AND RISK OF CHRONIC DISEASES EVEN IN A SHORT DURATION. THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFICACY OF THIS INTERVENTION IN REDUCING STRESS AND INFLAMMATION IN PATIENTS WITH CHRONIC INFLAMMATORY DISEASES. DESIGN: THIS STUDY REPORTS PRELIMINARY RESULTS FROM A NONRANDOMIZED PROSPECTIVE ONGOING STUDY WITH PRE-POST DESIGN. SETTING/LOCATION: THE STUDY WAS CONDUCTED AT THE INTEGRAL HEALTH CLINIC, AN OUTPATIENT FACILITY CONDUCTING THESE YOGA-BASED LIFESTYLE INTERVENTION PROGRAMS FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASES. SUBJECTS: PATIENTS WITH CHRONIC INFLAMMATORY DISEASES AND OVERWEIGHT/OBESE SUBJECTS WERE INCLUDED WHILE PHYSICALLY CHALLENGED, AND THOSE ON OTHER INTERVENTIONS WERE EXCLUDED FROM THE STUDY. INTERVENTION: A PRETESTED INTERVENTION PROGRAM INCLUDED ASANAS (POSTURES), PRANAYAMA (BREATHING EXERCISES), STRESS MANAGEMENT, GROUP DISCUSSIONS, LECTURES, AND INDIVIDUALIZED ADVICE. OUTCOME MEASURES: THERE WAS A REDUCTION IN STRESS (PLASMA CORTISOL AND BETA-ENDORPHIN) AND INFLAMMATION (INTERLEUKIN [IL]-6 AND TUMOR NECROSIS FACTOR [TNF]-ALPHA) AT DAY 0 VERSUS DAY 10. RESULTS: EIGHTY-SIX (86) PATIENTS (44 FEMALE, 42 MALE, 40.07 +/- 13.91 YEARS) ATTENDED THIS PROGRAM. OVERALL, THE MEAN LEVEL OF CORTISOL DECREASED FROM BASELINE TO DAY 10 (149.95 +/- 46.07, 129.07 +/- 33.30 NG/ML; P=0.001) WHILE BETA-ENDORPHINS INCREASED FROM BASELINE TO DAY 10 (3.53 +/- 0.88, 4.06 +/- 0.79 NG/ML; P=0.024). ALSO, THERE WAS REDUCTION FROM BASELINE TO DAY 10 IN MEAN LEVELS OF IL-6 (2.16 +/- 0.42, 1.94 +/- 0.10 PG/ML, P=0.036) AND TNF-ALPHA (2.85 +/- 0.59, 1.95 +/- 0.32 PG/ML, P=0.002). CONCLUSIONS: THIS BRIEF YOGA-BASED LIFESTYLE INTERVENTION REDUCED THE MARKERS OF STRESS AND INFLAMMATION AS EARLY AS 10 DAYS IN PATIENTS WITH CHRONIC DISEASES; HOWEVER, COMPLETE RESULTS OF THIS STUDY WILL CONFIRM WHETHER THIS PROGRAM HAS UTILITY AS COMPLEMENTARY AND ALTERNATIVE THERAPY.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                     
16 1328  63 HIGH-DENSITY LIPOPROTEIN CHOLESTEROL INCREASES FOLLOWING A SHORT-TERM YOGA-BASED LIFESTYLE INTERVENTION: A NON-PHARMACOLOGICAL MODULATION. OBJECTIVES: THE OBJECTIVE OF THE STUDY WAS TO ASSESS THE EFFECT OF A BRIEF BUT COMPREHENSIVE YOGA-BASED LIFESTYLE INTERVENTION ON HIGH-DENSITY LIPOPROTEIN CHOLESTEROL (HDL-C). METHODS: THIS PROSPECTIVE INTERVENTIONAL STUDY WAS PERFORMED AT THE INTEGRAL HEALTH CLINIC (IHC), AN OUTPATIENT FACILITY AT ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, A TERTIARY HEALTH CARE CENTRE, CONDUCTING YOGA-BASED LIFESTYLE INTERVENTION PROGRAMMES FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASES. THE STUDY INCLUDED APPARENTLY HEALTHY NORMAL WEIGHT, OVERWEIGHT AND OBESE SUBJECTS WHO UNDERWENT A PRETESTED 10-DAY YOGA-BASED PROGRAMME INCLUDING ASANAS (POSTURES), PRANAYAMA (BREATHING EXERCISES), MEDITATION, GROUP DISCUSSIONS, LECTURES AND INDIVIDUALIZED ADVICE ON STRESS MANAGEMENT AND HEALTHY DIET. THE PRIMARY OUTCOME MEASURE WAS CHANGE IN SERUM HDL-C AT DAY 10 VERSUS DAY 0. RESULTS: 238 PARTICIPANTS (147 WOMEN, 91 MEN, 38.81+/-11.40 YEARS) WERE INCLUDED IN THE STUDY. THERE WAS A SIGNIFICANT INCREASE IN HDL-C LEVELS FROM BASELINE TO DAY 10 (42.93+/-5.00 VS 43.52+/-5.07 MG/DL, P = 0.043). NOTABLY, HDL-C WAS SIGNIFICANTLY IMPROVED IN THOSE FOR WHOM THE BASELINE HDL-C LEVELS WERE LOWER THAN THE RECOMMENDED VALUES. ALSO, THERE WAS A REDUCTION IN BLOOD PRESSURE, FASTING BLOOD GLUCOSE, AND IMPROVEMENT IN OTHER LIPID PROFILE VARIABLES. CONCLUSION: THIS YOGA-BASED LIFESTYLE INTERVENTION SIGNIFICANTLY INCREASED HDL-C LEVELS IN A SHORT DURATION OF 10 DAYS. THIS HAS ADDITIONAL CLINICAL RELEVANCE AS HDL-C IS SUGGESTED TO BE ONE OF THE STRONGEST STATISTICALLY INDEPENDENT PREDICTORS OF MAJOR CARDIOVASCULAR EVENTS.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
17 1081  37 EFFECTS OF YOGA ON SEXUAL FUNCTION IN WOMEN WITH METABOLIC SYNDROME: A RANDOMIZED CONTROLLED TRIAL. INTRODUCTION: FEMALE SEXUAL DYSFUNCTION IS AN IMPORTANT PUBLIC HEALTH ISSUE; IT HAS A HIGH GLOBAL PREVALENCE, BUT NO EFFECTIVE AND SAFE TREATMENT OPTIONS. THE PREVALENCE OF SEXUAL DYSFUNCTION IS HIGHER IN WOMEN WITH METABOLIC SYNDROME THAN IN THE GENERAL POPULATION. AIM: THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFICACY OF YOGA AS A TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME. METHODS: IN THIS RANDOMIZED, CONTROLLED STUDY, 41 WOMEN WITH METABOLIC SYNDROME (AGE 30-60 YEARS) WERE ASSIGNED TO A 12-WEEK YOGA EXERCISE GROUP (N=20) OR A WAIT-LISTED CONTROL GROUP (N=21). MAIN OUTCOME MEASURES: PRIMARY END POINTS WERE CHANGES IN TOTAL AND INDIVIDUAL DOMAIN SCORES ON THE FEMALE SEXUAL FUNCTION INDEX. RESULTS: THE 12-WEEK YOGA INTERVENTION RESULTED IN SIGNIFICANT IMPROVEMENT IN AROUSAL (0.74+/-1.18 VS. 0.16+/-0.82, RESPECTIVELY; P=0.042) AND LUBRICATION (0.72+/-1.12 VS. 0.06+/-0.87, RESPECTIVELY; P=0.008) COMPARED WITH THE CONTROL GROUP. SYSTOLIC BLOOD PRESSURE SHOWED SIGNIFICANTLY GREATER IMPROVEMENT IN THE YOGA GROUP THAN IN THE CONTROL GROUP AT THE 12-WEEK FOLLOW UP (-3.5+/-13.7 VS. 2.0+/-14.7, RESPECTIVELY; P=0.040). CONCLUSION: THESE FINDINGS SUGGEST THAT YOGA MAY BE AN EFFECTIVE TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME AS WELL AS FOR METABOLIC RISK FACTORS.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
18  716  40 EFFECT OF INTEGRATED YOGA PRACTICES ON IMMUNE RESPONSES IN EXAMINATION STRESS - A PRELIMINARY STUDY. BACKGROUND: STRESS IS OFTEN ASSOCIATED WITH AN INCREASED OCCURRENCE OF AUTONOMIC, CARDIOVASCULAR, AND IMMUNE SYSTEM PATHOLOGY. THIS STUDY WAS DONE TO EVALUATE THE IMPACT OF STRESS ON PSYCHOLOGICAL, PHYSIOLOGICAL PARAMETERS, AND IMMUNE SYSTEM DURING MEDICAL TERM -ACADEMIC EXAMINATION AND THE EFFECT OF YOGA PRACTICES ON THE SAME. MATERIALS AND METHODS: THE STUDY WAS CARRIED OUT ON SIXTY FIRST-YEAR MBBS STUDENTS RANDOMLY ASSIGNED TO YOGA GROUP AND CONTROL GROUP (30 EACH). THE YOGA GROUP UNDERWENT INTEGRATED YOGA PRACTICES FOR 35 MINUTES DAILY IN THE PRESENCE OF TRAINED YOGA TEACHER FOR 12 WEEKS. CONTROL GROUP DID NOT UNDERGO ANY KIND OF YOGA PRACTICE OR STRESS MANAGEMENT. PHYSIOLOGICAL PARAMETERS LIKE HEART RATE, RESPIRATORY RATE, AND BLOOD PRESSURE WERE MEASURED. GLOBAL ASSESSMENT OF RECENT STRESS SCALE AND SPIELBERGERS STATE ANXIETY SCORE WERE ASSESSED AT BASELINE AND DURING THE EXAMINATION. SERUM CORTISOL LEVELS, IL-4, AND IFN-GAMMA LEVELS WERE DETERMINED BY ENZYME-LINKED IMMUNOSORBENT ASSAY TECHNIQUE. RESULT: IN THE YOGA GROUP, NO SIGNIFICANT DIFFERENCE WAS OBSERVED IN PHYSIOLOGICAL PARAMETERS DURING THE EXAMINATION STRESS, WHEREAS IN THE CONTROL GROUP, A SIGNIFICANT INCREASE WAS OBSERVED. LIKEWISE, THE INDICATORS OF PSYCHOLOGICAL STRESS SHOWED HIGHLY SIGNIFICANT DIFFERENCE IN CONTROL GROUP COMPARED WITH SIGNIFICANT DIFFERENCE IN YOGA GROUP. DURING THE EXAMINATION, THE INCREASE IN SERUM CORTICAL AND DECREASE IN SERUM IFN-GAMMA IN YOGA GROUP WAS LESS SIGNIFICANT (P<0.01) THAN IN THE CONTROL GROUP (P<0.001). BOTH THE GROUPS DEMONSTRATED AN INCREASE IN SERUM IL-4 LEVELS, THE CHANGES BEING INSIGNIFICANT FOR THE DURATION OF THE STUDY. CONCLUSION: YOGA RESISTS THE AUTONOMIC CHANGES AND IMPAIRMENT OF CELLULAR IMMUNITY SEEN IN EXAMINATION STRESS.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
19 2834  48 YOGA'S EFFECT ON INFLAMMATORY BIOMARKERS AND METABOLIC RISK FACTORS IN A HIGH RISK POPULATION - A CONTROLLED TRIAL IN PRIMARY CARE. BACKGROUND: YOGA CAN REDUCE BLOOD PRESSURE AND HAS ALSO BEEN SUGGESTED TO REDUCE INFLAMMATORY BIOMARKERS AND METABOLIC RISK FACTORS FOR CARDIOVASCULAR DISEASES (CVDS). WE AIMED TO ASSESS THE BENEFIT OF TWO YOGA INTERVENTIONS ON INFLAMMATORY BIOMARKERS AND METABOLIC RISK FACTORS IN A HIGH RISK POPULATION IN PRIMARY CARE. METHODS: ADULT PATIENTS FROM A HEALTH CARE CENTER IN SWEDEN, WITH DIAGNOSED HYPERTENSION, WERE INVITED TO UNDERGO A BASELINE CHECK AT THE HEALTH CARE CENTER. BASELINE CHECK INCLUDED STANDARDIZED BLOOD PRESSURE MEASUREMENT, BMI AND WEIGHT CIRCUMFERENCE MEASUREMENTS, BLOOD SAMPLING (HS-CRP, IL-6, FP-GLUCOSE, HBA1C, CHOLESTEROL, TG, LDL AND HDL) AND A QUESTIONNAIRE ON SELF-RATED QUALITY OF LIFE (WHOQOL-BREF). THERE WERE THREE GROUPS: 1) YOGA CLASS WITH YOGA INSTRUCTOR; 2) YOGA AT HOME; AND 3) A CONTROL GROUP. IN TOTAL, 83 PATIENTS WERE INCLUDED AND MATCHED AT THE GROUP LEVEL FOR SYSTOLIC BLOOD PRESSURE. A MAJORITY OF THE PATIENTS (92 %) WERE ON ANTIHYPERTENSIVE MEDICATION, WHICH THEY WERE REQUESTED NOT TO CHANGE DURING THE STUDY. AFTER 12 WEEKS OF INTERVENTION, THE ASSESSMENTS WERE PERFORMED AGAIN. RESULTS: WE RECORDED NO EVIDENCE THAT YOGA ALTERED INFLAMMATORY BIOMARKERS OR METABOLIC RISK FACTORS IN OUR STUDY POPULATION. A TOTAL OF 49 PARTICIPANTS (59 %) MET THE CRITERIA FOR METABOLIC SYNDROME. CONCLUSION: THE YOGA INTERVENTIONS PERFORMED IN OUR STUDY DID NOT AFFECT INFLAMMATORY BIOMARKERS OR METABOLIC RISK FACTORS ASSOCIATED WITH CVD IN THE STUDY POPULATION OF PRIMARY CARE PATIENTS WITH HYPERTENSION. FURTHER RANDOMIZED TRIALS ARE NEEDED TO ELUCIDATE THE EFFECTS OF YOGA ON CVD RISK FACTORS IN THIS PARTICULAR GROUP. TRAIL REGISTRATION: NCT01302535 , FEBRUARY 22, 2011.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
20  527  42 COMPARISON OF LYMPHOCYTE APOPTOTIC INDEX AND QUALITATIVE DNA DAMAGE IN YOGA PRACTITIONERS AND BREAST CANCER PATIENTS: A PILOT STUDY. BACKGROUND: YOGA IS FOUND TO BE EFFECTIVE IN REDUCING STRESS LEVELS AND RADIATION-INDUCED DNA DAMAGE, AND IMPROVING THE QUALITY OF LIFE, IN BREAST CANCER PATIENTS. THE PRESENT STUDY WAS AIMED AT COMPARING THE APOPTOTIC INDEX (AI) AND DNA DAMAGE OF ADVANCED YOGA PRACTITIONERS WITH THOSE OF BREAST CANCER PATIENTS. MATERIALS AND METHODS: THIS CROSS-SECTIONAL PILOT STUDY COMPARED THREE GROUPS (N = 9 EACH) OF AGE-MATCHED SUBJECTS VIZ. (1) CARCINOMA BREAST PATIENTS IN STAGE II OR III UNDERGOING RADIATION THERAPY AFTER COMPLETING THREE CYCLES OF CHEMOTHERAPY; (2) SENIOR YOGA PRACTITIONERS WHO WERE PRACTICING ASANAS, PRANAYAMA AND MEDITATION DAILY FOR MORE THAN 10 YEARS; AND (3) NORMAL HEALTHY VOLUNTEERS. PERIPHERAL BLOOD LYMPHOCYTES WERE ISOLATED, AND QUALITATIVE DNA DAMAGE (QDD) AND AI WERE EVALUATED BY SINGLE-CELL GEL ELECTROPHORESIS ASSAY. APPROXIMATELY 500 CELLS WERE COUNTED IN EACH CASE. NUMBER OF CELLS THAT WERE NORMAL, UNDERGOING APOPTOSIS, AND WITH DNA DAMAGE WERE CATEGORIZED AND PERCENTAGES WERE CALCULATED. RESULTS: DATA BEING NORMALLY DISTRIBUTED, ONE-WAY ANALYSIS OF VARIANCE (ANOVA) SHOWED SIGNIFICANT INTERACTION BETWEEN GROUPS IN AI (P = 0.016) AND QDD (P = 0.045). ON POST-HOC ANALYSIS USING SCHEFFE TEST, AI WAS SIGNIFICANTLY LOWER IN NON-YOGA VOLUNTEERS AS COMPARED WITH THE BREAST CANCER GROUP (P = 0.019) AND QDD WAS SIGNIFICANTLY LOWER IN YOGA PRACTITIONERS WHEN COMPARED WITH NON-YOGA VOLUNTEERS (P = 0.047). CONCLUSION: CELLULAR DYSFUNCTION (QDD) REQUIRES RESTORATIVE MECHANISMS (AI) TO RESTORE THE SYSTEM TO A BALANCE. THE RESULTS OF THIS PILOT STUDY SHOW TRENDS, WHICH INDICATE THAT IN ILL-HEALTH, THERE IS INADEQUATE RESTORATIVE MECHANISMS (AI) ALTHOUGH DYSFUNCTION (QDD) IS HIGH. THROUGH REGULAR PRACTICE OF YOGA, CELLULAR DYSFUNCTION CAN BE LOWERED, THUS NECESSITATING REDUCED RESTORATIVE MECHANISMS. AI AND QDD COULD ALSO BE USEFUL INDICATORS FOR PREDICTING THE THREE ZONES OF HEALTH VIZ. DISEASE, HEALTH, AND POSITIVE HEALTH.	2013