1 103 157 A PILOT CROSS-SECTIONAL SURVEY ON AWARENESS AND PRACTICE REGARDING TYPE 2 DIABETES MELLITUS AND ITS MANAGEMENT WITH YOGA. DIABETES MELLITUS IS A METABOLIC DISORDER OF MULTIPLE ETIOLOGY, CHARACTERIZED BY CHRONIC HYPERGLYCAEMIA WITH DISTURBANCE OF CARBOHYDRATE, FAT, AND PROTEIN METABOLISM RESULTING FROM DEFECT IN INSULIN SECRETION, INSULIN ACTION OR BOTH. IMPROPER LIFESTYLE CONTRIBUTES TO THE INCREASING NUMBER OF PEOPLE AFFECTED WITH TYPE 2 DIABETES MELLITUS (T2DM). SYSTEMATIC REVIEWS ON THE MANAGEMENT OF T2DM IN ADULTS THROUGH YOGA REPORTED SIGNIFICANT IMPROVEMENTS IN MULTIPLE MODIFIABLE INDICES OF DIABETES MELLITUS MANAGEMENT INCLUDING GLYCEMIC CONTROL, LIPID LEVELS, AND BODY COMPOSITION. AWARENESS LEVELS OF A CONDITION AMONG THE POPULATION PLAY A CRITICAL ROLE IN BEHAVIOUR CHANGE. HOWEVER, STUDIES RELATED TO ASSESSING THE AWARENESS AND PRACTICE OF YOGA FOR MANAGING DISEASES ARE LIMITED. HENCE, THIS STUDY WAS FORMULATED WITH THE OBJECTIVE OF ASSESSING THE AWARENESS LEVEL AND EXTENT OF KNOWLEDGE ABOUT DIABETES MELLITUS AND ITS MANAGEMENT THROUGH YOGA. A CROSS-SECTIONAL SURVEY WITH A SAMPLE SIZE OF 317 WAS CONDUCTED USING A STRUCTURED QUESTIONNAIRE AT 5 DISTRICTS IN TAMIL NADU AND KERALA. 95% OF THE STUDY POPULATION WERE AWARE OF DIABETES MELLITUS WHILE 61.2% RESPONDED THAT DIABETES CAN BE PREVENTED BY REGULAR EXERCISE AND HEALTHY DIET. 62.4% PEOPLE PERCEIVED THAT YOGA PRACTICES CAN PREVENT DIABETES MELLITUS AND 59% MENTIONED THAT REGULAR YOGA PRACTICE CAN HELP IN CONTROLLING DIABETES AND PREVENT FURTHER COMPLICATIONS. ONLY 13% REPORTED TO PRACTICE YOGA REGULARLY AT LEAST THREE DAYS A WEEK. IDENTIFYING A QUALIFIED YOGA TRAINER WAS REPORTED TO BE A LIMITING FACTOR FOR REGULAR YOGA PRACTICE. THE STUDY SUGGESTED THAT THERE IS A NEED TO INCREASE THE ACCESS TO QUALIFIED YOGA PROFESSIONALS AT COMMUNITY LEVEL. FURTHER LARGE SCALE STUDIES WITH RANDOM SAMPLING METHOD TO ASSESS THE AWARENESS LEVEL AND PRACTICE OF YOGA IN DIFFERENT SETTINGS IS INDICATED. 2020 2 549 26 CONTEXTUALIZING THE EFFECTS OF YOGA THERAPY ON DIABETES MANAGEMENT: A REVIEW OF THE SOCIAL DETERMINANTS OF PHYSICAL ACTIVITY. THIS ARTICLE PROVIDES A REVIEW OF LITERATURE BOTH TO IDENTIFY THE EFFECTS OF YOGA-BASED THERAPY ON THE MANAGEMENT OF TYPE 2 DIABETES MELLITUS AND TO EXAMINE THE SOCIAL CONTEXT OF PHYSICAL ACTIVITY. FINDINGS FROM THE REVIEW INDICATE THAT YOGA HAS A POSITIVE SHORT-TERM EFFECT ON MULTIPLE DIABETES-RELATED OUTCOMES; HOWEVER, LONG-TERM EFFECTS OF YOGA THERAPY ON DIABETES MANAGEMENT REMAIN UNCLEAR. THE CONTEXT OF THE SOCIAL ENVIRONMENT, INCLUDING INTERPERSONAL RELATIONSHIPS, COMMUNITY CHARACTERISTICS, AND DISCRIMINATION, INFLUENCES THE ADOPTION AND MAINTENANCE OF HEALTH BEHAVIORS SUCH AS PHYSICAL ACTIVITY, INCLUDING YOGA PRACTICE. FURTHER RESEARCH IS NECESSARY TO DETERMINE THE EXTENT OF THIS INFLUENCE. 2008 3 94 37 A NARRATIVE REVIEW ON ROLE OF YOGA AS AN ADJUVANT IN THE MANAGEMENT OF RISK FACTOR, DISEASE PROGRESSION AND THE COMPLICATIONS OF TYPE 2 DIABETES MELLITUS. TYPE 2 DIABETES MELLITUS (T2DM) IS ONE OF THE MAJOR HEALTH PROBLEMS IN THE WORLD AS WELL AS IN INDIA THAT GREATLY AFFECTS THE HEALTH CARE SECTOR AND ECONOMY. USE OF DRUGS HAS ITS OWN DRAWBACKS AND IN RECENT DAYS THE USE OF NON-MEDICAL MEASURES WERE REPORTED NOT ONLY TO MANAGE T2DM, BUT ALSO TO PREVENT ITS COMPLICATIONS. THROUGH THERE ARE VARIOUS REVIEW ARTICLES THAT ARE DEALING WITH THE EFFECT OF YOGA ON RISK PROFILES, MANAGEMENT ALONG WITH THE MECHANISMS OF ACTION OF YOGA IN T2DM SEPARATELY, THERE IS A LACK OF COMPREHENSIVE REVIEW ON THE EFFECT OF YOGA IN COMBINATION WITH ALL THE ABOVE MENTIONED INCLUDING THE EFFECT OF YOGA IN THE MANAGEMENT OF T2DM COMPLICATIONS. HENCE, WE PERFORMED A NARRATIVE REVIEW IN MEDLINE/PUBMED USING KEYWORD "YOGA AND DIABETES". ALL THE RELEVANT ARTICLES PUBLISHED TILL 08TH NOVEMBER 2016 WERE INCLUDED. BASED ON THE AVAILABLE LITERATURE, IT COULD BE CONCLUDED THAT YOGA PLAYS A VITAL ROLE AS AN ADJUVANT IN THE MANAGEMENT OF RISK FACTORS, DISEASE PROGRESSION AND THE COMPLICATIONS OF THE T2DM. FURTHER STUDIES ARE WARRANTED USING STANDARD RESEARCH DESIGNS AND VARIABLES TO FIND OUT THE VARIOUS MECHANISMS OF EFFECTS OF YOGA IN DETAIL. 2017 4 1303 38 HATHA YOGA PRACTICE FOR TYPE 2 DIABETES MELLITUS PATIENTS: A PILOT STUDY. OBJECTIVE: THIS STUDY WAS CONDUCTED TO EXAMINE THE IMPACT OF HATHA YOGA ON GLYCEMIC CONTROL, PSYCHOLOGICAL AND PHYSIOLOGICAL STRESS, AND SELF-CARE FOR INDIVIDUALS WITH TYPE 2 DIABETES MELLITUS (T2DM). METHODS: TEN SEDENTARY INDIVIDUALS WITH T2DM WHO WERE NON-INSULIN DEPENDENT, FREE OF DIABETES-RELATED COMPLICATIONS, AND HAD NO PREVIOUS YOGA EXPERIENCE COMPLETED THERAPEUTIC YOGA CLASSES FOR 6 WEEKS, 3 TIMES PER WEEK . GLYCEMIC CONTROL MEASURES INCLUDED FASTING BLOOD GLUCOSE, GLYCATED HEMOGLOBIN, AND FASTING INSULIN. THE STATE-TRAIT ANXIETY INVENTORY, PERCEIVED STRESS SCALE, AND SALIVARY CORTISOL WERE USED TO ASSESS LEVELS OF STRESS, AND THE SUMMARY OF DIABETES SELF-CARE ACTIVITIES QUESTIONNAIRE WAS USED TO ASSESS REGIMEN ADHERENCE. RESULTS: NO SIGNIFICANT CHANGES IN GLUCOSE CONTROL OR PHYSIOLOGICAL STRESS WERE FOUND; HOWEVER, SIGNIFICANT CHANGES IN PERCEIVED STRESS, STATE ANXIETY, AND SELF-CARE BEHAVIORS WERE DETECTED. CONCLUSIONS: PRELIMINARY FINDINGS SUPPORT FURTHER INVESTIGATION OF THE BENEFITS OF HATHA YOGA AS A COMPLEMENTARY THERAPY FOR THOSE WITH T2DM. 2013 5 2063 40 THE BENEFITS OF YOGA PRACTICE COMPARED TO PHYSICAL EXERCISE IN THE MANAGEMENT OF TYPE 2 DIABETES MELLITUS: A SYSTEMATIC REVIEW AND META-ANALYSIS. YOGA IS INCREASINGLY USED AS AN ADJUNCTIVE THERAPY IN THE MANAGEMENT OF TYPE-2 DIABETES MELLITUS (T2DM). THE PRESENT STUDY AIMS TO SYSTEMATICALLY EVALUATE THE LITERATURE AND PERFORM A META-ANALYSIS ON THE EFFECTS OF YOGA PRACTICE COMPARED TO PHYSICAL EXERCISE IN THE MANAGEMENT OF T2DM. DATA WERE OBTAINED USING A STEPWISE SEARCH PROCESS USING KEYWORDS IN THE FOLLOWING ONLINE MEDICAL DATABASES; PUBMED, WEB OF SCIENCE AND SCOPUS. ALL CONTROLLED CLINICAL TRIALS INVOLVING PATIENTS WITH T2DM, COMPARING YOGA AS AN INTERVENTION WITH PHYSICAL EXERCISE AND EVALUATING GLYCAEMIC CONTROL AND OTHER OUTCOMES BETWEEN THE INTERVENTION AND CONTROL GROUPS WERE INCLUDED IN THE ANALYSIS. EIGHT STUDIES WERE ELIGIBLE TO BE INCLUDED IN THE SYSTEMATIC REVIEW. IN TOTAL, 842 PARTICIPANTS WERE ASSIGNED TO A YOGA INTERVENTION OR A CONTROL GROUP WITH AN EXERCISE INTERVENTION AND THE AGE RANGE OF PARTICIPANTS WAS 30-78 YEARS. A SIGNIFICANT REDUCTION IN FBG (15.16MG/DL), PPBG (28.66MG/DL), HBA1C (0.39%) AND BMI (0.71KG/M2) WAS NOTED IN THE INTERVENTION GROUP ('YOGA') COMPARED TO THE CONTROL GROUP ('PHYSICAL EXERCISE') IN THE POOLED ANALYSIS. WE DID NOT OBSERVE ANY SIGNIFICANT DIFFERENCE BETWEEN THE TWO GROUPS FOR LIPID PARAMETERS, OTHER BODY COMPOSITION MEASURES (WC AND WHR) AND BLOOD PRESSURE. IN CONCLUSION, OUR RESULTS SHOW THAT YOGA HAS BENEFICIAL EFFECTS ON GLYCAEMIC CONTROL IN COMPARISON TO PHYSICAL EXERCISE IN T2DM HOWEVER, INDIVIDUAL STUDIES SHOWED CONSIDERABLE HETEROGENEITY. HENCE, FURTHER WELL-CONTROLLED RANDOMIZED TRIALS ARE REQUIRED PRIOR TO DRAWING CONCLUSIONS ABOUT THE BENEFITS OF YOGA IN COMPARISON TO PHYSICAL EXERCISE. 2018 6 1928 41 ROLE OF YOGA IN DIABETES. THE SCIENCE OF YOGA IS AN ANCIENT ONE. IT IS A RICH HERITAGE OF OUR CULTURE. SEVERAL OLDER BOOKS MAKE A MENTION OF THE USEFULNESS OF YOGA IN THE TREATMENT OF CERTAIN DISEASES AND PRESERVATION OF HEALTH IN NORMAL INDIVIDUALS. THE EFFECT OF YOGIC PRACTICES ON THE MANAGEMENT OF DIABETES HAS NOT BEEN INVESTIGATED WELL. WE CARRIED OUT WELL DESIGNED STUDIES IN NORMAL INDIVIDUALS AND THOSE WITH DIABETES TO ASSESS THE ROLE OF YOGIC PRACTICES ON GLYCAEMIC CONTROL, INSULIN KINETICS, BODY COMPOSITION EXERCISE TOLERANCE AND VARIOUS CO-MORBIDITIES LIKE HYPERTENSION AND DYSLIPIDEMIA. THESE STUDIES WERE BOTH SHORT TERM AND LONG-TERM. THESE STUDIES HAVE CONFIRMED THE USEFUL ROLE OF YOGA IN THE CONTROL OF DIABETES MELLITUS. FASTING AND POSTPRANDIAL BLOOD GLUCOSE LEVELS CAME DOWN SIGNIFICANTLY. GOOD GLYCAEMIC STATUS CAN BE MAINTAINED FOR LONG PERIODS OF TIME. THERE WAS A LOWERING OF DRUG REQUIREMENT AND THE INCIDENCE OF ACUTE COMPLICATIONS LIKE INFECTION AND KETOSIS WAS SIGNIFICANTLY REDUCED. THERE WERE SIGNIFICANT CHANGES IN THE INSULIN KINETICS AND THOSE OF COUNTER-REGULATORY HORMONES LIKE CORTISOL. THERE WAS A DECREASE IN FREE FATTY ACIDS. THERE WAS AN INCREASE IN LEAN BODY MASS AND DECREASE IN BODY FAT PERCENTAGE. THE NUMBER OF INSULIN RECEPTORS WAS ALSO INCREASED. THERE WAS AN IMPROVEMENT IN INSULIN SENSITIVITY AND DECLINE IN INSULIN RESISTANCE. ALL THESE SUGGEST THAT YOGIC PRACTICES HAVE A ROLE EVEN IN THE PREVENTION OF DIABETES. THERE IS A BENEFICIAL EFFECT ON THE CO-MORBID CONDITIONS LIKE HYPERTENSION AND DYSLIPIDEMIA. 2007 7 784 33 EFFECT OF YOGA BASED LIFESTYLE INTERVENTION ON SUBJECTIVE WELL-BEING. YOGA IS ASSUMING IMPORTANCE IN IMPROVING MENTAL HEALTH AND QUALITY OF LIFE IN THE TREATMENT OF A NUMBER OF PSYCHIATRIC AND PSYCHOSOMATIC DISORDERS. THE PRESENT STUDY WAS A PROSPECTIVE CONTROLLED STUDY TO EXPLORE THE SHORT-TERM IMPACT OF A COMPREHENSIVE BUT BRIEF LIFESTYLE INTERVENTION, BASED ON YOGA, ON SUBJECTIVE WELL BEING LEVELS IN NORMAL AND DISEASED SUBJECTS. NORMAL HEALTHY INDIVIDUALS AND SUBJECTS HAVING HYPERTENSION, CORONARY ARTERY DISEASE, DIABETES MELLITUS OR A VARIETY OF OTHER ILLNESSES WERE INCLUDED IN THE STUDY. THE OUTCOME MEASURES WERE 'SUBJECTIVE WELL BEING INVENTORY' (SUBI) SCORES, TAKEN ON THE FIRST AND LAST DAY OF THE COURSE. THE INVENTORY CONSISTS OF QUESTIONS RELATED TO ONE'S FEELINGS AND ATTITUDE ABOUT VARIOUS AREAS OF LIFE, SUCH AS HAPPINESS, ACHIEVEMENT AND INTERPERSONAL RELATIONSHIP. THERE WAS SIGNIFICANT IMPROVEMENT IN THE SUBJECTIVE WELL BEING SCORES OF THE 77 SUBJECTS WITHIN A PERIOD OF 10 DAYS AS COMPARED TO CONTROLS. THESE OBSERVATIONS SUGGEST THAT A SHORT LIFESTYLE MODIFICATION AND STRESS MANAGEMENT EDUCATIONAL PROGRAM LEADS TO REMARKABLE IMPROVEMENT IN THE SUBJECTIVE WELL BEING SCORES OF THE SUBJECTS AND CAN THEREFORE MAKE AN APPRECIABLE CONTRIBUTION TO PRIMARY PREVENTION AS WELL AS MANAGEMENT OF LIFESTYLE DISEASES. 2008 8 2353 38 UTILIZATION OF 3-MONTH YOGA PROGRAM FOR ADULTS AT HIGH RISK FOR TYPE 2 DIABETES: A PILOT STUDY. VARIOUS MODES OF PHYSICAL ACTIVITY, COMBINED WITH DIETING, HAVE BEEN WIDELY RECOMMENDED TO PREVENT OR DELAY TYPE 2 DIABETES. AMONG THESE, YOGA HOLDS PROMISE FOR REDUCING RISK FACTORS FOR TYPE 2 DIABETES BY PROMOTING WEIGHT LOSS, IMPROVING GLUCOSE LEVELS AND REDUCING BLOOD PRESSURE AND LIPID LEVELS. THIS PILOT STUDY AIMED TO ASSESS THE FEASIBILITY OF IMPLEMENTING A 12-WEEK YOGA PROGRAM AMONG ADULTS AT HIGH RISK FOR TYPE 2 DIABETES. TWENTY-THREE ADULTS (19 WHITES AND 4 NON-WHITES) WERE RANDOMLY ASSIGNED TO THE YOGA INTERVENTION GROUP OR THE EDUCATIONAL GROUP. THE YOGA GROUP PARTICIPATED IN A 3-MONTH YOGA INTERVENTION WITH SESSIONS TWICE PER WEEK AND THE EDUCATIONAL GROUP RECEIVED GENERAL HEALTH EDUCATIONAL MATERIALS EVERY 2 WEEKS. ALL PARTICIPANTS COMPLETED QUESTIONNAIRES AND HAD BLOOD TESTS AT BASELINE AND AT THE END OF 3 MONTHS. EFFECT SIZES WERE REPORTED TO SUMMARIZE THE EFFICACY OF THE INTERVENTION. ALL PARTICIPANTS ASSIGNED TO THE YOGA INTERVENTION COMPLETED THE YOGA PROGRAM WITHOUT COMPLICATION AND EXPRESSED HIGH SATISFACTION WITH THE PROGRAM (99.2%). THEIR YOGA SESSION ATTENDANCE RANGED FROM 58.3 TO 100%. COMPARED WITH THE EDUCATION GROUP, THE YOGA GROUP EXPERIENCED IMPROVEMENTS IN WEIGHT, BLOOD PRESSURE, INSULIN, TRIGLYCERIDES AND EXERCISE SELF-EFFICACY INDICATED BY SMALL TO LARGE EFFECT SIZES. 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 THIS GROUP. 2011 9 2416 33 YOGA AND MEDITATION IN CARDIOVASCULAR DISEASE. YOGA IS A HOLISTIC MIND-BODY INTERVENTION AIMED AT PHYSICAL, MENTAL, EMOTIONAL AND SPIRITUAL WELL BEING. SEVERAL STUDIES HAVE SHOWN THAT YOGA AND/OR MEDITATION CAN CONTROL RISK FACTORS FOR CARDIOVASCULAR DISEASE LIKE HYPERTENSION, TYPE II DIABETES AND INSULIN RESISTANCE, OBESITY, LIPID PROFILE, PSYCHOSOCIAL STRESS AND SMOKING. SOME RANDOMIZED STUDIES SUGGEST THAT YOGA/MEDITATION COULD RETARD OR EVEN REGRESS EARLY AND ADVANCED CORONARY ATHEROSCLEROSIS. A RECENT STUDY SUGGESTS THAT TRANSCENDENTAL MEDITATION MAY BE EXTREMELY USEFUL IN SECONDARY PREVENTION OF CORONARY HEART DISEASE AND MAY REDUCE CARDIOVASCULAR EVENTS BY 48% OVER A 5-YEAR PERIOD. ANOTHER SMALL STUDY SUGGESTS THAT YOGA MAY BE HELPFUL IN PREVENTION OF ATRIAL FIBRILLATION. HOWEVER, MOST STUDIES HAVE SEVERAL LIMITATIONS LIKE LACK OF ADEQUATE CONTROLS, SMALL SAMPLE SIZE, INCONSISTENCIES IN BASELINE AND DIFFERENT METHODOLOGIES, ETC. AND THEREFORE LARGE TRIALS WITH IMPROVED METHODOLOGIES ARE REQUIRED TO CONFIRM THESE FINDINGS. HOWEVER, IN VIEW OF THE EXISTING KNOWLEDGE AND YOGA BEING A COST-EFFECTIVE TECHNIQUE WITHOUT SIDE EFFECTS, IT APPEARS APPROPRIATE TO INCORPORATE YOGA/MEDITATION FOR PRIMARY AND SECONDARY PREVENTION OF CARDIOVASCULAR DISEASE. 2014 10 204 27 A REVIEW OF YOGA PROGRAMS FOR FOUR LEADING RISK FACTORS OF CHRONIC DISEASES. YOGA, A FORM OF PHYSICAL ACTIVITY, IS RAPIDLY GAINING IN POPULARITY AND HAS MANY HEALTH BENEFITS. YET HEALTHCARE PROVIDERS HAVE BEEN SLOW TO RECOGNIZE YOGA FOR ITS ABILITY TO IMPROVE HEALTH CONDITIONS, AND FEW INTERVENTIONS HAVE BEEN DEVELOPED THAT TAKE FULL ADVANTAGE OF ITS BENEFITS. THE PURPOSE OF THIS ARTICLE IS TO REVIEW PUBLISHED STUDIES USING YOGA PROGRAMS AND TO DETERMINE THE EFFECT OF YOGA INTERVENTIONS ON COMMON RISK FACTORS OF CHRONIC DISEASES (OVERWEIGHT, HYPERTENSION, HIGH GLUCOSE LEVEL AND HIGH CHOLESTEROL). A SYSTEMATIC SEARCH YIELDED 32 ARTICLES PUBLISHED BETWEEN 1980 AND APRIL 2007. THE STUDIES FOUND THAT YOGA INTERVENTIONS ARE GENERALLY EFFECTIVE IN REDUCING BODY WEIGHT, BLOOD PRESSURE, GLUCOSE LEVEL AND HIGH CHOLESTEROL, BUT ONLY A FEW STUDIES EXAMINED LONG-TERM ADHERENCE. ADDITIONALLY, NOT ENOUGH STUDIES INCLUDED DIVERSE POPULATIONS AT HIGH RISK FOR DIABETES AND ITS RELATED COMMON HEALTH PROBLEMS. 2007 11 1707 30 PATTERNS OF YOGA PRACTICE AND PHYSICAL ACTIVITY FOLLOWING A YOGA INTERVENTION FOR ADULTS WITH OR AT RISK FOR TYPE 2 DIABETES. BACKGROUND: THE CURRENT STUDY DESCRIBED PATTERNS OF YOGA PRACTICE AND EXAMINED DIFFERENCES IN PHYSICAL ACTIVITY OVER TIME BETWEEN INDIVIDUALS WITH OR AT RISK FOR TYPE 2 DIABETES WHO COMPLETED AN 8-WEEK YOGA INTERVENTION COMPARED WITH CONTROLS. METHODS: A LONGITUDINAL COMPARATIVE DESIGN MEASURED THE EFFECT OF A YOGA INTERVENTION ON YOGA PRACTICE AND PHYSICAL ACTIVITY, USING DATA AT BASELINE AND POSTINTERVENTION MONTHS 3, 6, AND 15. RESULTS: DISPARATE PATTERNS OF YOGA PRACTICE OCCURRED BETWEEN INTERVENTION AND CONTROL PARTICIPANTS OVER TIME, BUT THE SUBJECTIVE DEFINITION OF YOGA PRACTICE LIMITS INTERPRETATION. MULTILEVEL MODEL ESTIMATES INDICATED THAT TREATMENT GROUP DID NOT HAVE A SIGNIFICANT INFLUENCE IN THE RATE OF CHANGE IN PHYSICAL ACTIVITY OVER THE STUDY PERIOD. WHILE AGE AND EDUCATION WERE NOT SIGNIFICANT INDIVIDUAL PREDICTORS, THE INCLUSION OF THESE VARIABLES IN THE MODEL DID IMPROVE FIT. CONCLUSIONS: FINDINGS INDICATE THAT AN 8-WEEK YOGA INTERVENTION HAD LITTLE EFFECT ON PHYSICAL ACTIVITY OVER TIME. FURTHER RESEARCH IS NECESSARY TO EXPLORE THE INFLUENCE OF YOGA ON BEHAVIORAL HEALTH OUTCOMES AMONG INDIVIDUALS WITH OR AT RISK FOR TYPE 2 DIABETES. 2012 12 283 37 ADHERENCE TO YOGA AND ITS RESULTANT EFFECTS ON BLOOD GLUCOSE IN TYPE 2 DIABETES: A COMMUNITY-BASED FOLLOW-UP STUDY. AIM: TO STUDY THE ADHERENCE TO YOGA AND ITS EFFECTS ON BLOOD GLUCOSE PARAMETERS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS. METHODS: A SINGLE GROUP LONGITUDINAL STUDY OVER 6 MONTHS WAS CONDUCTED AT VASK YOGA CENTRE, BANGALORE. FASTING BLOOD SUGAR, POST PRANDIAL BLOOD SUGAR LEVELS AND GLYCOSYLATED HEMOGLOBIN AND QUALITATIVE IN-DEPTH INTERVIEW OF THE PARTICIPANTS AND THERAPIST WAS CONDUCTED AT BASELINE, END OF 3(RD) MONTH AND END OF 6 MONTHS; INTERMEDIATE OBSERVATIONS WAS CONDUCTED AT THE END OF EVERY MONTH. RESULTS: ADHERENCE TO YOGA IN THE COMMUNITY IN BANGALORE IS AROUND 50% OVER 6 MONTHS. PARTICIPANTS WHO COMPLETED THE YOGA PROGRAMME HAD SIGNIFICANTLY LOWER HBA1C (END OF 3(RD) MONTH). AT THE END OF 6 MONTHS YOGA ADHERENCE WAS SIGNIFICANTLY NEGATIVELY CORRELATED WITH FBS AND STRESS. FURTHER THERE WAS A TREND TOWARDS THOSE WHO DROPPED OUT HAVING HIGHER FBS, CONTROLLING FOR MEDICATION INTAKE, STRESS LEVELS AND DIET PATTERN (OR = 1.027, P = 0.07). QUALITATIVE DATA REVEALED THAT MOST OF THE PARTICIPANTS JOINED AND COMPLETED THE YOGA PROGRAMME TO HELP CURE THEIR DIABETES. PARTICIPANTS WHO DROPPED OUT FROM THE YOGA PROGRAMME GAVE REASONS OF TRAVEL, ILL-HEALTH AND INCREASED WORK-LOAD AT OFFICE. CONCLUSIONS: ADHERENCE TO YOGA HAS AN EFFECT ON THE BLOOD GLUCOSE PARAMETERS IN DIABETES. HENCE, STRATEGIES TO MOTIVATE PARTICIPANTS TO UNDERGO 'LIFESTYLE MODIFICATION PRACTICES' INCLUDING MAXIMIZING ADHERENCE TO YOGA SHOULD BE THE FOCUS TO EXPERIENCE ANY BENEFICIAL EFFECTS OF YOGA. 2017 13 178 53 A RANDOMIZED CONTROLLED TRIAL OF THE EFFECT OF YOGA AND PEER SUPPORT ON GLYCAEMIC OUTCOMES IN WOMEN WITH TYPE 2 DIABETES MELLITUS: A FEASIBILITY STUDY. BACKGROUND: TYPE TWO DIABETES IS A COMPLEX AND DEMANDING CHRONIC DISEASE AND ITS IMPACT IN A STATE (KERALA) WHICH LEADS INDIA IN TERMS OF THE NUMBER OF PEOPLE WITH DIABETES IS PROFOUND. THOUGH THE MALE TO FEMALE RATIO AMONG THE PEOPLE WITH DIABETES IS ROUGHLY EQUAL, WOMEN ARE UNIQUELY AND MORE SEVERELY AFFECTED. MANAGEMENT OF TYPE TWO DIABETES REQUIRES CONSIDERABLE DEXTERITY ON THE PART OF THE PATIENT TO MANAGE DRUGS, DIET AND EXERCISE. THEREFORE, IN A LOW MIDDLE-INCOME COUNTRY LIKE INDIA IT IS NECESSARY TO LOOK AT LOW COST INTERVENTIONS THAT CAN EMPOWER THE PATIENT AND BUILD ON AVAILABLE RESOURCES TO HELP MANAGE DIABETES. HENCE, WE STUDIED THE FEASIBILITY AND EFFECT OF TWO LOW COST INTERVENTIONS; YOGA AND PEER SUPPORT ON GLYCAEMIC AND OTHER OUTCOMES AMONG WOMEN WITH TYPE TWO DIABETES. METHODS: AN OPEN LABEL PARALLEL THREE ARMED RANDOMIZED CONTROL TRIAL WAS CONDUCTED AMONG 124 RECRUITED WOMEN WITH DIABETES FOR THREE MONTHS. BLOCK RANDOMIZATION WITH A BLOCK LENGTH OF SIX WAS CARRIED OUT WITH EACH GROUP HAVING AT LEAST 41 WOMEN. IN THE YOGA ARM, SESSIONS BY AN INSTRUCTOR, CONSISTING OF A GROUP OF POSTURES COORDINATED WITH BREATHING WERE CONDUCTED FOR AN HOUR, TWO DAYS A WEEK. IN THE PEER SUPPORT ARM EACH PEER MENTOR AFTER TRAINING VISITED 13-14 WOMEN WITH DIABETES EVERY WEEK FOLLOWED BY A PHONE CALL. THE MEETING WAS ABOUT APPLYING DISEASE MANAGEMENT OR PREVENTION PLANS IN DAILY LIFE. RESULTS: THERE WAS A TREND IN DECLINE OF FASTING PLASMA GLUCOSE IN THE PEER AND YOGA GROUP AND OF GLYCOSYLATED HAEMOGLOBIN (HBA1C) IN THE YOGA GROUP ONLY, THOUGH NOT SIGNIFICANT. A SIGNIFICANT DECREASE WAS OBSERVED IN DIASTOLIC BLOOD PRESSURE AND HIP CIRCUMFERENCE IN THE YOGA GROUP. THE PROCESS INDICATED THAT MOST (80%) OF THE WOMEN IN THE YOGA GROUP ATTENDED CLASSES REGULARLY AND 90% OF THE WOMEN IN THE PEER GROUP REPORTED THAT PEER MENTORING WAS USEFUL. CONCLUSION: THE EFFECT OF YOGA AND PEER SUPPORT ON GLYCAEMIC OUTCOMES WAS INCREMENTAL. LONGER TERM STUDIES ARE NECESSARY TO ASCERTAIN THE BENEFITS SHOWN BY THIS FEASIBILITY STUDY. TRIAL REGISTRATION: CTRI/2011/12/002227 DATED 14/12/2011. 2017 14 606 25 DEVELOPMENT AND VALIDATION OF YOGA PROGRAM FOR PATIENTS WITH TYPE 2 DIABETES MELLITUS (T2DM). THIS STUDY WITH AIM OF DEVELOPMENT AND VALIDATION OF A YOGA PROGRAM FOR PATIENTS WITH T2DM WAS CARRIED IN VIEW OF EMERGING EVIDENCE OF YOGA AS AN ALTERNATIVE AND/OR COMPLEMENTARY TREATMENT. CLASSICAL AND CONTEMPORARY YOGA TEXTS WERE REVIEWED FOR IDENTIFICATION OF YOGA PRACTICES. AFTER REVIEWING RESEARCH PAPERS AND YOGA TEXTS A THREE-STEP YOGA PROGRAM, IN ORDER OF INCREASING DIFFICULTY LEVEL FOR T2DM WAS PREPARED. FOR VALIDATION OF YOGA PROGRAM, MIXED METHODS APPROACH INTEGRATING QUALITATIVE AND QUANTITATIVE INPUTS WAS CONSIDERED. EIGHTEEN EXPERTS OVER THREE ROUNDS OF ITERATION CONTRIBUTED TOWARD VALIDATION OF YOGA PROGRAM. A FINAL SET OF THREE-STEP YOGA PROGRAM WAS OBTAINED WHICH FURTHER NEEDS TO BE TESTED IN STANDARDIZED RANDOMIZED CONTROLLED TRIALS.TRIAL REGISTRATION WITH INDIAN COUNCIL OF MEDICAL RESEARCH: CLINICAL TRIAL REGISTRY OF INDIA; ICMR-CTRI: DEVELOPMENT AND VALIDATION STUDY: CTRI/2013/11/004163. 2022 15 1644 38 MORBIDITY PROFILE OF PATIENTS SEEKING NATUROPATHY AND YOGA TREATMENT IN SOUTH INDIA: A DESCRIPTIVE STUDY. BACKGROUND YOGA AND NATUROPATHY (Y&N) IS ONE OF THE APPROVED COMPLEMENTARY AND TRADITIONAL SYSTEMS OF MEDICINE PRACTICED IN INDIA. UNLIKE OTHER SYSTEMS, IT IS A DRUGLESS SYSTEM AIMED TO OPTIMIZE AND FACILITATE THE INHERENT ABILITY OF THE HUMAN BODY TO HEAL ITSELF. THERE IS LACK OF LITERATURE ON THE TYPE OF PATIENTS SEEKING YOGA AND NATUROPATHY TREATMENTS IN INDIA. THIS STUDY WAS DESIGNED WITH AN OBJECTIVE TO ASSESS THE MORBIDITY PROFILE OF THE IN-PATIENTS TREATED IN A NATUROPATHY AND YOGA HOSPITAL. METHODS DESCRIPTIVE STUDY DESIGN BASED ON CLINICAL CASE RECORDS. SIX HUNDRED AND FOUR CASES TREATED AS IN-PATIENTS BETWEEN APRIL 2017 AND JULY 2018 WAS ANALYZED. RESULTS THE AVERAGE AGE OF THE PATIENTS WAS 47.4 (SD +/- 16.1) YEARS, WITH 56% WERE FEMALES AND 44% MALES. ABOUT 50 DIFFERENT TYPES OF MORBIDITY RANGING FROM GENERAL REJUVENATION TO CHRONIC DISEASES HAD BEEN REPORTED. HIGHEST REPORTED DISEASES WERE CHRONIC IN NATURE, WITH HIGHER REPORTING FOR MULTIPLE SYSTEM MORBIDITY, FOLLOWED BY OBESITY, DIABETES MELLITUS, HYPERTENSION, ARTHRITIS, AND BACK PAIN. VARIATIONS WERE OBSERVED IN THE MORBIDITIES BASED ON AGE AND GENDER OF THE PATIENTS. THE MEDIAN DURATION OF TREATMENT WAS 8DAYS. CONCLUSIONS PATIENTS SEEK YOGA & NATUROPATHY CARE MAINLY FOR CHRONIC CONDITIONS, FURTHER OBSERVATIONS ON TREATMENT OUTCOMES, QUALITY OF LIFE, AND TREATMENT SEEKING BEHAVIOR CAN BE EXPLORED FOR THE EFFICACY AND FEASIBILITY OF YOGA & NATUROPATHY CARE IN MANAGING CHRONIC DISEASES. 2020 16 876 43 EFFECT OF YOGA THERAPY ON REACTION TIME, BIOCHEMICAL PARAMETERS AND WELLNESS SCORE OF PERI AND POST-MENOPAUSAL DIABETIC PATIENTS. BACKGROUND: YOGIC PRACTICES MAY AID IN THE PREVENTION AND MANAGEMENT OF DIABETES MELLITUS (DM) AND REDUCE CARDIOVASCULAR COMPLICATIONS IN THE POPULATION. THE PRESENT STUDY HAS BEEN UNDERTAKEN TO EVALUATE THE EFFECT OF YOGA THERAPY ON REACTION TIME, BIOCHEMICAL PARAMETERS AND WELLNESS SCORE OF PERI AND POST-MENOPAUSAL DIABETIC PATIENTS. MATERIALS AND METHODS: 15 PERI AND POST-MENOPAUSAL PATIENTS RECEIVING STANDARD MEDICAL TREATMENT FOR TYPE 2 DM WERE RECRUITED AND REACTION TIME AND BIOCHEMICAL INVESTIGATIONS WERE DONE BEFORE AND AFTER A COMPREHENSIVE YOGA THERAPY PROGRAM COMPRISING OF THREE TIMES A WEEK SESSIONS FOR SIX WEEKS. A POST-INTERVENTION, RETROSPECTIVE WELLNESS QUESTIONNAIRE COMPILED BY ACYTER WAS USED TO EVALUATE THE COMPARATIVE FEELINGS OF THE PATIENTS AFTER THE THERAPY PROGRAM. RESULTS: YOGA TRAINING REDUCED AUDITORY REACTION TIME (ART) FROM RIGHT AS WELL AS LEFT HAND, THE DECREASE BEING STATISTICALLY SIGNIFICANT (P<0.05) FOR ART FROM THE RIGHT HAND. THERE WAS A SIGNIFICANT (P<0.01) DECREASE IN FASTING AND POSTPRANDIAL BLOOD GLUCOSE LEVELS AS WELL AS LOW DENSITY LIPOPROTEIN. THE DECREASE IN TOTAL CHOLESTEROL, TRIGLYCERIDES, AND VERY LOW DENSITY LIPOPROTEIN AND INCREASE IN HIGH DENSITY LIPOPROTEIN WAS ALSO STATISTICALLY SIGNIFICANT (P<0.05). ALL THE LIPID RATIOS SHOWED DESIRABLE IMPROVEMENT WITH A DECREASE (P<0.01) OF TC/HDL AND LDL/HDL RATIOS AND INCREASE (P<0.05) IN THE HDL/LDL RATIO. DISCUSSION OR CONCLUSION: SHORTENING OF RT IMPLIES AN IMPROVEMENT IN THE INFORMATION PROCESSING AND REFLEXES AND IS THE FIRST SUCH REPORT IN DIABETIC PATIENTS. THIS HAS CLINICAL SIGNIFICANCE AND IS WORTH FURTHER EXPLORATION WITH WIDER, WELL CONTROLLED, RANDOMIZED STUDIES IN THE DIABETIC POPULATION. CHANGES IN BLOOD GLUCOSE LEVELS MAY BE DUE TO IMPROVED INSULIN SENSITIVITY, DECLINE IN INSULIN RESISTANCE AND INCREASED SENSITIVITY OF THE PANCREATIC B CELLS TO GLUCOSE SIGNALS. YOGA IMPROVED THE 'HEART FRIENDLY' STATUS OF LIPID PROFILE IN OUR SUBJECTS AND AS OUR PARTICIPANTS WERE PERI AND POST-MENOPAUSAL, THE DECREASE IN CARDIOVASCULAR RISK PROFILE IS OF GREATER SIGNIFICANCE. A COMPREHENSIVE YOGA THERAPY PROGRAM HAS THE POTENTIAL TO ENHANCE THE BENEFICIAL EFFECTS OF STANDARD MEDICAL MANAGEMENT OF DIABETES MELLITUS AND CAN BE USED AS AN EFFECTIVE COMPLEMENTARY OR INTEGRATIVE THERAPY PROGRAM. 2012 17 2742 45 YOGA PRACTICE FOR THE MANAGEMENT OF TYPE II DIABETES MELLITUS IN ADULTS: A SYSTEMATIC REVIEW. THE EFFECT OF PRACTICING YOGA FOR THE MANAGEMENT OF TYPE II DIABETES WAS ASSESSED IN THIS SYSTEMATIC REVIEW THROUGH SEARCHING RELATED ELECTRONIC DATABASES AND THE GREY LITERATURE TO THE END OF MAY 2007 USING OVID. ALL RANDOMIZED CONTROLLED CLINICAL TRIALS (RCTS) COMPARING YOGA PRACTICE WITH OTHER TYPE OF INTERVENTION OR WITH REGULAR PRACTICE OR BOTH, WERE INCLUDED REGARDLESS OF LANGUAGE OR TYPE OF PUBLICATION. EACH STUDY WAS ASSESSED FOR QUALITY BY TWO INDEPENDENT REVIEWERS. MEAN DIFFERENCE WAS USED FOR SUMMARIZING THE EFFECT OF EACH STUDY OUTCOMES WITH 95% CONFIDENCE INTERVALS. POOLING OF THE STUDIES DID NOT TAKE PLACE DUE TO THE WIDE CLINICAL VARIATION BETWEEN THE STUDIES. PUBLICATION BIAS WAS ASSESSED BY STATISTICAL METHODS. FIVE TRIALS WITH 363 PARTICIPANTS MET THE INCLUSION CRITERIA WITH MEDIUM TO HIGH RISK OF BIAS AND DIFFERENT INTERVENTION CHARACTERISTICS. THE STUDIES' RESULTS SHOW IMPROVEMENT IN OUTCOMES AMONG PATIENTS WITH DIABETES TYPE II. THESE IMPROVEMENTS WERE MAINLY AMONG SHORT TERM OR IMMEDIATE DIABETES OUTCOMES AND NOT ALL WERE STATISTICALLY SIGNIFICANT. THE RESULTS WERE INCONCLUSIVE AND NOT SIGNIFICANT FOR THE LONG-TERM OUTCOMES. NO ADVERSE EFFECTS WERE REPORTED IN ANY OF THE INCLUDED STUDIES. SHORT-TERM BENEFITS FOR PATIENTS WITH DIABETES MAY BE ACHIEVED FROM PRACTICING YOGA. FURTHER RESEARCH IS NEEDED IN THIS AREA. FACTORS LIKE QUALITY OF THE TRIALS AND OTHER METHODOLOGICAL ISSUES SHOULD BE IMPROVED BY LARGE RANDOMIZED CONTROL TRIALS WITH ALLOCATION CONCEALMENT TO ASSESS THE EFFECTIVENESS OF YOGA ON DIABETES TYPE II. A DEFINITIVE RECOMMENDATION FOR PHYSICIANS TO ENCOURAGE THEIR PATIENTS TO PRACTICE YOGA CANNOT BE REACHED AT PRESENT. 2010 18 472 38 CHARACTERISTICS OF YOGA PROVIDERS AND THEIR SESSIONS AND ATTENDEES IN THE UK: A CROSS-SECTIONAL SURVEY. YOGA IS AN ANCIENT INDIAN PHILOSOPHY AND WAY OF LIFE THAT IS BEING USED AS A METHOD OF IMPROVING HEALTH AND WELLBEING. EVIDENCE SHOWS THAT YOGA HAS SEVERAL HEALTH BENEFITS, SUCH AS MANAGING MANY NONCOMMUNICABLE DISEASES, SUCH AS HYPERTENSION, AND IMPROVING MENTAL HEALTH. THE POPULARITY OF YOGA IS GROWING IN THE UK, BUT IT IS MOSTLY UNREGULATED WITH LITTLE INFORMATION AVAILABLE ABOUT YOGA PROVIDERS AND THEIR SESSIONS AND ATTENDEES. THIS STUDY AIMED TO EXPLORE WHO IS PROVIDING YOGA; WHAT SESSIONS ARE AVAILABLE, WHERE, AND AT WHAT COST; AND WHO ATTENDS THESE SESSIONS IN THE UK AND WHETHER YOGA PROVIDERS WERE AWARE OF HEALTH CONDITIONS IN THEIR SESSIONS. A CROSS-SECTIONAL SURVEY WAS UNDERTAKEN AMONG YOGA PROVIDERS IN THE UK. THEY WERE APPROACHED THROUGH FOUR MAJOR UK YOGA ASSOCIATIONS. IN TOTAL, 407 YOGA PROVIDERS PARTICIPATED. MOST PROVIDERS WERE AGED 45-64 YEARS (69%), FEMALE (93%), AND WHITE (93%). THE MEDIAN NUMBER OF GROUP SESSIONS AND ONE-TO-ONE SESSIONS DELIVERED PER WEEK WAS FOUR AND TWO, RESPECTIVELY. THE MOST COMMON STYLES WERE HATHA (28%), IYENGAR (26%), AND VINYASA (15%). SESSIONS HAD A VARYING EMPHASIS ON DIFFERENT YOGIC PRACTICES, BUT 59% OF PROVIDERS ALLOCATED MOST TIME TO YOGIC POSES (ASANA), 18% TO BREATHING PRACTICES (PRANAYAMA), AND 12% TO MEDITATION (DHYANA) AND RELAXATION PRACTICES. MOST (73%) REPORTED THAT THEIR ATTENDEES DISCLOSED THEIR HEALTH CONDITIONS TO THEM, MOST COMMONLY MENTAL HEALTH ISSUES (41%), HYPERTENSION (25%), AND HEART DISEASES (9%). THIS STUDY SHOWED THAT YOGA SESSIONS ARE WIDELY AVAILABLE IN THE UK, OFTEN PROVIDED AND PRACTICED BY WOMEN, AND CONCENTRATE ON YOGIC POSES. SESSIONS CONCENTRATE ON THE ASANA AND TEND NOT TO INCLUDE MANY OF THE MORE HOLISTIC ASPECTS OF YOGA THAT ARE PRACTICED IN SOUTH ASIAN COUNTRIES. YOGA PROVIDERS ARE OFTEN AWARE OF HEALTH CONDITIONS BUT MAY BENEFIT FROM TRAINING TO DELIVER SESSIONS SUITABLE FOR SPECIFIC HEALTH CONDITIONS. 2022 19 2298 27 THERAPEUTIC ROLE OF YOGA IN TYPE 2 DIABETES. YOGA ORIGINATED IN INDIA MORE THAN 5,000 YEARS AGO AND IS A MEANS OF BALANCING AND HARMONIZING THE BODY, MIND, AND EMOTIONS. YOGA PRACTICE IS USEFUL IN THE MANAGEMENT OF VARIOUS LIFESTYLE DISEASES, INCLUDING TYPE 2 DIABETES. PSYCHO-NEURO-ENDOCRINE AND IMMUNE MECHANISMS ARE INVOLVED IN THE BENEFICIAL EFFECTS OF YOGA ON DIABETES. INCORPORATION OF YOGA PRACTICE IN DAILY LIFE HELPS TO ATTAIN GLYCAEMIC CONTROL AND REDUCES THE RISK OF COMPLICATIONS IN PEOPLE WITH DIABETES. IN THIS REVIEW, WE BRIEFLY DESCRIBE THE ROLE OF VARIOUS YOGA PRACTICES IN THE MANAGEMENT OF DIABETES BASED ON EVIDENCE FROM VARIOUS CLINICAL STUDIES. 2018 20 1083 39 EFFECTS OF YOGA ON STRESS AMONG HEALTHY ADULTS: A SYSTEMATIC REVIEW. BACKGROUND: YOGA WAS RECOMMENDED IN BOTH CLINICAL AND NONCLINICAL POPULATIONS AS THERAPY METHODS. THE DIVERSITY OF YOGA PRACTICE AS A THERAPY METHOD HAS RARELY BEEN DISCUSSED AND IT IS ESSENTIAL TO ADDRESS THE EFFECTS OF YOGA ON STRESS. PRIMARY STUDY OBJECTIVE: THIS ARTICLE AIMS TO INVESTIGATE THE EFFECT OF DIFFERENT TYPES OF YOGA ON STRESS IN HEALTHY POPULATION. ON THE OTHER HAND, THE AUTHORS INTENDED TO FIGURE OUT YOGA EFFECTS ON STRESS SYSTEMATICALLY. METHODS/DESIGN: A SYSTEMATIC LITERATURE REVIEW WAS CONDUCTED TO IDENTIFY ARTICLES THAT ASSESS THE EFFECT OF YOGA AND YOGA-RELATED INTERVENTIONS ON STRESS REDUCTION IN NONCLINICAL POPULATIONS. STUDIES WERE CLASSIFIED ACCORDING TO THE LENGTH OF THE INTERVENTION, YOGA TYPE, AND MEASURES OF OUTCOME. THE STUDIES WERE SELECTED THROUGHOUT LAST 5 YEARS (JANUARY 2014 TO NOVEMBER 2018) BY USING THE KEY SEARCHING TERM YOGA AND STRESS INCORPORATION WITH TENSION AND PRESSURE. THE SELECTION PROCESS FOLLOWED THE PRISMA FLOW DIAGRAM. RESULTS: TOTALLY, 12 ARTICLES ELABORATING ON THE EFFECTS OF YOGA OR YOGA-RELATED INTERVENTIONS ON STRESS MANAGEMENT AND REMISSION WERE INCLUDED IN THE REVIEW. THIS REVIEW INCLUDED VARIOUS TYPES OF YOGA PRACTICE (E.G., HATHA YOGA, BIKRAM YOGA, KUNDALINI YOGA, SUDARSHAN KRIYA YOGA, KRIPALU YOGA, YIN YOGA). A TIME SPECTRUM WAS CONDUCTED FROM 4 WKS TO 28 WKS. THIS REVIEW REVEALED THAT MOST TYPES OF YOGA HAVE POSITIVE EFFECTS ON STRESS REDUCTION IN HEATHY POPULATIONS. CONCLUSION: FURTHER STUDIES ARE RECOMMENDED TO EXAMINE THE LONG-TERM EFFECT OF YOGA AND UNDERLYING PSYCHOLOGICAL MECHANISMS CAUSING STRESS AND MENTAL RESTRAIN. IN ADDITION, IT IS SUGGESTED TO CONSIDER AGE AS A RISK FACTOR AFFECTING THE EFFECT OF YOGA ON STRESS. 2020