1 185 111 A RANDOMIZED CONTROLLED TRIAL TO STUDY THE EFFECT OF YOGA THERAPY ON CARDIAC FUNCTION AND N TERMINAL PRO BNP IN HEART FAILURE. AIMS: THE PURPOSE OF THIS STUDY WAS TO EVALUATE WHETHER YOGA TRAINING IN ADDITION TO STANDARD MEDICAL THERAPY CAN IMPROVE CARDIAC FUNCTION AND REDUCE N TERMINAL PRO B-TYPE NATRIURETIC PEPTIDE (NT PRO BNP) IN HEART FAILURE (HF). METHODS: 130 PATIENTS WERE RECRUITED AND RANDOMIZED INTO TWO GROUPS: CONTROL GROUP (CG) (N = 65), YOGA GROUP (YG). IN YG, 44 PATIENTS AND IN CG, 48 PATIENTS COMPLETED THE STUDY. CARDIAC FUNCTION USING LEFT VENTRICULAR EJECTION FRACTION (LVEF), MYOCARDIAL PERFORMANCE INDEX (TEI INDEX), AND NT PRO BNP, A BIOMARKER OF HF, WAS ASSESSED AT BASELINE AND AFTER 12 WEEKS. RESULT: IMPROVEMENT IN LVEF, TEI INDEX, AND NT PRO BNP WERE STATISTICALLY SIGNIFICANT IN BOTH THE GROUPS. FURTHERMORE, WHEN THE CHANGES IN BEFORE AND AFTER 12 WEEKS WERE IN PERCENTAGE, LVEF INCREASED 36.88% IN THE YG AND 16.9% IN THE CG, TEI INDEX WAS REDUCED 27.87% IN THE YG AND 2.79% IN THE CG, NT PRO BNP WAS REDUCED 63.75% IN THE YG AND 10.77% IN THE CG. THE BETWEEN GROUP COMPARISONS FROM PRE TO POST 12 WEEKS WERE SIGNIFICANT FOR YG IMPROVEMENTS (LVEF, P < 0.01, TEI INDEX, P < 0.01, NT PRO BNP, P < 0.01). CONCLUSION: THESE RESULTS INDICATE THAT THE ADDITION OF YOGA THERAPY TO STANDARD MEDICAL THERAPY FOR HF PATIENTS HAS A MARKEDLY BETTER EFFECT ON CARDIAC FUNCTION AND REDUCED MYOCARDIAL STRESS MEASURED USING NT PRO BNP IN PATIENTS WITH STABLE HF. 2014 2 798 54 EFFECT OF YOGA LIFESTYLE IN PATIENTS WITH HEART FAILURE: A RANDOMIZED CONTROL TRIAL. BACKGROUND: IN SPITE OF SIGNIFICANT ADVANCES IN THE MANAGEMENT OF HEART FAILURE (HF), MORBIDITY AND MORTALITY REMAIN HIGH. THEREFORE, THERE IS A NEED FOR ADDITIONAL STRATEGIES. WE DID A RANDOMIZED CLINICAL TRIAL TO STUDY EFFECT OF YOGA IN PATIENTS WITH HF IN TERMS OF QUALITY OF LIFE (QOL), LEFT VENTRICLE EJECTION FRACTION (LVEF), C-REACTIVE PROTEIN (CRP), AND NTPROBNP. MATERIALS AND METHODS: 60 PATIENTS WITH STABLE HF NEW YORK HEART ASSOCIATION CLASS II WITH LVEF 30%-40% WERE RANDOMIZED INTO CONTROL GROUP (CG) AND YOGA GROUP (YG). CG RECEIVED THE GUIDELINE-BASED THERAPY AND YG IN ADDITION PRACTICED THE YOGA, ONE HOUR DAILY FOR 3 MONTHS. ALL PATIENTS WERE ASSESSED FOR QOL, CRP, NTPROBNP, AND LVEF AT BASELINE AND AFTER 3 MONTHS. RESULTS: A SIGNIFICANT DIFFERENCE WAS OBSERVED IN ALL FOUR PARAMETERS IN THE YG AS COMPARED TO THE CG (P < 0.01) AFTER 12 WEEKS. QOL AS ASSESSED BY MINNESOTA LIVING WITH HEART FAILURE QUESTIONNAIRE SCORE IMPROVED SIGNIFICANTLY IN YG AS COMPARED TO CG (10 V/S 14, P < 0.001). THERE WAS A SIGNIFICANT IMPROVEMENT WITHIN YG IN TERMS OF LVEF (33.4-36.8, P = 0.001), AND THE PERCENTAGE CHANGE IN LVEF WAS SIGNIFICANT BETWEEN THE GROUPS (10% V/S 5%, P = 0.001). NTPROBNP ALSO SIGNIFICANTLY REDUCED BY 69.8% FROM 755 TO 220 PMOL/L IN YG AS COMPARED TO 39.3% IN CG (679-406 PMOL/L). CRP DECREASED BY 49.3% (5.36-2.73 MG/L) IN YG AND 35.8% (5.39-3.45 MG/L) IN CG. CONCLUSION: THE RESULT OF THIS PILOT STUDY SUGGESTS THAT ADDITION OF YOGA TO GUIDELINE-BASED THERAPY FOR HF PATIENTS SIGNIFICANTLY IMPROVES QOL, LVEF, AND NTPROBNP AND REDUCES CRP LEVEL. LARGER STUDIES ARE NEEDED TO CONFIRM THESE FINDINGS. 2022 3 295 38 AGE RELATED DIFFERENCES OF SELECTED HATHA YOGA PRACTICES ON ANTHROPOMETRIC CHARACTERISTICS, MUSCULAR STRENGTH AND FLEXIBILITY OF HEALTHY INDIVIDUALS. BACKGROUND: PHYSIOLOGICAL BENEFITS OF YOGA ON VOLUNTEERS OF A PARTICULAR AGE GROUP ARE AVAILABLE. HOWEVER, REPORTS ON EFFICACY OF A SPECIFIC YOGA PACKAGE ON THE POPULACE OF DIFFERENT AGE GROUPS FROM SIMILAR OCCUPATIONAL BACKGROUND IS STILL VERY LIMITED. THEREFORE, THE PRESENT STUDY WAS CONDUCTED TO APPRAISE THE EFFECT OF A SPECIFIC HATHA YOGA PACKAGE ON ANTHROPOMETRIC CHARACTERISTICS, FLEXIBILITY AND MUSCULAR STRENGTH OF HEALTHY INDIVIDUALS OF DIFFERENT AGE GROUPS FROM SIMILAR OCCUPATIONAL TRADE. MATERIALS AND METHODS: A TOTAL OF 71 PARTICIPANTS (GROUP ALL) FROM INDIAN AIR FORCE GROUND PERSONNEL VOLUNTEERED AND AGE WISE DIVIDED INTO 3 GROUPS - (I) GROUP I (GR. - I) (N1 = 27, 20-29 YEARS), (II) GROUP II (GR. - II) (N2 = 21, 30-39 YEARS) AND (III) GROUP III (GR. - III) (N3 = 23, 40-49 YEARS). ALL THE PARTICIPANTS UNDERGONE SELECTED HATHA YOGA TRAINING FOR 1 H DAILY FOR A PERIOD OF 12 WEEKS. PARAMETERS WERE RECORDED BEFORE AND AFTER THE TRAINING. PRE AND POST TRAINING DIFFERENCES WERE ASSESSED BY STUDENT'S T-TEST. RESULTS: BODY WEIGHT (ALL, GR. - II AND GR. - III [ALL P < 0.05]), BODY MASS INDEX (GR. - II AND GR. - III [BOTH P < 0.01]) AND FAT% (GR. - II AND III [BOTH P < 0.05]) WERE DECREASED SIGNIFICANTLY. NECK CIRCUMFERENCE WAS INCREASED SIGNIFICANTLY IN GR. - I (P < 0.05) BUT DECREASED SIGNIFICANTLY IN GR. - III (P < 0.05). CHEST CIRCUMFERENCE (ALL (P < 0.001), IN GR. - I AND II [BOTH P < 0.05]), GRIP STRENGTH (ALL [LEFT: P < 0.01 AND RIGHT: P < 0.05], IN GR. - I [LEFT: P < 0.05 AND RIGHT: P < 0.01], IN GR. - II [RIGHT: P < 0.05] AND IN GR. - III [LEFT: P < 0.05 AND RIGHT: P < 0.01]), BACK LEG STRENGTH (GROUP WISE P < 0.001, P < 0.05, P < 0.01 AND P < 0.05 RESPECTIVELY) AND FLEXIBILITY (ALL P < 0.001) WERE INCREASED SIGNIFICANTLY. SUMMARY AND CONCLUSION: HATHA YOGA CAN IMPROVE ANTHROPOMETRIC CHARACTERISTICS, MUSCULAR STRENGTH AND FLEXIBILITY AMONG VOLUNTEERS OF DIFFERENT AGE GROUP AND CAN ALSO BE HELPFUL IN PREVENTING AND ATTENUATING AGE RELATED DETERIORATION OF THESE PARAMETERS. 2015 4 890 39 EFFECT OF YOGA-BASED CARDIAC REHABILITATION ON HEART RATE VARIABILITY: RANDOMIZED CONTROLLED TRIAL IN PATIENTS POST-MI. AUTONOMIC DYSFUNCTION IS AN INDEPENDENT PREDICTOR OF CARDIOVASCULAR AND ALL-CAUSE MORTALITY AFTER MYOCARDIAL INFARCTION (MI). WE TESTED THE EFFECTS OF A 12-WEEK YOGA-BASED CARDIAC REHABILITATION PROGRAM ON HEART RATE VARIABILITY (HRV) IN 80 PATIENTS POST-MI. THIS RANDOMIZED CONTROLLED TRIAL WITH TWO PARALLEL GROUPS WAS CARRIED OUT IN A TERTIARY CARE INSTITUTION IN INDIA. THE YOGA GROUP RECEIVED 13 HOSPITAL-BASED STRUCTURED YOGA SESSIONS AS AN ADJUNCT TO STANDARD CARE. CONTROL GROUP PARTICIPANTS RECEIVED ENHANCED STANDARD CARE INVOLVING THREE BRIEF EDUCATIONAL SESSIONS WITH A LEAFLET ON THE IMPORTANCE OF DIET AND PHYSICAL ACTIVITY. HRV WAS MEASURED IN ALL PARTICIPANTS WITH LEAD II ELECTROCARDIOGRAM (ECG) SIGNALS. ONE YOGA GROUP PATIENT'S DATA WERE EXCLUDED DUE TO ECG ABNORMALITIES. BASELINE MEASUREMENT WAS DONE 3 WEEKS POST-MI, AND POSTINTERVENTION ASSESSMENT TOOK PLACE AT THE 13TH WEEK. HRV FREQUENCY AND TIME DOMAIN INDICES WERE ANALYZED. THERE WERE NO SIGNIFICANT BETWEEN-GROUP DIFFERENCES IN THE HRV TIME DOMAIN INDICES. FREQUENCY DOMAIN INDICES SHOWED SIGNIFICANT BETWEEN-GROUP DIFFERENCES IN HF POWER (ABSOLUTE) (YOGA VS. CONTROL: 114.42 [-794.80-7,993.78] VS. -38.14 [-4,843.50-1,617.87], P = 0.005) AND TOTAL POWER (NU) (YOGA VS. CONTROL: 44.96 [21.94] VS. -19.55 [15.42], P = 0.01) WITH HIGHER HF POWER AND TOTAL POWER (NU) IN THE YOGA GROUP. IT SHOULD BE NOTED THAT THESE RESULTS CANNOT BE GENERALIZED TO HIGH RISK PATIENTS. RESPIRATORY FREQUENCY CONTROL TO CHECK FOR INFLUENCE OF RESPIRATORY RATE ON RR INTERVAL WAS NOT EVALUATED. THIS SHORT-TERM YOGA-BASED CARDIAC REHABILITATION PROGRAM HAD ADDITIVE EFFECTS IN SHIFTING SYMPATHOVAGAL BALANCE TOWARD PARASYMPATHETIC PREDOMINANCE WHILE INCREASING OVERALL HRV IN OPTIMALLY MEDICATED POST-MI PATIENTS. 2019 5 553 39 CORRELATION OF HEART RATE VARIABILITY WITH CAROTID INTIMA MEDIA THICKNESS AFTER 6 MONTH OF YOGA INTERVENTION IN PREDIABETICS. INTRODUCTION: ATHEROSCLEROTIC CAROTID INTIMAMEDIA THICKNESS (CIMT) MAY BE ASSOCIATED WITH ALTERATIONS IN THE AUTONOMIC FUNCTIONS. THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFECT OF 6-MONTH YOGA INTERVENTION ON HEART RATE VARIABILITY (HRV) AND CIMT IN ELDERLY SUBJECTS AND THE CORRELATION BETWEEN HRV AND CIMT. METHODOLOGY: THIS WAS A RANDOMIZED CONTROLLED STUDY, IN WHICH A TOTAL OF 250 SUBJECTS WERE ENROLLED. RANDOMIZATION AND ALLOCATION IN YOGA AND CONTROL GROUPS WERE PERFORMED USING COMPUTER-GENERATED RANDOM NUMBERS. THE CIMT WAS DETERMINED BY B-MODE ULTRASONOGRAPHY, AND CARDIAC AUTONOMIC FUNCTION WAS DETERMINED THROUGH FREQUENCY DOMAIN PARAMETER OF HRV MEASURES AT BASELINE AND AFTER 6 MONTHS OF YOGA INTERVENTION. RESULTS: PARTICIPANTS HAD A MEAN AGE OF 45.4 +/- 6.4 YEARS, AND A MEAN CIMT IN CONTROL (0.70 +/- 0.05) AND STUDY GROUP (0.69 +/- 0.073), AND LOW FREQUENCY/HIGH FREQUENCY (LF/HF) RATIO IN CONTROL (2.20 +/- 1.05) AND STUDY GROUP (0.57 +/- 0.54). YOGA GROUP HAD EVIDENCE OF INCREASED VAGAL ACTIVITY IN THE FREQUENCY DOMAIN (HF AND LF/HF RATIO, P < 0.001) WITH RESPECT TO CONTROL GROUP. MOREOVER, A STUDY GROUP SHOWED LOWER INTIMAMEDIA THICKNESS (IMT) THAN CONTROL SUBJECTS (P < 0.01). IN THE WHOLE POPULATION, LF/HF RATIO POSITIVELY AND SIGNIFICANTLY CORRELATED (R = 0.665, P < 0.01) TO IMT. CONCLUSION: THIS STUDY DEMONSTRATED THAT, AFTER YOGA INTERVENTION, LF/HF RATIO IS POSITIVELY CORRELATED WITH CIMT, A PUTATIVE INDEX OF ATHEROSCLEROSIS, CONFIRMING CARDIAC AUTONOMIC NEUROPATHY AS A PART OF THE PATHOPHYSIOLOGICAL PATHWAY FOR ATHEROSCLEROSIS. IT CONFIRMS THAT THE REGULAR YOGA REPRESENTS A VALUABLE STRATEGY TO COUNTER IMPAIRMENTS OF CARDIAC AUTONOMIC ACTIVITY AND ARTERY STRUCTURAL CHANGES. 2021 6 2905 38 [LONG-TERM EFFECTS OF BREATHING EXERCISES AND YOGA IN PATIENTS WITH BRONCHIAL ASTHMA]. TO COMPARE THE EFFECTS OF BREATHING EXERCISES (BE) OR YOGA (Y) ON THE COURSE OF BRONCHIAL ASTHMA WE STUDIED 36 SUBJECTS WITH A MILD DISEASE. THE PATIENTS WERE RANDOMLY DIVIDED INTO 3 GROUPS. 2 OF THEM PARTICIPATED IN A 3 WEEKS TRAINING PROGRAM OF BE OR Y WHILE THE THIRD GROUP RESTED WITHOUT ANY ADDITIONAL TREATMENT (CONTROL GROUP, C). AT THE END OF THE TRAINING PERIOD THE PATIENTS WERE ASKED TO PRACTISE BE OR Y ON THEIR OWN. DRUG THERAPY AND LUNG FUNCTION PARAMETERS BEFORE AND AFTER A BETA 2-AGONIST METERED DOSE INHALER (ALBUTEROL, ALB) WERE RECORDED PRIOR TO THE TRAINING PROGRAM AND IN 4 WEEKS INTERVALS FOR 4 MONTHS THEREAFTER. THE RESPONSE TO THE BETA 2-AGONIST WAS DOCUMENTED CONTINUOUSLY IN 28 PATIENTS. THE MENTAL STATE OF THE PATIENTS WAS ELUCIDATED BY QUESTIONNAIRES.--PRIOR TO THE STUDY A SIGNIFICANT EFFECT OF INHALED ALB ON THE FEV1 WAS SHOWN WITHOUT ANY SIGNIFICANT BETWEEN GROUP DIFFERENCES. BOTH, BE AND Y, CAUSED A SIGNIFICANT AMELIORATION OF THE MENTAL STATE BUT ONLY THE BE INDUCED A SIGNIFICANT IMPROVEMENT OF LUNG FUNCTION PARAMETERS COMPARED TO THE INDIVIDUAL BASELINE VALUES. THE FEV1 INCREASED SIGNIFICANTLY BY 356.3 +/- 146.2 ML (P < 0.05) AND THE VC BY 225.0 +/- 65.5 ML (P < 0.01). THESE LONG-TERM CHANGES WERE NOT SIGNIFICANTLY DIFFERENT FROM THE ACTUAL RESPONSE TO ALB. BE DECREASED THE RV SIGNIFICANTLY BY 306.3 +/- 111.6 ML (P < 0.05), AN EFFECT SIGNIFICANTLY HIGHER COMPARED TO THE BETA 2-AGONIST (P < 0.01). BE IN COMBINATION WITH ALB CAUSED AN ADDITIVE EFFECT.(ABSTRACT TRUNCATED AT 250 WORDS) 1994 7 822 38 EFFECT OF YOGA ON FEV1, 6-MINUTE WALK DISTANCE (6-MWD) AND QUALITY OF LIFE IN PATIENTS WITH COPD GROUP B. INTRODUCTION: YOGA IS USED IN THE TREATMENT OF VARIOUS DISEASES, INCLUDING CHRONIC OBSTRUCTIVE PULMONARY DISEASE. HOWEVER, NO STUDIES HAVE ASSESSED THE EFFECT OF YOGA ON COPD PATIENTS IN INDONESIA. THE DIFFERENCE BETWEEN THIS STUDY AND SIMILAR STUDIES COMPLETED IN OTHER COUNTRIES LIES IN THE TYPE OF YOGA EXERCISES COMPLETED, THE METHOD IN WHICH THEY WERE COMPLETED, AND IN CERTAIN, UNIQUE DEMOGRAPHIC CHARACTERISTICS. THIS STUDY AIMS TO ANALYZE THE EFFECT OF YOGA ON FEV1, 6-MINUTE WALK DISTANCE, AND QUALITY OF LIFE IN PATIENTS WITH COPD GROUP B IN INDONESIA. MATERIAL AND METHODS: THIS ARTICLE REFLECTS RESEARCH DONE IN THE FORM OF AN EXPERIMENTAL STUDY USING ARANDOMIZED CONTROLLED TRIAL WITH PRE AND POST-TEST CONTROL GROUP DESIGN. THE SAMPLES WERE DIVIDED INTO 2 GROUPS: THE TREATMENT GROUP (YOGA PRACTICE FOR 1 HOUR, 2 TIMES AWEEK FOR 12 WEEKS) AND THE CONTROL GROUP (UNTREATED WITH YOGA, GIVEN LUNG REHABILITATION BROCHURE). ASSESSMENT OF THE EFFECT OF YOGA EXERCISES ON LUNG FUNCTION PARAMETERS (FEV1), 6-MINUTE WALK DISTANCE AND QUALITY OF LIFE WERE USED USING SGRQ QUESTIONNAIRES IN COPD GROUP B. RESULTS: 33 COPD PATIENTS FULFILLED THE INCLUSION CRITERIA. 30 PATIENTS COMPLETED THE STUDY. PRE AND POST YOGA RESULTS WERE EVALU-ATED IN THE TREATMENT GROUP VERSUS THE CONTROL GROUP AND THEN FURTHER ASSESSED USING STATISTICAL TESTS. THERE WAS ASIGNIFICANT IN-CREASE IN FEV1, 6-MWD AND QUALITY OF LIFE USING ASGRQ QUESTIONNAIRE AFTER 12 WEEKS OF YOGA (P < 0.05) AS WELL AS AASIGNIFICANT CHANGE IN FEV1, 6-MWD AND QUALITY OF LIFE IN THE TREATMENT GROUP (P < 0.05) WHEN COMPARED WITH THE CONTROL GROUP (P > 0.05). CONCLUSIONS: YOGA AFFECTS FEV1, 6-MWD, AND QUALITY OF LIFE IN PATIENTS WITH GROUP B COPD. 2019 8 412 30 BLOOD PRESSURE EFFECTS OF YOGA, ALONE OR IN COMBINATION WITH LIFESTYLE MEASURES: RESULTS OF THE LIFESTYLE MODIFICATION AND BLOOD PRESSURE STUDY (LIMBS). THE AUTHORS CONDUCTED A STUDY TO ASSESS THE EFFECTS OF YOGA ON BLOOD PRESSURE (BP). PATIENTS WERE RANDOMIZED TO YOGA (BLOOD PRESSURE EDUCATION PROGRAM [BPEP]), OR A COMBINED PROGRAM (COMBO). AMBULATORY BP WAS MEASURED AT BASELINE AND AT 12 AND 24 WEEKS. DATA ARE PRESENTED FOR ALL ENROLLED PATIENTS (N=137) AND FOR COMPLETERS ONLY (N=90). SYSTOLIC BP (SBP) AND DIASTOLIC BP (DBP) WERE SIGNIFICANTLY DECREASED WITHIN ALL GROUPS AT 12 AND 24 WEEKS (P<.001) FOR ENROLLED PATIENTS AND COMPLETERS. SBP WAS SIGNIFICANTLY REDUCED IN THE YOGA AND COMBO GROUPS AS COMPARED WITH THE BPEP GROUP AT 12 WEEKS IN ALL ENROLLED AND COMPLETERS. SBP DIFFERENCES WERE NO LONGER SIGNIFICANT AT 24 WEEKS BETWEEN GROUPS IN ALL ENROLLED PATIENTS; HOWEVER, THERE WAS A GREATER REDUCTION IN SBP AT 24 WEEKS IN COMPLETERS FAVORING BPEP OVER YOGA. NO DIFFERENCES IN DBP BETWEEN GROUPS OR IN BP BETWEEN THE YOGA AND COMBO GROUPS WERE PRESENT. THE AUTHORS DID NOT OBSERVE AN ADDITIVE BENEFIT FROM COMBINING YOGA WITH BPEP MEASURES. REASONS FOR THIS ARE UNCLEAR AT THIS TIME. BP LOWERING WITH YOGA, HOWEVER, WAS SIMILAR TO THAT ACHIEVED WITH LIFESTYLE MEASURES. 2016 9 755 29 EFFECT OF SHORT-TERM YOGA-BASED-BREATHING ON PERI-OPERATIVE ANXIETY IN PATIENTS UNDERGOING CARDIAC SURGERY. BACKGROUND: PERI-OPERATIVE ANXIETY IN PATIENTS SCHEDULED FOR CARDIAC SURGERY IS DETRIMENTAL. THIS STUDY EVALUATED THE EFFECT OF SHORT-TERM YOGA BASED-BREATHING WITH DIFFERENT VARIATIONS ON PERI-OPERATIVE ANXIETY. MATERIALS AND METHODS: A PROSPECTIVE RANDOMIZED CONTROLLED STUDY WAS CONDUCTED IN PATIENTS AGED 20-60 YEARS SCHEDULED FOR MAJOR CARDIAC SURGERY. PATIENTS IN YOGA GROUP WERE TRAINED FOR YOGA BASED-BREATHING WITH DIFFERENT VARIATIONS FOR 5 DAYS; NO INTERVENTION WAS DONE IN CONTROLS. RESULTS: WE ANALYZED TWENTY PATIENTS IN EACH GROUP. ANXIETY SCORES MEASURED AT BASELINE, PRESURGERY, AND POSTSURGERY WERE ENTERED AS THE WITHIN-SUBJECTS FACTOR; GROUP STATUS WAS ENTERED AS THE BETWEEN-SUBJECTS FACTOR IN THE RMANOVA. BASELINE DEMOGRAPHICS AND ANXIETY SCORES WERE COMPARABLE. THE SHORT-TERM YOGA-BASED BREATHING EXERCISE-TRAINING PROGRAM HAD A STATISTICALLY SIGNIFICANT EFFECT ON STATE (F = 13.45, P < 0.0001), TRAIT (F = 13.29, P < 0.0001) AND TOTAL ANXIETY SCORES (F = 29.44, P < 0.0001) AT DIFFERENT TIME POINTS FOR YOGA OVER CONTROL GROUP. CONCLUSION: SHORT-TERM YOGA-BASED BREATHING FOR 5 DAYS LOWERS PRESURGERY AND POSTSURGERY ANXIETY IN PATIENTS UNDERGOING CARDIAC SURGERY. 2021 10 1969 44 SHORT TERM EFFECT OF YOGA ASANA - AN ADJUNCT THERAPY TO CONVENTIONAL TREATMENT IN FROZEN SHOULDER. BACKGROUND: THE AVAILABLE TREATMENTS FOR FROZEN SHOULDER YIELD VARIABLE RESULTS. PHYSICAL THERAPY AND ANALGESICS ARE CONSIDERED AS THE FIRST-LINE TREATMENT FOR THIS DISORDER, BUT THE EFFECTS ARE NOT UNIFORM. THERE IS SOME EVIDENCE TO SUPPORT THAT ALTERNATIVE MEDICINE MAY HAVE A ROLE IN ITS MANAGEMENT. OBJECTIVE(S): THIS STUDY WAS DESIGNED TO EXAMINE THE SHORT-TERM EFFECTS OF YOGA THERAPY IN PATIENTS WITH FROZEN SHOULDER OF MILD TO MODERATE SEVERITY. MATERIALS AND METHODS: A PROSPECTIVE RANDOMIZED CONTROLLED TRIAL WAS CONDUCTED ON PATIENTS WITH FROZEN SHOULDER BETWEEN 30 AND 60 YEARS OF AGE. THEY WERE DIVIDED INTO TWO GROUPS: YOGA (Y) AND CONTROL (NY). A SET OF ASANA EXERCISES CALLED "STANDING GROUP OF ASANA" WAS PRACTICED BY THE YOGA GROUP IN ADDITION TO THE CONVENTIONAL THERAPY AS RECEIVED BY THE CONTROL GROUP. THE PATIENTS WERE REVIEWED AT 1, 2 AND 4 WEEKS. THE PAIN AND FUNCTIONAL ASSESSMENT WERE DONE AT BASELINE AND AT EACH REVIEW USING THE SHOULDER PAIN AND DISABILITY INDEX (SPADI). RESULTS: THERE WERE 16 MALE AND 20 FEMALE PARTICIPANTS IN THE Y GROUP, AND 15 MALES AND 21 FEMALES IN THE NY GROUP. THERE WAS NO STATISTICALLY SIGNIFICANT DIFFERENCE IN AGE, SEX, AND PRE-TREATMENT SPADI SCORE BETWEEN THE GROUPS. AT THE END OF THE FOUR WEEKS, THE SPADI PAIN SCORES IN THE Y AND NY GROUP WERE 20.47 AND 20.14, RESPECTIVELY (P = 0.666). THE SPADI DISABILITY SCORES IN THE Y AND NY GROUP WERE 20.4 AND 19.7, RESPECTIVELY (P = 0.599). OVERALL SPADI SCORES WERE 40.67 AND 40.03 IN THE Y AND NY GROUP, RESPECTIVELY (P = 0.736). BOTH GROUPS HAD A SIGNIFICANT REDUCTION IN SPADI PAIN AND DISABILITY SCORES. HOWEVER, THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN THE GROUPS IN TERMS OF SPADI SCORES. CONCLUSION: THE EFFECT OF THE STANDING GROUP OF ASANA HAS NO ADDED ADVANTAGE RELATIVE TO STANDARD FROZEN SHOULDER TREATMENT WHEN PRACTICED FOR ONE MONTH. 2020 11 1406 41 IMPACT OF YOGA ON HAEMODYNAMIC FUNCTION IN HEALTHY MEDICAL STUDENTS. OBJECTIVES: YOGA IMPROVES CARDIOVASCULAR HEALTH IN BOTH HEALTHY INDIVIDUALS AND THOSE WITH DIAGNOSED HEART DISEASE. THIS STUDY COMPARES CHANGES IN SOME CARDIOVASCULAR PARAMETERS BEFORE AND AFTER THE PRACTICE OF YOGA IN HEALTHY MEDICAL STUDENTS. METHODS: SIXTY-FOUR HEALTHY MEDICAL STUDENTS (57 FEMALES AND 7 MALES), MEAN AGE 21.3 +/- 2.6 YEARS, ATTENDING A SPECIAL STUDY MODULE 'ROLE OF DHYANA YOGA IN STRESS MANAGEMENT', PARTICIPATED IN THIS STUDY. SYSTOLIC (SYS) AND DIASTOLIC (DIA) BLOOD PRESSURE, HEART RATE (HR), STROKE VOLUME (SV), CARDIAC OUTPUT (CO), TOTAL PERIPHERAL RESISTANCE (TPR), INTERBEAT INTERVAL (IBI), LEFT VENTRICULAR EJECTION TIME (LVET), ARTERIAL COMPLIANCE (CWK) AND ASCENDING AORTA IMPEDANCE (ZAO) WERE MEASURED BEFORE AND AFTER SIX WEEKS OF YOGIC EXERCISES. VARIOUS EXERCISES INCLUDED ASANAS (POSTURES), PRANAYAMA (BREATHING), AND DHYANA (MEDITATION). DATA WERE ANALYZED USING STATA FOR WINDOWS. RESULTS: TWO-TAILED PAIRED T-TEST REVEALED THAT PRACTICE OFYOGA CAUSED SIGNIFICANT INCREASES IN HR (P < 0.05), SV (P < 0.01), CO (P < 0.001) AND CWK (P < 0.01) AND DECREASES IN TPR (P < 0.001), IBI (P < 0.05) AND ZAO (P < 0.001) AFTER PRACTISING YOGA FOR 6 WEEKS AS COMPARED TO BEFORE YOGA PRACTICE. NO SIGNIFICANT DIFFERENCES WERE, HOWEVER OBSERVED IN SYS, DIA, MEAN ARTERIAL BLOOD PRESSURE (MAP) AND LVET CONCLUSIONS: PRACTICE OF YOGA EVEN FOR A SHORT PERIOD SHOWED ABILITY TO IMPROVE MOST OF THE CARDIOVASCULAR FUNCTIONS. REGULAR PRACTICE OF YOGA FOR A LONGER PERIOD MAY FURTHER IMPROVE THESE FUNCTIONS AND POSSIBLY RESULT IN IMPROVED MANAGEMENT OF THEIR DAILY STRESS. 2011 12 712 34 EFFECT OF INTEGRATED YOGA ON ANTI-PSYCHOTIC INDUCED SIDE EFFECTS AND COGNITIVE FUNCTIONS IN PATIENTS SUFFERING FROM SCHIZOPHRENIA. BACKGROUND TWENTY ONE (12 FEMALES) SUBJECTS, DIAGNOSED WITH SCHIZOPHRENIA BY A PSYCHIATRIST USING ICD-10, IN THE AGES 52.87 + 9.5YEARS AND SUFFERING SINCE 24.0 +/- 3.05YEARS WERE RECRUITED INTO THE STUDY FROM A SCHIZOPHRENIA REHABILITATION CENTER IN BENGALURU. METHODS ALL SUBJECTS WERE TAKING ANTI-PSYCHOTIC MEDICATIONS AND WERE IN STABLE STATE FOR MORE THAN A MONTH. PSYCHIATRIC MEDICATIONS WERE KEPT CONSTANT DURING THE STUDY PERIOD. ASSESSMENTS WERE DONE AT THREE POINTS OF TIME: (1) BASELINE, (2) AFTER ONE MONTH OF USUAL ROUTINE (PRE) AND (3) AFTER FIVE MONTHS OF VALIDATED INTEGRATED YOGA (IY) INTERVENTION (POST). VALIDATED 1H YOGA MODULE (CONSISTING OF ASANAS, PRANAYAMA, RELAXATION TECHNIQUES AND CHANTINGS) WAS PRACTICED FOR 5MONTHS, FIVE SESSIONS PER WEEK. ANTIPSYCHOTIC-INDUCED SIDE EFFECTS WERE ASSESSED USING SIMPSON ANGUS SCALE (SAS) AND UDVALG FOR KLINISKE UNDERSOGELSER (UKU) SIDE EFFECT RATING SCALE. COGNITIVE FUNCTIONS (USING TRAIL MAKING TEST A AND B), CLINICAL SYMPTOMS AND ANTHROPOMETRY WERE ASSESSED AS SECONDARY VARIABLES. COMPARISONS BETWEEN "PRE" AND "POST" DATA WAS DONE USING PAIRED SAMPLES T-TESTS AFTER SUBTRACTING BASELINE SCORES FROM THEM RESPECTIVELY. RESULTS AT THE END OF FIVE MONTHS, SIGNIFICANT REDUCTION IN DRUG-INDUCED PARKINSONIAN SYMPTOMS (SAS SCORE; P=0.001) AND 38 ITEMS OF UKU SCALE WAS OBSERVED ALONG WITH SIGNIFICANT IMPROVEMENT IN PROCESSING SPEED, EXECUTIVE FUNCTIONS AND NEGATIVE SYMPTOMS OF SCHIZOPHRENIA PATIENTS. NO SIDE EFFECTS OF YOGA WERE REPORTED. CONCLUSIONS THE PRESENT STUDY PROVIDES PRELIMINARY EVIDENCE FOR USEFULNESS OF INTEGRATED YOGA INTERVENTION IN MANAGING ANTI-PSYCHOTIC-INDUCED SIDE EFFECTS. 2018 13 989 42 EFFECTS OF HATHA YOGA ON CARDIAC HEMODYNAMIC PARAMETERS AND PHYSICAL CAPACITY IN CARDIAC REHABILITATION PATIENTS. PURPOSE: THE PURPOSE OF THE PRESENT STUDY WAS TO ASSESS THE EFFECT OF HATHA YOGA TRAINING THAT WAS ADDED TO THE STANDARD CARDIAC REHABILITATION (CR) PROGRAM ON THE CARDIAC HEMODYNAMIC PARAMETERS AND PHYSICAL CAPACITY OF PATIENTS WITH ST-ELEVATION MYOCARDIAL INFARCTION (STEMI). METHODS: THE STUDY INCLUDED 70 MALE PATIENTS AGED 45-65 YR WITH STEMI WHO WERE TREATED BY ANGIOPLASTY. PATIENTS WERE RANDOMIZED TO STANDARD CR (CONTROL GROUP) VERSUS STANDARD CR PLUS HATHA YOGA (EXPERIMENTAL GROUP). THE TRAINING PROGRAM LASTED FOR A TOTAL OF 24 D FOR EACH PATIENT, WITH DAY 1 AND DAY 24 USED FOR MEDICAL EXAMINATIONS (ELECTROCARDIOGRAM, SPIROERGOMETRIC SUBMAXIMAL TREADMILL TEST, AND ECHOCARDIOGRAPHY). THE REMAINING 22 D CONSISTED OF THE ACTUAL TRAINING. RESULTS: AFTER THE CR PROGRAM THE SPIROERGOMETRIC STRESS TEST PARAMETERS AND LEFT VENTRICULAR EJECTION FRACTION (LVEF) IMPROVED IN BOTH THE EXPERIMENTAL AND CONTROL GROUPS. THE MOST NOTABLE CHANGES IN ECHOCARDIOGRAPHY PARAMETERS AND PHYSICAL CAPACITY WERE IN THE EXPERIMENTAL GROUP. THE RESULTS SHOWED SIGNIFICANT MAIN EFFECT OVER TIME, A TIME-VERSUS-GROUP INTERACTION IN LVEF, THE DURATION OF THE TEST, AND PEAK OXYGEN UPTAKE, AND A TIME-VERSUS-GROUP INTERACTION IN METABOLIC EQUIVALENTS (METS). WE ALSO NOTED THE IMPROVEMENT OF LEFT VENTRICULAR END-DIASTOLIC DIAMETER, LEFT VENTRICULAR END-SYSTOLIC DIAMETER, AND HEART RATE OVER TIME. CONCLUSION: THE RESULTS REVEALED BETTER EFFECTIVENESS IN THE CR PROGRAM WITH A MODIFIED HATHA YOGA TRAINING PROGRAM. HATHA YOGA TRAINING COULD BE RECOMMENDED AS AN ADJUNCT TO STANDARD CR. 2020 14 2833 36 YOGA'S EFFECT ON FALLS IN RURAL, OLDER ADULTS. BACKGROUND: UNINTENTIONAL FALLS AFFECT 30% OF PEOPLE OVER AGE 65 YEARS. YOGA HAS BEEN SHOWN TO IMPROVE BALANCE. WE DESIGNED THIS STUDY TO EXAMINE IF YOGA REDUCES FALLS. METHODS: WE CONDUCTED 16 SESSIONS OF HATHA YOGA OVER 8 WEEKS. PARTICIPANTS WERE RANDOMLY ASSIGNED TO PRACTICE 10MIN OF YOGA DAILY AT HOME IN ADDITION TO 5-MIN RELAXATION EXERCISES OR RELAXATION EXERCISES ONLY (CONTROL GROUP). RESULTS: OF THE 38 PARTICIPANTS COMPLETING THE INTERVENTION, 15 PARTICIPANTS REPORTED A TOTAL OF 27 FALLS IN THE 6-MONTHS BEFORE THE STUDY, COMPARED TO 13 PARTICIPANTS SUSTAINING 14 FALLS IN THE 6 MONTHS FROM THE START OF THE STUDY (P<0.047), WITHOUT DIFFERENCE BETWEEN YOGA HOME-EXERCISE AND HOME RELAXATION-ONLY GROUPS. COMPARED TO BASELINE SCORES, ALL PARTICIPANTS IMPROVED ON THE BERG BALANCE SCALE (53-54 OUT OF 56, P=0.002), THE FUNCTIONAL GAIT ASSESSMENT (22.9-25.8 OUT OF 30 POINTS, P<0.001), AND THE DYNAMIC GAIT INDEX (20.6-22.4 OUT OF 24 POINTS, P<0.001). RIGHT LEG STAND TIME IMPROVED FROM A MEAN OF 13.3S TO 17.1S (P=0.020) AND STANDING FORWARD REACH DISTANCE FROM 26.0CM TO 29.6CM (P<0.001). WITHOUT DIFFERENCE BETWEEN GROUPS. CONFIDENCE, WITH THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE SCALE, INCREASED IN THE YOGA HOME-EXERCISE GROUP (88%-93%, P=0.037) COMPARED TO 90% UNCHANGED FROM PRE-INTERVENTION IN THE HOME RELAXATION-ONLY GROUP. CONCLUSION: YOGA CLASSES REDUCE SELF-REPORTED FALLS AND IMPROVE BALANCE MEASURES. THE ADDITION OF HOME YOGA EXERCISES DID NOT ENHANCE BENEFIT OVER RELAXATION EXERCISE ONLY. 2017 15 2789 36 YOGA THERAPY FOR ABDOMINAL PAIN-RELATED FUNCTIONAL GASTROINTESTINAL DISORDERS IN CHILDREN: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THE AIM OF THE PRESENT STUDY WAS TO COMPARE EFFECTS OF 10 WEEKS OF YOGA THERAPY (YT) AND STANDARD MEDICAL CARE (SMC) ON ABDOMINAL PAIN AND QUALITY OF LIFE (QOL) IN CHILDREN WITH ABDOMINAL PAIN-RELATED FUNCTIONAL GASTROINTESTINAL DISORDERS (AP-FGIDS). METHODS: SIXTY-NINE PATIENTS, AGES 8 TO 18 YEARS, WITH AP-FGIDS, WERE RANDOMIZED TO SMC COMPLEMENTED WITH YT OR SMC ALONE. YT IS A MIXTURE OF YOGA POSES, MEDITATION, AND RELAXATION EXERCISES AND WAS GIVEN ONCE A WEEK IN GROUP SESSIONS. SMC CONSISTED OF EDUCATION, REASSURANCE, DIETARY ADVICE, AND FIBERS/MEBEVERINE, IF NECESSARY. PAIN INTENSITY (PAIN INTENSITY SCORE [PIS] 0-5) AND FREQUENCY (PAIN FREQUENCY SCORE [PFS] 0-4) WERE SCORED IN A PAIN DIARY, AND QOL WAS MEASURED WITH KIDSCREEN-27. FOLLOW-UP WAS 12 MONTHS. TREATMENT RESPONSE WAS DEFINED AS >/=50% REDUCTION OF WEEKLY PAIN SCORES. RESULTS: AT 1-YEAR FOLLOW-UP, TREATMENT RESPONSE WAS ACCOMPLISHED IN 58% OF THE YT GROUP AND IN 29% OF THE CONTROL GROUP (P = 0.01); NO SIGNIFICANT DIFFERENCES FOR OTHER TIME POINTS WERE FOUND. YT, AND NOT SMC, RESULTED IN A SIGNIFICANT REDUCTION OF PIS (P < 0.01) AND PFS (P < 0.01) AFTER 12 MONTHS. DURING THE STUDY, HOWEVER, YT WAS NOT SIGNIFICANTLY SUPERIOR COMPARED WITH SMC. SUBANALYSES FOR TIME POINTS DEMONSTRATED A SIGNIFICANT GREATER REDUCTION OF PIS AT 12 MONTHS IN FAVOR OF YT. NO DIFFERENCES WERE FOUND FOR QOL. YT WAS MORE EFFECTIVE IN THE REDUCTION OF REPORTED MONTHLY SCHOOL ABSENCE (P = 0.03). CONCLUSION: AT 1-YEAR FOLLOW-UP, YT IN ADDITION TO STANDARD CARE WAS SUPERIOR COMPARED WITH SMC ACCORDING TO TREATMENT SUCCESS, PIS, AND REDUCTION OF SCHOOL ABSENCE. YT, HOWEVER, WAS NOT SIGNIFICANTLY MORE EFFECTIVE IN IMPROVING PFS OR QOL, COMPARED WITH SMC. 2016 16 930 33 EFFECTIVENESS OF YOGA PROGRAM IN THE MANAGEMENT OF DIABETES USING COMMUNITY HEALTH WORKERS IN THE URBAN SLUMS OF BANGALORE CITY: A NON-RANDOMIZED CONTROLLED TRIAL. TRIAL DESIGN: NONRANDOMIZED CONTROLLED TRIAL. METHODS: NONRANDOMIZED CONTROLLED TRIAL. THIS WAS AN INTERVENTIONAL STUDY THAT WAS CONDUCTED IN 4 SLUMS OF BENGALURU. OF THE 256 DIABETES PARTICIPANTS, ONLY 109 PEOPLE AGREED TO PARTICIPATE IN THE PROGRAM. OF 109 PEOPLE, 52 PEOPLE AGREED TO PARTICIPATE IN THE INTERVENTION (AGREED TO LEARN AND PRACTICE YOGA) WHILE THE REMAINING 57 PEOPLE WERE ASSIGNED TO NONINTERVENTION GROUP. RANDOMIZATION AND BLINDING COULD NOT BE DONE. OBJECTIVE AND OUTCOME: THE STUDY WAS CONDUCTED WITH OBJECTIVE OF ASSESSING THE EFFECTIVENESS OF YOGA, PRANAYAMA, AND SUDARSHAN KRIYA IN THE COMMUNITY-BASED MANAGEMENT OF DIABETES MELLITUS. THE PRIMARY OUTCOME VARIABLE WAS HB1AC AND SECONDARY OUTCOME VARIABLES WERE SYSTOLIC BLOOD PRESSURE (SBP), DIASTOLIC BLOOD PRESSURE (DBP), ADHERENCE TO MEDICATION, AND CHANGES IN LIFESTYLE. RESULTS: THE STUDY WAS CONDUCTED FOR 40 DAYS. COMMUNITY HEALTH WORKERS MADE A TOTAL OF 6 VISITS DURING THE STUDY. ALL THE 109 PARTICIPANTS WERE AVAILABLE FOR WEEKLY FOLLOW-UP. THERE WERE NO DROP OUTS AMONG THE STUDY POPULATION. STATISTICALLY SIGNIFICANT CHANGE WAS SEEN IN THE CONSUMPTION OF VEGETABLE (CHI(2) = 15.326, P < 0.005), FRUITS (CHI(2) = 16.207, P < 0.005), SALTY FOOD (CHI(2) = 14.823, P < 0.005), BAKERY FOOD (CHI(2) = 10.429, P < 0.005) AND FRIED FOOD (CHI(2) = 15.470, P < 0.005), ADHERENCE TO METFORMIN (CHI(2) = 41.780, P < 0.005) AND OTHER MEDICATION(CHI(2) = 21.871, P < 0.005) AND PROPORTION OF PATIENTS WITH DBP UNDER CONTROL (CHI(2) = 9.396, P < 0.005) AND PROPORTION OF PEOPLE WITH GLUCOSE RANDOM BLOOD SUGAR UNDER CONTROL (CHI(2) = 29.693, P < 0.005) BETWEEN THE TWO GROUPS FOLLOWING THE INTERVENTION. STATISTICALLY SIGNIFICANT CHANGE WAS ALSO SEEN IN THE PROPORTION OF PEOPLE WITH SBP/DBP