1 237 151 A SYSTEMATIC SCOPING REVIEW OF YOGA INTERVENTION COMPONENTS AND STUDY QUALITY. CONTEXT: THE SCIENTIFIC STUDY OF YOGA REQUIRES RIGOROUS METHODOLOGY. THIS REVIEW AIMED TO SYSTEMATICALLY ASSESS ALL STUDIES OF YOGA INTERVENTIONS TO (1) DETERMINE YOGA INTERVENTION CHARACTERISTICS; (2) EXAMINE METHODOLOGIC QUALITY OF THE SUBSET OF RCTS; AND (3) EXPLORE HOW WELL THESE INTERVENTIONS ARE REPORTED. EVIDENCE ACQUISITION: SEARCHES WERE CONDUCTED THROUGH APRIL 2012 IN PUBMED, PSYCINFO, AGELINE, AND OVID'S ALTERNATIVE AND COMPLEMENTARY MEDICINE DATABASE USING THE TEXT TERM YOGA, AND THROUGH HANDSEARCHING FIVE JOURNALS. ORIGINAL STUDIES WERE INCLUDED IF THE INTERVENTION (1) CONSISTED OF AT LEAST ONE YOGA SESSION WITH SOME TYPE OF HEALTH ASSESSMENT; (2) TARGETED ADULTS AGED >/=18 YEARS; (3) WAS PUBLISHED IN AN ENGLISH-LANGUAGE PEER-REVIEWED JOURNAL; AND (4) WAS AVAILABLE FOR REVIEW. EVIDENCE SYNTHESIS: OF 3,062 STUDIES IDENTIFIED, 465 STUDIES IN 30 COUNTRIES WERE INCLUDED. ANALYSES WERE CONDUCTED THROUGH 2013. MOST INTERVENTIONS TOOK PLACE IN INDIA (N=228) OR THE U.S. (N=124), WITH INTENSITY RANGING FROM A SINGLE YOGA SESSION UP TO TWO SESSIONS PER DAY. INTERVENTION LENGTHS RANGED FROM ONE SESSION TO 2 YEARS. ASANAS (POSES) WERE MENTIONED AS YOGA COMPONENTS IN 369 (79%) INTERVENTIONS, BUT WERE EITHER MINIMALLY OR NOT AT ALL DESCRIBED IN 200 (54%) OF THESE. MOST INTERVENTIONS (74%, N=336) DID NOT INCLUDE HOME PRACTICE. OF THE INCLUDED STUDIES, 151 WERE RCTS. RCT QUALITY WAS RATED AS POOR. CONCLUSIONS: THIS REVIEW HIGHLIGHTS THE INADEQUATE REPORTING AND METHODOLOGIC LIMITATIONS OF CURRENT YOGA INTERVENTION RESEARCH, WHICH LIMITS STUDY INTERPRETATION AND COMPARABILITY. RECOMMENDATIONS FOR FUTURE METHODOLOGY AND REPORTING ARE DISCUSSED. 2014 2 1084 27 EFFECTS OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS: A SYSTEMATIC REVIEW. OBJECTIVE: THIS ARTICLE REPORTS A SYSTEMATIC REVIEW AND CRITICAL APPRAISAL OF THE EFFECT OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS. METHODS: A SYSTEMATIC LITERATURE SEARCH WAS PERFORMED TO IDENTIFY RANDOMIZED CONTROLLED TRIALS (RCTS) AND CLINICAL CONTROLLED TRIALS (CCTS) THAT ASSESSED THE EFFECTS OF YOGA ON STRESS MANAGEMENT IN HEALTHY ADULTS. SELECTED STUDIES WERE CLASSIFIED ACCORDING TO THE TYPES OF INTERVENTION, DURATION, OUTCOME MEASURES, AND RESULTS. THEY WERE ALSO QUALITATIVELY ASSESSED BASED ON PUBLIC HEALTH RESEARCH, EDUCATION AND DEVELOPMENT STANDARDS. RESULTS: THE SYSTEMATIC REVIEW WAS BASED ON EIGHT RCTS AND CCTS THAT INDICATED A POSITIVE EFFECT OF YOGA IN REDUCING STRESS LEVELS OR STRESS SYMPTOMS. HOWEVER, MOST OF THE STUDIES HAD METHODOLOGICAL PROBLEMS IN THAT THE INTERVENTION DURATION WAS SHORT AND LIMITED FOLLOW-UP DATA WAS AVAILABLE. CONCLUSION: THIS REVIEW REVEALED POSITIVE EFFECTS OF YOGA ON STRESS REDUCTION IN HEALTHY ADULT POPULATIONS. HOWEVER, THE RESULT SHOULD BE INTERPRETED WITH CAUTION DUE TO THE SMALL NUMBER OF STUDIES AND THE ASSOCIATED METHODOLOGICAL PROBLEMS. FURTHER STUDIES TO ASCERTAIN YOGA'S LONG-TERM EFFECTS AND THE UNDERLYING BIOLOGICAL MECHANISMS LEADING TO ITS STRESS REDUCTION EFFECT SHOULD BE CONDUCTED. 2011 3 2539 40 YOGA FOR ADULTS WITH TYPE 2 DIABETES: A SYSTEMATIC REVIEW OF CONTROLLED TRIALS. A GROWING BODY OF EVIDENCE SUGGESTS YOGIC PRACTICES MAY BENEFIT ADULTS WITH TYPE 2 DIABETES (DM2). IN THIS SYSTEMATIC REVIEW, WE EVALUATE AVAILABLE EVIDENCE FROM PROSPECTIVE CONTROLLED TRIALS REGARDING THE EFFECTS OF YOGA-BASED PROGRAMS ON SPECIFIC HEALTH OUTCOMES PERTINENT TO DM2 MANAGEMENT. TO IDENTIFY QUALIFYING STUDIES, WE SEARCHED NINE DATABASES AND SCANNED BIBLIOGRAPHIES OF RELEVANT REVIEW PAPERS AND ALL IDENTIFIED ARTICLES. CONTROLLED TRIALS THAT DID NOT TARGET ADULTS WITH DIABETES, INCLUDED ONLY ADULTS WITH TYPE 1 DIABETES, WERE UNDER TWO-WEEK DURATION, OR DID NOT INCLUDE QUANTITATIVE OUTCOME DATA WERE EXCLUDED. STUDY QUALITY WAS EVALUATED USING THE PEDRO SCALE. THIRTY-THREE PAPERS REPORTING FINDINGS FROM 25 CONTROLLED TRIALS (13 NONRANDOMIZED, 12 RANDOMIZED) MET OUR INCLUSION CRITERIA (N = 2170 PARTICIPANTS). COLLECTIVELY, FINDINGS SUGGEST THAT YOGIC PRACTICES MAY PROMOTE SIGNIFICANT IMPROVEMENTS IN SEVERAL INDICES OF IMPORTANCE IN DM2 MANAGEMENT, INCLUDING GLYCEMIC CONTROL, LIPID LEVELS, AND BODY COMPOSITION. MORE LIMITED DATA SUGGEST THAT YOGA MAY ALSO LOWER OXIDATIVE STRESS AND BLOOD PRESSURE; ENHANCE PULMONARY AND AUTONOMIC FUNCTION, MOOD, SLEEP, AND QUALITY OF LIFE; AND REDUCE MEDICATION USE IN ADULTS WITH DM2. HOWEVER, GIVEN THE METHODOLOGICAL LIMITATIONS OF EXISTING STUDIES, ADDITIONAL HIGH-QUALITY INVESTIGATIONS ARE REQUIRED TO CONFIRM AND FURTHER ELUCIDATE THE POTENTIAL BENEFITS OF YOGA PROGRAMS IN POPULATIONS WITH DM2. 2016 4 2559 36 YOGA FOR CHRONIC LOW BACK PAIN: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. OBJECTIVES: TO EVALUATE THE EFFICACY OF YOGA AS AN INTERVENTION FOR CHRONIC LOW BACK PAIN (CLBP) USING A META-ANALYTICAL APPROACH. RANDOMIZED CONTROLLED TRIALS (RCTS) THAT EXAMINED PAIN ANDOR FUNCTIONAL DISABILITY AS TREATMENT OUTCOMES WERE INCLUDED. POST-TREATMENT AND FOLLOW-UP OUTCOMES WERE ASSESSED. METHODS: A COMPREHENSIVE SEARCH OF RELEVANT ELECTRONIC DATABASES, FROM THE TIME OF THEIR INCEPTION UNTIL NOVEMBER 2011, WAS CONDUCTED. COHEN'S D EFFECT SIZES WERE CALCULATED AND ENTERED IN A RANDOM-EFFECTS MODEL. RESULTS: EIGHT RCTS MET THE CRITERIA FOR INCLUSION (EIGHT ASSESSING FUNCTIONAL DISABILITY AND FIVE ASSESSING PAIN) AND INVOLVED A TOTAL OF 743 PATIENTS. AT POST-TREATMENT, YOGA HAD A MEDIUM TO LARGE EFFECT ON FUNCTIONAL DISABILITY (D=0.645) AND PAIN (D=0.623). DESPITE A WIDE RANGE OF YOGA STYLES AND TREATMENT DURATIONS, HETEROGENEITY IN POST-TREATMENT EFFECT SIZES WAS LOW. FOLLOW-UP EFFECT SIZES FOR FUNCTIONAL DISABILITY AND PAIN WERE SMALLER, BUT REMAINED SIGNIFICANT (D=0.397 AND D=0.486, RESPECTIVELY); HOWEVER, THERE WAS A MODERATE TO HIGH LEVEL OF VARIABILITY IN THESE EFFECT SIZES. DISCUSSION: THE RESULTS OF THE PRESENT STUDY INDICATE THAT YOGA MAY BE AN EFFICACIOUS ADJUNCTIVE TREATMENT FOR CLBP. THE STRONGEST AND MOST CONSISTENT EVIDENCE EMERGED FOR THE SHORT-TERM BENEFITS OF YOGA ON FUNCTIONAL DISABILITY. HOWEVER, BEFORE ANY DEFINITIVE CONCLUSIONS CAN BE DRAWN, THERE ARE A NUMBER OF METHODOLOGICAL CONCERNS THAT NEED TO BE ADDRESSED. IN PARTICULAR, IT IS RECOMMENDED THAT FUTURE RCTS INCLUDE AN ACTIVE CONTROL GROUP TO DETERMINE WHETHER YOGA HAS SPECIFIC TREATMENT EFFECTS AND WHETHER YOGA OFFERS ANY ADVANTAGES OVER TRADITIONAL EXERCISE PROGRAMS AND OTHER ALTERNATIVE THERAPIES FOR CLBP. 2013 5 2622 34 YOGA FOR SUBSTANCE USE: A SYSTEMATIC REVIEW. INTRODUCTION: SUBSTANCE USE DISORDERS (SUDS) ARE COMPLEX INTERACTIONS BETWEEN VARIOUS GENETIC, ENVIRONMENTAL, DEVELOPMENTAL, AND SOCIAL FACTORS. YOGA IS RECOMMENDED AS A NONMAINSTREAM TREATMENT FOR MANY HEALTH CONDITIONS, INCLUDING SUDS. METHODS: FIVE DATABASES WERE SEARCHED FOR RANDOMIZED CONTROLLED TRIALS (RCTS) THAT EVALUATED YOGA AS AN INTERVENTION IN ADULTS WITH ANY TYPE OF SUBSTANCE USE DISORDER. THE INTERVENTIONS BEING STUDIED INCLUDED HATHA YOGA, SUDARSHAN KRIYA YOGA, BREATHING YOGA EXERCISES, AND MEDITATION. STUDIES, WHERE YOGA WAS COMBINED WITH OTHER INTERVENTIONS WERE EXCLUDED. THE EFFECT OF YOGA AS AN INTERVENTION WAS ANALYZED USING PRIMARY OUTCOMES SUCH AS ANXIETY, PAIN, AND CRAVING. EIGHT RCTS MET THE ELIGIBILITY CRITERIA, AND QUALITY ANALYSIS WAS CONDUCTED USING THE COCHRANE CRITERIA. RESULTS: AMONG THE 8 FINAL STUDIES ELIGIBLE FOR QUALITY ANALYSIS, 2 HAD UNDEFINED SUBSTANCE USE, WHILE THE OTHERS WERE FOCUSED ON TOBACCO, ALCOHOL, OR OPIOIDS. SEVEN OUT OF 8 STUDIES SHOWED SIGNIFICANT RESULTS AND IMPROVED PRIMARY OUTCOMES SUCH AS ANXIETY, PAIN, OR SUBSTANCE USE. SEVEN OUT OF THE 8 STUDIES SHOWED SIGNIFICANT POSITIVE OUTCOMES USING YOGA IN CONJUNCTION WITH OTHER PHARMACOLOGICAL TREATMENT MODALITIES LIKE OPIOID SUBSTITUTION THERAPY. CONCLUSIONS: SIX OUT OF 8 STUDIES SHOWED LOW CONCERNS, WHILE 2 STUDIES SHOWED SOME CONCERNS ABOUT THE RISK OF BIAS JUDGMENT. ALTHOUGH THE RESULTS LOOK ENCOURAGING, RCTS WITH LARGER SAMPLE SIZE ARE NEEDED TO BETTER EVALUATE THE EFFECTIVENESS OF YOGA AS A TREATMENT MODALITY FOR SUBSTANCE USE. 2021 6 1108 35 EFFECTS OF YOGA-BASED INTERVENTIONS ON CANCER-ASSOCIATED COGNITIVE DECLINE: A SYSTEMATIC REVIEW. PURPOSE OF REVIEW: TO SUMMARIZE AND EVALUATE EVIDENCE AVAILABLE ON THE EFFECTS OF YOGA ON CANCER-ASSOCIATED COGNITIVE DECLINE (CACD). RECENT FINDINGS: A SYSTEMATIC REVIEW WAS CONDUCTED USING FOUR DATABASES OF ARTICLES PUBLISHED BEFORE JANUARY 1, 2020. TEN ARTICLES MET THE INCLUSION CRITERIA (SIX RANDOMIZED CONTROLLED TRIALS, TWO SINGLE-ARM STUDIES, ONE NON-RANDOMIZED CONTROLLED TRIAL, AND ONE CASE SERIES STUDY). STUDIES WERE PREDOMINANTLY CONDUCTED WITH BREAST CANCER PATIENTS USING LOW-INTENSITY HATHA YOGA PROGRAMS. OF THE 10 ARTICLES, FIVE REPORTED SOME POSITIVE EFFECTS ON CACD, BUT SIGNIFICANT BIASES WERE POSSIBLE DUE TO DESIGN SHORTCOMINGS. COHEN'S D EFFECT SIZES RANGED FROM |0.03| TO |0.74|. THE EVIDENCE TO DATE IS INSUFFICIENT TO SUGGEST THAT YOGA IS BENEFICIAL FOR ATTENUATING CACD. MORE RIGOROUS TRIALS CONTROLLING FOR NON-SPECIFIC FACTORS ARE WARRANTED. THE FIELD WOULD ALSO BENEFIT FROM EXAMINING SELF-DELIVERED MODES OF YOGA FOR TREATING CACD IN VARIOUS CANCER POPULATIONS TO ENHANCE PRACTICE SUSTAINABILITY AND GENERALIZABILITY. 2020 7 2181 46 THE EFFECTS OF YOGA ON PHYSICAL FUNCTIONING AND HEALTH RELATED QUALITY OF LIFE IN OLDER ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: THE GOAL WAS TO REVIEW SYSTEMATICALLY THE COMPARATIVE EFFECTIVENESS OF YOGA, COMPARED WITH OTHER EXERCISE INTERVENTIONS, FOR OLDER ADULTS AS SHOWN ON MEASURES OF HEALTH AND PHYSICAL FUNCTIONING. DESIGN: THIS WAS A SYSTEMATIC REVIEW WITH BOTH NARRATIVE SYNTHESIS AND META-ANALYSIS. DATA SOURCES: SEARCHES WERE CONDUCTED IN MEDLINE(R)/PUBMED, PSYCINFO, CINAHL, WEB OF SCIENCE, AND SCOPUS; BIBLIOGRAPHIES OF SELECTED ARTICLES; AND ONE SYSTEMATIC REVIEW ON THE EFFECTS OF YOGA ON CARDIOVASCULAR DISEASE. METHODS: ORIGINAL STUDIES FROM 1950 TO NOVEMBER 2010 WERE SOUGHT, EVALUATING THE EFFECTS OF YOGA ON OLDER ADULTS. THE SEARCH WAS RESTRICTED TO RANDOMIZED CONTROLLED TRIALS OF YOGA IN SUBJECTS >/=AGE 60, AND PUBLISHED IN ENGLISH. DATA WERE EXTRACTED AND EVALUATED REGARDING SETTING, POPULATION SIZE AND CHARACTERISTICS, INTERVENTION TYPE AND DURATION, COMPARISON GROUP, OUTCOME ASSESSMENT, DATA ANALYSIS, FOLLOW-UP, KEY RESULTS, AND THE QUALITY OF EACH STUDY ACCORDING TO SPECIFIC PREDETERMINED CRITERIA. RESULTS: THE SEARCH YIELDED 18 ELIGIBLE STUDIES (N=649). THE STUDIES REPORTED ON OLDER ADULTS ACROSS A RANGE OF SETTINGS, INTERVENTION INTENSITY, AND OUTCOME MEASURES. THE MAJORITY OF THE STUDIES HAD<35 PARTICIPANTS (RANGE 9-77). QUANTITATIVE AND QUALITATIVE SYNTHESIS OF THE STUDIES SUGGESTED THAT THE BENEFITS OF YOGA MAY EXCEED THOSE OF CONVENTIONAL EXERCISE INTERVENTIONS FOR SELF-RATED HEALTH STATUS, AEROBIC FITNESS, AND STRENGTH. HOWEVER, THE EFFECT SIZES WERE MODEST, AND THE EVIDENCE WAS MIXED FOR YOGA'S EFFECT ON DEPRESSION, SLEEP, AND BONE-MINERAL DENSITY. STUDIES DID NOT FIND AN EFFECT ON COGNITION. CONCLUSIONS: SMALL STUDIES WITH MIXED METHODOLOGICAL QUALITY SUGGESTED THAT YOGA MAY BE SUPERIOR TO CONVENTIONAL PHYSICAL-ACTIVITY INTERVENTIONS IN ELDERLY PEOPLE. THE PRECISION OF THE ESTIMATES REMAINS LOW. LARGER STUDIES ARE NECESSARY TO DEFINE BETTER THE INTERSECTION OF POPULATIONS, SETTINGS, AND INTERVENTIONS IN WHICH YOGA IS MOST BENEFICIAL. 2012 8 1737 37 PHYSICAL ACTIVITY AND YOGA-BASED APPROACHES FOR PREGNANCY-RELATED LOW BACK AND PELVIC PAIN. OBJECTIVE: TO CONDUCT AN INTEGRATIVE REVIEW TO EVALUATE CURRENT LITERATURE ABOUT NONPHARMACOLOGIC, EASILY ACCESSIBLE MANAGEMENT STRATEGIES FOR PREGNANCY-RELATED LOW BACK AND PELVIC PAIN (PR-LBPP). DATA SOURCES: PUBMED, CINAHL, COCHRANE DATABASE OF SYSTEMATIC REVIEWS. STUDY SELECTION: ORIGINAL RESEARCH ARTICLES WERE CONSIDERED FOR REVIEW IF THEY WERE FULL-LENGTH PUBLICATIONS WRITTEN IN ENGLISH AND PUBLISHED IN PEER-REVIEWED JOURNALS FROM 2005 THROUGH 2015, INCLUDED MEASURES OF PAIN AND SYMPTOMS RELATED TO PR-LBPP, AND EVALUATED TREATMENT MODALITIES THAT USED A PHYSICAL EXERCISE OR YOGA-BASED APPROACH FOR THE DESCRIBED CONDITIONS. DATA EXTRACTION: ELECTRONIC DATABASE SEARCHES YIELDED 1,435 ARTICLES. A TOTAL OF 15 ARTICLES MET ELIGIBILITY CRITERIA FOR FURTHER REVIEW. DATA SYNTHESIS: THESE MODALITIES SHOW PRELIMINARY PROMISE FOR PAIN RELIEF AND OTHER RELATED SYMPTOMS, INCLUDING STRESS AND DEPRESSION. HOWEVER, OUR FINDINGS ALSO INDICATE SEVERAL GAPS IN KNOWLEDGE ABOUT THESE THERAPIES FOR PR-LBPP AND METHODOLOGIC ISSUES WITH THE CURRENT LITERATURE. CONCLUSION: ALTHOUGH ADDITIONAL RESEARCH IS REQUIRED, THE RESULTS OF THIS INTEGRATIVE REVIEW SUGGEST THAT CLINICIANS MAY CONSIDER RECOMMENDING NONPHARMACOLOGIC TREATMENT OPTIONS, SUCH AS GENTLE PHYSICAL ACTIVITY AND YOGA-BASED INTERVENTIONS, FOR PR-LBPP AND RELATED SYMPTOMS. 2017 9 2105 31 THE EFFECT OF YOGA ON MENSTRUAL DISORDERS: A SYSTEMATIC REVIEW. OBJECTIVE: TO SUMMARIZE AND EVALUATE EVIDENCE FOR THE EFFECT OF YOGA ON MENSTRUAL DISORDERS. METHODS: PUBMED, CINAHL/MEDLINE, WEB OF SCIENCE, AMED, AND SCOPUS WERE SEARCHED FOR ENGLISH-LANGUAGE LITERATURE RELEVANT TO THE REVIEW QUESTION. ALL PRIMARY RESEARCH STUDIES WERE INCLUDED. RESULTS: FIFTEEN STUDIES DESCRIBED IN 18 PAPERS WERE INCLUDED IN THE REVIEW. A RANGE OF YOGA INTERVENTIONS WERE USED. SOME STUDIES USED A COMBINATION OF ASANA, PRANAYAMA, AND OTHER YOGIC RELAXATION OR MEDITATION TECHNIQUES. ALL INCLUDED STUDIES REPORTED SOME CHANGE IN THEIR OUTCOME MEASURES, SUGGESTING REDUCED SYMPTOMS OF MENSTRUAL DISTRESS FOLLOWING A YOGA INTERVENTION; HOWEVER, THE HETEROGENEITY AND INTENSITY OF THE INTERVENTIONS AND OUTCOME MEASURES MEANT THAT FINDINGS HAVE LIMITED GENERALIZABILITY AND APPLICABILITY IN PRACTICE SETTINGS. CONCLUSIONS: FURTHER RESEARCH ON THE RELATIONSHIP BETWEEN YOGA PRACTICE AND MENSTRUAL DISORDERS IS WARRANTED, BUT THERE MUST BE BOTH CONSISTENCY IN THE METHODS, MEASURES, AND QUALITY OF STUDIES AND A SHIFT TOWARD RESEARCH ON YOGA PRACTICES THAT ARE REPLICABLE OUTSIDE OF THE CLINICAL TRIAL SETTING. 2017 10 2292 28 THERAPEUTIC EFFECTS OF YOGA FOR CHILDREN: A SYSTEMATIC REVIEW OF THE LITERATURE. PURPOSE: WE COMPLETED A SYSTEMATIC REVIEW OF THE LITERATURE ON THE EFFECT OF YOGA ON QUALITY OF LIFE AND PHYSICAL OUTCOME MEASURES IN THE PEDIATRIC POPULATION. WE EXPLORED VARIOUS DATABASES AND INCLUDED CASE-CONTROL AND PILOT STUDIES, COHORT AND RANDOMIZED CONTROLLED TRIALS THAT EXAMINED YOGA AS AN EXERCISE INTERVENTION FOR CHILDREN. SUMMARY OF KEY POINTS: USING THE SACKETT LEVELS OF EVIDENCE, THIS ARTICLE REVIEWS THE LITERATURE ON YOGA AS A COMPLEMENTARY MIND-BODY MOVEMENT THERAPY. WE ADDRESS THE RESEARCH THROUGH THREE PRACTICE PATTERNS ACCORDING TO THE GUIDE TO PHYSICAL THERAPIST PRACTICE AND PROVIDE CONSIDERATIONS FOR THE INCLUSION OF YOGA INTO CLINICAL PRACTICE. STATEMENT OF CONCLUSIONS AND RECOMMENDATIONS FOR CLINICAL PRACTICE: THE EVIDENCE SHOWS PHYSIOLOGICAL BENEFITS OF YOGA FOR THE PEDIATRIC POPULATION THAT MAY BENEFIT CHILDREN THROUGH THE REHABILITATION PROCESS, BUT LARGER CLINICAL TRIALS, INCLUDING SPECIFIC MEASURES OF QUALITY OF LIFE ARE NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. 2008 11 1083 37 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 12 1088 29 EFFECTS OF YOGA ON SYMPTOMS, PHYSICAL FUNCTION, AND PSYCHOSOCIAL OUTCOMES IN ADULTS WITH OSTEOARTHRITIS: A FOCUSED REVIEW. OSTEOARTHRITIS (OA) IS A HIGHLY PREVALENT AND DISABLING CHRONIC CONDITION. BECAUSE PHYSICAL ACTIVITY IS A KEY COMPONENT IN OA MANAGEMENT, EFFECTIVE EXERCISE INTERVENTIONS ARE NEEDED. YOGA IS AN INCREASINGLY POPULAR MULTIMODAL MIND-BODY EXERCISE THAT AIMS TO PROMOTE FLEXIBILITY, STRENGTH, ENDURANCE, AND BALANCE. ITS GENTLE APPROACH IS POTENTIALLY A SAFE AND EFFECTIVE EXERCISE OPTION FOR MANAGING OA. THE PURPOSE OF THIS FOCUSED REVIEW IS TO EXAMINE THE EFFECTS OF YOGA ON OA SYMPTOMS AND PHYSICAL AND PSYCHOSOCIAL OUTCOMES. A COMPREHENSIVE SEARCH WAS CONDUCTED USING SEVEN ELECTRONIC DATABASES. TWELVE REPORTS MET INCLUSION CRITERIA INVOLVING A TOTAL OF 589 PARTICIPANTS WITH OA-RELATED SYMPTOMS. A VARIETY OF TYPES, FREQUENCIES, AND DURATIONS OF YOGA INTERVENTIONS WERE REPORTED; HATHA AND IYENGAR YOGA WERE THE MOST COMMONLY USED TYPES. FREQUENCY OF INTERVENTION RANGED FROM ONCE A WEEK TO 6 DAYS A WEEK. DURATION OF THE INTERVENTIONS RANGED FROM 45 TO 90 MINS PER SESSION FOR 6 TO 12 WKS. YOGA INTERVENTION RESULTED IN REDUCTIONS IN PAIN, STIFFNESS, AND SWELLING, BUT RESULTS ON PHYSICAL FUNCTION AND PSYCHOSOCIAL WELL-BEING WERE INCONCLUSIVE BECAUSE OF A VARIETY OF OUTCOME MEASURES BEING USED. 2016 13 1109 49 EFFECTS OF YOGA-BASED INTERVENTIONS ON COGNITIVE FUNCTION IN HEALTHY OLDER ADULTS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: THE WORLD'S ELDERLY POPULATION IS GROWING. PHYSICAL ACTIVITY HAS POSITIVE EFFECTS ON HEALTH AND COGNITION, BUT IS DECREASING AMONG THE ELDERLY. INTEREST IN YOGA-BASED EXERCISES HAS INCREASED IN THIS POPULATION, ESPECIALLY AS AN INTERVENTION TARGETING BALANCE, FLEXIBILITY, STRENGTH, AND WELL-BEING. RECENT INTEREST HAS ARISEN REGARDING YOGA'S POTENTIAL BENEFITS FOR COGNITION. OBJECTIVE: TO SYSTEMATICALLY REVIEW EVIDENCE FROM RANDOMIZED CONTROLLED TRIALS (RCTS) EXAMINING THE EFFECTS OF YOGA-BASED INTERVENTIONS ON COGNITIVE FUNCTIONING IN HEALTHY ADULTS AGED >/=60. A SECONDARY AIM WAS TO DESCRIBE INTERVENTION CHARACTERISTICS AND, WHERE POSSIBLE, THE EXTENT TO WHICH THESE INFLUENCED STUDY OUTCOMES. METHOD: THE REVIEW WAS CONDUCTED IN ACCORDANCE WITH PRISMA GUIDELINES. SEARCHES WERE PERFORMED FROM INCEPTION TO JUNE 2020 USING THE FOLLOWING ELECTRONIC DATABASES: (1) PUBMED (NLM); (2) EMBASE (ELSEVIER); (3) COCHRANE CENTRAL (WILEY); (4) PSYCINFO (EBSCOHOST); AND (5) CINAHL (EBSCOHOST). INCLUSION CRITERIA: RCTS OF YOGA-BASED INTERVENTIONS ASSESSING COGNITION IN HEALTHY ADULTS >/=60 YEARS. RISK OF BIAS WAS ASSESSED USING THE REVISED COCHRANE RISK OF BIAS TOOL. RESULTS: A TOTAL OF 1466 RECORDS WERE INITIALLY IDENTIFIED; SIX STUDIES (5 UNIQUE TRIALS) WERE INCLUDED IN THE REVIEW. FOUR OF THE SIX ARTICLES REPORTED SIGNIFICANT POSITIVE EFFECTS OF YOGA-BASED INTERVENTIONS ON COGNITION, INCLUDING GROSS MEMORY FUNCTIONING AND EXECUTIVE FUNCTIONS. INTERVENTION CHARACTERISTICS AND ASSESSMENT METHODS VARIED BETWEEN STUDIES, WITH A HIGH OVERALL RISK OF BIAS IN ALL STUDIES. CONCLUSION: YOGA-BASED INTERVENTIONS ARE ASSOCIATED WITH IMPROVEMENTS IN COGNITION IN HEALTHY OLDER ADULTS. ADEQUATELY POWERED RCTS WITH ROBUST STUDY DESIGNS AND LONG-TERM FOLLOW-UPS ARE REQUIRED. FUTURE STUDIES SHOULD EXPLICITLY REPORT THE INTERVENTION CHARACTERISTICS ASSOCIATED WITH CHANGES IN COGNITIVE FUNCTION. 2021 14 2184 26 THE EFFECTS OF YOGA ON QUALITY OF LIFE AMONG POSTMENOPAUSAL WOMEN: A SYSTEMATIC REVIEW STUDY. INTRODUCTION: THE QUALITY OF LIFE IN MENOPAUSAL WOMEN IS CONSIDERED TO BE AN IMPORTANT HEALTH ISSUE IN DIFFERENT SOCIETIES AND ONE OF THE MAIN OBJECTIVES OF HEALTH CARE IN THIS PERIOD. THIS STUDY AIMED TO INVESTIGATE THE EFFECTS OF YOGA ON IMPROVING THE QUALITY OF LIFE IN MENOPAUSAL WOMEN. METHOD: ENGLISH DATABASES OF GOOGLE SCHOLAR, SCIENCE DIRECT, PUBMED, SCOPUS, AND COCHRANE LIBRARY WERE SEARCHED TO ACCESS RELATED ARTICLES USING KEYWORDS OF MENOPAUSE, QUALITY OF LIFE, AND YOGA. FURTHERMORE, PERSIAN EQUIVALENTS OF THE SAME KEYWORDS WERE SEARCHED IN DATABASES OF GOOGLE SCHOLAR, SID, AND MAGIRAN, IN ADDITION TO A COMBINATION OF THE KEYWORDS. THE SEARCH INTERVAL WAS FROM THE INSPECTION TO JANUARY 2020. THE QUALITY OF THE INCLUDED STUDIED WAS ASSESSED BASED ON CONSORT 2017 CHECKLIST. RESULTS: OUT OF 120 ARTICLES FOUND IN THE DATABASES, SIX ARTICLES ENTERED THE STUDY BASED ON THE INCLUSION CRITERIA AND WERE INVESTIGATED FOR INTERVENTION METHODS AND CONSEQUENCES. THE RESULTS INDICATED THE POSITIVE IMPACT OF YOGA ON THE QUALITY OF LIFE IN MENOPAUSAL WOMEN. CONCLUSION: CONSIDERING THE EFFECTS OF YOGA ON THE SYMPTOMS AND QUALITY OF LIFE IN MENOPAUSAL WOMEN, IT IS SUGGESTED THAT THIS LOW-COST METHOD BE USED TO IMPROVE THEIR QUALITY OF LIFE AND HEALTH. 2021 15 2294 20 THERAPEUTIC EFFICACY OF YOGA FOR COMMON PRIMARY CARE CONDITIONS. INTRODUCTION: YOGA IS A POPULAR FORM OF EXERCISE THAT USES BODY POSTURES, MEDITATION, AND BREATHING TECHNIQUES AND HAS BEEN SHOWN TO HAVE MANY HEALTH BENEFITS. OBJECTIVE/METHODS: OUR GOAL FOR THIS REVIEW IS TO ORIENT HEALTH PROFESSIONALS TO THE EVIDENCE-BASED USES OF YOGA MOST RELEVANT TO PRIMARY CARE. WE CONDUCTED A PUBMED SEARCH THAT INCLUDED META-ANALYSES, REVIEWS, SYSTEMATIC REVIEWS, AND RANDOMIZED CONTROLLED TRIALS. RESULTS: RESULTS WERE LIMITED TO ENGLISH LANGUAGE AND PUBLICATION BETWEEN 2010 AND 2020. YOGA WAS FOUND TO HELP DECREASE HYPERTENSION, RELIEVE BACK PAIN, PROMOTE OVERALL WELL-BEING, AND IMPROVE MENTAL HEALTH. CONCLUSIONS: YOGA IS A RELATIVELY SAFE AND EFFECTIVE OPTION FOR PATIENTS INTERESTED IN THERAPEUTIC LIFESTYLE CHANGE TO PROMOTE WELL-BEING AND TO HELP MANAGE HYPERTENSION, BACK PAIN, AND OVERALL MENTAL HEALTH. 2021 16 2200 26 THE EFFICACY OF YOGA AS A FORM OF TREATMENT FOR DEPRESSION. THE PURPOSE OF THIS ARTICLE WAS TO SYSTEMATICALLY REVIEW YOGA INTERVENTIONS AIMED AT IMPROVING DEPRESSIVE SYMPTOMS. A TOTAL OF 23 INTERVENTIONS PUBLISHED BETWEEN 2011 AND MAY 2016 WERE EVALUATED IN THIS REVIEW. THREE STUDY DESIGNS WERE USED: RANDOMIZED CONTROL TRIALS, QUASI-EXPERIMENTAL, AND PRETEST/POSTTEST, WITH MAJORITY BEING RANDOMIZED CONTROL TRIALS. MOST OF THE STUDIES WERE IN THE UNITED STATES. VARIOUS YOGA SCHOOLS WERE USED, WITH THE MOST COMMON BEING HATHA YOGA. THE NUMBER OF PARTICIPANTS PARTICIPATING IN THE STUDIES RANGED FROM 14 TO 136, IMPLYING THAT MOST STUDIES HAD A SMALL SAMPLE. THE DURATION OF THE INTERVENTION PERIOD VARIED GREATLY, WITH THE MAJORITY BEING 6 WEEKS OR LONGER. LIMITATIONS OF THE INTERVENTIONS INVOLVED THE SMALL SAMPLE SIZES USED BY THE MAJORITY OF THE STUDIES, MOST STUDIES EXAMINING THE SHORT-TERM EFFECT OF YOGA FOR DEPRESSION, AND THE NONUTILIZATION OF BEHAVIORAL THEORIES. DESPITE THE LIMITATIONS, IT CAN BE CONCLUDED THAT THE YOGA INTERVENTIONS WERE EFFECTIVE IN REDUCING DEPRESSION. 2017 17 2178 33 THE EFFECTS OF YOGA ON PAIN, MOBILITY, AND QUALITY OF LIFE IN PATIENTS WITH KNEE OSTEOARTHRITIS: A SYSTEMATIC REVIEW. OBJECTIVE. TO SYSTEMATICALLY ASSESS THE EFFECTS OF YOGA ON PAIN, MOBILITY, AND QUALITY OF LIFE IN PATIENTS WITH KNEE OSTEOARTHRITIS. METHODS. PUBMED, MEDLINE, EMBASE, THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS, PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO), AND OTHER SOURCES WERE SEARCHED SYSTEMATICALLY IN THIS STUDY. TWO REVIEWERS IDENTIFIED ELIGIBLE STUDIES AND EXTRACTED DATA INDEPENDENTLY. DOWNS AND BLACK'S QUALITY INDEX WERE USED TO EVALUATE THE METHODOLOGICAL QUALITY OF THE INCLUDED STUDIES. RESULTS. A TOTAL OF 9 ARTICLES (6 STUDIES) INVOLVING 372 PATIENTS WITH KNEE OSTEOARTHRITIS MET THE INCLUSION CRITERIA. THE MOST COMMON YOGA PROTOCOL IS 40~90 MINUTES/SESSION, LASTING FOR AT LEAST 8 WEEKS. THE EFFECT OF YOGA ON PAIN RELIEF AND FUNCTION IMPROVEMENT COULD BE SEEN AFTER TWO-WEEK INTERVENTION. CONCLUSION. THIS SYSTEMATIC REVIEW SHOWED THAT YOGA MIGHT HAVE POSITIVE EFFECTS IN RELIEVING PAIN AND MOBILITY ON PATIENTS WITH KOA, BUT THE EFFECTS ON QUALITY OF LIFE (QOL) ARE UNCLEAR. BESIDES, MORE OUTCOME MEASURE RELATED TO MENTAL HEALTH OF YOGA EFFECTS ON PEOPLE WITH KOA SHOULD BE CONDUCTED. 2016 18 317 36 AN INTEGRATED METHODOLOGY TO ASSESS COMPLIANCE WITH DELPHI SURVEY KEY COMPONENTS OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS AS APPLIED IN A SYSTEMATIC REVIEW OF FIBROMYALGIA STUDIES. OBJECTIVE: THE OBJECTIVE OF THIS ARTICLE WAS TO PRESENT A METHODOLOGY INCORPORATING EXISTING GUIDELINES AND TOOLS FOR SYSTEMATIC REVIEWS AND TO EVALUATE THE DELPHI SURVEY 33 KEY COMPONENT RECOMMENDATIONS OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS AS A TOOL FOR A SYSTEMATIC REVIEW IN FIBROMYALGIA STUDIES. DATA SOURCES: DATABASES SEARCHED INCLUDED PUBMED, OVID MEDLINE, PSYCHINFO, THE COCHRANE LIBRARY, CINAHL, ALT HEALTHWATCH, PEDRO, AND WEB OF SCIENCE. ARTICLE SELECTION: SELECTED WERE ARTICLES PUBLISHED BETWEEN NOVEMBER 14, 2004 AND NOVEMBER 13, 2014, WRITTEN IN ENGLISH, REPORTING ORIGINAL RESEARCH OF YOGA INTERVENTIONS FOR ADULTS WITH FIBROMYALGIA. DATA EXTRACTION AND SYNTHESIS: SIX ARTICLES MET THE INCLUSION CRITERIA, REVEALING THAT THREE YOGA STYLES ("RELAXING" YOGA, YOGA OF AWARENESS, AND HATHA YOGA) HAVE BEEN ASSESSED IN PERSONS WITH FIBROMYALGIA. OVERALL, REPORTING COMPLIANCE WITH THE 33 KEY COMPONENTS RANGED FROM 39.4% TO 84.8%, WITH A MEAN ADHERENCE RATE OF 62.63% +/- 17.74. NONE OF THE AUTHORS USED AN ACCEPTED REPORTING GUIDELINE; SPECIFIC COMPONENTS OF ASANA, PRANAYAMA, RELAXATION, AND MINDFULNESS PRACTICES THAT WOULD HAVE BEEN INCORPORATED INTO THE INTERVENTIONS TESTED WERE IDENTIFIED IN ONLY 33.33% OF THE ARTICLES REVIEWED; AND NONE OF THE ARTICLES INCLUDED DETAILED, REPLICABLE DESCRIPTIONS OF THE INTERVENTIONS. CONCLUSIONS: THIS SYSTEMATIC REVIEW SUPPORTS THE NEED FOR COMPREHENSIVE YOGA RESEARCH GUIDELINES. FINDINGS REVEAL A LACK OF REPORTING OF INTERVENTION DETAILS, THE NEED TO REPORT A DISEASE-SPECIFIC RATIONALE FOR SELECTION OF THE PARTICULAR YOGA STYLE USED FOR THE INTERVENTION, AND THAT A LIMITED NUMBER OF YOGA STYLES HAVE BEEN INVESTIGATED IN PERSONS WITH FIBROMYALGIA. 2016 19 547 48 CONTENT, STRUCTURE, AND DELIVERY CHARACTERISTICS OF YOGA INTERVENTIONS FOR MANAGING HYPERTENSION: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. OBJECTIVES: THIS SYSTEMATIC REVIEW AIMED TO SYNTHESIZE THE CONTENT, STRUCTURE, AND DELIVERY CHARACTERISTICS OF EFFECTIVE YOGA INTERVENTIONS USED FOR MANAGING HYPERTENSION AND TO COMPARE THESE CHARACTERISTICS WITH INEFFECTIVE INTERVENTIONS. DESIGN AND METHOD: THE JBI AND THE PRISMA GUIDELINES WERE FOLLOWED IN THIS SYSTEMATIC REVIEW. RCTS CONDUCTED AMONG HYPERTENSIVE ADULTS WERE INCLUDED. RCTS REPORTING AT LEAST ONE OF THE MAJOR COMPONENTS OF YOGA (I.E., ASANA, PRANAYAMA, AND DHYANA AND RELAXATION PRACTICES) AND COMPARING THEM WITH NO INTERVENTION OR ANY INTERVENTION WERE ELIGIBLE. SIXTEEN DATABASES WERE SEARCHED FOR PUBLISHED AND UNPUBLISHED STUDIES WITHOUT ANY DATE AND LANGUAGE RESTRICTIONS TILL MARCH 15, 2021. RESULTS: THE LITERATURE SEARCH YIELDED 13,130 RECORDS. 34 RCTS (EVALUATING 38 YOGA INTERVENTIONS) MET THE INCLUSION CRITERIA. OVERALL, INCLUDED STUDIES HAD LOW METHODOLOGICAL QUALITY MOSTLY DUE TO INADEQUATE REPORTING. YOGA REDUCED SBP AND DBP COMPARED TO A CONTROL INTERVENTION (MD -6.49 AND -2.78; 95CI% -8.94- -4.04 AND -4.11- -1.45, RESPECTIVELY). EIGHTEEN, 14 AND 20 INTERVENTIONS WERE EFFECTIVE IN IMPROVING SBP, DBP, OR EITHER, RESPECTIVELY. 13 OUT OF 20 EFFECTIVE INTERVENTIONS INCORPORATED ALL THE 3 MAJOR COMPONENTS OF YOGA AND ALLOCATED SIMILAR DURATIONS TO EACH COMPONENT WHEREAS INEFFECTIVE INTERVENTIONS WERE MORE FOCUSED ON THE ASANA AND DURATION OF ASANA PRACTICE WAS LONGER. THE MOST COMMON DURATION AND FREQUENCY OF EFFECTIVE INTERVENTIONS WERE 45 MIN/SESSION (IN 5 INTERVENTIONS), 7 DAYS/WEEK (IN 5 INTERVENTIONS), AND 12 WEEKS (IN 11 INTERVENTIONS) WHEREAS THE MOST COMMON SESSION FREQUENCY WAS 2 DAYS A WEEK (IN 7 INTERVENTIONS) IN INEFFECTIVE INTERVENTIONS. EFFECTIVE INTERVENTIONS WERE MOSTLY CENTER-BASED (IN 15 INTERVENTIONS) AND SUPERVISED (IN 16 INTERVENTIONS) AND THIS WAS SIMILAR WITH INEFFECTIVE INTERVENTIONS. CONCLUSION: DESPITE THE LOW QUALITY AND HETEROGENEITY OF INCLUDED STUDIES, OUR FINDINGS SUGGEST YOGA INTERVENTIONS MAY EFFECTIVELY MANAGE HYPERTENSION. THE DIFFERENCES BETWEEN THE EFFECTIVE AND INEFFECTIVE INTERVENTIONS SUGGEST THAT EFFECTIVE YOGA INTERVENTIONS MOSTLY INCORPORATED ASANA, PRANAYAMA, AND DHYANA AND RELAXATION PRACTICES AND THEY HAD A BALANCE BETWEEN THESE THREE COMPONENTS AND INCLUDED REGULAR PRACTICE. THEY WERE MOSTLY DELIVERED IN A CENTER AND UNDER SUPERVISION. FUTURE STUDIES SHOULD CONSIDER DEVELOPING AND EVALUATING AN INTERVENTION FOR MANAGING HYPERTENSION USING THE SYNTHESIZED FINDINGS OF THE EFFECTIVE INTERVENTIONS IN THIS REVIEW. SYSTEMATIC REVIEW REGISTRATION: [PROSPERO], IDENTIFIER [CRD42019139404]. 2022 20 2542 30 YOGA FOR ARTHRITIS: A SCOPING REVIEW. THIS ARTICLE REVIEWS THE EXISTING LITERATURE ON USING YOGA FOR ARTHRITIS. IT INCLUDES PEER-REVIEWED RESEARCH FROM CLINICAL TRIALS (PUBLISHED FROM 1980 TO 2010) THAT USED YOGA AS AN INTERVENTION FOR ARTHRITIS AND REPORTED QUANTITATIVE FINDINGS. ELEVEN STUDIES WERE IDENTIFIED, INCLUDING 4 RANDOMIZED CONTROLLED TRIALS (RCTS) AND 4 NON-RCTS. ALL TRIALS WERE SMALL AND CONTROL GROUPS VARIED. NO ADVERSE EVENTS WERE REPORTED, AND ATTRITION WAS COMPARABLE OR BETTER THAN THAT TYPICAL FOR EXERCISE INTERVENTIONS. EVIDENCE WAS STRONGEST FOR REDUCED DISEASE SYMPTOMS (TENDER/SWOLLEN JOINTS, PAIN) AND DISABILITY AND FOR IMPROVED SELF-EFFICACY AND MENTAL HEALTH. INTERVENTIONS, RESEARCH METHODS, AND DISEASE DIAGNOSES WERE HETEROGENEOUS. 2011