1 385 139 BENEFICIAL EFFECTS OF YOGA STRETCHING ON SALIVARY STRESS HORMONES AND PARASYMPATHETIC NERVE ACTIVITY. THIS STUDY AIMED TO DETERMINE THE EFFECT OF YOGA STRETCHING ON SALIVARY STRESS HORMONES AND CARDIAC AUTONOMIC NERVOUS SYSTEM. TO OUR KNOWLEDGE, THIS STUDY IS THE FIRST TO INVESTIGATE CHANGES IN CARDIAC AUTONOMIC NERVOUS SYSTEM AFTER YOGA STRETCHING. IN THIS CROSSOVER DESIGN STUDY, 10 ADULT MEN (AGE, 26.3 +/- 2.5 YEARS) WITHOUT YOGA EXPERIENCE PARTICIPATED IN THE REST AND YOGA TRIALS FOR 90 MIN. MEASUREMENTS WERE CARRIED OUT BEFORE (PRE), IMMEDIATELY (POST), 60 MIN, AND 120 MIN AFTER REST OR YOGA STRETCHING. SALIVA SAMPLES WERE COLLECTED BY CHEWING A STERILE COTTON BALL AT A FREQUENCY OF 60 CYCLES PER MINUTE. SALIVARY CORTISOL AND TESTOSTERONE CONCENTRATIONS WERE MEASURED USING AN ENZYME-LINKED IMMUNOSORBENT ASSAY. WITH THE SUBJECTS IN THE SITTING POSITION, HEART RATE VARIABILITY WAS MEASURED USING PULSE ANALYZER PLUS FOR 150 SECONDS. AS REGARDS RATE CHANGES, SALIVARY TESTOSTERONE LEVEL TENDED TO INCREASE (P = 0.088), TESTOSTERONE/CORTISOL RATIO SIGNIFICANTLY INCREASED (P < 0.05), AND CORTISOL LEVEL SIGNIFICANTLY DECREASED (P < 0.05) AT 120 MIN AFTER YOGA STRETCHING. THE SQUARE ROOT OF THE MEAN-SQUARED DIFFERENCES OF SUCCESSIVE NORMAL-TO-NORMAL INTERVALS AND NATURAL LOGARITHM HIGH-FREQUENCY COMPONENT, WHICH ARE INDICATORS OF PARASYMPATHETIC NERVE ACTIVITY, INCREASED AT 60 MIN (P < 0.05) AND 120 MIN (P < 0.05) IN THE YOGA TRIAL, RESPECTIVELY. IN CONCLUSION, YOGA STRETCHING CAN ENHANCE PARASYMPATHETIC NERVE ACTIVITY AND IMPROVE STRESS HORMONES. THEREFORE, YOGA STRETCHING MAY BE USEFUL TO COMPENSATE FOR PHYSICAL INACTIVITY AND INCREASE LIFE EXPECTANCY IN THE GENERAL POPULATION. 2020 2 716 41 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 3 2778 38 YOGA STRETCHING FOR IMPROVING SALIVARY IMMUNE FUNCTION AND MENTAL STRESS IN MIDDLE-AGED AND OLDER ADULTS. PROTECTION AGAINST AGE-RELATED IMMUNE SUPPRESSION IS IMPORTANT IN ELDERLY INDIVIDUALS. THIS STUDY DETERMINED THE EFFECT OF YOGA ON MUCOSAL IMMUNE FUNCTION AND MENTAL STRESS. SALIVA SAMPLES WERE COLLECTED FROM 23 ADULT WOMEN (AGE: 60.4 +/- 10.4 YEARS) BEFORE AND AFTER 90 MINUTES OF YOGA STRETCHING OR REST TO MEASURE SECRETORY IMMUNOGLOBULIN A (SIGA), CORTISOL, AND TESTOSTERONE. THE SIGA CONCENTRATION AND SECRETION RATE WERE SIGNIFICANTLY HIGHER AFTER YOGA THAN BEFORE (P < .05). THE CORTISOL CONCENTRATION AND SECRETION RATE WERE LOWER AND TESTOSTERONE SECRETION RATE HIGHER AFTER YOGA (P < .05). YOGA STRETCHING CAN REDUCE STRESS AND ENHANCE MUCOSAL IMMUNE FUNCTION IN ELDERLY WOMEN. 2018 4 1258 33 FIFTEEN MINUTES OF CHAIR-BASED YOGA POSTURES OR GUIDED MEDITATION PERFORMED IN THE OFFICE CAN ELICIT A RELAXATION RESPONSE. THIS STUDY COMPARED ACUTE (15 MIN) YOGA POSTURE AND GUIDED MEDITATION PRACTICE, PERFORMED SEATED IN A TYPICAL OFFICE WORKSPACE, ON PHYSIOLOGICAL AND PSYCHOLOGICAL MARKERS OF STRESS. TWENTY PARTICIPANTS (39.6 +/- 9.5 YR) COMPLETED THREE CONDITIONS: YOGA, MEDITATION, AND CONTROL (I.E., USUAL WORK) SEPARATED BY >/=24 HRS. YOGA AND MEDITATION SIGNIFICANTLY REDUCED PERCEIVED STRESS VERSUS CONTROL, AND THIS EFFECT WAS MAINTAINED POSTINTERVENTION. YOGA INCREASED HEART RATE WHILE MEDITATION REDUCED HEART RATE VERSUS CONTROL (P < 0.05). RESPIRATION RATE WAS REDUCED DURING YOGA AND MEDITATION VERSUS CONTROL (P < 0.05). DOMAINS OF HEART RATE VARIABILITY (E.G., SDNN AND TOTAL POWER) WERE SIGNIFICANTLY REDUCED DURING CONTROL VERSUS YOGA AND MEDITATION. SYSTOLIC AND DIASTOLIC BLOOD PRESSURE WERE REDUCED SECONDARY TO MEDITATION VERSUS CONTROL ONLY (P < 0.05). PHYSIOLOGICAL ADAPTATIONS GENERALLY REGRESSED TOWARD BASELINE POSTINTERVENTION. IN CONCLUSION, YOGA POSTURES OR MEDITATION PERFORMED IN THE OFFICE CAN ACUTELY IMPROVE SEVERAL PHYSIOLOGICAL AND PSYCHOLOGICAL MARKERS OF STRESS. THESE EFFECTS MAY BE AT LEAST PARTIALLY MEDIATED BY REDUCED RESPIRATION RATE. 2012 5 2863 30 YOGA-BASED GUIDED RELAXATION REDUCES SYMPATHETIC ACTIVITY JUDGED FROM BASELINE LEVELS. 35 MALE VOLUNTEERS WHOSE AGES RANGED FROM 20 TO 46 YEARS WERE STUDIED IN TWO SESSIONS OF YOGA-BASED GUIDED RELAXATION AND SUPINE REST. ASSESSMENTS OF AUTONOMIC VARIABLES WERE MADE FOR 15 SUBJECTS, BEFORE, DURING, AND AFTER THE PRACTICES, WHEREAS OXYGEN CONSUMPTION AND BREATH VOLUME WERE RECORDED FOR 25 SUBJECTS BEFORE AND AFTER BOTH TYPES OF RELAXATION. A SIGNIFICANT DECREASE IN OXYGEN CONSUMPTION AND INCREASE IN BREATH VOLUME WERE RECORDED AFTER GUIDED RELAXATION (PAIRED T TEST). THERE WERE COMPARABLE REDUCTIONS IN HEART RATE AND SKIN CONDUCTANCE DURING BOTH TYPES OF RELAXATION. DURING GUIDED RELAXATION THE POWER OF THE LOW FREQUENCY COMPONENT OF THE HEART-RATE VARIABILITY SPECTRUM REDUCED, WHEREAS THE POWER OF THE HIGH FREQUENCY COMPONENT INCREASED, SUGGESTING REDUCED SYMPATHETIC ACTIVITY. ALSO, SUBJECTS WITH A BASELINE RATIO OF LF/HF > 0.5 SHOWED A SIGNIFICANT DECREASE IN THE RATIO AFTER GUIDED RELAXATION, WHILE SUBJECTS WITH A RATIO < OR = 0.5 AT BASELINE SHOWED NO SUCH CHANGE. THE RESULTS SUGGEST THAT SYMPATHETIC ACTIVITY DECREASED AFTER GUIDED RELAXATION BASED ON YOGA, DEPENDING ON THE BASELINE LEVELS. 2002 6 297 39 ALTERNATE NOSTRIL BREATHING AT DIFFERENT RATES AND ITS INFLUENCE ON HEART RATE VARIABILITY IN NON PRACTITIONERS OF YOGA. INTRODUCTION: HEART RATE VARIABILITY IS A MEASURE OF MODULATION IN AUTONOMIC INPUT TO THE HEART AND IS ONE OF THE MARKERS OF AUTONOMIC FUNCTIONS. THOUGH THERE ARE MANY STUDIES ON THE LONG TERM INFLUENCE OF BREATHING ON HRV (HEART RATE VARIABILITY) THERE ARE ONLY A FEW STUDIES ON THE IMMEDIATE EFFECT OF BREATHING ESPECIALLY ALTERNATE NOSTRIL BREATHING ON HRV. THIS STUDY FOCUSES ON THE IMMEDIATE EFFECTS OF ALTERNATE NOSTRIL BREATHING AND THE INFLUENCE OF DIFFERENT BREATHING RATES ON HRV. MATERIALS AND METHODS: THE STUDY WAS DONE ON 25 SUBJECTS IN THE AGE GROUP OF 17-35 YEARS. ECG AND RESPIRATION WERE RECORDED BEFORE INTERVENTION AND IMMEDIATELY AFTER THE SUBJECTS WERE ASKED TO PERFORM ALTERNATE NOSTRIL BREATHING FOR FIVE MINUTES. RESULTS: LOW FREQUENCY (LF) WHICH IS A MARKER OF SYMPATHETIC ACTIVITY INCREASED, HIGH FREQUENCY (HF) WHICH IS A MARKER OF PARASYMPATHETIC ACTIVITY DECREASED AND THEIR RATIO LF/HF WHICH IS A MARKER OF SYMPATHO/VAGAL BALANCE INCREASED IMMEDIATELY AFTER 6 AND 12 MINUTES IN COMPARISON TO BASELINE VALUES WHEREAS THERE WAS NO SIGNIFICANT DIFFERENCE IN THE MEANS OF THESE COMPONENTS WHEN BOTH 6 AND 12 MINUTES WERE COMPARED. CONCLUSION: IMMEDIATE EFFECTS OF ALTERNATE NOSTRIL BREATHING ON HRV IN NON PRACTITIONERS OF YOGIC BREATHING ARE VERY DIFFERENT FROM THE LONG TERM INFLUENCE OF YOGIC BREATHING ON HRV WHICH SHOW A PREDOMINANT PARASYMPATHETIC INFLUENCE ON THE HEART. 2016 7 306 34 AN EVALUATION OF THE ABILITY TO VOLUNTARILY REDUCE THE HEART RATE AFTER A MONTH OF YOGA PRACTICE. THE STUDY AIMED AT DETERMINING WHETHER NOVICES TO YOGA WOULD BE ABLE TO REDUCE THEIR HEART RATE VOLUNTARILY AND WHETHER THE MAGNITUDE OF REDUCTION WOULD BE MORE AFTER 30 DAYS OF YOGA TRAINING. TWO GROUPS (YOGA AND CONTROL, N = 12 EACH) WERE ASSESSED ON DAY 1 AND ON DAY 30. DURING THE INTERVENING 30 DAYS, THE YOGA GROUP RECEIVED TRAINING IN YOGA TECHNIQUES WHILE THE CONTROL GROUP CARRIED ON WITH THEIR ROUTINE. AT EACH ASSESSMENT THE BASELINE HEART RATE WAS RECORDED FOR ONE MINUTE, THIS WAS FOLLOWED BY A SIX-MINUTE PERIOD DURING WHICH PARTICIPANTS WERE ASKED TO ATTEMPT TO VOLUNTARILY REDUCE THEIR HEART RATE, USING ANY STRATEGY. BOTH THE BASELINE HEART RATE AND THE LOWEST HEART RATE ACHIEVED VOLUNTARILY DURING THE SIX-MINUTE PERIOD WERE SIGNIFICANTLY LOWER IN THE YOGA GROUP ON DAY 30 COMPARED TO DAY 1 BY A GROUP AVERAGE OF 10.7 BEATS PER MINUTE (I.E., BPM) AND 6.8 BPM, RESPECTIVELY (P < .05, WILCOXON PAIRED SIGNED RANKS TEST). IN CONTRAST, THERE WAS NO SIGNIFICANT CHANGE IN EITHER THE BASELINE HEART RATE OR THE LOWEST HEART RATE ACHIEVED VOLUNTARILY IN THE CONTROL GROUP ON DAY 30 COMPARED TO DAY 1. THE RESULTS SUGGEST THAT YOGA TRAINING CAN ENABLE PRACTITIONERS TO USE THEIR OWN STRATEGIES TO REDUCE THE HEART RATE, WHICH HAS POSSIBLE THERAPEUTIC APPLICATIONS. 2004 8 452 45 CHANGES IN HEART RATE VARIABILITY AFTER YOGA ARE DEPENDENT ON HEART RATE VARIABILITY AT BASELINE AND DURING YOGA: A STUDY SHOWING AUTONOMIC NORMALIZATION EFFECT IN YOGA-NAIVE AND EXPERIENCED SUBJECTS. BACKGROUND: YOGA THERAPY IS WIDELY APPLIED TO THE MAINTENANCE OF HEALTH AND TO TREATMENT OF VARIOUS ILLNESSES. PREVIOUS RESEARCHES INDICATE THE INVOLVEMENT OF AUTONOMIC CONTROL IN ITS EFFECTS, ALTHOUGH THE GENERAL AGREEMENT HAS NOT BEEN REACHED REGARDING THE ACUTE MODULATION OF AUTONOMIC FUNCTION. AIM: THE PRESENT STUDY AIMED AT REVEALING THE ACUTE EFFECT OF YOGA ON THE AUTONOMIC ACTIVITY USING HEART RATE VARIABILITY (HRV) MEASUREMENT. METHODS: TWENTY-SEVEN HEALTHY CONTROLS PARTICIPATED IN THE PRESENT STUDY. FIFTEEN OF THEM (39.5 +/- 8.5 YEARS OLD) WERE NAIVE AND 12 (45.1 +/- 7.0 YEARS OLD) WERE EXPERIENCED IN YOGA. YOGA SKILLS INCLUDED BREATH AWARENESS, TWO TYPES OF ASANA, AND TWO TYPES OF PRANAYAMA. HRV WAS MEASURED AT THE BASELINE, DURING YOGA, AND AT THE RESTING STATE AFTER YOGA. RESULTS: IN BOTH YOGA-NAIVE AND EXPERIENCED PARTICIPANTS, THE CHANGES IN LOW-FREQUENCY (LF) COMPONENT OF HRV AND ITS RATIO TO HIGH-FREQUENCY (HF) COMPONENT (LF/HF) AFTER YOGA WERE FOUND TO BE CORRELATED NEGATIVELY WITH THE BASELINE DATA. THE CHANGES IN LF AFTER YOGA WERE ALSO CORRELATED WITH LF DURING YOGA. THE CHANGES IN HF AS WELL AS THE RAW HRV DATA AFTER YOGA WERE NOT RELATED TO THE BASELINE HRV OR THE HRV DURING YOGA. CONCLUSION: THE RESULTS INDICATE THAT YOGA LEADS TO AN INCREASE IN LF WHEN LF IS LOW AND LEADS TO A DECREASE IN LF WHEN IT IS HIGH AT THE BASELINE. THIS NORMALIZATION OF LF IS DEPENDENT ON THE AUTONOMIC MODULATION DURING YOGA AND MAY UNDERLIE THE CLINICAL EFFECTIVENESS OF YOGA THERAPY BOTH IN YOGA-NAIVE AND EXPERIENCED SUBJECTS. 2020 9 1530 45 IYENGAR YOGA INCREASES CARDIAC PARASYMPATHETIC NERVOUS MODULATION AMONG HEALTHY YOGA PRACTITIONERS. RELAXATION TECHNIQUES ARE ESTABLISHED IN MANAGING OF CARDIAC PATIENTS DURING REHABILITATION AIMING TO REDUCE FUTURE ADVERSE CARDIAC EVENTS. IT HAS BEEN HYPOTHESIZED THAT RELAXATION-TRAINING PROGRAMS MAY SIGNIFICANTLY IMPROVE CARDIAC AUTONOMIC NERVOUS TONE. HOWEVER, THIS HAS NOT BEEN PROVEN FOR ALL AVAILABLE RELAXATION TECHNIQUES. WE TESTED THIS ASSUMPTION BY INVESTIGATING CARDIAC VAGAL MODULATION DURING YOGA.WE EXAMINED 11 HEALTHY YOGA PRACTITIONERS (7 WOMEN AND 4 MEN, MEAN AGE: 43 +/- 11; RANGE: 26-58 YEARS). EACH INDIVIDUAL WAS SUBJECTED TO TRAINING UNITS OF 90 MIN ONCE A WEEK OVER FIVE SUCCESSIVE WEEKS. DURING TWO SESSIONS, THEY PRACTICED A YOGA PROGRAM DEVELOPED FOR CARDIAC PATIENTS BY B.K.S. IYENGAR. ON THREE SESSIONS, THEY PRACTICED A PLACEBO PROGRAM OF RELAXATION. ON EACH TRAINING DAY THEY UNDERWENT AMBULATORY 24 H HOLTER MONITORING. THE GROUP OF YOGA PRACTITIONERS WAS COMPARED TO A MATCHED GROUP OF HEALTHY INDIVIDUALS NOT PRACTICING ANY RELAXATION TECHNIQUES. PARAMETERS OF HEART RATE VARIABILITY (HRV) WERE DETERMINED HOURLY BY A BLINDED OBSERVER. MEAN RR INTERVAL (INTERVAL BETWEEN TWO R-WAVES OF THE ECG) WAS SIGNIFICANTLY HIGHER DURING THE TIME OF YOGA INTERVENTION COMPARED TO PLACEBO AND TO CONTROL (P < 0.001 FOR BOTH). THE INCREASE IN HRV PARAMETERS WAS SIGNIFICANTLY HIGHER DURING YOGA EXERCISE THAN DURING PLACEBO AND CONTROL ESPECIALLY FOR THE PARAMETERS ASSOCIATED WITH VAGAL TONE, I.E. MEAN STANDARD DEVIATION OF NN (NORMAL BEAT TO NORMAL BEAT OF THE ECG) INTERVALS FOR ALL 5-MIN INTERVALS (SDNNI, P < 0.001 FOR BOTH) AND ROOT MEAN SQUARE SUCCESSIVE DIFFERENCE (RMSSD, P < 0.01 FOR BOTH). IN CONCLUSION, RELAXATION BY YOGA TRAINING IS ASSOCIATED WITH A SIGNIFICANT INCREASE OF CARDIAC VAGAL MODULATION. SINCE THIS METHOD IS EASY TO APPLY WITH NO SIDE EFFECTS, IT COULD BE A SUITABLE INTERVENTION IN CARDIAC REHABILITATION PROGRAMS. 2007 10 715 33 EFFECT OF INTEGRATED YOGA ON STRESS AND HEART RATE VARIABILITY IN PREGNANT WOMEN. OBJECTIVE: TO STUDY THE EFFECT OF INTEGRATED YOGA PRACTICE AND GUIDED YOGIC RELAXATION ON BOTH PERCEIVED STRESS AND MEASURED AUTONOMIC RESPONSE IN HEALTHY PREGNANT WOMEN. METHOD: THE 122 HEALTHY WOMEN RECRUITED BETWEEN THE 18TH AND 20TH WEEK OF PREGNANCY AT PRENATAL CLINICS IN BANGALORE, INDIA, WERE RANDOMIZED TO PRACTICING YOGA AND DEEP RELAXATION OR STANDARD PRENATAL EXERCISES 1-HOUR DAILY. THE RESULTS FOR THE 45 PARTICIPANTS PER GROUP WHO COMPLETED THE STUDY WERE EVALUATED BY REPEATED MEASURES ANALYSIS OF VARIANCE. RESULTS: PERCEIVED STRESS DECREASED BY 31.57% IN THE YOGA GROUP AND INCREASED BY 6.60% IN THE CONTROL GROUP (P=0.001). DURING A GUIDED RELAXATION PERIOD IN THE YOGA GROUP, COMPARED WITH VALUES OBTAINED BEFORE A PRACTICE SESSION, THE HIGH-FREQUENCY BAND OF THE HEART RATE VARIABILITY SPECTRUM (PARASYMPATHETIC) INCREASED BY 64% IN THE 20TH WEEK AND BY 150% IN THE 36TH WEEK, AND BOTH THE LOW-FREQUENCY BAND (SYMPATHETIC), AND THE LOW-FREQUENCY TO HIGH-FREQUENCY RATIO WERE CONCOMITANTLY REDUCED (P<0.001 BETWEEN THE 2 GROUPS). MOREOVER, THE LOW-FREQUENCY BAND REMAINED DECREASED AFTER DEEP RELAXATION IN THE 36TH WEEK IN THE YOGA GROUP. CONCLUSION: YOGA REDUCES PERCEIVED STRESS AND IMPROVES ADAPTIVE AUTONOMIC RESPONSE TO STRESS IN HEALTHY PREGNANT WOMEN. 2009 11 341 40 ARTERIAL BLOOD PRESSURE AND CARDIOVASCULAR RESPONSES TO YOGA PRACTICE. CONTEXT: YOGA IS QUALITATIVELY DIFFERENT FROM ANY OTHER MODE OF PHYSICAL ACTIVITY IN THAT IT CONSISTS OF A UNIQUE COMBINATION OF ISOMETRIC MUSCULAR CONTRACTIONS, STRETCHING EXERCISES, RELAXATION TECHNIQUES, AND BREATHING EXERCISES. IN PARTICULAR, YOGA POSTURES CONSIST OF SYSTEMIC ISOMETRIC CONTRACTIONS THAT ARE KNOWN TO ELICIT MARKED INCREASES IN MEAN BLOOD PRESSURE THAT ARE NOT OBSERVED DURING DYNAMIC EXERCISE. STRETCHING CAN ALSO INDUCE INCREASES IN BLOOD PRESSURE AND SYMPATHETIC NERVE ACTIVITY IN THE MUSCLES. CURRENTLY, NOT MUCH IS KNOWN ABOUT CHANGES IN BLOOD PRESSURE AND OTHER CARDIOVASCULAR RESPONSES TO YOGA PRACTICE. OBJECTIVE: THE STUDY INTENDED TO DETERMINE THE ACUTE EFFECTS OF ONE SESSION OF HATHA YOGA PRACTICE ON BLOOD PRESSURE AND OTHER CARDIOVASCULAR RESPONSES. TO GAIN INSIGHT INTO THE LONG-TERM EFFECTS OF YOGA PRACTICE, BOTH NOVICE (N = 19) AND ADVANCED (N = 18) YOGA PRACTITIONERS WERE STUDIED. DESIGN: THE TWO GROUPS WERE MATCHED FOR AGE, GENDER, BMI, AND BLOOD PRESSURE. SETTING: THE SETTING WAS A RESEARCH LABORATORY AT A UNIVERSITY. PARTICIPANTS: THIRTY-SIX APPARENTLY HEALTHY, NONOBESE, SEDENTARY, OR RECREATIONALLY ACTIVE INDIVIDUALS FROM THE COMMUNITY PARTICIPATED IN THE STUDY. INTERVENTION THE INTERVENTION COMPRISED ONE SESSION OF YOGA PRACTICE, IN WHICH PARTICIPANTS FOLLOWED A CUSTOM MADE INSTRUCTIONAL VIDEO PROVIDING A YOGA ROUTINE THAT CONSISTED OF A SERIES OF 23 HATHA-BASED YOGA POSTURES. OUTCOME MEASURES: PRIOR TO ARRIVING AT THE LABORATORY, EACH PARTICIPANT COMPLETED A RESEARCH HEALTH QUESTIONNAIRE, A TRAINING-STATUS QUESTIONNAIRE, AND A YOGA-EXPERIENCE QUESTIONNAIRE. PRIOR TO THE YOGA PRACTICE, EACH PARTICIPANT'S HEIGHT, BODY FAT PERCENTAGE, TRUNK OR LUMBAR FLEXIBILITY, AND ARTERIAL STIFFNESS AS ASSESSED BY CAROTID FEMORAL PULSE WAVE VELOCITY (CFPWV) WERE MEASURED. FOR EACH POSTURE DURING THE YOGA PRACTICE, THE STUDY CONTINUOUSLY MEASURED SYSTOLIC, MEAN, AND DIASTOLIC BLOOD PRESSURES, HEART RATE, STROKE VOLUME, AND CARDIAC OUTPUT. RESULTS: SYSTOLIC, MEAN, AND DIASTOLIC BLOOD PRESSURES INCREASED SIGNIFICANTLY DURING THE YOGA PRACTICE. THE MAGNITUDE OF THESE INCREASES IN BLOOD PRESSURE WAS GREATEST WITH STANDING POSTURES. HEART RATE AND CARDIAC OUTPUT INCREASED SIGNIFICANTLY DURING YOGA PRACTICE, ESPECIALLY WITH STANDING POSTURES. OVERALL, NO DIFFERENCES EXISTED IN CARDIOVASCULAR RESPONSES BETWEEN THE NOVICE AND ADVANCED PRACTITIONERS THROUGHOUT THE YOGA TESTING SESSION; CFPWV VELOCITY WAS SIGNIFICANTLY AND INVERSELY ASSOCIATED WITH LUMBAR FLEXION BUT NOT WITH SIT-AND-REACH TEST SCORES. CONCLUSIONS: THE RESEARCH TEAM CONCLUDED THAT A VARIETY OF HATHA YOGA POSTURES, ESPECIALLY STANDING POSTURES, EVOKED SIGNIFICANT INCREASES IN BLOOD PRESSURE. THE ELEVATION IN BLOOD PRESSURE DUE TO YOGA PRACTICE WAS ASSOCIATED WITH INCREASES IN CARDIAC OUTPUT AND HEART RATE, WHICH ARE RESPONSES SIMILAR TO THOSE OBSERVED IN ISOMETRIC EXERCISE. THE LACK OF OBVIOUS DIFFERENCES IN BLOOD PRESSURE AND OTHER CARDIOVASCULAR RESPONSES BETWEEN NOVICE AND ADVANCED YOGA PRACTITIONERS SUGGESTS THAT LONG-TERM YOGA PRACTICE DOES NOT ATTENUATE ACUTE YOGA RESPONSES. 2013 12 2043 26 THE ACUTE EFFECTS OF VINYASA FLOW YOGA ON VASCULAR FUNCTION, LIPID AND GLUCOSE CONCENTRATIONS, AND MOOD. WHILE THE CHRONIC EFFECTS OF CERTAIN STYLES OF YOGA ON CARDIOMETABOLIC FACTORS HAVE BEEN INVESTIGATED, LITTLE IS KNOWN ABOUT THE ACUTE EFFECTS OF A SINGLE YOGA SESSION ON THESE OUTCOMES. MOREOVER, VINYASA YOGA'S POTENTIAL TO MODULATE CARDIOMETABOLIC OUTCOMES HAS NOT BEEN ESTABLISHED. THE PURPOSE OF THIS STUDY IS TO DETERMINE THE ACUTE EFFECTS OF A VINYASA YOGA SESSION ON ARTERIAL STIFFNESS, WAVE REFLECTION, LIPID AND GLUCOSE CONCENTRATIONS, AND MOOD IN ADULTS WITH PRIOR YOGA EXPERIENCE. THIRTY YOGA PRACTITIONERS WITH A MINIMUM OF 3 MONTHS OF PRACTICE EXPERIENCE WERE ENROLLED INTO THE STUDY. CAROTID-FEMORAL PULSE WAVE VELOCITY (CF-PWV), AUGMENTATION INDEX (AIX), LIPID PROFILE, GLUCOSE CONCENTRATIONS, AND MOOD (POSITIVE AND NEGATIVE AFFECT SCALE) WERE ASSESSED AT BASELINE AND IMMEDIATELY FOLLOWING A 1 -H VINYASA YOGA SESSION. AFTER THE YOGA SESSION, PARTICIPANTS HAD SIGNIFICANTLY LOWER AIX (P < 0.001), NON-HDL CHOLESTEROL (P < 0.05), AND NEGATIVE AFFECT (P < 0.01) COMPARED TO BASELINE. THESE RESULTS HIGHLIGHT THE EFFICACY OF A SINGLE BOUT OF YOGA IN ALTERING WAVE REFLECTION WHILE IMPROVING MOOD AND LIPID CONCENTRATIONS IN HEALTHY ADULTS WITH A HISTORY OF YOGA PRACTICE. 2021 13 1027 34 EFFECTS OF YOGA BREATHING PRACTICE ON HEART RATE VARIABILITY IN HEALTHY ADOLESCENTS: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: THIS STUDY WAS CONDUCTED AMONG HEALTHY ADOLESCENTS TO ASSESS THE EFFECTS OF A YOGA BREATHING PRACTICE (BHRAMARI PRANAYAMA, BHR.P) TOWARDS CARDIAC AUTONOMIC FUNCTION USING HEART RATE VARIABILITY (HRV) PARAMETERS. METHODS: OF THE 730 ELIGIBLE SUBJECTS SCREENED, 520 HEALTHY ADOLESCENTS WHO MET THE INCLUSION AND EXCLUSION CRITERIA WERE RANDOMLY ASSIGNED TO EITHER YOGA BREATHING GROUP (N=260) OR CONTROL GROUP (N=260). THE YOGA BREATHING GROUP PRACTICED BHR.P. FIVE DAYS A WEEK FOR A DURATION OF SIX MONTHS WHILE THE CONTROL GROUP CONTINUED WITH THEIR DAILY ROUTINE WITHOUT ANY INTERVENTION. OUTCOME MEASURES WERE TIME AND FREQUENCY DOMAIN OF HRV IN BOTH GROUPS WHICH WERE ASSESSED BEFORE AND AFTER THE INTERVENTION USING LEAD II ECG. LINEAR MODELS WERE USED IN THE ANALYSIS OF SHORT TERM HRV. RESULTS: AFTER 6 MONTHS OF YOGA BREATHING, THE TIME DOMAIN PARAMETERS OF SHORT TERM HRV SHOWED SIGNIFICANT (P<0.05) IMPROVEMENT TOWARDS THE PARASYMPATHETIC DOMAIN. FREQUENCY DOMAIN PARAMETERS ALSO SHOWED THE SAME DIRECTION OF CHANGES. IN CONTRAST, CONTROL GROUP SUBJECTS SHOWED A TREND TOWARDS A SYMPATHETIC DOMAIN. CONCLUSION: THE PRESENT STUDY SHOWED A POSITIVE SHIFT IN CARDIAC AUTONOMIC MODULATION TOWARDS PARASYMPATHETIC PREDOMINANCE AFTER 6 MONTHS OF YOGA BREATHING PRACTICE AMONG APPARENTLY HEALTHY ADOLESCENTS. 2020 14 2149 26 THE EFFECTS OF POWER AND STRETCH YOGA ON AFFECT AND SALIVARY CORTISOL IN WOMEN. YOGA PRACTICE IS KNOWN TO IMPROVE WELL-BEING AND DECREASE STRESS. HOWEVER, ACUTE YOGA IS UNDERSTUDIED. THIS STUDY INVESTIGATED THE EFFECTS OF TWO DIFFERENT TYPES OF YOGA ON AFFECT AND SALIVARY CORTISOL LEVELS IN COLLEGE WOMEN. THIRTY-THREE WOMEN AGED 18-30 YEARS EACH COMPLETED 1-HOUR SESSIONS OF POWER YOGA AND STRETCH YOGA. MEASURES OF AFFECT AND SALIVARY CORTISOL WERE ASSESSED BEFORE, DURING, AND AFTER EACH SESSION. PARTICIPANTS PERCEIVED POWER YOGA TO BE MORE PLEASURABLE AND ENERGIZING. SALIVARY CORTISOL SIGNIFICANTLY DECREASED AFTER BOTH YOGA SESSIONS. THUS, EVEN ONE SESSION OF YOGA MAY BE EFFECTIVE IN IMPROVING AFFECT AND DECREASING STRESS IN COLLEGE WOMEN. 2019 15 1451 35 INFLUENCE OF INTENSIVE YOGA TRAINING ON PHYSIOLOGICAL CHANGES IN 6 ADULT WOMEN: A CASE REPORT. THE SHORT-TERM EFFECTS OF 4 WEEKS OF INTENSIVE YOGA PRACTICE ON PHYSIOLOGICAL RESPONSES IN SIX HEALTHY ADULT FEMALE VOLUNTEERS WERE MEASURED USING THE MAXIMAL EXERCISE TREADMILL TEST. YOGA PRACTICE INVOLVED DAILY MORNING AND EVENING SESSIONS OF 90 MINUTES EACH. PRE- AND POST-YOGA EXERCISE PERFORMANCE WAS COMPARED. MAXIMAL WORK OUTPUT (WMAX) FOR THE GROUP INCREASED BY 21%, WITH A SIGNIFICANTLY REDUCED LEVEL OF OXYGEN CONSUMPTION PER UNIT WORK BUT WITHOUT A CONCOMITANT SIGNIFICANT CHANGE IN HEART RATE. AFTER INTENSIVE YOGA TRAINING, AT 154 WMIN(-1) (CORRESPONDING TO WMAX OF THE PRE-YOGA MAXIMAL EXERCISE TEST) PARTICIPANTS COULD EXERCISE MORE COMFORTABLY, WITH A SIGNIFICANTLY LOWER HEART RATE (P < 0.05), REDUCED MINUTE VENTILATION (P < 0.05), REDUCED OXYGEN CONSUMPTION PER UNIT WORK (P < 0.05), AND A SIGNIFICANTLY LOWER RESPIRATORY QUOTIENT (P < 0.05). THE IMPLICATIONS FOR THE EFFECT OF INTENSIVE YOGA ON CARDIORESPIRATORY EFFICIENCY ARE DISCUSSED, WITH THE SUGGESTION THAT YOGA HAS SOME TRANSPARENTLY DIFFERENT QUANTIFIABLE PHYSIOLOGICAL EFFECTS TO OTHER EXERCISES. 1997 16 1514 36 IS WEEKLY FREQUENCY OF YOGA PRACTICE SUFFICIENT? PHYSIOLOGICAL EFFECTS OF HATHA YOGA AMONG HEALTHY NOVICE WOMEN. BENEFICIAL PHYSICAL AND PHYSIOLOGICAL HEALTH OUTCOMES OF YOGA PRACTICE ARE WELL-SUPPORTED BY EMPIRICAL DATA. HOWEVER, WHETHER WEEKLY FREQUENCY OF TRAINING IS SUFFICIENT TO EVOKE POSITIVE CHANGES, IS STILL AN OPEN QUESTION. THE PRESENT INTERVENTION STUDY INVESTIGATED THE EFFECTS OF 10 WEEKLY SESSIONS OF BEGINNER LEVEL HATHA YOGA WITH RESPECT TO INDICATORS OF PHYSICAL FITNESS AND PHYSIOLOGICAL MARKERS. 82 YOUNG WOMEN (MEAN AGE OF 22.0 +/- 3.83 YEARS) PARTICIPATED IN THE STUDY. THE YOGA GROUP (N = 49) ATTENDED A YOGA COURSE CONSISTING OF 10 SESSIONS (1.5 H EACH) ON A WEEKLY BASIS. THE CONTROL GROUP (N = 33) DID NOT RECEIVE ANY INTERVENTION. BMI, BODY FAT PERCENTAGE, BALANCE (ONE-LEG-STAND TEST WITH OPEN AND CLOSED EYES, FUNCTIONAL REACH TEST), FLEXIBILITY (SIDE BEND TEST, MODIFIED SIT AND REACH TEST) CORE MUSCLE STRENGTH (PLANK TEST) AS WELL AS RESTING HEART RATE (HR), AND HEART RATE VARIABILITY (HRV) WERE ASSESSED 1 WEEK BEFORE AND AFTER THE COURSE. BOTH FREQUENTIST AND BAYESIAN ANALYSIS SHOWED AN IMPROVEMENT IN FLEXIBILITY AND BALANCE IN THE YOGA GROUP COMPARED TO THE CONTROL GROUP. THE YOGA GROUP SHOWED ALSO INCREASED CORE MUSCLE STRENGTH. NO CHANGES WITH RESPECT TO BMI, BODY FAT PERCENTAGE, RESTING HR AND HRV WERE FOUND. NINETY MINUTE BEGINNER LEVEL HATHA YOGA CLASSES WERE CHARACTERIZED BY 93.39 HR AND 195 KCAL ENERGY CONSUMPTION ON AVERAGE. THE PRESENT FINDINGS SUGGEST THAT WEEKLY SETTING OF A 10-SESSION LONG HATHA YOGA TRAINING LEADS TO IMPROVEMENTS IN BALANCE, FLEXIBILITY AND CORE MUSCLE STRENGTH AMONG HEALTHY YOUNG WOMEN. HOWEVER, FOR CHANGES IN BMI, BODY FAT PERCENTAGE, RESTING HR AND HRV LONGER, AND/OR MORE INTENSE INTERVENTIONS ARE NEEDED. 2021 17 1835 22 PSYCHOPHYSIOLOGICAL CHANGES AT THE TIME OF EXAMINATION IN MEDICAL STUDENTS BEFORE AND AFTER THE PRACTICE OF YOGA AND RELAXATION. THE EFFECT OF YOGA AND RELAXATION CHANGES IN PSYCHOPHYSIOLOGICAL PARAMETERS IN RESPONSE TO THE STRESS OF EXAMINATION IN 75 MEDICAL STUDENTS WAS STUDIED. INITIALLY FIVE PARAMETERS (ANXIETY LEVEL, HEART RATE, BLOOD PRESSURE, GALVANIC SKIN RESISTANCE AND CHOICE REACTION TIME) WERE RECORDED, A MONTH BEFORE THE EXAMINATION AND ON THE DAY OF EXAMINATION. STUDENTS WERE THEN RANDOMLY DIVIDED INTO 3 GROUP OF 25 EACH. ONE GROUP PRACTICED YOGA (GROUP- Y), AND ANOTHER GROUP PRACTICED RELAXATION (GROUP-R) REGULARLY FOR THREE MONTHS. THE THIRD GROUP WAS CONTROL GROUP (GROUP-C). ALL THE PARAMETERS WERE RECORDED AFTER THE CHANGES IN ANXIETY LEVEL, HEART RATE, BLOOD PRESSURE, AND GALVANIC SKIN RESISTANCE IN RESPONSE TO STRESS OF EXAMINATION WERE SIGNIFICANTLY ATTENUATED AND THERE WAS SIGNIFICANT IMPROVEMENT IN CHOICE REACTION TIME IN GROUP-Y AND GROUP-R AS COMPARED TO GROUP-C AFTER YOGA AND RELAXATION. 1998 18 1744 27 PHYSIOLOGICAL AND PSYCHOLOGICAL EFFECTS OF HATHA-YOGA EXERCISE IN HEALTHY WOMEN. HATHA-YOGA HAS BECOME INCREASINGLY POPULAR IN WESTERN COUNTRIES AS A METHOD FOR COPING WITH STRESS. HOWEVER, LITTLE IS KNOWN ABOUT THE PHYSIOLOGICAL AND PSYCHOLOGICAL EFFECTS OF YOGA PRACTICE. WE MEASURED HEART RATE, BLOOD PRESSURE, THE HORMONES CORTISOL, PROLACTIN AND GROWTH HORMONE AND CERTAIN PSYCHOLOGICAL PARAMETERS IN A YOGA PRACTICING GROUP AND A CONTROL GROUP OF YOUNG FEMALE VOLUNTEERS READING IN A COMFORTABLE POSITION DURING THE EXPERIMENTAL PERIOD. THERE WERE NO SUBSTANTIAL DIFFERENCES BETWEEN THE GROUPS CONCERNING ENDOCRINE PARAMETERS AND BLOOD PRESSURE. THE COURSE OF HEART RATE WAS SIGNIFICANTLY DIFFERENT, THE YOGA GROUP HAD A DECREASE DURING THE YOGA PRACTICE. SIGNIFICANT DIFFERENCES BETWEEN BOTH GROUPS WERE FOUND IN PSYCHOLOGICAL PARAMETERS. IN THE PERSONALITY INVENTORY THE YOGA GROUP SHOWED MARKEDLY HIGHER SCORES IN LIFE SATISFACTION AND LOWER SCORES IN EXCITABILITY, AGGRESSIVENESS, OPENNESS, EMOTIONALITY AND SOMATIC COMPLAINTS. SIGNIFICANT DIFFERENCES COULD ALSO BE OBSERVED CONCERNING COPING WITH STRESS AND THE MOOD AT THE END OF THE EXPERIMENT. THE YOGA GROUP HAD SIGNIFICANT HIGHER SCORES IN HIGH SPIRITS AND EXTRAVERTEDNESS. 1994 19 523 33 COMPARISON OF CHANGES IN AUTONOMIC AND RESPIRATORY PARAMETERS OF GIRLS AFTER YOGA AND GAMES AT A COMMUNITY HOME. THE HEART RATE, BREATHING RATE, AND SKIN RESISTANCE WERE RECORDED FOR 20 COMMUNITY HOME GIRLS (HOME GROUP) AND FOR 20 AGE-MATCHED GIRLS FROM A REGULAR SCHOOL (SCHOOL GROUP). THE FORMER GROUP HAD A SIGNIFICANTLY HIGHER RATE OF BREATHING AND A MORE IRREGULAR BREATH PATTERN KNOWN TO CORRELATE WITH HIGH FEAR AND ANXIETY, THAN THE SCHOOL GROUP. SKIN RESISTANCE WAS SIGNIFICANTLY LOWER IN THE SCHOOL GROUP, WHICH MAY SUGGEST GREATER AROUSAL, 28 GIRLS OF THE HOME GROUP FORMED 14 PAIRS, MATCHED FOR AGE AND DURATION OF STAY IN THE HOME. SUBJECTS OF A PAIR WERE RANDOMLY ASSIGNED TO EITHER YOGA OR GAMES GROUPS. FOR THE FORMER EMPHASIS WAS ON RELAXATION AND AWARENESS, WHEREAS FOR THE LATTER INCREASING PHYSICAL ACTIVITY WAS EMPHASIZED. AT THE END OF AN HOUR DAILY FOR SIX MONTHS BOTH GROUPS SHOWED A SIGNIFICANT DECREASE IN THE RESTING HEART RATE RELATIVE TO INITIAL VALUES (WILCOXON PAIRED-SAMPLE REST), AND THE YOGA GROUP SHOWED A SIGNIFICANT DECREASE IN BREATH RATE, WHICH APPEARED MORE REGULAR BUT NO SIGNIFICANT INCREASE IN THE SKIN RESISTANCE. THESE RESULTS SUGGEST THAT A YOGA PROGRAM WHICH INCLUDES RELAXATION, AWARENESS, AND GRADED PHYSICAL ACTIVITY IS A USEFUL ADDITION TO THE ROUTINE OF COMMUNITY HOME CHILDREN. 1997 20 1562 44 LONGITUDINAL AND IMMEDIATE EFFECT OF KUNDALINI YOGA ON SALIVARY LEVELS OF CORTISOL AND ACTIVITY OF ALPHA-AMYLASE AND ITS EFFECT ON PERCEIVED STRESS. CONTEXT: STRESS IS DEFINED AS AN ALTERATION OF AN ORGANISM'S BALANCE IN RESPONSE TO A DEMAND PERCEIVED FROM THE ENVIRONMENT. DIVERSE METHODS EXIST TO EVALUATE PHYSIOLOGICAL RESPONSE. A NONINVASIVE METHOD IS SALIVARY MEASUREMENT OF CORTISOL AND ALPHA-AMYLASE. A GROWING BODY OF EVIDENCE SUGGESTS THAT THE REGULAR PRACTICE OF YOGA WOULD BE AN EFFECTIVE TREATMENT FOR STRESS. AIMS: TO DETERMINE THE KUNDALINI YOGA (KY) EFFECT, IMMEDIATE AND AFTER 3 MONTHS OF REGULAR PRACTICE, ON THE PERCEPTION OF PSYCHOLOGICAL STRESS AND THE SALIVARY LEVELS OF CORTISOL AND ALPHA-AMYLASE ACTIVITY. SETTINGS AND DESIGN: TO DETERMINE THE PSYCHOLOGICAL PERCEIVED STRESS, LEVELS OF CORTISOL AND ALPHA-AMYLASE ACTIVITY IN SALIVA, AND COMPARE BETWEEN THE PARTICIPANTS TO KY CLASSES PERFORMED FOR 3 MONTHS AND A GROUP THAT DOES NOT PRACTICE ANY TYPE OF YOGA. SUBJECTS AND METHODS: THE TOTAL SAMPLE CONSISTED OF 26 PEOPLE BETWEEN 18 AND 45-YEAR-OLD; 13 TAKING PART IN KY CLASSES GIVEN AT THE FACULTY OF DENTISTRY, UNIVERSITY OF CHILE AND 13 CONTROLS. SALIVARY SAMPLES WERE COLLECTED, ENZYME-LINKED IMMUNOSORBENT ASSAY WAS PERFORMED TO QUANTIFY CORTISOL AND KINETIC REACTION TEST WAS MADE TO DETERMINE ALPHA-AMYLASE ACTIVITY. PERCEIVED STRESS SCALE WAS APPLIED AT THE BEGINNING AND AT THE END OF THE INTERVENTION. STATISTICAL ANALYSIS USED: STATISTICAL ANALYSIS WAS APPLIED USING STATA V11.1 SOFTWARE. SHAPIRO-WILK TEST WAS USED TO DETERMINE DATA DISTRIBUTION. THE PAIRED ANALYSIS WAS FULFILLED BY T-TEST OR WILCOXON SIGNED-RANK TEST. T-TEST OR MANN-WHITNEY'S TEST WAS APPLIED TO COMPARE LONGITUDINAL DATA. A STATISTICAL SIGNIFICANCE WAS CONSIDERED WHEN P < 0.05. RESULTS: KY PRACTICE HAD AN IMMEDIATE EFFECT ON SALIVARY CORTISOL. THE ACTIVITY OF ALPHA-AMYLASE DID NOT SHOW SIGNIFICANT CHANGES. A SIGNIFICANT DECREASE OF PERCEIVED STRESS IN THE STUDY GROUP WAS FOUND. CONCLUSIONS: KY PRACTICE SHOWS AN IMMEDIATE EFFECT ON SALIVARY CORTISOL LEVELS AND ON PERCEIVED STRESS AFTER 3 MONTHS OF PRACTICE. 2017