1  575 142 DEMOGRAPHIC, HEALTH BEHAVIOR, AND CARDIOMETABOLIC RISK FACTOR PROFILE IN YOGA AND NON-YOGA PARTICIPANTS: NHANES 1999-2006. OBJECTIVE: TO EXAMINE AND COMPARE THE DEMOGRAPHIC, HEALTH BEHAVIOR, AND CARDIOMETABOLIC RISK FACTOR CHARACTERISTICS OF PARTICIPANTS WHO REPORT 1) PARTICIPATING IN YOGA, 2) NOT PARTICIPATING YOGA, OR 3) ARE INACTIVE, USING A NATIONALLY REPRESENTATIVE SAMPLE OF U.S. ADULTS. DESIGN: STUDY PARTICIPANTS WERE FROM THE 1999-2006 NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY (NHANES) WHO SELF-REPORTED PARTICIPATION IN YOGA (N = 74), NO-YOGA (N = 3,753) OR WERE INACTIVE (N = 1,285). PARTICIPANTS IN THE NO-YOGA GROUP DID ENGAGE IN OTHER TYPES OF PHYSICAL ACTIVITY, WHILE THE INACTIVE GROUP REPORTED NO ACTIVITY DURING THE SURVEY PERIOD. RESULTS: YOGA PARTICIPANTS WERE PRIMARILY FEMALE (80.7%), COLLEGE EDUCATED (51.9%), MOSTLY NON-SMOKERS (46.9%), AND REPORTED MODERATE ALCOHOL CONSUMPTION (72.1%). YOGA PARTICIPANTS WERE FOUND TO BE SIGNIFICANTLY LESS LIKELY TO HAVE AN ELEVATED WAIST CIRCUMFERENCE (OR = 0.40, P < 0.01; OR = 0.30, P < 0.01), AND A LOW HDL (OR = 0.43, P = 0.03; OR = 0.34, P < 0.05) COMPARED TO BOTH NON-YOGA PARTICIPANTS AND INACTIVE INDIVIDUALS, RESPECTIVELY. YOGA PARTICIPANTS WERE 61% LESS LIKELY TO HAVE ELEVATED BLOOD GLUCOSE COMPARED TO NON-YOGA PARTICIPANTS (OR = 0.39, P < 0.05). COMPARED TO INACTIVE INDIVIDUALS, YOGA PARTICIPANTS WERE 52% (OR = 0.48, P < 0.05) AND 66% (OR = 0.34, P < 0.05) LESS LIKELY HAVE AN ELEVATED BODY MASS INDEX AND HAVE ELEVATED TRIGLYCERIDE LEVELS, RESPECTIVELY. CONCLUSIONS: GIVEN THE EMERGENCE OF YOGA AS A COMMON FORM OF PHYSICAL ACTIVITY, IT IS IMPERATIVE TO UNDERSTAND THE CHARACTERISTICS OF THOSE WHO PARTICIPATE IN YOGA TO FURTHER UNDERSTAND ITS RELATIONSHIP WITH CARDIOVASCULAR RISK. THIS STUDY WAS ONE OF THE FIRST TO USE NATIONALLY-REPRESENTATIVE DATA AND OBJECTIVELY MEASURED CARDIOMETABOLIC VARIABLES. KEY WORDS: COMPLEMENTARY MEDICINE, EPIDEMIOLOGY, SURVEY, POPULATION, PHYSICAL ACTIVITY, CARDIOVASCULAR DISEASE.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
2 2691  41 YOGA IN WOMEN WITH ABDOMINAL OBESITYA RANDOMIZED CONTROLLED TRIAL. BACKGROUND: ABDOMINAL OBESITY IS A MAJOR RISK FACTOR FOR MORBIDITY AND MORTALITY. THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFECT OF YOGA ON WAIST CIRCUMFERENCE AND OTHER ANTHROPOMETRIC AND SELF-REPORTED VARIABLES IN WOMEN WITH ABDOMINAL OBESITY. METHODS: 60 WOMEN WITH ABDOMINAL OBESITY (WAIST CIRCUMFERENCE >/= 88 CM; BODY-MASS INDEX [BMI] >/= 25) WERE RANDOMLY ALLOCATED IN A 2:1 RATIO TO EITHER A 12-WEEK YOGA INTERVENTION (N = 40) OR A WAITING LIST (N = 20). THE WAIST CIRCUMFERENCE WAS THE PRIMARY ENDPOINT. SECONDARY (EXPLORATORY) ENDPOINTS INCLUDED THE WAIST/HIP RATIO, BODY WEIGHT, BMI, BODY FAT PERCENTAGE, BODY MUSCLE MASS PERCENTAGE, BLOOD PRESSURE, HEALTH-RELATED QUALITY OF LIFE, SELF-ESTEEM, SUBJECTIVE STRESS, BODY AWARENESS, AND BODY RESPONSIVENESS, AND THE SAFETY OF THE INTERVENTION. THE PERSONS ASSESSING THE OUTCOMES WERE BLINDED TO THE GROUP TO WHICH THE PATIENTS BELONGED. RESULTS: THE PATIENTS IN THE YOGA GROUP PARTICIPATED IN A MEAN OF 30.2+/-9.2 (MAXIMUM, 42) HOURS OF SUPERVISED YOGA PRACTICE. THEIR ABDOMINAL CIRCUM - FERENCE WAS SIGNIFICANTLY REDUCED IN COMPARISON TO THE PARTICIPANTS ON THE WAITING LIST, WITH AN INTERGROUP DIFFERENCE OF -3.8 CM (95% CONFIDENCE INTERVAL [-6.1; -1,.5]; P = 0.001). THERE WERE FURTHER, MODERATE INTERGROUP DIFFERENCES IN THE WAIST/HIP RATIO, BODY WEIGHT, BMI, BODY FAT PERCENTAGE, BODY MUSCLE MASS PERCENTAGE, MENTAL AND PHYSICAL WELL-BEING, SELF-ESTEEM, SUBJECTIVE STRESS, BODY AWARENESS, AND TRUST IN BODILY SENSATIONS (ALL P<0.05). THERE WERE NO SERIOUS ADVERSE EVENTS. NONE OF THE PARTICIPANTS EMBARKED ON A LOW-CALORIE DIET WHILE PARTICIPATING IN THE STUDY. CONCLUSION: THE 12-WEEK YOGA INTERVENTION HAD MODERATELY STRONG POSITIVE EFFECTS ON ANTHROPOMETRIC AND SELF-REPORTED VARIABLES IN WOMEN WITH ABDOMINAL OBESITY. YOGA IS SAFE IN THIS POPULATION AND CAN BE RECOMMENDED AS A TECHNIQUE FOR COMBATING ABDOMINAL OBESITY IN WOMEN.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
3 1786  41 PREDICTORS OF YOGA USE AMONG PATIENTS WITH BREAST CANCER. OBJECTIVE: EMERGING RESEARCH SUGGESTS THAT YOGA MAY BE BENEFICIAL FOR REDUCING SYMPTOMS AND IMPROVING QUALITY OF LIFE AMONG BREAST CANCER PATIENTS. HOWEVER, VERY LITTLE IS KNOWN ABOUT THE CHARACTERISTICS OF BREAST CANCER PATIENTS WHO USE YOGA; THUS, THIS STUDY SEEKS TO IDENTIFY THE SOCIODEMOGRAPHIC AND CLINICAL CHARACTERISTICS OF YOGA USERS AMONG THIS POPULATION. DESIGN: A CROSS-SECTIONAL SURVEY STUDY WAS CONDUCTED. SETTING: THE STUDY WAS CONDUCTED AT AN OUTPATIENT BREAST ONCOLOGY CLINIC AT A LARGE UNIVERSITY HOSPITAL. PARTICIPANTS: THREE HUNDRED POSTMENOPAUSAL BREAST CANCER PATIENTS CURRENTLY RECEIVING AROMATASE INHIBITORS WERE INCLUDED IN THIS STUDY. MAIN OUTCOME MEASUREMENT: SELF-REPORTED USE OF YOGA FOLLOWING THE CANCER DIAGNOSIS WAS COLLECTED ALONG WITH SOCIODEMOGRAPHIC AND CLINICAL DATA. MULTIVARIATE LOGISTIC REGRESSION WAS USED TO IDENTIFY INDEPENDENT PREDICTORS OF YOGA USE AMONG BREAST CANCER PATIENTS. RESULTS: OF 300 PARTICIPANTS, 53 (17.7%) REPORTED HAVING USED YOGA FOLLOWING CANCER DIAGNOSIS. WHITE PATIENTS WERE SIGNIFICANTLY MORE LIKELY TO USE YOGA THAN NONWHITE PATIENTS (P = .02). HIGHER EDUCATION LEVEL, LOWER BMI (BODY MASS INDEX), PART-TIME EMPLOYMENT STATUS, PREVIOUS CHEMOTHERAPY, AND RADIATION THERAPY WERE ALL ASSOCIATED WITH GREATER YOGA USE (ALL P < .05). CONTROLLING FOR OTHER FACTORS, GREATER YOGA USE WAS INDEPENDENTLY ASSOCIATED WITH HIGHER EDUCATION LEVEL (ADJUSTED ODDS RATIO [AOR] 2.72, 95% CONFIDENCE INTERVAL [CI], 1.15-6.46), AND LOWER BMI (AOR 0.25, 95% CI, 0.09-0.66). CONCLUSION: YOGA USE FOLLOWING BREAST CANCER DIAGNOSIS WAS SUBSTANTIALLY HIGHER FOR WHITE PATIENTS AND THOSE WITH LOWER BMI AND HIGHER EDUCATION LEVELS. CONSIDERING ITS POTENTIAL BENEFITS FOR SYMPTOM MANAGEMENT IN CANCER, MORE RESEARCH IS NEEDED TO UNDERSTAND THE ATTITUDES AND BARRIERS TO YOGA USE AMONG INDIVIDUALS WITH NONWHITE RACE, LOWER EDUCATION, AND HIGHER BMI LEVEL. SUCH INVESTIGATION WILL HELP DESIGN YOGA PROGRAMS THAT ARE ALIGNED TO THE NEEDS OF THESE POPULATIONS.	2010	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
4 2187  35 THE EFFECTS OF YOGA ON STUDENT MENTAL HEALTH: A RANDOMISED CONTROLLED TRIAL. BACKGROUND: UNIVERSITIES AROUND THE WORLD ARE FACING AN EPIDEMIC OF MENTAL DISTRESS AMONG THEIR STUDENTS. THE PROBLEM IS TRULY A PUBLIC HEALTH ISSUE, AFFECTING MANY AND WITH SERIOUS CONSEQUENCES. THE GLOBAL BURDEN OF DISEASE-AGENDA CALLS FOR EFFECTIVE INTERVENTIONS WITH LASTING EFFECTS THAT HAVE THE POTENTIAL TO IMPROVE THE MENTAL HEALTH OF YOUNG ADULTS. IN THIS STUDY WE AIMED TO DETERMINE WHETHER YOGA, A POPULAR AND WIDELY AVAILABLE MIND-BODY PRACTICE, CAN IMPROVE STUDENT MENTAL HEALTH. METHODS: WE PERFORMED A RANDOMISED CONTROLLED TRIAL WITH 202 HEALTHY UNIVERSITY STUDENTS IN THE OSLO AREA. THE PARTICIPANTS WERE ASSIGNED TO A YOGA GROUP OR WAITLIST CONTROL GROUP IN A 1:1 RATIO BY A SIMPLE ONLINE RANDOMISATION PROGRAM. THE INTERVENTION GROUP WAS OFFERED 24 YOGA SESSIONS OVER 12 WEEKS. MEASUREMENTS WERE TAKEN AT WEEK 0 (BASELINE), WEEK 12 (POST-INTERVENTION), AND WEEK 24 (FOLLOW-UP). THE PRIMARY OUTCOME WAS PSYCHOLOGICAL DISTRESS ASSESSED BY THE HSCL-25 QUESTIONNAIRE. ANALYSIS WAS PERFORMED BASED ON THE INTENTION TO TREAT-PRINCIPLE. RESULTS: BETWEEN 24 JANUARY 2017, AND 27 AUGUST 2017, WE RANDOMLY ASSIGNED 202 STUDENTS TO A YOGA INTERVENTION GROUP (N = 100), OR WAITLIST CONTROL GROUP (N = 102). COMPARED WITH THE CONTROL GROUP, THE YOGA PARTICIPANTS DEMONSTRATED A SIGNIFICANT REDUCTION IN DISTRESS SYMPTOMS BOTH AT POST-INTERVENTION (ADJUSTED DIFFERENCE IN THE MEAN CHANGE -0.15, 95% CI -0.26 TO -0.03, P = 0.0110) AND FOLLOW-UP (ADJUSTED DIFFERENCE IN THE MEAN CHANGE -0.18, 95% CI -0.29 TO -0.06, P = 0.0025). SLEEP QUALITY ALSO IMPROVED AT POST-INTERVENTION AND FOLLOW-UP. NO ADVERSE EVENTS WERE REPORTED. CONCLUSIONS: OUR FINDINGS SUGGEST THAT YOGA HAS A MODERATELY LARGE AND LASTING EFFECT, AT LEAST FOR SOME MONTHS, REDUCING SYMPTOMS OF DISTRESS AND IMPROVING SLEEP QUALITY AMONG STUDENTS. FURTHER RESEARCH SHOULD SEEK WAYS TO ENHANCE THE EFFECT, ASSESS AN EVEN LONGER FOLLOW-UP PERIOD, INCLUDE ACTIVE CONTROL GROUPS, AND CONSIDER PERFORMING SIMILAR STUDIES IN OTHER CULTURAL SETTINGS.TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT04258540.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
5 2751  37 YOGA PRACTICE IS ASSOCIATED WITH ATTENUATED WEIGHT GAIN IN HEALTHY, MIDDLE-AGED MEN AND WOMEN. BACKGROUND: YOGA IS PROMOTED OR WEIGHT MAINTENANCE, BUT THERE IS LITTLE EVIDENCE OF ITS EFFICACY. OBJECTIVE: TO EXAMINE WHETHER YOGA PRACTICE IS ASSOCIATED WITH LOWER MEAN 10-YEAR WEIGHT GAIN AFTER AGE 45. PARTICIPANTS: PARTICIPANTS INCLUDED 15,550 ADULTS, AGED 53 TO 57 YEARS, RECRUITED TO THE VITAMIN AND LIFESTYLE (VITAL) COHORT STUDY BETWEEN 2000 AND 2002. MEASUREMENTS: PHYSICAL ACTIVITY (INCLUDING YOGA) DURING THE PAST 10 YEARS, DIET, HEIGHT, AND WEIGHT AT RECRUITMENT AND AT AGES 30 AND 45. ALL MEASURES WERE BASED ON SELF-REPORTING, AND PAST WEIGHT WAS RETROSPECTIVELY ASCERTAINED. METHODS: MULTIPLE REGRESSION ANALYSES WERE USED TO EXAMINED COVARIATE-ADJUSTED ASSOCIATIONS BETWEEN YOGA PRACTICE AND WEIGHT CHANGE FROM AGE 45 TO RECRUITMENT, AND POLYCHOTOMOUS LOGISTIC REGRESSION WAS USED TO EXAMINE ASSOCIATIONS OF YOGA PRACTICE WITH THE RELATIVE ODDS OF WEIGHT MAINTENANCE (WITHIN 5%) AND WEIGHT LOSS (> 5%) COMPARED TO WEIGHT GAIN. RESULTS: YOGA PRACTICE FOR FOUR OR MORE YEARS WAS ASSOCIATED WITH A 3.1-LB LOWER WEIGHT GAIN AMONG NORMAL WEIGHT (BMI < 25) PARTICIPANTS [9.5 LBS VERSUS 12.6 IBS] AND AN 18.5-LB LOWER WEIGHT GAIN AMONG OVERWEIGHT PARTICIPANTS [-5.0 LBS VERSUS 13.5 IBS] (BOTH P FOR TREND <.001). AMONG OVERWEIGHT INDIVIDUALS, 4+ YEARS OF YOGA PRACTICE WAS ASSOCIATED WITH A RELATIVE ODDS OF 1.85 (95% CONFIDENCE INTERVAL [CI] 0.63-5.42) FOR WEIGHT MAINTENANCE (WITHIN 5%) AND 3.88 (95% CL 1.30-9.88) FOR WEIGHT LOSS (> 5%) COMPARED TO WEIGHT GAIN (P FOR TREND .026 AND .003, RESPECTIVELY). CONCLUSIONS: REGULAR YOGA PRACTICE WAS ASSOCIATED WITH ATTENUATED WEIGHT GAIN, MOST STRONGLY AMONG INDIVIDUALS WHO WERE OVERWEIGHT. ALTHOUGH CAUSAL INFERENCE FROM THIS OBSERVATIONAL STUDY IS NOT POSSIBLE, RESULTS ARE CONSISTENT WITH THE HYPOTHESIS THAT REGULAR YOGA PRACTICE CAN BENEFIT INDIVIDUALS WHO WISH TO MAINTAIN OR LOSE WEIGHT.	2005	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
6  386  30 BENEFITS AND ADVERSE EFFECTS ASSOCIATED WITH YOGA PRACTICE: A CROSS-SECTIONAL SURVEY FROM INDIA. OBJECTIVE: BENEFITS AND ADVERSE EFFECTS OF YOGA WERE REPORTED IN SURVEYS FROM DIFFERENT COUNTRIES. THE PRESENT STUDY AIMED TO (I) DETERMINE THE BENEFITS AND ADVERSE EFFECTS OF YOGA IN YOGA EXPERIENCED PERSONS IN INDIA AND (II) CORRELATE THESE EFFECTS OF YOGA WITH FACTORS RELATED TO THE INDIVIDUAL AND THEIR YOGA PRACTICE. DESIGN AND SETTING: THIS CONVENIENCE SAMPLING IN-PERSON SURVEY REPORTS BENEFITS AND ADVERSE EFFECTS OF YOGA IN 3135 YOGA EXPERIENCED PERSONS. RESULTS: THE BENEFITS OF YOGA WERE REPORTED BY 94.5 PERCENT OF THE RESPONDENTS. THE THREE MOST COMMON BENEFITS WERE IMPROVEMENT IN: (I) PHYSICAL FITNESS, (II) MENTAL STATE AND (III) COGNITIVE FUNCTIONS. AN ADVERSE EFFECT OF YOGA WAS REPORTED BY 1.9 PERCENT OF THE RESPONDENTS. THE THREE MOST COMMON ADVERSE EFFECTS REPORTED WERE: (I) SORENESS AND PAIN, (II) MUSCLE INJURIES AND (III) FATIGUE. THE FOLLOWING FACTORS SHOWED A SIGNIFICANT ASSOCIATION (IN ALL CASES P < 0.05 CHI SQUARE TEST; CRAMER'S V > 0.10) WITH REPORTED BENEFITS OF YOGA: (I) EXPERIENCE OF YOGA IN MONTHS, (II) TIME SPENT PRACTICING YOGA IN A WEEK, (III) NUMBER OF YOGA TECHNIQUES PRACTICED, AND (IV) WHETHER AWARENESS WAS MAINTAINED DURING THE YOGA PRACTICE OR NOT. CONCLUSION: BENEFITS OF YOGA PRACTICE TO PHYSICAL HEALTH WERE THE MOST COMMON, WITH SORENESS AND PAIN THE MOST COMMON ADVERSE EFFECT OF YOGA. YOGA PRACTICE RELATED FACTORS INFLUENCE THE BENEFITS OF YOGA.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
7 2613  33 YOGA FOR RISK REDUCTION OF METABOLIC SYNDROME: PATIENT-REPORTED OUTCOMES FROM A RANDOMIZED CONTROLLED PILOT STUDY. LIFESTYLE CHANGE IS RECOMMENDED AS TREATMENT FOR ADULTS AT RISK FOR METABOLIC SYNDROME (METS), ALTHOUGH ADOPTION OF NEW BEHAVIORAL PATTERNS IS LIMITED. IN ADDITION, MOST EXISTING LIFESTYLE INTERVENTIONS DO NOT ADDRESS PSYCHOLOGICAL STRESS OR QUALITY OF LIFE, BOTH OF WHICH IMPACT THE BURDEN OF METS. YOGA, A FORM OF PHYSICAL ACTIVITY THAT INCORPORATES PSYCHOLOGICAL COMPONENTS (E.G., MAINTAINING ATTENTION, RELAXATION), IS A PROMISING INTERVENTION FOR IMPROVING THE BURDEN OF METS. THIS RANDOMIZED CONTROLLED TRIAL ASSESSED THE FEASIBILITY AND PRELIMINARY EFFICACY OF A 12-WEEK YOGA PROGRAM COUPLED WITH AN EVIDENCE-BASED HEALTH EDUCATION PROGRAM (HED) COMPARED TO HED ALONE. A SECONDARY, EXPLORATORY AIM EXAMINED PERCEIVED STRESS, QUALITY OF LIFE, AND RELATED PSYCHOLOGICAL OUTCOMES (MINDFULNESS, PERCEIVED HEALTH COMPETENCE, AND MOOD). SIXTY-SEVEN ADULTS AT RISK FOR METS ENROLLED (MEAN AGE [SD]: 58 [10] YEARS; 50% MALE; 79% NON-HISPANIC WHITE). PRELIMINARY RESULTS REVEALED SIGNIFICANTLY LARGER IMPROVEMENTS IN TWO QUALITY OF LIFE DOMAINS (ROLE-PHYSICAL AND GENERAL HEALTH PERCEPTIONS) IN THE HED PLUS YOGA GROUP VERSUS HED ALONE (PS < 0.05). THIS IS THE FIRST STUDY THAT IMPLEMENTED LIFESTYLE EDUCATION ALONG WITH YOGA TO EVALUATE THE POTENTIAL UNIQUE EFFECTS OF YOGA ON PARTICIPANTS AT RISK FOR METS. A LARGER CLINICAL TRIAL IS WARRANTED TO FURTHER INVESTIGATE THESE PROMISING PATIENT-REPORTED OUTCOMES.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
8 1707  41 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
9  936  30 EFFECTIVENESS OF YOGA VERSUS EXERCISE FOR REDUCING FALLING RISK IN OLDER ADULTS: PHYSICAL AND PSYCHOLOGICAL INDICES. OUR PURPOSE IN THIS STUDY WAS TO EXAMINE THE EFFECTIVENESS OF YOGA TO ADDRESS MULTIPLE RISK FACTORS OF FALLING IN ACTIVE AND LOW ACTIVE OLDER ADULTS. COMMUNITY-DWELLING OLDER ADULTS (N = 35) OVER THE AGE OF 65 ACTIVELY PARTICIPATED IN EITHER A YOGA PROGRAM, AN EXERCISE PROGRAM, OR A NO-PROGRAM CONTROL. PARTICIPANTS COMPLETED MEASURES ASSOCIATED WITH FALLING RISKS. PHYSICAL MEASURES INCLUDED LOWER BODY STRENGTH, STATIC BALANCE, AND LOWER BODY FLEXIBILITY. PSYCHOLOGICAL MEASURES INCLUDED PERCEIVED SELF-EFFICACY WITH RESPECT TO FALLS AND HEALTH-RELATED QUALITY OF LIFE. WE DETERMINED BETWEEN-GROUP DIFFERENCES USING PLANNED COMPARISONS, EFFECT SIZE, CONFIDENCE INTERVALS, AND PROBABILITY OF SUPERIORITY. RESULTS OF PLANNED COMPARISONS AND PRACTICAL SIGNIFICANCE TESTING INDICATED THAT YOGA PARTICIPANTS SCORED HIGHER THAN THE EXERCISE AND CONTROL PARTICIPANTS ON BOTH RIGHT AND LEFT LOWER BODY FLEXIBILITY TESTS. YOGA PARTICIPANTS ALSO SCORED HIGHER THAN THE CONTROL PARTICIPANTS ON RIGHT LEG STATIC BALANCE, AND THE RIGHT AND LEFT LOWER BODY FLEXIBILITY TESTS. THE EXERCISE PARTICIPANTS SCORED HIGHER THAN YOGA PARTICIPANTS ON THE RAND-36 QUALITY OF LIFE SUBSCALES OF ENERGY/FATIGUE, PAIN, AND GENERAL HEALTH. THE PROBABILITY OF SUPERIORITY RESULTS INDICATED THAT THE NO-PROGRAM OLDER ADULT PARTICIPANTS WOULD BENEFIT BY ENROLLING IN THE YOGA RATHER THAN THE EXERCISE PROGRAM TO REDUCE PHYSICAL RISKS OF FALLING. THESE FINDINGS WERE DISCUSSED IN RELATION TO PROMOTING PHYSICAL ACTIVITY PROGRAMS TO REDUCE RISKS OF FALLING, AND THE ROLES OF THE PROTOCOL, PRACTICAL SIGNIFICANCE, AND MEASURES EMPLOYED WHEN DETERMINING PROGRAM EFFECTIVENESS.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
10 2353  33 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
11  342  24 ASHTANGA YOGA FOR CHILDREN AND ADOLESCENTS FOR WEIGHT MANAGEMENT AND PSYCHOLOGICAL WELL BEING: AN UNCONTROLLED OPEN PILOT STUDY. OBJECTIVE: THE OBJECTIVE OF THIS PILOT STUDY WAS TO DETERMINE THE EFFECT OF YOGA ON WEIGHT IN YOUTH AT RISK FOR DEVELOPING TYPE 2 DIABETES. SECONDARILY, THE IMPACT OF PARTICIPATION IN YOGA ON SELF-CONCEPT AND PSYCHIATRIC SYMPTOMS WAS MEASURED. METHODS: A 12-WEEK PROSPECTIVE PILOT ASHTANGA YOGA PROGRAM ENROLLED TWENTY CHILDREN AND ADOLESCENTS. WEIGHT WAS MEASURED BEFORE AND AFTER THE PROGRAM. ALL PARTICIPANTS COMPLETED SELF-CONCEPT, ANXIETY, AND DEPRESSION INVENTORIES AT THE INITIATION AND COMPLETION OF THE PROGRAM. RESULTS: FOURTEEN PREDOMINATELY HISPANIC CHILDREN, AGES 8-15, COMPLETED THE PROGRAM. THE AVERAGE WEIGHT LOSS WAS 2KG. WEIGHT DECREASED FROM 61.2+/-20.2KG TO 59.2+/-19.2KG (P=0.01). FOUR OF FIVE CHILDREN WITH LOW SELF-ESTEEM IMPROVED, ALTHOUGH TWO HAD DECREASES IN SELF-ESTEEM. ANXIETY SYMPTOMS IMPROVED IN THE STUDY. CONCLUSION: ASHTANGA YOGA MAY BE BENEFICIAL AS A WEIGHT LOSS STRATEGY IN A PREDOMINATELY HISPANIC POPULATION.	2009	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
12 2217  29 THE IMPACT OF A SHORT-TERM IYENGAR YOGA PROGRAM ON THE HEALTH AND WELL-BEING OF PHYSICALLY INACTIVE OLDER ADULTS. BACKGROUND: WITH THE CURRENT CHALLENGE OF RAPIDLY AGING POPULATIONS, PRACTICES SUCH AS YOGA MAY HELP OLDER ADULTS STAY PHYSICALLY ACTIVE, HEALTHY, AND FULFILLED. METHODS: THE IMPACT OF AN 8-WEEK IYENGAR YOGA PROGRAM ON THE HOLISTIC HEALTH AND WELL-BEING OF PHYSICALLY INACTIVE PEOPLE AGED 55 YEARS AND OVER WAS ASSESSED. THIRTY-EIGHT OLDER ADULTS (MEAN AGE 73.21+/-8.38 YEARS; 19 INTERVENTION, 19 CONTROL) ENGAGED IN EITHER TWICE-WEEKLY YOGA CLASSES OR CONTINUED THEIR USUAL DAILY ROUTINES. PHYSICAL HEALTH MEASURES WERE MUSCLE STRENGTH, ACTIVE RANGE OF MOTION, RESPIRATORY FUNCTION (FEV1), RESTING BLOOD PRESSURE, AND IMMUNE FUNCTION (SALIVARY IGA AND LYSOZYME). SELF-PERCEIVED GENERAL, PHYSICAL, MENTAL, SPIRITUAL, AND SOCIAL HEALTH AND WELL-BEING WERE ASSESSED WITH THE LIFE'S ODYSSEY QUESTIONNAIRE AND THE SF12V2 HEALTH SURVEY. RESULTS: MUSCLE STRENGTH, ACTIVE RANGE OF MOTION, PHYSICAL WELL-BEING, AND ASPECTS OF MENTAL WELL-BEING (EMOTIONAL WELL-BEING AND SELF-CARE) IMPROVED SIGNIFICANTLY IN THE YOGA GROUP (P<.05). MEDIAN CHANGES IN MOST OF THESE VARIABLES WERE ALSO SIGNIFICANTLY DIFFERENT FROM THOSE IN THE CONTROL GROUP. CONCLUSIONS: PARTICIPATION IN IYENGAR YOGA PROGRAMS BY OLDER PEOPLE IS BENEFICIAL FOR HEALTH AND WELL-BEING, AND GREATER AVAILABILITY OF SUCH PROGRAMS COULD IMPROVE QUALITY OF LIFE.	2011	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
13 2733  38 YOGA PARTICIPATION AND ALL-CAUSE MORTALITY: NATIONAL PROSPECTIVE COHORT STUDY. BACKGROUND: THE RELATIVELY FEW STUDIES EXAMINING THE EFFECT OF YOGA PARTICIPATION ON CHRONIC DISEASE COME FROM SMALL, SHORT-TERM STUDIES. AS A RESULT, THE PURPOSE OF THIS STUDY WAS TO PROSPECTIVELY EXAMINE THE EFFECTS OF YOGA PARTICIPATION ON ALL-CAUSE MORTALITY IN A LARGE NATIONALLY REPRESENTATIVE STUDY WITH A RELATIVELY LONG FOLLOW-UP PERIOD (UP TO 12 YEAR FOLLOW-UP). METHODS: DATA FROM THE 1999-2006 NATIONAL HEALTH & NUTRITION EXAMINATION SURVEY WERE USED, WITH FOLLOW-UP THROUGH 2011. YOGA PARTICIPATION WAS SELF-REPORTED, WITH PARTICIPANT IDENTIFICATION LINKED TO DEATH CERTIFICATE DATA FROM THE NATIONAL DEATH INDEX TO ASCERTAIN MORTALITY STATUS. RESULTS: IN THE ANALYZED SAMPLE, WHICH INCLUDED 22,598 ADULT PARTICIPANTS, 240 PARTICIPANTS ENGAGED IN YOGA AND 3176 DIED OVER THE FOLLOW-UP PERIOD; THE MEDIAN FOLLOW-UP PERIOD WAS 102 MONTHS (8.5 YEARS). IN AN UNADJUSTED COX HAZARD MODEL, THOSE ENGAGING IN YOGA, COMPARED TO THOSE NOT ENGAGING IN YOGA, HAD A 63% REDUCED RISK OF PREMATURE ALL-CAUSE MORTALITY (HR=0.37; 95% CI: 0.18-0.74; P=.006). HOWEVER, AFTER ADJUSTING FOR AGE, THE ASSOCIATION WAS ATTENUATED AND NO LONGER STATISTICALLY SIGNIFICANT (HR(ADJUSTED)=0.82; 95% CI: 0.39-1.72; P=.60). CONCLUSION: IN CONCLUSION, YOGA PARTICIPATION WAS NOT SIGNIFICANTLY ASSOCIATED WITH REDUCED ALL-CAUSE MORTALITY RISK IN AN ADJUSTED MODEL.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
14 2690  34 YOGA IN WOMEN WITH ABDOMINAL OBESITY - DO LIFESTYLE FACTORS MEDIATE THE EFFECT? SECONDARY ANALYSIS OF A RCT. INTRODUCTION: THE REDUCTION OF OBESITY IS AN IMPORTANT CHALLENGE FOR HEALTH POLICY. ALTHOUGH DIETARY INTERVENTIONS ARE WIDELY AVAILABLE, PATIENT ADHERENCE IS USUALLY LOW. A PROMISING ALTERNATIVE IS YOGA. WE HYPOTHESIZED THAT WEIGHT REDUCTION THROUGH YOGA IS MEDIATED BY ASPECTS RELATED TO EATING HABITS AS WELL AS PHYSICAL ASPECTS. METHODS: THIS IS AN EXPLORATORY SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL COMPARING THE EFFECTS OF YOGA TO WAITING LIST IN WOMEN WITH ABDOMINAL OBESITY. BODY MASS INDEX (BMI) AND WAIST CIRCUMFERENCE WERE ASSESSED AS OUTCOMES; PHYSICAL EXERCISE HABITS, PHYSICAL ACTIVITY HABITS AT LEISURE TIME, PHYSICAL ACTIVITY HABITS AT WORK TIME, DAILY FRUIT AND VEGETABLE INTAKE, NUTRITION SELF-EFFICACY, AND PHYSICAL SELF-EFFICACY WERE CAPTURED AS MEDIATORS. MEASURES WERE ASSESSED AT WEEKS 0 AND 12. THE ORIGINAL TRIAL WAS CONDUCTED BETWEEN APRIL AND AUGUST 2015. THE SECONDARY ANALYSIS WAS PERFORMED DECEMBER 2019. RESULTS: FORTY PATIENTS WERE RANDOMIZED TO THE 12 WEEKLY YOGA SESSIONS (48.5 +/- 7.9 YEARS) AND 20 PATIENTS TO THE WAITLIST GROUP (46.4 +/- 8.9 YEARS). PHYSICAL EXERCISE HABITS FULLY MEDIATED THE EFFECT OF YOGA ON BMI (B=-0.26;CI[-.56;-.07]). DAILY FRUIT AND VEGETABLE INTAKE PARTIALLY MEDIATED THE EFFECT OF YOGA ON BMI (B=-0.13;CI[-.38;-.01]). NO FURTHER MEDIATION EFFECTS WERE FOUND. CONCLUSIONS: YOGA SUPPORTS PEOPLE WITH OVERWEIGHT IN EATING HEALTHIER AND INCREASING THEIR PHYSICAL ACTIVITY WHICH IN TURN LEADS TO A REDUCED BMI. YOGA'S EFFECTS ON WAIST CIRCUMFERENCE SEEM TO BE DUE TO OTHER MECHANISMS.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
15  279  42 ADHERENCE AND RETENTION OF AFRICAN AMERICANS IN A RANDOMIZED CONTROLLED TRIAL WITH A YOGA-BASED INTERVENTION: THE EFFECTS OF HEALTH PROMOTING PROGRAMS ON CARDIOVASCULAR DISEASE RISK STUDY. OBJECTIVES: SEDENTARY LIFESTYLE IS A RISK FACTOR FOR CARDIOVASCULAR DISEASE (CVD). FEW ALTERNATIVE LIFESTYLE INTERVENTIONS, SUCH AS YOGA PRACTICE, FOCUS ON AFRICAN AMERICANS (AA), THE POPULATION MOST VULNERABLE TO CVD. OUR OBJECTIVE IS TO COMPARE THE RETENTION AND ADHERENCE RATES BETWEEN YOGA, WALKING, AND HEALTH EDUCATION INTERVENTIONS WHILE PROVIDING INFORMATION ABOUT THE ACCEPTANCE OF VARIOUS YOGA REGIMENS. DESIGN: THREE HUNDRED SEVENTY-FIVE AA PARTICIPANTS WERE RECRUITED EXCLUSIVELY FROM AN ACTIVE COHORT STUDY AND RANDOMIZED INTO A 48-WEEK STUDY (24 WEEKS INTERVENTION, 24 WEEKS FOLLOW-UP) WITH 5 HEALTH PROMOTION INTERVENTIONS: HIGH FREQUENCY YOGA, MODERATE FREQUENCY YOGA, LOW FREQUENCY YOGA, GUIDED WALKING, AND HEALTH EDUCATION. IN ADDITION TO EXAMINING THE SEPARATE YOGA INTERVENTIONS, A POOLED YOGA INTERVENTION IS CONSIDERED FOR COMPARISON TO GUIDED WALKING AND HEALTH EDUCATION. PARTICIPANT RETENTION, ADHERENCE, AND VITALS WERE MONITORED AT EACH INTERVENTION SESSION. PARTICIPANTS WERE ALSO SCHEDULED FOR FOUR CLINIC VISITS THROUGHOUT THE STUDY WHERE BLOOD PANELS, HEALTH BEHAVIOR, AND MEDICATION SURVEYS WERE ADMINISTERED. RESULTS: OF THE 375 PARTICIPANTS RECRUITED, 31.7% DID NOT COMPLETE THE STUDY. AT BASELINE, IN BOTH THE GUIDED WALKING GROUP AND THE HIGH FREQUENCY YOGA GROUP, THERE WERE SIGNIFICANT DIFFERENCES BETWEEN THOSE WHO COMPLETED THE STUDY AND THOSE WHO DID NOT. ALTHOUGH INTERVENTION RETENTION IN THE POOLED YOGA PROGRAM (78.3%) WAS HIGHER COMPARED TO THE WALKING (60%) AND EDUCATION PROGRAMS (74.3%) (P = 0.007), DIFFERENCES IN POST-INTERVENTION RETENTION WAS NOT SIGNIFICANT. MEDIAN ADHERENCE RATES FOR THE POOLED YOGA PROGRAM EXCEEDED RATES FOR GUIDED WALKING AND EDUCATION WITH MODERATE FREQUENCY YOGA OUT PERFORMING HIGH AND LOW FREQUENCY YOGA. CONCLUSION: STUDY-DEFINED RETENTION SUCCESS RATES WERE NOT REACHED BY ALL HEALTH PROMOTION PROGRAMS. HOWEVER, RETENTION AND ADHERENCE RATES FOR THE POOLED YOGA PROGRAM SHOW THAT OLDER AFRICAN AMERICANS ARE RECEPTIVE TO PARTICIPATING IN YOGA-BASED HEALTH PROMOTION PRACTICES.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
16 2183  44 THE EFFECTS OF YOGA ON PSYCHOSOCIAL VARIABLES AND EXERCISE ADHERENCE: A RANDOMIZED, CONTROLLED PILOT STUDY. BACKGROUND: PHYSICAL INACTIVITY IS A SERIOUS ISSUE FOR THE AMERICAN PUBLIC. BECAUSE OF CONDITIONS THAT RESULT FROM INACTIVITY, INDIVIDUALS INCUR CLOSE TO $1 TRILLION USD IN HEALTH-CARE COSTS, AND APPROXIMATELY 250 000 PREMATURE DEATHS OCCUR PER YEAR. RESEARCHERS HAVE LINKED ENGAGING IN YOGA TO IMPROVED OVERALL FITNESS, INCLUDING IMPROVED MUSCULAR STRENGTH, MUSCULAR ENDURANCE, FLEXIBILITY, AND BALANCE. RESEARCHERS HAVE NOT YET INVESTIGATED THE IMPACT OF YOGA ON EXERCISE ADHERENCE. OBJECTIVE: THE RESEARCH TEAM ASSESSED THE EFFECTS OF 10 WEEKS OF YOGA CLASSES HELD TWICE A WEEK ON EXERCISE ADHERENCE IN PREVIOUSLY SEDENTARY ADULTS. DESIGN: THE RESEARCH TEAM DESIGNED A RANDOMIZED CONTROLLED PILOT TRIAL. THE TEAM COLLECTED DATA FROM THE INTERVENTION (YOGA) AND CONTROL GROUPS AT BASELINE, MIDPOINT, AND POSTTEST (POSTTEST 1) AND ALSO COLLECTED DATA PERTAINING TO EXERCISE ADHERENCE FOR THE YOGA GROUP AT 5 WEEKS POSTTEST (POSTTEST 2). SETTING: THE PILOT TOOK PLACE IN A YOGA STUDIO IN CENTRAL NEW JERSEY IN THE UNITED STATES. THE PRETESTING OCCURRED AT THE YOGA STUDIO FOR ALL PARTICIPANTS. MIDPOINT TESTING AND POSTTESTING OCCURRED AT THE STUDIO FOR THE YOGA GROUP AND BY MAIL FOR THE CONTROL GROUP. PARTICIPANTS: PARTICIPANTS WERE 27 ADULTS (MEAN AGE 51 Y) WHO HAD BEEN PHYSICALLY INACTIVE FOR A PERIOD OF AT LEAST 6 MONTHS PRIOR TO THE STUDY. INTERVENTIONS THE INTERVENTION GROUP (YOGA GROUP) RECEIVED HOUR-LONG HATHA YOGA CLASSES THAT MET TWICE A WEEK FOR 10 WEEKS. THE CONTROL GROUP DID NOT PARTICIPATE IN CLASSES DURING THE RESEARCH STUDY; HOWEVER, THEY WERE OFFERED COMPLIMENTARY POST RESEARCH CLASSES. OUTCOME MEASURES THE STUDY'S PRIMARY OUTCOME MEASURE WAS EXERCISE ADHERENCE AS MEASURED BY THE 7-DAY PHYSICAL ACTIVITY RECALL. THE SECONDARY MEASURES INCLUDED (1) EXERCISE SELF-EFFICACY AS MEASURED BY THE MULTIDIMENSIONAL SELF-EFFICACY FOR EXERCISE SCALE, (2) GENERAL WELL-BEING AS MEASURED BY THE GENERAL WELL-BEING SCHEDULE, (3) EXERCISE-GROUP COHESION AS MEASURED BY THE GROUP ENVIRONMENT QUESTIONNAIRE (GEQ), (4) ACUTE FEELING RESPONSE AS MEASURED BY THE EXERCISE-INDUCED FEELING INVENTORY (EFI), AND (5) TWO OPEN-ENDED QUESTIONS CODED FOR EMERGING THEMES AND SUBCATEGORIES. RESULTS: THE ANALYSIS REVEALED THAT THE YOGA GROUP'S MEAN HOURS OF PHYSICAL ACTIVITY AT 10 WEEKS REFLECTED A SIGNIFICANT INCREASE IN EXERCISE ADHERENCE FROM BASELINE (P < .012) AND A SIGNIFICANT DIFFERENCE FROM THE CONTROL GROUP (P < .004). AT 5 WEEKS POST-INTERVENTION, NO SIGNIFICANT CHANGE HAD OCCURRED IN THE YOGA GROUP'S EXERCISE ADHERENCE (P = .906). EXERCISE SELF-EFFICACY CHANGED SIGNIFICANTLY FROM BASELINE TO MIDPOINT (P < .029). THE GENERAL WELLBEING DATA DEMONSTRATED A SIGNIFICANT INTERACTION EFFECT (P < .001), RESULTING FROM AN INCREASE IN GENERAL WELL-BEING IN THE INTERVENTION GROUP AND A DECREASE IN GENERAL WELL-BEING IN THE CONTROL GROUP. IN ADDITION, THE YOGA GROUP'S COHESION SCORE WAS CONSISTENT WITH THE NORMS ON TWO CONSTRUCTS OF THE GEQ: ATTRACTION TO GROUP TASK AND GROUP INTEGRATION TASK. THE EFI REVEALED THAT THE YOGA PARTICIPANTS "FELT STRONGLY" THAT THEIR EXPERIENCES IN YOGA WERE PEACEFUL, HAPPY, UPBEAT, AND ENTHUSIASTIC AND THAT THEY FELT REVIVED FOLLOWING THE YOGA CLASSES. QUALITATIVE ANALYSIS OF DATA REVEALED SELF-REPORTED IMPROVEMENTS IN EXERCISE BEHAVIORS, STRESS MANAGEMENT, AND EATING HABITS. CONCLUSIONS: TEN WEEKS OF YOGA CLASSES TWICE A WEEK SIGNIFICANTLY INCREASED PREVIOUSLY INACTIVE PARTICIPANTS' ADHERENCE TO PHYSICAL ACTIVITY. ADDITIONALLY, THE FINDINGS SUGGEST THAT A MIND-BODY EXERCISE PROGRAM MAY BE AN EFFECTIVE INTERVENTION IN THE FIGHT AGAINST PHYSICAL INACTIVITY.	2012	

17 1839  28 PSYCHOSOCIAL CORRELATES AND OUTCOMES OF YOGA OR WALKING AMONG OLDER ADULTS. FEW RESEARCHERS HAVE COMPARED PSYCHOLOGICAL CORRELATES AND OUTCOMES OF YOGA WITH MORE TRADITIONAL FORMS OF EXERCISE. THE AUTHORS' PRIMARY AIM WAS TO COMPARE CHANGES IN THE PSYCHOSOCIAL OUTCOMES OF MOOD AND STATE ANXIETY PRODUCED BY AN ACUTE BOUT OF YOGA OR WALKING AMONG OLDER ADULTS. THE SECONDARY AIM WAS TO COMPARE SELECTED PSYCHOSOCIAL CORRELATES OF ACTIVITY. PARTICIPANTS WERE 51 ADULTS WHO WERE 50 YEARS OF AGE OR OLDER WHO WALKED FOR EXERCISE OR PARTICIPATED IN A YOGA CLASS. RESULTS REVEALED THAT YOGA PARTICIPANTS HAD SIGNIFICANTLY GREATER LEVELS OF DEPRESSION AND PERCEIVED BARRIERS TO EXERCISE, AND LOWER QUALITY OF LIFE THAN DID WALKERS. WITH CONTROL FOR THESE DIFFERENCES, YOGA PRACTITIONERS HAD IMPROVED LEVELS OF FATIGUE PRE- TO POSTSESSION, COMPARED WITH WALKERS. WITH CONTROL FOR DIFFERENCES IN DEMOGRAPHIC VARIABLES, THESE CHANGES WERE NO LONGER SIGNIFICANT. IT IS POSSIBLE THAT YOGA PRACTITIONERS SEEK OUT MINDFUL-BASED EXERCISE TO COPE WITH GREATER LEVELS OF DEPRESSION AND LOWER LEVELS OF QUALITY OF LIFE.	2009	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
18   78  38 A LARGE-SCALE SURVEY OF ADVERSE EVENTS EXPERIENCED IN YOGA CLASSES. BACKGROUND: YOGA IS A REPRESENTATIVE MIND-BODY THERAPY OF COMPLEMENTARY AND ALTERNATIVE MEDICINE. IN JAPAN, YOGA IS PRACTICED WIDELY TO PROMOTE HEALTH, BUT YOGA-ASSOCIATED ADVERSE EVENTS HAVE ALSO BEEN REPORTED. TO DATE, THE FREQUENCIES AND CHARACTERISTICS OF YOGA-RELATED ADVERSE EVENTS HAVE NOT BEEN ELUCIDATED. THIS STUDY WAS CONDUCTED TO ELUCIDATE THE FREQUENCIES AND CHARACTERISTICS OF ADVERSE EVENTS OF YOGA PERFORMED IN CLASSES AND THE RISK FACTORS OF SUCH EVENTS. METHODS: THE SUBJECTS WERE 2508 PEOPLE TAKING YOGA CLASSES AND 271 YOGA THERAPISTS CONDUCTING THE CLASSES. A SURVEY FOR YOGA CLASS ATTENDEES WAS PERFORMED ON ADVERSE EVENTS THAT OCCURRED DURING A YOGA CLASS ON THE SURVEY DAY. A SURVEY FOR YOGA THERAPISTS WAS PERFORMED ON ADVERSE EVENTS THAT THE THERAPISTS HAD OBSERVED IN THEIR STUDENTS TO DATE. ADVERSE EVENTS WERE DEFINED AS "UNDESIRABLE SYMPTOMS OR RESPONSES THAT OCCURRED DURING A YOGA CLASS". RESULTS: AMONG 2508 YOGA CLASS ATTENDEES, 1343 (53.5%) HAD CHRONIC DISEASES AND 1063 (42.3%) WERE RECEIVING MEDICATION AT HOSPITALS. THERE WERE 687 CLASS ATTENDEES (27.8%) WHO REPORTED SOME TYPE OF UNDESIRABLE SYMPTOMS AFTER TAKING A YOGA CLASS. MUSCULOSKELETAL SYMPTOMS SUCH AS MYALGIA WERE THE MOST COMMON SYMPTOMS, INVOLVING 297 CASES, FOLLOWED BY NEUROLOGICAL SYMPTOMS AND RESPIRATORY SYMPTOMS. MOST ADVERSE EVENTS (63.8%) WERE MILD AND DID NOT INTERFERE WITH CLASS PARTICIPATION. THE RISK FACTORS FOR ADVERSE EVENTS WERE EXAMINED, AND THE ODDS RATIOS FOR ADVERSE EVENTS WERE SIGNIFICANTLY HIGHER IN ATTENDEES WITH CHRONIC DISEASE, POOR PHYSICAL CONDITION ON THE SURVEY DAY, OR A FEELING THAT THE CLASS WAS PHYSICALLY AND MENTALLY STRESSFUL. IN PARTICULAR, THE OCCURRENCE OF SEVERE ADVERSE EVENTS THAT INTERFERED WITH SUBSEQUENT YOGA PRACTICE WAS HIGH AMONG ELDERLY PARTICIPANTS (70 YEARS OR OLDER) AND THOSE WITH CHRONIC MUSCULOSKELETAL DISEASES. CONCLUSIONS: THE RESULTS OF THIS LARGE-SCALE SURVEY DEMONSTRATED THAT APPROXIMATELY 30% OF YOGA CLASS ATTENDEES HAD EXPERIENCED SOME TYPE OF ADVERSE EVENT. ALTHOUGH THE MAJORITY HAD MILD SYMPTOMS, THE SURVEY RESULTS INDICATED THAT ATTENDEES WITH CHRONIC DISEASES WERE MORE LIKELY TO EXPERIENCE ADVERSE EVENTS ASSOCIATED WITH THEIR DISEASE. THEREFORE, SPECIAL ATTENTION IS NECESSARY WHEN YOGA IS INTRODUCED TO PATIENTS WITH STRESS-RELATED, CHRONIC DISEASES.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
19 1781  36 PREDICTORS OF AND BARRIERS TO ADHERENCE IN A 16-WEEK RANDOMISED CONTROLLED TRIAL OF BIKRAM YOGA IN STRESSED AND SEDENTARY ADULTS. BACKGROUND: BIKRAM YOGA MAY ENHANCE HEALTH OUTCOMES IN HEALTHY ADULTS AND THOSE AT RISK FOR CHRONIC DISEASE, HOWEVER, CHALLENGES REMAIN IN ACHIEVING OPTIMAL ADHERENCE TO THIS PRACTICE. THIS STUDY INVESTIGATED FACTORS INFLUENCING ADHERENCE TO A 16-WEEK BIKRAM YOGA INTERVENTION IN STRESSED AND SEDENTARY ADULTS. METHODS: EXPERIMENTAL GROUP PARTICIPANTS (N = 29) WERE INSTRUCTED TO ATTEND 3-5 BIKRAM YOGA CLASSES WEEKLY FOR 16 WEEKS. BASELINE DEMOGRAPHICS, BEHAVIOURS AND HEALTH MEASURES WERE INVESTIGATED AS PREDICTORS OF ADHERENCE. BARRIERS WERE ASSESSED VIA DOCUMENTATION OF ADVERSE EVENTS, AND EXIT SURVEY RESPONSES. RESULTS: PARTICIPANTS (38.2 +/- 10.1 YEARS) WERE PREDOMINANTLY OVERWEIGHT-OBESE (83%), FEMALE (79%), AND ATTENDED 27 +/- 18 CLASSES. HIGHER ADHERENCE WAS ASSOCIATED WITH OLDER AGE (P = 0.094), LESS PAIN (P = 0.011), FEWER PHYSICAL LIMITATIONS (P = 0.011), POORER BLOOD LIPID PROFILE, AND HIGHER HEART RATE VARIABILITY (HRV; TOTAL POWER, (P = 0.097)). IN MULTI-VARIABLE ANALYSIS, THREE VARIABLES: AGE (BETA = 0.492, P = 0.006), HRV (BETA = 0.413, P = 0.021) AND PAIN (BETA = 0.329, P = 0.048) REMAINED PREDICTORS OF ADHERENCE. DIFFICULTY COMMITTING TO THE TRIAL, LACK OF ENJOYMENT AND ADVERSE EVENTS WERE BARRIERS TO ADHERENCE. CONCLUSIONS: THESE FINDINGS SHOULD BE CONSIDERED IN THE DEVELOPMENT OF FUTURE BIKRAM YOGA TRIALS TO FACILITATE HIGHER LEVELS OF ADHERENCE, WHICH MAY ENHANCE HEALTH OUTCOMES AND INFORM COMMUNITY PRACTICE. FUTURE TRIALS SHOULD INVESTIGATE AND ADDRESS ADDITIONAL BARRIERS AND FACILITATORS OF BIKRAM YOGA PRACTICE.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
20 1512  31 IS THERE MORE TO YOGA THAN EXERCISE? CONTEXT: YOGA IS INCREASING IN POPULARITY, WITH AN ESTIMATED 15 MILLION PRACTITIONERS IN THE UNITED STATES, YET THERE IS A DEARTH OF EMPIRICAL DATA ADDRESSING THE HOLISTIC BENEFITS OF YOGA. OBJECTIVE: TO COMPARE THE PHYSICAL AND MENTAL BENEFITS OF AN EXERCISE-BASED YOGA PRACTICE TO THAT OF A MORE COMPREHENSIVE YOGA PRACTICE (ONE WITH AN ETHICAL/SPIRITUAL COMPONENT). DESIGN: STUDENTS WITH MILD TO MODERATE DEPRESSION, ANXIETY, OR STRESS AND WHO AGREED TO PARTICIPATE WERE ASSIGNED TO ONE OF THREE GROUPS: INTEGRATED YOGA, YOGA AS EXERCISE, CONTROL. PARTICIPANTS: A TOTAL OF 81 UNDERGRADUATE STUDENTS 18 YEARS AND OLDER AT A UNIVERSITY IN THE SOUTHEASTERN UNITED STATES PARTICIPATED IN THE STUDY. MAIN OUTCOME MEASURES: DEPRESSION, ANXIETY, STRESS, HOPE, AND SALIVARY CORTISOL. RESULTS: OVER TIME, PARTICIPANTS IN BOTH THE INTEGRATED AND EXERCISE YOGA GROUPS EXPERIENCED DECREASED DEPRESSION AND STRESS, AN INCREASED SENSE OF HOPEFULNESS, AND INCREASED FLEXIBILITY COMPARED TO THE CONTROL GROUP. HOWEVER, ONLY THE INTEGRATED YOGA GROUP EXPERIENCED DECREASED ANXIETY-RELATED SYMPTOMS AND DECREASED SALIVARY CORTISOL FROM THE BEGINNING TO THE END OF THE STUDY. CONCLUSIONS: YOGA, PRACTICED IN A MORE INTEGRATED FORM, IE, WITH AN ETHICAL AND SPIRITUAL COMPONENT, MAY PROVIDE ADDITIONAL BENEFITS OVER YOGA PRACTICED AS AN EXERCISE REGIMEN.	2011