1 871 142 EFFECT OF YOGA THERAPY ON DISEASE ACTIVITY, INFLAMMATORY MARKERS, AND HEART RATE VARIABILITY IN PATIENTS WITH RHEUMATOID ARTHRITIS. BACKGROUND: RHEUMATOID ARTHRITIS (RA) IS AN IMMUNE-MEDIATED INFLAMMATORY DISEASE. ANTIRHEUMATOID TREATMENT REDUCES DISEASE ACTIVITY AND INFLAMMATION, BUT NOT ALL PATIENTS RESPOND TO TREATMENT. AUTONOMIC DYSFUNCTION IS COMMON IN RA LEADING TO FREQUENT CARDIOVASCULAR COMPLICATIONS. YOGA THERAPY MAY BE USEFUL IN THESE PATIENTS, BUT THERE ARE LITTLE DATA ON THE EFFECT OF YOGA ON DISEASE ACTIVITY, INFLAMMATORY MARKERS, AND HEART RATE VARIABILITY (HRV). OBJECTIVES: THIS STUDY ASSESSED THE EFFECT OF 12-WEEK YOGA THERAPY ON DISEASE ACTIVITY, INFLAMMATORY MARKERS, AND HRV IN PATIENTS WITH RA. MATERIALS AND METHODS: THIS RANDOMIZED CONTROL TRIAL WAS CONDUCTED ON NEWLY DIAGNOSED RA PATIENTS ATTENDING OUTPATIENT SERVICES AT THE DEPARTMENT OF CLINICAL IMMUNOLOGY, JIPMER. ONE HUNDRED AND SIXTY-SIX PARTICIPANTS WERE RANDOMIZED INTO TWO GROUPS: THE CONTROL GROUP (CG) (N = 83) AND YOGA GROUP (YG) (N = 83). YOGA THERAPY WAS ADMINISTERED TO PARTICIPANTS IN THE YG FOR 12 WEEKS, ALONG WITH STANDARD MEDICAL TREATMENT. THE CG RECEIVED ONLY STANDARD MEDICAL TREATMENT. PRIMARY OUTCOMES WERE DISEASE ACTIVITY SCORE 28, INTERLEUKIN-1ALPHA (IL-1ALPHA), IL-6, TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA), CORTISOL, AND HRV PARAMETERS. ALL PARAMETERS WERE MEASURED AT BASELINE AND AFTER 12 WEEKS. RESULTS: DISEASE ACTIVITY SIGNIFICANTLY DECREASED IN BOTH GROUPS AFTER 12 WEEKS, BUT IT WAS REDUCED MORE IN YG, WHICH WAS STATISTICALLY SIGNIFICANT (P < 0.05). IN BOTH YG AND CG, IL-1ALPHA, IL-6, TNF-ALPHA, AND CORTISOL DECREASED AFTER 12 WEEKS, BUT IL-1ALPHA AND CORTISOL DECREASED MORE SIGNIFICANTLY IN YG THAN IN CG. LOW-FREQUENCY COMPONENT EXPRESSED AS NORMALIZED UNIT (LFNU) AND THE LOW-FREQUENCY/HIGH-FREQUENCY (LF-HF) RATIO DECREASED SIGNIFICANTLY, AND TOTAL POWER AND HF COMPONENT EXPRESSED AS NORMALIZED UNIT (HFNU) INCREASED SIGNIFICANTLY IN THE YG COMPARED WITH CG. CONCLUSION: TWELVE-WEEK YOGA THERAPY, IF GIVEN ALONG WITH STANDARD MEDICAL TREATMENT, SIGNIFICANTLY REDUCES DISEASE ACTIVITY AND IMPROVES SYMPATHOVAGAL BALANCE IN RA PATIENTS. 2020 2 1318 53 HEART RATE VARIABILITY IN CHRONIC LOW BACK PAIN PATIENTS RANDOMIZED TO YOGA OR STANDARD CARE. BACKGROUND: CHRONIC PAIN CAN ALTER THE AUTONOMIC BALANCE WITH INCREASED SYMPATHETIC ACTIVITY REFLECTED IN ALTERED HEART RATE VARIABILITY (HRV). IT HAS BEEN PROPOSED THAT YOGA CAN BE USEFUL TO CORRECT THE AUTONOMIC IMBALANCE IN PATIENTS WITH CHRONIC PAIN WHO HAVE REDUCED HRV. METHODS AND DESIGNS: IN THE PRESENT RANDOMIZED CONTROLLED TRIAL 62 PATIENTS WITH CHRONIC LOW BACK PAIN ASSOCIATED WITH ALTERED ALIGNMENT OF INTERVERTEBRAL DISCS (AGED BETWEEN 20 AND 45 YEARS, 32 MALES) WERE RANDOMIZED TO 2 GROUPS. ONE GROUP RECEIVED YOGA FOR 3 MONTHS WHILE THE OTHER GROUP CARRIED OUT STANDARD MEDICAL CARE BASED ON THE PHYSICIAN'S ADVICE. THE DURATION WAS THE SAME, I.E., 3 MONTHS. THE HEART RATE VARIABILITY AND RATE OF RESPIRATION WERE ASSESSED AT BASELINE AND AT THE END OF 3 MONTHS. RESULTS: THERE WAS A SIGNIFICANT DIFFERENCE IN THE BASELINE (PRE) VALUES BETWEEN GROUPS (P = 0.008) FOR RESPIRATION RATE WHICH WAS HIGHER IN THE YOGA GROUP. THE CHANGES REPORTED BELOW ARE PRE-POST COMPARISONS WITHIN EACH GROUP. THE YOGA GROUP SHOWED A SIGNIFICANT (P < 0.05; REPEATED MEASURES ANOVA, POST-HOC ANALYSES) DECREASE IN THE LF POWER OF HRV, RATE OF RESPIRATION AND A SIGNIFICANT INCREASE IN THE HF POWER OF HRV AND IN THE PNN50. CONCLUSION: THE RESULTS SUGGEST THAT YOGA PRACTICE CAN SHIFT THE AUTONOMIC BALANCE TOWARDS VAGAL DOMINANCE IN PATIENTS WITH CHRONIC LOW BACK PAIN ASSOCIATED WITH ALTERED ALIGNMENT OF INTERVERTEBRAL DISCS. TRIAL REGISTRATION: THE STUDY IS REGISTERED WITH THE CLINICAL TRIALS REGISTRY OF INDIA ( CTRI/2012/11/003094 ) AND CAN BE ACCESSED AT. 2016 3 772 47 EFFECT OF YOGA AND EXERCISE ON GLYCEMIC CONTROL AND PSYCHOSOCIAL PARAMETERS IN TYPE 2 DIABETES MELLITUS: A RANDOMIZED CONTROLLED STUDY. CONTEXT BACKGROUND: TYPE 2 DIABETES HAS BEEN STRONGLY ASSOCIATED WITH PSYCHOSOCIAL FACTORS SUCH AS STRESS, ANXIETY, DEPRESSION, AND QUALITY OF LIFE (QOL). THERE IS NOT MUCH EVIDENCE WHETHER YOGA CAN IMPROVE THESE FACTORS AND MOTIVATE INDIVIDUALS TO ENGAGE IN ACTIVE LIFESTYLE. AIMS: THIS STUDY AIMS TO EVALUATE THE EFFECT OF YOGA AND EXERCISE OVER GLYCEMIC CONTROL, ANXIETY, DEPRESSION, EXERCISE SELF-EFFICACY (ESE), AND QOL AFTER 3-MONTH PROGRAM. METHODS: TWO HUNDRED AND TWENTY-SEVEN INDIVIDUALS WERE RANDOMLY ALLOCATED TO YOGA GROUP (YG) AND EXERCISE GROUP. YG PRACTICED YOGA FOR 2 WEEKS UNDER SUPERVISION AND THEN CARRIED OUT PRACTICE AT HOME FOR 3 MONTHS. THE EXERCISE GROUP PRACTICED 30 MIN OF BRISK WALKING FOR 5 DAYS A WEEK. RESULTS: ON COMPARISON AMONG THE GROUPS, IN YG, THERE WAS A MEAN CHANGE OF 0.47 IN GLYCATED HEMOGLOBIN WHICH WAS GREATER THAN MEAN REDUCTION OF 0.28 IN THE EXERCISE GROUP WITH P < 0.05. STATE ANXIETY REDUCED BY 7.8 AND TRAIT ANXIETY REDUCED BY 4.4 IN YG (P < 0.05) IN 3 MONTHS AS COMPARED TO NONSIGNIFICANT REDUCTIONS OF 3 AND 1 IN MEAN OF STATE AND TRAIT ANXIETY SCORES IN THE EXERCISE GROUP (P > 0.05). THERE WAS A STATISTICALLY SIGNIFICANT REDUCTION IN DEPRESSION SCORE IN BOTH THE GROUPS, 8.6 IN YOGA AND 4.0 IN EXERCISE, WHICH WAS GREATER IN YG. ESE IMPROVED BY 19.2 IN YG (P < 0.05), WHEREAS IT IMPROVED ONLY 2.2 IN THE EXERCISE GROUP (P > 0.05). QOL IMPROVED BY 23.7 IN YG AND 3.0 IN THE EXERCISE GROUP WHICH WAS NONSIGNIFICANT IN THE EXERCISE GROUP AS COMPARED TO YG. CONCLUSIONS: YOGA IS SUPERIOR TO EXERCISE ALONE AS A LIFESTYLE MODIFICATION PROGRAM IN IMPROVING GLYCEMIC CONTROL, ANXIETY, DEPRESSION, AND QOL AS WELL AS ESE. 2020 4 1062 42 EFFECTS OF YOGA ON HEART RATE VARIABILITY AND DEPRESSIVE SYMPTOMS IN WOMEN: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THE PURPOSE OF THE STUDY WAS TO INVESTIGATE THE EFFECTS OF A 12-WEEK YOGA PROGRAM ON HEART RATE VARIABILITY (HRV) AND DEPRESSIVE SYMPTOMS IN DEPRESSED WOMEN. METHODS: THIS WAS A RANDOMIZED CONTROLLED TRIAL. TWENTY-SIX SEDENTARY WOMEN SCORING >/=14 ON THE BECK DEPRESSION INVENTORY-II WERE RANDOMIZED TO EITHER THE YOGA OR THE CONTROL GROUP. THE YOGA GROUP COMPLETED A 12-WEEK YOGA PROGRAM, WHICH TOOK PLACE TWICE A WEEK FOR 60 MIN PER SESSION AND CONSISTED OF BREATHING EXERCISES, YOGA POSE PRACTICE, AND SUPINE MEDITATION/RELAXATION. THE CONTROL GROUP WAS INSTRUCTED NOT TO ENGAGE IN ANY YOGA PRACTICE AND TO MAINTAIN THEIR USUAL LEVEL OF PHYSICAL ACTIVITY DURING THE COURSE OF THE STUDY. PARTICIPANTS' HRV, DEPRESSIVE SYMPTOMS, AND PERCEIVED STRESS WERE ASSESSED AT BASELINE AND POST-TEST. RESULTS: THE YOGA GROUP HAD A SIGNIFICANT INCREASE IN HIGH-FREQUENCY HRV AND DECREASES IN LOW-FREQUENCY HRV AND LOW FREQUENCY/HIGH FREQUENCY RATIO AFTER THE INTERVENTION. THE YOGA GROUP ALSO REPORTED SIGNIFICANTLY REDUCED DEPRESSIVE SYMPTOMS AND PERCEIVED STRESS. NO CHANGE WAS FOUND IN THE CONTROL GROUP. CONCLUSIONS: A 12-WEEK YOGA PROGRAM WAS EFFECTIVE IN INCREASING PARASYMPATHETIC TONE AND REDUCING DEPRESSIVE SYMPTOMS AND PERCEIVED STRESS IN WOMEN WITH ELEVATED DEPRESSIVE SYMPTOMS. REGULAR YOGA PRACTICE MAY BE RECOMMENDED FOR WOMEN TO COPE WITH THEIR DEPRESSIVE SYMPTOMS AND STRESS AND TO IMPROVE THEIR HRV. 2017 5 1402 54 IMPACT OF YOGA ON BLOOD PRESSURE AND QUALITY OF LIFE IN PATIENTS WITH HYPERTENSION - A CONTROLLED TRIAL IN PRIMARY CARE, MATCHED FOR SYSTOLIC BLOOD PRESSURE. BACKGROUND: MEDICAL TREATMENT OF HYPERTENSION IS NOT ALWAYS SUFFICIENT TO ACHIEVE BLOOD PRESSURE CONTROL. DESPITE THIS, PREVIOUS STUDIES ON SUPPLEMENTARY THERAPIES, SUCH AS YOGA, ARE RELATIVELY FEW. WE INVESTIGATED THE EFFECTS OF TWO YOGA INTERVENTIONS ON BLOOD PRESSURE AND QUALITY OF LIFE IN PATIENTS IN PRIMARY HEALTH CARE DIAGNOSED WITH HYPERTENSION. METHODS: ADULT PATIENTS (AGE 20-80 YEARS) WITH DIAGNOSED HYPERTENSION WERE IDENTIFIED BY AN ELECTRONIC CHART SEARCH AT A PRIMARY HEALTH CARE CENTER IN SOUTHERN SWEDEN. IN TOTAL, 83 SUBJECTS WITH BLOOD PRESSURE VALUES OF 120-179/ 0.05). STATISTICALLY SIGNIFICANT DIFFERENCE WAS OBSERVED IN THE MEAN LEVEL OF PERCEIVED FATIGUE IN TRIPLICATE MEASUREMENTS (P = 0.013) AMONG PATIENTS WHO COMPLETED INDIVIDUAL EXERCISE. HOWEVER, THIS DIFFERENCE WAS NOT SIGNIFICANT IN THE GROUP EXERCISE. CONCLUSION: PERFORMING MILD STRETCHING EXERCISES AND BASIC YOGA ARE RECOMMENDED AS A COST-EFFECTIVE METHOD WHICH IS EASY TO PERFORM AMONG PATIENTS WITH MILD TO MODERATE DISABILITIES. 2015 20 835 38 EFFECT OF YOGA ON PAIN, BRAIN-DERIVED NEUROTROPHIC FACTOR, AND SEROTONIN IN PREMENOPAUSAL WOMEN WITH CHRONIC LOW BACK PAIN. BACKGROUND. SEROTONIN AND BRAIN-DERIVED NEUROTROPHIC FACTOR (BDNF) ARE KNOWN TO BE MODULATORS OF NOCICEPTION. HOWEVER, PAIN-RELATED CONNECTION BETWEEN YOGA AND THOSE NEUROMODULATORS HAS NOT BEEN INVESTIGATED. THEREFORE, WE AIMED TO EVALUATE THE EFFECT OF YOGA ON PAIN, BDNF, AND SEROTONIN. METHODS. PREMENOPAUSAL WOMEN WITH CHRONIC LOW BACK PAIN PRACTICED YOGA THREE TIMES A WEEK FOR 12 WEEKS. AT BASELINE AND AFTER 12 WEEKS, BACK PAIN INTENSITY WAS MEASURED USING VISUAL ANALOGUE SCALE (VAS), AND SERUM BDNF AND SEROTONIN LEVELS WERE EVALUATED. ADDITIONALLY, BACK FLEXIBILITY AND LEVEL OF DEPRESSION WERE ASSESSED. RESULTS. AFTER 12-WEEK YOGA, VAS DECREASED IN THE YOGA GROUP (P < 0.001), WHEREAS IT INCREASED (P < 0.05) IN THE CONTROL GROUP. BACK FLEXIBILITY WAS IMPROVED IN THE YOGA GROUP (P < 0.01). SERUM BDNF INCREASED IN THE YOGA GROUP (P < 0.01), WHEREAS IT TENDED TO DECREASE IN THE CONTROL GROUP (P = 0.05). SERUM SEROTONIN MAINTAINED IN THE YOGA GROUP, WHILE IT REDUCED (P < 0.01) IN THE CONTROL GROUP. THE DEPRESSION LEVEL MAINTAINED IN THE YOGA GROUP, WHEREAS IT TENDED TO INCREASE IN THE CONTROL GROUP (P = 0.07). CONCLUSIONS. WE PROPOSE THAT BDNF MAY BE ONE OF THE KEY FACTORS MEDIATING BENEFICIAL EFFECTS OF YOGA ON CHRONIC LOW BACK PAIN. 2014