1 937 155 EFFECTIVENESS OF YOGA-BASED EXERCISE PROGRAM COMPARED TO USUAL CARE, IN IMPROVING HBA1C IN INDIVIDUALS WITH TYPE 2 DIABETES: A RANDOMIZED CONTROL TRIAL. BACKGROUND: THIS STUDY WAS DESIGNED TO EVALUATE THE EFFECTIVENESS OF A YOGA-BASED EXERCISE PROGRAM (YBEP) IN IMPROVING GLYCEMIC CONTROL IN PEOPLE WITH TYPE 2 DIABETES MELLITUS. MATERIALS AND METHODS: PATIENTS ON STABLE ORAL GLUCOSE-LOWERING AGENTS FOR AT LEAST 3 MONTHS AND HBA1C 7.5%-10% WERE RANDOMIZED IN 1:1 RATIO. THE PRIMARY OUTCOME MEASURE WAS THE DIFFERENCE OF CHANGE IN MEAN HBA1C BETWEEN GROUPS. RESULTS: THE PARTICIPANTS (N = 81) HAD MEAN (+/-STANDARD DEVIATION) AGE OF 50.6 (+/-8.5) YEARS AND HBA1C OF 8.5 +/- 0.7% (68.97 +/- 7.42 MMOL/MOL). THE FOLLOW-UP DATA WERE AVAILABLE IN 96% (78/81) OF PARTICIPANTS. OF 40 PARTICIPANTS, 25 (62.5%) ATTENDED >/=75% (>/=10 OUT OF 13) OF THE SESSIONS IN YBEP. ON THE INTENTION TO TREAT ANALYSIS, A FAVORABLE REDUCTION (0.21% 95% CONFIDENCE INTERVAL [-0.34, 0.75], P = 0.454) IN HBA1C WAS SEEN IN YBEP GROUP AS COMPARED TO USUAL CARE. THE REDUCTION IN HBA1C BY >/=0.5% WAS OBSERVED IN 44.7% OF PARTICIPANTS IN YBEP AS COMPARED TO 37.5% IN USUAL CARE ARM, RESPECTIVELY. THOSE WHO ATTENDED >/=75% OF THE SESSIONS HAD BETTER HBA1C REDUCTION OF 0.3% IN COMPARISON TO 0.1% REDUCTION SEEN IN THOSE WHO ATTENDED <75% OF THE SESSIONS. CONCLUSIONS: YBEP DEMONSTRATED A CLINICALLY RELEVANT HBA1C REDUCTION COMPARED TO USUAL CARE IN PARTICIPANTS WHO HAD ATTENDED AT LEAST 75% OF THE YOGA SESSIONS. THE REDUCTION IN HBA1C BY >0.5% IN 44.7% IN THE YOGA GROUP, SUGGESTS, THAT IT CAN BE PRESCRIBED AS AN EXERCISE TO INDIVIDUALS WHO ARE UNABLE TO WALK EITHER DUE TO LIMITED JOINT MOBILITY, ADVERSE WEATHER CONDITIONS, LACK OF SPACE FOR WALKING, CULTURAL OR RELIGIOUS PROHIBITIONS FOR WOMEN FOR OUTDOOR PHYSICAL ACTIVITY, AND SO ON.CTRI REGISTRATION NO: CTRI/2017/05/008564. 2020 2 2653 53 YOGA IMPROVES OCCUPATIONAL PERFORMANCE, DEPRESSION, AND DAILY ACTIVITIES FOR PEOPLE WITH CHRONIC PAIN. BACKGROUND: CHRONIC PAIN IS A COMPLEX ACCUMULATION OF PHYSICAL, PSYCHOLOGICAL, AND SOCIAL CONDITIONS, THUS INTERVENTIONS THAT ADDRESS PAIN AND PROMOTE OCCUPATIONAL PERFORMANCE ARE NEEDED. A HOLISTIC INTERVENTION, WITH MIND AND BODY COMPONENTS, IS LIKELY NECESSARY TO BEST TREAT THE COMPLEXITIES OF CHRONIC PAIN. THUS, WE DEVELOPED AND TESTED A YOGA INTERVENTION FOR PEOPLE WITH CHRONIC PAIN. OBJECTIVES: IN A RANDOMIZED CONTROL TRIAL (RCT), PARTICIPANTS WITH CHRONIC PAIN WERE RANDOMIZED TO A YOGA INTERVENTION OR USUAL CARE GROUP. BETWEEN AND WITHIN GROUP DIFFERENCES FOR PRE-AND POST-OUTCOME MEASURE SCORES WERE ASSESSED FOR: OCCUPATIONAL PERFORMANCE, COMPLETION OF ACTIVITIES, AND DEPRESSION. METHODS: PILOT RCT WITH PARTICIPANT ALLOCATION TO 8 WEEKS OF YOGA OR USUAL CARE. BOTH GROUPS RECEIVED ONGOING MONTHLY SELF-MANAGEMENT PROGRAMMING. DATA WERE COLLECTED BEFORE AND AFTER THE 8-WEEK INTERVENTION. PARTICIPANTS WERE RANDOMIZED TO YOGA OR USUAL CARE AFTER BASELINE ASSESSMENTS. DEMOGRAPHICS WERE COLLECTED AND MEASURES INCLUDED: CANADIAN OCCUPATIONAL PERFORMANCE MEASURE (COPM) TO ASSESS OCCUPATIONAL PERFORMANCE; THE 15-ITEM FRENCHAY ACTIVITIES INDEX (FAI)(ACTIVITIES); AND THE 9-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9) FOR DEPRESSION. INDEPENDENT T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN GROUPS. PAIRED T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN PRE- AND POST 8-WEEK INTERVENTION FOR BOTH THE YOGA AND THE USUAL CARE GROUPS. PERCENT CHANGE SCORES AND EFFECT SIZES WERE CALCULATED. RESULTS: 83 PEOPLE WERE RECRUITED FOR THE STUDY AND COMPLETED BASELINE ASSESSMENTS; 44 INDIVIDUALS WERE RANDOMIZED TO YOGA AND 39 TO THE CONTROL GROUP. THE AVERAGE AGE OF ALL PARTICIPANTS WAS 51.4+/-10.5 YEARS, 68% WERE FEMALE; AND 60% HAD AT LEAST SOME COLLEGE EDUCATION. THERE WERE NO SIGNIFICANT DIFFERENCES IN DEMOGRAPHICS OR OUTCOME MEASURES BETWEEN GROUPS AT BASELINE OR 8 WEEKS; HOWEVER, THE STUDY WAS NOT POWERED TO SEE SUCH DIFFERENCES. INDIVIDUALS RANDOMIZED TO THE CONTROL GROUP DID NOT SIGNIFICANTLY IMPROVE IN ANY OUTCOME MEASURE OVER THE 8 WEEKS. THERE WERE SIGNIFICANT IMPROVEMENTS IN COPM PERFORMANCE AND COPM SATISFACTION SCORES FOR INDIVIDUALS RANDOMIZED TO THE YOGA GROUP; BOTH SCORES SIGNIFICANTLY IMPROVED. COPM PERFORMANCE IMPROVED BY 27% WITH A MODERATE TO LARGE EFFECT SIZE (3.66+/-1.85 VS 4.66+/-1.93, P < 0.001, D = 0.76). COPM SATISFACTION SIGNIFICANTLY IMPROVED BY 78% (2.14+/-2.31 VS. 3.80+/-2.50, P < 0.001) AND HAD A LARGE EFFECTS SIZE (D = 1.02). FAI SCORES IMPROVED, INDICATING INCREASED ACTIVITY OR ENGAGEMENT IN DAILY OCCUPATION DURING THE 8-WEEK INTERVENTION. SCORES INCREASED BY 5% (38.13+/-8.48 VS. 39.90+/-8.57, P = 0.024) WITH A SMALL EFFECT SIZE (D = 0.37). DEPRESSION SIGNIFICANTLY DECREASED FROM 13.21+/-5.60 TO 11.41+/-5.82, P = 0.041, WITH A SMALL EFFECT SIZE. CONCLUSION: DATA FROM THIS PILOT RCT INDICATE YOGA MAY BE AN EFFECTIVE THERAPEUTIC INTERVENTION WITH PEOPLE IN CHRONIC PAIN TO IMPROVE OCCUPATIONAL PERFORMANCE, INCREASE ENGAGEMENT IN ACTIVITIES, AND DECREASE DEPRESSION. OCCUPATIONAL THERAPY PRACTITIONERS MAY CONSIDER ADDING YOGA AS A TREATMENT INTERVENTION TO ADDRESS THE NEEDS OF PEOPLE WITH PAIN. 2019 3 2161 41 THE EFFECTS OF YOGA AMONG ADULTS WITH TYPE 2 DIABETES: A SYSTEMATIC REVIEW AND META-ANALYSIS. THE PURPOSE OF THIS META-ANALYSIS WAS TO EXAMINE THE EFFECTS OF YOGA FOR GLYCEMIC CONTROL AMONG ADULTS WITH TYPE 2 DIABETES (T2DM). COMPREHENSIVE ELECTRONIC DATABASES SEARCHES LOCATED 2559 UNIQUE STUDIES WITH RELEVANT KEY TERMS. STUDIES WERE INCLUDED IF THEY (1) EVALUATED A YOGA INTERVENTION TO PROMOTE T2DM MANAGEMENT, (2) USED A COMPARISON GROUP, (3) REPORTED AN OBJECTIVE MEASURE OF GLYCEMIC CONTROL AT POST-INTERVENTION, AND (4) HAD FOLLOW-UP LENGTH OR POST-TEST OF AT LEAST 8WEEKS FROM BASELINE. INDEPENDENT RATERS CODED PARTICIPANT, DESIGN AND METHODOLOGICAL CHARACTERISTICS AND INTERVENTION CONTENT. SUMMARY EFFECT SIZES AND 95% CONFIDENCE INTERVALS (CI) WERE CALCULATED. TWENTY-THREE STUDIES WITH 2473 PARTICIPANTS (MEAN AGE=53YEARS; 43% WOMEN) MET ELIGIBILITY CRITERIA. COMPARED WITH CONTROLS, YOGA PARTICIPANTS WERE SUCCESSFUL IN IMPROVING THEIR HBA1C (D+=0.36, 95% CI=0.16, 0.56; K=16), FBG (D+=0.58, 95% CI=0.40, 0.76; K=20), AND PPBG (D+=0.40, 95% CI=0.23, 0.56; K=14). YOGA WAS ALSO ASSOCIATED WITH SIGNIFICANT IMPROVEMENTS IN LIPID PROFILE, BLOOD PRESSURE, BODY MASS INDEX, WAIST/HIP RATIO AND CORTISOL LEVELS. OVERALL, STUDIES SATISFIED AN AVERAGE OF 41% OF THE METHODOLOGICAL QUALITY (MQ) CRITERIA; MQ SCORE WAS NOT ASSOCIATED WITH ANY OUTCOME (PS >0.05). YOGA IMPROVED GLYCEMIC OUTCOMES AND OTHER RISK FACTORS FOR COMPLICATIONS IN ADULTS WITH T2DM RELATIVE TO A CONTROL CONDITION. ADDITIONAL STUDIES WITH LONGER FOLLOW-UPS ARE NEEDED TO DETERMINE THE LONG-TERM EFFICACY OF YOGA FOR ADULTS WITH T2DM. 2017 4 1246 37 FEASIBILITY OF INTEGRATION OF YOGA IN A BEHAVIORAL WEIGHT-LOSS INTERVENTION: A RANDOMIZED TRIAL. OBJECTIVE: THIS STUDY EXAMINED THE FEASIBILITY AND COMPARISON OF TWO STYLES OF YOGA WITHIN THE CONTEXT OF A STANDARD BEHAVIORAL WEIGHT-LOSS INTERVENTION (SBWI). METHODS: FIFTY ADULTS WITH OBESITY (BMI: 31.3 +/- 3.8 KG/M(2) ) PARTICIPATED IN THIS 6-MONTH STUDY THAT INCLUDED A SBWI AND A CALORIE- AND FAT-REDUCED DIET. RANDOMIZATION WAS TO RESTORATIVE HATHA (SBWI+RES) OR VINYASA (SBWI+VIN) YOGA. YOGA WAS PRESCRIBED TO INCREASE FROM 20 TO 40 TO 60 MINUTES PER SESSION ACROSS THE INTERVENTION. WEIGHT WAS ASSESSED AT BASELINE AND 6 MONTHS. PERCEPTIONS OF YOGA WERE ASSESSED AT THE COMPLETION OF THE INTERVENTION. RESULTS: ADJUSTED WEIGHT LOSS WAS -3.4 KG (95% CI: -6.4 TO -0.5) IN SBWI+RES AND -3.8 KG (95% CI: -6.8 TO -0.9) IN SBWI+VIN (P < 0.001), WITH NO DIFFERENCE BETWEEN GROUPS. OF ALL PARTICIPANTS, 74.4% REPORTED THAT THEY WOULD CONTINUE PARTICIPATION IN YOGA AFTER THE SBWI. SESSION DURATION WAS A BARRIER AS YOGA INCREASED FROM 20 TO 40 TO 60 MINUTES PER DAY, WITH 0%, 7.5%, AND 48.8% REPORTING THIS BARRIER, RESPECTIVELY. CONCLUSIONS: AMONG ADULTS WITH OBESITY, YOGA PARTICIPATION, WITHIN THE CONTEXT OF A SBWI, APPEARS TO BE FEASIBLE, WITH WEIGHT LOSS NOT DIFFERING BY STYLE OF YOGA. PROGRESSING TO 60 MINUTES PER SESSION APPEARS TO BE A BARRIER TO ENGAGEMENT IN YOGA IN THIS POPULATION. 2021 5 1366 43 IMPACT OF A 10 MINUTE SEATED YOGA PRACTICE IN THE MANAGEMENT OF DIABETES. OBJECTIVE: WE SOUGHT TO PROSPECTIVELY EVALUATE THE IMPACT OF A 10 MINUTE SEATED YOGA PROGRAM ADDED TO STANDARD COMPREHENSIVE DIABETES CARE ON GLUCOSE CONTROL AND CARDIOVASCULAR HEALTH IN THE SEVERELY ILL, MEDICALLY COMPLEX DIABETIC POPULATION. METHOD: A TOTAL OF 10 PATIENTS WITH TYPE 2 DIABETES, AGES 49-77, WITH DURATION OF DIABETES >10 YEARS AND HAEMOGLOBIN A1C >9% (75 MMOL/MOL) WERE INCLUDED IN THE STUDY. PATIENTS RANDOMIZED TO A YOGA INTERVENTION WERE TAUGHT A 10 MINUTE SEATED YOGA PRACTICE, WERE GIVEN AN EXPLANATORY DVD AND A FOLD-OUT POCKET GUIDE TO ENCOURAGE ADHERENCE AT HOME, AND WERE INSTRUCTED TO INCORPORATE THE PRACTICE AS OFTEN AS THEY COULD. THE PATIENTS IN THE CONTROL ARM WERE PROVIDED INFORMATION AND HAND OUTS ON THE AVAILABLE YOGA CLASSES ON CAMPUS. RESULTS: AT 3 MONTH CLINICAL FOLLOW UP, THE MEAN DECREASE IN FASTING CAPILLARY BLOOD GLUCOSE (CBG) WAS 45% AMONG YOGA PARTICIPANTS (-5.2 +/- 4.1 MMOL/L). HEART RATE (HR) DROPPED BY 18% AND DIASTOLIC BLOOD PRESSURE (BP) DROPPED BY 29% IN THE INTERVENTION ARM, (-12.4 +/- 6.69 AND -26 +/- 12.05 MMHG, RESPECTIVELY). THERE WERE NO STATISTICALLY SIGNIFICANT CHANGES IN THE HAEMOGLOBIN A1C, SYSTOLIC BLOOD PRESSURE, WEIGHT, OR BODY MASS INDEX IN EITHER GROUP. CONCLUSION: OUR SMALL PILOT STUDY REINFORCES THE CURRENT MEDICAL EVIDENCE SUPPORTING THE USE OF YOGA, COMBINED WITH STANDARD CARE, TO IMPROVE HEALTH OUTCOMES IN DIABETES. 2016 6 771 53 EFFECT OF YOGA AND AEROBICS EXERCISE ON SLEEP QUALITY IN WOMEN WITH TYPE 2 DIABETES: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: THE AIM OF THIS STUDY WAS INVESTIGATING THE EFFECT OF 12 WEEKS OF YOGA AND AEROBIC EXERCISE (RUNNING ON A TREADMILL) ON THE SLEEP QUALITY IN WOMEN WITH TYPE 2 DIABETES. MATERIALS AND METHODS: 39 DIABETIC WOMEN WERE SELECTED FROM SEMNAN CITY WITH THE MEAN AGE OF 46.85+/-3.35 YEARS, WEIGHT OF 69.79+/-17.18 KG, HEIGHT OF 155.03+/-5.00, BMI OF 29.64+/-5.00 KG/M(2) WHO HAD A BACKGROUND OF DIABETES FOR 6.46+/-2.69 YEARS. THEY WERE THEN RANDOMLY DIVIDED INTO YOGA EXERCISE (N=15), AEROBIC EXERCISE (N=13), AND CONTROL GROUP (N=11). THE EXERCISE PROGRAM WAS PERFORMED FOR 12 WEEKS, THREE SESSIONS PER EACH WEEK. IN ORDER TO MEASURE THE SLEEP QUALITY, THE PITTSBURGH SLEEP QUALITY INDEX (PSQI) WAS USED. THE DATA WERE ANALYZED BY NON-PARAMETRIC WILCOXON AND KRUSKAL-WALLIS TEST AT SIGNIFICANCE LEVEL OF P<0.05. RESULTS: OVERALL SCORE OF SLEEP QUALITY IMPROVED AFTER SIX (P=0.001) AND 12 (P=0.001) WEEKS OF YOGA EXERCISE. ALSO, SIGNIFICANT EFFECT WAS OBSERVED AFTER 6 WEEKS OF AEROBIC EXERCISE (P=0.039). HOWEVER, THE POSITIVE EFFECT WAS DIMINISHED TO UNDER SIGNIFICANT LEVELS AFTER 12 WEEKS OF AEROBIC EXERCISE (P=0.154). KRUSKAL-WALLIS TEST SHOWED SIGNIFICANT DIFFERENCES BETWEEN YOGA AND AEROBIC GROUPS AFTER 12 WEEKS OF EXERCISE (P=0.002). NO SIGNIFICANT DIFFERENCES WERE OBSERVED IN CONTROL GROUPS IN ALL SITUATION. CONCLUSIONS: IT CAN BE CONCLUDED THAT YOGA EXERCISE IS MORE EFFECTIVE IN IMPROVING THE SLEEP QUALITY IN COMPARISON WITH THE SAME COURSE OF AEROBIC EXERCISE IN WOMEN SUFFERING FROM DIABETES TYPE 2. THUS, YOGA EXERCISE CAN BE SUGGESTED TO THESE PATIENTS. 2017 7 1081 40 EFFECTS OF YOGA ON SEXUAL FUNCTION IN WOMEN WITH METABOLIC SYNDROME: A RANDOMIZED CONTROLLED TRIAL. INTRODUCTION: FEMALE SEXUAL DYSFUNCTION IS AN IMPORTANT PUBLIC HEALTH ISSUE; IT HAS A HIGH GLOBAL PREVALENCE, BUT NO EFFECTIVE AND SAFE TREATMENT OPTIONS. THE PREVALENCE OF SEXUAL DYSFUNCTION IS HIGHER IN WOMEN WITH METABOLIC SYNDROME THAN IN THE GENERAL POPULATION. AIM: THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFICACY OF YOGA AS A TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME. METHODS: IN THIS RANDOMIZED, CONTROLLED STUDY, 41 WOMEN WITH METABOLIC SYNDROME (AGE 30-60 YEARS) WERE ASSIGNED TO A 12-WEEK YOGA EXERCISE GROUP (N=20) OR A WAIT-LISTED CONTROL GROUP (N=21). MAIN OUTCOME MEASURES: PRIMARY END POINTS WERE CHANGES IN TOTAL AND INDIVIDUAL DOMAIN SCORES ON THE FEMALE SEXUAL FUNCTION INDEX. RESULTS: THE 12-WEEK YOGA INTERVENTION RESULTED IN SIGNIFICANT IMPROVEMENT IN AROUSAL (0.74+/-1.18 VS. 0.16+/-0.82, RESPECTIVELY; P=0.042) AND LUBRICATION (0.72+/-1.12 VS. 0.06+/-0.87, RESPECTIVELY; P=0.008) COMPARED WITH THE CONTROL GROUP. SYSTOLIC BLOOD PRESSURE SHOWED SIGNIFICANTLY GREATER IMPROVEMENT IN THE YOGA GROUP THAN IN THE CONTROL GROUP AT THE 12-WEEK FOLLOW UP (-3.5+/-13.7 VS. 2.0+/-14.7, RESPECTIVELY; P=0.040). CONCLUSION: THESE FINDINGS SUGGEST THAT YOGA MAY BE AN EFFECTIVE TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME AS WELL AS FOR METABOLIC RISK FACTORS. 2013 8 2833 38 YOGA'S EFFECT ON FALLS IN RURAL, OLDER ADULTS. BACKGROUND: UNINTENTIONAL FALLS AFFECT 30% OF PEOPLE OVER AGE 65 YEARS. YOGA HAS BEEN SHOWN TO IMPROVE BALANCE. WE DESIGNED THIS STUDY TO EXAMINE IF YOGA REDUCES FALLS. METHODS: WE CONDUCTED 16 SESSIONS OF HATHA YOGA OVER 8 WEEKS. PARTICIPANTS WERE RANDOMLY ASSIGNED TO PRACTICE 10MIN OF YOGA DAILY AT HOME IN ADDITION TO 5-MIN RELAXATION EXERCISES OR RELAXATION EXERCISES ONLY (CONTROL GROUP). RESULTS: OF THE 38 PARTICIPANTS COMPLETING THE INTERVENTION, 15 PARTICIPANTS REPORTED A TOTAL OF 27 FALLS IN THE 6-MONTHS BEFORE THE STUDY, COMPARED TO 13 PARTICIPANTS SUSTAINING 14 FALLS IN THE 6 MONTHS FROM THE START OF THE STUDY (P<0.047), WITHOUT DIFFERENCE BETWEEN YOGA HOME-EXERCISE AND HOME RELAXATION-ONLY GROUPS. COMPARED TO BASELINE SCORES, ALL PARTICIPANTS IMPROVED ON THE BERG BALANCE SCALE (53-54 OUT OF 56, P=0.002), THE FUNCTIONAL GAIT ASSESSMENT (22.9-25.8 OUT OF 30 POINTS, P<0.001), AND THE DYNAMIC GAIT INDEX (20.6-22.4 OUT OF 24 POINTS, P<0.001). RIGHT LEG STAND TIME IMPROVED FROM A MEAN OF 13.3S TO 17.1S (P=0.020) AND STANDING FORWARD REACH DISTANCE FROM 26.0CM TO 29.6CM (P<0.001). WITHOUT DIFFERENCE BETWEEN GROUPS. CONFIDENCE, WITH THE ACTIVITIES-SPECIFIC BALANCE CONFIDENCE SCALE, INCREASED IN THE YOGA HOME-EXERCISE GROUP (88%-93%, P=0.037) COMPARED TO 90% UNCHANGED FROM PRE-INTERVENTION IN THE HOME RELAXATION-ONLY GROUP. CONCLUSION: YOGA CLASSES REDUCE SELF-REPORTED FALLS AND IMPROVE BALANCE MEASURES. THE ADDITION OF HOME YOGA EXERCISES DID NOT ENHANCE BENEFIT OVER RELAXATION EXERCISE ONLY. 2017 9 930 42 EFFECTIVENESS OF YOGA PROGRAM IN THE MANAGEMENT OF DIABETES USING COMMUNITY HEALTH WORKERS IN THE URBAN SLUMS OF BANGALORE CITY: A NON-RANDOMIZED CONTROLLED TRIAL. TRIAL DESIGN: NONRANDOMIZED CONTROLLED TRIAL. METHODS: NONRANDOMIZED CONTROLLED TRIAL. THIS WAS AN INTERVENTIONAL STUDY THAT WAS CONDUCTED IN 4 SLUMS OF BENGALURU. OF THE 256 DIABETES PARTICIPANTS, ONLY 109 PEOPLE AGREED TO PARTICIPATE IN THE PROGRAM. OF 109 PEOPLE, 52 PEOPLE AGREED TO PARTICIPATE IN THE INTERVENTION (AGREED TO LEARN AND PRACTICE YOGA) WHILE THE REMAINING 57 PEOPLE WERE ASSIGNED TO NONINTERVENTION GROUP. RANDOMIZATION AND BLINDING COULD NOT BE DONE. OBJECTIVE AND OUTCOME: THE STUDY WAS CONDUCTED WITH OBJECTIVE OF ASSESSING THE EFFECTIVENESS OF YOGA, PRANAYAMA, AND SUDARSHAN KRIYA IN THE COMMUNITY-BASED MANAGEMENT OF DIABETES MELLITUS. THE PRIMARY OUTCOME VARIABLE WAS HB1AC AND SECONDARY OUTCOME VARIABLES WERE SYSTOLIC BLOOD PRESSURE (SBP), DIASTOLIC BLOOD PRESSURE (DBP), ADHERENCE TO MEDICATION, AND CHANGES IN LIFESTYLE. RESULTS: THE STUDY WAS CONDUCTED FOR 40 DAYS. COMMUNITY HEALTH WORKERS MADE A TOTAL OF 6 VISITS DURING THE STUDY. ALL THE 109 PARTICIPANTS WERE AVAILABLE FOR WEEKLY FOLLOW-UP. THERE WERE NO DROP OUTS AMONG THE STUDY POPULATION. STATISTICALLY SIGNIFICANT CHANGE WAS SEEN IN THE CONSUMPTION OF VEGETABLE (CHI(2) = 15.326, P < 0.005), FRUITS (CHI(2) = 16.207, P < 0.005), SALTY FOOD (CHI(2) = 14.823, P < 0.005), BAKERY FOOD (CHI(2) = 10.429, P < 0.005) AND FRIED FOOD (CHI(2) = 15.470, P < 0.005), ADHERENCE TO METFORMIN (CHI(2) = 41.780, P < 0.005) AND OTHER MEDICATION(CHI(2) = 21.871, P < 0.005) AND PROPORTION OF PATIENTS WITH DBP UNDER CONTROL (CHI(2) = 9.396, P < 0.005) AND PROPORTION OF PEOPLE WITH GLUCOSE RANDOM BLOOD SUGAR UNDER CONTROL (CHI(2) = 29.693, P < 0.005) BETWEEN THE TWO GROUPS FOLLOWING THE INTERVENTION. STATISTICALLY SIGNIFICANT CHANGE WAS ALSO SEEN IN THE PROPORTION OF PEOPLE WITH SBP/DBP 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 16 1852 43 RANDOMISED CLINICAL TRIAL: YOGA VS A LOW-FODMAP DIET IN PATIENTS WITH IRRITABLE BOWEL SYNDROME. BACKGROUND: IRRITABLE BOWEL SYNDROME IS THE MOST FREQUENT GASTROINTESTINAL DISORDER. IT IS ASSUMED THAT LIFESTYLE INTERVENTIONS MIGHT BE A RATIONAL TREATMENT APPROACH. AIM: TO EXAMINE THE EFFECT OF A YOGA-BASED INTERVENTION VS A LOW-FODMAP DIET ON PATIENTS WITH IRRITABLE BOWEL SYNDROME. METHODS: FIFTY-NINE PATIENTS WITH IRRITABLE BOWEL SYNDROME UNDERTOOK A SINGLE-BLIND, RANDOMISED CONTROLLED TRIAL INVOLVING YOGA OR A LOW-FODMAP DIET FOR 12 WEEKS. PATIENTS IN THE YOGA GROUP RECEIVED TWO SESSIONS WEEKLY, WHILE PATIENTS IN THE LOW-FODMAP GROUP RECEIVED A TOTAL OF THREE SESSIONS OF NUTRITIONAL COUNSELLING. THE PRIMARY OUTCOME WAS A CHANGE IN GASTROINTESTINAL SYMPTOMS (IBS-SSS). SECONDARY OUTCOMES EXPLORED CHANGES IN QUALITY OF LIFE (IBS-QOL), HEALTH (SF-36), PERCEIVED STRESS (CPSS, PSQ), BODY AWARENESS (BAQ), BODY RESPONSIVENESS (BRS) AND SAFETY OF THE INTERVENTIONS. OUTCOMES WERE EXAMINED IN WEEKS 12 AND 24 BY ASSESSORS "BLINDED" TO PATIENTS' GROUP ALLOCATION. RESULTS: NO STATISTICALLY SIGNIFICANT DIFFERENCE WAS FOUND BETWEEN THE INTERVENTION GROUPS, WITH REGARD TO IBS-SSS SCORE, AT EITHER 12 (DELTA = 31.80; 95%CI = -11.90, 75.50; P = .151) OR 24 WEEKS (DELTA = 33.41; 95%CI = -4.21, 71.04; P = .081). WITHIN-GROUP COMPARISONS SHOWED STATISTICALLY SIGNIFICANT EFFECTS FOR YOGA AND LOW-FODMAP DIET AT BOTH 12 AND 24 WEEKS (ALL P < .001). COMPARABLE WITHIN-GROUP EFFECTS OCCURRED FOR THE OTHER OUTCOMES. ONE PATIENT IN EACH INTERVENTION GROUP EXPERIENCED SERIOUS ADVERSE EVENTS (P = 1.00) AND ANOTHER, ALSO IN EACH GROUP, EXPERIENCED NONSERIOUS ADVERSE EVENTS (P = 1.00). CONCLUSIONS: PATIENTS WITH IRRITABLE BOWEL SYNDROME MIGHT BENEFIT FROM YOGA AND A LOW-FODMAP DIET, AS BOTH GROUPS SHOWED A REDUCTION IN GASTROINTESTINAL SYMPTOMS. MORE RESEARCH ON THE UNDERLYING MECHANISMS OF BOTH INTERVENTIONS IS WARRANTED, AS WELL AS EXPLORATION OF POTENTIAL BENEFITS FROM THEIR COMBINED USE. 2018 17 2789 40 YOGA THERAPY FOR ABDOMINAL PAIN-RELATED FUNCTIONAL GASTROINTESTINAL DISORDERS IN CHILDREN: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THE AIM OF THE PRESENT STUDY WAS TO COMPARE EFFECTS OF 10 WEEKS OF YOGA THERAPY (YT) AND STANDARD MEDICAL CARE (SMC) ON ABDOMINAL PAIN AND QUALITY OF LIFE (QOL) IN CHILDREN WITH ABDOMINAL PAIN-RELATED FUNCTIONAL GASTROINTESTINAL DISORDERS (AP-FGIDS). METHODS: SIXTY-NINE PATIENTS, AGES 8 TO 18 YEARS, WITH AP-FGIDS, WERE RANDOMIZED TO SMC COMPLEMENTED WITH YT OR SMC ALONE. YT IS A MIXTURE OF YOGA POSES, MEDITATION, AND RELAXATION EXERCISES AND WAS GIVEN ONCE A WEEK IN GROUP SESSIONS. SMC CONSISTED OF EDUCATION, REASSURANCE, DIETARY ADVICE, AND FIBERS/MEBEVERINE, IF NECESSARY. PAIN INTENSITY (PAIN INTENSITY SCORE [PIS] 0-5) AND FREQUENCY (PAIN FREQUENCY SCORE [PFS] 0-4) WERE SCORED IN A PAIN DIARY, AND QOL WAS MEASURED WITH KIDSCREEN-27. FOLLOW-UP WAS 12 MONTHS. TREATMENT RESPONSE WAS DEFINED AS >/=50% REDUCTION OF WEEKLY PAIN SCORES. RESULTS: AT 1-YEAR FOLLOW-UP, TREATMENT RESPONSE WAS ACCOMPLISHED IN 58% OF THE YT GROUP AND IN 29% OF THE CONTROL GROUP (P = 0.01); NO SIGNIFICANT DIFFERENCES FOR OTHER TIME POINTS WERE FOUND. YT, AND NOT SMC, RESULTED IN A SIGNIFICANT REDUCTION OF PIS (P < 0.01) AND PFS (P < 0.01) AFTER 12 MONTHS. DURING THE STUDY, HOWEVER, YT WAS NOT SIGNIFICANTLY SUPERIOR COMPARED WITH SMC. SUBANALYSES FOR TIME POINTS DEMONSTRATED A SIGNIFICANT GREATER REDUCTION OF PIS AT 12 MONTHS IN FAVOR OF YT. NO DIFFERENCES WERE FOUND FOR QOL. YT WAS MORE EFFECTIVE IN THE REDUCTION OF REPORTED MONTHLY SCHOOL ABSENCE (P = 0.03). CONCLUSION: AT 1-YEAR FOLLOW-UP, YT IN ADDITION TO STANDARD CARE WAS SUPERIOR COMPARED WITH SMC ACCORDING TO TREATMENT SUCCESS, PIS, AND REDUCTION OF SCHOOL ABSENCE. YT, HOWEVER, WAS NOT SIGNIFICANTLY MORE EFFECTIVE IN IMPROVING PFS OR QOL, COMPARED WITH SMC. 2016 18 97 26 A NONRANDOMIZED COMPARISON STUDY OF SELF-HYPNOSIS, YOGA, AND COGNITIVE-BEHAVIORAL THERAPY TO REDUCE EMOTIONAL DISTRESS IN BREAST CANCER PATIENTS. THE AUTHORS ASKED BREAST CANCER (BC) PATIENTS TO PARTICIPATE IN 1 OF 3 MIND-BODY INTERVENTIONS (COGNITIVE-BEHAVIORAL THERAPY (CBT), YOGA, OR SELF-HYPNOSIS) TO EXPLORE THEIR FEASIBILITY, EASE OF COMPLIANCE, AND IMPACT ON THE PARTICIPANTS' DISTRESS, QUALITY OF LIFE (QOL), SLEEP, AND MENTAL ADJUSTMENT. NINETY-NINE PATIENTS COMPLETED AN INTERVENTION (CBT: N = 10; YOGA: N = 21; AND SELF-HYPNOSIS: N = 68). RESULTS SHOWED HIGH FEASIBILITY AND HIGH COMPLIANCE. AFTER THE INTERVENTIONS, THERE WAS NO SIGNIFICANT EFFECT IN THE CBT GROUP BUT SIGNIFICANT POSITIVE EFFECTS ON DISTRESS IN THE YOGA AND SELF-HYPNOSIS GROUPS, AND, ALSO, ON QOL, SLEEP, AND MENTAL ADJUSTMENT IN THE SELF-HYPNOSIS GROUP. IN CONCLUSION, MIND-BODY INTERVENTIONS CAN DECREASE DISTRESS IN BC PATIENTS, BUT RCTS ARE NEEDED TO CONFIRM THESE FINDINGS. 2017 19 1805 32 PREVALENCE OF TYPE 2 DIABETES AMONG YOGA PRACTITIONERS: A PILOT CROSS-SECTIONAL STUDY IN TWO DISTRICTS IN INDIA. INTRODUCTION: DIABETES IS ONE OF THE MAJOR HEALTH DISEASES IN THE WORLD TODAY. THE EFFICACY OF YOGA IN THE MANAGEMENT OF TYPE 2 DIABETES IS WELL-ESTABLISHED. THE AIM OF THIS STUDY WAS TO ASSESS THE PREVALENCE OF TYPE 2 DIABETES AMONG YOGA PRACTITIONERS IN TWO DISTRICTS OF INDIA (ONE EACH IN WEST AND SOUTH OF INDIA). METHODOLOGY: IN THIS CROSS-SECTIONAL FIELD STUDY, 155 YOGA PRACTITIONERS FROM PUNE AND 192 FROM ERNAKULAM DISTRICTS WERE ASSESSED USING THE DIABETES RISK TEST AND FASTING BLOOD SUGAR. THE DATA COLLECTED WERE ENTERED IN A STATISTICS SOFTWARE PACKAGE AND ANALYZED USING THE PEARSON'S CORRELATION ANALYSIS, T-TEST, UNIVARIATE ANOVA, AND LINEAR REGRESSION TO UNDERSTAND THE PREDICTORS OF RISK FOR DIABETES. RESULTS: THE OVERALL PREVALENCE OF DIABETES AMONG YOGA PRACTITIONERS IN CENTRAL PUNE WAS 3.6% (95% CONFIDENCE INTERVAL [CI]: [0.01-0.04]). 18.9% OF PARTICIPANTS (95% CI: [0.16-0.19]) WERE DIAGNOSED TO BE "AT RISK" FOR DIABETES. IN ERNAKULAM, THE OVERALL PREVALENCE OF DIABETES AMONG PRACTITIONERS WAS 26% (95% CI: [0.05-0.06]) WITH 12% OF PRACTITIONERS (95% CI: [0.05-0.06]) DIAGNOSED TO BE "AT RISK" FOR DIABETES (PREDIABETIC). HIGHER AGE AND LESSER DURATION OF YOGA PRACTICE WERE SIGNIFICANT PREDICTORS OF DIABETES. CONCLUSION: IT IS ESSENTIAL FOR EVERY PERSON ABOVE THE AGE OF 40 TO UNDERGO REGULAR HEALTH CHECK-UPS AND SCREENING FOR DIABETES AND INVOLVE ONESELF IN LIFESTYLE MODIFICATION PROGRAMS SUCH AS YOGA FOR SIGNIFICANTLY LONG DURATION OF TIME ON A DAILY BASIS, TO BETTER MANAGE DIABETES. 2015 20 459 39 CHANGES IN PAIN INTENSITY AND HEALTH RELATED QUALITY OF LIFE WITH IYENGAR YOGA IN NONSPECIFIC CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: NONSPECIFIC CHRONIC LOW BACK (NCLBP) PAIN IS PREVALENT AMONG ADULT POPULATION AND OFTEN LEADS TO FUNCTIONAL LIMITATIONS, PSYCHOLOGICAL SYMPTOMS, LOWER QUALITY OF LIFE (QOL), AND HIGHER HEALTHCARE COSTS. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE EFFICACY OF IYENGAR YOGA THERAPY ON PAIN INTENSITY AND HEALTH RELATED QUALITY OF LIFE (HRQOL) WITH NCLBP. AIM OF THE STUDY: TO COMPARE THE EFFECT OF IYENGAR YOGA THERAPY AND CONVENTIONAL EXERCISE THERAPY ON PAIN INTENSITY AND HRQOL IN NONSPECIFIC CHRONIC LOW BACK PAIN. MATERIALS AND METHODS: EXPERIMENTAL STUDY WITH RANDOM SAMPLING TECHNIQUE. SUBJECTS/INTERVENTION: SIXTY SUBJECTS WHO FULFILLED THE SELECTION CRITERIA WERE RANDOMLY ASSIGNED TO IYENGAR YOGA (YOGA GROUP, N = 30) AND CONTROL GROUP (EXERCISE GROUP, N = 30). PARTICIPANTS COMPLETED LOW BACK PAIN EVALUATION FORM AND HRQOL-4 QUESTIONNAIRE BEFORE THEIR INTERVENTION AND AGAIN 4 WEEKS AND 6 MONTH LATER. YOGA GROUP UNDERWENT 29 YOGIC POSTURES TRAINING AND EXERCISE GROUP HAD UNDERGONE GENERAL EXERCISE PROGRAM FOR 4 WEEKS. STATISTICS: REPEATED MEASURES ANALYSIS OF VARIANCE (ANOVA) WAS USED TO ANALYZE GROUP DIFFERENCES OVER TIME, WHILE CONTROLLING FOR BASELINE DIFFERENCES. RESULTS: PATIENTS IN BOTH GROUPS EXPERIENCED SIGNIFICANT REDUCTION IN PAIN AND IMPROVEMENT IN HRQOL. IN VISUAL ANALOGUE SCALE (VAS) YOGA GROUP SHOWED REDUCTION OF 72.81% (P = 0.001) AS COMPARED TO EXERCISE GROUP 42.50% (P = 0.001). IN HRQOL, YOGA GROUP SHOWED REDUCTION OF 86.99% (P = 0.001) AS COMPARED TO EXERCISE GROUP 67.66% (P = 0.001). CONCLUSION: THESE RESULTS SUGGEST THAT IYENGAR YOGA PROVIDES BETTER IMPROVEMENT IN PAIN REDUCTION AND IMPROVEMENT IN HRQOL IN NONSPECIFIC CHRONIC BACK PAIN THAN GENERAL EXERCISE. 2014