1 1077 140 EFFECTS OF YOGA ON PSYCHOLOGIC FUNCTION AND QUALITY OF LIFE IN WOMEN WITH BREAST CANCER: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. OBJECTIVE: THE AIM OF THIS META-ANALYSIS WAS TO EVALUATE THE EFFECTS OF YOGA ON PSYCHOLOGIC FUNCTION AND QUALITY OF LIFE (QOL) IN WOMEN WITH BREAST CANCER. DESIGN: A SYSTEMATIC SEARCH OF PUBMED, EMBASE, THE COCHRANE LIBRARY, THE CHINESE BIOMEDICAL LITERATURE DATABASE, AND THE CHINESE DIGITAL JOURNALS FULL-TEXT DATABASE WAS CARRIED OUT. RANDOMIZED CONTROL TRIALS (RCTS) EXAMINING THE EFFECTS OF YOGA, VERSUS A CONTROL GROUP RECEIVING NO INTERVENTION, ON PSYCHOLOGIC FUNCTIONING AND QOL IN WOMEN WITH BREAST CANCER WERE INCLUDED. METHODOLOGICAL QUALITY OF INCLUDED RCTS WAS ASSESSED ACCORDING TO THE COCHRANE HANDBOOK FOR SYSTEMATIC REVIEWS OF INTERVENTIONS 5.0.1, AND DATA WERE ANALYZED USING THE COCHRANE COLLABORATION'S REVIEW MANAGER 5.1. RESULTS: SIX (6) STUDIES INVOLVING 382 PATIENTS WERE INCLUDED. THE META-ANALYSIS SHOWED THAT YOGA CAN IMPROVE QOL FOR WOMEN WITH BREAST CANCER. A STATISTICALLY SIGNIFICANT EFFECT FAVORING YOGA FOR THE OUTCOME OF QOL WAS FOUND (STANDARD MEAN DIFFERENCE=0.27, 95% CONFIDENCE INTERVAL [0.02, 0.52], P=0.03). ALTHOUGH THE EFFECTS OF YOGA ON PSYCHOLOGIC FUNCTION OUTCOMES--SUCH AS ANXIETY, DEPRESSION, DISTRESS AND SLEEP--WERE IN THE EXPECTED DIRECTION, THESE EFFECTS WERE NOT STATISTICALLY SIGNIFICANT (P>0.05). FATIGUE SHOWED NO SIGNIFICANT DIFFERENCE (P>0.05). CONCLUSIONS: THE PRESENT DATA PROVIDED LITTLE INDICATION OF HOW EFFECTIVE YOGA MIGHT BE WHEN THEY WERE APPLIED BY WOMEN WITH BREAST CANCER EXCEPT FOR MILDLY EFFECTIVE IN QOL IMPROVEMENT. THE FINDINGS WERE BASED ON A SMALL BODY OF EVIDENCE IN WHICH METHODOLOGICAL QUALITY WAS NOT HIGH. FURTHER WELL-DESIGNED RCTS WITH LARGE SAMPLE SIZE ARE NEEDED TO CLARIFY THE UTILITY OF YOGA PRACTICE FOR THIS POPULATION. 2012 2 1740 57 PHYSICAL AND PSYCHOSOCIAL BENEFITS OF YOGA IN CANCER PATIENTS AND SURVIVORS, A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: THIS STUDY AIMED TO SYSTEMATICALLY REVIEW THE EVIDENCE FROM RANDOMIZED CONTROLLED TRIALS (RCTS) AND TO CONDUCT A META-ANALYSIS OF THE EFFECTS OF YOGA ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN CANCER PATIENTS AND SURVIVORS. METHODS: A SYSTEMATIC LITERATURE SEARCH IN TEN DATABASES WAS CONDUCTED IN NOVEMBER 2011. STUDIES WERE INCLUDED IF THEY HAD AN RCT DESIGN, FOCUSED ON CANCER PATIENTS OR SURVIVORS, INCLUDED PHYSICAL POSTURES IN THE YOGA PROGRAM, COMPARED YOGA WITH A NON-EXERCISE OR WAITLIST CONTROL GROUP, AND EVALUATED PHYSICAL AND/OR PSYCHOSOCIAL OUTCOMES. TWO RESEARCHERS INDEPENDENTLY RATED THE QUALITY OF THE INCLUDED RCTS, AND HIGH QUALITY WAS DEFINED AS >50% OF THE TOTAL POSSIBLE SCORE. EFFECT SIZES (COHEN'S D) WERE CALCULATED FOR OUTCOMES STUDIED IN MORE THAN THREE STUDIES AMONG PATIENTS WITH BREAST CANCER USING MEANS AND STANDARD DEVIATIONS OF POST-TEST SCORES OF THE INTERVENTION AND CONTROL GROUPS. RESULTS: SIXTEEN PUBLICATIONS OF 13 RCTS MET THE INCLUSION CRITERIA, OF WHICH ONE INCLUDED PATIENTS WITH LYMPHOMAS AND THE OTHERS FOCUSED ON PATIENTS WITH BREAST CANCER. THE MEDIAN QUALITY SCORE WAS 67% (RANGE: 22-89%). THE INCLUDED STUDIES EVALUATED 23 PHYSICAL AND 20 PSYCHOSOCIAL OUTCOMES. OF THE OUTCOMES STUDIED IN MORE THAN THREE STUDIES AMONG PATIENTS WITH BREAST CANCER, WE FOUND LARGE REDUCTIONS IN DISTRESS, ANXIETY, AND DEPRESSION (D = -0.69 TO -0.75), MODERATE REDUCTIONS IN FATIGUE (D = -0.51), MODERATE INCREASES IN GENERAL QUALITY OF LIFE, EMOTIONAL FUNCTION AND SOCIAL FUNCTION (D = 0.33 TO 0.49), AND A SMALL INCREASE IN FUNCTIONAL WELL-BEING (D = 0.31). EFFECTS ON PHYSICAL FUNCTION AND SLEEP WERE SMALL AND NOT SIGNIFICANT. CONCLUSION: YOGA APPEARED TO BE A FEASIBLE INTERVENTION AND BENEFICIAL EFFECTS ON SEVERAL PHYSICAL AND PSYCHOSOCIAL SYMPTOMS WERE REPORTED. IN PATIENTS WITH BREAST CANCER, EFFECT SIZE ON FUNCTIONAL WELL-BEING WAS SMALL, AND THEY WERE MODERATE TO LARGE FOR PSYCHOSOCIAL OUTCOMES. 2012 3 559 62 COULD YOGA PRACTICE IMPROVE TREATMENT-RELATED SIDE EFFECTS AND QUALITY OF LIFE FOR WOMEN WITH BREAST CANCER? A SYSTEMATIC REVIEW AND META-ANALYSIS. AIM: TO DETERMINE IF YOGA AS A COMPLEMENTARY AND ALTERNATIVE THERAPY WAS ASSOCIATED WITH ENHANCED HEALTH AND TREATMENT-RELATED SIDE EFFECTS IN PATIENTS WITH BREAST CANCER. THIS SYSTEMATIC REVIEW EXAMINES WHETHER YOGA PRACTICE PROVIDES ANY MEASURABLE BENEFIT, BOTH PHYSICALLY AND PSYCHOLOGICALLY, FOR WOMEN WITH BREAST CANCER. METHODS: PUBMED, EMBASE AND THE COCHRANE LIBRARY FOR RANDOMIZED CONTROLLED TRIALS (RCTS) THROUGHOUT JUNE 2013. WE EVALUATED THE QUALITY OF THE INCLUDED STUDIES BY THE COCHRANE HANDBOOK 5.2 STANDARDS AND ANALYZED THE DATA USING THE STATA SOFTWARE, VERSION 10.0. META-REGRESSION AND SUBGROUP ANALYSIS WERE ALSO PERFORMED TO IDENTIFY ADDITIONAL PREDICTORS OF OUTCOME AND TO ASSESS HETEROGENEITY. RESULTS: SIXTEEN RCTS WITH A TOTAL OF 930 PARTICIPANTS WERE INCLUDED. COMPARING YOGA GROUPS TO CONTROL GROUPS, THERE WAS A STATISTICALLY SIGNIFICANT DIFFERENCE IN OVERALL HEALTH-RELATED QUALITY OF LIFE, DEPRESSION, ANXIETY AND GASTROINTESTINAL SYMPTOMS. META-REGRESSION ANALYSES REVEALED THAT THE DURATION OF YOGA PRACTICE AND TYPE OF CONTROL GROUP PARTLY EXPLAINED THE HETEROGENEITY. SUBGROUP ANALYSES REVEALED THAT YOGA HAD A POSITIVE EFFECT ON ANXIETY ONLY WHEN IT HAD BEEN PRACTICED FOR LONGER THAN 3 MONTHS. ONLY THE WAIT-LIST CONTROL GROUP SHOWED AN EFFECT OF YOGA ON PHYSICAL WELL-BEING. CONCLUSION: THE CURRENT EVIDENCE DEMONSTRATES THAT YOGA PRACTICE COULD BE EFFECTIVE IN ENHANCING HEALTH AND MANAGING SOME TREATMENT-RELATED SIDE EFFECTS FOR PATIENTS RECOVERING FROM BREAST CANCER. IN FUTURE CLINICAL STUDIES, CLINICIANS SHOULD CONSIDER THE PATIENT'S WISHES ALONG WITH THE CURRENT BEST EVIDENCE OF THE EFFECTS OF YOGA PRACTICE IN THEIR CLINICAL DECISION-MAKING. 2017 4 2365 37 WALKING IS MORE EFFECTIVE THAN YOGA AT REDUCING SLEEP DISTURBANCE IN CANCER PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. THIS REVIEW AIMED TO DETERMINE WHETHER WALKING IS MORE EFFECTIVE THAN YOGA AT IMPROVING SLEEP DISTURBANCE IN CANCER PATIENTS. A SYSTEMATIC SEARCH OF RANDOMIZED CONTROLLED TRIALS WAS PERFORMED IN THE PUBMED, EMBASE, CINAHL, COCHRANE LIBRARY, CNKI, AIRITI LIBRARY, AND OTHER HEALTH-RELATED DATABASES. TWENTY-FIVE STUDIES WERE IDENTIFIED WITH A TOTAL OF 1918 PARTICIPANTS. THE PITTSBURGH SLEEP QUALITY INDEX WAS THE MOST COMMONLY USED OUTCOME MEASUREMENT TOOL, AND MODERATE-INTENSITY WALKING WAS THE MOST FREQUENTLY USED INTERVENTION. THE MAJORITY OF THE INCLUDED SUBJECTS WERE BREAST CANCER PATIENTS. OVERALL, WALKING SIGNIFICANTLY IMPROVED SLEEP DISTURBANCE COMPARED TO YOGA (P = 0.01). STATISTICALLY SIGNIFICANT MODERATORS INCLUDED ADHERENCE RATE FOR WALKING (P < 0.001) AND ALLOCATION CONCEALMENT AND OUTCOME MEASUREMENT TOOL FOR YOGA (P = 0.04; P = 0.03). WE CONCLUDED THAT WALKING IS MORE EFFECTIVE THAN YOGA IN IMPROVING SLEEP DISTURBANCE IN CANCER PATIENTS. THUS, MODERATE-INTENSITY WALKING IS RECOMMENDED FOR CANCER PATIENTS WITH SLEEP DISTURBANCE. 2019 5 1079 41 EFFECTS OF YOGA ON PSYCHOLOGICAL HEALTH, QUALITY OF LIFE, AND PHYSICAL HEALTH OF PATIENTS WITH CANCER: A META-ANALYSIS. YOGA IS ONE OF THE MOST WIDELY USED COMPLEMENTARY AND ALTERNATIVE MEDICINE THERAPIES TO MANAGE ILLNESS. THIS META-ANALYSIS AIMED TO DETERMINE THE EFFECTS OF YOGA ON PSYCHOLOGICAL HEALTH, QUALITY OF LIFE, AND PHYSICAL HEALTH OF PATIENTS WITH CANCER. STUDIES WERE IDENTIFIED THROUGH A SYSTEMATIC SEARCH OF SEVEN ELECTRONIC DATABASES AND WERE SELECTED IF THEY USED A RANDOMIZED CONTROLLED TRIAL DESIGN TO EXAMINE THE EFFECTS OF YOGA IN PATIENTS WITH CANCER. THE QUALITY OF EACH ARTICLE WAS RATED BY TWO OF THE AUTHORS USING THE PEDRO SCALE. TEN ARTICLES WERE SELECTED; THEIR PEDRO SCORES RANGED FROM 4 TO 7. THE YOGA GROUPS COMPARED TO WAITLIST CONTROL GROUPS OR SUPPORTIVE THERAPY GROUPS SHOWED SIGNIFICANTLY GREATER IMPROVEMENTS IN PSYCHOLOGICAL HEALTH: ANXIETY (P = .009), DEPRESSION (P = .002), DISTRESS (P = .003), AND STRESS (P = .006). HOWEVER, DUE TO THE MIXED AND LOW TO FAIR QUALITY AND SMALL NUMBER OF STUDIES CONDUCTED, THE FINDINGS ARE PRELIMINARY AND LIMITED AND SHOULD BE CONFIRMED THROUGH HIGHER-QUALITY, RANDOMIZED CONTROLLED TRIALS. 2011 6 1065 58 EFFECTS OF YOGA ON IMPROVING QUALITY OF LIFE IN PATIENTS WITH BREAST CANCER: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: COMPLICATIONS OF BREAST CANCER TREATMENT CAN CAUSE PHYSICAL AND PSYCHOSOCIAL DISTRESS IN PATIENTS. YOGA DEMONSTRATES SUBSTANTIAL POTENTIAL AS A SUPPORTIVE THERAPY FOR PATIENTS WITH BREAST CANCER. OUR AIM IS TO CONDUCT A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS TO EVALUATE THE EFFECTIVENESS OF YOGA IN ENHANCING THE QUALITY OF LIFE (QOL) OF PATIENTS WITH BREAST CANCER. METHODS: WE SEARCHED FOR STUDIES PUBLISHED BEFORE MARCH 2020 IN THE PUBMED, EMBASE, AND COCHRANE LIBRARY DATABASES. INDIVIDUAL EFFECT SIZES WERE STANDARDIZED, AND THE POOLED EFFECT SIZE WAS CALCULATED USING A RANDOM EFFECT MODEL. MEASURED OUTCOMES INCLUDED QOL, ANXIETY AND DEPRESSION, STRESS, FATIGUE, PAIN SEVERITY, AND SLEEP QUALITY. RESULTS: IN TOTAL, 26 TRIALS INVOLVING 2069 PATIENTS WERE REVIEWED. SIGNIFICANT ENHANCEMENT IN QOL WAS OBSERVED IMMEDIATELY AFTER THE YOGA INTERVENTION. THE POOLED MEAN DIFFERENCES IN SOCIAL (WEIGHTED MEAN DIFFERENCE [WMD]: 1.36, 95% CONFIDENCE INTERVAL [CI] 0.12-2.61), EMOTIONAL (WMD: 1.46, 95% CI 0.26-2.66), AND FUNCTIONAL WELL-BEING (WMD: 2.04, 95% CI 0.21-3.87) WERE SIGNIFICANTLY HIGHER IN THE YOGA GROUP THAN IN THE CONTROL GROUP. PATIENTS PRACTICING YOGA EXHIBITED SIGNIFICANT IMPROVEMENTS IN PHYSICAL WELL-BEING, MENTAL WELL-BEING, AND SLEEP QUALITY AS WELL AS REDUCTIONS IN ANXIETY, DEPRESSION, STRESS, FATIGUE, AND PAIN SEVERITY AFTER THE INTERVENTION. CONCLUSIONS: YOGA MAY ENHANCE QOL IN PATIENTS WITH BREAST CANCER EXPERIENCING POST-TREATMENT COMPLICATIONS. THEREFORE, WE RECOMMEND YOGA AS A SUPPORTIVE THERAPY FOR PATIENTS WITH BREAST CANCER TO RELIEVE POST-TREATMENT DISTRESS. 2021 7 1043 41 EFFECTS OF YOGA INTERVENTIONS ON FATIGUE: A META-ANALYSIS. BACKGROUND. RESEARCHERS AIMED AT SYSTEMATICALLY REVIEWING AND META-ANALYZING THE EFFECTIVENESS OF YOGA INTERVENTIONS FOR FATIGUE. METHODS. PUBMED/MEDLINE WAS SEARCHED UNTIL JANUARY 2012 FOR CONTROLLED CLINICAL STUDIES. TWO REVIEWERS INDEPENDENTLY EXTRACTED THE DATA. THE METHODOLOGICAL QUALITY OF THE STUDIES WAS ASSESSED. A META-ANALYSIS WAS PERFORMED. RESULTS. NINETEEN CLINICAL STUDIES (TOTAL N = 948) WERE INCLUDED IN THIS REVIEW. INVESTIGATED YOGA STYLES INCLUDED HATHA, IYENGAR, ASANAS, PATANJALI, SAHAJA, AND TIBETAN YOGA. PARTICIPANTS WERE SUFFERING FROM CANCER, MULTIPLE SCLEROSIS, DIALYSIS, CHRONIC PANCREATITIS, FIBROMYALGIA, ASTHMA, OR WERE HEALTHY. YOGA HAD A SMALL POSITIVE EFFECT ON FATIGUE (SMD = 0.27, 59% CI = 0.23-0.31). SEVEN STUDIES RECEIVED 4 POINTS ON THE JADAD SCORE. THERE WERE BASELINE DIFFERENCES IN AT LEAST 5 STUDIES. CONCLUSION. OVERALL, THE EFFECTS OF YOGA INTERVENTIONS ON FATIGUE WERE ONLY SMALL, PARTICULARLY IN CANCER PATIENTS. ALTHOUGH YOGA IS GENERALLY A SAFE THERAPEUTIC INTERVENTION AND EFFECTIVE TO ATTENUATE OTHER HEALTH-RELATED SYMPTOMS, THIS META-ANALYSIS WAS NOT ABLE TO DEFINE THE POWERFUL EFFECT OF YOGA ON PATIENTS SUFFERING FROM FATIGUE. TREATMENT EFFECTS OF YOGA COULD BE IMPROVED IN WELL-DESIGNED FUTURE STUDIES. ACCORDING TO THE GRADE RECOMMENDATIONS ASSESSING THE OVERALL QUALITY OF EVIDENCE, THERE IS A MODERATE EFFECT OF THE CONFIDENCE PLACED IN THE ESTIMATES OF THE EFFECTS DISCUSSED HERE. 2012 8 2566 54 YOGA FOR DEPRESSION AND ANXIETY SYMPTOMS IN PEOPLE WITH CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: CANCER AND ITS TREATMENT CAN LEAD TO A VARIETY OF PHYSICAL AND EMOTIONAL CONCERNS IMPACTING ON THOSE AFFECTED, INCLUDING SUBCLINICAL OR CLINICAL DEPRESSION AND ANXIETY, WHICH IN TURN HAVE A SIGNIFICANT IMPACT ON WELLBEING, QUALITY OF LIFE AND SURVIVAL. THE AIM OF THIS REVIEW WAS TO EVALUATE THE EFFECT OF YOGA-BASED INTERVENTIONS ON SELF-REPORTED DEPRESSION AND ANXIETY SYMPTOMS IN PEOPLE WITH CANCER IN RANDOMIZED CONTROLLED TRIALS. METHOD: SIX DATABASES WERE SEARCHED TO IDENTIFY RELEVANT STUDIES. SYSTEMATIC REVIEW PROCEDURES WERE FOLLOWED INCLUDING A QUALITY ASSESSMENT. META-ANALYSIS OF SUITABLE STUDIES WAS CONDUCTED. RESULTS: 26 STUDIES FROM OUR SEARCH CRITERIA WERE ELIGIBLE FOR INCLUSION FOR DEPRESSIVE AND 16 FOR ANXIETY SYMPTOMS. META-ANALYSES REVEALED EVIDENCE FOR SIGNIFICANT MEDIUM EFFECTS OF YOGA ON DEPRESSION SYMPTOMS (N = 1,486, G = -0.419, 95% CONFIDENCE INTERVAL [CI] = -0.558 TO -0.281, P < 0.001) AND ANXIETY (N = 977, G = -0.347, 95% CI = -0.473 TO -0.221, P < 0.001) COMPARED TO CONTROLS. SUBGROUP ANALYSES FOR DEPRESSIVE SYMPTOMS REVEALED SIGNIFICANT EFFECTS FOR ALL ANALYSES PERFORMED (TYPE OF CANCER, TYPE OF CONTROL, TREATMENT STATUS, DURATION OF INTERVENTION OR FREQUENCY OF YOGA SESSIONS), WITH EFFECT SIZES BEING COMPARABLE BETWEEN SUBGROUPS. SIMILAR FINDINGS WERE FOUND FOR ANXIETY SYMPTOMS EXCEPT FOR TREATMENT STATUS, WHERE THE ONLY SIGNIFICANT EFFECT WAS FOUND WHEN YOGA WAS DELIVERED DURING ACTIVE TREATMENT. CONCLUSIONS: THIS REVIEW PROVIDES EVIDENCE THAT IN PEOPLE WITH CANCER, YOGA-BASED INTERVENTIONS ARE ASSOCIATED WITH AMELIORATION OF DEPRESSION AND ANXIETY SYMPTOMS AND THEREFORE A PROMISING THERAPEUTIC MODALITY FOR THEIR MANAGEMENT. HOWEVER, THE POTENTIAL FOR RISK OF BIAS TOGETHER WITH CONTROL GROUP DESIGN CHALLENGES MEANS THE RESULTS SHOULD BE INTERPRETED WITH CAUTION. 2021 9 1124 45 EFFICACY OF PRENATAL YOGA IN THE TREATMENT OF DEPRESSION AND ANXIETY DURING PREGNANCY: A SYSTEMATIC REVIEW AND META-ANALYSIS. WOMEN COMMONLY SUFFER FROM DEPRESSION DURING PREGNANCY. FOR REDUCING DEPRESSION, YOGA SEEMS TO BE MORE SUITABLE FOR PREGNANT WOMEN THAN OTHER PHYSICAL ACTIVITIES BECAUSE OF ITS LOW EXERCISE INTENSITY. THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFICACY OF PRENATAL YOGA ON THE TREATMENT OF DEPRESSION DURING PREGNANCY. THREE ELECTRONIC DATABASES WERE SEARCHED FOR RELEVANT ARTICLES FROM THEIR INCEPTION TO MAY 2021, INCLUDING PUBMED, COCHRANE LIBRARY, AND SCIENCEDIRECT. PRE- AND POST-TEST OUTCOMES WERE ADOPTED TO ESTIMATE STANDARDIZED MEAN DIFFERENCE WITH A 95% CONFIDENCE INTERVAL FOR ASSESSING THE EFFICACY OF YOGA. HETEROGENEITY AMONG ARTICLES WAS DETECTED USING I(2) VALUE. A TOTAL OF 13 ARTICLES THAT CONTAINED 379 SUBJECTS WERE INCLUDED FOR META-ANALYSIS. NO SIGNIFICANT IMPROVEMENT IN DEPRESSION SCORES AFTER PRACTICING YOGA WAS OBSERVED FOR WOMEN WITHOUT DEPRESSION (P = 0.09) BUT SIGNIFICANT IMPROVEMENT WAS OBSERVED FOR WOMEN WITH DEPRESSION (P = 0.001). ALTHOUGH SIGNIFICANT IMPROVEMENT IN ANXIETY SCORES AFTER YOGA WAS OBSERVED FOR WOMEN WITHOUT DEPRESSION (P = 0.02), THE RESULTS OF THE SENSITIVITY ANALYSIS WERE NOT CONSISTENT, WHILE SIGNIFICANT IMPROVEMENT IN ANXIETY SCORES AFTER YOGA WAS ALSO OBSERVED FOR WOMEN WITH DEPRESSION (P < 0.00001). THE CURRENT EVIDENCE HAS SUGGESTED THAT YOGA HAD SIGNIFICANT IMPROVEMENT IN DEPRESSION AND ANXIETY SCORES IN PREGNANT WOMEN WITH DEPRESSION. HOWEVER, THE LEVEL OF EVIDENCE OF THIS STUDY WAS NOT HIGH. MORE ARTICLES WITH HIGH LEVELS OF EVIDENCE SHOULD BE CONDUCTED TO CONFIRM OUR CONCLUSION IN THE FUTURE. 2022 10 1042 50 EFFECTS OF YOGA INTERVENTIONS ON FATIGUE IN CANCER PATIENTS AND SURVIVORS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: FATIGUE IS ONE OF THE MOST FREQUENTLY REPORTED, DISTRESSING SIDE EFFECTS REPORTED BY CANCER SURVIVORS AND OFTEN HAS SIGNIFICANT LONG-TERM CONSEQUENCES. RESEARCH INDICATES THAT YOGA CAN PRODUCE INVIGORATING EFFECTS ON PHYSICAL AND MENTAL ENERGY, AND THEREBY MAY IMPROVE LEVELS OF FATIGUE. THE OBJECTIVE OF THIS SYSTEMATIC REVIEW WAS TO EXAMINE THE LITERATURE THAT REPORTS THE EFFECTS OF RANDOMIZED, CONTROLLED YOGA INTERVENTIONS ON SELF-REPORTED FATIGUE IN CANCER PATIENTS AND SURVIVORS. THE ONLINE ELECTRONIC DATABASES, PUBMED AND PSYCINFO, WERE USED TO SEARCH FOR PEER-REVIEWED RESEARCH ARTICLES STUDYING THE EFFECTS OF YOGA INTERVENTIONS ON FATIGUE IN CANCER SURVIVORS. COMBINATIONS OF YOGA, CANCER, AND FATIGUE-RELATED SEARCH TERMS WERE ENTERED SIMULTANEOUSLY TO OBTAIN ARTICLES THAT INCLUDED ALL THREE ELEMENTS. STUDIES WERE INCLUDED IF THEY MET THE FOLLOWING INCLUSION CRITERIA: PARTICIPANTS WERE MALE OR FEMALE CANCER PATIENTS OR SURVIVORS PARTICIPATING IN RANDOMIZED, CONTROLLED YOGA INTERVENTIONS. THE MAIN OUTCOME OF INTEREST WAS CHANGE IN FATIGUE FROM PRE- TO POST-INTERVENTION. INTERVENTIONS OF ANY LENGTH WERE INCLUDED IN THE ANALYSIS. RISK OF BIAS USING THE FORMAT OF THE COCHRANE COLLABORATION'S TOOL FOR ASSESSING RISK OF BIAS WAS ALSO EXAMINED ACROSS STUDIES. RESULTS: TEN ARTICLES MET INCLUSION CRITERIA AND INVOLVED A TOTAL OF 583 PARTICIPANTS WHO WERE PREDOMINANTLY FEMALE, BREAST CANCER SURVIVORS. FOUR STUDIES INDICATED THAT THE YOGA INTERVENTION RESULTED IN SIGNIFICANT REDUCTIONS IN SELF-REPORTED FATIGUE FROM PRE- TO POST-INTERVENTION. THREE OF THE STUDIES REPORTED THAT THERE WERE SIGNIFICANT REDUCTIONS OF FATIGUE AMONG PARTICIPANTS WHO ATTENDED A GREATER NUMBER OF YOGA CLASSES. RISK OF BIAS WAS HIGH FOR AREAS OF ADEQUATE SELECTION, PERFORMANCE, DETECTION, AND PATIENT-REPORTED BIAS AND MIXED FOR ATTRITION AND REPORTING BIAS. RISK OF BIAS WAS UNIFORMLY LOW FOR OTHER FORMS OF BIAS, INCLUDING FINANCIAL CONFLICTS OF INTEREST. CONCLUSIONS: RESULTS OF THE STUDIES INCLUDED IN THIS REVIEW SUGGEST THAT YOGA INTERVENTIONS MAY BE BENEFICIAL FOR REDUCING CANCER-RELATED FATIGUE IN WOMEN WITH BREAST CANCER; HOWEVER, CONCLUSIONS SHOULD BE INTERPRETED WITH CAUTION AS A RESULT OF LEVELS OF BIAS AND INCONSISTENT METHODS USED ACROSS STUDIES. MORE WELL-CONSTRUCTED RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO DETERMINE THE IMPACT OF YOGA INTERVENTIONS ON FATIGUE IN CANCER PATIENTS AND SURVIVORS. 2013 11 1829 44 PSYCHOLOGICAL EFFECTS OF YOGA NIDRA IN WOMEN WITH MENSTRUAL DISORDERS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. OBJECTIVE: TO ASSESS THE EFFECTS OF YOGA NIDRA ON PSYCHOLOGICAL PROBLEMS IN WOMEN WITH MENSTRUAL DISORDERS. METHODS: A SEARCH WAS CONDUCTED USING CINAHL, THE COCHRANE LIBRARY, EMBASE, PSYCINFO, AND PUBMED ELECTRONIC DATABASES, AND USING THE PREFERRED REPORTING ITEMS FOR SYSTEMATIC REVIEWS AND META-ANALYSES (PRISMA), TO IDENTIFY RANDOMIZED CONTROLLED TRIALS (RCTS) PUBLISHED IN ANY LANGUAGE UP TO AND INCLUDING JULY 2016, WHICH REPORTED THE PSYCHOLOGICAL EFFECTS OF YOGA NIDRA IN WOMEN WITH MENSTRUAL DISORDERS. RESULTS: TWO POTENTIAL TRIALS WERE IDENTIFIED AND BOTH WERE INCLUDED IN THE REVIEW. A SIGNIFICANT DIFFERENCE WAS OBSERVED BETWEEN EXPERIMENTAL AND CONTROL GROUPS IN THAT ANXIETY AND DEPRESSION WERE SIGNIFICANTLY DECREASED IN THE EXPERIMENTAL GROUP WHEN COMPARED WITH THE CONTROL GROUP. CONCLUSIONS: THERE IS EVIDENCE FROM TWO RCTS THAT YOGA NIDRA MAY HAVE FAVORABLE EFFECTS IN TERMS OF REDUCING PSYCHOLOGICAL PROBLEMS IN WOMEN WITH MENSTRUAL DISORDERS. 2017 12 2592 45 YOGA FOR MENOPAUSAL SYMPTOMS: A SYSTEMATIC REVIEW. OBJECTIVE: THE AIM OF THIS STUDY WAS TO ASSESS THE EFFECTIVENESS OF YOGA AS A TREATMENT OPTION FOR MENOPAUSAL SYMPTOMS. METHODS: WE SEARCHED THE LITERATURE USING 14 DATABASES FROM THEIR INCEPTION TO JULY 2008 AND INCLUDED ALL TYPES OF CLINICAL STUDIES REGARDLESS OF THEIR DESIGN. THE METHODOLOGICAL QUALITY OF ALL STUDIES WAS ASSESSED USING A MODIFIED JADAD SCORE. RESULTS: SEVEN STUDIES MET OUR INCLUSION CRITERIA. TWO RANDOMIZED CLINICAL TRIALS COMPARED THE EFFECTS OF YOGA WITH THOSE OF WALKING OR PHYSICAL EXERCISE. THE META-ANALYSIS OF THESE DATA FAILED TO SHOW SPECIFIC EFFECTS OF YOGA ON MENOPAUSAL COMPLAINTS INCLUDING PSYCHOLOGICAL, SOMATIC, AND VASOMOTOR SYMPTOMS. TWO RANDOMIZED CLINICAL TRIALS FOUND NO EFFECTS OF YOGA ON TOTAL MENOPAUSAL SYMPTOMS COMPARED WITH WAIT-LIST CONTROL OR NO TREATMENT. THE REMAINING STUDIES WERE EITHER NON-RANDOMIZED (N = 1) OR UNCONTROLLED CLINICAL TRIALS (N = 3). THEY REPORTED FAVORABLE EFFECTS OF YOGA ON MENOPAUSAL SYMPTOMS. THESE DATA COLLECTIVELY SHOW THAT THE RESULTS OF RIGOROUS STUDIES OF THE EFFECTS OF YOGA FOR MENOPAUSAL SYMPTOMS ARE UNCONVINCING. CONCLUSION: THE EVIDENCE IS INSUFFICIENT TO SUGGEST THAT YOGA IS AN EFFECTIVE INTERVENTION FOR MENOPAUSE. FURTHER RESEARCH IS REQUIRED TO INVESTIGATE WHETHER THERE ARE SPECIFIC BENEFITS OF YOGA FOR TREATING MENOPAUSAL SYMPTOMS. 2009 13 1856 52 RANDOMISED CONTROLLED TRIALS OF YOGA INTERVENTIONS FOR WOMEN WITH BREAST CANCER: A SYSTEMATIC LITERATURE REVIEW. PURPOSE: YOGA IS INCREASINGLY USED AS A COMPLEMENTARY THERAPY TO MANAGE DISEASE AND TREATMENT-RELATED SIDE EFFECTS IN PATIENTS WITH CANCER AND HAS RESULTED IN AN INCREASE IN THE NUMBER OF STUDIES EXPLORING THE EFFECTIVENESS OF YOGA INTERVENTIONS. THIS SYSTEMATIC REVIEW EXAMINES WHETHER YOGA INTERVENTIONS PROVIDE ANY MEASURABLE BENEFIT, BOTH PHYSICALLY AND PSYCHOLOGICALLY, FOR WOMEN WITH BREAST CANCER. THE RESULTS WILL INFORM FUTURE RESEARCH IN THIS FIELD AND ADVANCE THE DEVELOPMENT OF YOGA PROGRAMMES. METHODS: WE PERFORMED ELECTRONIC SEARCHES OF MEDLINE, PSYCHINFO, THE COCHRANE LIBRARY, EMBASE, CINAHL, AMED, WEB OF SCIENCE AND SCOPUS FOR ARTICLES PUBLISHED UP TO JUNE 2012. ONLY RANDOMISED CONTROLLED TRIALS (RCTS) WERE INCLUDED AND METHODOLOGICAL QUALITY RATING SCORES WERE DETERMINED USING THE PEDRO (PHYSIOTHERAPY EVIDENCE DATABASE) SCALE. RESULTS: ONE HUNDRED THIRTY-TWO STUDIES WERE IDENTIFIED THROUGH A SYSTEMATIC SEARCH OF EIGHT ELECTRONIC DATABASES. ONLY PUBLISHED MANUSCRIPTS THAT EMPLOYED A RCT DESIGN WERE INCLUDED (N = 18). THE SAMPLE SIZES FOR THESE STUDIES VARIED WIDELY FROM 18 TO 164 PARTICIPANTS AND THE ASSOCIATED PEDRO SCORES RANGED FROM 1 (POOR) TO 8 (GOOD). ALL 18 STUDIES REPORTED POSITIVE EFFECTS FOR TREATMENT-RELATED SIDE EFFECTS IN FAVOUR OF THE YOGA INTERVENTIONS, WITH THE GREATEST IMPACT ON GLOBAL QUALITY OF LIFE (QOL) SCORES AND EMOTIONAL WELL-BEING. CONCLUSION: RESULTS FROM THE FEW RCTS SUGGEST THERE IS MODERATE TO GOOD EVIDENCE THAT YOGA MAY BE A USEFUL PRACTICE FOR WOMEN RECOVERING FROM BREAST CANCER TREATMENTS. LARGE-SCALE RCTS USING OBJECTIVE MEASURES AND PATIENT-REPORTED OUTCOMES WITH LONG-TERM FOLLOW-UP ARE NEEDED TO SUBSTANTIATE WHETHER THE BENEFITS ARE TRUE AND SUSTAINABLE. 2012 14 2440 47 YOGA AND QUALITY-OF-LIFE IMPROVEMENT IN PATIENTS WITH BREAST CANCER: A LITERATURE REVIEW. OBJECTIVE: WOMEN UNDERGOING TREATMENT FOR BREAST CANCER OFTEN TURN TO COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM), INCLUDING YOGA, FOR IMPROVEMENT OF MOOD, QUALITY OF LIFE (QOL), SLEEP, AND TREATMENT-RELATED SIDE EFFECTS. THE EXTANT LITERATURE WAS REVIEWED TO EXAMINE THE CLINICAL EFFECTS OF YOGA PRACTICE ON QOL FOR PATIENTS WITH BREAST CANCER. QOL WAS DEFINED AS PHYSICAL WELL-BEING, SOCIAL FUNCTIONING, EMOTIONAL HEALTH, AND FUNCTION-AL ADAPTATION. METHODS: SEVEN DATABASES, INCLUDING PUBMED, OVID MEDLINE, CINAHL, EMBASE, PSYCINFO, COCHRANE LIBRARY, AND WEB OF SCIENCE WERE USED TO SEARCH FOR STUDIES OF PATIENTS WITH BREAST CANCER THAT INCLUDED A YOGA INTERVENTION AND QOL ASSESSMENT. ATTENTION WAS PAID TO ASSESSING STUDY POPULATION, OUTCOME VARIABLES, THE TYPE OF YOGA INTERVENTION USED, AND METHODOLOGICAL STRENGTHS AND LIMITATIONS. RESULTS: SEVENTY-ONE ARTICLES WERE IDENTIFIED THAT FIT THE SEARCH CRITERIA. ALTHOUGH THE LITERATURE PROVIDED EVIDENCE OF QOL BENEFITS OF YOGA FOR PATIENTS WITH BREAST CANCER, NO SPECIFIC ASPECT OF YOGA WAS IDENTIFIED AS BEING MOST ADVANTAGEOUS. CONCLUSION: ALTHOUGH PARTICIPATION IN YOGA PROGRAMS APPEARED TO BENEFIT PATIENTS WITH BREAST CANCER, GREATER METHODOLOGICAL RIGOR IS REQUIRED TO UNDERSTAND THE MECHANISMS THAT CONTRIBUTE TO THEIR EFFECTIVENESS. 2012 15 2683 53 YOGA IN THE MANAGEMENT OF CHRONIC DISEASE: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: HEART DISEASE, STROKE, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ARE THE LEADING CAUSES OF DEATH AND DISABILITY WORLDWIDE. ALTHOUGH INDIVIDUALS WITH THESE CONDITIONS HAVE BEEN REPORTED TO BENEFIT FROM YOGA, ITS EFFECTIVENESS REMAINS UNCLEAR. OBJECTIVE: TO PERFORM A SYSTEMATIC REVIEW OF THE EFFECTIVENESS OF YOGA ON EXERCISE CAPACITY, HEALTH RELATED QUALITY OF LIFE (HRQL), AND PSYCHOLOGICAL WELL-BEING FOR INDIVIDUALS WITH CHRONIC DISEASE AND DESCRIBE THE STRUCTURE AND DELIVERY OF PROGRAMS. RESEARCH DESIGN: WE PERFORMED A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS EXAMINING YOGA PROGRAMS FOR INDIVIDUALS WITH HEART DISEASE, STROKE, AND COPD COMPARED WITH USUAL CARE. QUALITY WAS ASSESSED USING THE COCHRANE RISK OF BIAS TOOL. META-ANALYSES WERE CONDUCTED USING REVIEW MANAGER 5.3. THE PROTOCOL WAS REGISTERED ON PROSPERO (CRD42014014589). RESULTS: TEN STUDIES (431 INDIVIDUALS, MEAN AGE 56+/-8 Y) WERE INCLUDED AND WERE COMPARABLE IN THEIR DESIGN AND COMPONENTS, IRRESPECTIVE OF THE CHRONIC DISEASE. THE STANDARDIZED MEAN DIFFERENCE FOR THE MEAN CHANGE IN EXERCISE CAPACITY WAS 2.69 (95% CONFIDENCE INTERVAL, 1.39-3.99) AND FOR HRQL IT WAS 1.24 (95% CONFIDENCE INTERVAL, -0.37 TO 2.85). SYMPTOMS OF ANXIETY WERE REDUCED AFTER YOGA IN INDIVIDUALS WITH STROKE, ALTHOUGH THIS WAS NOT OBSERVED IN INDIVIDUALS WITH COPD. THE EFFECT OF YOGA ON SYMPTOMS OF DEPRESSION VARIED ACROSS STUDIES WITH NO SIGNIFICANT EFFECTS COMPARED WITH USUAL CARE. CONCLUSIONS: YOGA PROGRAMS HAVE SIMILAR DESIGNS AND COMPONENTS ACROSS CHRONIC DISEASE POPULATIONS. COMPARED WITH USUAL CARE, YOGA RESULTED IN SIGNIFICANT IMPROVEMENTS IN EXERCISE CAPACITY AND A MEAN IMPROVEMENT IN HRQL. YOGA PROGRAMS MAY BE A USEFUL ADJUNCT TO FORMAL REHABILITATION PROGRAMS. 2015 16 2354 45 UTILIZING YOGA IN ONCOLOGIC PATIENTS TREATED WITH RADIOTHERAPY: REVIEW. PURPOSE: SEVERAL TRIALS ON NONCANCER POPULATION INDICATE THAT YOGA IS ASSOCIATED WITH MEANINGFUL CLINICAL EFFECTS. THIS STUDY EVALUATED THE PHYSICAL AND PSYCHOSOCIAL OUTCOMES OF YOGA IN ONCOLOGIC PATIENTS TREATED WITH RADIOTHERAPY. METHODS: WE FOCUSED ON A RESEARCH THROUGH COCHRANE REGISTER OF CONTROLLED TRIALS (CENTRAL), BIOMED CENTRAL, AND MEDLINE STUDIES UP TO MAY 2017. RESULTS: YOGA WAS FOUND TO HAVE A SUBSTANTIAL BENEFIT IN CANCER PATIENTS' DISTRESS, ANXIETY, AND DEPRESSION. IT ALSO DEMONSTRATED A MODERATE IMPACT ON FATIGUE AND EMOTIONAL FUNCTION AND A SMALL AND INSIGNIFICANT EFFECT ON FUNCTIONAL WELL-BEING AND SLEEP DISTURBANCES. AS FAR AS THE EFFECTS ON PSYCHOLOGICAL OUTCOMES ARE CONCERNED, THERE WAS INSUFFICIENT EVIDENCE. CONCLUSIONS: THIS SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS SHOWED THAT YOGA HAS STRONG BENEFICIAL EFFECTS ON ONCOLOGIC PATIENTS' QUALITY OF LIFE. RESULTS OF THE CURRENT REVIEW MUST BE INTERPRETED WITH CAUTION DUE TO THE RELATIVE SMALL SAMPLE SIZES OF MOST OF THE INCLUDED STUDIES, WHILE A PROSPECTIVE RANDOMIZED STUDY STANDS IN NEED FOR THE CONFIRMATION OF OUR RESULTS. 2018 17 227 41 A SYSTEMATIC REVIEW OF THE EFFECT OF LAUGHTER YOGA ON PHYSICAL FUNCTION AND PSYCHOSOCIAL OUTCOMES IN OLDER ADULTS. BACKGROUND: LAUGHTER YOGA IS ONE OF THE INCREASINGLY USED METHODS AMONG COMPLEMENTARY HEALTH APPROACHES IN THE WORLD. THE AIM OF THIS STUDY WAS TO DETERMINE THE EFFECTIVENESS OF LAUGHTER YOGA ON PHYSICAL FUNCTION AND PSYCHOSOCIAL OUTCOMES IN OLDER ADULTS. METHODS: IN THIS SYSTEMATIC REVIEW, ELECTRONIC SEARCHES WERE PERFORMED IN CINAHL, WEB OF SCIENCE, COCHRANE, SCOPUS, PROQUEST DATABASES FROM MAY 2010 TO MAY 2020. THE SCREENING PROCESS WAS CONDUCTED BY TWO AUTHORS INDEPENDENTLY AND FINALLY AGREED TOGETHER. THE REVIEW WAS REPORTED ACCORDING TO PRISMA GUIDELINE. RESULTS: A TOTAL OF 3210 STUDIES WERE EXAMINED, AND SEVEN PUBLICATIONS (SIX QUASI EXPERIMENTAL AND ONE RANDOMIZED CONTROL TRIAL), IN ACCORDANCE WITH THE INCLUSION CRITERIA WERE INCLUDED IN THE STUDY AND EVALUATED. THE RESULTS INDICATED THAT SIGNIFICANT DIFFERENCES WERE FOUND IN THE EFFECTIVENESS OF LAUGHTER YOGA ON PHYSICAL FUNCTION (BLOOD PRESSURE, CORTISOL LEVEL, SLEEP QUALITY) AND PSYCHOSOCIAL HEALTH (LIFE SATISFACTION, QUALITY OF LIFE, LONELINESS, DEATH ANXIETY, DEPRESSION, MOOD, HAPPINESS) IN OLDER ADULTS. CONCLUSION: LAUGHTER YOGA IS A COST-EFFECTIVE AND NO ADVERSE EFFECT IN OLDER ADULTS. IT CAN BE USED FOR HEALTH PROMOTION FOR OLDER ADULTS. 2020 18 925 43 EFFECTIVENESS OF YOGA INTERVENTIONS IN BREAST CANCER-RELATED LYMPHEDEMA: A SYSTEMATIC REVIEW. OBJECTIVES: TO SYNTHESIZE RECENT EMPIRICAL EVIDENCE ON YOGA-BASED INTERVENTIONS FOR PATIENTS WITH BREAST CANCER-RELATED LYMPHEDEMA. METHODS: WE SEARCHED THE PUBMED/MEDLINE, COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS AND EMBASE DATABASES FOR STUDIES PUBLISHED BETWEEN OCTOBER 2007 AND SEPTEMBER 2018 IN ANY LANGUAGE. RISK OF BIAS AND METHODOLOGICAL QUALITY WERE EVALUATED USING THE PRISMA STATEMENT AND CHECKLIST AND THE COCHRANE COLLABORATION TOOL. RESULTS: THERE WAS SIGNIFICANT IMPROVEMENT IN LYMPHEDEMA STATUS, RANGE OF SHOULDER MOTION AND SPINAL MOBILITY AFTER AN 8-WEEK YOGA INTERVENTION, WHEREAS THERE WAS NO CONSISTENCY IN QUALITY OF LIFE FOLLOWING YOGA INTERVENTION. ADDITIONALLY, THERE WAS NO DIFFERENCE IN LYMPHEDEMA STATUS, EXTRACELLULAR FLUID AND TISSUE RESISTANCE OUTCOMES IN THE AFFECTED ARM FOLLOWING A LONG-TERM YOGA PRACTICE. CONCLUSION: THE CURRENT FINDINGS COULD NOT BE CLEARLY DEMONSTRATED THAT YOGA PROGRAMME INTERVENTION AS AN ADDITION TO USUAL CARE IS SUPERIOR TO ALONG USUAL CARE, AND KEEP YOGA EXERCISE DOES NOT PROVIDE SIGNIFICANT ADDED BENEFITS. 2019 19 2742 53 YOGA PRACTICE FOR THE MANAGEMENT OF TYPE II DIABETES MELLITUS IN ADULTS: A SYSTEMATIC REVIEW. THE EFFECT OF PRACTICING YOGA FOR THE MANAGEMENT OF TYPE II DIABETES WAS ASSESSED IN THIS SYSTEMATIC REVIEW THROUGH SEARCHING RELATED ELECTRONIC DATABASES AND THE GREY LITERATURE TO THE END OF MAY 2007 USING OVID. ALL RANDOMIZED CONTROLLED CLINICAL TRIALS (RCTS) COMPARING YOGA PRACTICE WITH OTHER TYPE OF INTERVENTION OR WITH REGULAR PRACTICE OR BOTH, WERE INCLUDED REGARDLESS OF LANGUAGE OR TYPE OF PUBLICATION. EACH STUDY WAS ASSESSED FOR QUALITY BY TWO INDEPENDENT REVIEWERS. MEAN DIFFERENCE WAS USED FOR SUMMARIZING THE EFFECT OF EACH STUDY OUTCOMES WITH 95% CONFIDENCE INTERVALS. POOLING OF THE STUDIES DID NOT TAKE PLACE DUE TO THE WIDE CLINICAL VARIATION BETWEEN THE STUDIES. PUBLICATION BIAS WAS ASSESSED BY STATISTICAL METHODS. FIVE TRIALS WITH 363 PARTICIPANTS MET THE INCLUSION CRITERIA WITH MEDIUM TO HIGH RISK OF BIAS AND DIFFERENT INTERVENTION CHARACTERISTICS. THE STUDIES' RESULTS SHOW IMPROVEMENT IN OUTCOMES AMONG PATIENTS WITH DIABETES TYPE II. THESE IMPROVEMENTS WERE MAINLY AMONG SHORT TERM OR IMMEDIATE DIABETES OUTCOMES AND NOT ALL WERE STATISTICALLY SIGNIFICANT. THE RESULTS WERE INCONCLUSIVE AND NOT SIGNIFICANT FOR THE LONG-TERM OUTCOMES. NO ADVERSE EFFECTS WERE REPORTED IN ANY OF THE INCLUDED STUDIES. SHORT-TERM BENEFITS FOR PATIENTS WITH DIABETES MAY BE ACHIEVED FROM PRACTICING YOGA. FURTHER RESEARCH IS NEEDED IN THIS AREA. FACTORS LIKE QUALITY OF THE TRIALS AND OTHER METHODOLOGICAL ISSUES SHOULD BE IMPROVED BY LARGE RANDOMIZED CONTROL TRIALS WITH ALLOCATION CONCEALMENT TO ASSESS THE EFFECTIVENESS OF YOGA ON DIABETES TYPE II. A DEFINITIVE RECOMMENDATION FOR PHYSICIANS TO ENCOURAGE THEIR PATIENTS TO PRACTICE YOGA CANNOT BE REACHED AT PRESENT. 2010 20 1055 38 EFFECTS OF YOGA ON CHRONIC NECK PAIN: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. [PURPOSE] THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFECTIVENESS OF YOGA IN THE MANAGEMENT OF CHRONIC NECK PAIN. [SUBJECTS AND METHODS] FIVE ELECTRONIC DATABASES WERE SEARCHED TO IDENTIFY RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA INTERVENTION ON CHRONIC NECK PAIN. THE TRIALS WERE PUBLISHED IN THE ENGLISH LANGUAGE BETWEEN JANUARY 1966 AND DECEMBER 2015. THE COCHRANE RISK OF BIAS TOOL WAS USED TO ASSESS THE QUALITY OF THE TRIALS. [RESULTS] THREE TRIALS WERE IDENTIFIED AND INCLUDED IN THIS REVIEW. A CRITICAL APPRAISAL WAS PERFORMED ON THE TRIALS, AND THE RESULT INDICATED A HIGH RISK OF BIAS. A NARRATIVE DESCRIPTION WAS PROCESSED BECAUSE OF THE SMALL NUMBER OF RCTS. NECK PAIN INTENSITY AND FUNCTIONAL DISABILITY WERE SIGNIFICANTLY LOWER IN THE YOGA GROUPS THAN IN THE CONTROL GROUPS. [CONCLUSION] EVIDENCE FROM THE 3 RANDOMLY CONTROLLED TRIALS SHOWS THAT YOGA MAY BE BENEFICIAL FOR CHRONIC NECK PAIN. THE LOW-QUALITY RESULT OF THE CRITICAL APPRAISAL AND THE SMALL NUMBER OF TRIALS SUGGEST THAT HIGH-QUALITY RCTS ARE REQUIRED TO EXAMINE FURTHER THE EFFECTS OF YOGA INTERVENTION ON CHRONIC NECK PAIN RELIEF. 2016