1 1139 96 EFFICACY OF YOGA TRAINING IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVES: TO EVALUATE THE IMPACT OF YOGA TRAINING IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). METHOD: A LITERATURE SEARCH WAS PERFORMED IN PUBMED, COCHRANE LIBRARY, EMBASE, CINAHL, AND WEB OF SCIENCE FOR RELEVANT STUDIES PUBLISHED BEFORE JUNE 2017. QUALITY ASSESSMENT, SENSITIVITY ANALYSIS AND HETEROGENEITY WERE PERFORMED. STATA12.0 SOFTWARE WAS USED FOR STATISTICAL ANALYSIS. RESULTS: TEN STUDIES WERE ELIGIBLE FOR THIS ANALYSIS. THERE WERE SIGNIFICANTLY GREATER IMPROVEMENTS IN 6MWD (P = 0.000), BORG SCALE SCORES (P = 0.018), FEV1 VALUE (P = 0. 013), PACO2 (P = 0.037), SGRQ SCORES (P = 0. 000) AND CAT SCORES (P = 0.009) IN YOGA TRAINING PATIENTS. NO STATISTICALLY SIGNIFICANT DIFFERENCE WAS OBSERVED IN THE FEV1/FVC (P = 0.75), FEV1 PREDICTED VALUE (P = 0.057) AND FVC (P = 0.05). CONCLUSIONS: THIS META-ANALYSIS INDICATES THAT YOGA TRAINING CAN BE AN ACCEPTABLE AND APPROPRIATED ADJUNCTIVE REHABILITATION PROGRAM FOR COPD PATIENTS. 2018 2 2271 39 THE RISKS AND BENEFITS OF YOGA FOR PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVES: TO DETERMINE THE EFFECTIVENESS AND SAFETY OF YOGA INTERVENTIONS ON DISEASE SYMPTOMS, QUALITY OF LIFE AND FUNCTION IN PATIENTS DIAGNOSED WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). DATA SOURCES: MEDLINE/PUBMED, SCOPUS, AND CENTRAL (COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS) WERE SEARCHED THROUGH 6 JUNE 2019. REVIEW METHODS: RANDOMIZED CONTROLLED TRIALS ASSESSING THE EFFECTS OF YOGA ON QUALITY OF LIFE, DYSPNEA, EXERCISE CAPACITY, AND PULMONARY FUNCTION (FEV1) IN PATIENTS WITH COPD WERE INCLUDED. SAFETY WAS DEFINED AS SECONDARY OUTCOME. MEAN DIFFERENCES (MD) AND STANDARDIZED MEAN DIFFERENCES (SMD) WITH 95% CONFIDENCE INTERVALS (CIS) WERE COMPUTED. RISK OF BIAS WAS ASSESSED USING THE COCHRANE TOOL. RESULTS: ELEVEN RANDOMIZED CONTROLLED TRIALS WITH A TOTAL OF 586 PATIENTS WERE INCLUDED. META-ANALYSIS REVEALED EVIDENCE FOR EFFECTS OF YOGA COMPARED TO NO TREATMENT ON QUALITY OF LIFE ON THE COPD ASSESSMENT TEST (MD = 3.81; 95% CI = 0.97 TO 6.65; P = 0.009, I(2) = 70%), EXERCISE CAPACITY ASSESSED BY THE 6-MINUTE WALK TEST (MD = 25.53 M; 95% CI = 12.16 M TO 38.90 M; P = 0.001, I(2) = 0%), AND PULMONARY FUNCTION ASSESSED BY FEV1 PREDICTED (MD = 3.95%; 95% CI = 2.74% TO 5.17%; P < 0.001, I(2) = 0%). ONLY THE EFFECTS ON EXERCISE CAPACITY AND PULMONARY FUNCTION WERE ROBUST AGAINST METHODOLOGICAL BIAS. EFFECTS WERE ONLY PRESENT IN BREATHING-FOCUSED YOGA INTERVENTIONS BUT NOT IN INTERVENTIONS INCLUDING YOGA POSTURES. ADVERSE EVENTS WERE REPORTED INFREQUENTLY. CONCLUSION: THIS META-ANALYSIS FOUND ROBUST EFFECTS OF YOGA ON EXERCISE CAPACITY AND PULMONARY FUNCTION IN PATIENTS WITH COPD. YOGA, SPECIFICALLY YOGA BREATHING TECHNIQUES, CAN BE AN EFFECTIVE ADJUNCT INTERVENTION FOR PATIENTS WITH COPD. YOGA'S SAFETY NEEDS TO BE ASSESSED IN MORE DEPTH IN FUTURE STUDIES. 2019 3 2683 35 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 4 792 33 EFFECT OF YOGA IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE. YOGA IS ADJUNCTIVELY UTILIZED OUTSIDE THE UNITED STATES IN THE TREATMENT OF A VARIETY OF DISEASES, INCLUDING CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), BUT THERE ARE NO STUDIES ASSESSING ITS ADJUNCTIVE EFFICACY IN THE UNITED STATES. WE PROSPECTIVELY EVALUATED THE EFFECTS OF YOGA TRAINING ON THE QUALITY OF LIFE (QOL) AND THE PARAMETERS OF LUNG FUNCTION IN PATIENTS WITH COPD. THIRTY-THREE PATIENTS WITH DOCUMENTED COPD, PER GLOBAL INITIATIVE FOR OBSTRUCTIVE LUNG DISEASE CRITERIA, WERE RECRUITED. ALL PATIENTS RECEIVED STANDARD COPD CARE. THE QOL WAS ASSESSED BY THE ST. GEORGE RESPIRATORY QUESTIONNAIRE. STANDARD SPIROMETRY AND MAXIMUM INSPIRATORY (MAXIMAL INSPIRATORY PRESSURE) AND EXPIRATORY PRESSURE (MAXIMAL EXPIRATORY PRESSURE) WERE MEASURED. PATIENTS WERE TAUGHT SELECTED YOGA EXERCISES INCLUDING BREATHING EXERCISES, MEDITATION, AND YOGA POSTURES FOR 1 HOUR, THRICE A WEEK FOR 6 WEEKS BY A CERTIFIED YOGA THERAPIST. THE QUALITY OF LIFE AND LUNG FUNCTION WERE AGAIN ASSESSED AT THE END OF 6 WEEKS. TWENTY-TWO PATIENTS COMPLETED THE STUDY. DIFFERENCES IN PREYOGA VERSUS POSTYOGA SCORES WERE EVALUATED USING PAIRED T-TESTS. STATISTICALLY SIGNIFICANT IMPROVEMENTS (P < 0.05) WERE OBSERVED FOR THE ST. GEORGE RESPIRATORY QUESTIONNAIRE [95% CONFIDENCE INTERVAL (CI) 43.13-58.47], VITAL CAPACITY (95% CI 2.53-7.65), MAXIMAL INSPIRATORY PRESSURE (95% CI 6.62-23.64), AND MAXIMAL EXPIRATORY PRESSURE (95% CI 1.63-13.81). YOGA WHEN PRACTICED BY PATIENTS WITH COPD RESULTS IN IMPROVEMENT IN THE QOL AND LUNG FUNCTION ON A SHORT-TERM BASIS. ADDITIONAL RESEARCH IS NEEDED TO CONFIRM THESE FINDINGS IN A RANDOMIZED CONTROLLED TRIAL AND IN THE LONGER TERM. 2012 5 1124 36 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 6 2365 31 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 7 786 32 EFFECT OF YOGA BREATHING (PRANAYAMA) ON EXERCISE TOLERANCE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A RANDOMIZED, CONTROLLED TRIAL. OBJECTIVE: PULMONARY REHABILITATION IMPROVES EXERCISE TOLERANCE IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD). HOWEVER, MANY PATIENTS DO NOT HAVE ACCESS TO PULMONARY REHABILITATION PROGRAMS. WE HYPOTHESIZED THAT AN ALTERNATIVE TO PULMONARY REHABILITATION TO IMPROVE EXERCISE TOLERANCE IS THE PRACTICE OF PRANAYAMA, OR YOGA BREATHING, WHICH COULD BE DONE INDEPENDENTLY AT HOME. WE ALSO SOUGHT TO DETERMINE WHETHER YOGA NONPROFESSIONALS COULD ADEQUATELY TEACH PRANAYAMA TO PATIENTS. DESIGN: PROOF-OF-CONCEPT, RANDOMIZED, DOUBLE-BLIND, CONTROLLED PILOT TRIAL. SETTINGS/LOCATION: TWO ACADEMIC PULMONARY PRACTICES. SUBJECTS: FORTY-THREE PATIENTS WITH SYMPTOMATIC, MODERATE-TO-SEVERE COPD. INTERVENTIONS: TWELVE WEEKS OF PRANAYAMA PLUS EDUCATION VERSUS EDUCATION ALONE. TWO YOGA PROFESSIONALS TRAINED THE RESEARCH COORDINATORS TO CONDUCT ALL PRANAYAMA TEACHING AND MONITORED THE QUALITY OF THE TEACHING AND THE PRACTICE OF PRANAYAMA BY STUDY PARTICIPANTS. OUTCOME MEASURES: THE PRIMARY OUTCOME WAS A CHANGE IN THE 6-MIN WALK DISTANCE (6MWD). SECONDARY OUTCOMES INCLUDED CHANGES IN LUNG FUNCTION, MARKERS OF OXIDATIVE STRESS AND SYSTEMIC INFLAMMATION, AND MEASURES OF DYSPNEA AND QUALITY OF LIFE. RESULTS: THE 6MWD INCREASED IN THE PRANAYAMA GROUP (LEAST SQUARE MEAN [95% CONFIDENCE INTERVAL] = 28 M [-5 TO 61]) AND DECREASED IN THE CONTROL GROUP (-15 M [-47 TO 16]), WITH A NEARLY SIGNIFICANT TREATMENT EFFECT (P = 0.06) IN FAVOR OF PRANAYAMA. PRANAYAMA ALSO RESULTED IN SMALL IMPROVEMENTS IN INSPIRATORY CAPACITY AND AIR TRAPPING. BOTH GROUPS HAD SIGNIFICANT IMPROVEMENTS IN VARIOUS MEASURES OF SYMPTOMS, BUT NO OVERALL DIFFERENCES IN RESPIRATORY SYSTEM IMPEDANCE OR MARKERS OF OXIDATIVE STRESS OR SYSTEMIC INFLAMMATION. CONCLUSION: THIS PILOT STUDY SUCCESSFULLY DEMONSTRATED THAT PRANAYAMA WAS ASSOCIATED WITH IMPROVED EXERCISE TOLERANCE IN PATIENTS WITH COPD. LAY PERSONNEL WERE ABLE TO ADEQUATELY TEACH PATIENTS TO PRACTICE PRANAYAMA. THESE RESULTS SUGGEST THAT PRANAYAMA MAY HAVE SIGNIFICANT CLINICAL BENEFITS FOR SYMPTOMATIC PATIENTS WITH COPD, A CONCEPT THAT NEEDS TO BE CONFIRMED IN FUTURE, LARGER CLINICAL TRIALS. 2017 8 1912 30 ROLE OF BREATHING EXERCISES AND YOGA/PRANAYAMA IN CHILDHOOD ASTHMA: A SYSTEMATIC REVIEW. BACKGROUND: VARIOUS COMPLEMENTARY OR ALTERNATIVE MEDICINES (INCLUDING BREATHING EXERCISES AND YOGA/PRANAYAMA) HAVE BEEN TRIED AS AN ATTRACTIVE OPTION TO PHARMACOTHERAPY IN CHILDHOOD ASTHMA. OBJECTIVE: TO EVALUATE THE ROLE OF BREATHING EXERCISE AND YOGA/PRANAYAMA AS ADD ON THERAPY TO THE "PHARMACOLOGICALLY RECOMMENDED TREATMENT" OF CHILDHOOD ASTHMA. METHODS: WE SEARCHED THE PUBLISHED LITERATURE IN THE MAJOR DATABASES: MEDLINE VIA OVID, PUBMED, CENTRAL, EMBASE, AND GOOGLE SCHOLAR TILL JUNE 2018. RANDOMIZED TRIALS COMPARING BREATHING EXERCISES AND YOGA/ PRANAYAMA VERSUS CONTROL OR AS PART OF A COMPOSITE INTERVENTION VERSUS CONTROL WERE INCLUDED. THE PRIMARY OUTCOME MEASURES WERE QUALITY OF LIFE AND CHANGE IN ASTHMA SYMPTOMS. SECONDARY OUTCOMES WERE: DECREASE IN MEDICATION USE, NUMBER OF EXACERBATIONS, CHANGE IN LUNG FUNCTION AND IMMUNOLOGICAL PARAMETERS, SCHOOL ABSENTEEISM AND ADVERSE EVENTS. RESULTS: A TOTAL OF 10 TRIALS (466 CHILDREN, 6-14 YEARS AGE) WERE INCLUDED. THE SEVERITY OF ASTHMA VARIED AMONG THE TRIALS. THE DATA FOR PRIMARY OUTCOME MEASURES COULD NOT BE POOLED, THERE WERE MIXED RESULTS FOR BOTH PRIMARY AND SECONDARY OUTCOMES. NO SIGNIFICANT BENEFIT WAS OBTAINED IN ACUTE ASTHMA AND THE LUNG FUNCTION TESTS [EXCEPT PEFR % AT 4-6 WEEKS, PEF ABSOLUTE AT 3 MONTHS, AND FVC ABSOLUTE AT 3 MONTHS] IN CHRONIC ASTHMA. ONE TRIAL COMPARED BREATHING EXERCISE VERSUS YOGA AND FOUND NO DIFFERENCE. ADVERSE EVENTS WERE NOT SIGNIFICANT. CONCLUSIONS: BREATHING EXERCISE AND YOGA/ PRANAYAMA MAY HAVE SOME ADDITIVE ROLE IN THE TREATMENT OF CHILDHOOD ASTHMA. HOWEVER, AT PRESENT, IT CANNOT BE RECOMMENDED AS A STANDARD OF CARE DUE TO INSUFFICIENT DATA. 2019 9 1077 36 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 10 1065 29 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 11 2079 33 THE EFFECT OF EXERCISE, YOGA AND PHYSIOTHERAPY ON THE QUALITY OF LIFE OF PEOPLE WITH MULTIPLE SCLEROSIS: SYSTEMATIC REVIEW AND META-ANALYSIS. INTRODUCTION: MULTIPLE SCLEROSIS (MS) IS A CHRONIC AUTOIMMUNE DISEASE AFFECTING THE MYELINATED AXONS OF THE CENTRAL NERVOUS SYSTEM CAUSING NEUROLOGICAL DETERIORATION. PEOPLE LIVING WITH MS HAVE A POOR QUALITY OF LIFE (QOL) BECAUSE OF THE SYMPTOMS CAUSED BY THE DISEASE AND THERE ARE VARIOUS TYPES OF TREATMENTS TO MANAGE THE SYMPTOMS ASIDE FROM MEDICATION. OBJECTIVE: THIS META-ANALYSIS EXAMINES THE EFFECT OF EXERCISE, YOGA AND PHYSIOTHERAPY ON THE PHYSICAL, MENTAL AND SOCIAL QOL AMONG INDIVIDUALS LIVING WITH MS. SETTING: A SYSTEMATIC REVIEW WITH META-ANALYSIS WAS CONDUCTED USING PUBMED, MEDLINE, AND SCOPUS FROM 1990 TO 2017. THE STANDARD MEAN DIFFERENCE SCORES WERE COMPUTED IN EACH STUDY FOR THE DOMAINS OF PHYSICAL, MENTAL AND SOCIAL FUNCTIONING. RESULTS: EIGHTEEN STUDIES MET THE INCLUSION CRITERIA FOR THIS META-ANALYSIS. AEROBIC EXERCISE WAS EFFECTIVE IN IMPROVING SATISFACTION WITH PHYSICAL FUNCTIONING,D = 0.35 (95% CI = 0.08 TO 0.62), MENTAL FUNCTIONING D = 0.42 (95% CI = 0.11 TO 0.72), AND SOCIAL FUNCTIONING D = 0.42 (95% CI = 0.15 TO 0.69). PHYSIOTHERAPY WAS ALSO FOUND TO BE EFFECTIVE FOR PHYSICAL FUNCTIONING D = 0.50 (95% CI 0.19 TO 0.80), MENTAL FUNCTIONING D = 0.44 (95% CI 0.14 TO 0.75) AND SOCIAL FUNCTIONING D = 0.60 (95% CI 0.21 TO 0.90). HOWEVER YOGA AND COMBINATION OF EXERCISES DID NOT HAVE A SIGNIFICANT EFFECT ON ANY OF THE QOL DOMAINS. CONCLUSION: THESE FINDINGS SUGGEST THAT AEROBIC EXERCISE AND PHYSIOTHERAPY IMPROVES THE SATISFACTION OF MS PATIENTS WITH THEIR PHYSICAL, MENTAL AND SOCIAL FUNCTIONING AND MAY BE INCLUDED AS NORMAL PRACTICE IN THE TREATMENT OF MS. 2019 12 826 31 EFFECT OF YOGA ON HEALTH-RELATED QUALITY OF LIFE IN CENTRAL NERVOUS SYSTEM DISORDERS: A SYSTEMATIC REVIEW. OBJECTIVE: INVESTIGATE THE EFFECT OF YOGA ON HEALTH-RELATED QUALITY OF LIFE (HRQOL) IN PATIENTS WITH CENTRAL NERVOUS SYSTEM DISORDERS. METHODS: A SYSTEMATIC SEARCH WAS CONDUCTED ON THE PUBMED-NCBI, EBSCO HOST, COCHRANE LIBRARY, SCOPUS AND SCIENCEDIRECT DATABASES UNTIL 05 APRIL 2021. ONLY RANDOMIZED CONTROL TRIALS PUBLISHED IN ENGLISH OR FRENCH WERE INCLUDED AND HAD TO COMPARE YOGA TO ANOTHER INTERVENTION GROUP OR A CONTROL GROUP. THEY ALSO HAD TO CLEARLY MEASURE HRQOL. METHODOLOGICAL QUALITY WAS ASSESSED WITH THE REVISED COCHRANE RISK-OF-BIAS TOOL FOR RANDOMIZED TRIALS AND THE QUALITY OF EVIDENCE WAS EVALUATED USING THE GRADING OF RECOMMENDATIONS ASSESSMENT, DEVELOPMENT AND EVALUATION (GRADE) CRITERIA. RESULTS: SIXTEEN STUDIES WERE FOUND, INCLUDING SIX FOR MULTIPLE SCLEROSIS, FIVE FOR PARKINSON'S DISEASE, TWO FOR STROKE, ONE FOR DEMENTIA, ONE FOR EPILEPSY AND ONE FOR BRAIN TUMOUR. ONLY 12 STUDIES PERFORMED BETWEEN-GROUP STATISTICS AND 8 FOUND A SIGNIFICANT DIFFERENCE BETWEEN GROUPS AFTER TREATMENT. WHEN YOGA WAS COMPARED TO NO INTERVENTION, THE RESULTS WERE GENERALLY IN FAVOUR OF THE YOGA GROUP, BUT WHEN YOGA WAS COMPARED TO ANOTHER INTERVENTION PROGRAMME, THERE WAS GENERALLY NO SIGNIFICANT DIFFERENCE BETWEEN GROUPS. THERE WERE MANY DIFFERENT HRQOL QUESTIONNAIRES, EVEN WITHIN THE SAME DISEASE, WHICH REDUCES THE COMPARABILITY OF STUDIES. CONCLUSIONS: WITH LOW TO MODERATE QUALITY OF THE EVIDENCE, YOGA SEEMS EFFECTIVE TO IMPROVE HRQOL IN PEOPLE WITH PARKINSON'S DISEASE. FOR MULTIPLE SCLEROSIS, STROKE, DEMENTIA, EPILEPSY AND BRAIN TUMOUR, THE QUALITY OF THE EVIDENCE IS STILL INSUFFICIENT TO CONCLUDE OF THE EFFECTIVENESS OF YOGA. 2021 13 1740 29 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 14 1043 25 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 15 1079 26 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 16 559 36 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 17 2230 27 THE IMPACT OF YOGA ON FATIGUE IN CANCER SURVIVORSHIP: A META-ANALYSIS. BACKGROUND: MIND-BODY APPROACHES, PARTICULARLY YOGA, ARE USED BY CANCER SURVIVORS TO COPE WITH TREATMENT-RELATED SYMPTOMS. CONSISTENCY OF YOGA-RELATED EFFECTS ON TREATMENT-RELATED SYMPTOMS ARE NOT KNOWN. THIS META-ANALYSIS WAS DESIGNED TO EXAMINE EFFECTS OF YOGA ON PRE- TO POSTINTERVENTION IMPROVEMENTS IN FATIGUE AMONG CANCER PATIENTS. METHODS: PUBMED AND PSYCINFO WERE SEARCHED FOR PEER-REVIEWED ARTICLES OF YOGA RANDOMIZED CONTROLLED TRIALS INCLUDING CANCER SURVIVORS AND REPORTING AT LEAST ONE FATIGUE MEASURE. TWENTY-NINE STUDIES MET INCLUSION CRITERIA (N = 1828 PATIENTS). EFFECT SIZES (HEDGE'S G) WERE CALCULATED FOR FATIGUE, DEPRESSION, AND QUALITY OF LIFE. PATIENT-RELATED AND INTERVENTION-RELATED CHARACTERISTICS WERE TESTED AS MODERATORS OF OUTCOMES. ALL STATISTICAL TESTS WERE TWO-SIDED. RESULTS: YOGA PRACTICE WAS ASSOCIATED WITH A SMALL, STATISTICALLY SIGNIFICANT DECREASE IN FATIGUE (G = 0.45, P = .013). YOGA TYPE WAS A STATISTICALLY SIGNIFICANT MODERATOR OF THIS RELATIONSHIP (P = .02). YOGA WAS ASSOCIATED WITH A MODERATE DECREASE IN DEPRESSION (G = 0.72, P = .007) BUT WAS NOT ASSOCIATED WITH STATISTICALLY SIGNIFICANT CHANGES IN QUALITY OF LIFE (P = .48). SESSION LENGTH WAS A STATISTICALLY SIGNIFICANT MODERATOR OF THE RELATIONSHIP BETWEEN YOGA AND DEPRESSION (P = .004). NEITHER TIMING OF TREATMENT (DURING TREATMENT VS POSTTREATMENT) NOR CLINICAL CHARACTERISTICS WERE STATISTICALLY SIGNIFICANT MODERATORS OF THE EFFECTS OF YOGA ON OUTCOMES. THE EFFECT OF YOGA ON FATIGUE AND DEPRESSION WAS LARGER WHEN THE COMPARATOR WAS A "WAITLIST" OR "USUAL CARE" THAN WHEN THE CONTROL GROUP WAS ANOTHER ACTIVE TREATMENT (P = .036). CONCLUSIONS: RESULTS SUGGEST YOGA MAY BE BENEFICIAL AS A COMPONENT OF TREATMENT FOR BOTH FATIGUE AND DEPRESSION IN CANCER SURVIVORS. 2020 18 1141 24 EFFICACY OF YOGA, TAI CHI AND QI GONG ON THE MAIN SYMPTOMS OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE: A SYSTEMATIC REVIEW. INTRODUCTION: THE AIM OF THIS SYSTEMATIC REVIEW WAS TO SUMMARIZE THE EFFECTS OF YOGA, QI GONG OR TAI CHI IN COPD PATIENTS. METHODS: STUDIES EVALUATING EFFECTS OF THE SELECTED COMPLEMENTARY THERAPIES ON LUNG FUNCTION, DYSPNEA, QUALITY OF LIFE OR FUNCTIONAL EXERCISE CAPACITY IN COPD PATIENTS WERE IDENTIFIED AND REVIEWED FROM THREE DATABASES. RESULTS: EIGHTEEN STUDIES WERE INCLUDED. SIX STUDIES EVALUATED THE EFFECTS OF YOGA AND THE OTHERS FOCUSED ON TAI CHI OR QI GONG SEPARATELY OR COMBINED. THE DURATION OF THE PROGRAMS RANGED FROM 6 WEEKS TO 6 MONTHS AND THE FREQUENCY FROM 2 TO 7 TIMES A WEEK. EACH SESSION REACHED 30 TO 90 MINUTES. BENEFITS WERE OBSERVED ON LUNG FUNCTION AND FUNCTIONAL EXERCISE CAPACITY BUT BENEFIT WAS CLEARLY STATED NEITHER ON QUALITY OF LIFE NOR ON DYSPNEA. CONCLUSION: THIS SYSTEMATIC REVIEW HIGHLIGHTS THE POTENTIAL OF THESE THERAPIES AS COMPLEMENTARY THERAPEUTIC APPROACH IN COPD PATIENTS. 2019 19 2330 29 TWELVE WEEKS OF YOGA FOR CHRONIC NONSPECIFIC LOWER BACK PAIN: A META-ANALYSIS. OBJECTIVES: TO INVESTIGATE THE OVERALL EFFECTS OF 12 WEEKS OF YOGA PRACTICE ON CHRONIC NONSPECIFIC LOWER BACK PAIN. METHODS: PUBMED, EMBASE, PSYCINFO, WEB OF SCIENCE, AND THE COCHRANE LIBRARY DATABASES WERE SEARCHED FROM INCEPTION TO FEBRUARY 9, 2019, AND SIX RANDOMIZED CONTROLLED TRIALS WERE SELECTED FOR THIS META-ANALYSIS. RESULTS: THE POOLED FIXED-EFFECT SIZE OF SIX TRIALS SHOWED THAT 12 WEEKS OF YOGA PROGRAMS COULD SIGNIFICANTLY REDUCE CHRONIC NONSPECIFIC LOWER BACK PAIN BY 0.41 WITHIN THE TRIALS (STANDARDIZED MEAN DIFFERENCE; 95% CONFIDENCE INTERVAL: -0.58 TO -0.23; P < .0001). SUBGROUP ANALYSES ALSO SHOWED THAT SIGNIFICANT PAIN REDUCTION WAS RELATED TO TYPE OF YOGA, LENGTH OF SESSION, STUDY QUALITY, AND TIMING OF PAIN ASSESSMENT. CONCLUSIONS: THESE FINDINGS REVEAL THAT 12 WEEKS OF YOGA CAN HELP ALLEVIATE PAIN, AND YOGA PROGRAMS SHOULD TAKE INTO ACCOUNT THE SUBGROUP FACTORS TO INCREASE INDIVIDUALS' RELIEF FROM CHRONIC NONSPECIFIC LOWER BACK PAIN. 2020 20 928 28 EFFECTIVENESS OF YOGA ON ARTERIAL STIFFNESS: A SYSTEMATIC REVIEW. OBJECTIVES: ARTERIAL STIFFNESS IS A MAJOR CARDIOVASCULAR (CV) RISK AND AN INDEPENDENT STRONG PREDICTOR OF CV MORBIDITY AND MORTALITY. THE AIM OF THIS SYSTEMATIC REVIEW IS TO EVALUATE THE CLINICAL OR INTERVENTIONAL STUDIES THAT ASSESSED THE EFFECTIVENESS OF YOGA ON ARTERIAL STIFFNESS IN PARTICIPANTS OF ANY AGE OR SEX, HEALTHY OR WITH ANY CONDITIONS. DESIGN: SYSTEMATIC REVIEW OF CLINICAL TRIALS OR INTERVENTIONAL STUDIES. DATA SOURCES: COCHRANE LIBRARY, MEDLINE/PUBMED, SCOPUS, AND GOOGLE SCHOLAR DATABASES. REVIEW METHODS: DATABASES WERE SEARCHED TILL JULY 2019 FOR CLINICAL TRIALS OR INTERVENTIONAL STUDIES WHETHER CONTROLLED OR UNCONTROLLED, RANDOMIZED OR NON-RANDOMIZED STUDIES ASSESSING THE EFFECTS OF YOGA ON ARTERIAL STIFFNESS. QUALITY OF THE STUDIES WAS ASSESSED BY USING PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO) SCALE. RESULTS: SEVEN FULL-TEXT ARTICLES (TOTAL NUMBER OF PARTICIPANTS = 362) THAT EVALUATED THE EFFECT OF YOGA ON ARTERIAL STIFFNESS WERE INCLUDED IN THIS REVIEW. THERE WERE THREE RANDOMIZED CONTROLLED STUDIES AND FOUR WERE NON-CONTROLLED STUDIES (SINGLE GROUP STUDIES). FOUR STUDIES HAVE SHOWN SIGNIFICANT REDUCTION IN ARTERIAL STIFFNESS, WHILE THREE STUDIES DID NOT FIND ANY SIGNIFICANT CHANGE IN ARTERIAL STIFFNESS. THE BENEFICIAL EFFECTS OF YOGA INTERVENTION ON ARTERIAL STIFFNESS IN YOUNG ADULTS AND ELDERLY HYPERTENSIVE PATIENTS ARE ENCOURAGING. METHODOLOGICAL QUALITY WAS GOOD FOR ONE STUDY, MODERATE FOR TWO STUDIES AND POOR FOR FOUR STUDIES. CONCLUSIONS: THIS REVIEW SHOWS THAT YOGA PRACTICE IS EFFECTIVE IN PREVENTING OR REDUCING THE ARTERIAL STIFFNESS IN YOUNG HEALTHY AND OBESE, AND ELDERLY HYPERTENSIVE PATIENTS. AS THE METHODOLOGY OF MANY STUDIES IS OF LOW QUALITY AND SAFETY MEASURES WERE NOT REPORTED, THERE IS A NEED OF QUALITY RANDOMIZED CONTROLLED TRIALS OF YOGA EFFECTS ON ARTERIAL STIFFNESS AMONG HIGH RISK INDIVIDUALS. 2020