1 1337 129 HOW DOES YOGA REDUCE STRESS? A SYSTEMATIC REVIEW OF MECHANISMS OF CHANGE AND GUIDE TO FUTURE INQUIRY. YOGA IS INCREASINGLY USED IN CLINICAL SETTINGS FOR A VARIETY OF MENTAL AND PHYSICAL HEALTH ISSUES, PARTICULARLY STRESS-RELATED ILLNESSES AND CONCERNS, AND HAS DEMONSTRATED PROMISING EFFICACY. YET THE WAYS IN WHICH YOGA REDUCES STRESS REMAIN POORLY UNDERSTOOD. TO EXAMINE THE EMPIRICAL EVIDENCE REGARDING THE MECHANISMS THROUGH WHICH YOGA REDUCES STRESS, WE CONDUCTED A SYSTEMATIC REVIEW OF THE LITERATURE, INCLUDING ANY YOGA INTERVENTION THAT MEASURED STRESS AS A PRIMARY DEPENDENT VARIABLE AND TESTED A MECHANISM OF THE RELATIONSHIP WITH MEDIATION. OUR ELECTRONIC DATABASE SEARCH YIELDED 926 ABSTRACTS, OF WHICH 71 WERE CHOSEN FOR FURTHER INSPECTION AND 5 WERE SELECTED FOR THE FINAL SYSTEMATIC REVIEW. THESE FIVE STUDIES EXAMINED THREE PSYCHOLOGICAL MECHANISMS (POSITIVE AFFECT, MINDFULNESS AND SELF-COMPASSION) AND FOUR BIOLOGICAL MECHANISMS (POSTERIOR HYPOTHALAMUS, INTERLEUKIN-6, C-REACTIVE PROTEIN AND CORTISOL). POSITIVE AFFECT, SELF-COMPASSION, INHIBITION OF THE POSTERIOR HYPOTHALAMUS AND SALIVARY CORTISOL WERE ALL SHOWN TO MEDIATE THE RELATIONSHIP BETWEEN YOGA AND STRESS. IT IS STRIKING THAT THE LITERATURE DESCRIBING POTENTIAL MECHANISMS IS GROWING RAPIDLY, YET ONLY SEVEN MECHANISMS HAVE BEEN EMPIRICALLY EXAMINED; MORE RESEARCH IS NECESSARY. ALSO, FUTURE RESEARCH OUGHT TO INCLUDE MORE RIGOROUS METHODOLOGY, INCLUDING SUFFICIENT POWER, STUDY RANDOMISATION AND APPROPRIATE CONTROL GROUPS. 2015 2 203 27 A REVIEW OF THE LITERATURE EXAMINING THE PHYSIOLOGICAL PROCESSES UNDERLYING THE THERAPEUTIC BENEFITS OF HATHA YOGA. AN ESTIMATED 7.4 MILLION AMERICANS CURRENTLY PRACTICE HATHA YOGA. MOREOVER, 64% OF INDIVIDUALS WHO PRACTICE YOGA REPORT DOING SO FOR WELL-BEING. PREVIOUS RESEARCH HAS REPORTED AN ASSOCIATION BETWEEN YOGA PRACTICE AND SUBJECTIVE WELL-BEING; HOWEVER, FEW STUDIES HAVE INVESTIGATED THE PHYSIOLOGICAL MECHANISMS INVOLVED. THE FOLLOWING REVIEW PROVIDES AN HISTORICAL OVERVIEW OF THE FIELD OF INTEGRATIVE MEDICINE, WHICH CONCEPTUALIZES YOGA AS A MIND-BODY PRACTICE. A BRIEF DESCRIPTION OF HATHA YOGA IS PROVIDED THAT DESCRIBES THE PURPORTED RELATIONSHIP BETWEEN YOGA AND THE RELAXATION RESPONSE. A REVIEW OF THE EMERGING LITERATURE RELATED TO NITRIC OXIDE AND OXIDATIVE STRESS AS POTENTIAL MECHANISMS IN THE RELATIONSHIP BETWEEN YOGA AND WELL-BEING ALSO IS INCLUDED. THE ARTICLE CONCLUDES WITH A BRIEF DISCUSSION OF THE STATE OF THE RESEARCH AND PROVIDES SUGGESTIONS FOR FUTURE STUDIES. 2008 3 226 34 A SYSTEMATIC REVIEW OF RANDOMISED CONTROL TRIALS ON THE EFFECTS OF YOGA ON STRESS MEASURES AND MOOD. STRESS RELATED DISORDERS SUCH AS DEPRESSION AND ANXIETY ARE LEADING SOURCES OF DISABILITY WORLDWIDE, AND CURRENT TREATMENT METHODS SUCH AS CONVENTIONAL ANTIDEPRESSANT MEDICATIONS ARE NOT BENEFICIAL FOR ALL INDIVIDUALS. THERE IS EVIDENCE THAT YOGA HAS MOOD-ENHANCING PROPERTIES POSSIBLY RELATED TO ITS INHIBITORY EFFECTS ON PHYSIOLOGICAL STRESS AND INFLAMMATION, WHICH ARE FREQUENTLY ASSOCIATED WITH AFFECTIVE DISORDERS. HOWEVER THE BIOLOGICAL MECHANISMS VIA WHICH YOGA EXERTS ITS THERAPEUTIC MOOD-MODULATING EFFECTS ARE LARGELY UNKNOWN. THIS SYSTEMATIC REVIEW INVESTIGATES THE EFFECTS OF YOGA ON SYMPATHETIC NERVOUS SYSTEM AND HYPOTHALAMIC PITUITARY ADRENAL AXIS REGULATION MEASURES. IT FOCUSES ON STUDIES COLLECTING PHYSIOLOGICAL PARAMETERS SUCH AS BLOOD PRESSURE, HEART RATE, CORTISOL, PERIPHERAL CYTOKINE EXPRESSION AND/OR STRUCTURAL AND FUNCTIONAL BRAIN MEASURES IN REGIONS INVOLVED IN STRESS AND MOOD REGULATION. OVERALL THE 25 RANDOMISED CONTROL STUDIES DISCUSSED PROVIDE PRELIMINARY EVIDENCE TO SUGGEST THAT YOGA PRACTICE LEADS TO BETTER REGULATION OF THE SYMPATHETIC NERVOUS SYSTEM AND HYPOTHALAMIC-PITUITARY-ADRENAL SYSTEM, AS WELL AS A DECREASE IN DEPRESSIVE AND ANXIOUS SYMPTOMS IN A RANGE OF POPULATIONS. FURTHER RESEARCH IS WARRANTED TO CONFIRM THESE PRELIMINARY FINDINGS AND FACILITATE IMPLEMENTATION IN CLINICAL SETTINGS. 2015 4 2292 29 THERAPEUTIC EFFECTS OF YOGA FOR CHILDREN: A SYSTEMATIC REVIEW OF THE LITERATURE. PURPOSE: WE COMPLETED A SYSTEMATIC REVIEW OF THE LITERATURE ON THE EFFECT OF YOGA ON QUALITY OF LIFE AND PHYSICAL OUTCOME MEASURES IN THE PEDIATRIC POPULATION. WE EXPLORED VARIOUS DATABASES AND INCLUDED CASE-CONTROL AND PILOT STUDIES, COHORT AND RANDOMIZED CONTROLLED TRIALS THAT EXAMINED YOGA AS AN EXERCISE INTERVENTION FOR CHILDREN. SUMMARY OF KEY POINTS: USING THE SACKETT LEVELS OF EVIDENCE, THIS ARTICLE REVIEWS THE LITERATURE ON YOGA AS A COMPLEMENTARY MIND-BODY MOVEMENT THERAPY. WE ADDRESS THE RESEARCH THROUGH THREE PRACTICE PATTERNS ACCORDING TO THE GUIDE TO PHYSICAL THERAPIST PRACTICE AND PROVIDE CONSIDERATIONS FOR THE INCLUSION OF YOGA INTO CLINICAL PRACTICE. STATEMENT OF CONCLUSIONS AND RECOMMENDATIONS FOR CLINICAL PRACTICE: THE EVIDENCE SHOWS PHYSIOLOGICAL BENEFITS OF YOGA FOR THE PEDIATRIC POPULATION THAT MAY BENEFIT CHILDREN THROUGH THE REHABILITATION PROCESS, BUT LARGER CLINICAL TRIALS, INCLUDING SPECIFIC MEASURES OF QUALITY OF LIFE ARE NECESSARY TO PROVIDE DEFINITIVE EVIDENCE. 2008 5 1218 24 EXPLORING THE THERAPEUTIC EFFECTS OF YOGA AND ITS ABILITY TO INCREASE QUALITY OF LIFE. THE OBJECTIVE OF THIS STUDY IS TO ASSESS THE FINDINGS OF SELECTED ARTICLES REGARDING THE THERAPEUTIC EFFECTS OF YOGA AND TO PROVIDE A COMPREHENSIVE REVIEW OF THE BENEFITS OF REGULAR YOGA PRACTICE. AS PARTICIPATION RATES IN MIND-BODY FITNESS PROGRAMS SUCH AS YOGA CONTINUE TO INCREASE, IT IS IMPORTANT FOR HEALTH CARE PROFESSIONALS TO BE INFORMED ABOUT THE NATURE OF YOGA AND THE EVIDENCE OF ITS MANY THERAPEUTIC EFFECTS. THUS, THIS MANUSCRIPT PROVIDES INFORMATION REGARDING THE THERAPEUTIC EFFECTS OF YOGA AS IT HAS BEEN STUDIED IN VARIOUS POPULATIONS CONCERNING A MULTITUDE OF DIFFERENT AILMENTS AND CONDITIONS. THERAPEUTIC YOGA IS DEFINED AS THE APPLICATION OF YOGA POSTURES AND PRACTICE TO THE TREATMENT OF HEALTH CONDITIONS AND INVOLVES INSTRUCTION IN YOGIC PRACTICES AND TEACHINGS TO PREVENT REDUCE OR ALLEVIATE STRUCTURAL, PHYSIOLOGICAL, EMOTIONAL AND SPIRITUAL PAIN, SUFFERING OR LIMITATIONS. RESULTS FROM THIS STUDY SHOW THAT YOGIC PRACTICES ENHANCE MUSCULAR STRENGTH AND BODY FLEXIBILITY, PROMOTE AND IMPROVE RESPIRATORY AND CARDIOVASCULAR FUNCTION, PROMOTE RECOVERY FROM AND TREATMENT OF ADDICTION, REDUCE STRESS, ANXIETY, DEPRESSION, AND CHRONIC PAIN, IMPROVE SLEEP PATTERNS, AND ENHANCE OVERALL WELL-BEING AND QUALITY OF LIFE. 2011 6 2210 38 THE HEALTH BENEFITS OF YOGA AND EXERCISE: A REVIEW OF COMPARISON STUDIES. OBJECTIVES: EXERCISE IS CONSIDERED AN ACCEPTABLE METHOD FOR IMPROVING AND MAINTAINING PHYSICAL AND EMOTIONAL HEALTH. A GROWING BODY OF EVIDENCE SUPPORTS THE BELIEF THAT YOGA BENEFITS PHYSICAL AND MENTAL HEALTH VIA DOWN-REGULATION OF THE HYPOTHALAMIC-PITUITARY-ADRENAL (HPA) AXIS AND THE SYMPATHETIC NERVOUS SYSTEM (SNS). THE PURPOSE OF THIS ARTICLE IS TO PROVIDE A SCHOLARLY REVIEW OF THE LITERATURE REGARDING RESEARCH STUDIES COMPARING THE EFFECTS OF YOGA AND EXERCISE ON A VARIETY OF HEALTH OUTCOMES AND HEALTH CONDITIONS. METHODS: USING PUBMED((R)) AND THE KEY WORD "YOGA," A COMPREHENSIVE SEARCH OF THE RESEARCH LITERATURE FROM CORE SCIENTIFIC AND NURSING JOURNALS YIELDED 81 STUDIES THAT MET INCLUSION CRITERIA. THESE STUDIES SUBSEQUENTLY WERE CLASSIFIED AS UNCONTROLLED (N = 30), WAIT LIST CONTROLLED (N = 16), OR COMPARISON (N = 35). THE MOST COMMON COMPARISON INTERVENTION (N = 10) INVOLVED EXERCISE. THESE STUDIES WERE INCLUDED IN THIS REVIEW. RESULTS: IN THE STUDIES REVIEWED, YOGA INTERVENTIONS APPEARED TO BE EQUAL OR SUPERIOR TO EXERCISE IN NEARLY EVERY OUTCOME MEASURED EXCEPT THOSE INVOLVING PHYSICAL FITNESS. CONCLUSIONS: THE STUDIES COMPARING THE EFFECTS OF YOGA AND EXERCISE SEEM TO INDICATE THAT, IN BOTH HEALTHY AND DISEASED POPULATIONS, YOGA MAY BE AS EFFECTIVE AS OR BETTER THAN EXERCISE AT IMPROVING A VARIETY OF HEALTH-RELATED OUTCOME MEASURES. FUTURE CLINICAL TRIALS ARE NEEDED TO EXAMINE THE DISTINCTIONS BETWEEN EXERCISE AND YOGA, PARTICULARLY HOW THE TWO MODALITIES MAY DIFFER IN THEIR EFFECTS ON THE SNS/HPA AXIS. ADDITIONAL STUDIES USING RIGOROUS METHODOLOGIES ARE NEEDED TO EXAMINE THE HEALTH BENEFITS OF THE VARIOUS TYPES OF YOGA. 2010 7 2774 37 YOGA RESEARCH REVIEW. THIS PAPER IS A REVIEW OF EMPIRICAL STUDIES, REVIEW AND META-ANALYSIS PUBLICATIONS ON YOGA FROM THE LAST FEW YEARS. THE REVIEW INCLUDES DEMOGRAPHICS/PREVALENCE OF YOGA AS A PRACTICE, BIBLIOMETRIC ANALYSES OF THE YOGA PUBLICATIONS AND THE USE OF YOGA FOR PHYSICAL FITNESS AND COGNITIVE FUNCTION. MOST OF THE STUDIES REVIEWED HERE INVOLVE YOGA EFFECTS ON PSYCHIATRIC AND MEDICAL CONDITIONS. THESE INCLUDE PREGNANCY, PRENATAL AND POSTPARTUM DEPRESSION; STRESS, PTSD, ANXIETY, AND OBESITY; CARDIOVASCULAR CONDITIONS INCLUDING HYPERTENSION; PAIN SYNDROMES INCLUDING ARTHRITIS, HEADACHES AND LOW BACK PAIN; AUTOIMMUNE CONDITIONS INCLUDING ASTHMA, TYPE II DIABETES AND MULTIPLE SCLEROSIS; IMMUNE CONDITIONS INCLUDING HIV AND BREAST CANCER; AND AGING PROBLEMS INCLUDING BALANCE, OSTEOPOROSIS AND PARKINSON'S. THE METHODS AND RESULTS OF THOSE STUDIES ARE BRIEFLY SUMMARIZED ALONG WITH THEIR LIMITATIONS AND SUGGESTIONS FOR FUTURE RESEARCH. BASICALLY YOGA HAS BEEN MORE EFFECTIVE THAN CONTROL AND WAITLIST CONTROL CONDITIONS, ALTHOUGH NOT ALWAYS MORE EFFECTIVE THAN TREATMENT COMPARISON GROUPS SUCH AS OTHER FORMS OF EXERCISE. MORE RANDOMIZED CONTROLLED STUDIES ARE NEEDED IN WHICH YOGA IS COMPARED TO ACTIVE EXERCISE GROUPS. HAVING ESTABLISHED THE PHYSICAL AND MENTAL HEALTH BENEFITS OF YOGA MAKES IT ETHICALLY QUESTIONABLE TO ASSIGN PARTICIPANTS TO INACTIVE CONTROL GROUPS. SHORTER SESSIONS SHOULD BE INVESTIGATED FOR COST-EFFECTIVENESS AND FOR DAILY PRACTICE. MULTIPLE PHYSICAL AND PHYSIOLOGICAL MEASURES NEED TO BE ADDED TO THE SELF-REPORT RESEARCH PROTOCOLS AND POTENTIAL UNDERLYING MECHANISMS NEED TO BE FURTHER EXPLORED. IN THE INTERIM, THE STUDIES REVIEWED HERE HIGHLIGHT THE THERAPEUTIC EFFECTS OF YOGA, A PRACTICE THAT COULD COME TO BE CALLED YOGA THERAPY. 2016 8 549 22 CONTEXTUALIZING THE EFFECTS OF YOGA THERAPY ON DIABETES MANAGEMENT: A REVIEW OF THE SOCIAL DETERMINANTS OF PHYSICAL ACTIVITY. THIS ARTICLE PROVIDES A REVIEW OF LITERATURE BOTH TO IDENTIFY THE EFFECTS OF YOGA-BASED THERAPY ON THE MANAGEMENT OF TYPE 2 DIABETES MELLITUS AND TO EXAMINE THE SOCIAL CONTEXT OF PHYSICAL ACTIVITY. FINDINGS FROM THE REVIEW INDICATE THAT YOGA HAS A POSITIVE SHORT-TERM EFFECT ON MULTIPLE DIABETES-RELATED OUTCOMES; HOWEVER, LONG-TERM EFFECTS OF YOGA THERAPY ON DIABETES MANAGEMENT REMAIN UNCLEAR. THE CONTEXT OF THE SOCIAL ENVIRONMENT, INCLUDING INTERPERSONAL RELATIONSHIPS, COMMUNITY CHARACTERISTICS, AND DISCRIMINATION, INFLUENCES THE ADOPTION AND MAINTENANCE OF HEALTH BEHAVIORS SUCH AS PHYSICAL ACTIVITY, INCLUDING YOGA PRACTICE. FURTHER RESEARCH IS NECESSARY TO DETERMINE THE EXTENT OF THIS INFLUENCE. 2008 9 406 31 BIOLOGICAL MARKERS FOR THE EFFECTS OF YOGA AS A COMPLEMENTARY AND ALTERNATIVE MEDICINE. FROM THE LAST FEW DECADES, THERE ARE INCREASING INCIDENCES OF DISORDERS LIKE PREMATURE AGING, CARDIOVASCULAR DISEASE, MULTIPLE SCLEROSIS, FIBROMYALGIA, AND ALZHEIMER'S DISEASE IN ADDITION TO MEDICATION, RESEARCHERS HAVE FOUND THAT YOGA, A MIND-BODY THERAPY, CAN BE USED AS AN ALTERNATIVE MEDICINE. YOGA COMBINES SPECIFIC PHYSICAL POSTURES, BREATHING TECHNIQUES, RELAXATION AND MEDITATION THAT IMPROVE MENTAL AND PHYSICAL HEALTH OF THE BODY. THE PURPOSE OF THIS REVIEW IS TO COLLATE THE RESEARCH EVIDENCES CLAIMING HEALTH BENEFITS OF PERFORMING TRADITIONAL YOGIC PRACTICES. WHAT ARE THE BIOLOGICAL AND OTHER RELIABLE INDICATORS TO SUGGEST THAT DOING ASANAS, PRANAYAMA, AND MEDITATION COULD REDUCE OR TREAT WIDE RANGE OF LIFE STYLE DISORDERS ARE DISCUSSED. IMPORTANTLY, THESE INDICATORS ARE OTHERWISE USED TO ASSESS THE SEVERITY OF DISORDERS. IN MANY OF THE STUDY IT HAS BEEN SHOWN THAT YOGA IMPROVES THE REDOX HEALTH OF BODY WHOSE IMBALANCE HAS BEEN WELL PROVEN TO CAUSE MANY HEALTH COMPLICATIONS. THE IMPACT OF YOGA ON NEURODEGENERATIVE DISEASES HAVE REVEALED THAT IT REVERSES MEMORY LOSS, REDUCE ANXIETY, DEPRESSION AND STRESS, THE BIOLOGICAL INDICATORS OF DISEASE. HOWEVER, MOST STUDIES HAVE SEVERAL LIMITATIONS AND THEREFORE FURTHER RESEARCH INTO YOGA IS NEEDED TO VALIDATE THESE FINDINGS. 2019 10 1300 34 HATHA YOGA FOR DEPRESSION: CRITICAL REVIEW OF THE EVIDENCE FOR EFFICACY, PLAUSIBLE MECHANISMS OF ACTION, AND DIRECTIONS FOR FUTURE RESEARCH. BACKGROUND: THE PURPOSE OF THIS ARTICLE IS TO REVIEW THE EVIDENCE FOR THE EFFICACY OF HATHA YOGA FOR DEPRESSION AND POSSIBLE MECHANISMS BY WHICH YOGA MAY HAVE AN IMPACT ON DEPRESSION, AND TO OUTLINE DIRECTIONS FOR FUTURE RESEARCH. METHODS: LITERATURE REVIEW AND SYNTHESIS. RESULTS AND CONCLUSIONS: A LITERATURE SEARCH FOR CLINICAL TRIALS EXAMINING YOGA FOR DEPRESSION UNCOVERED EIGHT TRIALS: 5 INCLUDING INDIVIDUALS WITH CLINICAL DEPRESSION, AND 3 FOR INDIVIDUALS WITH ELEVATED DEPRESSION SYMPTOMS. ALTHOUGH RESULTS FROM THESE TRIALS ARE ENCOURAGING, THEY SHOULD BE VIEWED AS VERY PRELIMINARY BECAUSE THE TRIALS, AS A GROUP, SUFFERED FROM SUBSTANTIAL METHODOLOGICAL LIMITATIONS. WE WOULD ARGUE, HOWEVER, THAT THERE ARE SEVERAL REASONS TO CONSIDER CONSTRUCTING CAREFUL RESEARCH ON YOGA FOR DEPRESSION. FIRST, CURRENT STRATEGIES FOR TREATING DEPRESSION ARE NOT SUFFICIENT FOR MANY INDIVIDUALS, AND PATIENTS HAVE SEVERAL CONCERNS ABOUT EXISTING TREATMENTS. YOGA MAY BE AN ATTRACTIVE ALTERNATIVE TO OR A GOOD WAY TO AUGMENT CURRENT DEPRESSION TREATMENT STRATEGIES. SECOND, ASPECTS OF YOGA-INCLUDING MINDFULNESS PROMOTION AND EXERCISE-ARE THOUGHT TO BE "ACTIVE INGREDIENTS" OF OTHER SUCCESSFUL TREATMENTS FOR DEPRESSION. THIRD, THERE ARE PLAUSIBLE BIOLOGICAL, PSYCHOLOGICAL, AND BEHAVIORAL MECHANISMS BY WHICH YOGA MAY HAVE AN IMPACT ON DEPRESSION. WE PROVIDE SUGGESTIONS FOR THE NEXT STEPS IN THE STUDY OF YOGA AS A TREATMENT FOR DEPRESSION. 2010 11 2429 28 YOGA AND PHYSICAL EXERCISE - A REVIEW AND COMPARISON. YOGA IS A MULTIFACETED SPIRITUAL TOOL WITH ENHANCED HEALTH AND WELL-BEING AS ONE OF ITS POSITIVE EFFECTS. THE COMPONENTS OF YOGA WHICH ARE VERY COMMONLY APPLIED FOR HEALTH BENEFITS ARE ASANAS (PHYSICAL POSTURES), PRANAYAMA (REGULATED BREATHING) AND MEDITATION. IN THE CONTEXT OF ASANAS, YOGA RESEMBLES MORE OF A PHYSICAL EXERCISE, WHICH MAY LEAD TO THE PERCEPTION THAT YOGA IS ANOTHER KIND OF PHYSICAL EXERCISE. THIS ARTICLE AIMS AT EXPLORING THE COMMONALITIES AND DIFFERENCES BETWEEN YOGA AND PHYSICAL EXERCISE IN TERMS OF CONCEPTS, POSSIBLE MECHANISMS AND EFFECTIVENESS FOR HEALTH BENEFITS. A NARRATIVE REVIEW IS UNDERTAKEN BASED ON TRADITIONAL AND CONTEMPORARY LITERATURE FOR YOGA, ALONG WITH SCIENTIFIC ARTICLES AVAILABLE ON YOGA AND EXERCISE INCLUDING HEAD-TO-HEAD COMPARATIVE TRIALS WITH HEALTHY VOLUNTEERS AND PATIENTS WITH VARIOUS DISEASE CONDITIONS. PHYSICAL EXERCISES AND THE PHYSICAL COMPONENTS OF YOGA PRACTICES HAVE SEVERAL SIMILARITIES, BUT ALSO IMPORTANT DIFFERENCES. EVIDENCE SUGGESTS THAT YOGA INTERVENTIONS APPEAR TO BE EQUAL AND/OR SUPERIOR TO EXERCISE IN MOST OUTCOME MEASURES. EMPHASIS ON BREATH REGULATION, MINDFULNESS DURING PRACTICE, AND IMPORTANCE GIVEN TO MAINTENANCE OF POSTURES ARE SOME OF THE ELEMENTS WHICH DIFFERENTIATE YOGA PRACTICES FROM PHYSICAL EXERCISES. 2016 12 1484 30 INTEGRATION OF HATHA YOGA AND EVIDENCE-BASED PSYCHOLOGICAL TREATMENTS FOR COMMON MENTAL DISORDERS: AN EVIDENCE MAP. BACKGROUND: INTEREST IN THE USE OF YOGA TO ENHANCE ENGAGEMENT WITH AND AUGMENT THE BENEFITS OF PSYCHOLOGICAL TREATMENT HAS GROWN. HOWEVER, A SYSTEMATIC APPROACH TO REVIEWING EXISTING RESEARCH EXAMINING THE USE OF YOGA WITH PSYCHOLOGICAL TREATMENT IS LACKING. MATERIALS AND METHODS: THIS MAPPING REVIEW IDENTIFIED AND SYNTHESISED RESEARCH TRIALLING YOGA AS AN INTEGRATED OR ADJUNCT THERAPY WITH EVIDENCE-BASED PSYCHOLOGICAL INTERVENTIONS FOR THE TREATMENT OF ANXIETY, DEPRESSION, PTSD, AND EATING DISORDERS. RESULTS: OVERALL, THE REVIEW IDENTIFIED TEN PUBLISHED AND THREE UNPUBLISHED STUDIES, REPRESENTING EITHER SINGLE GROUP OR SMALL QUASI-EXPERIMENTAL RESEARCH DESIGNS. DISCUSSION: LIMITED BUT PROMISING FINDINGS WERE SHOWN FOR YOGA WITH CBT FOR ANXIETY AND DEPRESSION, AND THE INTEGRATION OF YOGA WITHIN INTENSIVE TREATMENT MODELS FOR PTSD. CONCLUSIONS: FUTURE RESEARCH IS ENCOURAGED TO FOCUS ON CONTROLLED TRIALS THAT ENABLE EXAMINATION OF THE COMPONENT EFFECT OF YOGA WHEN APPLIED WITH EVIDENCE-BASED PSYCHOLOGICAL TREATMENT AND ACCEPTABILITY AND FEASIBILITY DATA TO FURTHER KNOWLEDGE REGARDING A ROLE FOR YOGA IN CLINICAL PRACTICE. 2022 13 2453 31 YOGA AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS: A GUIDE FOR CLINICIANS. YOGA IS BEING USED BY A GROWING NUMBER OF YOUTH AND ADULTS AS A MEANS OF IMPROVING OVERALL HEALTH AND FITNESS. THERE IS ALSO A PROGRESSIVE TREND TOWARD USE OF YOGA AS A MIND-BODY COMPLEMENTARY AND ALTERNATIVE MEDICINE INTERVENTION TO IMPROVE SPECIFIC PHYSICAL AND MENTAL HEALTH CONDITIONS. TO PROVIDE CLINICIANS WITH THERAPEUTICALLY USEFUL INFORMATION ABOUT YOGA, THE EVIDENCE EVALUATING YOGA AS AN EFFECTIVE INTERVENTION FOR CHILDREN AND ADOLESCENTS WITH HEALTH PROBLEMS IS REVIEWED AND SUMMARIZED. A BRIEF OVERVIEW OF YOGA AND YOGA THERAPY IS PRESENTED ALONG WITH YOGA RESOURCES AND PRACTICAL STRATEGIES FOR CLINICAL PRACTITIONERS TO USE WITH THEIR PATIENTS. THE MAJORITY OF AVAILABLE STUDIES WITH CHILDREN AND ADOLESCENTS SUGGEST BENEFITS TO USING YOGA AS A THERAPEUTIC INTERVENTION AND SHOW VERY FEW ADVERSE EFFECTS. THESE RESULTS MUST BE INTERPRETED AS PRELIMINARY FINDINGS BECAUSE MANY OF THE STUDIES HAVE METHODOLOGICAL LIMITATIONS THAT PREVENT STRONG CONCLUSIONS FROM BEING DRAWN. YOGA APPEARS PROMISING AS A COMPLEMENTARY THERAPY FOR CHILDREN AND ADOLESCENTS. FURTHER INFORMATION ABOUT HOW TO APPLY IT MOST EFFECTIVELY AND MORE COORDINATED RESEARCH EFFORTS ARE NEEDED. 2010 14 2600 22 YOGA FOR OSTEOARTHRITIS: NURSING AND RESEARCH CONSIDERATIONS. OSTEOARTHRITIS (OA) IS A LEADING CAUSE OF PAIN AND DISABILITY WORLDWIDE. CURRENT TREATMENT GUIDELINES RECOMMEND NONPHARMACOLOGICAL APPROACHES SUCH AS YOGA FOR FIRSTLINE TREATMENT OF OA. YOGA IS A PROMISING MIND-BODY PRACTICE THAT INCLUDES PHYSICAL POSTURES, BREATHING PRACTICES, AND MEDITATIVE MENTAL FOCUS. THIS ARTICLE PRESENTS THE CURRENT EVIDENCE, AS WELL AS A PROPOSED CONCEPTUAL MODEL FOR FUTURE RESEARCH. CURRENT RESEARCH ON YOGA FOR OA IS SCANT BUT PROMISING, SHOWING SOME EVIDENCE OF REDUCED PAIN, SLEEP DISTURBANCE, AND DISABILITY. THE CONCEPTUAL MODEL DESCRIBED HERE PROPOSES MUSCULOSKELETAL EFFECTS (STRENGTHENING, FLEXIBILITY, RELAXATION), REDUCTION OF AUTONOMIC AROUSAL, AND THERAPEUTIC COGNITIVE PATTERNS (DISTRACTION, MINDFULNESS) AS POTENTIALLY IMPORTANT MECHANISMS OF YOGA. THIS ARTICLE ALSO DESCRIBES CONSIDERATIONS FOR PATIENTS AND HEALTH CARE PROVIDERS WHEN EVALUATING THE POTENTIAL USEFULNESS AND SAFETY OF YOGA PROGRAMS: YOGA STYLE, INSTRUCTOR QUALIFICATIONS, AND AMOUNT OF TIME SPENT IN YOGA PRACTICE. 2012 15 2061 32 THE BENEFITS OF YOGA IN CHILDREN. THE NUMBER OF CHILDREN SUFFERING FROM STRESS AND ANXIETY IN MALAYSIA IS ON THE RISE. EVIDENCE SHOWS THAT MIND-BODY THERAPIES SUCH AS MINDFULNESS THERAPY, MEDITATION AND YOGA HAVE BEEN PRACTICED IN MANY OTHER COUNTRIES TO REDUCE AND/OR MANAGE THE PSYCHOLOGICAL EFFECTS OF STRESS AND ANXIETY. THIS REVIEW ARTICLE LOOKS AT THE INTERVENTION OF YOGA AS A MEDITATIVE MOVEMENT PRACTICE IN HELPING SCHOOL CHILDREN MANAGE STRESS AND ANXIETY. ARTICLES WERE RETRIEVED USING A COMBINATION OF DATABASES INCLUDING PUBMED/MEDLINE, AND PSYCINFO. NOT ONLY PEER-REVIEWED ARTICLES, BUT ALSO THOSE WRITTEN IN ENGLISH LANGUAGE WERE INCLUDED IN THIS REVIEW. ALL STUDIES REVIEWED HAD INCORPORATED SOME FORM OF MEDITATIVE MOVEMENT EXERCISE. THE INTERVENTION ENCOMPASSED ASANAS (POSTURES), PRANAYAMA (EXPANSION OF LIFE FORCE), DHARANA (CONCENTRATION) AND DHYANA (MEDITATION), WHICH ARE THE DIFFERENT PATHS IN YOGA. A TOTAL OF EIGHT ARTICLES MET THE INCLUSION CRITERIA AND WERE REVIEWED. THE FINDINGS OF THIS REVIEW REVEAL THAT THE PRACTICE OF YOGA HAS BROUGHT ABOUT, AMONG OTHER THINGS, IMPROVEMENT IN MANAGING AND REDUCING STRESS AND ANXIETY. DESPITE THE LIMITATIONS IN MOST, IF NOT ALL OF THE STUDIES REVIEWED, IN TERMS OF HETEROGENEITY AND SAMPLE SIZE, YOGA APPEARS TO BE AN EFFECTIVE MODALITY FOR HELPING CHILDREN COPE WITH STRESS AND ANXIETY. IT APPEARS THAT IF SCHOOLS IN MALAYSIA CAN INCORPORATE YOGA AS PART OF THE PHYSICAL EDUCATION CURRICULUM, IT WILL DEFINITELY BENEFIT THE STUDENTS. 2018 16 2126 32 THE EFFECTIVENESS OF YOGA FOR DEPRESSION: A CRITICAL LITERATURE REVIEW. IN THE UNITED STATES, THE PREVALENCE OF DEPRESSION IS QUITE HIGH-9% IN THE GENERAL POPULATION-WITH WOMEN, YOUNG ADULTS, AND SENIORS PARTICULARLY VULNERABLE. IN RECENT YEARS, INCREASING NUMBERS OF PEOPLE ARE TURNING TO COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) FOR RELIEF FROM DEPRESSION AND OTHER MENTAL HEALTH PROBLEMS. ONE FORM OF CAM, YOGA, HAS BEEN GROWING IN POPULARITY; THIS RISE IN POPULARITY HAS, IN PART, BEEN DRIVEN BY INTEREST IN HOW THIS PRACTICE, WITH ITS MINDFULNESS AND MEDITATION ASPECTS, MAY DECREASE DEPRESSION. THIS CRITICAL LITERATURE REVIEW EXAMINES SIX RECENT STUDIES ON YOGA AS AN INTERVENTION; SPECIFICALLY, THIS REVIEW FOCUSES ON YOGA STYLES IN WHICH THE PRACTICE OF YOGA POSES, CALLED ASANAS, IS THE CORE COMPONENT. ALTHOUGH THE SIGNIFICANT POSITIVE FINDINGS ARE PROMISING, THE STUDIES HAD METHODOLOGICAL LIMITATIONS; IDENTIFICATION OF THESE LIMITATIONS CAN INFORM FUTURE STUDIES. 2014 17 1338 31 HOW DOES YOGA REDUCE STRESS? EMBODIED COGNITION AND EMOTION HIGHLIGHT THE INFLUENCE OF THE MUSCULOSKELETAL SYSTEM. YOGA IS AN INCREASINGLY POPULAR ACTIVITY, PERHAPS BECAUSE OF ITS ASSOCIATION WITH STRESS REDUCTION AND RELAXATION - AN ASSOCIATION THAT IS GENERALLY SUPPORTED BY EMPIRICAL EVIDENCE. UNDERSTANDING OF THE MEDIATING VARIABLES IS, HOWEVER, LIMITED. GIVEN THAT, THE PURPOSE OF THIS PAPER IS TO PRESENT A THEORETICAL PERSPECTIVE THAT ENCOURAGES SYSTEMATIC RESEARCH REGARDING THE RELATIONSHIP BETWEEN YOGA, STRESS, AND MUSCULOSKELETAL ACTIVITY. THIS EMBODIED PERSPECTIVE PARALLELS POPULAR INTEREST IN THE MIND-BODY CONNECTION AND EMPHASIZES THE INFLUENCE OF BODY POSITION ON THINKING AS WELL AS EMOTION. THOSE INFLUENCES TAKE ON ADDED MEANING IN THE CONTEXT OF THE COGNITIVE APPRAISAL THEORY AND THE BIOPSYCHOSOCIAL MODEL OF CHALLENGE AND THREAT. INVESTIGATIONS OF EMBODIED COGNITION SUGGEST THAT YOGA MAY REDUCE STRESS BY AFFECTING THE WAY INDIVIDUALS APPRAISE STRESSORS. THE COMBINATION OF BODY POSITION AND COMMON COMPONENTS OF YOGA PRACTICE MAY ALSO CONTRIBUTE TO THAT EFFECT, PARTICULARLY WHEN CONSIDERING THOUGHTS ABOUT THE SELF AND FEELINGS OF CONFIDENCE. FINDINGS REGARDING EMBODIED EMOTION MAKE A SIMILAR CONTRIBUTION TO UNDERSTANDING THE IMPLICATIONS OF PREVIOUS RESEARCH FINDINGS AND COMMON YOGA PRACTICES. CONSIDERING YOGA AND STRESS FROM AN EMBODIED PERSPECTIVE ALSO HIGHLIGHTS THE ROLE OF THE MUSCULOSKELETAL SYSTEM IN THE STRESS PROCESS, LEADING TO THE QUESTION OF WHETHER YOGA INFLUENCES STRESS BY DIRECTLY INFLUENCING THE MUSCULOSKELETAL SYSTEM, INDIRECTLY BY INFLUENCING AWARENESS OF THAT SYSTEM, OR THROUGH A COMBINATION OF THE TWO. THOSE QUESTIONS, IN TURN, HIGHLIGHT THE IMPORTANCE OF EXPANDING INVESTIGATIONS OF PSYCHOLOGICAL PROCESSES, BODY POSITION, MUSCULOSKELETAL ACTIVITY DURING YOGA, AND THE INTERACTIONS BETWEEN THOSE VARIABLES. 2019 18 635 31 DISORDERED EATING BEHAVIOURS AND CORRELATES IN YOGA PRACTITIONERS: A SYSTEMATIC REVIEW. PURPOSE: YOGA HAS BEEN INCREASINGLY USED AS A COMPLEMENTARY THERAPY FOR EATING DISORDERS. HOWEVER, IT IS STILL NOT CLEAR WHETHER YOGA IS EFFECTIVE IN THE PREVENTION AND TREATMENT OF EATING DISORDERS, AS SOME STUDIES SUGGEST THAT YOGA PRACTITIONERS SHOW ELEVATED LEVELS OF DISORDERED EATING BEHAVIOURS. THE GOAL OF THIS SYSTEMATIC REVIEW IS, THUS, TO ANALYSE THE OCCURRENCE OF DISORDERED EATING BEHAVIOURS AND CORRELATES IN YOGA PRACTITIONERS. METHOD: PRISMA GUIDELINES FOR SYSTEMATIC REVIEWS WERE USED. SEARCH WAS CONDUCTED IN SEVERAL DATABASES AND SPECIFIC JOURNALS. RESULTS: TWELVE ARTICLES, ALL CROSS-SECTIONAL, WERE IDENTIFIED, FOLLOWING PRISMA GUIDELINES. RESULTS ACROSS STUDIES WERE INCONSISTENT. YOGA PRACTICE WAS USUALLY ASSOCIATED WITH HEALTHIER EATING BEHAVIOURS, LOWER DISORDERED EATING SYMPTOMS, AND HIGHER POSITIVE BODY IMAGE AND BODY SATISFACTION, SUGGESTING THAT YOGA PRACTITIONERS MAY BE AT A LOWER RISK OF DEVELOPING EATING DISORDERS. HOWEVER, OTHER STUDIES SUGGESTED THAT A HIGH DOSAGE OF YOGA PRACTICE MAY BE ASSOCIATED WITH A HIGHER PREVALENCE OF DISORDERED EATING BEHAVIOURS. CONCLUSIONS: AS YOGA IS INCREASINGLY USED AS THERAPY FOR EATING DISORDERS, UNDERSTANDING THE RELATIONSHIP BETWEEN YOGA DOSAGE AND DISORDERED EATING BEHAVIOURS IS CRITICAL TO GUIDE TREATMENT RECOMMENDATIONS AND ESTABLISH YOGA AS A VALUABLE COMPLEMENTARY THERAPY. LEVEL OF EVIDENCE: LEVEL I, SYSTEMATIC REVIEW. 2019 19 2516 21 YOGA CLINICAL RESEARCH REVIEW. IN THIS PAPER RECENT RESEARCH IS REVIEWED ON THE EFFECTS OF YOGA POSES ON PSYCHOLOGICAL CONDITIONS INCLUDING ANXIETY AND DEPRESSION, ON PAIN SYNDROMES, CARDIOVASCULAR, AUTOIMMUNE AND IMMUNE CONDITIONS AND ON PREGNANCY. FURTHER, THE PHYSIOLOGICAL EFFECTS OF YOGA INCLUDING DECREASED HEARTRATE AND BLOOD PRESSURE AND THE PHYSICAL EFFECTS INCLUDING WEIGHT LOSS AND INCREASED MUSCLE STRENGTH ARE REVIEWED. FINALLY, POTENTIAL UNDERLYING MECHANISMS ARE PROPOSED INCLUDING THE STIMULATION OF PRESSURE RECEPTORS LEADING TO ENHANCED VAGAL ACTIVITY AND REDUCED CORTISOL. THE REDUCTION IN CORTISOL, IN TURN, MAY CONTRIBUTE TO POSITIVE EFFECTS SUCH AS ENHANCED IMMUNE FUNCTION AND A LOWER PREMATURITY RATE. 2011 20 2402 26 YOGA AND EATING DISORDERS: IS THERE A PLACE FOR YOGA IN THE PREVENTION AND TREATMENT OF EATING DISORDERS AND DISORDERED EATING BEHAVIOURS? THIS PAPER ADDRESSES THE QUESTION: WHAT CAN THE PRACTICE OF YOGA OFFER THE FIELD OF EATING DISORDERS IN TERMS OF PREVENTION AND TREATMENT? REGARDING PREVENTION, PRELIMINARY RESEARCH SUGGESTS THAT YOGA MAY BE EFFECTIVE IN DECREASING RISK FACTORS, AND INCREASING PROTECTIVE FACTORS, FOR EATING DISORDERS. YOGA WAS ALSO FOUND TO BE HELPFUL IN A SMALL NUMBER OF TREATMENT STUDIES. HOWEVER, FINDINGS ARE NOT CONSISTENT ACROSS STUDIES, WHICH ARE LIMITED IN NUMBER, AND DUE TO THE PRELIMINARY NATURE OF THIS BODY OF RESEARCH, MOST STUDIES HAVE WEAKNESSES IN THEIR DESIGNS (E.G. OBSERVATIONAL DESIGN, NO CONTROL GROUPS, OR SMALL SAMPLE SIZES). THE BASIC TENETS OF YOGA, ANECDOTAL REPORTS OF ITS EFFECTIVENESS, ITS HIGH ACCESSIBILITY AND LOW COST, AND INITIAL RESEARCH FINDINGS SUGGEST THAT YOGA MAY OFFER PROMISE FOR THE FIELD OF EATING DISORDERS. TWO OPTIONS ARE SUGGESTED FOR PREVENTION: (1) EATING DISORDER PREVENTION CAN BE INTEGRATED INTO ONGOING YOGA CLASSES AND (2) YOGA CAN BE INTEGRATED INTO EATING DISORDER PREVENTION PROGRAMMES. REGARDING TREATMENT, IT IS IMPORTANT TO EXAMINE THE EFFECTIVENESS OF DIFFERENT TEACHING STYLES AND PRACTICES FOR DIFFERENT EATING DISORDERS. POTENTIAL HARMS OF YOGA SHOULD ALSO BE EXPLORED. FURTHER RESEARCH, USING STRONGER STUDY DESIGNS, SUCH AS RANDOMISED, CONTROLLED TRIALS, IS NEEDED. 2014