1 1867 160 RANDOMIZED TRIAL OF YOGA AS A COMPLEMENTARY THERAPY FOR PULMONARY TUBERCULOSIS. OBJECTIVE: THE PRESENT PROSPECTIVE, RANDOMIZED TRIAL COMPARED THE EFFICACY OF ANTI-TUBERCULOSIS TREATMENT (ATT) WITH TWO SEPARATE PROGRAMS (YOGA AND BREATH AWARENESS), ON LUNG CAPACITIES AND BACTERIOLOGICAL STATUS IN PULMONARY TUBERCULOSIS PATIENTS. METHODOLOGY: A TOTAL OF 1009 PULMONARY TUBERCULOSIS PATIENTS WERE SCREENED AND 73 WERE ALTERNATELY ALLOCATED, TO YOGA (N = 36) OR BREATH AWARENESS (N = 37) GROUPS, WITH 48 PATIENTS COMPLETING THE 2-MONTH TRIAL. PATIENTS AGED BETWEEN 20 AND 55 YEARS, WHO WERE SPUTUM-POSITIVE ON THREE CONSECUTIVE EXAMINATIONS, HAD NO PRIOR ATT, AND NO COMORBIDITIES OR EXTRAPULMONARY TUBERCULOSIS WERE INCLUDED. IN ADDITION TO ATT, ONE GROUP PRACTISED YOGA (N = 25) AND THE OTHER PRACTISED BREATH AWARENESS (N = 23) FOR 6 H PER WEEK, EACH SESSION BEING 60 MIN. THE MAIN OUTCOME MEASURES WERE: SYMPTOM SCORES, BODYWEIGHT, FVC, FEV(1), FEV(1)/FVC%, SPUTUM MICROSCOPY, SPUTUM CULTURE, AND POSTERO-ANTERIOR VIEW OF THE CXR. RESULTS: AT THE END OF 2 MONTHS, THE YOGA GROUP SHOWED A SIGNIFICANT REDUCTION IN SYMPTOM SCORES (88.1%), AND AN INCREASE IN WEIGHT (10.9%), FVC (64.7%) AND FEV(1) (83.6%) (P = 0.001, IN ALL COMPARISONS, PAIRED T-TEST). THE BREATH AWARENESS GROUP ALSO SHOWED A SIGNIFICANT (PAIRED T-TEST) REDUCTION IN SYMPTOM SCORES (16.3%, P= 0.02), AND AN INCREASE IN WEIGHT (2.1%, P= 0.003) AND FEV(1) (63.8%, P= 0.04). SIGNIFICANTLY MORE PATIENTS IN THE YOGA GROUP SHOWED SPUTUM CONVERSION BASED ON MICROSCOPY ON DAYS 30 AND 45 COMPARED TO THE BREATH AWARENESS GROUP (P = 0.045 AND P= 0.002, RESPECTIVELY, CHI(2) TEST). TEN OF 13 IN THE YOGA GROUP HAD NEGATIVE SPUTUM CULTURE AFTER 60 DAYS COMPARED WITH FOUR OF 19 IN THE BREATH AWARENESS GROUP (P = 0.005, CHI(2) TEST). IMPROVEMENT IN THE RADIOGRAPHIC PICTURE OCCURRED IN 16/25 IN THE YOGA GROUP COMPARED TO 3/22 IN THE BREATH AWARENESS GROUP ON DAY 60 (P = 0.001, CHI(2) TEST). CONCLUSIONS: THE IMPROVED LEVEL OF INFECTION, RADIOGRAPHIC PICTURE, FVC, WEIGHT GAIN AND REDUCED SYMPTOMS IN THE YOGA GROUP SUGGEST A COMPLEMENTARY ROLE FOR YOGA IN THE MANAGEMENT OF PULMONARY TUBERCULOSIS. 2004 2 2319 39 TREATING THE CLIMACTERIC SYMPTOMS IN INDIAN WOMEN WITH AN INTEGRATED APPROACH TO YOGA THERAPY: A RANDOMIZED CONTROL STUDY. OBJECTIVE: TO STUDY THE EFFECT OF YOGA ON THE CLIMACTERIC SYMPTOMS, PERCEIVED STRESS, AND PERSONALITY IN PERIMENOPAUSAL WOMEN. DESIGN: ONE HUNDRED TWENTY PARTICIPANTS (AGES 40-55 Y) WERE RANDOMLY DIVIDED INTO TWO STUDY ARMS, IE, YOGA AND CONTROL. THE YOGA GROUP PRACTICED AN INTEGRATED APPROACH TO YOGA THERAPY COMPRISING SURYA NAMASKARA (SUN SALUTATION) WITH 12 POSTURES, PRANAYAMA (BREATHING PRACTICES), AND AVARTAN DHYAN (CYCLIC MEDITATION), WHEREAS THE CONTROL GROUP PRACTICED A SET OF SIMPLE PHYSICAL EXERCISES UNDER SUPERVISION OF TRAINED TEACHERS FOR 8 WEEKS (1 H DAILY, 5 DAYS PER WEEK). THE ASSESSMENTS WERE MADE BY GREENE CLIMACTERIC SCALE, PERCEIVED STRESS SCALE, AND EYSENCK'S PERSONALITY INVENTORY BEFORE AND AFTER THE INTERVENTION. RESULTS: OF THE THREE FACTORS OF THE GREENE CLIMACTERIC SCALE, THE MANN-WHITNEY TEST SHOWED A SIGNIFICANT DIFFERENCE BETWEEN GROUPS (P < 0.05) IN THE VASOMOTOR SYMPTOMS, A MARGINALLY SIGNIFICANT DIFFERENCE (P = 0.06) IN PSYCHOLOGICAL FACTORS BUT NOT IN THE SOMATIC COMPONENT. EFFECT SIZES WERE HIGHER IN THE YOGA GROUP FOR ALL FACTORS. THERE WAS A SIGNIFICANTLY GREATER DEGREE OF DECREASE IN PERCEIVED STRESS SCALE SCORES (P < 0.001, INDEPENDENT SAMPLES T TEST) IN THE YOGA GROUP COMPARED WITH CONTROLS (BETWEEN-GROUP ANALYSIS) WITH A HIGHER EFFECT SIZE IN THE YOGA GROUP (1.10) THAN THE CONTROL (0.27). ON THE EYSENCK'S PERSONALITY INVENTORY, THE DECREASE IN NEUROTICISM WAS GREATER (P < 0.05) IN THE YOGA GROUP (EFFECT SIZE = 0.43) THAN THE CONTROL GROUP (EFFECT SIZE = 0.21) WITH NO CHANGE IN EXTROVERSION IN EITHER THE YOGA OR CONTROL GROUP. CONCLUSIONS: EIGHT WEEKS OF AN INTEGRATED APPROACH TO YOGA THERAPY DECREASES CLIMACTERIC SYMPTOMS, PERCEIVED STRESS, AND NEUROTICISM IN PERIMENOPAUSAL WOMEN BETTER THAN PHYSICAL EXERCISE. 2008 3 2653 42 YOGA IMPROVES OCCUPATIONAL PERFORMANCE, DEPRESSION, AND DAILY ACTIVITIES FOR PEOPLE WITH CHRONIC PAIN. BACKGROUND: CHRONIC PAIN IS A COMPLEX ACCUMULATION OF PHYSICAL, PSYCHOLOGICAL, AND SOCIAL CONDITIONS, THUS INTERVENTIONS THAT ADDRESS PAIN AND PROMOTE OCCUPATIONAL PERFORMANCE ARE NEEDED. A HOLISTIC INTERVENTION, WITH MIND AND BODY COMPONENTS, IS LIKELY NECESSARY TO BEST TREAT THE COMPLEXITIES OF CHRONIC PAIN. THUS, WE DEVELOPED AND TESTED A YOGA INTERVENTION FOR PEOPLE WITH CHRONIC PAIN. OBJECTIVES: IN A RANDOMIZED CONTROL TRIAL (RCT), PARTICIPANTS WITH CHRONIC PAIN WERE RANDOMIZED TO A YOGA INTERVENTION OR USUAL CARE GROUP. BETWEEN AND WITHIN GROUP DIFFERENCES FOR PRE-AND POST-OUTCOME MEASURE SCORES WERE ASSESSED FOR: OCCUPATIONAL PERFORMANCE, COMPLETION OF ACTIVITIES, AND DEPRESSION. METHODS: PILOT RCT WITH PARTICIPANT ALLOCATION TO 8 WEEKS OF YOGA OR USUAL CARE. BOTH GROUPS RECEIVED ONGOING MONTHLY SELF-MANAGEMENT PROGRAMMING. DATA WERE COLLECTED BEFORE AND AFTER THE 8-WEEK INTERVENTION. PARTICIPANTS WERE RANDOMIZED TO YOGA OR USUAL CARE AFTER BASELINE ASSESSMENTS. DEMOGRAPHICS WERE COLLECTED AND MEASURES INCLUDED: CANADIAN OCCUPATIONAL PERFORMANCE MEASURE (COPM) TO ASSESS OCCUPATIONAL PERFORMANCE; THE 15-ITEM FRENCHAY ACTIVITIES INDEX (FAI)(ACTIVITIES); AND THE 9-ITEM PATIENT HEALTH QUESTIONNAIRE (PHQ-9) FOR DEPRESSION. INDEPENDENT T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN GROUPS. PAIRED T-TESTS WERE USED TO ASSESS DIFFERENCES BETWEEN PRE- AND POST 8-WEEK INTERVENTION FOR BOTH THE YOGA AND THE USUAL CARE GROUPS. PERCENT CHANGE SCORES AND EFFECT SIZES WERE CALCULATED. RESULTS: 83 PEOPLE WERE RECRUITED FOR THE STUDY AND COMPLETED BASELINE ASSESSMENTS; 44 INDIVIDUALS WERE RANDOMIZED TO YOGA AND 39 TO THE CONTROL GROUP. THE AVERAGE AGE OF ALL PARTICIPANTS WAS 51.4+/-10.5 YEARS, 68% WERE FEMALE; AND 60% HAD AT LEAST SOME COLLEGE EDUCATION. THERE WERE NO SIGNIFICANT DIFFERENCES IN DEMOGRAPHICS OR OUTCOME MEASURES BETWEEN GROUPS AT BASELINE OR 8 WEEKS; HOWEVER, THE STUDY WAS NOT POWERED TO SEE SUCH DIFFERENCES. INDIVIDUALS RANDOMIZED TO THE CONTROL GROUP DID NOT SIGNIFICANTLY IMPROVE IN ANY OUTCOME MEASURE OVER THE 8 WEEKS. THERE WERE SIGNIFICANT IMPROVEMENTS IN COPM PERFORMANCE AND COPM SATISFACTION SCORES FOR INDIVIDUALS RANDOMIZED TO THE YOGA GROUP; BOTH SCORES SIGNIFICANTLY IMPROVED. COPM PERFORMANCE IMPROVED BY 27% WITH A MODERATE TO LARGE EFFECT SIZE (3.66+/-1.85 VS 4.66+/-1.93, P < 0.001, D = 0.76). COPM SATISFACTION SIGNIFICANTLY IMPROVED BY 78% (2.14+/-2.31 VS. 3.80+/-2.50, P < 0.001) AND HAD A LARGE EFFECTS SIZE (D = 1.02). FAI SCORES IMPROVED, INDICATING INCREASED ACTIVITY OR ENGAGEMENT IN DAILY OCCUPATION DURING THE 8-WEEK INTERVENTION. SCORES INCREASED BY 5% (38.13+/-8.48 VS. 39.90+/-8.57, P = 0.024) WITH A SMALL EFFECT SIZE (D = 0.37). DEPRESSION SIGNIFICANTLY DECREASED FROM 13.21+/-5.60 TO 11.41+/-5.82, P = 0.041, WITH A SMALL EFFECT SIZE. CONCLUSION: DATA FROM THIS PILOT RCT INDICATE YOGA MAY BE AN EFFECTIVE THERAPEUTIC INTERVENTION WITH PEOPLE IN CHRONIC PAIN TO IMPROVE OCCUPATIONAL PERFORMANCE, INCREASE ENGAGEMENT IN ACTIVITIES, AND DECREASE DEPRESSION. OCCUPATIONAL THERAPY PRACTITIONERS MAY CONSIDER ADDING YOGA AS A TREATMENT INTERVENTION TO ADDRESS THE NEEDS OF PEOPLE WITH PAIN. 2019 4 771 42 EFFECT OF YOGA AND AEROBICS EXERCISE ON SLEEP QUALITY IN WOMEN WITH TYPE 2 DIABETES: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: THE AIM OF THIS STUDY WAS INVESTIGATING THE EFFECT OF 12 WEEKS OF YOGA AND AEROBIC EXERCISE (RUNNING ON A TREADMILL) ON THE SLEEP QUALITY IN WOMEN WITH TYPE 2 DIABETES. MATERIALS AND METHODS: 39 DIABETIC WOMEN WERE SELECTED FROM SEMNAN CITY WITH THE MEAN AGE OF 46.85+/-3.35 YEARS, WEIGHT OF 69.79+/-17.18 KG, HEIGHT OF 155.03+/-5.00, BMI OF 29.64+/-5.00 KG/M(2) WHO HAD A BACKGROUND OF DIABETES FOR 6.46+/-2.69 YEARS. THEY WERE THEN RANDOMLY DIVIDED INTO YOGA EXERCISE (N=15), AEROBIC EXERCISE (N=13), AND CONTROL GROUP (N=11). THE EXERCISE PROGRAM WAS PERFORMED FOR 12 WEEKS, THREE SESSIONS PER EACH WEEK. IN ORDER TO MEASURE THE SLEEP QUALITY, THE PITTSBURGH SLEEP QUALITY INDEX (PSQI) WAS USED. THE DATA WERE ANALYZED BY NON-PARAMETRIC WILCOXON AND KRUSKAL-WALLIS TEST AT SIGNIFICANCE LEVEL OF P<0.05. RESULTS: OVERALL SCORE OF SLEEP QUALITY IMPROVED AFTER SIX (P=0.001) AND 12 (P=0.001) WEEKS OF YOGA EXERCISE. ALSO, SIGNIFICANT EFFECT WAS OBSERVED AFTER 6 WEEKS OF AEROBIC EXERCISE (P=0.039). HOWEVER, THE POSITIVE EFFECT WAS DIMINISHED TO UNDER SIGNIFICANT LEVELS AFTER 12 WEEKS OF AEROBIC EXERCISE (P=0.154). KRUSKAL-WALLIS TEST SHOWED SIGNIFICANT DIFFERENCES BETWEEN YOGA AND AEROBIC GROUPS AFTER 12 WEEKS OF EXERCISE (P=0.002). NO SIGNIFICANT DIFFERENCES WERE OBSERVED IN CONTROL GROUPS IN ALL SITUATION. CONCLUSIONS: IT CAN BE CONCLUDED THAT YOGA EXERCISE IS MORE EFFECTIVE IN IMPROVING THE SLEEP QUALITY IN COMPARISON WITH THE SAME COURSE OF AEROBIC EXERCISE IN WOMEN SUFFERING FROM DIABETES TYPE 2. THUS, YOGA EXERCISE CAN BE SUGGESTED TO THESE PATIENTS. 2017 5 459 37 CHANGES IN PAIN INTENSITY AND HEALTH RELATED QUALITY OF LIFE WITH IYENGAR YOGA IN NONSPECIFIC CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: NONSPECIFIC CHRONIC LOW BACK (NCLBP) PAIN IS PREVALENT AMONG ADULT POPULATION AND OFTEN LEADS TO FUNCTIONAL LIMITATIONS, PSYCHOLOGICAL SYMPTOMS, LOWER QUALITY OF LIFE (QOL), AND HIGHER HEALTHCARE COSTS. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE EFFICACY OF IYENGAR YOGA THERAPY ON PAIN INTENSITY AND HEALTH RELATED QUALITY OF LIFE (HRQOL) WITH NCLBP. AIM OF THE STUDY: TO COMPARE THE EFFECT OF IYENGAR YOGA THERAPY AND CONVENTIONAL EXERCISE THERAPY ON PAIN INTENSITY AND HRQOL IN NONSPECIFIC CHRONIC LOW BACK PAIN. MATERIALS AND METHODS: EXPERIMENTAL STUDY WITH RANDOM SAMPLING TECHNIQUE. SUBJECTS/INTERVENTION: SIXTY SUBJECTS WHO FULFILLED THE SELECTION CRITERIA WERE RANDOMLY ASSIGNED TO IYENGAR YOGA (YOGA GROUP, N = 30) AND CONTROL GROUP (EXERCISE GROUP, N = 30). PARTICIPANTS COMPLETED LOW BACK PAIN EVALUATION FORM AND HRQOL-4 QUESTIONNAIRE BEFORE THEIR INTERVENTION AND AGAIN 4 WEEKS AND 6 MONTH LATER. YOGA GROUP UNDERWENT 29 YOGIC POSTURES TRAINING AND EXERCISE GROUP HAD UNDERGONE GENERAL EXERCISE PROGRAM FOR 4 WEEKS. STATISTICS: REPEATED MEASURES ANALYSIS OF VARIANCE (ANOVA) WAS USED TO ANALYZE GROUP DIFFERENCES OVER TIME, WHILE CONTROLLING FOR BASELINE DIFFERENCES. RESULTS: PATIENTS IN BOTH GROUPS EXPERIENCED SIGNIFICANT REDUCTION IN PAIN AND IMPROVEMENT IN HRQOL. IN VISUAL ANALOGUE SCALE (VAS) YOGA GROUP SHOWED REDUCTION OF 72.81% (P = 0.001) AS COMPARED TO EXERCISE GROUP 42.50% (P = 0.001). IN HRQOL, YOGA GROUP SHOWED REDUCTION OF 86.99% (P = 0.001) AS COMPARED TO EXERCISE GROUP 67.66% (P = 0.001). CONCLUSION: THESE RESULTS SUGGEST THAT IYENGAR YOGA PROVIDES BETTER IMPROVEMENT IN PAIN REDUCTION AND IMPROVEMENT IN HRQOL IN NONSPECIFIC CHRONIC BACK PAIN THAN GENERAL EXERCISE. 2014 6 1818 35 PROSPECTIVE RANDOMIZED TRIAL OF STANDARD ANTIEMETIC THERAPY WITH YOGA VERSUS STANDARD ANTIEMETIC THERAPY ALONE FOR HIGHLY EMETOGENIC CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING IN SOUTH ASIAN POPULATION. AIM/BACKGROUND: CHEMOTHERAPY-INDUCED NAUSEA AND VOMITING (CINV) IS ONE OF THE MOST DISTRESSING SIDE EFFECTS OF HIGHLY EMETOGENIC CHEMOTHERAPY REGIMENS. THERE HAVE BEEN CONTINUOUS EFFORTS IN THE DIRECTION TO CONTROL CINV BY MANY INVESTIGATORS. MATERIALS AND METHODS: RANDOMLY SELECTED PATIENTS WERE THOSE RECEIVING HIGHLY EMETOGENIC CHEMOTHERAPY REGIMEN GROUPED INTO YOGA AND STANDARD ANTIEMETIC THERAPY (N = 50) JUST BEFORE RECEIVING CHEMOTHERAPY AND CONTINUED FOR THE FOLLOWING DAYS AND OTHER GROUP (N = 50) RECEIVED ONLY THE STANDARD ANTIEMETIC AGENT. BOTH THE GROUPS WERE ASSESSED, FOLLOWED FOR ACUTE AND DELAYED ONSET OF CHEMOTHERAPY-INDUCED AND ANTICIPATORY NAUSEA AND VOMITING USING RADIATION THERAPY ONCOLOGY GROUP GRADING FOR THE SAME. WE ALSO ASSESSED THE QUALITY OF LIFE OF THE PATIENT USING THE FUNCTIONAL ASSESSMENT OF CANCER THERAPY-GENERAL QUESTIONNAIRE. RESULTS: THE MEDIAN AGE GROUP OF THE PATIENTS WAS 51 YEARS WITH MALE:FEMALE RATIO 2:1, THE EASTERN COOPERATIVE ONCOLOGY GROUP (ECOG) PERFORMANCE STATUS WAS 0/1 IN 38% OF THE SELECTED POPULATION, WHILE ECOG 2 IN 62% OF THE PATIENTS. IN YOGA ARM, INSIGNIFICANT REDUCTION IN CHEMOTHERAPY-INDUCED NAUSEA (90% VS. 78%, P = 0.35) AND BUT SIGNIFICANT REDUCTION IN VOMITING (42% VS. 22%, P =0.01) WAS OBSERVED AS COMPARED TO THE STANDARD ANTIEMETICS ONLY ARM. THERE WAS A SIGNIFICANT REDUCTION IN GRADE 2 AND 3 NAUSEA (84% VS. 38% P < 0.01) AND VOMITING (14% VS. 0% P < 0.01). QUALITY OF LIFE IS ALSO SIGNIFICANTLY IMPROVED IN THE YOGA ARM, ESPECIALLY IN THE ECOG 2 PERFORMANCE STATUS. CONCLUSIONS: THIS STUDY CONCLUDES THAT YOGA ALONG WITH STANDARD ANTIEMETIC MEDICATION SHOULD BE A PART OF THE MANAGEMENT PLAN FOR THE CANCER PATIENTS RECEIVING HIGHLY EMETOGENIC CHEMOTHERAPY. 2019 7 2464 34 YOGA AS A THERAPEUTIC INTERVENTION IN THE MANAGEMENT OF DYSFUNCTIONAL UTERINE BLEEDING: A CONTROLLED PILOT STUDY. BACKGROUND: DYSFUNCTIONAL UTERINE BLEEDING (DUB) IS ONE OF THE MOST COMMON GYNECOLOGICAL DISORDERS ENCOUNTERED IN WOMEN DURING THE REPRODUCTIVE AGE. YOGA THERAPY HAS SHOWN PROMISING BENEFITS IN SEVERAL GYNECOLOGICAL DISORDERS. METHODS: THIRTY WOMEN BETWEEN THE AGES OF 20 AND 40 YEARS WITH PRIMARY DUB WERE RANDOMLY ASSIGNED TO A YOGA (N = 15) AND A WAITLIST CONTROL GROUP (N = 15). PARTICIPANTS IN THE YOGA GROUP RECEIVED A 3-MONTH YOGA MODULE AND WERE ASSESSED FOR HEMOGLOBIN VALUES, ENDOMETRIAL THICKNESS (ET), PICTORIAL BLOOD LOSS ASSESSMENT CHART (PBAC), STATE-TRAIT ANXIETY INVENTORY, PERCEIVED STRESS SCALE, AND PITTSBURGH SLEEP QUALITY INDEX (PSQI) BEFORE AND AFTER A 3-MONTH FOLLOW-UP PERIOD. RESULTS: AT THE END OF 3 MONTHS OF INTERVENTION, THE YOGA GROUP, UNLIKE THE CONTROL GROUP, REPORTED A SIGNIFICANT REDUCTION IN THE ANXIETY SCORES (P < 0.05) AND PERCEIVED STRESS (P < 0.05). THE PSQI SCORES INDICATED A REDUCTION IN SLEEP DISTURBANCES (P < 0.001) AND THE NEED FOR SLEEP MEDICATIONS (P < 0.01) AND HIGHER GLOBAL SCORES (P < 0.001). HOWEVER, THERE WERE NO CHANGES IN PBAC AND ET IN BOTH THE GROUPS. CONCLUSION: THE RESULTS INDICATE THAT YOGA THERAPY POSITIVELY IMPACTS THE OUTCOME OF DUB BY REDUCING THE PERCEIVED STRESS AND STATE ANXIETY AND IMPROVING THE QUALITY OF SLEEP. THIS WARRANTS LARGER CLINICAL TRIALS TO VALIDATE THE FINDINGS OF THIS PILOT STUDY. 2018 8 2855 38 YOGA-AN ALTERNATIVE FORM OF THERAPY IN PATIENTS WITH BLUNT CHEST TRAUMA: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: YOGA AS ALTERNATIVE FORM OF THERAPY HAS SHOWN POSITIVE IMPACT ON PULMONARY FUNCTIONS, EXERCISE CAPACITY, BEHAVIORAL CHANGES, AND INFLAMMATION IN NON-TRAUMA PATIENTS. HOWEVER, THE EFFICACY OF YOGA HAS NOT BEEN STUDIED IN CHEST TRAUMA PATIENTS. METHODS: THIS RANDOMIZED CONTROLLED TRIAL WAS CONDUCTED AT LEVEL-1 TRAUMA CENTRE. ISOLATED CHEST INJURY PATIENTS WERE RANDOMIZED INTO EITHER STANDARD PHYSIOTHERAPY OR YOGATHERAPY GROUPS. PATIENTS IN PHYSIOTHERAPY GROUP RECEIVED CONVENTIONAL CHEST PHYSIOTHERAPY AND YOGATHERAPY GROUP RECEIVED A SET OF YOGIC EXERCISES IN ADDITION TO CONVENTIONAL CHEST PHYSIOTHERAPY. PRIMARY OUTCOME MEASURE WAS CHANGES IN PULMONARY FUNCTION TESTS (PFT) AT 4 WEEKS OF DISCHARGE. SECONDARY OUTCOMES WERE CHANGES IN QUALITY OF LIFE (QOL), RESPIRATORY MUSCLE STRENGTH AND ENDURANCE, CHEST WALL MOBILITY, AND LEVELS OF CYTOKINES AT 4 WEEKS. DATA WERE ANALYZED USING STATA V14.0. RESULTS: A TOTAL OF 89 ELIGIBLE PATIENTS WERE RANDOMIZED TO PHYSIOTHERAPY (N = 46) AND YOGA THERAPY (N = 43) GROUPS. DEMOGRAPHIC CHARACTERISTICS WERE COMPARABLE IN BOTH THE GROUPS. THERE WERE STATISTICALLY SIGNIFICANT IMPROVEMENTS IN PFT IN THE YOGATHERAPY GROUP COMPARED WITH PHYSIOTHERAPY WITH AN INCREASE IN FORCED VITAL CAPACITY (P = 0.02) AND FORCED EXPIRATORY VOLUME (P = 0.01) AT 4 WEEKS. IN ADDITION, THERE WERE SIGNIFICANT IMPROVEMENT IN PHYSICAL COMPONENT OF QOL, RESPIRATORY MUSCLE ENDURANCE (P = 0.003) AND AXILLARY CIRTOMETRY (P = 0.009) IN THE YOGATHERAPY GROUP. HOWEVER, NO STATISTICALLY SIGNIFICANT DIFFERENCE IN THE TRENDS OF CYTOKINE MARKERS SEEN BETWEEN THE GROUPS. CONCLUSION: YOGA WAS FOUND TO BE EFFECTIVE IN IMPROVING PULMONARY FUNCTIONS AND QOL IN PATIENTS WITH CHEST TRAUMA. (TRIAL REGISTERED AT CTRI.NIC.IN/CLINICALTRIALS/LOGIN.PHP, NUMBERREF/2016/05/011,287). 2021 9 277 34 ADDITIONAL PRACTICE OF YOGA BREATHING WITH INTERMITTENT BREATH HOLDING ENHANCES PSYCHOLOGICAL FUNCTIONS IN YOGA PRACTITIONERS: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND AND OBJECTIVE: THE PRACTICE OF YOGA IS ASSOCIATED WITH ENHANCED PSYCHOLOGICAL WELLBEING. THE CURRENT STUDY ASSESSED THE CORRELATION BETWEEN THE DURATION OF YOGA PRACTICE WITH STATE MINDFULNESS, MIND-WANDERING AND STATE ANXIETY. ALSO, WE EXAMINED IF AN ADDITIONAL 20 MIN OF YOGA BREATHING WITH INTERMITTENT BREATH HOLDING (EXPERIMENTAL GROUP) FOR 8 WEEKS WOULD AFFECT THESE PSYCHOLOGICAL VARIABLES MORE THAN REGULAR YOGA PRACTICE (CONTROL GROUP) ALONE. METHODS: ONE HUNDRED SIXTEEN SUBJECTS WERE RANDOMLY ASSIGNED TO EXPERIMENTAL (N = 60) AND CONTROL (N = 56) GROUPS. STATE MINDFULNESS ATTENTION AWARENESS SCALE (SMAAS), MIND-WANDERING QUESTIONNAIRE (MWQ) AND STATE ANXIETY INVENTORY WERE ADMINISTERED AT BASELINE AND AT THE END OF 8 WEEKS. RESULTS: BASELINE ASSESSMENT REVEALED A POSITIVE CORRELATION BETWEEN DURATION OF YOGA PRACTICE WITH SMAAS SCORES AND NEGATIVE CORRELATION WITH MWQ AND STATE ANXIETY SCORES. AT THE END OF 8 WEEKS, BOTH GROUPS DEMONSTRATED ENHANCED PSYCHOLOGICAL FUNCTIONS, BUT THE EXPERIMENTAL GROUP RECEIVING ADDITIONAL YOGA BREATHING PERFORMED BETTER THAN THE GROUP PRACTICING YOGA ALONE. CONCLUSION: AN ADDITIONAL PRACTICE OF YOGA BREATHING WITH INTERMITTENT BREATH HOLDING WAS FOUND TO ENHANCE THE PSYCHOLOGICAL FUNCTIONS IN YOUNG ADULT YOGA PRACTITIONERS. 2018 10 412 30 BLOOD PRESSURE EFFECTS OF YOGA, ALONE OR IN COMBINATION WITH LIFESTYLE MEASURES: RESULTS OF THE LIFESTYLE MODIFICATION AND BLOOD PRESSURE STUDY (LIMBS). THE AUTHORS CONDUCTED A STUDY TO ASSESS THE EFFECTS OF YOGA ON BLOOD PRESSURE (BP). PATIENTS WERE RANDOMIZED TO YOGA (BLOOD PRESSURE EDUCATION PROGRAM [BPEP]), OR A COMBINED PROGRAM (COMBO). AMBULATORY BP WAS MEASURED AT BASELINE AND AT 12 AND 24 WEEKS. DATA ARE PRESENTED FOR ALL ENROLLED PATIENTS (N=137) AND FOR COMPLETERS ONLY (N=90). SYSTOLIC BP (SBP) AND DIASTOLIC BP (DBP) WERE SIGNIFICANTLY DECREASED WITHIN ALL GROUPS AT 12 AND 24 WEEKS (P<.001) FOR ENROLLED PATIENTS AND COMPLETERS. SBP WAS SIGNIFICANTLY REDUCED IN THE YOGA AND COMBO GROUPS AS COMPARED WITH THE BPEP GROUP AT 12 WEEKS IN ALL ENROLLED AND COMPLETERS. SBP DIFFERENCES WERE NO LONGER SIGNIFICANT AT 24 WEEKS BETWEEN GROUPS IN ALL ENROLLED PATIENTS; HOWEVER, THERE WAS A GREATER REDUCTION IN SBP AT 24 WEEKS IN COMPLETERS FAVORING BPEP OVER YOGA. NO DIFFERENCES IN DBP BETWEEN GROUPS OR IN BP BETWEEN THE YOGA AND COMBO GROUPS WERE PRESENT. THE AUTHORS DID NOT OBSERVE AN ADDITIVE BENEFIT FROM COMBINING YOGA WITH BPEP MEASURES. REASONS FOR THIS ARE UNCLEAR AT THIS TIME. BP LOWERING WITH YOGA, HOWEVER, WAS SIMILAR TO THAT ACHIEVED WITH LIFESTYLE MEASURES. 2016 11 1081 36 EFFECTS OF YOGA ON SEXUAL FUNCTION IN WOMEN WITH METABOLIC SYNDROME: A RANDOMIZED CONTROLLED TRIAL. INTRODUCTION: FEMALE SEXUAL DYSFUNCTION IS AN IMPORTANT PUBLIC HEALTH ISSUE; IT HAS A HIGH GLOBAL PREVALENCE, BUT NO EFFECTIVE AND SAFE TREATMENT OPTIONS. THE PREVALENCE OF SEXUAL DYSFUNCTION IS HIGHER IN WOMEN WITH METABOLIC SYNDROME THAN IN THE GENERAL POPULATION. AIM: THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFICACY OF YOGA AS A TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME. METHODS: IN THIS RANDOMIZED, CONTROLLED STUDY, 41 WOMEN WITH METABOLIC SYNDROME (AGE 30-60 YEARS) WERE ASSIGNED TO A 12-WEEK YOGA EXERCISE GROUP (N=20) OR A WAIT-LISTED CONTROL GROUP (N=21). MAIN OUTCOME MEASURES: PRIMARY END POINTS WERE CHANGES IN TOTAL AND INDIVIDUAL DOMAIN SCORES ON THE FEMALE SEXUAL FUNCTION INDEX. RESULTS: THE 12-WEEK YOGA INTERVENTION RESULTED IN SIGNIFICANT IMPROVEMENT IN AROUSAL (0.74+/-1.18 VS. 0.16+/-0.82, RESPECTIVELY; P=0.042) AND LUBRICATION (0.72+/-1.12 VS. 0.06+/-0.87, RESPECTIVELY; P=0.008) COMPARED WITH THE CONTROL GROUP. SYSTOLIC BLOOD PRESSURE SHOWED SIGNIFICANTLY GREATER IMPROVEMENT IN THE YOGA GROUP THAN IN THE CONTROL GROUP AT THE 12-WEEK FOLLOW UP (-3.5+/-13.7 VS. 2.0+/-14.7, RESPECTIVELY; P=0.040). CONCLUSION: THESE FINDINGS SUGGEST THAT YOGA MAY BE AN EFFECTIVE TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME AS WELL AS FOR METABOLIC RISK FACTORS. 2013 12 2011 41 SUDARSHAN KRIYA YOGA IMPROVES QUALITY OF LIFE IN HEALTHY PEOPLE LIVING WITH HIV (PLHIV): RESULTS FROM AN OPEN LABEL RANDOMIZED CLINICAL TRIAL. BACKGROUND & OBJECTIVES: IMPROVING QUALITY OF LIFE (QOL) OF HEALTHY PEOPLE LIVING WITH HIV (PLHIV) IS CRITICAL NEEDING HOME-BASED, LONG-TERM STRATEGY. SUDARSHAN KRIYA YOGA (SKY) INTERVENTION IS ACKNOWLEDGED FOR ITS POSITIVE IMPACT ON HEALTH. IT IS HYPOTHESISED THAT SKY WOULD IMPROVE PLHIV'S QOL, JUSTIFYING AN EVALUATION. METHODS: IN THIS OPEN LABEL RANDOMIZED CONTROLLED PILOT TRIAL, 61 ADULT PLHIV WITH CD4 COUNT MORE THAN 400 CELLS/MICROL AND KARNOFSKY SCALE SCORE ABOVE 70 WERE ENROLLED. THOSE WITH CARDIAC DISEASE, JAUNDICE, TUBERCULOSIS, OR ON ANTIRETROVIRAL THERAPY/YOGA INTERVENTION WERE EXCLUDED. ALL WERE GIVEN STANDARD CARE, RANDOMIZED TO SKY INTERVENTION (31: I-SKY) AND ONLY STANDARD OF CARE IN CONTROL (30: O-SOC) ARMS. THE I-SKY PARTICIPANTS WERE TRAINED FOR SIX DAYS TO PREPARE FOR DAILY PRACTICE OF SKY AT HOME FOR 30 MIN. A VALIDATED 31-ITEM WHOQOL-HIVBREF QUESTIONNAIRE WAS USED TO DOCUMENT EFFECT IN BOTH ARMS FROM BASELINE TO THREE VISITS AT 4 WK INTERVAL. RESULTS: BASELINE QOL SCORES, HYPERTENSION AND CD4 COUNT WERE SIMILAR IN BOTH ARMS. AN OVERALL 6 PER CENT IMPROVEMENT OF QOL SCORES WAS OBSERVED IN I-SKY GROUP AS COMPARED TO O-SOC GROUP, AFTER CONTROLLING FOR BASELINE VARIABLES LIKE AGE, GENDER, EDUCATION AND OCCUPATION ( P =0.016); 12 PER CENT FOR PHYSICAL ( P =0.004), 11 PER CENT PSYCHOLOGICAL (P =0.023) AND 9 PER CENT LEVEL OF INDEPENDENCE (P =0.001) DOMAINS. IMPROVEMENT IN I-SKY OBSERVED AT POST-TRAINING AND IN THE SKY ADHERENCE GROUP SHOWED INCREASE IN THESE TWO DOMAINS. CONCLUSIONS: A SIGNIFICANT IMPROVEMENT IN QOL SCORES WAS OBSERVED FOR THE THREE HEALTH RELATED QOL DOMAINS IN SKY INTERVENTION ARM. THIS LOW COST STRATEGY IMPROVED PHYSICAL AND PSYCHOLOGICAL STATE OF PLHIV CALLING FOR UPSCALING WITH EFFECTIVE MONITORING FOR SUSTAINABILITY OF QUALITY OF LIFE. 2015 13 2260 37 THE PRACTICE OF HATHA YOGA FOR THE TREATMENT OF PAIN ASSOCIATED WITH ENDOMETRIOSIS. OBJECTIVES: THE AIM OF THIS STUDY WAS TO COMPARE CHRONIC PELVIC PAIN, MENSTRUAL PATTERNS, AND QUALITY OF LIFE (QOL) IN TWO GROUPS OF WOMEN WITH ENDOMETRIOSIS: THOSE WHO DID AND THOSE WHO DID NOT PARTICIPATE IN A SPECIFIC 8-WEEK YOGA INTERVENTION. METHOD: THIS WAS A RANDOMIZED CONTROLLED TRIAL. IT WAS CONDUCTED AT THE UNIVERSITY OF CAMPINAS MEDICAL SCHOOL, CAMPINAS, SP, BRAZIL. FORTY WOMEN WERE RANDOMLY DIVIDED INTO TWO GROUPS: AN INTERVENTION GROUP OF WOMEN WHO PRACTICED YOGA (N = 28), AND A CONTROL GROUP OF WOMEN WHO DID NOT PRACTICE YOGA (N = 12). PARTICIPANTS ATTENDED 90-MIN SCHEDULED YOGA SESSIONS TWICE A WEEK FOR 8 WEEKS. ADDITIONALLY, AN ENDOMETRIOSIS HEALTH PROFILE (EHP)-30 QUESTIONNAIRE WAS APPLIED TO EVALUATE WOMEN'S QOL AT ADMISSION AND 2 MONTHS LATER UPON COMPLETION OF THE YOGA PROGRAM. MENSTRUAL AND DAILY PAIN PATTERNS WERE EVALUATED THROUGH A DAILY CALENDAR (VISUAL ANALOG SCALE). RESULTS: THE DEGREE OF DAILY PAIN WAS SIGNIFICANTLY LOWER AMONG THE WOMEN WHO PRACTICED YOGA COMPARED WITH THE NON-YOGA GROUP (P = 0.0007). THERE WAS AN IMPROVEMENT OF QOL IN BOTH GROUPS BETWEEN BASELINE AND THE END OF THE STUDY EVALUATION. IN RELATION TO EHP-30 DOMAINS, PAIN (P = 0.0046), IMPOTENCE (P = 0.0006), WELL-BEING (P = 0.0009), AND IMAGE (P = 0.0087) FROM THE CENTRAL QUESTIONNAIRE, AND WORK (P = 0.0027) AND TREATMENT (P = 0.0245) FROM THE MODULAR QUESTIONNAIRE WERE SIGNIFICANTLY DIFFERENT BETWEEN THE STUDY GROUPS OVER TIME. THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN THE TWO GROUPS REGARDING THE DIARY OF MENSTRUAL PATTERNS (P = 0.96). CONCLUSIONS: YOGA PRACTICE WAS ASSOCIATED WITH A REDUCTION IN LEVELS OF CHRONIC PELVIC PAIN AND AN IMPROVEMENT IN QOL IN WOMEN WITH ENDOMETRIOSIS. 2017 14 1762 35 POST TRAUMATIC STRESS SYMPTOMS AND HEART RATE VARIABILITY IN BIHAR FLOOD SURVIVORS FOLLOWING YOGA: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: AN EARLIER STUDY SHOWED THAT A WEEK OF YOGA PRACTICE WAS USEFUL IN STRESS MANAGEMENT AFTER A NATURAL CALAMITY. DUE TO HEAVY RAIN AND A RIFT ON THE BANKS OF THE KOSI RIVER, IN THE STATE OF BIHAR IN NORTH INDIA, THERE WERE FLOODS WITH LOSS OF LIFE AND PROPERTY. A WEEK OF YOGA PRACTICE WAS GIVEN TO THE SURVIVORS A MONTH AFTER THE EVENT AND THE EFFECT WAS ASSESSED. METHODS: TWENTY-TWO VOLUNTEERS (GROUP AVERAGE AGE +/- S.D, 31.5 +/- 7.5 YEARS; ALL OF THEM WERE MALES) WERE RANDOMLY ASSIGNED TO TWO GROUPS, YOGA AND A NON-YOGA WAIT-LIST CONTROL GROUP. THE YOGA GROUP PRACTICED YOGA FOR AN HOUR DAILY WHILE THE CONTROL GROUP CONTINUED WITH THEIR ROUTINE ACTIVITIES. BOTH GROUPS' HEART RATE VARIABILITY, BREATH RATE, AND FOUR SYMPTOMS OF EMOTIONAL DISTRESS USING VISUAL ANALOG SCALES, WERE ASSESSED ON THE FIRST AND EIGHTH DAY OF THE PROGRAM. RESULTS: THERE WAS A SIGNIFICANT DECREASE IN SADNESS IN THE YOGA GROUP (P < 0.05, PAIRED T-TEST, POST DATA COMPARED TO PRE) AND AN INCREASE IN ANXIETY IN THE CONTROL GROUP (P < 0.05, PAIRED T-TEST, POST DATA COMPARED TO PRE). CONCLUSIONS: A WEEK OF YOGA CAN REDUCE FEELINGS OF SADNESS AND POSSIBLY PREVENT AN INCREASE IN ANXIETY IN FLOOD SURVIVORS A MONTH AFTER THE CALAMITY. TRIAL REGISTRATION: CLINICAL TRIALS REGISTRY OF INDIA: CTRI/2009/091/000285. 2010 15 819 31 EFFECT OF YOGA ON DEPRESSION IN HYPOTHYROIDISM: A PILOT STUDY. BACKGROUND: THE PREVALENCE OF HYPOTHYROIDISM AMONG INDIAN WOMEN IS 15.8%. DEPRESSION IS FREQUENTLY REPORTED IN HYPOTHYROIDISM. YOGA IS AN EFFECTIVE INTERVENTION FOR DEPRESSION. HOWEVER, THE INFLUENCE OF YOGA ON DEPRESSION IN PATIENTS WITH HYPOTHYROIDISM HAS NOT BEEN STUDIED. AIM: THE PRESENT STUDY INVESTIGATED THE EFFECT OF A 3-MONTH INTEGRATED YOGA INTERVENTION (3-IY) ON DEPRESSION, LIPID INDICES, AND SERUM THYROID-STIMULATING HORMONE (STSH) LEVELS AMONG FEMALE PATIENTS HAVING HYPOTHYROIDISM, AND MILD-TO-MODERATE DEPRESSION. METHOD: THE PRESENT SINGLE-ARM PRE-POST DESIGN STUDY WAS CONDUCTED IN THIRTY-EIGHT WOMEN (AVERAGE AGE 34.2 +/- 4.7 YEARS). PARTICIPANTS RECEIVED A 3-IY COMPRISING ASANAS, PRANAYAMA, AND RELAXATION TECHNIQUES FOR 60 MIN DAILY (5 DAYS A WEEK). DEPRESSION, STSH, LIPID PROFILE INDICES, BODY MASS INDEX (BMI), FATIGUE, ANXIETY, AND STRESS WERE ASSESSED AT BASELINE AND AFTER 12 WEEKS. THYROID MEDICATION WAS KEPT CONSTANT DURING THE STUDY PERIOD. DATA WERE ANALYSED USING R STUDIO SOFTWARE. RESULT: A SIGNIFICANT (P < 0.05) REDUCTION IN DEPRESSION (58%), STSH (37%), BMI (6%), FATIGUE (64%), ANXIETY (57%), LIPID PROFILE INDICES (HLD INCREASED SIGNIFICANTY), AND STRESS (55%) LEVELS WAS OBSERVED AFTER 3 MONTHS, COMPARED WITH THE CORRESPONDING BASELINE LEVELS. CONCLUSION: THE 3-IY IS USEFUL FOR REDUCING DEPRESSION, DYSLIPIDEMIA, AND STSH IN WOMEN WITH HYPOTHYROIDISM AND DEPRESSION. FURTHER STUDIES WITH A LARGER SAMPLE SIZE AND A ROBUST RESEARCH DESIGN USING OBJECTIVE VARIABLES MUST BE CONDUCTED TO STRENGTHEN THE STUDY FINDINGS. 2021 16 2173 20 THE EFFECTS OF YOGA ON DYSPNEA, SLEEP AND FATIGUE IN CHRONIC RESPIRATORY DISEASES. PURPOSE: THIS STUDY WAS CARRIED OUT TO FIND OUT THE EFFECTS OF YOGA APPLIED TO CHRONIC RESPIRATORY DISEASE PATIENTS ON DYSPNEA, SLEEP QUALITY AND FATIGUE. MATERIAL AND METHOD: THE STUDY WAS CONDUCTED BETWEEN MAY AND AUGUST 2020 AS A RANDOMIZED CONTROLLED STUDY. 'PERSONAL INFORMATION FORM', 'RESPIRATORY FUNCTIONS MONITORING FORM', 'COPD AND ASTHMA FATIGUE SCALE (CAFS), "ASTHMA AND COPD SLEEP IMPACT SCALE (CASIS)" AND MODIFIED MEDICAL RESEARCH COUNCIL DYSPNEA SCALE (MMRC) WERE USED IN DATA COLLECTION. RESULTS: WHEN THE POST-TEST MEAN SCORES OF THE PATIENTS IN THE EXPERIMENTAL AND CONTROL GROUP WERE COMPARED, IT WAS FOUND THAT CAFS, CASIS AND MMRC MEAN SCORES OF THE PATIENTS IN THE EXPERIMENTAL GROUP DECREASED POSITIVELY COMPARED TO THE PATIENTS IN THE CONTROL GROUP AND THE DIFFERENCE BETWEEN WAS FOUND TO BE STATISTICALLY SIGNIFICANT (P < 0.05). CONCLUSION: YOGA HAS BEEN FOUND TO REDUCE THE SEVERITY OF DYSPNEA AND FATIGUE AND IMPROVE SLEEP QUALITY IN CHRONIC RESPIRATORY DISEASES. 2021 17 930 35 EFFECTIVENESS OF YOGA PROGRAM IN THE MANAGEMENT OF DIABETES USING COMMUNITY HEALTH WORKERS IN THE URBAN SLUMS OF BANGALORE CITY: A NON-RANDOMIZED CONTROLLED TRIAL. TRIAL DESIGN: NONRANDOMIZED CONTROLLED TRIAL. METHODS: NONRANDOMIZED CONTROLLED TRIAL. THIS WAS AN INTERVENTIONAL STUDY THAT WAS CONDUCTED IN 4 SLUMS OF BENGALURU. OF THE 256 DIABETES PARTICIPANTS, ONLY 109 PEOPLE AGREED TO PARTICIPATE IN THE PROGRAM. OF 109 PEOPLE, 52 PEOPLE AGREED TO PARTICIPATE IN THE INTERVENTION (AGREED TO LEARN AND PRACTICE YOGA) WHILE THE REMAINING 57 PEOPLE WERE ASSIGNED TO NONINTERVENTION GROUP. RANDOMIZATION AND BLINDING COULD NOT BE DONE. OBJECTIVE AND OUTCOME: THE STUDY WAS CONDUCTED WITH OBJECTIVE OF ASSESSING THE EFFECTIVENESS OF YOGA, PRANAYAMA, AND SUDARSHAN KRIYA IN THE COMMUNITY-BASED MANAGEMENT OF DIABETES MELLITUS. THE PRIMARY OUTCOME VARIABLE WAS HB1AC AND SECONDARY OUTCOME VARIABLES WERE SYSTOLIC BLOOD PRESSURE (SBP), DIASTOLIC BLOOD PRESSURE (DBP), ADHERENCE TO MEDICATION, AND CHANGES IN LIFESTYLE. RESULTS: THE STUDY WAS CONDUCTED FOR 40 DAYS. COMMUNITY HEALTH WORKERS MADE A TOTAL OF 6 VISITS DURING THE STUDY. ALL THE 109 PARTICIPANTS WERE AVAILABLE FOR WEEKLY FOLLOW-UP. THERE WERE NO DROP OUTS AMONG THE STUDY POPULATION. STATISTICALLY SIGNIFICANT CHANGE WAS SEEN IN THE CONSUMPTION OF VEGETABLE (CHI(2) = 15.326, P < 0.005), FRUITS (CHI(2) = 16.207, P < 0.005), SALTY FOOD (CHI(2) = 14.823, P < 0.005), BAKERY FOOD (CHI(2) = 10.429, P < 0.005) AND FRIED FOOD (CHI(2) = 15.470, P < 0.005), ADHERENCE TO METFORMIN (CHI(2) = 41.780, P < 0.005) AND OTHER MEDICATION(CHI(2) = 21.871, P < 0.005) AND PROPORTION OF PATIENTS WITH DBP UNDER CONTROL (CHI(2) = 9.396, P < 0.005) AND PROPORTION OF PEOPLE WITH GLUCOSE RANDOM BLOOD SUGAR UNDER CONTROL (CHI(2) = 29.693, P < 0.005) BETWEEN THE TWO GROUPS FOLLOWING THE INTERVENTION. STATISTICALLY SIGNIFICANT CHANGE WAS ALSO SEEN IN THE PROPORTION OF PEOPLE WITH SBP/DBP 0.05). FOUR WEEKS FOLLOWING DIFFERENT BREATHING EXERCISES, PBE-G GROUP SHOWS MORE SIGNIFICANT CHANGES IN PAIN INTENSITY, PULMONARY FUNCTION, RESPIRATORY MUSCLE ACTIVITY, EXERCISE TOLERANCE AND GLOBAL RATING OF CHANGE THAN CBE-G GROUP (P