1 1868 140 RANDOMIZED, CONTROLLED TRIAL OF YOGA IN WOMEN WITH BREAST CANCER UNDERGOING RADIOTHERAPY. PURPOSE: PREVIOUS RESEARCH INCORPORATING YOGA (YG) INTO RADIOTHERAPY (XRT) FOR WOMEN WITH BREAST CANCER FINDS IMPROVED QUALITY OF LIFE (QOL). HOWEVER, SHORTCOMINGS IN THIS RESEARCH LIMIT THE FINDINGS. PATIENTS AND METHODS: PATIENTS WITH STAGES 0 TO III BREAST CANCER WERE RECRUITED BEFORE STARTING XRT AND WERE RANDOMLY ASSIGNED TO YG (N = 53) OR STRETCHING (ST; N = 56) THREE TIMES A WEEK FOR 6 WEEKS DURING XRT OR WAITLIST (WL; N = 54) CONTROL. SELF-REPORT MEASURES OF QOL (MEDICAL OUTCOMES STUDY 36-ITEM SHORT-FORM SURVEY; PRIMARY OUTCOMES), FATIGUE, DEPRESSION, AND SLEEP QUALITY, AND FIVE SALIVA SAMPLES PER DAY FOR 3 CONSECUTIVE DAYS WERE COLLECTED AT BASELINE, END OF TREATMENT, AND 1, 3, AND 6 MONTHS LATER. RESULTS: THE YG GROUP HAD SIGNIFICANTLY GREATER INCREASES IN PHYSICAL COMPONENT SCALE SCORES COMPARED WITH THE WL GROUP AT 1 AND 3 MONTHS AFTER XRT (P = .01 AND P = .01). AT 1, 3, AND 6 MONTHS, THE YG GROUP HAD GREATER INCREASES IN PHYSICAL FUNCTIONING COMPARED WITH BOTH ST AND WL GROUPS (P < .05), WITH ST AND WL DIFFERENCES AT ONLY 3 MONTHS (P < .02). THE GROUP DIFFERENCES WERE SIMILAR FOR GENERAL HEALTH REPORTS. BY THE END OF XRT, THE YG AND ST GROUPS ALSO HAD A REDUCTION IN FATIGUE (P < .05). THERE WERE NO GROUP DIFFERENCES FOR MENTAL HEALTH AND SLEEP QUALITY. CORTISOL SLOPE WAS STEEPEST FOR THE YG GROUP COMPARED WITH THE ST AND WL GROUPS AT THE END (P = .023 AND P = .008) AND 1 MONTH AFTER XRT (P = .05 AND P = .04). CONCLUSION: YG IMPROVED QOL AND PHYSIOLOGICAL CHANGES ASSOCIATED WITH XRT BEYOND THE BENEFITS OF SIMPLE ST EXERCISES, AND THESE BENEFITS APPEAR TO HAVE LONG-TERM DURABILITY. 2014 2 459 51 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 3 2896 35 [EFFECT OF YOGA ON CANCER RELATED FATIGUE IN BREAST CANCER PATIENTS WITH CHEMOTHERAPY]. OBJECTIVE: TO EVALUATE THE CONDITION OF CANCER-RELATED FATIGUE (CRF) IN BREAST CANCER PATIENTS WITH CHEMOTHERAPY AND TO EXPLORE THE EFFECT OF YOGA ON IT. METHODS: AFTER THE COMPLETION OF YOGA, 100 BREAST CANCER PATIENTS WITH CRF (CFS>0) WERE SELECTED AND WERE RANDOMLY DIVIDED INTO THE YOGA GROUP AND THE CONTROL GROUP (N=50). PATIENTS IN THE CONTROL GROUP ONLY RECEIVED ROUTINE CURE AND CARE WHILE PATIENTS IN THE YOGA GROUP RECEIVED EXTRA YOGA EXERCISE, LASTING FOR 4 MONTHS. CANCER FATIGUE SCALE (CFS) WAS EVALUATED IN THE 2ND, 4TH AND 6TH ROUND OF CHEMOTHERAPY. RESULTS: AT THE END, 82 CASES QUALIFIED FOR THE STUDY, 42 CASES FOR THE CONTROL GROUP AND 40 FOR THE YOGA GROUP. THE MEAN SCORE OF BODY FATIGUE WAS 12.67+/-3.46. THERE WAS NO SIGNIFICANT DIFFERENCE IN CRF BETWEEN THE YAGO GROUP AND THE CONTROL GROUP BEFORE THE YOGA INTERVENTION (P>0.05). AFTER THE 4TH ROUND OF CHEMOTHERAPY, THE MEAN SCORES OF CFS AND BODY FATIGUE IN THE YOGA GROUP WERE SIGNIFICANTLY LOWER THAN THAT IN THE CONTROL GROUP (P<0.05). AFTER THE 6TH ROUND OF CHEMOTHERAPY, THE MEAN SCORES OF CFS, BODY FATIGUE AND COGNITIVE FATIGUE IN THE YOGA GROUP WERE LOWER THAN THAT IN THE CONTROL GROUP (P<0.05). REPEATED ANALYSIS OF VARIANCE SHOWED THAT THE DIFFERENCE IN THE OVERALL FATIGUE, BODY FATIGUE AND COGNITIVE FATIGUE BETWEEN THE YOGA GROUP AND THE CONTROL GROUP WAS SIGNIFICANT (P<0.05); THE TIME INFLUENCE ON THE OVERALL FATIGUE, BODY FATIGUE AND EMOTIONAL FATIGUE WAS SIGNIFICANT DIFFERENCE BETWEEN THE 2 GROUPS (P<0.05); THERE WERE INTERACTIONS BETWEEN THE EFFECT OF YAGO AND TIME ON THE OVERALL FATIGUE, BODY FATIGUE AND COGNITIVE FATIGUE (P<0.05). CONCLUSION: THE BODY FATIGUE WAS MORE SERIOUS IN BREAST CANCER PATIENTS WITH CHEMOTHERAPY. YOGA INTERVENTION COULD SIGNIFICANTLY REDUCE BODY FATIGUE, COGNITIVE FATIGUE, THUS REDUCE THE OVERALL FATIGUE IN BREAST CANCER PATIENTS WITH CHEMOTHERAPY. 2014 4 748 36 EFFECT OF SAHAJA YOGA MEDITATION ON QUALITY OF LIFE, ANXIETY, AND BLOOD PRESSURE CONTROL. OBJECTIVE: THE PRESENT STUDY INVESTIGATES THE EFFECT OF SAHAJA YOGA MEDITATION ON QUALITY OF LIFE, ANXIETY, AND BLOOD PRESSURE CONTROL. DESIGN: THE PROSPECTIVE OBSERVATIONAL COHORT STUDY ENROLLED TWO STUDY GROUPS: THOSE RECEIVING TREATMENT FROM THE INTERNATIONAL SAHAJA YOGA RESEARCH AND HEALTH CENTER (MEDITATION GROUP) AND THOSE RECEIVING TREATMENT FROM THE MAHATMA GANDHI MISSION HOSPITAL (CONTROL GROUP). RESEARCHERS MEASURED QUALITY OF LIFE, ANXIETY, AND BLOOD PRESSURE BEFORE AND AFTER TREATMENT. RESULTS: SIXTY-SEVEN (67) PARTICIPANTS IN THE MEDITATION GROUP AND 62 PARTICIPANTS IN THE CONTROL GROUP COMPLETED THE STUDY. THE TWO GROUPS WERE COMPARABLE IN DEMOGRAPHIC AND CLINICAL CHARACTERISTICS. AT BASELINE, THE MEDITATION GROUP HAD HIGHER QUALITY OF LIFE (P<0.001) THAN CONTROLS BUT SIMILAR ANXIETY LEVEL (P=0.74) TO CONTROLS. WITHIN-GROUP PRE- VERSUS POST-TREATMENT COMPARISONS SHOWED SIGNIFICANT IMPROVEMENT IN QUALITY OF LIFE, ANXIETY, AND BLOOD PRESSURE IN THE MEDITATION GROUP (P<0.001), WHILE IN CONTROLS, QUALITY OF LIFE DETERIORATED AND THERE WAS NO IMPROVEMENT IN BLOOD PRESSURE. THE IMPROVEMENT IN QUALITY OF LIFE, ANXIETY REDUCTION, AND BLOOD PRESSURE CONTROL WAS GREATER IN THE MEDITATION GROUP. THE BENEFICIAL EFFECT OF MEDITATION REMAINED SIGNIFICANT AFTER ADJUSTING FOR CONFOUNDERS. CONCLUSIONS: MEDITATION TREATMENT WAS ASSOCIATED WITH SIGNIFICANT IMPROVEMENTS IN QUALITY OF LIFE, ANXIETY REDUCTION, AND BLOOD PRESSURE CONTROL. 2012 5 772 48 EFFECT OF YOGA AND EXERCISE ON GLYCEMIC CONTROL AND PSYCHOSOCIAL PARAMETERS IN TYPE 2 DIABETES MELLITUS: A RANDOMIZED CONTROLLED STUDY. CONTEXT BACKGROUND: TYPE 2 DIABETES HAS BEEN STRONGLY ASSOCIATED WITH PSYCHOSOCIAL FACTORS SUCH AS STRESS, ANXIETY, DEPRESSION, AND QUALITY OF LIFE (QOL). THERE IS NOT MUCH EVIDENCE WHETHER YOGA CAN IMPROVE THESE FACTORS AND MOTIVATE INDIVIDUALS TO ENGAGE IN ACTIVE LIFESTYLE. AIMS: THIS STUDY AIMS TO EVALUATE THE EFFECT OF YOGA AND EXERCISE OVER GLYCEMIC CONTROL, ANXIETY, DEPRESSION, EXERCISE SELF-EFFICACY (ESE), AND QOL AFTER 3-MONTH PROGRAM. METHODS: TWO HUNDRED AND TWENTY-SEVEN INDIVIDUALS WERE RANDOMLY ALLOCATED TO YOGA GROUP (YG) AND EXERCISE GROUP. YG PRACTICED YOGA FOR 2 WEEKS UNDER SUPERVISION AND THEN CARRIED OUT PRACTICE AT HOME FOR 3 MONTHS. THE EXERCISE GROUP PRACTICED 30 MIN OF BRISK WALKING FOR 5 DAYS A WEEK. RESULTS: ON COMPARISON AMONG THE GROUPS, IN YG, THERE WAS A MEAN CHANGE OF 0.47 IN GLYCATED HEMOGLOBIN WHICH WAS GREATER THAN MEAN REDUCTION OF 0.28 IN THE EXERCISE GROUP WITH P < 0.05. STATE ANXIETY REDUCED BY 7.8 AND TRAIT ANXIETY REDUCED BY 4.4 IN YG (P < 0.05) IN 3 MONTHS AS COMPARED TO NONSIGNIFICANT REDUCTIONS OF 3 AND 1 IN MEAN OF STATE AND TRAIT ANXIETY SCORES IN THE EXERCISE GROUP (P > 0.05). THERE WAS A STATISTICALLY SIGNIFICANT REDUCTION IN DEPRESSION SCORE IN BOTH THE GROUPS, 8.6 IN YOGA AND 4.0 IN EXERCISE, WHICH WAS GREATER IN YG. ESE IMPROVED BY 19.2 IN YG (P < 0.05), WHEREAS IT IMPROVED ONLY 2.2 IN THE EXERCISE GROUP (P > 0.05). QOL IMPROVED BY 23.7 IN YG AND 3.0 IN THE EXERCISE GROUP WHICH WAS NONSIGNIFICANT IN THE EXERCISE GROUP AS COMPARED TO YG. CONCLUSIONS: YOGA IS SUPERIOR TO EXERCISE ALONE AS A LIFESTYLE MODIFICATION PROGRAM IN IMPROVING GLYCEMIC CONTROL, ANXIETY, DEPRESSION, AND QOL AS WELL AS ESE. 2020 6 2464 48 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 7 1085 42 EFFECTS OF YOGA ON STRESS, FATIGUE, MUSCULOSKELETAL PAIN, AND THE QUALITY OF LIFE AMONG EMPLOYEES OF DIAMOND INDUSTRY: A NEW APPROACH IN EMPLOYEE WELLNESS. BACKGROUND: DIAMOND INDUSTRY EMPLOYEES OFTEN EXPERIENCE MUSCULOSKELETAL PAIN, FATIGUE, AND STRESS, CONTRIBUTING TO A LOW QUALITY OF LIFE (QOL). YOGA IS AN ANCIENT DISCIPLINE OF MIND-BODY PRACTICE YOGA HAS NUMEROUS HEALTH BENEFITS. OBJECTIVE: THIS STUDY INVESTIGATED THE EFFICACY OF WORKPLACE YOGA IN IMPROVING STRESS, MUSCULOSKELETAL PAIN, FATIGUE, AND QOL AMONG EMPLOYEES OF THE DIAMOND INDUSTRY. METHODS: ONE-HUNDRED SIXTY-SIX EMPLOYEES OF THE DIAMOND INDUSTRY BETWEEN THE AGES OF 20 AND 60 PARTICIPATED IN THE STUDY. PARTICIPANTS WERE ASSIGNED TO EITHER YOGA (N = 84) OR WAITLIST (N = 82) GROUPS. THE YOGA GROUP RECEIVED ONE HOUR OF YOGA, FOUR DAYS A WEEK FOR THREE CONSECUTIVE MONTHS. PARTICIPANTS IN THE WAITLIST GROUP FOLLOWED THEIR DAILY ROUTINES. MUSCULOSKELETAL PAIN, FATIGUE, STRESS, AND QOL WERE ASSESSED AT BASELINE AND AFTER THREE MONTHS. RESULTS: ONE-HUNDRED FIFTY-FIVE EMPLOYEES COMPLETED THE STUDY. THE YOGA GROUP SHOWED SIGNIFICANT (P < 0.05) IMPROVEMENT IN PAIN, PERCEIVED STRESS, FATIGUE, AND QOL DOMAINS AFTER THREE MONTHS COMPARED TO BASELINE. THE WAITLIST GROUP SHOWED NO SIGNIFICANT IMPROVEMENT IN ANY OF THE MEASURES. IN THE POST SCORES COMPARISON BETWEEN THE GROUPS REVEALED A SIGNIFICANT DIFFERENCE BETWEEN THE GROUPS. CONCLUSION: WORKPLACE YOGA FOUND TO BE A USEFUL, COST-EFFECTIVE AND FEASIBLE INTERVENTION IN IMPROVING STRESS, MUSCULOSKELETAL PAIN, FATIGUES AND QUALITY OF LIFE AMONG EMPLOYEES OF THE DIAMOND INDUSTRY. YOGA MAY BE IMPLEMENTED IN THE WORKPLACE AS A WELLNESS PROGRAM AT THE WORKPLACE. 2021 8 1380 36 IMPACT OF LONG TERM YOGA PRACTICE ON SLEEP QUALITY AND QUALITY OF LIFE IN THE ELDERLY. BACKGROUND: SLEEP DISTURBANCES AND DECLINE IN THE PHYSICAL FUNCTIONALITY ARE COMMON CONDITIONS ASSOCIATED WITH AGING. PHARMACOLOGICAL TREATMENT OF SLEEP DISTURBANCES CAN BE ASSOCIATED WITH VARIOUS ADVERSE EFFECTS. SHORT TERM TRIALS OF YOGA ON SLEEP HAVE SHOWN BENEFICIAL EFFECTS. OBJECTIVES: TO EVALUATE THE EFFECT OF LONG-TERM YOGA EXERCISES ON SLEEP QUALITY AND QUALITY OF LIFE (QOL) IN THE ELDERLY. MATERIALS AND METHODS: THIS WAS A CROSS-SECTIONAL STUDY IN WHICH DATA WERE COLLECTED FROM ELDERLY PEOPLE AGED 60 YEARS OR MORE LIVING IN NAGPUR CITY. WE EMPLOYED TWO TYPES OF SURVEY QUESTIONNAIRES: PITTSBURGH SLEEP QUALITY INDEX (PSQI) AND QOL LEIDEN-PADUA (LEIPAD) QUESTIONNAIRE. A TOTAL OF 65 ELDERLY MEN AND WOMEN WHO SIGNED AN INFORMED CONSENT AND COMPLETED QUESTIONNAIRES WERE INCLUDED IN THE STUDY. SLEEP QUALITY SCORE PSQI AND QOL (LEIPAD QUESTIONNAIRE) SCORE OF THE STUDY GROUP WERE EVALUATED AND COMPARED WITH THE CONTROL GROUP USING MANN-WHITNEY U TEST. RESULTS: TOTAL PSQI SCORE IN YOGA GROUP WAS LOWER THAN THAT OF THE CONTROL GROUP. ALSO VARIOUS QOL SCORES OF THE YOGA GROUPS WERE HIGHER THAN THE CONTROL GROUP. CONCLUSION: ADDITION OF REGULAR YOGA EXERCISES IN THE DAILY ROUTINE OF ELDERLY PEOPLE CAN HELP TO ACHIEVE GOOD SLEEP QUALITY AS WELL AS IMPROVE THE QOL. 2013 9 2260 49 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 10 290 43 ADJUNCTIVE YOGA V. HEALTH EDUCATION FOR PERSISTENT MAJOR DEPRESSION: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: THE OBJECTIVE OF THIS STUDY WAS TO DETERMINE WHETHER HATHA YOGA IS AN EFFICACIOUS ADJUNCTIVE INTERVENTION FOR INDIVIDUALS WITH CONTINUED DEPRESSIVE SYMPTOMS DESPITE ANTIDEPRESSANT TREATMENT. METHOD: WE CONDUCTED A RANDOMIZED CONTROLLED TRIAL OF WEEKLY YOGA CLASSES (N = 63) V. HEALTH EDUCATION CLASSES (HEALTHY LIVING WORKSHOP; HLW; N = 59) IN INDIVIDUALS WITH ELEVATED DEPRESSION SYMPTOMS AND ANTIDEPRESSANT MEDICATION USE. HLW SERVED AS AN ATTENTION-CONTROL GROUP. THE INTERVENTION PERIOD WAS 10 WEEKS, WITH FOLLOW-UP ASSESSMENTS 3 AND 6 MONTHS AFTERWARDS. THE PRIMARY OUTCOME WAS DEPRESSION SYMPTOM SEVERITY ASSESSED BY BLIND RATER AT 10 WEEKS. SECONDARY OUTCOMES INCLUDED DEPRESSION SYMPTOMS OVER THE ENTIRE INTERVENTION AND FOLLOW-UP PERIODS, SOCIAL AND ROLE FUNCTIONING, GENERAL HEALTH PERCEPTIONS, PAIN, AND PHYSICAL FUNCTIONING. RESULTS: AT 10 WEEKS, WE DID NOT FIND A STATISTICALLY SIGNIFICANT DIFFERENCE BETWEEN GROUPS IN DEPRESSION SYMPTOMS (B = -0.82, S.E. = 0.88, P = 0.36). HOWEVER, OVER THE ENTIRE INTERVENTION AND FOLLOW-UP PERIOD, WHEN CONTROLLING FOR BASELINE, YOGA PARTICIPANTS SHOWED LOWER LEVELS OF DEPRESSION THAN HLW PARTICIPANTS (B = -1.38, S.E. = 0.57, P = 0.02). AT 6-MONTH FOLLOW-UP, 51% OF YOGA PARTICIPANTS DEMONSTRATED A RESPONSE (50% REDUCTION IN DEPRESSION SYMPTOMS) COMPARED WITH 31% OF HLW PARTICIPANTS (ODDS RATIO = 2.31; P = 0.04). YOGA PARTICIPANTS SHOWED SIGNIFICANTLY BETTER SOCIAL AND ROLE FUNCTIONING AND GENERAL HEALTH PERCEPTIONS OVER TIME. CONCLUSIONS: ALTHOUGH WE DID NOT SEE A DIFFERENCE IN DEPRESSION SYMPTOMS AT THE END OF THE INTERVENTION PERIOD, YOGA PARTICIPANTS SHOWED FEWER DEPRESSION SYMPTOMS OVER THE ENTIRE FOLLOW-UP PERIOD. BENEFITS OF YOGA MAY ACCUMULATE OVER TIME. 2017 11 2319 45 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 12 1585 47 MEDICAL YOGA FOR PATIENTS WITH STRESS-RELATED SYMPTOMS AND DIAGNOSES IN PRIMARY HEALTH CARE: A RANDOMIZED CONTROLLED TRIAL. AN INCREASING NUMBER OF PATIENTS ARE SUFFERING FROM STRESS-RELATED SYMPTOMS AND DIAGNOSES. THE PURPOSE OF THIS STUDY WAS TO EVALUATE THE MEDICAL YOGA TREATMENT IN PATIENTS WITH STRESS-RELATED SYMPTOMS AND DIAGNOSES IN PRIMARY HEALTH CARE. A RANDOMIZED CONTROLLED STUDY WAS PERFORMED AT A PRIMARY HEALTH CARE CENTRE IN SWEDEN FROM MARCH TO JUNE, 2011. PATIENTS WERE RANDOMLY ALLOCATED TO A CONTROL GROUP RECEIVING STANDARD CARE OR A YOGA GROUP TREATED WITH MEDICAL YOGA FOR 1 HOUR, ONCE A WEEK, OVER A 12-WEEK PERIOD IN ADDITION TO THE STANDARD CARE. A TOTAL OF 37 MEN AND WOMEN, MEAN AGE OF 53 +/- 12 YEARS WERE INCLUDED. GENERAL STRESS LEVEL (MEASURED USING PERCEIVED STRESS SCALE (PSS)), BURNOUT (SHIROM-MELAMED BURNOUT QUESTIONNAIRE (SMBQ)), ANXIETY AND DEPRESSION (HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS)), INSOMNIA SEVERITY (INSOMNIA SEVERITY INDEX (ISI)), PAIN (VISUAL ANALOGUE SCALE (VAS)), AND OVERALL HEALTH STATUS (EURO QUALITY OF LIFE VAS (EQ-VAS)) WERE MEASURED BEFORE AND AFTER 12 WEEKS. PATIENTS ASSIGNED TO THE YOGA GROUP SHOWED SIGNIFICANTLY GREATER IMPROVEMENTS ON MEASURES OF GENERAL STRESS LEVEL (P < 0.000), ANXIETY (P < 0.019), AND OVERALL HEALTH STATUS (P < 0.018) COMPARED TO CONTROLS. TREATMENT WITH MEDICAL YOGA IS EFFECTIVE IN REDUCING LEVELS OF STRESS AND ANXIETY IN PATIENTS WITH STRESS-RELATED SYMPTOMS IN PRIMARY HEALTH CARE. 2013 13 2096 51 THE EFFECT OF YOGA EXERCISE ON IMPROVING DEPRESSION, ANXIETY, AND FATIGUE IN WOMEN WITH BREAST CANCER: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: DEPRESSION, ANXIETY, AND FATIGUE ARE AMONG THE MOST SIGNIFICANT PROBLEMS THAT INFLUENCE THE QUALITY OF LIFE OF PATIENTS WITH BREAST CANCER WHO RECEIVE ADJUVANT CHEMOTHERAPY. ALTHOUGH EVIDENCE HAS SHOWN YOGA TO DECREASE ANXIETY, DEPRESSION, AND FATIGUE IN PATIENTS WITH CANCER, FEW STUDIES ON THE EFFECTS OF YOGA HAVE TARGETED PATIENTS WITH BREAST CANCER. YOGA INTERVENTIONS SHOULD BE TESTED TO PROMOTE THE PSYCHOLOGICAL AND PHYSICAL HEALTH OF WOMEN WITH BREAST CANCER. PURPOSE: THIS STUDY EXAMINES THE EFFECTIVENESS OF AN 8-WEEK YOGA EXERCISE PROGRAM IN PROMOTING THE PSYCHOLOGICAL AND PHYSICAL HEALTH OF WOMEN WITH BREAST CANCER UNDERGOING ADJUVANT CHEMOTHERAPY IN TERMS OF DEPRESSION, ANXIETY, AND FATIGUE. METHODS: A SAMPLE OF 60 WOMEN WITH NONMETASTATIC BREAST CANCER WAS RECRUITED. PARTICIPANTS WERE RANDOMLY ASSIGNED INTO EITHER THE EXPERIMENTAL GROUP (N = 30) OR THE CONTROL GROUP (N = 30). A 60-MINUTE, TWICE-PER-WEEK YOGA EXERCISE WAS IMPLEMENTED FOR 8 WEEKS AS THE INTERVENTION FOR THE PARTICIPANTS IN THE EXPERIMENTAL GROUP. THE CONTROL GROUP RECEIVED STANDARD CARE ONLY. RESULTS: ANALYSIS USING THE JOHNSON-NEYMAN PROCEDURE FOUND THAT THE YOGA EXERCISE REDUCED OVERALL FATIGUE AND THE INTERFERENCE OF FATIGUE IN EVERYDAY LIFE FOR THE EXPERIMENTAL GROUP PARTICIPANTS. SIGNIFICANT REDUCTIONS WERE OBTAINED AFTER 4 WEEKS OF INTERVENTION PARTICIPATION FOR THOSE EXPERIMENTAL GROUP PATIENTS WITH RELATIVELY LOW STARTING BASELINE VALUES (BASELINE ITEM MEAN VALUE < 3.31 AND 3.22, RESPECTIVELY) AND AFTER 8 WEEKS FOR MOST PATIENTS (APPROXIMATELY 75%) WITH MODERATE STARTING BASELINE VALUES (BASELINE ITEM MEAN VALUE < 7.30 AND 5.34, RESPECTIVELY). THE 8-WEEK INTERVENTION DID NOT SIGNIFICANTLY IMPROVE THE LEVELS OF DEPRESSION (F = 1.29, P > .05) OR ANXIETY (F = 2.7, P > .05). CONCLUSIONS/IMPLICATIONS FOR PRACTICE: THE 8-WEEK YOGA EXERCISE PROGRAM DEVELOPED IN THIS STUDY EFFECTIVELY REDUCED FATIGUE IN PATIENTS WITH BREAST CANCER BUT DID NOT REDUCE DEPRESSION OR ANXIETY. ONCOLOGY NURSES SHOULD STRENGTHEN THEIR CLINICAL HEALTH EDUCATION AND APPLY YOGA TO REDUCE THE FATIGUE EXPERIENCED BY PATIENTS WITH BREAST CANCER WHO UNDERGO ADJUVANT CHEMOTHERAPY. 2014 14 820 29 EFFECT OF YOGA ON DIFFERENT ASPECTS OF MENTAL HEALTH. STATE ANXIETY, SOMATIZATION OF STRESS, QUALITY OF LIFE, SELF-RATED QUALITY OF SLEEP, AND DISCOMFORT DUE TO OVER-BREATHING WHICH OCCURS WHEN STRESSED WERE STUDIED. OUT OF A TOTAL OF 140 PARTICIPANTS, SEVENTY PARTICIPANTS SELF-SELECTED TO BE IN A YOGA GROUP FOR STRESS RELIEF (GROUP MEAN AGE +/- SD, 33.0 +/- 6.5 YEARS; 37 MALES). SEVENTY AGE AND GENDER MATCHED PARTICIPANTS WERE IN A CONTROL GROUP. STATE ANXIETY, SOMATIZATION OF STRESS, QUALITY OF LIFE, DISCOMFORT AND SELF-RATED QUALITY OF SLEEP WERE ASSESSED USING THE STATE-TRAIT ANXIETY INVENTORY, SYMPTOM CHECKLIST-90-R, SF-12, NIJMEGEN DISCOMFORT EVALUATION SCALE AND A SLEEP RATING QUESTIONNAIRE RESPECTIVELY. ASSESSMENTS WERE MADE AT THE BEGINNING AND END OF THE WEEK. REPEATED MEASURES ANOVAS WITH BONFERRONI ADJUSTED POST-HOC ANALYSES SHOWED A SIGNIFICANT DECREASE IN STATE ANXIETY (P < 0.001), SOMATIZATION OF STRESS (P < 0.01), IMPROVED HEALTH-RELATED QUALITY OF LIFE (P < 0.01), SELF-RATED QUALITY OF SLEEP (P < 0.01), AND DECREASE IN DISCOMFORT DUE TO OVER-BREATHING (P < 0.001). NO CHANGES (EXCEPT DECREASED DISCOMFORT DUE TO OVER-BREATHING; P < 0.01) OCCURRED IN THE CONTROL GROUP. THIS STUDY SUGGESTS THAT A BRIEF YOGA PROGRAM MAY BE BENEFICIAL IN DECREASING ANXIETY, SOMATIZATION OF STRESS AND DISCOMFORT, IMPROVING HEALTH-RELATED QUALITY OF LIFE AND SELF-RATED SLEEP QUALITY. 2012 15 2825 34 YOGA VERSUS HOME EXERCISE PROGRAM IN CHILDREN WITH ENTHESITIS RELATED ARTHRITIS: A PILOT STUDY. PURPOSE: THE AIM WAS TO COMPARE THE EFFECTS OF YOGA AND HOME EXERCISE PROGRAM ON LOWER EXTREMITY FUNCTIONAL STATUS, PAIN, AND QUALITY OF LIFE IN CHILDREN WITH ENTHESITIS RELATED ARTHRITIS (ERA). METHODS: TWENTY-ONE CHILDREN WITH ERA WERE DIVIDED INTO TWO GROUPS AS YOGA (N = 11) AND HOME EXERCISE (N = 10). YOGA GROUP PERFORMED SUPERVISED YOGA EXERCISES TWICE A WEEK FOR EIGHT WEEKS. HOME EXERCISE GROUP PERFORMED VIDEO-BASED EXERCISES FOR THE SAME PERIOD. PAIN IN REST AND ACTIVITY, LOWER EXTREMITY FUNCTIONAL STATUS, AND QUALITY OF LIFE WERE EVALUATED AT BASELINE AND FOLLOWING EIGHT WEEKS. RESULTS: THE GROUPS WERE SIMILAR AT BASELINE (P > 0.05). ALL THE PARAMETERS, EXCEPT PARENT REPORTED QUALITY OF LIFE, SIGNIFICANTLY IMPROVED IN YOGA GROUP (P < 0.05), WHERE ONLY STAIR CLIMB TEST TIMES SIGNIFICANTLY IMPROVED IN HOME EXERCISE GROUP (P < 0.05). CONCLUSIONS: YOGA SEEMS PROMISING FOR IMPROVING LOWER EXTREMITY FUNCTIONAL STATUS, PAIN, AND QUALITY OF LIFE AS AN EXERCISE INTERVENTION IN REHABILITATION PROGRAMS OF CHILDREN WITH ERA. 2021 16 2444 35 YOGA AND SOCIAL SUPPORT REDUCE PRENATAL DEPRESSION, ANXIETY AND CORTISOL. THE PURPOSE OF THIS STUDY WAS TO COMPARE THE EFFECTS OF YOGA (PHYSICAL ACTIVITY) VERSUS SOCIAL SUPPORT (VERBAL ACTIVITY) ON PRENATAL AND POSTPARTUM DEPRESSION. NINETY-TWO PRENATALLY DEPRESSED WOMEN WERE RANDOMLY ASSIGNED TO A YOGA OR A SOCIAL SUPPORT CONTROL GROUP AT 22 WEEKS GESTATION. THE YOGA GROUP PARTICIPATED IN A 20-MIN GROUP SESSION (ONLY PHYSICAL POSES) ONCE PER WEEK FOR 12 WEEKS. THE SOCIAL SUPPORT GROUP (A LEADERLESS DISCUSSION GROUP) MET ON THE SAME SCHEDULE. AT THE END OF THE FIRST AND LAST SESSIONS THE YOGA GROUP REPORTED LESS DEPRESSION, ANXIETY, ANGER, BACK AND LEG PAIN AS COMPARED TO THE SOCIAL SUPPORT GROUP. AT THE END OF THE LAST SESSION THE YOGA GROUP AND THE SUPPORT GROUP DID NOT DIFFER. THEY BOTH HAD LOWER DEPRESSION (CES-D), ANXIETY (STAI), AND ANGER (STAXI) SCORES AND IMPROVED RELATIONSHIP SCORES. IN ADDITION, CORTISOL LEVELS DECREASED FOR BOTH GROUPS FOLLOWING EACH SESSION. ESTRIOL AND PROGESTERONE LEVELS DECREASED AFTER THE LAST SESSION. AT THE POSTPARTUM FOLLOW-UP ASSESSMENT DEPRESSION AND ANXIETY LEVELS WERE LOWER FOR BOTH GROUPS. 2013 17 2653 48 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 18 1245 51 FEASIBILITY OF IMPLEMENTING A COMMUNITY-BASED RANDOMIZED TRIAL OF YOGA FOR WOMEN UNDERGOING CHEMOTHERAPY FOR BREAST CANCER. BACKGROUND: TREATMENT-RELATED SYMPTOMS AND DECREASED HEALTH-RELATED QUALITY OF LIFE (HRQOL) FREQUENTLY OCCUR DURING CHEMOTHERAPY FOR BREAST CANCER. ALTHOUGH RESEARCH FINDINGS SUGGEST THAT YOGA CAN REDUCE SYMPTOMS AND IMPROVE HRQOL AFTER TREATMENT, POTENTIAL BENEFITS OF YOGA DURING CHEMOTHERAPY HAVE RECEIVED MINIMAL ATTENTION. OBJECTIVE: TO ESTIMATE ACCRUAL, ADHERENCE, STUDY RETENTION, AND PRELIMINARY EFFICACY OF A YOGA INTERVENTION COMPARED WITH AN ACTIVE CONTROL GROUP FOR BREAST CANCER PATIENTS DURING CHEMOTHERAPY. METHODS: WOMEN WITH STAGE I-III BREAST CANCER WERE RECRUITED FROM 3 COMMUNITY CANCER CLINICS AND RANDOMIZED TO 10 WEEKS OF GENTLE YOGA OR WELLNESS EDUCATION. DEPRESSIVE SYMPTOMS, FATIGUE, SLEEP, AND HRQOL WERE ASSESSED AT BASELINE, MID-INTERVENTION (WEEK 5), AND AFTER INTERVENTION (WEEK 10). RESULTS: 40 WOMEN AGED 29-83 YEARS (MEDIAN, 48 YEARS; 88% WHITE) WERE RANDOMIZED TO YOGA (N = 22) OR WELLNESS EDUCATION (N = 18). THE GROUPS DID NOT DIFFER SIGNIFICANTLY ON BASELINE CHARACTERISTICS, ADHERENCE, OR STUDY RETENTION. PARTICIPANT FEEDBACK WAS POSITIVE AND COMPARABLE BETWEEN GROUPS. MEANINGFUL WITHIN-GROUP DIFFERENCES WERE IDENTIFIED FOR SLEEP ADEQUACY AND QUANTITY IN YOGA PARTICIPANTS AND FOR SOMNOLENCE IN WELLNESS-EDUCATION PARTICIPANTS. LIMITATIONS: SMALL SAMPLE SIZE AND LACK OF A USUAL-CARE CONTROL GROUP. CONCLUSIONS: THIS STUDY ESTABLISHED FEASIBILITY OF A COMMUNITY-BASED RANDOMIZED TRIAL OF YOGA AND AN ACTIVE COMPARISON GROUP FOR WOMEN UNDERGOING CHEMOTHERAPY FOR BREAST CANCER. PRELIMINARY EFFICACY ESTIMATES SUGGEST THAT YOGA IMPROVES SLEEP ADEQUACY SYMPTOM SEVERITY AND INTERFERENCE REMAINED STABLE DURING CHEMOTHERAPY FOR THE YOGA GROUP AND SNOWED A TREND TOWARD INCREASING IN THE CONTROL GROUP. THE STUDY HIGHLIGHTED OBSTACLES TO MULTISITE YOGA RESEARCH DURING CANCER TREATMENT. FUNDING/SPONSORSHIP: NATIONAL CANCER INSTITUTE (3U10 CA081851, PI; SHAW; R25 CA122061, PI: AVIS); TRANSLATIONAL SCIENCE INSTITUTE, WAKE FOREST SCHOOL OF MEDICINE. 2015 19 531 37 COMPARISON OF THE EFFECT OF 8 WEEKS AEROBIC AND YOGA TRAINING ON AMBULATORY FUNCTION, FATIGUE AND MOOD STATUS IN MS PATIENTS. BACKGROUND: MULTIPLE SCLEROSIS (MS) IS A DISEASE OF THE CENTRAL NERVOUS SYSTEM THAT RESULTS IN MANY SYMPTOMS INCLUDING MOBILITY LIMITATION AND FATIGUE. PATIENTS AND METHODS: THIRTY-ONE MS PATIENTS, ALL FEMALE WITH MEAN OF AGE OF 36.75 YEARS AND EXPANDED DISABILITY STATUS SCALE SCORES (EDSS) OF 1.0 TO 4.0 WERE RECRUITED. SUBJECTS WERE RANDOMLY ASSIGNED TO ONE OF THE THREE GROUPS: TREADMILL TRAINING, YOGA OR CONTROL GROUPS. TREADMILL TRAINING AND YOGA PRACTICE CONSISTED OF 8 WEEKS (24 SESSIONS, THRICE WEEKLY). THE CONTROL GROUP FOLLOWED THEIR OWN ROUTINE TREATMENT PROGRAM. BALANCE, SPEED AND ENDURANCE OF WALKING, FATIGUE, DEPRESSION AND ANXIETY WERE MEASURED BY BERG BALANCE SCORES, TIME FOR 10M WALK AND DISTANCE FOR A TWO MINUTE WALK, FATIGUE SEVERITY SCALE (FFS), BECK DEPRESSION INVENTORY (BDI) AND BECK ANXIETY INVENTORY (BAI), RESPECTIVELY. RESULTS: COMPARISON OF RESULTS HAVE SHOWN THAT PRE- AND POST-INTERVENTIONS PRODUCED SIGNIFICANT IMPROVEMENTS IN THE BALANCE SCORE, WALKING ENDURANCE, FFS SCORE, BDI SCORE AND BAI SCORE IN THE TREADMILL TRAINING GROUP AND YOGA GROUP. HOWEVER, 10M WALK TIME DECREASED IN THE TREADMILL TRAINING GROUP BUT DID NOT SHOW ANY CLEAR CHANGE IN THE YOGA GROUP. MOREOVER, THE ANALYSIS SHOWED SIGNIFICANT DIFFERENCES BETWEEN THE TREADMILL TRAINING GROUP AND YOGA GROUP FOR BAI SCORE. CONCLUSIONS: THESE RESULTS SUGGEST THAT TREADMILL TRAINING AND YOGA PRACTICE IMPROVED AMBULATORY FUNCTION, FATIGUE AND MOOD STATUS IN THE INDIVIDUALS WITH MILD TO MODERATE MS. 2013 20 136 34 A PRELIMINARY INVESTIGATION OF YOGA AS AN INTERVENTION APPROACH FOR IMPROVING LONG-TERM WEIGHT LOSS: A RANDOMIZED TRIAL. OBJECTIVE: YOGA TARGETS PSYCHOLOGICAL PROCESSES WHICH MAY BE IMPORTANT FOR LONG-TERM WEIGHT LOSS (WL). THIS STUDY IS THE FIRST TO EXAMINE THE FEASIBILITY, ACCEPTABILITY, AND PRELIMINARY EFFICACY OF YOGA WITHIN A WEIGHT MANAGEMENT PROGRAM FOLLOWING WL TREATMENT. METHODS: 60 WOMEN WITH OVERWEIGHT OR OBESITY (34.3+/-3.9 KG/M2, 48.1+/-10.1 YEARS) WERE RANDOMIZED TO RECEIVE A 12-WEEK YOGA INTERVENTION (2X/WEEK; YOGA) OR A STRUCTURALLY EQUIVALENT CONTROL (COOKING/NUTRITION CLASSES; CON), FOLLOWING A 3-MONTH BEHAVIORAL WL PROGRAM. FEASIBILITY (ATTENDANCE, ADHERENCE, RETENTION) AND ACCEPTABILITY (PROGRAM SATISFACTION RATINGS) WERE ASSESSED. TREATMENT GROUPS WERE COMPARED ON WEIGHT CHANGE, MINDFULNESS, DISTRESS TOLERANCE, STRESS, AFFECT, AND SELF-COMPASSION AT 6 MONTHS. INITIAL WL (3-MO WL) WAS EVALUATED AS A POTENTIAL MODERATOR. RESULTS: ATTENDANCE, RETENTION, AND PROGRAM SATISFACTION RATINGS OF YOGA WERE HIGH. TREATMENT GROUPS DID NOT DIFFER ON WL OR PSYCHOLOGICAL CONSTRUCTS (WITH EXCEPTION OF ONE MINDFULNESS SUBSCALE) AT 6 MONTHS. HOWEVER, AMONG THOSE WITH HIGH INITIAL WL (>/=5%), YOGA LOST SIGNIFICANTLY MORE WEIGHT (-9.0KG VS. -6.7KG) AT 6 MONTHS AND RESULTED IN GREATER DISTRESS TOLERANCE, MINDFULNESS, AND SELF-COMPASSION AND LOWER NEGATIVE AFFECT, COMPARED TO CON. CONCLUSIONS: STUDY FINDINGS PROVIDE PRELIMINARY SUPPORT FOR YOGA AS A POTENTIAL STRATEGY FOR IMPROVING LONG-TERM WL AMONG THOSE LOSING >/=5% IN STANDARD BEHAVIORAL TREATMENT. 2022