1 1943 181 SAHAJA YOGA IN THE MANAGEMENT OF MODERATE TO SEVERE ASTHMA: A RANDOMISED CONTROLLED TRIAL. BACKGROUND: SAHAJA YOGA IS A TRADITIONAL SYSTEM OF MEDITATION BASED ON YOGIC PRINCIPLES WHICH MAY BE USED FOR THERAPEUTIC PURPOSES. A STUDY WAS UNDERTAKEN TO ASSESS THE EFFECTIVENESS OF THIS THERAPY AS AN ADJUNCTIVE TOOL IN THE MANAGEMENT OF ASTHMA IN ADULT PATIENTS WHO REMAINED SYMPTOMATIC ON MODERATE TO HIGH DOSES OF INHALED STEROIDS. METHODS: A PARALLEL GROUP, DOUBLE BLIND, RANDOMISED CONTROLLED TRIAL WAS CONDUCTED. SUBJECTS WERE RANDOMLY ALLOCATED TO SAHAJA YOGA AND CONTROL INTERVENTION GROUPS. BOTH THE YOGA AND THE CONTROL INTERVENTIONS REQUIRED THE SUBJECTS TO ATTEND A 2 HOUR SESSION ONCE A WEEK FOR 4 MONTHS. ASTHMA RELATED QUALITY OF LIFE (AQLQ, RANGE 0-4), PROFILE OF MOOD STATES (POMS), LEVEL OF AIRWAY HYPERRESPONSIVENESS TO METHACHOLINE (AHR), AND A DIARY CARD BASED COMBINED ASTHMA SCORE (CAS, RANGE 0-12) REFLECTING SYMPTOMS, BRONCHODILATOR USAGE, AND PEAK EXPIRATORY FLOW RATES WERE MEASURED AT THE END OF THE TREATMENT PERIOD AND AGAIN 2 MONTHS LATER. RESULTS: TWENTY ONE OF 30 SUBJECTS RANDOMISED TO THE YOGA INTERVENTION AND 26 OF 29 SUBJECTS RANDOMISED TO THE CONTROL GROUP WERE AVAILABLE FOR ASSESSMENT AT THE END OF TREATMENT. THE IMPROVEMENT IN AHR AT THE END OF TREATMENT WAS 1.5 DOUBLING DOSES (95% CONFIDENCE INTERVAL (CI) 0.0 TO 2.9, P=0.047) GREATER IN THE YOGA INTERVENTION GROUP THAN IN THE CONTROL GROUP. DIFFERENCES IN AQLQ SCORE (0.41, 95% CI -0.04 TO 0.86) AND CAS (0.9, 95% CI -0.9 TO 2.7) WERE NOT SIGNIFICANT (P>0.05). THE AQLQ MOOD SUBSCALE DID IMPROVE MORE IN THE YOGA GROUP THAN IN THE CONTROL GROUP (DIFFERENCE 0.63, 95% CI 0.06 TO 1.20), AS DID THE SUMMARY POMS SCORE (DIFFERENCE 18.4, 95% CI 0.2 TO 36.5, P=0.05). THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN THE TWO GROUPS AT THE 2 MONTH FOLLOW UP ASSESSMENT. CONCLUSIONS: THIS RANDOMISED CONTROLLED TRIAL HAS SHOWN THAT THE PRACTICE OF SAHAJA YOGA DOES HAVE LIMITED BENEFICIAL EFFECTS ON SOME OBJECTIVE AND SUBJECTIVE MEASURES OF THE IMPACT OF ASTHMA. FURTHER WORK IS REQUIRED TO UNDERSTAND THE MECHANISM UNDERLYING THE OBSERVED EFFECTS AND TO ESTABLISH WHETHER ELEMENTS OF THIS INTERVENTION MAY BE CLINICALLY VALUABLE IN PATIENTS WITH SEVERE ASTHMA. 2002 2 353 46 ASSESSMENT OF THE QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA, BEFORE AND AFTER YOGA: A RANDOMISED TRIAL. YOGA WHICH IS USED AS AN ADJUNCT TREATMENT FOR BRONCHIAL ASTHMA IS GAINING POPULARITY THROUGHOUT THE WORLD. THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFECT OF YOGA ON QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA. 120 NON-SMOKING MALE AND FEMALE PATIENTS OF ASTHMA IN THE AGE GROUP OF 17-50 YEARS WERE RANDOMIZED INTO TWO GROUPS I.E. GROUP A (YOGA GROUP) AND GROUP B (CONTROL GROUP). ALL PATIENTS REMAINED ON THEIR PRESCRIBED MEDICATION, BUT GROUP A PATIENTS PRACTICED YOGA BREATHING EXERCISES FOR 8 WEEKS. ASTHMA QUALITY OF LIFE QUESTIONNAIRE (AQLQ) AND DIARY RECORD WAS USED TO ASSESS QUALITY OF LIFE, NUMBER AND SEVERITY OF ASTHMATIC ATTACKS, AND THE DOSAGE OF THE MEDICATION REQUIRED AT BASELINE AND AFTER 8 WEEKS. GROUP A SUBJECTS SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN "SYMPTOMS", "ACTIVITIES" AND "ENVIRONMENTAL" DOMAINS OF AQLQ AT 8 WEEKS (P<0.01) AND SIGNIFICANT REDUCTION IN DAILY NUMBER AND SEVERITY OF ATTACKS, AND THE DOSAGE OF MEDICATION REQUIRED AT 4 AND 8 WEEKS (P<0.01) COMPARED TO THE BASELINE. YOGA BREATHING EXERCISES USED ADJUNCTIVELY WITH STANDARD PHARMACOLOGICAL TREATMENT SIGNIFICANTLY IMPROVED QUALITY OF LIFE IN PATIENTS WITH BRONCHIAL ASTHMA. 2014 3 2109 42 THE EFFECT OF YOGA ON RESPIRATORY FUNCTIONS, SYMPTOM CONTROL AND LIFE QUALITY OF ASTHMA PATIENTS: A RANDOMIZED CONTROLLED STUDY. AIM: THIS STUDY WAS CONDUCTED TO FIND OUT THE EFFECT OF YOGA APPLIED TO ASTHMA PATIENTS ON THE PATIENTS' RESPIRATORY FUNCTIONS, SYMPTOM CONTROL AND QUALITY OF LIFE. METHODS: THE SAMPLE OF THE STUDY CONSISTED OF A TOTAL OF RANDOMLY CHOSEN 112 ASTHMA PATIENTS, 56 IN THE EXPERIMENTAL GROUP AND 56 IN THE CONTROL GROUP, WHO MET THE RESEARCH CRITERIA AND WHO AGREED TO PARTICIPATE IN THE STUDY. A TOTAL OF 12 YOGA SESSIONS, 2 SESSIONS A WEEK FOR 6 WEEKS, WAS APPLIED TO THE PATIENTS IN THE EXPERIMENTAL GROUP. THE PATIENTS IN THE CONTROL GROUP DID NOT RECEIVE ANY INTERVENTION. RESULTS: IN THE INTRAGROUP COMPARISON OF AVERAGE PRE-TEST AND POST-TEST SCORES OF RESPIRATORY FUNCTION AND ASTHMA CONTROL TEST (ACT) AND ASTHMA QUALITY OF LIFE SCALE (AQLQ) TOTAL AND SUB-DIMENSION SCORES OF THE PATIENTS IN THE EXPERIMENTAL AND CONTROL GROUP, THE DIFFERENCE WAS FOUND TO BE STATISTICALLY SIGNIFICANT (P<0.05). IN ADDITION, POST-TEST SCORE AVERAGES WERE FOUND TO INCREASE IN THE EXPERIMENTAL GROUP, WHILE THEY WERE FOUND TO DECREASE IN THE CONTROL GROUP. CONCLUSION: IT WAS FOUND THAT YOGA INFLUENCED RESPIRATORY FUNCTIONS, SYMPTOM CONTROL AND QUALITY OF LIFE POSITIVELY IN ASTHMA PATIENTS. THE CLINICAL TRIAL REGISTRATION NUMBER IS NCT04107415/HTTPS://CLINICALTRIALS.GOV/CT2/SHOW/NCT04107415. 2020 4 2699 52 YOGA INTERVENTION FOR ADULTS WITH MILD-TO-MODERATE ASTHMA: A PILOT STUDY. BACKGROUND: PRELIMINARY STUDIES INVESTIGATING YOGA AND BREATH WORK FOR TREATING ASTHMA HAVE BEEN PROMISING. SEVERAL RANDOMIZED CONTROLLED TRIALS HAVE SHOWN A BENEFIT FROM YOGA POSTURES AND BREATHING VS CONTROL, BUT THE CONTROL IN THESE CASES INVOLVED NO INTERVENTION OTHER THAN USUAL CARE. THIS STUDY ADVANCES THE FIELD BY PROVIDING AN ACTIVE CONTROL. OBJECTIVE: TO DETERMINE THE EFFECTIVENESS AND FEASIBILITY OF A YOGA AND BREATH WORK INTERVENTION FOR IMPROVING CLINICAL INDICES AND QUALITY OF LIFE IN ADULTS WITH MILD-TO-MODERATE ASTHMA. METHODS: A RANDOMIZED, CONTROLLED, DOUBLE-MASKED CLINICAL TRIAL WAS CONDUCTED BETWEEN OCTOBER 1, 2001, AND MARCH 31, 2003. RANDOM ASSIGNMENT WAS MADE TO EITHER A 4-WEEK YOGA INTERVENTION THAT INCLUDED POSTURES AND BREATH WORK OR A STRETCHING CONTROL CONDITION. OUTCOME MEASURES WERE EVALUATED AT 4, 8, 12, AND 16 WEEKS AND INCLUDED THE MINI ASTHMA QUALITY OF LIFE QUESTIONNAIRE, RESCUE INHALER USE, SPIROMETRY, SYMPTOM DIARIES, AND HEALTH CARE UTILIZATION. RESULTS: SIXTY-TWO PARTICIPANTS WERE RANDOMIZED TO THE INTERVENTION AND CONTROL GROUPS, AND 45 COMPLETED THE FINAL FOLLOW-UP MEASURES. INTENTION-TO-TREAT ANALYSIS WAS PERFORMED. SIGNIFICANT WITHIN-GROUP DIFFERENCES IN POSTBRONCHODILATOR FORCED EXPIRATORY VOLUME IN 1 SECOND AND MORNING SYMPTOM SCORES WERE APPARENT IN BOTH GROUPS AT 4 AND 16 WEEKS; HOWEVER, NO SIGNIFICANT DIFFERENCES BETWEEN GROUPS WERE OBSERVED ON ANY OUTCOME MEASURES. CONCLUSIONS: IYENGAR YOGA CONFERRED NO APPRECIABLE BENEFIT IN MILD-TO-MODERATE ASTHMA. CIRCUMSTANCES UNDER WHICH YOGA IS OF BENEFIT IN ASTHMA MANAGEMENT, IF ANY, REMAIN TO BE DETERMINED. 2005 5 1402 54 IMPACT OF YOGA ON BLOOD PRESSURE AND QUALITY OF LIFE IN PATIENTS WITH HYPERTENSION - A CONTROLLED TRIAL IN PRIMARY CARE, MATCHED FOR SYSTOLIC BLOOD PRESSURE. BACKGROUND: MEDICAL TREATMENT OF HYPERTENSION IS NOT ALWAYS SUFFICIENT TO ACHIEVE BLOOD PRESSURE CONTROL. DESPITE THIS, PREVIOUS STUDIES ON SUPPLEMENTARY THERAPIES, SUCH AS YOGA, ARE RELATIVELY FEW. WE INVESTIGATED THE EFFECTS OF TWO YOGA INTERVENTIONS ON BLOOD PRESSURE AND QUALITY OF LIFE IN PATIENTS IN PRIMARY HEALTH CARE DIAGNOSED WITH HYPERTENSION. METHODS: ADULT PATIENTS (AGE 20-80 YEARS) WITH DIAGNOSED HYPERTENSION WERE IDENTIFIED BY AN ELECTRONIC CHART SEARCH AT A PRIMARY HEALTH CARE CENTER IN SOUTHERN SWEDEN. IN TOTAL, 83 SUBJECTS WITH BLOOD PRESSURE VALUES OF 120-179/ 0.05). STATISTICALLY SIGNIFICANT DIFFERENCE WAS OBSERVED IN THE MEAN LEVEL OF PERCEIVED FATIGUE IN TRIPLICATE MEASUREMENTS (P = 0.013) AMONG PATIENTS WHO COMPLETED INDIVIDUAL EXERCISE. HOWEVER, THIS DIFFERENCE WAS NOT SIGNIFICANT IN THE GROUP EXERCISE. CONCLUSION: PERFORMING MILD STRETCHING EXERCISES AND BASIC YOGA ARE RECOMMENDED AS A COST-EFFECTIVE METHOD WHICH IS EASY TO PERFORM AMONG PATIENTS WITH MILD TO MODERATE DISABILITIES. 2015