1 2114 187 THE EFFECT OF YOGA ON THE QUALITY OF LIFE AND FATIGUE IN PATIENTS WITH MULTIPLE SCLEROSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CLINICAL TRIALS. BACKGROUND: THE IMPACT OF YOGA ON THE QUALITY OF LIFE AND FATIGUE IN PATIENTS WITH MULTIPLE SCLEROSIS (MS) HAS SHOWN VARIOUS RESULTS IN DIFFERENT REPORTS. AS A RESULT, PERFORMING A SYSTEMATIC REVIEW AND META-ANALYSIS TO GUIDE PHYSICIANS AND PATIENTS SEEMS NECESSARY. THE PRESENT STUDY WAS CARRIED OUT TO EVALUATE THE EFFECT OF YOGA INTERVENTION ON THE QUALITY OF LIFE AND FATIGUE IN PATIENTS WITH MS. METHOD: THE PRESENT STUDY WAS DESIGNED BASED ON PRISMA GUIDELINES FROM THEIR INCEPTION UNTIL OCTOBER 2019. TWO RESEARCHERS INDEPENDENTLY PERFORMED ALL STEPS. WE SEARCHED SEVERAL INTERNATIONAL ONLINE DATABASES SUCH AS PUBMED/MEDILNE, SCOPUS, SCIENCE DIRECT, COCHRANE LIBRARY, PSYCINFO, WEB OF SCIENCE, CINAHL, CAM-QUEST, CAMBASE, INDMED AND GOOGLE SCHOLAR SEARCH ENGINE. THE DATA WERE ANALYZED USING COMPREHENSIVE META-ANALYSIS SOFTWARE VER. 2, WHILE P < 0.05 WAS CONSIDERED SIGNIFICANT. THE PROTOCOL OF THIS META-ANALYSIS WAS REGISTERED AT PROSPERO WITH NUMBER IDENTIFIER: CRD42019127168. RESULTS: OVERALL, 693 PATIENTS WITH MS (YOGA (N = 209), EXERCISE (N = 298), CONTROL (N = 186) GROUPS) WERE EXAMINED IN TEN RANDOMIZED CONTROLLED TRIALS (RCTS). ACCORDING TO THIS META-ANALYSIS, THE EFFECT OF YOGA INTERVENTION ON FATIGUE IN PATIENTS WITH MS WAS SIGNIFICANTLY BETTER COMPARED TO THE TYPICAL MS CARE GROUP [SMD = -0.872; 95%CI: -1.467 TO -0.277, P = 0.004], AND DID NOT SHOW SIGNIFICANT DIFFERENCE COMPARED TO THE EXERCISE GROUP [SMD = -0.093; 95%CI: -0.353 TO 0.167, P = 0.482]. THE EFFECT OF YOGA INTERVENTION ON THE OVERALL QUALITY OF LIFE (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = 0.710; 95%CI: -0.172 TO 1.592, P = 0.114], AND COMPARED TO THE EXERCISE GROUP: [SMD = -0.453; 95%CI: -0.233 TO 1.138, P = 0.195]), PHYSICAL COMPONENT (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = 0.281; 95%CI: -0.157 TO 0.719, P = 0.209], AND COMPARED TO THE EXERCISE GROUP: [SMD = 0.074; 95%CI: -0.125 TO 0.273, P = 0.467]), PSYCHOLOGICAL COMPONENT (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = 0.250; 95% CI: - 0.132 TO 0.631, P = 0.199], AND COMPARED TO THE EXERCISE GROUP: [SMD = - 0.270; 95%CI: -0.813 TO 0.272, P = 0.329]), SEXUAL FUNCTION (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = 0.438; 95%CI: -0.350 TO 1.226, P = 0.276]), AND COGNITIVE FUNCTION (COMPARED TO THE TYPICAL MS CARE GROUP: [SMD = -0.390; 95%CI: -0.008 TO 0.789, P = 0.055]) IN PATIENTS WITH MS WAS NOT SIGNIFICANT. CONCLUSION: YOGA IS A SIMPLE EXERCISE FOR PATIENTS WITH MS THAT IS CAPABLE OF DECREASING FATIGUE IN THESE PATIENTS. 2020 2 856 40 EFFECT OF YOGA ON THE QUALITY OF LIFE OF PATIENTS WITH RHEUMATIC DISEASES: SYSTEMATIC REVIEW WITH META-ANALYSIS. AIM: TO ANALYZE THE EFFECTS OF YOGA ON THE QUALITY OF LIFE OF PATIENTS WITH RHEUMATIC DISEASES THROUGH A SYSTEMATIC REVIEW WITH META-ANALYSIS. METHODS: THIS SYSTEMATIC REVIEW WITH META-ANALYSIS WAS CONDUCTED FOLLOWING THE RECOMMENDATIONS OF THE DECLARATION OF PRISMA. THE SEARCHES WERE CARRIED OUT ON THE DATABASES PUBMED, WEB OF SCIENCE, EBSCO, SCOPUS, AND COCHRANE UNTIL AUGUST 2018. EXPERIMENTAL STUDIES EVALUATING THE EFFECT OF YOGA ON THE QUALITY OF LIFE IN PATIENTS WITH RHEUMATIC DISEASES WERE INCLUDED. RESULTS: AFTER DATA SEARCHES, 483 STUDIES WERE FOUND, 23 OF WHICH WERE INCLUDED IN OUR ANALYSIS. WE FOUND THAT YOGA IMPROVES THE OVERALL QUALITY OF LIFE (D= -0.64; 95% CI: -0.91 TO 0.038) OF PATIENTS WITH RHEUMATIC DISEASES, AS WELL AS THE FOLLOWING DOMAINS: FUNCTIONAL CAPACITY (D=16.43; 95% CI: 13.37-19.49), PHYSICAL ASPECTS (D=27.11; 95% CI: 19.40-34.83), EMOTIONAL ASPECTS (D=26.00; 95% CI: 18.87-33.13), GENERAL HEALTH (D=16.61; 95% CI: 12.66-20.55), AND SOCIAL ASPECTS (D=7.01 ; 95% CI: 5.57-9.45). CONCLUSION: EVIDENCE SUGGESTS WEAK RECOMMENDATIONS CAN BE MADE FOR THE USE OF YOGA IN THE MANAGEMENT OF RD PATIENTS. 2019 3 2161 34 THE EFFECTS OF YOGA AMONG ADULTS WITH TYPE 2 DIABETES: A SYSTEMATIC REVIEW AND META-ANALYSIS. THE PURPOSE OF THIS META-ANALYSIS WAS TO EXAMINE THE EFFECTS OF YOGA FOR GLYCEMIC CONTROL AMONG ADULTS WITH TYPE 2 DIABETES (T2DM). COMPREHENSIVE ELECTRONIC DATABASES SEARCHES LOCATED 2559 UNIQUE STUDIES WITH RELEVANT KEY TERMS. STUDIES WERE INCLUDED IF THEY (1) EVALUATED A YOGA INTERVENTION TO PROMOTE T2DM MANAGEMENT, (2) USED A COMPARISON GROUP, (3) REPORTED AN OBJECTIVE MEASURE OF GLYCEMIC CONTROL AT POST-INTERVENTION, AND (4) HAD FOLLOW-UP LENGTH OR POST-TEST OF AT LEAST 8WEEKS FROM BASELINE. INDEPENDENT RATERS CODED PARTICIPANT, DESIGN AND METHODOLOGICAL CHARACTERISTICS AND INTERVENTION CONTENT. SUMMARY EFFECT SIZES AND 95% CONFIDENCE INTERVALS (CI) WERE CALCULATED. TWENTY-THREE STUDIES WITH 2473 PARTICIPANTS (MEAN AGE=53YEARS; 43% WOMEN) MET ELIGIBILITY CRITERIA. COMPARED WITH CONTROLS, YOGA PARTICIPANTS WERE SUCCESSFUL IN IMPROVING THEIR HBA1C (D+=0.36, 95% CI=0.16, 0.56; K=16), FBG (D+=0.58, 95% CI=0.40, 0.76; K=20), AND PPBG (D+=0.40, 95% CI=0.23, 0.56; K=14). YOGA WAS ALSO ASSOCIATED WITH SIGNIFICANT IMPROVEMENTS IN LIPID PROFILE, BLOOD PRESSURE, BODY MASS INDEX, WAIST/HIP RATIO AND CORTISOL LEVELS. OVERALL, STUDIES SATISFIED AN AVERAGE OF 41% OF THE METHODOLOGICAL QUALITY (MQ) CRITERIA; MQ SCORE WAS NOT ASSOCIATED WITH ANY OUTCOME (PS >0.05). YOGA IMPROVED GLYCEMIC OUTCOMES AND OTHER RISK FACTORS FOR COMPLICATIONS IN ADULTS WITH T2DM RELATIVE TO A CONTROL CONDITION. ADDITIONAL STUDIES WITH LONGER FOLLOW-UPS ARE NEEDED TO DETERMINE THE LONG-TERM EFFICACY OF YOGA FOR ADULTS WITH T2DM. 2017 4 221 46 A SYSTEMATIC REVIEW AND META-ANALYSIS OF YOGA FOR HYPERTENSION. BACKGROUND: THE AIM OF THIS SYSTEMATIC REVIEW AND META-ANALYSIS WAS TO EVALUATE THE QUALITY OF EVIDENCE AND THE STRENGTH OF RECOMMENDATION FOR YOGA AS A THERAPEUTIC MEANS IN THE MANAGEMENT OF PREHYPERTENSION AND HYPERTENSION. METHODS: MEDLINE/PUBMED, SCOPUS, CENTRAL, AND INDMED WERE SCREENED THROUGH FEBRUARY 2014 FOR RANDOMIZED CONTROLLED TRIALS (RCTS) ON THE EFFECTS OF YOGA INTERVENTIONS (>/=8 WEEKS) COMPARED WITH USUAL CARE OR ANY ACTIVE CONTROL INTERVENTION ON BLOOD PRESSURE IN PATIENTS WITH PREHYPERTENSION (120-139/80-89 MM HG) OR HYPERTENSION (>/=140/>/=90 MM HG). RISK OF BIAS WAS ASSESSED USING THE COCHRANE RISK OF BIAS TOOL; QUALITY OF EVIDENCE WAS ASSESSED ACCORDING TO THE GRADE RECOMMENDATIONS. RESULTS: SEVEN RCTS WITH A TOTAL OF 452 PATIENTS WERE INCLUDED. COMPARED WITH USUAL CARE, VERY LOW-QUALITY EVIDENCE WAS FOUND FOR EFFECTS OF YOGA ON SYSTOLIC (6 RCTS, N = 278; MEAN DIFFERENCE (MD) = -9.65 MM HG, 95% CONFIDENCE INTERVAL (CI) = -17.23 TO -2.06, P = 0.01; HETEROGENEITY: I (2) = 90%, CHI(2) = 48.21, P < 0.01) AND DIASTOLIC BLOOD PRESSURE (6 RCTS, N = 278; MD = -7.22 MM HG, 95% CI = -12.83 TO -1.62, P = 0.01; HETEROGENEITY: I (2) = 92%, CHI(2) = 64.84, P < 0.01). SUBGROUP ANALYSES REVEALED EFFECTS FOR RCTS THAT INCLUDED HYPERTENSIVE PATIENTS BUT NOT FOR RCTS THAT INCLUDED BOTH HYPERTENSIVE AND PREHYPERTENSIVE PATIENTS, AS WELL AS FOR RCTS THAT ALLOWED ANTIHYPERTENSIVE COMEDICATION BUT NOT FOR THOSE THAT DID NOT. MORE ADVERSE EVENTS OCCURRED DURING YOGA THAN DURING USUAL CARE. COMPARED WITH EXERCISE, NO EVIDENCE WAS FOUND FOR EFFECTS OF YOGA ON SYSTOLIC OR DIASTOLIC BLOOD PRESSURE. CONCLUSIONS: LARGER STUDIES ARE REQUIRED TO CONFIRM THE EMERGING BUT LOW-QUALITY EVIDENCE THAT YOGA MAY BE A USEFUL ADJUNCT INTERVENTION IN THE MANAGEMENT OF HYPERTENSION. 2014 5 2154 45 THE EFFECTS OF THAI YOGA ON PHYSICAL FITNESS: A META-ANALYSIS OF RANDOMIZED CONTROL TRIALS. OBJECTIVES: THAI YOGA IS A TRADITIONAL THAI EXERCISE USED FOR IMPROVING HEALTH-RELATED PHYSICAL FITNESS. MANY STUDIES HAVE EVALUATED THESE EFFECTS, BUT THEIR RESULTS REMAIN INCONCLUSIVE. THIS META-ANALYSIS AIMED TO EXAMINE THE EFFECTIVENESS OF THAI YOGA ON PHYSICAL FITNESS. DESIGN/METHODS: PUBMED, EMBASE, CINAHL, COCHRANE LIBRARY, THAI LIBRARY INTEGRATED SYSTEM (THAILIS), PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO), NATIONAL REHABILITATION INFORMATION CENTER (REHABDATA), SCOPUS, WEB OF SCIENCE, THAI UNIVERSITY LIBRARY DATABASES/JOURNALS, AND THAI PHYSICAL THERAPY DATABASE UP TO MARCH 2016 WERE SEARCHED FOR RANDOMIZED CONTROLLED TRIALS (RCTS) EXAMINING THE EFFECT OF THAI YOGA EXERCISE COMPARED WITH NORMAL DAILY ACTIVITIES AS CONTROLS, IN ANY LANGUAGE. THE WEIGHTED MEAN DIFFERENCE (WMD) AND 95% CONFIDENCE INTERVALS (95% CI) WERE PERFORMED USING THE RANDOM-EFFECTS MODEL. RESULTS: SEVEN RCTS MET THE INCLUSION CRITERIA. THAI YOGA TRAINING SIGNIFICANTLY IMPROVED BODY FLEXIBILITY BY 3.9 CM AFTER 4 WEEKS [95% CI = 3.9-4.0; P < 0.001: NO HETEROGENEITY CHI(2) = 0.66, D.F.2, P = 0.7; I(2) 0.00%] AND 8.9 CM AFTER 8 WEEKS [95% CI = 7.4-10.5; P < 0.001: NO HETEROGENEITY CHI(2) = 0.16, D.F.2, P = 0.9; I(2) 0.00%] COMPARED TO CONTROLS. IT ALSO SIGNIFICANTLY INCREASED RANGE OF MOTION (ROM) OF RIGHT SHOULDER EXTENSION BY 1.5 DEGREES AT WEEK 8, COMPARED TO CONTROLS [95% CI = 0.12-2.81; P = 0.03; LOW HETEROGENEITY CHI(2) = 1.61, D.F.1, P = 0.2; I(2) 37.9%]. GREATER ROM FOR RIGHT SHOULDER ABDUCTION WAS OBSERVED AFTER 12 WEEKS COMPARED TO CONTROLS [22.2 DEGREES (95% CI = 20-24; P < 0.001): NO HETEROGENEITY CHI(2) = 0.29, D.F.1, P = 0.6; I(2) 0.00%]. CONCLUSIONS: THAI YOGA EXERCISES APPEARED USEFUL, IN PARTICULAR, ON BODY AND RIGHT SHOULDER JOINT FLEXIBILITY. REGULAR STRETCHING EXERCISE OF THAI YOGA AND/OR IN COMBINATION WITH EXERCISES COULD PROMOTE HEALTH-RELATED PHYSICAL FITNESS. 2018 6 2178 38 THE EFFECTS OF YOGA ON PAIN, MOBILITY, AND QUALITY OF LIFE IN PATIENTS WITH KNEE OSTEOARTHRITIS: A SYSTEMATIC REVIEW. OBJECTIVE. TO SYSTEMATICALLY ASSESS THE EFFECTS OF YOGA ON PAIN, MOBILITY, AND QUALITY OF LIFE IN PATIENTS WITH KNEE OSTEOARTHRITIS. METHODS. PUBMED, MEDLINE, EMBASE, THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS, PHYSIOTHERAPY EVIDENCE DATABASE (PEDRO), AND OTHER SOURCES WERE SEARCHED SYSTEMATICALLY IN THIS STUDY. TWO REVIEWERS IDENTIFIED ELIGIBLE STUDIES AND EXTRACTED DATA INDEPENDENTLY. DOWNS AND BLACK'S QUALITY INDEX WERE USED TO EVALUATE THE METHODOLOGICAL QUALITY OF THE INCLUDED STUDIES. RESULTS. A TOTAL OF 9 ARTICLES (6 STUDIES) INVOLVING 372 PATIENTS WITH KNEE OSTEOARTHRITIS MET THE INCLUSION CRITERIA. THE MOST COMMON YOGA PROTOCOL IS 40~90 MINUTES/SESSION, LASTING FOR AT LEAST 8 WEEKS. THE EFFECT OF YOGA ON PAIN RELIEF AND FUNCTION IMPROVEMENT COULD BE SEEN AFTER TWO-WEEK INTERVENTION. CONCLUSION. THIS SYSTEMATIC REVIEW SHOWED THAT YOGA MIGHT HAVE POSITIVE EFFECTS IN RELIEVING PAIN AND MOBILITY ON PATIENTS WITH KOA, BUT THE EFFECTS ON QUALITY OF LIFE (QOL) ARE UNCLEAR. BESIDES, MORE OUTCOME MEASURE RELATED TO MENTAL HEALTH OF YOGA EFFECTS ON PEOPLE WITH KOA SHOULD BE CONDUCTED. 2016 7 2098 44 THE EFFECT OF YOGA INTERVENTIONS ON CANCER-RELATED FATIGUE AND QUALITY OF LIFE FOR WOMEN WITH BREAST CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: WOMEN WITH BREAST CANCER (BC) ARE LIVING LONGER WITH DEBILITATING SIDE EFFECTS SUCH AS CANCER-RELATED FATIGUE (CRF) THAT AFFECT OVERALL WELL-BEING. YOGA PROMOTES HEALTH, WELL-BEING AND MAY BE BENEFICIAL IN REDUCING CRF. ALTHOUGH THERE HAVE BEEN PREVIOUS SYSTEMATIC REVIEWS AND META-ANALYSES, THE EFFECTS OF YOGA ON CRF AND QUALITY OF LIFE (QOL) REMAIN UNCLEAR, PARTICULARLY IN COMPARISON WITH OTHER TYPES OF PHYSICAL ACTIVITY (PA). OUR OBJECTIVE IS TO CARRY OUT A SYSTEMATIC REVIEW AND META-ANALYSIS OF THE EFFECTS OF YOGA ON CRF AND QOL IN WOMEN WITH BC. METHODS: ELECTRONIC DATABASES WERE SEARCHED (MEDLINE, EMBASE CLASSIC+EMBASE AND EMB REVIEWS, COCHRANE CENTRAL CT) FROM INCEPTION TO MAY 2018. RANDOMIZED CONTROLLED TRIALS WERE INCLUDED IF THEY WERE FULL TEXT, IN ENGLISH, INCLUDED A YOGA INTERVENTION, A COMPARATOR (INCLUDING NON-PA USUAL CARE OR ALTERNATE PA INTERVENTION), AND REPORTED ON CRF OR QOL. EFFECTS OF YOGA WERE POOLED USING STANDARDIZED MEAN DIFFERENCE (SMD) VIA A RANDOM EFFECTS MODEL. RESULTS: OF THE 2468 RECORDS RETRIEVED, 24 TRIALS WERE INCLUDED; 18 STUDIES COMPARED YOGA TO A NON-PA COMPARATOR AND 6 TO A PA COMPARATOR. YOGA DEMONSTRATED STATISTICALLY SIGNIFICANT IMPROVEMENTS IN CRF OVER NON-PA (SMD -0.30 [-0.51; -0.08]) BUT NOT PA (SMD -0.17 [-0.50; 0.17]) COMPARATORS. ADDITIONALLY, YOGA DEMONSTRATED STATISTICALLY SIGNIFICANT IMPROVEMENTS IN QOL OVER NON-PA (SMD -0.27 [-0.46; -0.07]) BUT NOT PA (SMD 0.04 [-0.22; +0.31]) COMPARATORS. DISCUSSION: THIS META-ANALYSIS FOUND THAT YOGA PROVIDES SMALL TO MEDIUM IMPROVEMENTS IN CRF AND QOL COMPARED TO NON-PA, BUT NOT IN COMPARISON TO OTHER PA INTERVENTIONS. 2020 8 922 41 EFFECTIVENESS OF YOGA FOR HYPERTENSION: SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVES. TO SYSTEMATICALLY REVIEW AND META-ANALYZE THE EFFECTIVENESS OF YOGA FOR REDUCING BLOOD PRESSURE IN ADULTS WITH HYPERTENSION AND TO ASSESS THE MODIFYING INFLUENCES OF TYPE AND LENGTH OF YOGA INTERVENTION AND TYPE OF COMPARISON GROUP. METHODS. ACADEMIC SEARCH PREMIER, ALTHEALTHWATCH, BIOSIS/BIOLOGICAL ABSTRACTS, CINAHL, COCHRANE LIBRARY, EMBASE, MEDLINE, PSYCINFO, PSYCARTICLES, NATURAL STANDARD, AND WEB OF SCIENCE DATABASES WERE SCREENED FOR CONTROLLED STUDIES FROM 1966 TO MARCH 2013. TWO AUTHORS INDEPENDENTLY ASSESSED RISK OF BIAS USING THE COCHRANE RISK OF BIAS TOOL. RESULTS. ALL 17 STUDIES INCLUDED IN THE REVIEW HAD UNCLEAR OR HIGH RISK OF BIAS. YOGA HAD A MODEST BUT SIGNIFICANT EFFECT ON SYSTOLIC BLOOD PRESSURE (SBP) (-4.17 [-6.35, -1.99], P = 0.0002) AND DIASTOLIC BLOOD PRESSURE (DBP) (-3.62 [-4.92, -1.60], P = 0.0001). SUBGROUP ANALYSES DEMONSTRATED SIGNIFICANT REDUCTIONS IN BLOOD PRESSURE FOR (1) INTERVENTIONS INCORPORATING 3 BASIC ELEMENTS OF YOGA PRACTICE (POSTURES, MEDITATION, AND BREATHING) (SBP: -8.17 MMHG [-12.45, -3.89]; DBP: -6.14 MMHG [-9.39, -2.89]) BUT NOT FOR MORE LIMITED YOGA INTERVENTIONS; (2) YOGA COMPARED TO NO TREATMENT (SBP: -7.96 MMHG [-10.65, -5.27]) BUT NOT FOR EXERCISE. CONCLUSION. YOGA CAN BE PRELIMINARILY RECOMMENDED AS AN EFFECTIVE INTERVENTION FOR REDUCING BLOOD PRESSURE. ADDITIONAL RIGOROUS CONTROLLED TRIALS ARE WARRANTED TO FURTHER INVESTIGATE THE POTENTIAL BENEFITS OF YOGA. 2013 9 2647 55 YOGA HAS A SOLID EFFECT ON CANCER-RELATED FATIGUE IN PATIENTS WITH BREAST CANCER: A META-ANALYSIS. PURPOSE: THIS STUDY WAS DESIGNED TO CRITICALLY EVALUATE THE EFFECT OF YOGA ON CANCER-RELATED FATIGUE IN PATIENTS WITH BREAST CANCER. METHODS: EIGHT DATABASES (COCHRANE LIBRARY, PUBMED, OVID-MEDLINE, WEB OF SCIENCE, CBM, WANFANG, VIP, AND CNKI) WERE SYSTEMATICALLY REVIEWED FROM INCEPTION TO JANUARY 2019 FOR RANDOMIZED CONTROLLED TRIALS (RCTS). TWO REVIEWERS CRITICALLY AND INDEPENDENTLY ASSESSED THE RISK OF BIAS USING COCHRANE COLLABORATION CRITERIA AND EXTRACTED CORRELATED DATA USING THE DESIGNED FORM. ALL ANALYSES WERE PERFORMED WITH REVIEW MANAGER 5.3. RESULTS: A TOTAL OF 17 QUALIFIED STUDIES THAT INCLUDED 2183 PATIENTS (YOGA: 1112, CONTROL: 1071) WERE INCLUDED IN THE META-ANALYSIS. YOGA HAD A LARGE EFFECT ON FATIGUE IN POST-TREATMENT BREAST CANCER PATIENTS AND HAD A SMALL EFFECT ON INTRA-TREATMENT PATIENTS. THE META-ANALYSIS ALSO INDICATED THAT SUPERVISED YOGA CLASS HAD A SIGNIFICANT EFFECT ON CRF; THE SIX-WEEK PROGRAM HAD A MODERATE BENEFICIAL EFFECT WHILE THE 60/90 MIN/SESSION SUPERVISED YOGA CLASS AND THE EIGHT-WEEK PROGRAM DEMONSTRATED A LARGE EFFECT ON FATIGUE IN PATIENTS WITH BREAST CANCER. YOGA COULD MARKEDLY MITIGATE THE PHYSICAL FATIGUE IN BREAST CANCER PATIENTS, HAD A MEDIUM IMPACT ON COGNITIVE FATIGUE, AND MANIFESTED A SMALL EFFECT ON MENTAL FATIGUE. EIGHT STUDIES REPORTED THE ADVERSE EVENTS, WHEREAS TEN STUDIES DID NOT. CONCLUSIONS: YOGA CAN BE CONSIDERED AS AN ALTERNATIVE THERAPY FOR RELIEVING FATIGUE IN BREAST CANCER PATIENTS WHO HAVE COMPLETED TREATMENT OR ARE UNDERGOING ANTI-CANCER TREATMENT. 2019 10 1852 40 RANDOMISED CLINICAL TRIAL: YOGA VS A LOW-FODMAP DIET IN PATIENTS WITH IRRITABLE BOWEL SYNDROME. BACKGROUND: IRRITABLE BOWEL SYNDROME IS THE MOST FREQUENT GASTROINTESTINAL DISORDER. IT IS ASSUMED THAT LIFESTYLE INTERVENTIONS MIGHT BE A RATIONAL TREATMENT APPROACH. AIM: TO EXAMINE THE EFFECT OF A YOGA-BASED INTERVENTION VS A LOW-FODMAP DIET ON PATIENTS WITH IRRITABLE BOWEL SYNDROME. METHODS: FIFTY-NINE PATIENTS WITH IRRITABLE BOWEL SYNDROME UNDERTOOK A SINGLE-BLIND, RANDOMISED CONTROLLED TRIAL INVOLVING YOGA OR A LOW-FODMAP DIET FOR 12 WEEKS. PATIENTS IN THE YOGA GROUP RECEIVED TWO SESSIONS WEEKLY, WHILE PATIENTS IN THE LOW-FODMAP GROUP RECEIVED A TOTAL OF THREE SESSIONS OF NUTRITIONAL COUNSELLING. THE PRIMARY OUTCOME WAS A CHANGE IN GASTROINTESTINAL SYMPTOMS (IBS-SSS). SECONDARY OUTCOMES EXPLORED CHANGES IN QUALITY OF LIFE (IBS-QOL), HEALTH (SF-36), PERCEIVED STRESS (CPSS, PSQ), BODY AWARENESS (BAQ), BODY RESPONSIVENESS (BRS) AND SAFETY OF THE INTERVENTIONS. OUTCOMES WERE EXAMINED IN WEEKS 12 AND 24 BY ASSESSORS "BLINDED" TO PATIENTS' GROUP ALLOCATION. RESULTS: NO STATISTICALLY SIGNIFICANT DIFFERENCE WAS FOUND BETWEEN THE INTERVENTION GROUPS, WITH REGARD TO IBS-SSS SCORE, AT EITHER 12 (DELTA = 31.80; 95%CI = -11.90, 75.50; P = .151) OR 24 WEEKS (DELTA = 33.41; 95%CI = -4.21, 71.04; P = .081). WITHIN-GROUP COMPARISONS SHOWED STATISTICALLY SIGNIFICANT EFFECTS FOR YOGA AND LOW-FODMAP DIET AT BOTH 12 AND 24 WEEKS (ALL P < .001). COMPARABLE WITHIN-GROUP EFFECTS OCCURRED FOR THE OTHER OUTCOMES. ONE PATIENT IN EACH INTERVENTION GROUP EXPERIENCED SERIOUS ADVERSE EVENTS (P = 1.00) AND ANOTHER, ALSO IN EACH GROUP, EXPERIENCED NONSERIOUS ADVERSE EVENTS (P = 1.00). CONCLUSIONS: PATIENTS WITH IRRITABLE BOWEL SYNDROME MIGHT BENEFIT FROM YOGA AND A LOW-FODMAP DIET, AS BOTH GROUPS SHOWED A REDUCTION IN GASTROINTESTINAL SYMPTOMS. MORE RESEARCH ON THE UNDERLYING MECHANISMS OF BOTH INTERVENTIONS IS WARRANTED, AS WELL AS EXPLORATION OF POTENTIAL BENEFITS FROM THEIR COMBINED USE. 2018 11 2173 36 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 12 2199 40 THE EFFICACY OF TAI CHI AND YOGA IN RHEUMATOID ARTHRITIS AND SPONDYLOARTHROPATHIES: A NARRATIVE BIOMEDICAL REVIEW. RHEUMATOID ARTHRITIS (RA) AND SPONDYLOARTHROPATHIES (SPA) ARE AMONG THE MOST COMMON INFLAMMATORY RHEUMATIC DISEASES, WHICH MIGHT INDUCE CHRONIC PAIN FOR THEIR SUFFERERS. MIND-BODY INTERVENTIONS LIKE TAI CHI AND YOGA ARE AMONG THE MANY ALTERNATIVE THERAPIES FOR COMBATTING CHRONIC PAIN. THIS REVIEW AIMS TO OVERVIEW THE ARTICLES ABOUT THEIR EFFECTIVENESS IN RA AND SPA. WE SEARCHED PUBMED/MEDLINE, SCOPUS, AND WEB OF SCIENCE FOR ENGLISH-LANGUAGE SOURCES FROM THEIR INCEPTION THROUGH SEPTEMBER 2017. CASE-CONTROL STUDIES, INTERVENTIONAL STUDIES, AND CASE SERIES THAT INCLUDED MORE THAN THREE CASES AND RANDOMIZED CROSSOVER STUDIES WERE INCLUDED. THE LITERATURE SEARCH RETRIEVED 133 NON-DUPLICATE RECORDS, AND 15 OF THEM WERE ELIGIBLE AND WERE INCLUDED IN THIS REVIEW. THE INFLUENCE OF TAI CHI REMAINS DEBATABLE IN RA, WHILE THERE IS ONLY ONE STUDY THAT INVESTIGATED ITS EFFICACY IN SPA. YOGA SEEMS EFFECTIVE IN DECREASING PAIN AND INFLAMMATION WHILE INCREASING QUALITY OF LIFE. THERE ARE NO DATA AVAILABLE ABOUT ITS EFFECT ON SPA. EVEN AFTER A THOROUGH RESEARCH, THE NUMBER OF ARTICLES IS QUITE LIMITED ON THE EFFECTIVENESS OF TAI CHI AND YOGA IN RA AND SPA. WHILE THESE COMPLEMENTARY APPROACHES STILL SHOW SOME PROMISE AS ALTERNATIVE THERAPIES IN RA AND SPA, THE LITERATURE LACKS LONG-TERM STUDIES WITH LARGER PATIENT GROUPS. 2018 13 2566 48 YOGA FOR DEPRESSION AND ANXIETY SYMPTOMS IN PEOPLE WITH CANCER: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: CANCER AND ITS TREATMENT CAN LEAD TO A VARIETY OF PHYSICAL AND EMOTIONAL CONCERNS IMPACTING ON THOSE AFFECTED, INCLUDING SUBCLINICAL OR CLINICAL DEPRESSION AND ANXIETY, WHICH IN TURN HAVE A SIGNIFICANT IMPACT ON WELLBEING, QUALITY OF LIFE AND SURVIVAL. THE AIM OF THIS REVIEW WAS TO EVALUATE THE EFFECT OF YOGA-BASED INTERVENTIONS ON SELF-REPORTED DEPRESSION AND ANXIETY SYMPTOMS IN PEOPLE WITH CANCER IN RANDOMIZED CONTROLLED TRIALS. METHOD: SIX DATABASES WERE SEARCHED TO IDENTIFY RELEVANT STUDIES. SYSTEMATIC REVIEW PROCEDURES WERE FOLLOWED INCLUDING A QUALITY ASSESSMENT. META-ANALYSIS OF SUITABLE STUDIES WAS CONDUCTED. RESULTS: 26 STUDIES FROM OUR SEARCH CRITERIA WERE ELIGIBLE FOR INCLUSION FOR DEPRESSIVE AND 16 FOR ANXIETY SYMPTOMS. META-ANALYSES REVEALED EVIDENCE FOR SIGNIFICANT MEDIUM EFFECTS OF YOGA ON DEPRESSION SYMPTOMS (N = 1,486, G = -0.419, 95% CONFIDENCE INTERVAL [CI] = -0.558 TO -0.281, P < 0.001) AND ANXIETY (N = 977, G = -0.347, 95% CI = -0.473 TO -0.221, P < 0.001) COMPARED TO CONTROLS. SUBGROUP ANALYSES FOR DEPRESSIVE SYMPTOMS REVEALED SIGNIFICANT EFFECTS FOR ALL ANALYSES PERFORMED (TYPE OF CANCER, TYPE OF CONTROL, TREATMENT STATUS, DURATION OF INTERVENTION OR FREQUENCY OF YOGA SESSIONS), WITH EFFECT SIZES BEING COMPARABLE BETWEEN SUBGROUPS. SIMILAR FINDINGS WERE FOUND FOR ANXIETY SYMPTOMS EXCEPT FOR TREATMENT STATUS, WHERE THE ONLY SIGNIFICANT EFFECT WAS FOUND WHEN YOGA WAS DELIVERED DURING ACTIVE TREATMENT. CONCLUSIONS: THIS REVIEW PROVIDES EVIDENCE THAT IN PEOPLE WITH CANCER, YOGA-BASED INTERVENTIONS ARE ASSOCIATED WITH AMELIORATION OF DEPRESSION AND ANXIETY SYMPTOMS AND THEREFORE A PROMISING THERAPEUTIC MODALITY FOR THEIR MANAGEMENT. HOWEVER, THE POTENTIAL FOR RISK OF BIAS TOGETHER WITH CONTROL GROUP DESIGN CHALLENGES MEANS THE RESULTS SHOULD BE INTERPRETED WITH CAUTION. 2021 14 2118 53 THE EFFECT OF YOGA PRACTICE ON GLYCEMIC CONTROL AND OTHER HEALTH PARAMETERS IN THE PREDIABETIC STATE: A SYSTEMATIC REVIEW AND META-ANALYSIS. A SYSTEMATIC REVIEW AND META-ANALYSIS WAS CONDUCTED TO INVESTIGATE THE EFFECTS OF YOGA ON GLYCEMIC CONTROL, LIPID PROFILES, BODY COMPOSITION AND BLOOD PRESSURE IN PEOPLE IN THE PRE-DIABETIC STATE. STUDIES ON THE EFFECTIVENESS OF YOGA ON POPULATION GROUPS UNDER HIGH RISK FOR DIABETES, CALLED PREDIABETIC OR SUFFERING FROM METABOLIC SYNDROMES WERE EXTRACTED FROM A THOROUGH SEARCH OF PUBMED, SCOPUS, COCHRANE LIBRARY, EBSCO AND INDMED DATABASES. BOTH RANDOMISED CONTROLLED TRIAL (RCT) AND NON-RCT STUDIES WERE INCLUDED IN THE SYSTEMATIC REVIEW AND META-ANALYSIS. STUDIES PUBLISHED BETWEEN JAN 2002 AND DEC 2018 WERE INCLUDED. STUDIES WERE CONSIDERED FOR EVALUATION IF THEY INVESTIGATED A YOGA INTERVENTION TO PREVENT T2DM, AGAINST A CONTROL GROUP, WHILE ALSO REPORTING GLYCEMIC CONTROL AND OTHER HEALTH PARAMETERS OF T2DM MANAGEMENT. SUMMARY EFFECT SIZES AND 95% CONFIDENCE INTERVALS (CI) WERE CALCULATED USING THE COMPREHENSIVE META-ANALYSIS SOFTWARE IN ADDITION TO PUBLICATION BIAS. OF THE 46,500 IDENTIFIED STUDIES, 14 STUDIES WITH 834 PARTICIPANTS OF WHOM WERE 50% WOMEN, WERE FOUND TO BE ELIGIBLE FOR INCLUSION IN OUR SYSTEMATIC REVIEW. OUR QUANTITATIVE SYNTHESIS INCLUDED 12 RANDOMIZED CONTROL TRIALS AND 2 NON-RANDOMIZED CONTROL TRIALS, WITH THE FOLLOW-UP PERIOD RANGING FROM 4 TO 52 WEEKS. COMPARED TO CONTROLS, YOGA INTERVENTION IMPROVED FASTING BLOOD GLUCOSE (FBG) [STANDARD MEAN DIFFERENCE (SMD -0.064 MG/DL (95% CI -0.201 TO 0.074)]; LOW DENSITY LIPOPROTEIN (LDL) [SMD-0.090 MG/DL (95% CI -0.270 TO 0.090)]; TRIGLYCERIDES [SMD -0.148 MG/DL (95% CI -0.285 TO -0.012)]; TOTAL CHOLESTEROL [SMD -0.058 MG/DL (95% CI -0.220 TO 0.104)] AND SYSTOLIC BLOOD PRESSURE [SMD -0.058 MM HG (95% CI -0.168 TO 0.053)]. THIS META-ANALYSIS UNCOVERED CLINICALLY IMPROVED EFFECTS OF YOGA INTERVENTION ON GLYCEMIC CONTROL, LIPID PROFILES AND OTHER PARAMETERS OF T2DM MANAGEMENT IN PREDIABETIC POPULATION. THESE RESULTS SUGGEST THAT YOGA INTERVENTION MAY BE CONSIDERED AS A COMPREHENSIVE AND ALTERNATIVE APPROACH TO PREVENTING T2DM. FURTHER ADEQUATELY POWERED, WELL DESIGNED RCTS ARE NEEDED TO SUPPORT OUR FINDINGS AND INVESTIGATE THE LONG-TERM EFFECTS OF YOGA IN T2DM PATIENTS. 2019 15 2341 38 USE OF YOGA IN OUTPATIENT EATING DISORDER TREATMENT: A PILOT STUDY. BACKGROUND: INDIVIDUALS WITH RESTRICTIVE EATING DISORDERS PRESENT WITH CO-MORBID PSYCHIATRIC DISORDERS AND MANY ATTEMPT TO CONTROL SYMPTOMS USING STRENUOUS EXERCISES THAT INCREASE CALORIC EXPENDITURE. YOGA OFFERS A SAFE AVENUE FOR THE ENGAGEMENT IN PHYSICAL ACTIVITY WHILE PROVIDING AN OUTLET FOR DISEASE-ASSOCIATED SYMPTOMS. THIS STUDY SOUGHT TO EXAMINE USE OF YOGA PRACTICE IN AN OUTPATIENT SETTING AND ITS IMPACT ON ANXIETY, DEPRESSION AND BODY IMAGE DISTURBANCE IN ADOLESCENTS WITH EATING DISORDERS. METHODS: TWENTY ADOLESCENT GIRLS WERE RECRUITED FROM AN URBAN EATING DISORDERS CLINIC WHO PARTICIPATED IN WEEKLY YOGA CLASSES AT A LOCAL STUDIO, IN ADDITION TO STANDARD MULTIDISCIPLINARY CARE. YOGA INSTRUCTORS UNDERWENT TRAINING REGARDING THIS PATIENT POPULATION. PARTICIPANTS COMPLETED QUESTIONNAIRES FOCUSED ON ANXIETY, DEPRESSION AND BODY IMAGE DISTURBANCE PRIOR TO THE FIRST CLASS, AND FOLLOWING COMPLETION OF 6 AND 12 CLASSES. RESULTS: IN PARTICIPANTS WHO COMPLETED THE STUDY, A STATISTICALLY SIGNIFICANT DECREASE IN ANXIETY, DEPRESSION, AND BODY IMAGE DISTURBANCE WAS SEEN, INCLUDING: SPIELBERGER STATE ANXIETY MEAN SCORES DECREASED AFTER THE COMPLETION OF 7-12 YOGA CLASSES [47 (95%CI 42-52) TO 42 (95%CI 37-47), ADJ. P = 0.0316]; AS DID THE ANOREXIA NERVOSA SCALE [10 (95% CI 7-12) VS. 6 (95%CI 4-8), ADJ. P = .0004], SCORES ON BECK DEPRESSION SCALES [18 (95%CI 15-22) TO 10 (95%CI 6-14), ADJ. P = .0001], AND WEIGHT AND SHAPE CONCERN SCORES [16 (95%CI 12-20) TO 12 (95%CI 8-16), ADJ. P =0.0120] AND [31 (95%CI 25-37) TO 20 (95%CI 13-27), ADJ. P = 0.0034], RESPECTIVELY. NO SIGNIFICANT CHANGES IN BODY MASS INDEX WERE SEEN THROUGHOUT THE TRIAL. CONCLUSIONS: YOGA PRACTICE COMBINED WITH OUTPATIENT EATING DISORDER TREATMENT WERE SHOWN TO DECREASE ANXIETY, DEPRESSION, AND BODY IMAGE DISTURBANCE WITHOUT NEGATIVELY IMPACTING WEIGHT. THESE PRELIMINARY RESULTS SUGGEST YOGA TO BE A PROMISING ADJUNCT TREATMENT STRATEGY, ALONG WITH STANDARD MULTIDISCIPLINARY CARE. HOWEVER, WHETHER YOGA SHOULD BE ENDORSED AS A STANDARD COMPONENT OF OUTPATIENT EATING DISORDER TREATMENT MERITS FURTHER STUDY. 2016 16 822 34 EFFECT OF YOGA ON FEV1, 6-MINUTE WALK DISTANCE (6-MWD) AND QUALITY OF LIFE IN PATIENTS WITH COPD GROUP B. INTRODUCTION: YOGA IS USED IN THE TREATMENT OF VARIOUS DISEASES, INCLUDING CHRONIC OBSTRUCTIVE PULMONARY DISEASE. HOWEVER, NO STUDIES HAVE ASSESSED THE EFFECT OF YOGA ON COPD PATIENTS IN INDONESIA. THE DIFFERENCE BETWEEN THIS STUDY AND SIMILAR STUDIES COMPLETED IN OTHER COUNTRIES LIES IN THE TYPE OF YOGA EXERCISES COMPLETED, THE METHOD IN WHICH THEY WERE COMPLETED, AND IN CERTAIN, UNIQUE DEMOGRAPHIC CHARACTERISTICS. THIS STUDY AIMS TO ANALYZE THE EFFECT OF YOGA ON FEV1, 6-MINUTE WALK DISTANCE, AND QUALITY OF LIFE IN PATIENTS WITH COPD GROUP B IN INDONESIA. MATERIAL AND METHODS: THIS ARTICLE REFLECTS RESEARCH DONE IN THE FORM OF AN EXPERIMENTAL STUDY USING ARANDOMIZED CONTROLLED TRIAL WITH PRE AND POST-TEST CONTROL GROUP DESIGN. THE SAMPLES WERE DIVIDED INTO 2 GROUPS: THE TREATMENT GROUP (YOGA PRACTICE FOR 1 HOUR, 2 TIMES AWEEK FOR 12 WEEKS) AND THE CONTROL GROUP (UNTREATED WITH YOGA, GIVEN LUNG REHABILITATION BROCHURE). ASSESSMENT OF THE EFFECT OF YOGA EXERCISES ON LUNG FUNCTION PARAMETERS (FEV1), 6-MINUTE WALK DISTANCE AND QUALITY OF LIFE WERE USED USING SGRQ QUESTIONNAIRES IN COPD GROUP B. RESULTS: 33 COPD PATIENTS FULFILLED THE INCLUSION CRITERIA. 30 PATIENTS COMPLETED THE STUDY. PRE AND POST YOGA RESULTS WERE EVALU-ATED IN THE TREATMENT GROUP VERSUS THE CONTROL GROUP AND THEN FURTHER ASSESSED USING STATISTICAL TESTS. THERE WAS ASIGNIFICANT IN-CREASE IN FEV1, 6-MWD AND QUALITY OF LIFE USING ASGRQ QUESTIONNAIRE AFTER 12 WEEKS OF YOGA (P < 0.05) AS WELL AS AASIGNIFICANT CHANGE IN FEV1, 6-MWD AND QUALITY OF LIFE IN THE TREATMENT GROUP (P < 0.05) WHEN COMPARED WITH THE CONTROL GROUP (P > 0.05). CONCLUSIONS: YOGA AFFECTS FEV1, 6-MWD, AND QUALITY OF LIFE IN PATIENTS WITH GROUP B COPD. 2019 17 2571 68 YOGA FOR EPILEPSY. BACKGROUND: THIS IS AN UPDATED VERSION OF THE ORIGINAL COCHRANE REVIEW PUBLISHED IN THE COCHRANE LIBRARY, ISSUE 1, 2002.YOGA MAY INDUCE RELAXATION AND STRESS REDUCTION, AND INFLUENCE THE ELECTROENCEPHALOGRAM AND THE AUTONOMIC NERVOUS SYSTEM, THEREBY CONTROLLING SEIZURES. YOGA WOULD BE AN ATTRACTIVE THERAPEUTIC OPTION FOR EPILEPSY IF PROVED EFFECTIVE. OBJECTIVES: TO ASSESS WHETHER PEOPLE WITH EPILEPSY TREATED WITH YOGA:(A) HAVE A GREATER PROBABILITY OF BECOMING SEIZURE FREE;(B) HAVE A SIGNIFICANT REDUCTION IN THE FREQUENCY OR DURATION OF SEIZURES, OR BOTH; AND(C) HAVE A BETTER QUALITY OF LIFE. SEARCH METHODS: WE SEARCHED THE COCHRANE EPILEPSY GROUP SPECIALIZED REGISTER (26 MARCH 2015), THE COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS (CENTRAL, THE COCHRANE LIBRARY, 26 MARCH 2015), MEDLINE (OVID, 1946 TO 26 MARCH 2015), SCOPUS (1823 TO 9 JANUARY 2014), CLINICALTRIALS.GOV (26 MARCH 2015), THE WORLD HEALTH ORGANIZATION (WHO) INTERNATIONAL CLINICAL TRIALS REGISTRY PLATFORM ICTRP (26 MARCH 2015), AND ALSO REGISTRIES OF THE YOGA BIOMEDICAL TRUST AND THE RESEARCH COUNCIL FOR COMPLEMENTARY MEDICINE. IN ADDITION, WE SEARCHED THE REFERENCES OF ALL THE IDENTIFIED STUDIES. NO LANGUAGE RESTRICTIONS WERE IMPOSED. SELECTION CRITERIA: THE FOLLOWING STUDY DESIGNS WERE ELIGIBLE FOR INCLUSION: RANDOMISED CONTROLLED TRIALS (RCT) OF TREATMENT OF EPILEPSY WITH YOGA. ELIGIBLE PARTICIPANTS WERE ADULTS WITH UNCONTROLLED EPILEPSY COMPARING YOGA WITH NO TREATMENT OR DIFFERENT BEHAVIOURAL TREATMENTS. DATA COLLECTION AND ANALYSIS: THREE REVIEW AUTHORS INDEPENDENTLY SELECTED TRIALS FOR INCLUSION AND EXTRACTED DATA. THE FOLLOWING OUTCOMES WERE ASSESSED: (A) PERCENTAGE OF PEOPLE RENDERED SEIZURE FREE; (B) SEIZURE FREQUENCY AND DURATION; (C) QUALITY OF LIFE. ANALYSES WERE ON AN INTENTION-TO-TREAT BASIS. ODDS RATIO (OR) WITH 95% CONFIDENCE INTERVALS (95% CL) WERE ESTIMATED FOR THE OUTCOMES. MAIN RESULTS: TWO UNBLINDED TRIALS RECRUITED A TOTAL OF 50 PEOPLE (18 TREATED WITH YOGA AND 32 TO CONTROL INTERVENTIONS). ANTIEPILEPTIC DRUGS WERE CONTINUED IN ALL THE PARTICIPANTS. BASELINE PHASE LASTED 3 MONTHS IN BOTH STUDIES AND TREATMENT PHASE FROM 5 WEEKS TO 6 MONTHS IN THE TWO TRIALS. RANDOMISATION WAS BY ROLL OF A DIE IN ONE STUDY AND USING A COMPUTERISED RANDOMISATION TABLE IN THE OTHER ONE BUT NEITHER STUDY PROVIDED DETAILS OF CONCEALMENT OF ALLOCATION AND WERE RATED AS UNCLEAR RISK OF BIAS. OVERALL, THE TWO STUDIES WERE RATED AS LOW RISK OF BIAS (ALL PARTICIPANTS WERE INCLUDED IN THE ANALYSIS; ALL EXPECTED AND PRE-EXPECTED OUTCOMES WERE REPORTED; NO OTHER SOURCES OF BIAS). THE OVERALL OR WITH 95% CONFIDENCE INTERVAL (CI) WAS: (I) SEIZURE FREE FOR SIX MONTHS - FOR YOGA VERSUS SHAM YOGA ORS OF 14.54 (95% CI 0.67 TO 316.69) AND FOR YOGA VERSUS NO TREATMENT GROUP 17.31 (95% CI 0.80 TO 373.45); FOR ACCEPTANCE AND COMMITMENT THERAPY (ACT) VERSUS YOGA ORS OF 1.00 (95% CL 0.16 TO 6.42; (II) REDUCTION IN SEIZURE FREQUENCY - THE MEAN DIFFERENCE BETWEEN YOGA VERSUS SHAM YOGA GROUP WAS -2.10 (95% CI -3.15 TO -1.05) AND FOR YOGA VERSUS NO TREATMENT GROUP -1.10 (95% CI -1.80 TO -0.40); (III) MORE THAN 50% REDUCTION IN SEIZURE FREQUENCY - FOR YOGA VERSUS SHAM YOGA GROUP ORS OF 81.00 (95% CI 4.36 TO 1504.46) AND FOR THE YOGA VERSUS NO TREATMENT GROUP 158.33 (95% CI 5.78 TO 4335.63); ACT VERSUS YOGA ORS OF 0.78 (95% CL 0.04 TO 14.75); (IV) MORE THAN 50% REDUCTION IN SEIZURE DURATION - FOR YOGA VERSUS SHAM YOGA GROUP ORS OF 45.00 (95% CI 2.01 TO 1006.75) AND FOR YOGA VERSUS NO TREATMENT GROUP 53.57 (95% CI 2.42 TO 1187.26); ACT VERSUS YOGA ORS OF 0.67 (95% CL 0.10 TO 4.35). IN ADDITION IN PANJWANI 1996 THE AUTHORS REPORTED THAT THE ONE-WAY ANALYSIS OF VARIANCE REVEALED NO STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN THE THREE GROUPS. A P-LAMBDA TEST TAKING INTO ACCOUNT THE P VALUES BETWEEN THE THREE GROUPS ALSO INDICATED THAT THE DURATION OF EPILEPSY IN THE THREE GROUPS WAS NOT COMPARABLE. NO DATA WERE AVAILABLE REGARDING QUALITY OF LIFE. IN LUNDGREN 2008 THE AUTHORS REPORTED THAT THERE WAS NO SIGNIFICANT DIFFERENCE BETWEEN THE YOGA AND ACT GROUPS IN SEIZURE FREE RATES, 50% OR GREATER REDUCTION IN SEIZURE FREQUENCY OR SEIZURE DURATION AT ONE YEAR FOLLOW-UP. THE YOGA GROUP SHOWED SIGNIFICANT IMPROVEMENT IN THEIR QUALITY OF LIFE ACCORDING TO THE SATISFACTION WITH LIFE SCALE (SWLS) (P < 0.05), WHILE THE ACT GROUP HAD SIGNIFICANT IMPROVEMENT IN THE WORLD HEALTH ORGANIZATION QUALITY OF LIFE-BREF (WHOQOL-BREF) SCALE (P < 0.01). AUTHORS' CONCLUSIONS: STUDY OF 50 SUBJECTS WITH EPILEPSY FROM TWO TRIALS REVEALS POSSIBLE BENEFICIAL EFFECT IN CONTROL OF SEIZURES. RESULTS OF THE OVERALL EFFICACY ANALYSIS SHOW THAT YOGA TREATMENT WAS BETTER WHEN COMPARED WITH NO INTERVENTION OR INTERVENTIONS OTHER THAN YOGA (POSTURAL EXERCISES MIMICKING YOGA). THERE WAS NO DIFFERENCE BETWEEN YOGA AND ACCEPTANCE AND COMMITMENT THERAPY. HOWEVER NO RELIABLE CONCLUSIONS CAN BE DRAWN REGARDING THE EFFICACY OF YOGA AS A TREATMENT FOR UNCONTROLLED EPILEPSY, IN VIEW OF METHODOLOGICAL DEFICIENCIES SUCH AS LIMITED NUMBER OF STUDIES, LIMITED NUMBER OF PARTICIPANTS RANDOMISED TO YOGA, LACK OF BLINDING AND LIMITED DATA ON QUALITY-OF-LIFE OUTCOME. PHYSICIAN BLINDING WOULD NORMALLY BE TAKEN TO BE THE PERSON DELIVERING THE INTERVENTION, WHEREAS WE THINK THE 'PHYSICIAN' WOULD IN FACT BE THE OUTCOME ASSESSOR (WHO COULD BE BLINDED), SO THAT WOULD BE A REDUCTION IN DETECTION BIAS RATHER THAN PERFORMANCE BIAS. IN ADDITION, EVIDENCE TO INFORM OUTCOMES IS LIMITED AND OF LOW QUALITY. FURTHER HIGH-QUALITY RESEARCH IS NEEDED TO FULLY EVALUATE THE EFFICACY OF YOGA FOR REFRACTORY EPILEPSY. 2015 18 2115 29 THE EFFECT OF YOGA ON THE QUALITY OF LIFE IN THE CHILDREN AND ADOLESCENTS WITH HAEMOPHILIA. THE PROBLEMS CAUSED BY HAEMOPHILIA LEAD TO IMPAIRMENTS OF THE QUALITY OF LIFE IN PATIENTS WITH HAEMOPHILIA. THIS STUDY AIMED TO INVESTIGATE THE EFFECTS OF YOGA ON QUALITY OF LIFE IN THE CHILDREN AND ADOLESCENTS WITH HAEMOPHILIA IN SHIRAZ, IRAN. THIS SEMI-EXPERIMENTAL STUDY WITH PRE- AND POST-TEST DESIGN WAS PERFORMED ON 27 BOYS BETWEEN 8 AND 16 YEARS OLD WHO SUFFERED FROM HAEMOPHILIA. THE PATIENTS WERE DIVIDED INTO TWO GROUPS. THE NUMBER OF BLEEDINGS, ABSENCES FROM SCHOOL, AND REFERRALS TO THE CLINIC WAS EVALUATED. THE DEMOGRAPHIC DATA WERE COLLECTED THROUGH INTERVIEWS AND USING THE PATIENTS' RECORDS IN THE HAEMOPHILIA CENTER. BESIDES, THE QUALITY OF LIFE WAS ASSESSED THROUGH THE HAEMO-QOL QUESTIONNAIRE. THEN, THE YOGA INTERVENTION WAS PERFORMED FOR 14 WEEKS AND THE DATA WERE COLLECTED IN THREE STAGES. THE COLLECTED DATA WERE ENTERED INTO THE SPSS STATISTICAL SOFTWARE, VERSION 18 AND WERE ANALYZED USING NON-PARAMETRIC FRIEDMAN TEST. AFTER THE INTERVENTION, SIGNIFICANT DIFFERENCES WERE OBSERVED IN THE MEAN SCORES OF QUALITY OF LIFE DIMENSIONS AND THE NUMBER OF BLEEDINGS, SCHOOL ABSENCES, AND REFERRALS TO THE HAEMOPHILIA CLINIC (P<0.001). THUS, YOGA MAY IMPROVE THE HAEMOPHILIA CHILDREN'S AND ADOLESCENTS' PERCEPTION OF QUALITY OF LIFE WITHOUT THE RISK OF INJURY. THIS INTERVENTION ALSO SEEMED TO BE EFFECTIVE IN REDUCING THE NUMBER OF BLEEDINGS, REFERRALS TO THE HAEMOPHILIA CLINIC, AND ABSENCES FROM SCHOOL. 2015 19 235 37 A SYSTEMATIC REVIEW OF YOGA INTERVENTIONS FOR HELPING HEALTH PROFESSIONALS AND STUDENTS. HELPING HEALTH PROFESSIONALS (HHP) AND HHP STUDENTS ARE AMONG THE HIGHEST RISK OCCUPATIONAL GROUPS FOR COMPROMISED MENTAL AND PHYSICAL HEALTH. THERE IS A PAUCITY OF INFORMATION REGARDING PREVENTIVE INTERVENTIONS FOR MENTAL AND PHYSICAL HEALTH IN THIS GROUP OF HEALTHCARE PROVIDERS. OBJECTIVE: THE OBJECTIVE OF THIS REVIEW WAS TO EXAMINE THE EFFECTIVENESS OF YOGA INTERVENTIONS FOR THE PREVENTION AND REDUCTION OF MENTAL AND PHYSICAL DISORDERS AMONG HHPS AND HHP STUDENTS. DESIGN: AN EXHAUSTIVE SYSTEMATIC SEARCH WAS CONDUCTED IN MAY 2020. DATABASES SEARCHED IN THE OVID INTERFACE INCLUDED: MEDLINE(R) AND EPUB AHEAD OF PRINT, IN-PROCESS & OTHER NON-INDEXED CITATIONS AND DAILY, EMBASE, AND PSYCINFO. EBSCOHOST DATABASES SEARCHED INCLUDED: CINAHL PLUS WITH FULL TEXT, SPORTDISCUS WITH FULL TEXT, ALT HEALTHWATCH, EDUCATION RESEARCH COMPLETE, SOCINDEX WITH FULL TEXT, ERIC, AND ACADEMIC SEARCH COMPLETE. SCOPUS WAS ALSO SEARCHED. RESULTS: THE SEARCH YIELDED 4,973 RECORDS, AND AFTER REMOVAL OF DUPLICATES 3197 RECORDS REMAINED. USING INCLUSION AND EXCLUSION CRITERIA, TITLES AND ABSTRACTS WERE SCREENED AND FULL TEXT ARTICLES (N = 82) WERE RETRIEVED AND SCREENED. TWENTY-FIVE STUDIES WERE IDENTIFIED FOR INCLUSION IN THIS REVIEW. MOST FREQUENTLY REPORTED FINDINGS OF YOGA INTERVENTIONS IN THIS POPULATION INCLUDED A REDUCTION IN STRESS, ANXIETY, DEPRESSION, AND MUSCULOSKELETAL PAIN. CONCLUSION: IT IS OUR CONCLUSION THAT MENTAL AND PHYSICAL BENEFITS CAN BE OBTAINED THROUGH IMPLEMENTATION OF YOGA INTERVENTIONS FOR HHPS AND HHP STUDENTS ACROSS A VARIETY OF SETTINGS AND BACKGROUNDS. HOWEVER, RESEARCHERS WOULD BENEFIT FROM FOLLOWING RECOMMENDED GUIDELINES FOR THE DESIGN AND REPORTING OF YOGA INTERVENTIONS TO IMPROVE STUDY QUALITY AND RIGOUR. 2021 20 2559 45 YOGA FOR CHRONIC LOW BACK PAIN: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. OBJECTIVES: TO EVALUATE THE EFFICACY OF YOGA AS AN INTERVENTION FOR CHRONIC LOW BACK PAIN (CLBP) USING A META-ANALYTICAL APPROACH. RANDOMIZED CONTROLLED TRIALS (RCTS) THAT EXAMINED PAIN ANDOR FUNCTIONAL DISABILITY AS TREATMENT OUTCOMES WERE INCLUDED. POST-TREATMENT AND FOLLOW-UP OUTCOMES WERE ASSESSED. METHODS: A COMPREHENSIVE SEARCH OF RELEVANT ELECTRONIC DATABASES, FROM THE TIME OF THEIR INCEPTION UNTIL NOVEMBER 2011, WAS CONDUCTED. COHEN'S D EFFECT SIZES WERE CALCULATED AND ENTERED IN A RANDOM-EFFECTS MODEL. RESULTS: EIGHT RCTS MET THE CRITERIA FOR INCLUSION (EIGHT ASSESSING FUNCTIONAL DISABILITY AND FIVE ASSESSING PAIN) AND INVOLVED A TOTAL OF 743 PATIENTS. AT POST-TREATMENT, YOGA HAD A MEDIUM TO LARGE EFFECT ON FUNCTIONAL DISABILITY (D=0.645) AND PAIN (D=0.623). DESPITE A WIDE RANGE OF YOGA STYLES AND TREATMENT DURATIONS, HETEROGENEITY IN POST-TREATMENT EFFECT SIZES WAS LOW. FOLLOW-UP EFFECT SIZES FOR FUNCTIONAL DISABILITY AND PAIN WERE SMALLER, BUT REMAINED SIGNIFICANT (D=0.397 AND D=0.486, RESPECTIVELY); HOWEVER, THERE WAS A MODERATE TO HIGH LEVEL OF VARIABILITY IN THESE EFFECT SIZES. DISCUSSION: THE RESULTS OF THE PRESENT STUDY INDICATE THAT YOGA MAY BE AN EFFICACIOUS ADJUNCTIVE TREATMENT FOR CLBP. THE STRONGEST AND MOST CONSISTENT EVIDENCE EMERGED FOR THE SHORT-TERM BENEFITS OF YOGA ON FUNCTIONAL DISABILITY. HOWEVER, BEFORE ANY DEFINITIVE CONCLUSIONS CAN BE DRAWN, THERE ARE A NUMBER OF METHODOLOGICAL CONCERNS THAT NEED TO BE ADDRESSED. IN PARTICULAR, IT IS RECOMMENDED THAT FUTURE RCTS INCLUDE AN ACTIVE CONTROL GROUP TO DETERMINE WHETHER YOGA HAS SPECIFIC TREATMENT EFFECTS AND WHETHER YOGA OFFERS ANY ADVANTAGES OVER TRADITIONAL EXERCISE PROGRAMS AND OTHER ALTERNATIVE THERAPIES FOR CLBP. 2013