1 2144 130 THE EFFECTS OF MEDITATION, YOGA, AND MINDFULNESS ON DEPRESSION, ANXIETY, AND STRESS IN TERTIARY EDUCATION STUDENTS: A META-ANALYSIS. BACKGROUND: MEDITATION, YOGA, AND MINDFULNESS ARE POPULAR INTERVENTIONS AT UNIVERSITIES AND TERTIARY EDUCATION INSTITUTES TO IMPROVE MENTAL HEALTH. HOWEVER, THE EFFECTS ON DEPRESSION, ANXIETY, AND STRESS ARE UNCLEAR. THIS STUDY ASSESSED THE EFFECTIVENESS OF MEDITATION, YOGA, AND MINDFULNESS ON SYMPTOMS OF DEPRESSION, ANXIETY, AND STRESS IN TERTIARY EDUCATION STUDENTS. METHODS: WE SEARCHED COCHRANE CENTRAL REGISTER OF CONTROLLED TRIALS (CENTRAL), PUBMED, PSYCINFO AND IDENTIFIED 11,936 ARTICLES. AFTER RETRIEVING 181 PAPERS FOR FULL-TEXT SCREENING, 24 RANDOMIZED CONTROLLED TRIALS WERE INCLUDED IN THE QUALITATIVE ANALYSIS. WE CONDUCTED A RANDOM-EFFECTS META-ANALYSIS AMONGST 23 STUDIES WITH 1,373 PARTICIPANTS. RESULTS: AT POST-TEST, AFTER EXCLUSION OF OUTLIERS, EFFECT SIZES FOR DEPRESSION, G = 0.42 (95% CI: 0.16-0.69), ANXIETY G = 0.46 (95% CI: 0.34-0.59), STRESS G = 0.42 (95% CI: 0.27-0.57) WERE MODERATE. HETEROGENEITY WAS LOW (I (2) = 6%). WHEN COMPARED TO ACTIVE CONTROL, THE EFFECT DECREASED TO G = 0.13 (95% CI: -0.18-0.43). NO RCT REPORTED ON SAFETY, ONLY TWO STUDIES REPORTED ON ACADEMIC ACHIEVEMENT, MOST STUDIES HAD A HIGH RISK OF BIAS. CONCLUSIONS: MOST STUDIES WERE OF POOR QUALITY AND RESULTS SHOULD BE INTERPRETED WITH CAUTION. OVERALL MODERATE EFFECTS WERE FOUND WHICH DECREASED SUBSTANTIALLY WHEN INTERVENTIONS WERE COMPARED TO ACTIVE CONTROL. IT IS UNCLEAR WHETHER MEDITATION, YOGA OR MINDFULNESS AFFECT ACADEMIC ACHIEVEMENT OR AFFECT HAVE ANY NEGATIVE SIDE EFFECTS. 2019 2 2566 52 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 3 1043 39 EFFECTS OF YOGA INTERVENTIONS ON FATIGUE: A META-ANALYSIS. BACKGROUND. RESEARCHERS AIMED AT SYSTEMATICALLY REVIEWING AND META-ANALYZING THE EFFECTIVENESS OF YOGA INTERVENTIONS FOR FATIGUE. METHODS. PUBMED/MEDLINE WAS SEARCHED UNTIL JANUARY 2012 FOR CONTROLLED CLINICAL STUDIES. TWO REVIEWERS INDEPENDENTLY EXTRACTED THE DATA. THE METHODOLOGICAL QUALITY OF THE STUDIES WAS ASSESSED. A META-ANALYSIS WAS PERFORMED. RESULTS. NINETEEN CLINICAL STUDIES (TOTAL N = 948) WERE INCLUDED IN THIS REVIEW. INVESTIGATED YOGA STYLES INCLUDED HATHA, IYENGAR, ASANAS, PATANJALI, SAHAJA, AND TIBETAN YOGA. PARTICIPANTS WERE SUFFERING FROM CANCER, MULTIPLE SCLEROSIS, DIALYSIS, CHRONIC PANCREATITIS, FIBROMYALGIA, ASTHMA, OR WERE HEALTHY. YOGA HAD A SMALL POSITIVE EFFECT ON FATIGUE (SMD = 0.27, 59% CI = 0.23-0.31). SEVEN STUDIES RECEIVED 4 POINTS ON THE JADAD SCORE. THERE WERE BASELINE DIFFERENCES IN AT LEAST 5 STUDIES. CONCLUSION. OVERALL, THE EFFECTS OF YOGA INTERVENTIONS ON FATIGUE WERE ONLY SMALL, PARTICULARLY IN CANCER PATIENTS. ALTHOUGH YOGA IS GENERALLY A SAFE THERAPEUTIC INTERVENTION AND EFFECTIVE TO ATTENUATE OTHER HEALTH-RELATED SYMPTOMS, THIS META-ANALYSIS WAS NOT ABLE TO DEFINE THE POWERFUL EFFECT OF YOGA ON PATIENTS SUFFERING FROM FATIGUE. TREATMENT EFFECTS OF YOGA COULD BE IMPROVED IN WELL-DESIGNED FUTURE STUDIES. ACCORDING TO THE GRADE RECOMMENDATIONS ASSESSING THE OVERALL QUALITY OF EVIDENCE, THERE IS A MODERATE EFFECT OF THE CONFIDENCE PLACED IN THE ESTIMATES OF THE EFFECTS DISCUSSED HERE. 2012 4 220 35 A SYSTEMATIC REVIEW AND META-ANALYSIS OF YOGA AND MINDFULNESS MEDITATION IN PRISON. THIS ARTICLE PRESENTS RESULTS FROM A SYSTEMATIC REVIEW AND TWO META-ANALYSES THAT EXAMINE WHETHER PRISON YOGA AND MEDITATION PROGRAMS ARE SIGNIFICANTLY RELATED TO INCREASED PSYCHOLOGICAL WELL-BEING AND IMPROVEMENTS IN THE BEHAVIOURAL FUNCTIONING OF PRISONERS. COMPREHENSIVE SEARCHES OF THE EMPIRICAL LITERATURE WERE CONDUCTED UP TO DECEMBER 2014. PARTICIPANTS WHO COMPLETED YOGA OR MEDITATION PROGRAM IN PRISON EXPERIENCED A SMALL INCREASE IN THEIR PSYCHOLOGICAL WELL-BEING (COHEN'S D = 0.46, 95% CONFIDENCE INTERVAL [CI] = [0.39, 0.54]) AND A SMALL IMPROVEMENT IN THEIR BEHAVIOURAL FUNCTIONING (COHEN'S D = 0.30, 95% CI = [0.20, 0.40]). MODERATOR ANALYSES SUGGESTED THAT THERE WAS A SIGNIFICANT DIFFERENCE IN EFFECT SIZES FOR PROGRAMS OF LONGER DURATION AND LESS INTENSITY, COMPARED WITH THOSE THAT WERE SHORTER AND MORE INTENSIVE, FOR PSYCHOLOGICAL WELL-BEING. PROGRAMS OF LONGER DURATION HAD A SLIGHTLY LARGER POSITIVE EFFECT ON BEHAVIOURAL FUNCTIONING ( D = 0.424), COMPARED WITH MORE INTENSIVE PROGRAMS ( D = 0.418). OVERALL, THE EVIDENCE SUGGESTS THAT YOGA AND MEDITATION HAVE FAVOURABLE EFFECTS ON PRISONERS. 2017 5 1299 58 HATHA YOGA FOR ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: THE AIM OF THIS STUDY WAS TO SYSTEMATICALLY INVESTIGATE THE EFFECTIVENESS OF HATHA YOGA IN TREATING ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS. METHODS: MEDLINE, COCHRANE LIBRARY, CURRENT CONTROLLED TRIALS, CLINICAL TRIALS.GOV, NHR CENTRE FOR REVIEWS AND DISSEMINATION, PSYCINFO AND CINAHL WERE SEARCHED THROUGH JUNE 2018. RANDOMIZED CONTROLLED TRIALS WITH PATIENTS WITH MOOD AND ANXIETY DISORDERS WERE INCLUDED. MAIN OUTCOMES WERE CONTINUOUS MEASURES OF SEVERITY OF MOOD AND ANXIETY SYMPTOMS. COHEN'S D WAS CALCULATED AS A MEASURE OF EFFECT SIZE. META-ANALYSES USING A RANDOM EFFECTS MODEL WAS APPLIED TO ESTIMATE DIRECT COMPARISONS BETWEEN YOGA AND CONTROL CONDITIONS FOR DEPRESSION AND ANXIETY OUTCOMES. PUBLICATION BIAS WAS VISUALLY INSPECTED USING FUNNEL PLOTS. RESULTS: EIGHTEEN STUDIES WERE FOUND, FOURTEEN IN ACUTE PATIENTS AND FOUR IN CHRONIC PATIENTS. MOST STUDIES WERE OF LOW QUALITY. FOR DEPRESSION OUTCOMES, HATHA YOGA DID NOT SHOW A SIGNIFICANT EFFECT WHEN COMPARED TO TREATMENT AS USUAL, AN OVERALL EFFECT SIZE OF COHEN'S D -0.64 (95% CI = -1.41, 0.13) OR TO ALL ACTIVE CONTROL GROUPS, COHEN'S D -0.13 (95% CI = -0.49, 0.22). A SUB-ANALYSIS SHOWED THAT YOGA HAD A SIGNIFICANT EFFECT ON THE REDUCTION OF DEPRESSION COMPARED TO PSYCHOEDUCATION CONTROL GROUPS, COHEN'S D -0.52 (95% CI = -0.96, -0.08) BUT NOT TO OTHER ACTIVE CONTROL GROUPS, COHEN'S D 0.28 (95% CI = -0.07, 0.63) FOR STUDIES USING A FOLLOW-UP OF SIX MONTHS OR MORE, HATHA YOGA HAD NO EFFECT ON THE REDUCTION OF DEPRESSION COMPARED TO ACTIVE CONTROL GROUPS, COHEN'S D -0.14 (95% CI = -0.60, 0.33). REGARDING ANXIETY, HATHA YOGA HAD NO SIGNIFICANT EFFECT WHEN COMPARED TO ACTIVE CONTROL GROUPS, COHEN'S D -0.09 (95% CI = -0.47, 0.30). THE I2 AND Q-STATISTIC REVEALED HETEROGENEITY AMONGST COMPARISONS. QUALITATIVE ANALYSES SUGGEST SOME PROMISE OF HATHA YOGA FOR CHRONIC POPULATIONS. CONCLUSIONS: THE ABILITY TO DRAW FIRM CONCLUSIONS IS LIMITED BY THE NOTABLE HETEROGENEITY AND LOW QUALITY OF MOST OF THE INCLUDED STUDIES. WITH THIS CAVEAT IN MIND, THE RESULTS OF THE CURRENT META-ANALYSIS SUGGEST THAT HATHA YOGA DOES NOT HAVE EFFECTS ON ACUTE, CHRONIC AND/OR TREATMENT-RESISTANT MOOD AND ANXIETY DISORDERS COMPARED TO TREATMENT AS USUAL OR ACTIVE CONTROL GROUPS. HOWEVER, WHEN COMPARED TO PSYCHOEDUCATION, HATHA YOGA SHOWED MORE REDUCTIONS IN DEPRESSION. IT IS CLEAR THAT MORE HIGH-QUALITY STUDIES ARE NEEDED TO ADVANCE THE FIELD. 2018 6 698 46 EFFECT OF HATHA YOGA ON ANXIETY: A META-ANALYSIS. OBJECTIVE: SOME EVIDENCE SUGGESTS THAT HATHA YOGA MIGHT BE AN EFFECTIVE PRACTICE TO REDUCE ANXIETY. TO EXAMINE THE EFFECT OF HATHA YOGA ON ANXIETY, WE CONDUCTED A META-ANALYSIS OF RELEVANT STUDIES EXTRACTED FROM PUBMED, PSYCINFO, THE COCHRANE LIBRARY, AND MANUAL SEARCHES. METHODS: THE SEARCH IDENTIFIED 17 STUDIES (11 WAITLIST CONTROLLED TRIALS) TOTALING 501 PARTICIPANTS WHO RECEIVED HATHA YOGA AND WHO REPORTED THEIR LEVELS OF ANXIETY BEFORE AND AFTER THE PRACTICE. WE ESTIMATED THE CONTROLLED AND WITHIN-GROUP RANDOM EFFECTS OF THE PRACTICE ON ANXIETY. RESULTS: THE PRE-POST WITHIN-GROUP AND CONTROLLED EFFECT SIZES WERE, HEDGES' G = 0.44 AND HEDGES' G = 0.61, RESPECTIVELY. TREATMENT EFFICACY WAS POSITIVELY ASSOCIATED WITH THE TOTAL NUMBER OF HOURS PRACTICED. PEOPLE WITH ELEVATED LEVELS OF ANXIETY BENEFITTED THE MOST. EFFECT SIZES WERE NOT MODERATED BY STUDY YEAR, GENDER, PRESENCE OF A MEDICAL DISORDER, OR AGE. ALTHOUGH THE QUALITY OF THE STUDIES WAS RELATIVELY LOW, THE RISK OF STUDY BIAS DID NOT MODERATE THE EFFECT. CONCLUSIONS: HATHA YOGA IS A PROMISING METHOD FOR TREATING ANXIETY. HOWEVER, MORE WELL-CONTROLLED STUDIES ARE NEEDED TO COMPARE THE EFFICACY OF HATHA YOGA WITH OTHER MORE ESTABLISHED TREATMENTS AND TO UNDERSTAND ITS MECHANISM. THIS ARTICLE IS PROTECTED BY COPYRIGHT. ALL RIGHTS RESERVED. 2016 7 1057 38 EFFECTS OF YOGA ON DEPRESSIVE SYMPTOMS IN PEOPLE WITH MENTAL DISORDERS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: TO ASSESS WHETHER PHYSICALLY ACTIVE YOGA IS SUPERIOR TO WAITLIST CONTROL, TREATMENT AS USUAL AND ATTENTION CONTROL IN ALLEVIATING DEPRESSIVE SYMPTOMS IN PEOPLE WITH A DIAGNOSED MENTAL DISORDER RECOGNISED BY THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS (DSM). DESIGN: SYSTEMATIC REVIEW AND META-ANALYSIS FOLLOWING THE PREFERRED REPORTING ITEMS FOR SYSTEMATIC REVIEWS AND META-ANALYSES (PRISMA) GUIDELINES. DATA SOURCES: DATA WERE OBTAINED FROM ONLINE DATABASES (MEDLINE, EMBASE, PSYCHINFO, CENTRAL, EMCARE, PEDRO). THE SEARCH AND COLLECTION OF ELIGIBLE STUDIES WAS CONDUCTED UP TO 14 MAY 2019 (PROSPERO REGISTRATION NO CRD42018090441). ELIGIBILITY CRITERIA FOR SELECTING STUDIES: WE INCLUDED RANDOMISED CONTROLLED TRIALS WITH A YOGA INTERVENTION COMPRISING >/=50% PHYSICAL ACTIVITY IN ADULTS WITH A RECOGNISED DIAGNOSED MENTAL DISORDER ACCORDING TO DSM-3, 4 OR 5. RESULTS: 19 STUDIES WERE INCLUDED IN THE REVIEW (1080 PARTICIPANTS) AND 13 STUDIES WERE INCLUDED IN THE META-ANALYSIS (632 PARTICIPANTS). DISORDERS OF DEPRESSION, POST-TRAUMATIC STRESS, SCHIZOPHRENIA, ANXIETY, ALCOHOL DEPENDENCE AND BIPOLAR WERE INCLUDED. YOGA SHOWED GREATER REDUCTIONS IN DEPRESSIVE SYMPTOMS THAN WAITLIST, TREATMENT AS USUAL AND ATTENTION CONTROL (STANDARDISED MEAN DIFFERENCE=0.41; 95% CI -0.65 TO -0.17; P<0.001). GREATER REDUCTIONS IN DEPRESSIVE SYMPTOMS WERE ASSOCIATED WITH HIGHER FREQUENCY OF YOGA SESSIONS PER WEEK (BETA=-0.44, P<0.01). 2021 8 1077 43 EFFECTS OF YOGA ON PSYCHOLOGIC FUNCTION AND QUALITY OF LIFE IN WOMEN WITH BREAST CANCER: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. OBJECTIVE: THE AIM OF THIS META-ANALYSIS WAS TO EVALUATE THE EFFECTS OF YOGA ON PSYCHOLOGIC FUNCTION AND QUALITY OF LIFE (QOL) IN WOMEN WITH BREAST CANCER. DESIGN: A SYSTEMATIC SEARCH OF PUBMED, EMBASE, THE COCHRANE LIBRARY, THE CHINESE BIOMEDICAL LITERATURE DATABASE, AND THE CHINESE DIGITAL JOURNALS FULL-TEXT DATABASE WAS CARRIED OUT. RANDOMIZED CONTROL TRIALS (RCTS) EXAMINING THE EFFECTS OF YOGA, VERSUS A CONTROL GROUP RECEIVING NO INTERVENTION, ON PSYCHOLOGIC FUNCTIONING AND QOL IN WOMEN WITH BREAST CANCER WERE INCLUDED. METHODOLOGICAL QUALITY OF INCLUDED RCTS WAS ASSESSED ACCORDING TO THE COCHRANE HANDBOOK FOR SYSTEMATIC REVIEWS OF INTERVENTIONS 5.0.1, AND DATA WERE ANALYZED USING THE COCHRANE COLLABORATION'S REVIEW MANAGER 5.1. RESULTS: SIX (6) STUDIES INVOLVING 382 PATIENTS WERE INCLUDED. THE META-ANALYSIS SHOWED THAT YOGA CAN IMPROVE QOL FOR WOMEN WITH BREAST CANCER. A STATISTICALLY SIGNIFICANT EFFECT FAVORING YOGA FOR THE OUTCOME OF QOL WAS FOUND (STANDARD MEAN DIFFERENCE=0.27, 95% CONFIDENCE INTERVAL [0.02, 0.52], P=0.03). ALTHOUGH THE EFFECTS OF YOGA ON PSYCHOLOGIC FUNCTION OUTCOMES--SUCH AS ANXIETY, DEPRESSION, DISTRESS AND SLEEP--WERE IN THE EXPECTED DIRECTION, THESE EFFECTS WERE NOT STATISTICALLY SIGNIFICANT (P>0.05). FATIGUE SHOWED NO SIGNIFICANT DIFFERENCE (P>0.05). CONCLUSIONS: THE PRESENT DATA PROVIDED LITTLE INDICATION OF HOW EFFECTIVE YOGA MIGHT BE WHEN THEY WERE APPLIED BY WOMEN WITH BREAST CANCER EXCEPT FOR MILDLY EFFECTIVE IN QOL IMPROVEMENT. THE FINDINGS WERE BASED ON A SMALL BODY OF EVIDENCE IN WHICH METHODOLOGICAL QUALITY WAS NOT HIGH. FURTHER WELL-DESIGNED RCTS WITH LARGE SAMPLE SIZE ARE NEEDED TO CLARIFY THE UTILITY OF YOGA PRACTICE FOR THIS POPULATION. 2012 9 2559 44 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 10 1109 44 EFFECTS OF YOGA-BASED INTERVENTIONS ON COGNITIVE FUNCTION IN HEALTHY OLDER ADULTS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: THE WORLD'S ELDERLY POPULATION IS GROWING. PHYSICAL ACTIVITY HAS POSITIVE EFFECTS ON HEALTH AND COGNITION, BUT IS DECREASING AMONG THE ELDERLY. INTEREST IN YOGA-BASED EXERCISES HAS INCREASED IN THIS POPULATION, ESPECIALLY AS AN INTERVENTION TARGETING BALANCE, FLEXIBILITY, STRENGTH, AND WELL-BEING. RECENT INTEREST HAS ARISEN REGARDING YOGA'S POTENTIAL BENEFITS FOR COGNITION. OBJECTIVE: TO SYSTEMATICALLY REVIEW EVIDENCE FROM RANDOMIZED CONTROLLED TRIALS (RCTS) EXAMINING THE EFFECTS OF YOGA-BASED INTERVENTIONS ON COGNITIVE FUNCTIONING IN HEALTHY ADULTS AGED >/=60. A SECONDARY AIM WAS TO DESCRIBE INTERVENTION CHARACTERISTICS AND, WHERE POSSIBLE, THE EXTENT TO WHICH THESE INFLUENCED STUDY OUTCOMES. METHOD: THE REVIEW WAS CONDUCTED IN ACCORDANCE WITH PRISMA GUIDELINES. SEARCHES WERE PERFORMED FROM INCEPTION TO JUNE 2020 USING THE FOLLOWING ELECTRONIC DATABASES: (1) PUBMED (NLM); (2) EMBASE (ELSEVIER); (3) COCHRANE CENTRAL (WILEY); (4) PSYCINFO (EBSCOHOST); AND (5) CINAHL (EBSCOHOST). INCLUSION CRITERIA: RCTS OF YOGA-BASED INTERVENTIONS ASSESSING COGNITION IN HEALTHY ADULTS >/=60 YEARS. RISK OF BIAS WAS ASSESSED USING THE REVISED COCHRANE RISK OF BIAS TOOL. RESULTS: A TOTAL OF 1466 RECORDS WERE INITIALLY IDENTIFIED; SIX STUDIES (5 UNIQUE TRIALS) WERE INCLUDED IN THE REVIEW. FOUR OF THE SIX ARTICLES REPORTED SIGNIFICANT POSITIVE EFFECTS OF YOGA-BASED INTERVENTIONS ON COGNITION, INCLUDING GROSS MEMORY FUNCTIONING AND EXECUTIVE FUNCTIONS. INTERVENTION CHARACTERISTICS AND ASSESSMENT METHODS VARIED BETWEEN STUDIES, WITH A HIGH OVERALL RISK OF BIAS IN ALL STUDIES. CONCLUSION: YOGA-BASED INTERVENTIONS ARE ASSOCIATED WITH IMPROVEMENTS IN COGNITION IN HEALTHY OLDER ADULTS. ADEQUATELY POWERED RCTS WITH ROBUST STUDY DESIGNS AND LONG-TERM FOLLOW-UPS ARE REQUIRED. FUTURE STUDIES SHOULD EXPLICITLY REPORT THE INTERVENTION CHARACTERISTICS ASSOCIATED WITH CHANGES IN COGNITIVE FUNCTION. 2021 11 1124 38 EFFICACY OF PRENATAL YOGA IN THE TREATMENT OF DEPRESSION AND ANXIETY DURING PREGNANCY: A SYSTEMATIC REVIEW AND META-ANALYSIS. WOMEN COMMONLY SUFFER FROM DEPRESSION DURING PREGNANCY. FOR REDUCING DEPRESSION, YOGA SEEMS TO BE MORE SUITABLE FOR PREGNANT WOMEN THAN OTHER PHYSICAL ACTIVITIES BECAUSE OF ITS LOW EXERCISE INTENSITY. THE OBJECTIVE OF THIS STUDY WAS TO ASSESS THE EFFICACY OF PRENATAL YOGA ON THE TREATMENT OF DEPRESSION DURING PREGNANCY. THREE ELECTRONIC DATABASES WERE SEARCHED FOR RELEVANT ARTICLES FROM THEIR INCEPTION TO MAY 2021, INCLUDING PUBMED, COCHRANE LIBRARY, AND SCIENCEDIRECT. PRE- AND POST-TEST OUTCOMES WERE ADOPTED TO ESTIMATE STANDARDIZED MEAN DIFFERENCE WITH A 95% CONFIDENCE INTERVAL FOR ASSESSING THE EFFICACY OF YOGA. HETEROGENEITY AMONG ARTICLES WAS DETECTED USING I(2) VALUE. A TOTAL OF 13 ARTICLES THAT CONTAINED 379 SUBJECTS WERE INCLUDED FOR META-ANALYSIS. NO SIGNIFICANT IMPROVEMENT IN DEPRESSION SCORES AFTER PRACTICING YOGA WAS OBSERVED FOR WOMEN WITHOUT DEPRESSION (P = 0.09) BUT SIGNIFICANT IMPROVEMENT WAS OBSERVED FOR WOMEN WITH DEPRESSION (P = 0.001). ALTHOUGH SIGNIFICANT IMPROVEMENT IN ANXIETY SCORES AFTER YOGA WAS OBSERVED FOR WOMEN WITHOUT DEPRESSION (P = 0.02), THE RESULTS OF THE SENSITIVITY ANALYSIS WERE NOT CONSISTENT, WHILE SIGNIFICANT IMPROVEMENT IN ANXIETY SCORES AFTER YOGA WAS ALSO OBSERVED FOR WOMEN WITH DEPRESSION (P < 0.00001). THE CURRENT EVIDENCE HAS SUGGESTED THAT YOGA HAD SIGNIFICANT IMPROVEMENT IN DEPRESSION AND ANXIETY SCORES IN PREGNANT WOMEN WITH DEPRESSION. HOWEVER, THE LEVEL OF EVIDENCE OF THIS STUDY WAS NOT HIGH. MORE ARTICLES WITH HIGH LEVELS OF EVIDENCE SHOULD BE CONDUCTED TO CONFIRM OUR CONCLUSION IN THE FUTURE. 2022 12 2098 46 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 13 919 43 EFFECTIVENESS OF WORKPLACE YOGA INTERVENTIONS TO REDUCE PERCEIVED STRESS IN EMPLOYEES: A SYSTEMATIC REVIEW AND META-ANALYSIS. WORK-RELATED STRESS REPRESENTS A RELEVANT PUBLIC HEALTH ISSUE AND SOLUTION STRATEGIES ARE MANDATORY. YOGA IS A COMMON APPROACH TO MANAGE STRESS AND ITS EFFECTIVENESS HAS BEEN EXTENSIVELY CONFIRMED. THEREFORE, THIS STUDY AIMS SYSTEMATICALLY TO REVIEW THE EFFECTIVENESS OF YOGA INTERVENTIONS CARRIED OUT AT WORKPLACE ON WORK-RELATED STRESS AMONG EMPLOYEES AND TO ASSESS THEIR IMPACT QUANTITATIVELY. SPRINGERLINK, MEDLINE, PUBMED, CINAHL, WEB OF SCIENCE, SCOPUS, COCHRANE CENTRAL AND PEDRO DATABASES WERE SEARCHED. CLINICAL TRIALS COMPARING WORKPLACE YOGA INTERVENTIONS TO CONTROL GROUPS, AND EVALUATING PERCEIVED STRESS AS OUTCOME MEASURE, WERE ASSESSED FOR ELIGIBILITY. ALL FORMS AND STYLES OF YOGA WERE CONSIDERED FOR THE ANALYSIS. OUT OF 3392 INITIALLY IDENTIFIED, 6 STUDIES WERE INCLUDED IN THE META-ANALYSIS; 266 PARTICIPANTS PRACTICING YOGA INTERVENTIONS AT WORKSITE WERE COMPARED TO 221 SUBJECTS IN CONTROL GROUP. INCLUDED STUDIES SHOWED "SOME CONCERNS" ABOUT DIFFERENT DOMAINS OF SOURCE OF BIAS. QUANTITATIVE ANALYSIS SHOWED AN OVERALL EFFECT SIZE OF -0.67 [95% CONFIDENCE INTERVAL (CI): -0.86, -0.49] IN FAVOR OF YOGA INTERVENTION IN REDUCING STRESS OUTCOME MEASURES. HENCE, WORKPLACE YOGA INTERVENTIONS WERE MORE EFFECTIVE WHEN COMPARED TO NO TREATMENT IN WORK-RELATED STRESS MANAGEMENT. FURTHER HIGH-QUALITY STUDIES ARE NEEDED TO IMPROVE THE VALIDITY OF THESE RESULTS AND TO SPECIFY MORE CHARACTERISTICS OF THE YOGA INTERVENTION, SUCH AS STYLE, VOLUME, AND FREQUENCY. 2020 14 1740 48 PHYSICAL AND PSYCHOSOCIAL BENEFITS OF YOGA IN CANCER PATIENTS AND SURVIVORS, A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: THIS STUDY AIMED TO SYSTEMATICALLY REVIEW THE EVIDENCE FROM RANDOMIZED CONTROLLED TRIALS (RCTS) AND TO CONDUCT A META-ANALYSIS OF THE EFFECTS OF YOGA ON PHYSICAL AND PSYCHOSOCIAL OUTCOMES IN CANCER PATIENTS AND SURVIVORS. METHODS: A SYSTEMATIC LITERATURE SEARCH IN TEN DATABASES WAS CONDUCTED IN NOVEMBER 2011. STUDIES WERE INCLUDED IF THEY HAD AN RCT DESIGN, FOCUSED ON CANCER PATIENTS OR SURVIVORS, INCLUDED PHYSICAL POSTURES IN THE YOGA PROGRAM, COMPARED YOGA WITH A NON-EXERCISE OR WAITLIST CONTROL GROUP, AND EVALUATED PHYSICAL AND/OR PSYCHOSOCIAL OUTCOMES. TWO RESEARCHERS INDEPENDENTLY RATED THE QUALITY OF THE INCLUDED RCTS, AND HIGH QUALITY WAS DEFINED AS >50% OF THE TOTAL POSSIBLE SCORE. EFFECT SIZES (COHEN'S D) WERE CALCULATED FOR OUTCOMES STUDIED IN MORE THAN THREE STUDIES AMONG PATIENTS WITH BREAST CANCER USING MEANS AND STANDARD DEVIATIONS OF POST-TEST SCORES OF THE INTERVENTION AND CONTROL GROUPS. RESULTS: SIXTEEN PUBLICATIONS OF 13 RCTS MET THE INCLUSION CRITERIA, OF WHICH ONE INCLUDED PATIENTS WITH LYMPHOMAS AND THE OTHERS FOCUSED ON PATIENTS WITH BREAST CANCER. THE MEDIAN QUALITY SCORE WAS 67% (RANGE: 22-89%). THE INCLUDED STUDIES EVALUATED 23 PHYSICAL AND 20 PSYCHOSOCIAL OUTCOMES. OF THE OUTCOMES STUDIED IN MORE THAN THREE STUDIES AMONG PATIENTS WITH BREAST CANCER, WE FOUND LARGE REDUCTIONS IN DISTRESS, ANXIETY, AND DEPRESSION (D = -0.69 TO -0.75), MODERATE REDUCTIONS IN FATIGUE (D = -0.51), MODERATE INCREASES IN GENERAL QUALITY OF LIFE, EMOTIONAL FUNCTION AND SOCIAL FUNCTION (D = 0.33 TO 0.49), AND A SMALL INCREASE IN FUNCTIONAL WELL-BEING (D = 0.31). EFFECTS ON PHYSICAL FUNCTION AND SLEEP WERE SMALL AND NOT SIGNIFICANT. CONCLUSION: YOGA APPEARED TO BE A FEASIBLE INTERVENTION AND BENEFICIAL EFFECTS ON SEVERAL PHYSICAL AND PSYCHOSOCIAL SYMPTOMS WERE REPORTED. IN PATIENTS WITH BREAST CANCER, EFFECT SIZE ON FUNCTIONAL WELL-BEING WAS SMALL, AND THEY WERE MODERATE TO LARGE FOR PSYCHOSOCIAL OUTCOMES. 2012 15 2181 45 THE EFFECTS OF YOGA ON PHYSICAL FUNCTIONING AND HEALTH RELATED QUALITY OF LIFE IN OLDER ADULTS: A SYSTEMATIC REVIEW AND META-ANALYSIS. OBJECTIVE: THE GOAL WAS TO REVIEW SYSTEMATICALLY THE COMPARATIVE EFFECTIVENESS OF YOGA, COMPARED WITH OTHER EXERCISE INTERVENTIONS, FOR OLDER ADULTS AS SHOWN ON MEASURES OF HEALTH AND PHYSICAL FUNCTIONING. DESIGN: THIS WAS A SYSTEMATIC REVIEW WITH BOTH NARRATIVE SYNTHESIS AND META-ANALYSIS. DATA SOURCES: SEARCHES WERE CONDUCTED IN MEDLINE(R)/PUBMED, PSYCINFO, CINAHL, WEB OF SCIENCE, AND SCOPUS; BIBLIOGRAPHIES OF SELECTED ARTICLES; AND ONE SYSTEMATIC REVIEW ON THE EFFECTS OF YOGA ON CARDIOVASCULAR DISEASE. METHODS: ORIGINAL STUDIES FROM 1950 TO NOVEMBER 2010 WERE SOUGHT, EVALUATING THE EFFECTS OF YOGA ON OLDER ADULTS. THE SEARCH WAS RESTRICTED TO RANDOMIZED CONTROLLED TRIALS OF YOGA IN SUBJECTS >/=AGE 60, AND PUBLISHED IN ENGLISH. DATA WERE EXTRACTED AND EVALUATED REGARDING SETTING, POPULATION SIZE AND CHARACTERISTICS, INTERVENTION TYPE AND DURATION, COMPARISON GROUP, OUTCOME ASSESSMENT, DATA ANALYSIS, FOLLOW-UP, KEY RESULTS, AND THE QUALITY OF EACH STUDY ACCORDING TO SPECIFIC PREDETERMINED CRITERIA. RESULTS: THE SEARCH YIELDED 18 ELIGIBLE STUDIES (N=649). THE STUDIES REPORTED ON OLDER ADULTS ACROSS A RANGE OF SETTINGS, INTERVENTION INTENSITY, AND OUTCOME MEASURES. THE MAJORITY OF THE STUDIES HAD<35 PARTICIPANTS (RANGE 9-77). QUANTITATIVE AND QUALITATIVE SYNTHESIS OF THE STUDIES SUGGESTED THAT THE BENEFITS OF YOGA MAY EXCEED THOSE OF CONVENTIONAL EXERCISE INTERVENTIONS FOR SELF-RATED HEALTH STATUS, AEROBIC FITNESS, AND STRENGTH. HOWEVER, THE EFFECT SIZES WERE MODEST, AND THE EVIDENCE WAS MIXED FOR YOGA'S EFFECT ON DEPRESSION, SLEEP, AND BONE-MINERAL DENSITY. STUDIES DID NOT FIND AN EFFECT ON COGNITION. CONCLUSIONS: SMALL STUDIES WITH MIXED METHODOLOGICAL QUALITY SUGGESTED THAT YOGA MAY BE SUPERIOR TO CONVENTIONAL PHYSICAL-ACTIVITY INTERVENTIONS IN ELDERLY PEOPLE. THE PRECISION OF THE ESTIMATES REMAINS LOW. LARGER STUDIES ARE NECESSARY TO DEFINE BETTER THE INTERSECTION OF POPULATIONS, SETTINGS, AND INTERVENTIONS IN WHICH YOGA IS MOST BENEFICIAL. 2012 16 2683 47 YOGA IN THE MANAGEMENT OF CHRONIC DISEASE: A SYSTEMATIC REVIEW AND META-ANALYSIS. BACKGROUND: HEART DISEASE, STROKE, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) ARE THE LEADING CAUSES OF DEATH AND DISABILITY WORLDWIDE. ALTHOUGH INDIVIDUALS WITH THESE CONDITIONS HAVE BEEN REPORTED TO BENEFIT FROM YOGA, ITS EFFECTIVENESS REMAINS UNCLEAR. OBJECTIVE: TO PERFORM A SYSTEMATIC REVIEW OF THE EFFECTIVENESS OF YOGA ON EXERCISE CAPACITY, HEALTH RELATED QUALITY OF LIFE (HRQL), AND PSYCHOLOGICAL WELL-BEING FOR INDIVIDUALS WITH CHRONIC DISEASE AND DESCRIBE THE STRUCTURE AND DELIVERY OF PROGRAMS. RESEARCH DESIGN: WE PERFORMED A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS EXAMINING YOGA PROGRAMS FOR INDIVIDUALS WITH HEART DISEASE, STROKE, AND COPD COMPARED WITH USUAL CARE. QUALITY WAS ASSESSED USING THE COCHRANE RISK OF BIAS TOOL. META-ANALYSES WERE CONDUCTED USING REVIEW MANAGER 5.3. THE PROTOCOL WAS REGISTERED ON PROSPERO (CRD42014014589). RESULTS: TEN STUDIES (431 INDIVIDUALS, MEAN AGE 56+/-8 Y) WERE INCLUDED AND WERE COMPARABLE IN THEIR DESIGN AND COMPONENTS, IRRESPECTIVE OF THE CHRONIC DISEASE. THE STANDARDIZED MEAN DIFFERENCE FOR THE MEAN CHANGE IN EXERCISE CAPACITY WAS 2.69 (95% CONFIDENCE INTERVAL, 1.39-3.99) AND FOR HRQL IT WAS 1.24 (95% CONFIDENCE INTERVAL, -0.37 TO 2.85). SYMPTOMS OF ANXIETY WERE REDUCED AFTER YOGA IN INDIVIDUALS WITH STROKE, ALTHOUGH THIS WAS NOT OBSERVED IN INDIVIDUALS WITH COPD. THE EFFECT OF YOGA ON SYMPTOMS OF DEPRESSION VARIED ACROSS STUDIES WITH NO SIGNIFICANT EFFECTS COMPARED WITH USUAL CARE. CONCLUSIONS: YOGA PROGRAMS HAVE SIMILAR DESIGNS AND COMPONENTS ACROSS CHRONIC DISEASE POPULATIONS. COMPARED WITH USUAL CARE, YOGA RESULTED IN SIGNIFICANT IMPROVEMENTS IN EXERCISE CAPACITY AND A MEAN IMPROVEMENT IN HRQL. YOGA PROGRAMS MAY BE A USEFUL ADJUNCT TO FORMAL REHABILITATION PROGRAMS. 2015 17 2365 33 WALKING IS MORE EFFECTIVE THAN YOGA AT REDUCING SLEEP DISTURBANCE IN CANCER PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. THIS REVIEW AIMED TO DETERMINE WHETHER WALKING IS MORE EFFECTIVE THAN YOGA AT IMPROVING SLEEP DISTURBANCE IN CANCER PATIENTS. A SYSTEMATIC SEARCH OF RANDOMIZED CONTROLLED TRIALS WAS PERFORMED IN THE PUBMED, EMBASE, CINAHL, COCHRANE LIBRARY, CNKI, AIRITI LIBRARY, AND OTHER HEALTH-RELATED DATABASES. TWENTY-FIVE STUDIES WERE IDENTIFIED WITH A TOTAL OF 1918 PARTICIPANTS. THE PITTSBURGH SLEEP QUALITY INDEX WAS THE MOST COMMONLY USED OUTCOME MEASUREMENT TOOL, AND MODERATE-INTENSITY WALKING WAS THE MOST FREQUENTLY USED INTERVENTION. THE MAJORITY OF THE INCLUDED SUBJECTS WERE BREAST CANCER PATIENTS. OVERALL, WALKING SIGNIFICANTLY IMPROVED SLEEP DISTURBANCE COMPARED TO YOGA (P = 0.01). STATISTICALLY SIGNIFICANT MODERATORS INCLUDED ADHERENCE RATE FOR WALKING (P < 0.001) AND ALLOCATION CONCEALMENT AND OUTCOME MEASUREMENT TOOL FOR YOGA (P = 0.04; P = 0.03). WE CONCLUDED THAT WALKING IS MORE EFFECTIVE THAN YOGA IN IMPROVING SLEEP DISTURBANCE IN CANCER PATIENTS. THUS, MODERATE-INTENSITY WALKING IS RECOMMENDED FOR CANCER PATIENTS WITH SLEEP DISTURBANCE. 2019 18 2397 39 YOGA AND COGNITION: A META-ANALYSIS OF CHRONIC AND ACUTE EFFECTS. OBJECTIVES: TO REVIEW AND SYNTHESIZE THE EXISTING LITERATURE ON THE EFFECTS OF YOGA ON COGNITIVE FUNCTION BY DETERMINING EFFECT SIZES THAT COULD SERVE AS A PLATFORM TO DESIGN, CALCULATE STATISTICAL POWER, AND IMPLEMENT FUTURE STUDIES. METHODS: THROUGH ELECTRONIC DATABASES, WE IDENTIFIED ACUTE STUDIES AND RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA THAT REPORTED COGNITIVE OUTCOMES. INCLUSION CRITERIA INCLUDED THE FOLLOWING: USE OF AN OBJECTIVE MEASURE OF COGNITION AND SUFFICIENT DATA REPORTED TO ESTIMATE AN EFFECT SIZE. THE META-ANALYSIS WAS CONDUCTED USING COMPREHENSIVE META-ANALYSIS SOFTWARE. A RANDOM-EFFECTS MODEL WAS USED TO CALCULATE THE OVERALL WEIGHTED EFFECT SIZES, EXPRESSED AS HEDGE G. RESULTS: FIFTEEN RCTS AND 7 ACUTE EXPOSURE STUDIES EXAMINED THE EFFECTS OF YOGA ON COGNITION. A MODERATE EFFECT (G = 0.33, STANDARD ERROR = 0.08, 95% CONFIDENCE INTERVAL = 0.18-0.48, P < .001) OF YOGA ON COGNITION WAS OBSERVED FOR RCTS, WITH THE STRONGEST EFFECT FOR ATTENTION AND PROCESSING SPEED (G = 0.29, P < .001), FOLLOWED BY EXECUTIVE FUNCTION (G = 0.27, P = .001) AND MEMORY (G = 0.18, P = .051). ACUTE STUDIES SHOWED A STRONGER OVERALL EFFECT OF YOGA ON COGNITION (G = 0.56, STANDARD ERROR = 0.11, 95% CONFIDENCE INTERVAL = 0.33-0.78, P < .001). THE EFFECT WAS STRONGEST FOR MEMORY (G = 0.78, P < .001), FOLLOWED BY ATTENTION AND PROCESSING SPEED MEASURES (G = 0.49, P < .001) AND EXECUTIVE FUNCTIONS (G = 0.39, P < .003). CONCLUSIONS: YOGA PRACTICE SEEMS TO BE ASSOCIATED WITH MODERATE IMPROVEMENTS IN COGNITIVE FUNCTION. ALTHOUGH THE STUDIES ARE LIMITED BY SAMPLE SIZE, HETEROGENEOUS POPULATION CHARACTERISTICS, VARIED DOSES OF YOGA INTERVENTIONS, AND A MYRIAD OF COGNITIVE TESTS, THESE FINDINGS WARRANT RIGOROUS SYSTEMATIC RCTS AND WELL-DESIGNED COUNTERBALANCED ACUTE STUDIES TO COMPREHENSIVELY EXPLORE YOGA AS A MEANS TO IMPROVE OR SUSTAIN COGNITIVE ABILITIES ACROSS THE LIFE SPAN. 2015 19 83 43 A META-ANALYSIS OF THE EFFECTIVENESS OF YOGA-BASED INTERVENTIONS FOR MATERNAL DEPRESSION DURING PREGNANCY. PROMPT AND EFFECTIVE TREATMENT OF MATERNAL DEPRESSION DURING PREGNANCY IS IMPORTANT AS IT IS AN INDEPENDENT PREDICTOR OF NEGATIVE MATERNAL AND FETAL OUTCOMES. YOGA IS AN INCREASINGLY POPULAR NON-PHARMACOLOGICAL MODALITY. THIS STUDY THUS AIMED TO UNDERTAKE A META-ANALYSIS OF THE EFFICACY OF YOGA-BASED INTERVENTIONS FOR MATERNAL DEPRESSION DURING PREGNANCY. A TOTAL OF 8 CLINICAL STUDIES WERE SYSTEMATICALLY REVIEWED, AND 6 STUDIES WITH A TOTAL OF 405 PREGNANT MOTHERS WERE INCLUDED IN THE FINAL META-ANALYSIS. APPLYING PER-PROTOCOL ANALYSIS AND A RANDOM-EFFECTS MODEL, THE POOLED STANDARDIZED MEAN DIFFERENCE (SMD) FROM BASELINE DEPRESSIVE SCORE WAS -0.452 (95% CI: -0.816 TO -0.880, P=0.015), SUPPORTING A STATISTICALLY SIGNIFICANT BENEFICIAL EFFECT OF YOGA-BASED INTERVENTIONS ON MOOD. OVERALL, YOGA-BASED INTERVENTIONS ARE A PROMISING NON-PHARMACOLOGICAL OPTION, HOWEVER, MOST TRIALS EXAMINED WERE PRELIMINARY, RECRUITED ONLY PARTICIPANTS WITH MILD DEPRESSION, DID NOT BLIND STUDY PARTICIPANTS AND HAD RELATIVELY SMALL SAMPLE SIZES. LARGER RANDOMIZED, CONTROLLED TRIALS SHOULD BE ENCOURAGED. 2019 20 1065 42 EFFECTS OF YOGA ON IMPROVING QUALITY OF LIFE IN PATIENTS WITH BREAST CANCER: A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: COMPLICATIONS OF BREAST CANCER TREATMENT CAN CAUSE PHYSICAL AND PSYCHOSOCIAL DISTRESS IN PATIENTS. YOGA DEMONSTRATES SUBSTANTIAL POTENTIAL AS A SUPPORTIVE THERAPY FOR PATIENTS WITH BREAST CANCER. OUR AIM IS TO CONDUCT A META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS TO EVALUATE THE EFFECTIVENESS OF YOGA IN ENHANCING THE QUALITY OF LIFE (QOL) OF PATIENTS WITH BREAST CANCER. METHODS: WE SEARCHED FOR STUDIES PUBLISHED BEFORE MARCH 2020 IN THE PUBMED, EMBASE, AND COCHRANE LIBRARY DATABASES. INDIVIDUAL EFFECT SIZES WERE STANDARDIZED, AND THE POOLED EFFECT SIZE WAS CALCULATED USING A RANDOM EFFECT MODEL. MEASURED OUTCOMES INCLUDED QOL, ANXIETY AND DEPRESSION, STRESS, FATIGUE, PAIN SEVERITY, AND SLEEP QUALITY. RESULTS: IN TOTAL, 26 TRIALS INVOLVING 2069 PATIENTS WERE REVIEWED. SIGNIFICANT ENHANCEMENT IN QOL WAS OBSERVED IMMEDIATELY AFTER THE YOGA INTERVENTION. THE POOLED MEAN DIFFERENCES IN SOCIAL (WEIGHTED MEAN DIFFERENCE [WMD]: 1.36, 95% CONFIDENCE INTERVAL [CI] 0.12-2.61), EMOTIONAL (WMD: 1.46, 95% CI 0.26-2.66), AND FUNCTIONAL WELL-BEING (WMD: 2.04, 95% CI 0.21-3.87) WERE SIGNIFICANTLY HIGHER IN THE YOGA GROUP THAN IN THE CONTROL GROUP. PATIENTS PRACTICING YOGA EXHIBITED SIGNIFICANT IMPROVEMENTS IN PHYSICAL WELL-BEING, MENTAL WELL-BEING, AND SLEEP QUALITY AS WELL AS REDUCTIONS IN ANXIETY, DEPRESSION, STRESS, FATIGUE, AND PAIN SEVERITY AFTER THE INTERVENTION. CONCLUSIONS: YOGA MAY ENHANCE QOL IN PATIENTS WITH BREAST CANCER EXPERIENCING POST-TREATMENT COMPLICATIONS. THEREFORE, WE RECOMMEND YOGA AS A SUPPORTIVE THERAPY FOR PATIENTS WITH BREAST CANCER TO RELIEVE POST-TREATMENT DISTRESS. 2021