1 2223 147 THE IMPACT OF PRENATAL YOGA ON EXERCISE ATTITUDES AND BEHAVIOR: TEACHABLE MOMENTS FROM A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: PREGNANCY SERVES AS AN OPPORTUNE TIME FOR "TEACHABLE MOMENTS" TO ELICIT POSITIVE BEHAVIOR CHANGE. WE EVALUATED CHANGE IN EXERCISE PERCEPTION, BEHAVIOR AND GESTATIONAL WEIGHT GAIN IN PARTICIPANTS ENGAGED IN A ONE-HOUR EDUCATIONAL EXPERIENCE. METHODS: WOMEN BETWEEN 28 0/7 TO 36 6/7 WEEKS WITH NO PRIOR YOGA EXPERIENCE CARRYING A NON-ANOMALOUS SINGLETON FETUS PARTICIPATED IN A RANDOMIZED CONTROLLED TRIAL ON PRENATAL YOGA. THE YOGA GROUP ENGAGED IN A ONE-HOUR YOGA CLASS; THE ATTENTION CONTROL EDUCATIONAL GROUP, IN A ONE-HOUR PRESENTATION ON EXERCISE, NUTRITION AND OBESITY IN PREGNANCY. MATERNAL PERCEPTION OF YOGA, EXERCISE EFFECTS AND CURRENT HEALTH STATUS WAS CONDUCTED BEFORE AND AFTER THE INTERVENTION. GESTATIONAL WEIGHT GAIN (GWG) AND BODY MASS INDEX (BMI) WERE ASSESSED. A POSTPARTUM SURVEY WAS PERFORMED TO DETERMINE SELF-REPORTED BEHAVIORAL CHANGES DURING AND AFTER PREGNANCY. RESULTS: OVER 6 MONTHS, 52 WOMEN WERE RANDOMIZED AND 46 (88%) COMPLETED THE STUDY. WOMEN REPORTED A MORE POSITIVE ATTITUDE TOWARDS EXERCISE AND YOGA AFTER THE YOGA INTERVENTION. TOTAL GWG WAS SIMILAR (YOGA 32.9 VERSUS EDUCATION 32.8 POUNDS, P = 0.98). STRATIFIED BY PRE-PREGNANCY BMI, 13% GAINED WITHIN AND 61% GAINED ABOVE THE INSTITUTE OF MEDICINE GUIDELINES IN EACH GROUP. OF 29 INACTIVE WOMEN PRIOR TO THE INTERVENTION, 60% OF THE YOGA GROUP AND 75% OF THE EDUCATION GROUP BEGAN PRENATAL EXERCISES AFTER THE INTERVENTION AND 50% OF EACH GROUP CONTINUED TO EXERCISE AFTER DELIVERY. THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN GROUPS. CONCLUSION: A ONE-TIME, ONE-HOUR INTERVENTION TEACHING A NEW EXERCISE OR EDUCATING WOMEN DURING PREGNANCY CAN POSITIVELY IMPACT PREGNANCY BEHAVIORS AND PERCEPTION WITH THE POTENTIAL TO IMPROVE MATERNAL AND NEONATAL OUTCOMES. CLINICAL TRIAL REGISTRATION: CLINICALTRIALS.GOV, WWW.CLINICALTRIALS.GOV , NCT02063711. 2017 2 2089 32 THE EFFECT OF PRENATAL HATHA YOGA ON AFFECT, CORTISOL AND DEPRESSIVE SYMPTOMS. PERINATAL DEPRESSION IMPACTS MATERNAL AND CHILD HEALTH, AND LITTLE IS KNOWN ABOUT EFFECTIVE INTERVENTIONS. THE EFFECTS OF PRENATAL HATHA YOGA ON CORTISOL, AFFECT AND DEPRESSIVE SYMPTOMS WERE INVESTIGATED IN 51 WOMEN. TWICE DURING PREGNANCY, YOGA GROUP PARTICIPANTS REPORTED ON AFFECT AND PROVIDED A SALIVA SAMPLE BEFORE AND AFTER A 90-MIN PRENATAL HATHA YOGA SESSION. CORRESPONDING MEASURES WERE OBTAINED FROM YOGA AND CONTROL GROUP PARTICIPANTS ON DAYS OF USUAL ACTIVITY. DEPRESSIVE SYMPTOMS WERE ASSESSED IN PREGNANCY AND POST PARTUM. CORTISOL WAS LOWER (P < .01) AND POSITIVE AFFECT HIGHER (P < .001) ON YOGA COMPARED TO USUAL ACTIVITY DAYS. NEGATIVE AFFECT AND CONTENTMENT (P < .05) IMPROVED MORE IN RESPONSE TO THE YOGA SESSION. YOGA GROUP PARTICIPANTS SHOWED FEWER POSTPARTUM (P < .05) BUT NOT ANTEPARTUM DEPRESSIVE SYMPTOMS THAN CONTROL GROUP PARTICIPANTS. FINDINGS INDICATE THAT PRENATAL HATHA YOGA MAY IMPROVE CURRENT MOOD AND MAY BE EFFECTIVE IN REDUCING POSTPARTUM DEPRESSIVE SYMPTOMS. 2014 3 183 31 A RANDOMIZED CONTROLLED TRIAL ON THE EFFICACY OF INTEGRATED YOGA ON PREGNANCY OUTCOME. PHYSIOLOGICAL AND BIOCHEMICAL CHANGES OCCUR IN PREGNANCY TO NURTURE THE DEVELOPING FETUS. PREGNANCY-RELATED EXPERIENCE IS UNIQUE TO EVERY WOMAN. PREGNANCY SYMPTOMS AND COMPLICATIONS CAN RANGE FROM MILD TO SEVERE. MANY WOMEN CAN LOWER THEIR RISK BY PERFORMING DIFFERENT THERAPIES. IN THIS CONTEXT, THE PRESENT STUDY TARGETS TO EVALUATE THE EFFICACY OF INTEGRATED YOGA CONSISTING OF (ASANAS AND PRANAYAMA) ON PREGNANCY TO REDUCE THE RISK OF COMPLICATIONS. THIS STUDY IS A PROSPECTIVE RANDOMIZED CONTROLLED SINGLE-BLINDED TRIAL WITH PARALLEL ARMS: THE INTERVENTION ARM RECEIVED SPECIFIC INTEGRATED YOGA THERAPY; THE CONTROL ARM RECEIVED ROUTINE STANDARD CARE FROM 18 TO 22 WEEKS OF GESTATION UNTIL DELIVERY. THE INCIDENCE OF PREECLAMPSIA AND PRETERM DELIVERY WAS LOWER IN THE INTERVENTION ARM. WOMEN IN THE INTERVENTION ARM DELIVERED AT HIGHER GESTATIONAL AGE. APGAR SCORES AND BIRTH WEIGHTS OF NEONATES WERE SIGNIFICANTLY HIGHER IN THE INTERVENTION ARM. THE FINDINGS SUGGEST THAT YOGA IS A SAFE AND EFFECTIVE INTERVENTION DURING PREGNANCY TO REDUCE OR PREVENT PREGNANCY-RELATED COMPLICATIONS. HOWEVER, FURTHER RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO PROVIDE FIRMER EVIDENCE REGARDING THE UTILITY AND VALIDITY OF YOGA INTERVENTION DURING PREGNANCY. 2021 4 2187 49 THE EFFECTS OF YOGA ON STUDENT MENTAL HEALTH: A RANDOMISED CONTROLLED TRIAL. BACKGROUND: UNIVERSITIES AROUND THE WORLD ARE FACING AN EPIDEMIC OF MENTAL DISTRESS AMONG THEIR STUDENTS. THE PROBLEM IS TRULY A PUBLIC HEALTH ISSUE, AFFECTING MANY AND WITH SERIOUS CONSEQUENCES. THE GLOBAL BURDEN OF DISEASE-AGENDA CALLS FOR EFFECTIVE INTERVENTIONS WITH LASTING EFFECTS THAT HAVE THE POTENTIAL TO IMPROVE THE MENTAL HEALTH OF YOUNG ADULTS. IN THIS STUDY WE AIMED TO DETERMINE WHETHER YOGA, A POPULAR AND WIDELY AVAILABLE MIND-BODY PRACTICE, CAN IMPROVE STUDENT MENTAL HEALTH. METHODS: WE PERFORMED A RANDOMISED CONTROLLED TRIAL WITH 202 HEALTHY UNIVERSITY STUDENTS IN THE OSLO AREA. THE PARTICIPANTS WERE ASSIGNED TO A YOGA GROUP OR WAITLIST CONTROL GROUP IN A 1:1 RATIO BY A SIMPLE ONLINE RANDOMISATION PROGRAM. THE INTERVENTION GROUP WAS OFFERED 24 YOGA SESSIONS OVER 12 WEEKS. MEASUREMENTS WERE TAKEN AT WEEK 0 (BASELINE), WEEK 12 (POST-INTERVENTION), AND WEEK 24 (FOLLOW-UP). THE PRIMARY OUTCOME WAS PSYCHOLOGICAL DISTRESS ASSESSED BY THE HSCL-25 QUESTIONNAIRE. ANALYSIS WAS PERFORMED BASED ON THE INTENTION TO TREAT-PRINCIPLE. RESULTS: BETWEEN 24 JANUARY 2017, AND 27 AUGUST 2017, WE RANDOMLY ASSIGNED 202 STUDENTS TO A YOGA INTERVENTION GROUP (N = 100), OR WAITLIST CONTROL GROUP (N = 102). COMPARED WITH THE CONTROL GROUP, THE YOGA PARTICIPANTS DEMONSTRATED A SIGNIFICANT REDUCTION IN DISTRESS SYMPTOMS BOTH AT POST-INTERVENTION (ADJUSTED DIFFERENCE IN THE MEAN CHANGE -0.15, 95% CI -0.26 TO -0.03, P = 0.0110) AND FOLLOW-UP (ADJUSTED DIFFERENCE IN THE MEAN CHANGE -0.18, 95% CI -0.29 TO -0.06, P = 0.0025). SLEEP QUALITY ALSO IMPROVED AT POST-INTERVENTION AND FOLLOW-UP. NO ADVERSE EVENTS WERE REPORTED. CONCLUSIONS: OUR FINDINGS SUGGEST THAT YOGA HAS A MODERATELY LARGE AND LASTING EFFECT, AT LEAST FOR SOME MONTHS, REDUCING SYMPTOMS OF DISTRESS AND IMPROVING SLEEP QUALITY AMONG STUDENTS. FURTHER RESEARCH SHOULD SEEK WAYS TO ENHANCE THE EFFECT, ASSESS AN EVEN LONGER FOLLOW-UP PERIOD, INCLUDE ACTIVE CONTROL GROUPS, AND CONSIDER PERFORMING SIMILAR STUDIES IN OTHER CULTURAL SETTINGS.TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT04258540. 2020 5 1659 34 MYND&CO (MINDFULNESS, YOGA, NUTRITION, DEVELOPMENT & COACHING, AND OSTEOPATHY) RANDOMIZED CONTROLLED TRIAL FOR A POSITIVE PSYCHOPHYSICAL EXPERIENCE IN PREGNANCY AND AFTER BIRTH: A STUDY PROTOCOL. BACKGROUND AND AIM: THE MEDICALISATION OF BIRTH PATHWAY MAY NEGATIVELY IMPACT ON WOMEN'S EMPOWERMENT, ENHANCING DISTRESS EVEN IN CASES OF HEALTHY PREGNANCIES. WE HAVE BUILT A PROGRAM WHICH IS COMPRISED OF MINDFULNESS, YOGA, NUTRITION, DEVELOPMENT & COUNSELLING, COACHING, ANTENATAL CLASSES, AND OSTEOPATHIC TREATMENT (MYND&CO). METHODS: THIS STUDY IS A RANDOMIZED CONTROLLED TRIAL INVOLVING LOW-RISK PREGNANT WOMEN. THEY WILL BE RANDOMIZED TO THE EXPERIMENTAL (MYND&CO INTERVENTION PLUS STANDARD CARE) OR CONTROL GROUP (STANDARD CARE). THE PRIMARY (GENERAL HEALTH AND WELLBEING, MATERNAL DISTRESS) AND SECONDARY OUTCOME MEASURES (URINARY INCONTINENCE, SEXUAL PROBLEMS, AND PHYSICAL WELLBEING) WILL BE ASSESSED VIA QUESTIONNAIRES AT BASELINE AND 6 MONTHS AFTER CHILDBIRTH. THE INDEPENDENT-SAMPLES T-TEST AND CHI-SQUARE WILL BE USED TO DETECT CHANGES IN THE OUTCOMES BETWEEN INTERVENTION AND CONTROL GROUP. DISCUSSION: THE TRIAL IS EXPECTED TO INCREASE KNOWLEDGE ABOUT THE EFFECTIVENESS OF A HOLISTIC APPROACH IN LOW-RISK PREGNANT WOMEN, IN TERMS OF OBSTETRICAL AND PSYCHOPHYSIOLOGICAL OUTCOMES. 2021 6 998 32 EFFECTS OF INTEGRATED YOGA ON QUALITY OF LIFE AND INTERPERSONAL RELATIONSHIP OF PREGNANT WOMEN. PURPOSE: THE OBJECTIVE OF THIS STUDY WAS TO INVESTIGATE THE EFFECTS OF INTEGRATED YOGA ON THE QUALITY OF LIFE AND INTERPERSONAL RELATIONSHIPS IN NORMAL PREGNANT WOMEN. METHODS: ONE HUNDRED AND TWO PREGNANT WOMEN BETWEEN 18 AND 20 WEEKS OF GESTATION WHO MET THE INCLUSION CRITERIA WERE RECRUITED FROM THE OBSTETRIC UNITS IN BANGALORE AND WERE RANDOMLY ASSIGNED TO TWO GROUPS OF YOGA (N = 51) AND CONTROL (N = 51). WOMEN WITH MEDICAL CONDITIONS THAT COULD POTENTIALLY LEAD TO PREGNANCY COMPLICATIONS AND THOSE WITH ABNORMAL FETAL PARAMETERS WERE EXCLUDED. THE YOGA GROUP RECEIVED INTEGRATED YOGA WHILE CONTROL GROUP RECEIVED STANDARD ANTENATAL EXERCISES, BOTH FOR 1-H THREE TIMES A WEEK FROM 20TH TO 36TH WEEK OF GESTATION. PRE AND POST ASSESSMENTS WERE DONE USING WHOQOL-100 AND FIRO-B QUESTIONNAIRES. RESULTS: OF THE SIX DOMAINS OF WHOQOL-100, BETWEEN GROUPS ANALYSIS SHOWED SIGNIFICANT IMPROVEMENTS IN THE YOGA GROUP COMPARED TO THE CONTROL IN THE PHYSICAL (P = 0.001), PSYCHOLOGICAL (P < 0.001), SOCIAL (P = 0.003), AND ENVIRONMENTAL DOMAINS (P = 0.001). IN FIRO-B, THE YOGA GROUP SHOWED SIGNIFICANT IMPROVEMENTS IN 'EXPRESSED INCLUSION' (P = 0.02) AND 'WANTED CONTROL' (P = 0.009) DOMAINS COMPARED TO THE CONTROL GROUP. CONCLUSION: THE INTEGRATED YOGA IS AN EFFICACIOUS MEANS OF IMPROVING THE QUALITY OF LIFE OF PREGNANT WOMEN AND ENHANCING CERTAIN ASPECTS OF THEIR INTERPERSONAL RELATIONSHIPS. 2010 7 2183 48 THE EFFECTS OF YOGA ON PSYCHOSOCIAL VARIABLES AND EXERCISE ADHERENCE: A RANDOMIZED, CONTROLLED PILOT STUDY. BACKGROUND: PHYSICAL INACTIVITY IS A SERIOUS ISSUE FOR THE AMERICAN PUBLIC. BECAUSE OF CONDITIONS THAT RESULT FROM INACTIVITY, INDIVIDUALS INCUR CLOSE TO $1 TRILLION USD IN HEALTH-CARE COSTS, AND APPROXIMATELY 250 000 PREMATURE DEATHS OCCUR PER YEAR. RESEARCHERS HAVE LINKED ENGAGING IN YOGA TO IMPROVED OVERALL FITNESS, INCLUDING IMPROVED MUSCULAR STRENGTH, MUSCULAR ENDURANCE, FLEXIBILITY, AND BALANCE. RESEARCHERS HAVE NOT YET INVESTIGATED THE IMPACT OF YOGA ON EXERCISE ADHERENCE. OBJECTIVE: THE RESEARCH TEAM ASSESSED THE EFFECTS OF 10 WEEKS OF YOGA CLASSES HELD TWICE A WEEK ON EXERCISE ADHERENCE IN PREVIOUSLY SEDENTARY ADULTS. DESIGN: THE RESEARCH TEAM DESIGNED A RANDOMIZED CONTROLLED PILOT TRIAL. THE TEAM COLLECTED DATA FROM THE INTERVENTION (YOGA) AND CONTROL GROUPS AT BASELINE, MIDPOINT, AND POSTTEST (POSTTEST 1) AND ALSO COLLECTED DATA PERTAINING TO EXERCISE ADHERENCE FOR THE YOGA GROUP AT 5 WEEKS POSTTEST (POSTTEST 2). SETTING: THE PILOT TOOK PLACE IN A YOGA STUDIO IN CENTRAL NEW JERSEY IN THE UNITED STATES. THE PRETESTING OCCURRED AT THE YOGA STUDIO FOR ALL PARTICIPANTS. MIDPOINT TESTING AND POSTTESTING OCCURRED AT THE STUDIO FOR THE YOGA GROUP AND BY MAIL FOR THE CONTROL GROUP. PARTICIPANTS: PARTICIPANTS WERE 27 ADULTS (MEAN AGE 51 Y) WHO HAD BEEN PHYSICALLY INACTIVE FOR A PERIOD OF AT LEAST 6 MONTHS PRIOR TO THE STUDY. INTERVENTIONS THE INTERVENTION GROUP (YOGA GROUP) RECEIVED HOUR-LONG HATHA YOGA CLASSES THAT MET TWICE A WEEK FOR 10 WEEKS. THE CONTROL GROUP DID NOT PARTICIPATE IN CLASSES DURING THE RESEARCH STUDY; HOWEVER, THEY WERE OFFERED COMPLIMENTARY POST RESEARCH CLASSES. OUTCOME MEASURES THE STUDY'S PRIMARY OUTCOME MEASURE WAS EXERCISE ADHERENCE AS MEASURED BY THE 7-DAY PHYSICAL ACTIVITY RECALL. THE SECONDARY MEASURES INCLUDED (1) EXERCISE SELF-EFFICACY AS MEASURED BY THE MULTIDIMENSIONAL SELF-EFFICACY FOR EXERCISE SCALE, (2) GENERAL WELL-BEING AS MEASURED BY THE GENERAL WELL-BEING SCHEDULE, (3) EXERCISE-GROUP COHESION AS MEASURED BY THE GROUP ENVIRONMENT QUESTIONNAIRE (GEQ), (4) ACUTE FEELING RESPONSE AS MEASURED BY THE EXERCISE-INDUCED FEELING INVENTORY (EFI), AND (5) TWO OPEN-ENDED QUESTIONS CODED FOR EMERGING THEMES AND SUBCATEGORIES. RESULTS: THE ANALYSIS REVEALED THAT THE YOGA GROUP'S MEAN HOURS OF PHYSICAL ACTIVITY AT 10 WEEKS REFLECTED A SIGNIFICANT INCREASE IN EXERCISE ADHERENCE FROM BASELINE (P < .012) AND A SIGNIFICANT DIFFERENCE FROM THE CONTROL GROUP (P < .004). AT 5 WEEKS POST-INTERVENTION, NO SIGNIFICANT CHANGE HAD OCCURRED IN THE YOGA GROUP'S EXERCISE ADHERENCE (P = .906). EXERCISE SELF-EFFICACY CHANGED SIGNIFICANTLY FROM BASELINE TO MIDPOINT (P < .029). THE GENERAL WELLBEING DATA DEMONSTRATED A SIGNIFICANT INTERACTION EFFECT (P < .001), RESULTING FROM AN INCREASE IN GENERAL WELL-BEING IN THE INTERVENTION GROUP AND A DECREASE IN GENERAL WELL-BEING IN THE CONTROL GROUP. IN ADDITION, THE YOGA GROUP'S COHESION SCORE WAS CONSISTENT WITH THE NORMS ON TWO CONSTRUCTS OF THE GEQ: ATTRACTION TO GROUP TASK AND GROUP INTEGRATION TASK. THE EFI REVEALED THAT THE YOGA PARTICIPANTS "FELT STRONGLY" THAT THEIR EXPERIENCES IN YOGA WERE PEACEFUL, HAPPY, UPBEAT, AND ENTHUSIASTIC AND THAT THEY FELT REVIVED FOLLOWING THE YOGA CLASSES. QUALITATIVE ANALYSIS OF DATA REVEALED SELF-REPORTED IMPROVEMENTS IN EXERCISE BEHAVIORS, STRESS MANAGEMENT, AND EATING HABITS. CONCLUSIONS: TEN WEEKS OF YOGA CLASSES TWICE A WEEK SIGNIFICANTLY INCREASED PREVIOUSLY INACTIVE PARTICIPANTS' ADHERENCE TO PHYSICAL ACTIVITY. ADDITIONALLY, THE FINDINGS SUGGEST THAT A MIND-BODY EXERCISE PROGRAM MAY BE AN EFFECTIVE INTERVENTION IN THE FIGHT AGAINST PHYSICAL INACTIVITY. 2012 8 342 26 ASHTANGA YOGA FOR CHILDREN AND ADOLESCENTS FOR WEIGHT MANAGEMENT AND PSYCHOLOGICAL WELL BEING: AN UNCONTROLLED OPEN PILOT STUDY. OBJECTIVE: THE OBJECTIVE OF THIS PILOT STUDY WAS TO DETERMINE THE EFFECT OF YOGA ON WEIGHT IN YOUTH AT RISK FOR DEVELOPING TYPE 2 DIABETES. SECONDARILY, THE IMPACT OF PARTICIPATION IN YOGA ON SELF-CONCEPT AND PSYCHIATRIC SYMPTOMS WAS MEASURED. METHODS: A 12-WEEK PROSPECTIVE PILOT ASHTANGA YOGA PROGRAM ENROLLED TWENTY CHILDREN AND ADOLESCENTS. WEIGHT WAS MEASURED BEFORE AND AFTER THE PROGRAM. ALL PARTICIPANTS COMPLETED SELF-CONCEPT, ANXIETY, AND DEPRESSION INVENTORIES AT THE INITIATION AND COMPLETION OF THE PROGRAM. RESULTS: FOURTEEN PREDOMINATELY HISPANIC CHILDREN, AGES 8-15, COMPLETED THE PROGRAM. THE AVERAGE WEIGHT LOSS WAS 2KG. WEIGHT DECREASED FROM 61.2+/-20.2KG TO 59.2+/-19.2KG (P=0.01). FOUR OF FIVE CHILDREN WITH LOW SELF-ESTEEM IMPROVED, ALTHOUGH TWO HAD DECREASES IN SELF-ESTEEM. ANXIETY SYMPTOMS IMPROVED IN THE STUDY. CONCLUSION: ASHTANGA YOGA MAY BE BENEFICIAL AS A WEIGHT LOSS STRATEGY IN A PREDOMINATELY HISPANIC POPULATION. 2009 9 594 37 DEVELOPMENT AND FEASIBILITY OF A GROUP-BASED THERAPEUTIC YOGA PROGRAM FOR WOMEN WITH CHRONIC PELVIC PAIN. OBJECTIVE: TO DEVELOP A GROUP-BASED THERAPEUTIC YOGA PROGRAM FOR WOMEN WITH CHRONIC PELVIC PAIN (CPP) AND EXPLORE THE EFFECTS OF THIS PROGRAM ON PAIN SEVERITY, SEXUAL FUNCTION, AND WELL-BEING. METHODS: A YOGA THERAPY PROGRAM FOR CPP WAS DEVELOPED BY A MULTIDISCIPLINARY PANEL OF CLINICIANS, RESEARCHERS, AND YOGA CONSULTANTS. WOMEN REPORTING MODERATE TO SEVERE PELVIC PAIN FOR AT LEAST SIX MONTHS WERE RECRUITED INTO A SINGLE-ARM TRIAL. PARTICIPANTS ATTENDED TWICE WEEKLY GROUP CLASSES FOCUSING ON IYENGAR-BASED YOGA TECHNIQUES AND WERE INSTRUCTED TO PRACTICE YOGA AT HOME AN HOUR A WEEK FOR SIX WEEKS. PARTICIPANTS SELF-RATED THE SEVERITY OF THEIR PELVIC PAIN USING DAILY LOGS. THE IMPACT OF PARTICIPANTS' PAIN ON EVERYDAY ACTIVITIES, EMOTIONAL WELL-BEING, AND SEXUAL FUNCTION WAS ASSESSED USING AN IMPACT OF PELVIC PAIN (IPP) QUESTIONNAIRE. SEXUAL FUNCTION WAS FURTHER ASSESSED USING THE SEXUAL HEALTH OUTCOMES IN WOMEN QUESTIONNAIRE (SHOW-Q). RESULTS: AMONG THE 16 PARTICIPANTS (AGE RANGE = 31-64 YEARS), AVERAGE RATINGS OF THE SEVERITY OF PAIN "AT ITS WORST," "AT ITS BEST," AND "ON AVERAGE" DECREASED BY 29%, 32%, AND 34%, RESPECTIVELY, FROM START TO SIX WEEKS (P < 0.05 FOR ALL). WOMEN DEMONSTRATED IMPROVEMENTS IN SCORES ON IPP SUBSCALES FOR DAILY ACTIVITIES (1.8 +/- 0.7 TO 0.9 +/- 0.7, P < 0.001), EMOTIONAL WELL-BEING (1.7 +/- 0.9 TO 0.9 +/- 0.7, P = 0.005), AND SEXUAL FUNCTION (1.9 +/- 1.1 TO 1.0 +/- 0.9, P = 0.04). SCORES ON THE SHOW-Q "PELVIC PROBLEM INTERFERENCE" SCALE ALSO IMPROVED OVER SIX WEEKS (53 +/- 23 TO 27 +/- 23, P = 0.002). CONCLUSIONS: FINDINGS PROVIDE PRELIMINARY EVIDENCE OF THE FEASIBILITY OF TEACHING WOMEN WITH CPP TO PRACTICE YOGA TO SELF-MANAGE PAIN AND IMPROVE QUALITY OF LIFE AND SEXUAL FUNCTION. 2017 10 2414 23 YOGA AND MASSAGE THERAPY REDUCE PRENATAL DEPRESSION AND PREMATURITY. EIGHTY-FOUR PRENATALLY DEPRESSED WOMEN WERE RANDOMLY ASSIGNED TO YOGA, MASSAGE THERAPY OR STANDARD PRENATAL CARE CONTROL GROUPS TO DETERMINE THE RELATIVE EFFECTS OF YOGA AND MASSAGE THERAPY ON PRENATAL DEPRESSION AND NEONATAL OUTCOMES. FOLLOWING 12 WEEKS OF TWICE WEEKLY YOGA OR MASSAGE THERAPY SESSIONS (20 MIN EACH) BOTH THERAPY GROUPS VERSUS THE CONTROL GROUP HAD A GREATER DECREASE ON DEPRESSION, ANXIETY AND BACK AND LEG PAIN SCALES AND A GREATER INCREASE ON A RELATIONSHIP SCALE. IN ADDITION, THE YOGA AND MASSAGE THERAPY GROUPS DID NOT DIFFER ON NEONATAL OUTCOMES INCLUDING GESTATIONAL AGE AND BIRTHWEIGHT, AND THOSE GROUPS, IN TURN, HAD GREATER GESTATIONAL AGE AND BIRTHWEIGHT THAN THE CONTROL GROUP. 2012 11 719 42 EFFECT OF IYENGAR YOGA ON MENTAL HEALTH OF INCARCERATED WOMEN: A FEASIBILITY STUDY. BACKGROUND: INCARCERATED WOMEN SHARE A DISPROPORTIONATE BURDEN OF MENTAL ILLNESS. ALTHOUGH PSYCHOTROPIC MEDICATIONS ARE AVAILABLE TO WOMEN IN PRISON, ADJUNCTIVE TREATMENT MODALITIES, SUCH AS IYENGAR YOGA, MAY INCREASE PSYCHOLOGICAL WELL-BEING. OBJECTIVES: THE PURPOSES OF THIS STUDY WERE (A) TO ADDRESS THE FEASIBILITY OF PROVIDING A GENDER-RESPONSIVE EXERCISE INTERVENTION WITHIN A CORRECTIONAL INSTITUTION AND (B) TO OBSERVE THE EFFECT OF A GROUP-FORMAT IYENGAR YOGA PROGRAM THAT MET TWO SESSIONS A WEEK FOR 12 WEEKS ON LEVELS OF DEPRESSION SYMPTOMS, ANXIETY SYMPTOMS, AND PERCEIVED STRESS AMONG INCARCERATED WOMEN. METHODS: A REPEATED MEASURES DESIGN, IN WHICH EACH PARTICIPANT SERVED AS HER OWN CONTROL, WAS USED. PARTICIPANTS COMPLETED THREE SELF-ADMINISTERED INSTRUMENTS: THE BECK DEPRESSION INVENTORY, THE BECK ANXIETY INVENTORY, AND THE PERCEIVED STRESS SCALE BEFORE TREATMENT (BASELINE) AND DURING TREATMENT (WEEKS 4, 8, AND 12). LINEAR MIXED EFFECTS MODELS WERE USED TO EXAMINE STATISTICALLY SIGNIFICANT CHANGES IN MENTAL HEALTH MEASURES OVER TIME, TAKING ADVANTAGE OF ALL AVAILABLE DATA. RESULTS: ALTHOUGH 21 WOMEN INITIALLY PARTICIPATED IN THE INTERVENTION, 6 WOMEN COMPLETED THE 12-WEEK INTERVENTION. A SIGNIFICANT LINEAR DECREASE WAS DEMONSTRATED IN SYMPTOMS OF DEPRESSION OVER TIME, WITH MEAN VALUES CHANGING FROM 24.90 AT BASELINE TO 5.67 AT WEEK 12. THERE WAS A MARGINALLY SIGNIFICANT DECREASE IN ANXIETY OVER TIME (12.00 AT BASELINE TO 7.33 AT WEEK 12) AND A NONLINEAR CHANGE IN STRESS OVER TIME, WITH DECREASES FROM BASELINE TO WEEK 4 AND SUBSEQUENT INCREASES TO WEEK 12. DISCUSSION: WOMEN WHO PARTICIPATED IN THIS PROGRAM EXPERIENCED FEWER SYMPTOMS OF DEPRESSION AND ANXIETY OVER TIME. FINDINGS FROM THIS STUDY MAY BE USED TO IMPROVE FUTURE INTERVENTIONS FOCUSING ON THE HEALTH OUTCOMES OF INCARCERATED WOMEN. 2010 12 1471 28 INPATIENT PRENATAL YOGA SESSIONS FOR WOMEN WITH HIGH-RISK PREGNANCIES: A FEASIBILITY STUDY. BACKGROUND: ANTENATAL HOSPITALIZATION FOR PREGNANCY COMPLICATIONS CAN RESULT IN SIGNIFICANT STRESS FOR PREGNANT WOMEN AND THEIR FAMILIES. PRENATAL YOGA HAS BEEN INVESTIGATED IN THE OUTPATIENT SETTING AS A METHOD TO ALLEVIATE STRESS. THIS STUDY WAS DESIGNED TO INVESTIGATE THE FEASIBILITY OF INCORPORATING PRENATAL YOGA INTO THE INPATIENT ENVIRONMENT FOR WOMEN HOSPITALIZED WITH PREGNANCY COMPLICATIONS. STUDY DESIGN: HIGH-RISK WOMEN WERE RECRUITED FROM THE INPATIENT ANTEPARTUM SERVICE AT TUFTS MEDICAL CENTER (BOSTON, MA; MARCH 2016 TO FEBRUARY 2017) TO EVALUATE THE FEASIBILITY OF AN INPATIENT PRENATAL YOGA PROGRAM. THE THIRTY-MINUTE SESSION WAS LED BY A CERTIFIED INSTRUCTOR IN A ROOM ADJACENT TO LABOR AND DELIVERY. PARTICIPANTS AND ANTEPARTUM NURSES COMPLETED STUDY QUESTIONNAIRES ADDRESSING LOGISTICS SUCH AS CLASS DURATION AND FREQUENCY. PERCEIVED BENEFITS OF YOGA WERE ALSO EXPLORED. RESULTS: THIRTY-NINE WOMEN WERE FOUND ELIGIBLE FOR THIS STUDY AND WERE CONSENTED FOR PARTICIPATION. OF THESE, FIFTEEN (38%) PARTICIPATED IN AT LEAST ONE YOGA SESSION. RESPONSES TO THE TO THE POST-CLASS QUESTIONNAIRE BY STUDY PARTICIPANTS INDICATED THAT THE THIRTY MINUTES ALLOCATED FOR THE YOGA CLASS WAS APPROPRIATE. OF THE EIGHT PARTICIPANTS WHO RESPONDED TO THE DISCHARGE QUESTIONNAIRE, ALL INDICATED THAT THE CLASS WAS HELPFUL WITH REGARDS TO STRESS REDUCTION. COMPLETED QUESTIONNAIRES BY THE ANTEPARTUM NURSING STAFF (N = 14) UNANIMOUSLY INDICATED THAT THE YOGA SESSION WAS HELPFUL FOR THE PATIENTS AND WAS NOT DISRUPTIVE TO MEDICAL CARE. CONCLUSION(S): PRENATAL YOGA IS A TECHNIQUE THAT HAS BEEN CURRENTLY LIMITED TO THE OUTPATIENT SETTING. THIS STUDY PROVIDES A FOUNDATION FOR CONTINUED INVESTIGATION OF INPATIENT PRENATAL YOGA FOR WOMEN HOSPITALIZED WITH PREGNANCY COMPLICATIONS. 2020 13 1242 43 FEASIBILITY OF A YOGA INTERVENTION TO DECREASE PAIN IN OLDER WOMEN: A RANDOMIZED CONTROLLED PILOT STUDY. BACKGROUND: A SIGNIFICANT PROPORTION OF OLDER WOMEN SUFFER FROM CHRONIC PAIN, WHICH CAN DECREASE QUALITY OF LIFE. THE OBJECTIVE OF THIS PILOT RANDOMIZED STUDY WAS TO EVALUATE THE FEASIBILITY OF A FLOW-RESTORATIVE YOGA INTERVENTION DESIGNED TO DECREASE PAIN AND RELATED OUTCOMES AMONG WOMEN AGED 60 OR OLDER. METHODS: FLOW-RESTORATIVE YOGA CLASSES WERE HELD TWICE WEEKLY FOR 1 HOUR AND LED BY A CERTIFIED YOGA INSTRUCTOR. PARTICIPANTS RANDOMIZED TO THE INTERVENTION GROUP ATTENDED THE YOGA CLASSES FOR 12 WEEKS AND RECEIVED SUPPLEMENTAL MATERIALS FOR AT-HOME PRACTICE. THOSE RANDOMIZED TO THE CONTROL GROUP WERE ASKED TO MAINTAIN THEIR NORMAL DAILY ROUTINE. FEASIBILITY WAS EVALUATED USING RECRUITMENT AND RETENTION RATES, CLASS AND HOME PRACTICE ADHERENCE RATES, AND PARTICIPANT SATISFACTION SURVEYS. OUTCOME MEASURES (SELF-REPORTED PAIN, INFLAMMATORY MARKERS, FUNCTIONAL FITNESS, QUALITY OF LIFE, RESILIENCE, AND SELF-REPORTED PHYSICAL ACTIVITY) WERE ASSESSED AT BASELINE AND POST-INTERVENTION. PAIRED T-TESTS OR WILCOXON SIGNED-RANK TESTS WERE USED TO EXAMINE CHANGES IN OUTCOME MEASURES WITHIN TREATMENT GROUPS. RESULTS: THIRTY-EIGHT PARTICIPANTS WERE RECRUITED AND RANDOMIZED. PARTICIPANTS WERE PRIMARILY WHITE, COLLEGE-EDUCATED, AND HIGHER FUNCTIONING, DESPITE EXPERIENCING VARIOUS FORMS OF CHRONIC PAIN. ATTENDANCE AND RETENTION RATES WERE HIGH (91 AND 97%, RESPECTIVELY) AND THE MAJORITY OF PARTICIPANTS WERE SATISFIED WITH THE YOGA PROGRAM (89%) AND WOULD RECOMMEND IT TO OTHERS (87%). INTERVENTION PARTICIPANTS ALSO EXPERIENCED REDUCTIONS IN PAIN INTERFERENCE AND IMPROVEMENTS IN ENERGY AND SOCIAL FUNCTIONING. CONCLUSIONS: THIS PILOT STUDY PROVIDES ESSENTIAL DATA TO INFORM A FULL SCALE RANDOMIZED TRIAL OF FLOW-RESTORATIVE YOGA FOR OLDER WOMEN WITH CHRONIC PAIN. FUTURE STUDIES SHOULD EMPHASIZE STRATEGIES TO RECRUIT A MORE DIVERSE STUDY POPULATION, PARTICULARLY OLDER WOMEN AT HIGHER RISK OF DISABILITY AND FUNCTIONAL DECLINE. TRIAL REGISTRATION: CLINICALTRIALS.GOV , NCT03790098 . REGISTERED 31 DECEMBER 2018 - RETROSPECTIVELY REGISTERED. 2020 14 2871 34 YOGA-BASED RELAXATION TECHNIQUE FACILITATES SUSTAINED ATTENTION IN PATIENTS WITH LOW BACK PAIN: A PILOT STUDY. CONTEXT: THE EXPERIENCE OF PAIN STRONGLY INFLUENCES SUSTAINED ATTENTION, WHICH IS IMPORTANT FOR NEUROCOGNITIVE PERFORMANCE. YOGA-BASED RELAXATION TECHNIQUES MAY BE EFFECTIVE IN IMPROVING SUSTAINED ATTENTION BY ATTENUATING PAIN IN PATIENTS WITH LOW BACK PAIN. HENCE, WE AIMED TO INVESTIGATE THE EFFECT OF A YOGA-BASED RELAXATION TECHNIQUE ON SUSTAINED ATTENTION AND SELF-REPORTED PAIN DISABILITY IN PATIENTS WITH LOW BACK PAIN. METHODS: A TOTAL OF 22 MEN AGED 30 TO 50 YEARS WITH LOW BACK PAIN WERE RECRUITED FOR THE STUDY. THEY WERE RANDOMLY ASSIGNED TO EITHER THE YOGA (N = 11) OR CONTROL (N = 11) GROUPS. THE YOGA GROUP PRACTICED A YOGA-BASED RELAXATION TECHNIQUE (YBRT) 1 HOUR A DAY FOR 4 WEEKS AND THE CONTROL GROUP MAINTAINED THEIR USUAL PHYSICAL ACTIVITY REGIMEN. ASSESSMENTS INCLUDED THE SUSTAINED ATTENTION TO RESPONSE TASK (SART) AND THE OSWESTRY LOW BACK PAIN DISABILITY QUESTIONNAIRE (OLBPDQ) MEASURED BEFORE AND AFTER THE 4-WEEK INTERVENTION. RESULTS: THE STUDY SHOWED A SIGNIFICANT REDUCTION IN ALL SELF-REPORTED OLBPDQ DOMAINS AND IMPROVEMENT IN SUSTAINED ATTENTION IN A BEFORE AND AFTER COMPARISON 4 WEEKS FOLLOWING THE YOGA INTERVENTION. PEARSON'S CORRELATION ALSO SHOWED A POSITIVE CORRELATION BETWEEN SUSTAINED ATTENTION AND PAIN REDUCTION FOLLOWING THE YOGA INTERVENTION. CONCLUSION: THE FINDINGS INDICATE THAT YOGA PRACTICE REDUCES PAIN AND SIMULTANEOUSLY IMPROVES INFORMATION PROCESSING SPEED WITH IMPULSE CONTROL DURING THE PERFORMANCE OF A SUSTAINED ATTENTION TASK. 2020 15 2237 40 THE IMPACTS OF PILATES AND YOGA ON HEALTH-PROMOTING BEHAVIORS AND SUBJECTIVE HEALTH STATUS. THIS STUDY INVESTIGATES WHETHER PILATES AND YOGA LEAD PEOPLE TO ADOPT GENERALLY HEALTH-PROMOTING LIFESTYLE ELEMENTS AND FEEL BETTER ABOUT THEIR PHYSICAL AND MENTAL FITNESS. TO THIS END, WE DESIGNED AN 8 WEEK EXERCISE PROGRAM OF PILATES AND YOGA REVIEWED BY VETERAN PRACTITIONERS AND CONDUCTED AN EXPERIMENTAL STUDY THROUGH WHICH WE COLLECTED THE DATA FROM 90 VOLUNTEERED ADULT SUBJECTS BETWEEN AGES 30 AND 49 (MEAN AGE = 35.47), EQUALLY REPRESENTED BY WOMEN AND MEN WITHOUT PREVIOUS EXPERIENCE WITH PILATES OR YOGA. IN THE 8 WEEK LONG EXPERIMENT, WE ASSIGNED THE SUBJECTS TO THREE GROUPS, WHERE SUBJECTS IN THE TWO EXERCISE GROUPS REGULARLY TOOK PART IN EITHER PILATES OR YOGA CLASSES, AND THE CONTROL GROUP PARTICIPATED IN NEITHER EXERCISE CLASSES. ALL PARTICIPANTS COMPLETED TWO SURVEYS, THE HEALTH-PROMOTING LIFESTYLE PROFILE (HPLP II) AND THE HEALTH SELF-RATING SCALE (HSRS), BEFORE AND AFTER THEIR ASSIGNED PROGRAM. IN OUR ANALYSIS OF PRE- AND POST-TREATMENT DIFFERENCES ACROSS THE THREE GROUPS, WE RAN ANOVA, ANCOVA, AND SHEFFE TEST, IMPLEMENTED USING SPSS PASW STATISTICS 18.00. OUR RESULTS INDICATE THAT PILATES AND YOGA GROUPS EXHIBITED A HIGHER ENGAGEMENT IN HEALTH-PROMOTING BEHAVIORS THAN THE CONTROL GROUP AFTER THE PROGRAM. SUBJECTIVE HEALTH STATUS, MEASURED WITH HSRS, ALSO IMPROVED SIGNIFICANTLY AMONG PILATES AND YOGA PARTICIPANTS COMPARED TO THOSE IN THE CONTROL GROUP AFTER THE PROGRAM. THE SUPPLEMENTARY ANALYSIS FINDS NO SIGNIFICANT GENDER-BASED DIFFERENCE IN THESE IMPACTS. OVERALL, OUR RESULTS CONFIRM THAT PILATES AND YOGA HELP RECRUIT HEALTH-PROMOTING BEHAVIORS IN PARTICIPANTS AND ENGENDER POSITIVE BELIEFS ABOUT THEIR SUBJECTIVE HEALTH STATUS, THEREBY SETTING A POSITIVE REINFORCEMENT CYCLE IN MOTION. BY PROVIDING CLEAR EVIDENCE THAT THE PROMOTION OF PILATES OR YOGA CAN SERVE AS AN EFFECTIVE INTERVENTION STRATEGY THAT HELPS INDIVIDUALS CHANGE BEHAVIORS ADVERSE TO THEIR HEALTH, THIS STUDY OFFERS PRACTICAL IMPLICATIONS FOR HEALTHCARE PROFESSIONALS AND PUBLIC HEALTH OFFICIALS ALIKE. 2021 16 2135 42 THE EFFECTS OF A YOGA EXERCISE AND NUTRITIONAL GUIDANCE PROGRAM ON PREGNANCY OUTCOMES AMONG HEALTHY PREGNANT JAPANESE WOMEN: A STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THIS REPORT PROVIDES AN EXPERIMENTAL PROTOCOL FOR A STUDY DESIGNED TO VERIFY THE EFFECTS OF YOGA EXERCISE AND A NUTRITIONAL GUIDANCE PROGRAM DURING PREGNANCY ON SEVERAL KEY PREGNANCY AND BIRTH OUTCOMES AMONG JAPANESE WOMEN. DESIGN: THIS IS A STUDY PROTOCOL OF A RANDOMIZED CONTROLLED TRIAL. SETTING/LOCATION: THIS INTERVENTION WILL BE CARRIED OUT IN A UNIVERSITY HOSPITAL IN TOKYO. SUBJECTS: HEALTHY PRIMIPAROUS WOMEN WILL BE RECRUITED AT 18-23 GESTATIONAL WEEKS IN THE HOSPITAL. A TOTAL OF 400 PARTICIPANTS WILL BE RANDOMLY ASSIGNED TO ONE OF FOUR GROUPS IN THIS TRIAL, WITH 100 PARTICIPANTS IN EACH GROUP-GROUP WITH YOGA EXERCISE, WITH NUTRITIONAL GUIDANCE, WITH BOTH YOGA AND NUTRITIONAL GUIDANCE, AND WITH STANDARD CARE ALONE, AS THE CONTROL GROUP. YOGA EXERCISE CONSISTS OF YOGA CLASSES HELD AT THE HOSPITAL 3 OR 5 DAYS A MONTH, DURATION 60 MIN, AND HOME PRACTICE USING A DIGITAL VIDEO DISK, DURATION 30 OR 60 MIN PER SESSION. WE RECOMMEND PARTICIPANTS DO YOGA AT LEAST 3 DAYS A WEEK FOR A TOTAL OF 60 MIN PER DAY. NUTRITIONAL GUIDANCE IS BASED ON INDIVIDUAL DIETARY INTAKE ASSESSED USING A BRIEF-TYPE DIET HISTORY QUESTIONNAIRE. RESULTS: THE PRIMARY OUTCOME IS RATE OF PREGNANT WOMEN WITH ADEQUATE GESTATIONAL WEIGHT GAIN. SECONDARY OUTCOMES INCLUDE PHYSIOLOGIC AND PSYCHOLOGIC STATUS ASSESSED VIA BIOMARKERS AND HEALTH-RELATED SCALES, DIETARY NUTRITION INTAKE, AND BIRTH OUTCOMES. CONCLUSIONS: THIS STUDY SHOWS THE EFFECTS OF A YOGA EXERCISE AND NUTRITIONAL INTERVENTION. IF THE INTERVENTION IS FOUND TO BE EFFECTIVE, OUR RESULTS WILL BE USEFUL FOR HEALTHCARE PROVIDERS AND PREGNANT WOMEN. 2018 17 841 30 EFFECT OF YOGA ON POSTTRAUMATIC GROWTH AND QUALITY OF LIFE IN FIRST-TIME MOTHERS: A RANDOMIZED CONTROLLED TRIAL. AIM: THIS STUDY AIMS TO EXAMINE THE EFFECT OF YOGA ON POSTTRAUMATIC GROWTH AND QUALITY OF LIFE IN POSTPARTUM MOTHERS. METHODS: THE STUDY WAS CONDUCTED AS RANDOMIZED CONTROLLED. THERE WERE 160 PARTICIPANT MOTHERS, INCLUDING 80 FOR THE YOGA GROUP AND 80 FOR THE CONTROL GROUP. MOTHERS IN THE YOGA GROUP PARTICIPATED IN INDIVIDUAL YOGA PRACTICES AT THEIR HOMES EVERY WEEKDAY FOR 10 WEEKS. THE PERSONAL INFORMATION FORM, POSTTRAUMATIC GROWTH INVENTORY (PTGI), AND SHORT FORM-36 (SF-36) QUALITY OF LIFE SCALE WERE USED TO COLLECT DATA. RESULTS: THE RESULTS SHOWED THAT TOTAL AND SUBSCALE MEAN SCORES OF THE PTGI WERE HIGHER IN THE YOGA GROUP THAN THE CONTROL GROUP AFTER THE INTERVENTION. IN COMPARISON TO THE CONTROL GROUP, THE MEAN SCORES OF THE YOGA GROUP WERE HIGHER IN SUBSCALES AS PHYSICAL FUNCTIONING, ROLE-PHYSICAL, BODILY PAIN, GENERAL HEALTH, VITALITY, SOCIAL FUNCTIONING, MENTAL HEALTH OF THE SF-36, AFTER THE INTERVENTION. CONCLUSION: THE YOGA INCREASED PSYCHOLOGICAL GROWTH AND QUALITY OF LIFE IN THE POSTPARTUM PERIOD. HEALTH PROFESSIONALS COULD USE YOGA TO INCREASE THE QUALITY OF LIFE OF MOTHERS AND TO ENSURE THEIR PSYCHOLOGICAL GROWTH IN HEALTH CARE. 2021 18 1151 42 ENHANCING ACCESSIBILITY OF PHYSICAL ACTIVITY DURING PREGNANCY: A PILOT STUDY ON WOMEN'S EXPERIENCES WITH INTEGRATING YOGA INTO GROUP PRENATAL CARE. INTRODUCTION: HEALTH GUIDELINES SUGGEST THAT PREGNANT WOMEN SHOULD PARTICIPATE IN DAILY PHYSICAL ACTIVITY, YET RARELY DO THEY MEET THESE GUIDELINES. MEANS TO ENHANCE ACCESSIBILITY OF PHYSICAL ACTIVITY FOR PREGNANT WOMEN ARE REQUIRED, AND YOGA HAS BEEN SUGGESTED AS A POSSIBLE METHOD TO ENHANCE WOMEN'S SENSE OF CONFIDENCE AND COMPETENCE WITH PHYSICAL ACTIVITY. IN THIS PILOT STUDY, OUR PRIMARY AIM IS TO EVALUATE PREGNANT WOMEN'S PERCEPTIONS ABOUT THEIR LIVED EXPERIENCE OF AN INTERVENTION WHICH INTEGRATES A LOW-INTENSITY FORM OF PHYSICAL ACTIVITY, YOGA, INTO PRENATAL CARE; OUR SECONDARY AIM IS TO EVALUATE CHANGES IN PARTICIPANTS' SELF-EFFICACY FOR PHYSICAL ACTIVITY AND TIME SPENT IN PHYSICAL ACTIVITY OVER TIME. METHODS: HELD IN AN OUTPATIENT OBSTETRICS DEPARTMENT OF AN URBAN HOSPITAL SYSTEM IN THE UNITED STATES, THIS PILOT STUDY ENROLLED 16 PREGNANT WOMEN TO PARTICIPATE IN THE INTERVENTION THROUGHOUT THEIR PREGNANCY. WE EXPLORED PARTICIPANTS' LIVED EXPERIENCE OF THE INTERVENTION USING QUALITATIVE METHODS (PHENOMENOLOGY). MEANS, VARIANCES, AND COVARIANCES WERE CALCULATED FOR THE 2 MEASURES (SELF-EFFICACY AND TIME SPENT IN PHYSICAL ACTIVITY) OVER THE INTERVENTION PERIOD. RESULTS: QUALITATIVE FINDINGS FROM FOCUS GROUPS SUGGEST THAT IT IS ACCEPTABLE FOR PRENATAL YOGA TO BE INTEGRATED INTO GROUP PRENATAL CARE CLASSES AND WOMEN REPORTED INCREASED CONFIDENCE WITH PHYSICAL ACTIVITY DURING PREGNANCY. PARTICIPANTS DID NOT CONSIDER THE INTERVENTION TO FIT WITHIN THE TRADITIONAL DEFINITION OF EXERCISE. WOMEN REPORTED INCREASED AMOUNTS OF TIME SPENT IN PHYSICAL ACTIVITY FROM BASELINE TO THE END OF PREGNANCY, BUT THERE WERE NO STATISTICALLY SIGNIFICANT CHANGES IN SELF-EFFICACY OVER TIME. DISCUSSION: THE INTEGRATION OF GENTLE PHYSICAL ACTIVITY INTO THE GROUP PRENATAL CARE MODEL WARRANTS FURTHER ATTENTION FOR POTENTIAL BENEFITS WITH REGARD TO MATERNAL PHYSICAL AND MENTAL WELLNESS. 2019 19 290 44 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 20 1792 45 PRENATAL YOGA AND MENTAL HEALTH DURING THE COVID-19 PANDEMIC: A RANDOMIZED-CONTROL TRIAL. STUDIES HAVE DEMONSTRATED THAT NEW AND EXPECTANT MOTHERS EXPERIENCE INCREASED LEVELS OF STRESS AND ANXIETY DURING THE COVID-19 PANDEMIC. THOUGH PRENATAL YOGA IS AN EFFECTIVE MODE OF IMPROVING MENTAL HEALTH DURING PREGNANCY, NO RESEARCH HAS EVALUATED ITS EFFECT ON MENTAL HEALTH DURING TIMES OF EXTREME STRESS, SUCH AS A GLOBAL PANDEMIC. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE INFLUENCE OF A SINGLE SESSION AND A 10-WEEK PRENATAL YOGA INTERVENTION ON THE MENTAL HEALTH OF PREGNANT WOMEN DURING THE COVID-19 PANDEMIC. WOMEN (N = 19; 28.52 +/- 3.74 YEARS; 20.94 +/- 4.69 WEEKS GESTATION; BMI 29.33 +/- 9.08) WERE RANDOMIZED INTO A YOGA OR A NON-YOGA CONTROL GROUP. THERE WERE NO DIFFERENCES IN DEMOGRAPHIC FACTORS OR DEPRESSION/ANXIETY SCORES BETWEEN GROUPS AT BASELINE. BASELINE LEVELS OF ANXIETY AND DEPRESSION WERE HIGH, WITH AN AVERAGE DEPRESSION SCORE OF 8.10 +/- 4.85 (SCORES > 8 REPRESENT POSSIBLE DEPRESSION) AND AN AVERAGE ANXIETY SCORE OF 39.26 +/- 12.99 (SCORES >/= 39 REPRESENT A CLINICALLY SIGNIFICANT ANXIETY). AFTER JUST ONE SESSION OF YOGA, WOMEN REPORTED FEELING LESS DEPRESSED (P = 0.028), TENSE (P < 0.001), AND FATIGUED (P = 0.004). AFTER 10 WEEKS, THE YOGA GROUP HAD LOWER ANXIETY (P = 0.002), DEPRESSION (P = 0.032), AND TOTAL MOOD DISTURBANCE (P = 0.002) SCORES WHEN COMPARED TO THE CONTROL GROUP. YOGA APPEARS TO BENEFIT THE MENTAL HEALTH OF EXPECTANT MOTHERS, EVEN IN TIMES OF EXTREME STRESS. THE FINDINGS OF THIS STUDY PROVIDE CLINICIANS WITH VALUABLE INFORMATION REGARDING ALTERNATIVE EXERCISE OPTIONS FOR MENTAL HEALTH DURING PREGNANCY DURING THE COVID-19 PANDEMIC. 2021