1 2440 112 YOGA AND QUALITY-OF-LIFE IMPROVEMENT IN PATIENTS WITH BREAST CANCER: A LITERATURE REVIEW. OBJECTIVE: WOMEN UNDERGOING TREATMENT FOR BREAST CANCER OFTEN TURN TO COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM), INCLUDING YOGA, FOR IMPROVEMENT OF MOOD, QUALITY OF LIFE (QOL), SLEEP, AND TREATMENT-RELATED SIDE EFFECTS. THE EXTANT LITERATURE WAS REVIEWED TO EXAMINE THE CLINICAL EFFECTS OF YOGA PRACTICE ON QOL FOR PATIENTS WITH BREAST CANCER. QOL WAS DEFINED AS PHYSICAL WELL-BEING, SOCIAL FUNCTIONING, EMOTIONAL HEALTH, AND FUNCTION-AL ADAPTATION. METHODS: SEVEN DATABASES, INCLUDING PUBMED, OVID MEDLINE, CINAHL, EMBASE, PSYCINFO, COCHRANE LIBRARY, AND WEB OF SCIENCE WERE USED TO SEARCH FOR STUDIES OF PATIENTS WITH BREAST CANCER THAT INCLUDED A YOGA INTERVENTION AND QOL ASSESSMENT. ATTENTION WAS PAID TO ASSESSING STUDY POPULATION, OUTCOME VARIABLES, THE TYPE OF YOGA INTERVENTION USED, AND METHODOLOGICAL STRENGTHS AND LIMITATIONS. RESULTS: SEVENTY-ONE ARTICLES WERE IDENTIFIED THAT FIT THE SEARCH CRITERIA. ALTHOUGH THE LITERATURE PROVIDED EVIDENCE OF QOL BENEFITS OF YOGA FOR PATIENTS WITH BREAST CANCER, NO SPECIFIC ASPECT OF YOGA WAS IDENTIFIED AS BEING MOST ADVANTAGEOUS. CONCLUSION: ALTHOUGH PARTICIPATION IN YOGA PROGRAMS APPEARED TO BENEFIT PATIENTS WITH BREAST CANCER, GREATER METHODOLOGICAL RIGOR IS REQUIRED TO UNDERSTAND THE MECHANISMS THAT CONTRIBUTE TO THEIR EFFECTIVENESS. 2012 2 2023 47 SYSTEMATIC REVIEW OF YOGA FOR SYMPTOM MANAGEMENT DURING CONVENTIONAL TREATMENT OF BREAST CANCER PATIENTS. INTRODUCTION: BREAST CANCER IS ONE OF THE MOST COMMONLY DIAGNOSED CANCERS IN WOMEN IN THE US, AND ITS TREATMENTS HAVE SIGNIFICANT PHYSICAL AND PSYCHOLOGICAL SIDE EFFECTS AND LONG-TERM COMPLICATIONS CAUSING SIGNIFICANT MORBIDITY AND DECREASED QUALITY OF LIFE. INTEGRATIVE MEDICINE MODALITIES, SUCH AS YOGA, HAVE BEEN FOUND TO REDUCE SIDE EFFECTS OF CONVENTIONAL TREATMENTS WITHOUT INTERFERING WITH THE TREATMENT ITSELF AND IMPROVE QUALITY OF LIFE. IN THIS SYSTEMATIC REVIEW, WE SPECIFICALLY EXPLORED YOGA AS A POTENTIAL OPTION FOR SYMPTOMATIC MANAGEMENT IN PATIENTS UNDERGOING CONVENTIONAL BREAST CANCER TREATMENTS. METHODS: WE PERFORMED A LITERATURE SEARCH THAT WAS CONDUCTED TO INCLUDE THE DATABASES PUBMED, PSYCHINFO, COCHRANE LIBRARY, SCOPUS, AND CINAHL, RESULTING IN 28 RANDOMIZED CONTROLLED TRIAL (RCT) ARTICLES. WE REVIEW THE RESULTS OF THESE TRIALS REGARDING THE IMPACT OF YOGA IN THIS PATIENT POPULATION. RESULTS: OVERALL, THE MAJORITY OF THE RCT ARTICLES SHOWED SIGNIFICANT BENEFITS OF YOGA INTERVENTION IN VARIOUS ASPECTS OF QUALITY OF LIFE, FATIGUE, NAUSEA/VOMITING, SLEEP QUALITY, ANXIETY, DEPRESSION, AND DISTRESS. THERE ARE SEVERAL STUDIES THAT HAVE EXPLORED THE PHYSIOLOGICAL MECHANISM BEHIND THE EFFECTS OF YOGA AND FOUND THAT YOGA AFFECTS BOTH THE IMMUNE RESPONSE AND INFLAMMATION. DISCUSSION: THESE STUDIES REVEALED THAT YOGA HAS A POTENTIAL THERAPEUTIC ROLE IN THE SYMPTOMATIC MANAGEMENT OF BREAST CANCER PATIENTS, ENHANCING QUALITY OF LIFE DURING TREATMENT AS WELL AS IMPROVING ADHERENCE TO TREATMENT. FUTURE STUDIES WITH MORE DEFINED AND CONSISTENT METHODOLOGIES ARE NECESSARY TO FULLY UNDERSTAND THE POTENTIAL USE OF YOGA THERAPY IN PATIENTS WITH BREAST CANCER. 2022 3 1856 55 RANDOMISED CONTROLLED TRIALS OF YOGA INTERVENTIONS FOR WOMEN WITH BREAST CANCER: A SYSTEMATIC LITERATURE REVIEW. PURPOSE: YOGA IS INCREASINGLY USED AS A COMPLEMENTARY THERAPY TO MANAGE DISEASE AND TREATMENT-RELATED SIDE EFFECTS IN PATIENTS WITH CANCER AND HAS RESULTED IN AN INCREASE IN THE NUMBER OF STUDIES EXPLORING THE EFFECTIVENESS OF YOGA INTERVENTIONS. THIS SYSTEMATIC REVIEW EXAMINES WHETHER YOGA INTERVENTIONS PROVIDE ANY MEASURABLE BENEFIT, BOTH PHYSICALLY AND PSYCHOLOGICALLY, FOR WOMEN WITH BREAST CANCER. THE RESULTS WILL INFORM FUTURE RESEARCH IN THIS FIELD AND ADVANCE THE DEVELOPMENT OF YOGA PROGRAMMES. METHODS: WE PERFORMED ELECTRONIC SEARCHES OF MEDLINE, PSYCHINFO, THE COCHRANE LIBRARY, EMBASE, CINAHL, AMED, WEB OF SCIENCE AND SCOPUS FOR ARTICLES PUBLISHED UP TO JUNE 2012. ONLY RANDOMISED CONTROLLED TRIALS (RCTS) WERE INCLUDED AND METHODOLOGICAL QUALITY RATING SCORES WERE DETERMINED USING THE PEDRO (PHYSIOTHERAPY EVIDENCE DATABASE) SCALE. RESULTS: ONE HUNDRED THIRTY-TWO STUDIES WERE IDENTIFIED THROUGH A SYSTEMATIC SEARCH OF EIGHT ELECTRONIC DATABASES. ONLY PUBLISHED MANUSCRIPTS THAT EMPLOYED A RCT DESIGN WERE INCLUDED (N = 18). THE SAMPLE SIZES FOR THESE STUDIES VARIED WIDELY FROM 18 TO 164 PARTICIPANTS AND THE ASSOCIATED PEDRO SCORES RANGED FROM 1 (POOR) TO 8 (GOOD). ALL 18 STUDIES REPORTED POSITIVE EFFECTS FOR TREATMENT-RELATED SIDE EFFECTS IN FAVOUR OF THE YOGA INTERVENTIONS, WITH THE GREATEST IMPACT ON GLOBAL QUALITY OF LIFE (QOL) SCORES AND EMOTIONAL WELL-BEING. CONCLUSION: RESULTS FROM THE FEW RCTS SUGGEST THERE IS MODERATE TO GOOD EVIDENCE THAT YOGA MAY BE A USEFUL PRACTICE FOR WOMEN RECOVERING FROM BREAST CANCER TREATMENTS. LARGE-SCALE RCTS USING OBJECTIVE MEASURES AND PATIENT-REPORTED OUTCOMES WITH LONG-TERM FOLLOW-UP ARE NEEDED TO SUBSTANTIATE WHETHER THE BENEFITS ARE TRUE AND SUSTAINABLE. 2012 4 1042 47 EFFECTS OF YOGA INTERVENTIONS ON FATIGUE IN CANCER PATIENTS AND SURVIVORS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. BACKGROUND: FATIGUE IS ONE OF THE MOST FREQUENTLY REPORTED, DISTRESSING SIDE EFFECTS REPORTED BY CANCER SURVIVORS AND OFTEN HAS SIGNIFICANT LONG-TERM CONSEQUENCES. RESEARCH INDICATES THAT YOGA CAN PRODUCE INVIGORATING EFFECTS ON PHYSICAL AND MENTAL ENERGY, AND THEREBY MAY IMPROVE LEVELS OF FATIGUE. THE OBJECTIVE OF THIS SYSTEMATIC REVIEW WAS TO EXAMINE THE LITERATURE THAT REPORTS THE EFFECTS OF RANDOMIZED, CONTROLLED YOGA INTERVENTIONS ON SELF-REPORTED FATIGUE IN CANCER PATIENTS AND SURVIVORS. THE ONLINE ELECTRONIC DATABASES, PUBMED AND PSYCINFO, WERE USED TO SEARCH FOR PEER-REVIEWED RESEARCH ARTICLES STUDYING THE EFFECTS OF YOGA INTERVENTIONS ON FATIGUE IN CANCER SURVIVORS. COMBINATIONS OF YOGA, CANCER, AND FATIGUE-RELATED SEARCH TERMS WERE ENTERED SIMULTANEOUSLY TO OBTAIN ARTICLES THAT INCLUDED ALL THREE ELEMENTS. STUDIES WERE INCLUDED IF THEY MET THE FOLLOWING INCLUSION CRITERIA: PARTICIPANTS WERE MALE OR FEMALE CANCER PATIENTS OR SURVIVORS PARTICIPATING IN RANDOMIZED, CONTROLLED YOGA INTERVENTIONS. THE MAIN OUTCOME OF INTEREST WAS CHANGE IN FATIGUE FROM PRE- TO POST-INTERVENTION. INTERVENTIONS OF ANY LENGTH WERE INCLUDED IN THE ANALYSIS. RISK OF BIAS USING THE FORMAT OF THE COCHRANE COLLABORATION'S TOOL FOR ASSESSING RISK OF BIAS WAS ALSO EXAMINED ACROSS STUDIES. RESULTS: TEN ARTICLES MET INCLUSION CRITERIA AND INVOLVED A TOTAL OF 583 PARTICIPANTS WHO WERE PREDOMINANTLY FEMALE, BREAST CANCER SURVIVORS. FOUR STUDIES INDICATED THAT THE YOGA INTERVENTION RESULTED IN SIGNIFICANT REDUCTIONS IN SELF-REPORTED FATIGUE FROM PRE- TO POST-INTERVENTION. THREE OF THE STUDIES REPORTED THAT THERE WERE SIGNIFICANT REDUCTIONS OF FATIGUE AMONG PARTICIPANTS WHO ATTENDED A GREATER NUMBER OF YOGA CLASSES. RISK OF BIAS WAS HIGH FOR AREAS OF ADEQUATE SELECTION, PERFORMANCE, DETECTION, AND PATIENT-REPORTED BIAS AND MIXED FOR ATTRITION AND REPORTING BIAS. RISK OF BIAS WAS UNIFORMLY LOW FOR OTHER FORMS OF BIAS, INCLUDING FINANCIAL CONFLICTS OF INTEREST. CONCLUSIONS: RESULTS OF THE STUDIES INCLUDED IN THIS REVIEW SUGGEST THAT YOGA INTERVENTIONS MAY BE BENEFICIAL FOR REDUCING CANCER-RELATED FATIGUE IN WOMEN WITH BREAST CANCER; HOWEVER, CONCLUSIONS SHOULD BE INTERPRETED WITH CAUTION AS A RESULT OF LEVELS OF BIAS AND INCONSISTENT METHODS USED ACROSS STUDIES. MORE WELL-CONSTRUCTED RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO DETERMINE THE IMPACT OF YOGA INTERVENTIONS ON FATIGUE IN CANCER PATIENTS AND SURVIVORS. 2013 5 309 52 AN EVIDENCE-BASED REVIEW OF YOGA AS A COMPLEMENTARY INTERVENTION FOR PATIENTS WITH CANCER. OBJECTIVE: TO CONDUCT AN EVIDENCE-BASED REVIEW OF YOGA AS AN INTERVENTION FOR PATIENTS WITH CANCER. SPECIFICALLY, THIS PAPER REVIEWED THE IMPACT OF YOGA ON PSYCHOLOGICAL ADJUSTMENT AMONG CANCER PATIENTS. METHODS: A SYSTEMATIC LITERATURE SEARCH WAS CONDUCTED BETWEEN MAY 2007 AND APRIL 2008. DATA FROM EACH IDENTIFIED STUDY WERE EXTRACTED BY TWO INDEPENDENT RATERS; STUDIES WERE INCLUDED IF THEY ASSESSED PSYCHOLOGICAL FUNCTIONING AND FOCUSED ON YOGA AS A MAIN INTERVENTION. USING A QUALITY RATING SCALE (RANGE = 9-45), THE RATERS ASSESSED THE METHODOLOGICAL QUALITY OF THE STUDIES, AND CONSORT GUIDELINES WERE USED TO ASSESS RANDOMIZED CONTROLLED TRIALS (RCTS). EFFECT SIZES WERE CALCULATED WHEN POSSIBLE. IN ADDITION, EACH STUDY WAS NARRATIVELY REVIEWED WITH ATTENTION TO OUTCOME VARIABLES, THE TYPE OF YOGA INTERVENTION EMPLOYED, AND METHODOLOGICAL STRENGTHS AND LIMITATIONS. RESULTS: TEN STUDIES WERE INCLUDED, INCLUDING SIX RCTS. ACROSS STUDIES, THE MAJORITY OF PARTICIPANTS WERE WOMEN, AND BREAST CANCER WAS THE MOST COMMON DIAGNOSIS. METHODOLOGICAL QUALITY RANGED GREATLY ACROSS STUDIES (RANGE = 15.5-42), WITH THE AVERAGE RATING (M = 33.55) INDICATING ADEQUATE QUALITY. STUDIES ALSO VARIED IN TERMS OF CANCER POPULATIONS AND YOGA INTERVENTIONS SAMPLED. CONCLUSIONS: THIS STUDY PROVIDED A SYSTEMATIC EVALUATION OF THE YOGA AND CANCER LITERATURE. ALTHOUGH SOME POSITIVE RESULTS WERE NOTED, VARIABILITY ACROSS STUDIES AND METHODOLOGICAL DRAWBACKS LIMIT THE EXTENT TO WHICH YOGA CAN BE DEEMED EFFECTIVE FOR MANAGING CANCER-RELATED SYMPTOMS. HOWEVER, FURTHER RESEARCH IN THIS AREA IS CERTAINLY WARRANTED. FUTURE RESEARCH SHOULD EXAMINE WHAT COMPONENTS OF YOGA ARE MOST BENEFICIAL, AND WHAT TYPES OF PATIENTS RECEIVE THE GREATEST BENEFIT FROM YOGA INTERVENTIONS. 2009 6 2684 44 YOGA IN THE PEDIATRIC ONCOLOGY POPULATION: A REVIEW OF THE LITERATURE. BACKGROUND: THE PURPOSE OF THIS REVIEW WAS TO EVALUATE THE CURRENT BODY OF LITERATURE ON YOGA IN THE PEDIATRIC ONCOLOGY POPULATION. CONSIDERING THE INCREASING NUMBER OF STUDIES ON YOGA INDICATING IMPROVEMENTS IN HEALTH-RELATED QUALITY OF LIFE (HRQL) AMONG THE ADULT ONCOLOGY POPULATION, IT IS IMPORTANT TO EXPLORE WHETHER SIMILAR BENEFITS HAVE BEEN FOUND IN PEDIATRIC ONCOLOGY PATIENTS. METHODS: CINAHL, OVID MEDLINE, PSYCINFO, PUBMED, AND SCOPUS WERE SEARCHED FROM THE YEARS 2010 THROUGH 2020 FOR STUDIES ASSESSING THE USE OF YOGA IN CHILDREN AND ADOLESCENTS AFFECTED BY CANCER. CONSIDERING THE BENEFITS OF YOGA ON HRQL IN THE ADULT ONCOLOGY POPULATION, THE AIM OF THIS REVIEW WAS TO EVALUATE THE CURRENT BODY OF LITERATURE ON YOGA IN THE PEDIATRIC CANCER POPULATION. RESULTS: EIGHT STUDIES, ALL NONRANDOMIZED WITH SINGLE-ARM DESIGNS, WERE REVIEWED. FIVE OF THE STUDIES WERE DESIGNED AS FEASIBILITY STUDIES AND WHILE RECRUITMENT RATES RANGED FROM 34% TO 55%, RETENTION RATES WERE APPROXIMATELY 70%. QUALITATIVE FEEDBACK FROM PARTICIPANTS WAS VERY POSITIVE AND THEMES RELATED TO BOTH PHYSICAL AND PSYCHOLOGICAL BENEFITS. CERTAIN MEASURES OF HRQL (I.E., ANXIETY, PAIN, AND PHYSICAL FUNCTIONING) WERE FOUND TO BE SIGNIFICANTLY IMPROVED FOLLOWING A YOGA INTERVENTION. DISCUSSION: ALTHOUGH NO RANDOMIZED CLINICAL TRIALS HAVE BEEN CONDUCTED TO DATE ON THIS IMPORTANT TOPIC, THE STUDIES REVIEWED SHOWED THAT DELIVERING YOGA TO THIS POPULATION IS FEASIBLE AND SAFE. ADDITIONALLY, PRELIMINARY FINDINGS ON THE IMPACT OF YOGA FOR SOME OF THE COMMON SYMPTOMS AND TREATMENT-RELATED SIDE EFFECTS EXPERIENCED BY CHILDREN AND ADOLESCENTS AFFECTED BY CANCER ARE PROMISING. 2021 7 2354 38 UTILIZING YOGA IN ONCOLOGIC PATIENTS TREATED WITH RADIOTHERAPY: REVIEW. PURPOSE: SEVERAL TRIALS ON NONCANCER POPULATION INDICATE THAT YOGA IS ASSOCIATED WITH MEANINGFUL CLINICAL EFFECTS. THIS STUDY EVALUATED THE PHYSICAL AND PSYCHOSOCIAL OUTCOMES OF YOGA IN ONCOLOGIC PATIENTS TREATED WITH RADIOTHERAPY. METHODS: WE FOCUSED ON A RESEARCH THROUGH COCHRANE REGISTER OF CONTROLLED TRIALS (CENTRAL), BIOMED CENTRAL, AND MEDLINE STUDIES UP TO MAY 2017. RESULTS: YOGA WAS FOUND TO HAVE A SUBSTANTIAL BENEFIT IN CANCER PATIENTS' DISTRESS, ANXIETY, AND DEPRESSION. IT ALSO DEMONSTRATED A MODERATE IMPACT ON FATIGUE AND EMOTIONAL FUNCTION AND A SMALL AND INSIGNIFICANT EFFECT ON FUNCTIONAL WELL-BEING AND SLEEP DISTURBANCES. AS FAR AS THE EFFECTS ON PSYCHOLOGICAL OUTCOMES ARE CONCERNED, THERE WAS INSUFFICIENT EVIDENCE. CONCLUSIONS: THIS SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS SHOWED THAT YOGA HAS STRONG BENEFICIAL EFFECTS ON ONCOLOGIC PATIENTS' QUALITY OF LIFE. RESULTS OF THE CURRENT REVIEW MUST BE INTERPRETED WITH CAUTION DUE TO THE RELATIVE SMALL SAMPLE SIZES OF MOST OF THE INCLUDED STUDIES, WHILE A PROSPECTIVE RANDOMIZED STUDY STANDS IN NEED FOR THE CONFIRMATION OF OUR RESULTS. 2018 8 1945 44 SALUTE TO THE SUN: A NEW DAWN IN YOGA THERAPY FOR BREAST CANCER. INTRODUCTION: INTEREST IN THE APPLICATION OF YOGA FOR HEALTH BENEFITS IN WESTERN MEDICINE IS GROWING RAPIDLY, WITH A SIGNIFICANT RISE IN PUBLICATIONS. THE PURPOSE OF THIS SYSTEMATIC REVIEW IS TO DETERMINE WHETHER THE INCLUSION OF YOGA THERAPY TO THE TREATMENT OF BREAST CANCER CAN IMPROVE THE PATIENT'S PHYSICAL AND PSYCHOSOCIAL QUALITY OF LIFE (QOL). METHODS: A SEARCH OF PEER REVIEWED JOURNAL ARTICLES PUBLISHED BETWEEN JANUARY 2009 AND JULY 2014 WAS CONDUCTED. STUDIES WERE INCLUDED IF THEY HAD MORE THAN 15 STUDY PARTICIPANTS, INCLUDED INTERVENTIONS SUCH AS MINDFULNESS-BASED STRESS REDUCTION (MBSR) OR YOGA THERAPY WITH OR WITHOUT COMPARISON GROUPS AND HAD STATED PHYSICAL OR PSYCHOLOGICAL OUTCOMES. RESULTS: SCREENING IDENTIFIED 38 APPROPRIATE ARTICLES. THE MOST REPORTED PSYCHOSOCIAL BENEFITS OF YOGA THERAPY WERE ANXIETY, EMOTIONAL AND SOCIAL FUNCTIONING, STRESS, DEPRESSION AND GLOBAL QOL. THE MOST REPORTED PHYSICAL BENEFITS OF YOGA THERAPY WERE IMPROVED SALIVARY CORTISOL READINGS, SLEEP QUALITY AND LYMPHOCYTE APOPTOSIS. BENEFITS IN THESE AREAS WERE LINKED STRONGLY WITH THE YOGA INTERVENTIONS, IN ADDITION TO SIGNIFICANT IMPROVEMENT IN OVERALL QOL. CONCLUSION: THE EVIDENCE SUPPORTS THE USE OF YOGA THERAPY TO IMPROVE THE PHYSICAL AND PSYCHOSOCIAL QOL FOR BREAST CANCER PATIENTS WITH A RANGE OF BENEFITS RELEVANT TO RADIATION THERAPY. FUTURE STUDIES ARE RECOMMENDED TO CONFIRM THESE BENEFITS. EVIDENCE-BASED RECOMMENDATIONS FOR IMPLEMENTATION OF A YOGA THERAPY PROGRAMME HAVE BEEN DERIVED AND INCLUDED WITHIN THIS REVIEW. LONG-TERM FOLLOW-UP IS NECESSARY WITH THESE PROGRAMMES TO ASSESS THE EFFICACY OF THE YOGA INTERVENTION IN TERMS OF SUSTAINABILITY AND PATIENT OUTCOMES. 2017 9 559 49 COULD YOGA PRACTICE IMPROVE TREATMENT-RELATED SIDE EFFECTS AND QUALITY OF LIFE FOR WOMEN WITH BREAST CANCER? A SYSTEMATIC REVIEW AND META-ANALYSIS. AIM: TO DETERMINE IF YOGA AS A COMPLEMENTARY AND ALTERNATIVE THERAPY WAS ASSOCIATED WITH ENHANCED HEALTH AND TREATMENT-RELATED SIDE EFFECTS IN PATIENTS WITH BREAST CANCER. THIS SYSTEMATIC REVIEW EXAMINES WHETHER YOGA PRACTICE PROVIDES ANY MEASURABLE BENEFIT, BOTH PHYSICALLY AND PSYCHOLOGICALLY, FOR WOMEN WITH BREAST CANCER. METHODS: PUBMED, EMBASE AND THE COCHRANE LIBRARY FOR RANDOMIZED CONTROLLED TRIALS (RCTS) THROUGHOUT JUNE 2013. WE EVALUATED THE QUALITY OF THE INCLUDED STUDIES BY THE COCHRANE HANDBOOK 5.2 STANDARDS AND ANALYZED THE DATA USING THE STATA SOFTWARE, VERSION 10.0. META-REGRESSION AND SUBGROUP ANALYSIS WERE ALSO PERFORMED TO IDENTIFY ADDITIONAL PREDICTORS OF OUTCOME AND TO ASSESS HETEROGENEITY. RESULTS: SIXTEEN RCTS WITH A TOTAL OF 930 PARTICIPANTS WERE INCLUDED. COMPARING YOGA GROUPS TO CONTROL GROUPS, THERE WAS A STATISTICALLY SIGNIFICANT DIFFERENCE IN OVERALL HEALTH-RELATED QUALITY OF LIFE, DEPRESSION, ANXIETY AND GASTROINTESTINAL SYMPTOMS. META-REGRESSION ANALYSES REVEALED THAT THE DURATION OF YOGA PRACTICE AND TYPE OF CONTROL GROUP PARTLY EXPLAINED THE HETEROGENEITY. SUBGROUP ANALYSES REVEALED THAT YOGA HAD A POSITIVE EFFECT ON ANXIETY ONLY WHEN IT HAD BEEN PRACTICED FOR LONGER THAN 3 MONTHS. ONLY THE WAIT-LIST CONTROL GROUP SHOWED AN EFFECT OF YOGA ON PHYSICAL WELL-BEING. CONCLUSION: THE CURRENT EVIDENCE DEMONSTRATES THAT YOGA PRACTICE COULD BE EFFECTIVE IN ENHANCING HEALTH AND MANAGING SOME TREATMENT-RELATED SIDE EFFECTS FOR PATIENTS RECOVERING FROM BREAST CANCER. IN FUTURE CLINICAL STUDIES, CLINICIANS SHOULD CONSIDER THE PATIENT'S WISHES ALONG WITH THE CURRENT BEST EVIDENCE OF THE EFFECTS OF YOGA PRACTICE IN THEIR CLINICAL DECISION-MAKING. 2017 10 1079 34 EFFECTS OF YOGA ON PSYCHOLOGICAL HEALTH, QUALITY OF LIFE, AND PHYSICAL HEALTH OF PATIENTS WITH CANCER: A META-ANALYSIS. YOGA IS ONE OF THE MOST WIDELY USED COMPLEMENTARY AND ALTERNATIVE MEDICINE THERAPIES TO MANAGE ILLNESS. THIS META-ANALYSIS AIMED TO DETERMINE THE EFFECTS OF YOGA ON PSYCHOLOGICAL HEALTH, QUALITY OF LIFE, AND PHYSICAL HEALTH OF PATIENTS WITH CANCER. STUDIES WERE IDENTIFIED THROUGH A SYSTEMATIC SEARCH OF SEVEN ELECTRONIC DATABASES AND WERE SELECTED IF THEY USED A RANDOMIZED CONTROLLED TRIAL DESIGN TO EXAMINE THE EFFECTS OF YOGA IN PATIENTS WITH CANCER. THE QUALITY OF EACH ARTICLE WAS RATED BY TWO OF THE AUTHORS USING THE PEDRO SCALE. TEN ARTICLES WERE SELECTED; THEIR PEDRO SCORES RANGED FROM 4 TO 7. THE YOGA GROUPS COMPARED TO WAITLIST CONTROL GROUPS OR SUPPORTIVE THERAPY GROUPS SHOWED SIGNIFICANTLY GREATER IMPROVEMENTS IN PSYCHOLOGICAL HEALTH: ANXIETY (P = .009), DEPRESSION (P = .002), DISTRESS (P = .003), AND STRESS (P = .006). HOWEVER, DUE TO THE MIXED AND LOW TO FAIR QUALITY AND SMALL NUMBER OF STUDIES CONDUCTED, THE FINDINGS ARE PRELIMINARY AND LIMITED AND SHOULD BE CONFIRMED THROUGH HIGHER-QUALITY, RANDOMIZED CONTROLLED TRIALS. 2011 11 1907 39 REVIEW OF YOGA THERAPY DURING CANCER TREATMENT. PURPOSE: REVIEWS OF YOGA RESEARCH THAT DISTINGUISH RESULTS OF TRIALS CONDUCTED DURING (VERSUS AFTER) CANCER TREATMENT ARE NEEDED TO GUIDE FUTURE RESEARCH AND CLINICAL PRACTICE. WE THEREFORE CONDUCTED A REVIEW OF NON-RANDOMIZED STUDIES AND RANDOMIZED CONTROLLED TRIALS OF YOGA INTERVENTIONS FOR CHILDREN AND ADULTS UNDERGOING TREATMENT FOR ANY CANCER TYPE. METHODS: STUDIES WERE IDENTIFIED VIA RESEARCH DATABASES AND REFERENCE LISTS. INCLUSION CRITERIA WERE THE FOLLOWING: (1) CHILDREN OR ADULTS UNDERGOING CANCER TREATMENT, (2) INTERVENTION STATED AS YOGA OR COMPONENT OF YOGA, AND (3) PUBLICATION IN ENGLISH IN PEER-REVIEWED JOURNALS THROUGH OCTOBER 2015. EXCLUSION CRITERIA WERE THE FOLLOWING: (1) SAMPLES RECEIVING HORMONE THERAPY ONLY, (2) INTERVENTIONS INVOLVING MEDITATION ONLY, AND (3) YOGA DELIVERED WITHIN BROADER CANCER RECOVERY OR MINDFULNESS-BASED STRESS REDUCTION PROGRAMS. RESULTS: RESULTS OF NON-RANDOMIZED (ADULT N = 8, PEDIATRIC N = 4) AND RANDOMIZED CONTROLLED TRIALS (ADULT N = 13, PEDIATRIC N = 0) CONDUCTED DURING CANCER TREATMENT ARE SUMMARIZED SEPARATELY BY AGE GROUP. FINDINGS MOST CONSISTENTLY SUPPORT IMPROVEMENT IN PSYCHOLOGICAL OUTCOMES (E.G., DEPRESSION, DISTRESS, ANXIETY). SEVERAL STUDIES ALSO FOUND THAT YOGA ENHANCED QUALITY OF LIFE, THOUGH FURTHER INVESTIGATION IS NEEDED TO CLARIFY DOMAIN-SPECIFIC EFFICACY (E.G., PHYSICAL, SOCIAL, CANCER-SPECIFIC). REGARDING PHYSICAL AND BIOMEDICAL OUTCOMES, EVIDENCE INCREASINGLY SUGGESTS THAT YOGA AMELIORATES SLEEP AND FATIGUE; ADDITIONAL RESEARCH IS NEEDED TO ADVANCE PRELIMINARY FINDINGS FOR OTHER TREATMENT SEQUELAE AND STRESS/IMMUNITY BIOMARKERS. CONCLUSIONS: AMONG ADULTS UNDERGOING CANCER TREATMENT, EVIDENCE SUPPORTS RECOMMENDING YOGA FOR IMPROVING PSYCHOLOGICAL OUTCOMES, WITH POTENTIAL FOR ALSO IMPROVING PHYSICAL SYMPTOMS. EVIDENCE IS INSUFFICIENT TO EVALUATE THE EFFICACY OF YOGA IN PEDIATRIC ONCOLOGY. WE DESCRIBE SUGGESTIONS FOR STRENGTHENING YOGA RESEARCH METHODOLOGY TO INFORM CLINICAL PRACTICE GUIDELINES. 2017 12 2623 40 YOGA FOR SYMPTOM MANAGEMENT IN ONCOLOGY: A REVIEW OF THE EVIDENCE BASE AND FUTURE DIRECTIONS FOR RESEARCH. BECAUSE YOGA IS INCREASINGLY RECOGNIZED AS A COMPLEMENTARY APPROACH TO CANCER SYMPTOM MANAGEMENT, PATIENTS/SURVIVORS AND PROVIDERS NEED TO UNDERSTAND ITS POTENTIAL BENEFITS AND LIMITATIONS BOTH DURING AND AFTER TREATMENT. THE AUTHORS REVIEWED RANDOMIZED CONTROLLED TRIALS (RCTS) OF YOGA CONDUCTED AT THESE POINTS IN THE CANCER CONTINUUM (N = 29; N = 13 DURING TREATMENT, N = 12 POST-TREATMENT, AND N = 4 WITH MIXED SAMPLES). FINDINGS BOTH DURING AND AFTER TREATMENT DEMONSTRATED THE EFFICACY OF YOGA TO IMPROVE OVERALL QUALITY OF LIFE (QOL), WITH IMPROVEMENT IN SUBDOMAINS OF QOL VARYING ACROSS STUDIES. FATIGUE WAS THE MOST COMMONLY MEASURED OUTCOME, AND MOST RCTS CONDUCTED DURING OR AFTER CANCER TREATMENT REPORTED IMPROVEMENTS IN FATIGUE. RESULTS ALSO SUGGESTED THAT YOGA CAN IMPROVE STRESS/DISTRESS DURING TREATMENT AND POST-TREATMENT DISTURBANCES IN SLEEP AND COGNITION. SEVERAL RCTS PROVIDED EVIDENCE THAT YOGA MAY IMPROVE BIOMARKERS OF STRESS, INFLAMMATION, AND IMMUNE FUNCTION. OUTCOMES WITH LIMITED OR MIXED FINDINGS (EG, ANXIETY, DEPRESSION, PAIN, CANCER-SPECIFIC SYMPTOMS, SUCH AS LYMPHEDEMA) AND POSITIVE PSYCHOLOGICAL OUTCOMES (SUCH AS BENEFIT-FINDING AND LIFE SATISFACTION) WARRANT FURTHER STUDY. IMPORTANT FUTURE DIRECTIONS FOR YOGA RESEARCH IN ONCOLOGY INCLUDE: ENROLLING PARTICIPANTS WITH CANCER TYPES OTHER THAN BREAST, STANDARDIZING SELF-REPORT ASSESSMENTS, INCREASING THE USE OF ACTIVE CONTROL GROUPS AND OBJECTIVE MEASURES, AND ADDRESSING THE HETEROGENEITY OF YOGA INTERVENTIONS, WHICH VARY IN TYPE, KEY COMPONENTS (MOVEMENT, MEDITATION, BREATHING), DOSE, AND DELIVERY MODE. 2019 13 2569 46 YOGA FOR DEPRESSION: THE RESEARCH EVIDENCE. BACKGROUND: YOGA-BASED INTERVENTIONS MAY PROVE TO BE AN ATTRACTIVE OPTION FOR THE TREATMENT OF DEPRESSION. THE AIM OF THIS STUDY IS TO SYSTEMATICALLY REVIEW THE RESEARCH EVIDENCE ON THE EFFECTIVENESS OF YOGA FOR THIS INDICATION. METHODS: SEARCHES OF THE MAJOR BIOMEDICAL DATABASES INCLUDING MEDLINE, EMBASE, CLNAHL, PSYCINFO AND THE COCHRANE LIBRARY WERE CONDUCTED. SPECIALIST COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) AND THE INDMED DATABASES WERE ALSO SEARCHED AND EFFORTS MADE TO IDENTIFY UNPUBLISHED AND ONGOING RESEARCH. SEARCHES WERE CONDUCTED BETWEEN JANUARY AND JUNE 2004. RELEVANT RESEARCH WAS CATEGORISED BY STUDY TYPE AND APPRAISED. CLINICAL COMMENTARIES WERE OBTAINED FOR STUDIES REPORTING CLINICAL OUTCOMES. RESULTS: FIVE RANDOMISED CONTROLLED TRIALS WERE LOCATED, EACH OF WHICH UTILISED DIFFERENT FORMS OF YOGA INTERVENTIONS AND IN WHICH THE SEVERITY OF THE CONDITION RANGED FROM MILD TO SEVERE. ALL TRIALS REPORTED POSITIVE FINDINGS BUT METHODOLOGICAL DETAILS SUCH AS METHOD OF RANDOMISATION, COMPLIANCE AND ATTRITION RATES WERE MISSING. NO ADVERSE EFFECTS WERE REPORTED WITH THE EXCEPTION OF FATIGUE AND BREATHLESSNESS IN PARTICIPANTS IN ONE STUDY. LIMITATIONS: NO LANGUAGE RESTRICTIONS WERE IMPOSED ON THE SEARCHES CONDUCTED BUT NO SEARCHES OF DATABASES IN LANGUAGES OTHER THAN ENGLISH WERE INCLUDED. CONCLUSIONS: OVERALL, THE INITIAL INDICATIONS ARE OF POTENTIALLY BENEFICIAL EFFECTS OF YOGA INTERVENTIONS ON DEPRESSIVE DISORDERS. VARIATION IN INTERVENTIONS, SEVERITY AND REPORTING OF TRIAL METHODOLOGY SUGGESTS THAT THE FINDINGS MUST BE INTERPRETED WITH CAUTION. SEVERAL OF THE INTERVENTIONS MAY NOT BE FEASIBLE IN THOSE WITH REDUCED OR IMPAIRED MOBILITY. NEVERTHELESS, FURTHER INVESTIGATION OF YOGA AS A THERAPEUTIC INTERVENTION IS WARRANTED. 2005 14 1740 41 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 2548 40 YOGA FOR CANCER PATIENTS AND SURVIVORS. BACKGROUND: YOGA HAS BEEN PRACTICED FOR THOUSANDS OF YEARS TO IMPROVE PHYSICAL AND EMOTIONAL WELL-BEING. EMPIRICAL RESEARCH ON YOGA HAS BEEN ONGOING FOR SEVERAL DECADES, INCLUDING SEVERAL RECENT STUDIES CONDUCTED WITH CANCER PATIENTS AND SURVIVORS. METHODS: THIS REVIEW PROVIDES A GENERAL INTRODUCTION TO YOGA AND A DETAILED REVIEW OF YOGA RESEARCH IN CANCER. RESULTS: NINE STUDIES CONDUCTED WITH CANCER PATIENTS AND SURVIVORS YIELDED MODEST IMPROVEMENTS IN SLEEP QUALITY, MOOD, STRESS, CANCER-RELATED DISTRESS, CANCER-RELATED SYMPTOMS, AND OVERALL QUALITY OF LIFE. STUDIES CONDUCTED IN OTHER PATIENT POPULATIONS AND HEALTHY INDIVIDUALS HAVE SHOWN BENEFICIAL EFFECTS ON PSYCHOLOGICAL AND SOMATIC SYMPTOMS, AS WELL AS OTHER ASPECTS OF PHYSICAL FUNCTION. CONCLUSIONS: RESULTS FROM THE EMERGING LITERATURE ON YOGA AND CANCER PROVIDE PRELIMINARY SUPPORT FOR THE FEASIBILITY AND EFFICACY OF YOGA INTERVENTIONS FOR CANCER PATIENTS, ALTHOUGH CONTROLLED TRIALS ARE LACKING. FURTHER RESEARCH IS REQUIRED TO DETERMINE THE RELIABILITY OF THESE EFFECTS AND TO IDENTIFY THEIR UNDERLYING MECHANISMS. 2005 16 2689 36 YOGA IN THE WORKPLACE AND HEALTH OUTCOMES: A SYSTEMATIC REVIEW. BACKGROUND: HEALTH PROMOTION IN THE WORKPLACE IS INTENDED TO ENHANCE EMPLOYEE HEALTH AND WELL-BEING. YOGA PROGRAMMES ARE EASY TO IMPLEMENT AND HAVE BEEN EFFECTIVE IN THE MANAGEMENT OF VARIOUS HEALTH CONDITIONS. AIMS: TO ASSESS THE EVIDENCE REGARDING THE EFFECTIVENESS OF YOGA PROGRAMMES AT WORK. METHODS: A SEARCH OF ELECTRONIC DATABASES OF PUBLISHED STUDIES UP UNTIL THE 1ST OF APRIL 2017. INCLUSION CRITERIA FOR THE SYSTEMATIC REVIEW WERE RANDOMIZED CONTROLLED TRIALS OF ADULT EMPLOYEES AND YOGA IN THE WORKPLACE. QUALITY APPRAISAL WAS CARRIED OUT USING THE COCHRANE COLLABORATION'S TOOL FOR ASSESSING RISK OF BIAS IN RANDOMIZED TRIALS. RESULTS: OF 1343 PAPERS IDENTIFIED, 13 STUDIES MET THE INCLUSION CRITERIA. NINE OUT OF 13 TRIALS WERE CLASSIFIED AS HAVING AN UNCLEAR RISK OF BIAS. THE OVERALL EFFECTS OF YOGA ON MENTAL HEALTH OUTCOMES WERE BENEFICIAL, MAINLY ON STRESS. MOST OF THE CARDIOVASCULAR ENDPOINTS SHOWED NO DIFFERENCES BETWEEN YOGA AND CONTROLS. OTHER OUTCOMES REPORTED POSITIVE EFFECTS OF YOGA OR NO CHANGE. CONCLUSIONS: THE FINDINGS OF THIS STUDY SUGGEST THAT YOGA HAS A POSITIVE EFFECT ON HEALTH IN THE WORKPLACE, PARTICULARLY IN REDUCING STRESS, AND NO NEGATIVE EFFECTS WERE REPORTED IN ANY OF THE RANDOMIZED CONTROLLED TRIALS. FURTHER LARGER STUDIES ARE REQUIRED TO CONFIRM THIS. 2019 17 2383 30 YOGA & CANCER INTERVENTIONS: A REVIEW OF THE CLINICAL SIGNIFICANCE OF PATIENT REPORTED OUTCOMES FOR CANCER SURVIVORS. LIMITED RESEARCH SUGGESTS YOGA MAY BE A VIABLE GENTLE PHYSICAL ACTIVITY OPTION WITH A VARIETY OF HEALTH-RELATED QUALITY OF LIFE, PSYCHOSOCIAL AND SYMPTOM MANAGEMENT BENEFITS. THE PURPOSE OF THIS REVIEW WAS TO DETERMINE THE CLINICAL SIGNIFICANCE OF PATIENT-REPORTED OUTCOMES FROM YOGA INTERVENTIONS CONDUCTED WITH CANCER SURVIVORS. A TOTAL OF 25 PUBLISHED YOGA INTERVENTION STUDIES FOR CANCER SURVIVORS FROM 2004-2011 HAD PATIENT-REPORTED OUTCOMES, INCLUDING QUALITY OF LIFE, PSYCHOSOCIAL OR SYMPTOM MEASURES. THIRTEEN OF THESE STUDIES MET THE NECESSARY CRITERIA TO ASSESS CLINICAL SIGNIFICANCE. CLINICAL SIGNIFICANCE FOR EACH OF THE OUTCOMES OF INTEREST WAS EXAMINED BASED ON 1 STANDARD ERROR OF THE MEASUREMENT, 0.5 STANDARD DEVIATION, AND RELATIVE COMPARATIVE EFFECT SIZES AND THEIR RESPECTIVE CONFIDENCE INTERVALS. THIS REVIEW DESCRIBES IN DETAIL THESE PATIENT-REPORTED OUTCOMES, HOW THEY WERE OBTAINED, THEIR RELATIVE CLINICAL SIGNIFICANCE AND IMPLICATIONS FOR BOTH CLINICAL AND RESEARCH SETTINGS. OVERALL, CLINICALLY SIGNIFICANT CHANGES IN PATIENT-REPORTED OUTCOMES SUGGEST THAT YOGA INTERVENTIONS HOLD PROMISE FOR IMPROVING CANCER SURVIVORS' WELL-BEING. THIS RESEARCH OVERVIEW PROVIDES NEW DIRECTIONS FOR EXAMINING HOW CLINICAL SIGNIFICANCE CAN PROVIDE A UNIQUE CONTEXT FOR DESCRIBING CHANGES IN PATIENT-REPORTED OUTCOMES FROM YOGA INTERVENTIONS. RESEARCHERS ARE ENCOURAGED TO EMPLOY INDICES OF CLINICAL SIGNIFICANCE IN THE INTERPRETATION AND DISCUSSION OF RESULTS FROM YOGA STUDIES. 2012 18 1574 45 MANAGING LYMPHEDEMA, INCREASING RANGE OF MOTION, AND QUALITY OF LIFE THROUGH YOGA THERAPY AMONG BREAST CANCER SURVIVORS: A SYSTEMATIC REVIEW. LYMPHEDEMA IS A COMMON COMPLICATION OF BREAST CANCER TREATMENT. YOGA IS A NONCONVENTIONAL AND NONINVASIVE INTERVENTION THAT IS REPORTED TO SHOW BENEFICIAL EFFECTS IN PATIENTS WITH BREAST CANCER-RELATED LYMPHEDEMA (BCRL). THIS STUDY ATTEMPTED TO SYSTEMATICALLY REVIEW THE EFFECT OF YOGA THERAPY ON MANAGING LYMPHEDEMA, INCREASING THE RANGE OF MOTION (ROM), AND QUALITY OF LIFE (QOL) AMONG BREAST CANCER SURVIVORS. THE REVIEW SEARCH INCLUDED STUDIES FROM ELECTRONIC BIBLIOGRAPHIC DATABASES, NAMELY MEDLINE (PUBMED), EMBASE, AND GOOGLE SCHOLAR TILL JUNE 2019. STUDIES WHICH ASSESSED THE OUTCOME VARIABLES SUCH AS QOL AND MANAGEMENT OF LYMPHEDEMA OR RELATED PHYSICAL SYMPTOMS AS EFFECT OF YOGA INTERVENTION WERE CONSIDERED FOR REVIEW. TWO AUTHORS INDIVIDUALLY REVIEWED, SELECTED ACCORDING TO COCHRANE GUIDELINES, AND EXTRACTED THE ARTICLES USING COVIDENCE SOFTWARE. SCREENING PROCESS OF THIS REVIEW RESULTED IN A TOTAL OF SEVEN STUDIES. THE DIFFERENT STYLES OF YOGA EMPLOYED IN THE STUDIES WERE IYENGAR YOGA (N = 2), SATYANANDA YOGA (N = 2), HATHA YOGA (N = 2), AND ASHTANGA YOGA (N = 1). THE LENGTH OF INTERVENTION AND POST INTERVENTION ANALYSIS RANGED FROM 8 WEEKS TO 12 MONTHS. FOUR STUDIES INCLUDED HOME PRACTICE SESSIONS. QOL, ROM, AND MUSCULOSKELETAL SYMPTOMS SHOWED IMPROVEMENT IN ALL THE STUDIES. YOGA COULD BE A SAFE AND FEASIBLE EXERCISE INTERVENTION FOR BCRL PATIENTS. EVIDENCE GENERATED FROM THESE STUDIES WAS OF MODERATE STRENGTH. FURTHER LONG-TERM CLINICAL TRIALS WITH LARGE SAMPLE SIZE ARE ESSENTIAL FOR THE DEVELOPMENT AND STANDARDIZATION OF YOGA INTERVENTION GUIDELINES FOR BCRL PATIENTS. 2021 19 2609 47 YOGA FOR QUALITY OF LIFE IN INDIVIDUALS WITH CHRONIC DISEASE: A SYSTEMATIC REVIEW. BACKGROUND: CHRONIC DISEASES, INCLUDING HEART DISEASE, STROKE, CANCER, AND CHRONIC PULMONARY DISEASE ARE THE LEADING CAUSES OF DEATH AND DISABILITY WORLDWIDE. COMPOUNDING SYMPTOMS AND LOSS OF FUNCTION, PEOPLE LIVING WITH CHRONIC DISEASE OFTEN EXPERIENCE REDUCED QUALITY OF LIFE (QOL). VARIOUS PHYSICAL AND MENTAL PRACTICES HAVE BEEN SHOWN TO RELIEVE STRESS AND IMPROVE QOL. YOGA IS A PHYSICAL AND MENTAL PRACTICE THAT MAY BE A VIABLE APPROACH FOR IMPROVING QOL IN PEOPLE WITH CHRONIC DISEASE. OBJECTIVE: THE OBJECTIVE OF THIS STUDY WAS TO EXAMINE AND SUMMARIZE THE EVIDENCE FOR THE EFFECTIVENESS OF YOGA ON QOL IN PATIENTS WITH CHRONIC DISEASE. DESIGN: THE STUDY DESIGN WAS A A SYSTEMATIC REVIEW WITH QUALITATIVE SYNTHESIS. METHODS: WE INCLUDED RANDOMIZED CONTROLLED TRIALS THAT EVALUATED THE EFFECT OF YOGA ON QOL OR HEALTH-RELATED QOL (HRQOL) FOR INDIVIDUALS WITH CHRONIC DISEASE. WE INCLUDED ONLY STUDIES THAT USED AT LEAST 1 PREVIOUSLY VALIDATED MEASURE OF QOL OR HRQOL AND SPECIFIED A MINIMUM DURATION OF FOLLOW-UP OF AT LEAST 1 WK. INTERVENTIONS: WE INCLUDED BOTH MOVEMENT-BASED AND BREATH-BASED YOGA PRACTICES. STUDIES THAT INCLUDED YOGA AS PART OF A LARGER INTERVENTION PROGRAM (EG, MINDFULNESS-BASED STRESS REDUCTION TRAINING) OR STUDIES THAT DID NOT PROVIDE FINDINGS SPECIFIC TO YOGA WERE EXCLUDED. PRIMARY OUTCOME MEASURES: THE PRIMARY OUTCOME ANALYZED WAS IMPROVEMENT IN QOL AS MEASURED BY A VALIDATED QOL OR HRQOL SCALE. RESULTS: AMONG THE 1488 STUDIES THAT WERE IDENTIFIED ON INITIAL SEARCH, 7 ARTICLES MET ALL INCLUSION CRITERIA. FIVE STUDIES REPORTED A STATISTICALLY SIGNIFICANT ADVANTAGE OVER USUAL CARE ALONE FOR IMPROVEMENT OF QOL IN PATIENTS WITH CHRONIC DISEASE, BUT THE CLINICAL SIGNIFICANCE OF THE DIFFERENCES WAS CLEAR IN ONLY 1 TRIAL. WE FOUND CONSIDERABLE HETEROGENEITY AMONG THE INCLUDED STUDIES AND STUDY QUALITY WAS GENERALLY LOW. CONCLUSIONS: MORE HIGH-QUALITY RESEARCH IS NEEDED TO DETERMINE THE VALUE OF YOGA AS AN ADJUNCTIVE APPROACH TO IMPROVING QOL IN PATIENTS WITH CHRONIC DISEASE. 2019 20 1031 33 EFFECTS OF YOGA EXERCISES FOR HEADACHES: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. [PURPOSE] TO ASSESS THE EVIDENCE FOR THE EFFECTIVENESS OF YOGA EXERCISES IN THE MANAGEMENT OF HEADACHES. [SUBJECTS AND METHODS] A SEARCH WAS CONDUCTED OF SIX ELECTRONIC DATABASES TO IDENTIFY RANDOMIZED CONTROLLED TRIALS (RCTS) REPORTING THE EFFECTS OF YOGIC INTERVENTION ON HEADACHES PUBLISHED IN ANY LANGUAGE BEFORE JANUARY 2015. QUALITY ASSESSMENT WAS CONDUCTED USING THE COCHRANE RISK OF BIAS TOOL. [RESULTS] ONE POTENTIAL TRIAL WAS IDENTIFIED AND INCLUDED IN THIS REVIEW. THE QUALITY CRITICAL APPRAISAL INDICATED A MODERATE RISK OF BIAS. THE AVAILABLE DATA COULD ONLY BE INCLUDED AS A NARRATIVE DESCRIPTION. HEADACHE INTENSITY AND FREQUENCY, ANXIETY AND DEPRESSION SCORES, AND SYMPTOMATIC MEDICATION USE WERE SIGNIFICANTLY LOWER IN THE YOGA GROUP COMPARED TO THE CONTROL GROUP. [CONCLUSION] THERE IS EVIDENCE FROM ONE RCT THAT YOGA EXERCISES MAY BE BENEFICIAL FOR HEADACHES. HOWEVER, THE FINDINGS SHOULD BE INTERPRETED WITH CAUTION DUE TO THE SMALL NUMBER OF RCTS. THEREFORE, FURTHER RIGOROUS METHODOLOGICAL AND HIGH QUALITY RCTS ARE REQUIRED TO INVESTIGATE THE HYPOTHESIS THAT YOGA EXERCISES ALLEVIATE HEADACHES, AND TO CONFIRM AND FURTHER COMPREHEND THE EFFECTS OF STANDARDIZED YOGA PROGRAMS ON HEADACHES. 2015