1   91 181 A MULTICOMPONENT YOGA-BASED, BREATH INTERVENTION PROGRAM AS AN ADJUNCTIVE TREATMENT IN PATIENTS SUFFERING FROM GENERALIZED ANXIETY DISORDER WITH OR WITHOUT COMORBIDITIES. OBJECTIVES: THE AIM OF THIS STUDY IS TO EVALUATE THE EFFICACY AND TOLERABILITY OF SUDARSHAN KRIYA YOGA (SKY) COURSE IN GENERALIZED ANXIETY DISORDER (GAD) OUTPATIENTS, WHO AFTER EIGHT WEEKS OF AN APPROPRIATE DOSE OF TRADITIONAL THERAPY HAD NOT YET ACHIEVED REMISSION. SUBJECTS: THE ADULT PARTICIPANTS (18-65 YEARS) WERE OUTPATIENTS WITH A PRIMARY DIAGNOSIS OF GAD WITH OR WITHOUT COMORBIDITIES ON THE MINI-INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW (MINI). PARTICIPANTS HAD A MINIMUM OF EIGHT WEEKS STANDARD TREATMENT WITH AN APPROPRIATE DOSE OF A STANDARD PRESCRIPTION ANXIOLYTIC, A CLINICIAN GLOBAL IMPRESSION-SEVERITY (CGI-S) SCORE OF 5-7, A HAMILTON ANXIETY SCALE (HAM-A) TOTAL SCORE >/=20 INCLUDING A SCORE OF >2 ON THE ANXIOUS MOOD AND TENSION ITEMS. MATERIALS AND METHODS: FORTY-ONE PATIENTS WERE ENROLLED IN AN OPEN-LABEL TRIAL OF THE SKY COURSE AS AN ADJUNCT TO STANDARD TREATMENT OF GAD AT THE START CLINIC FOR MOOD AND ANXIETY DISORDERS, A TERTIARY CARE MOOD AND ANXIETY DISORDER CLINIC IN TORONTO. THE SKY COURSE WAS ADMINISTERED OVER FIVE DAYS (22 H TOTAL). SUBJECTS WERE ENCOURAGED TO PRACTICE THE YOGA BREATHING TECHNIQUES AT HOME FOR 20 MIN PER DAY AFTER THE COURSE AND WERE OFFERED GROUP PRACTICE SESSIONS FOR 2 H ONCE A WEEK LED BY CERTIFIED YOGA INSTRUCTORS. THE PRIMARY OUTCOME MEASURE WAS THE MEAN CHANGE FROM PRE-TREATMENT ON THE HAM-A SCALE. PSYCHOLOGICAL MEASURES WERE OBTAINED AT BASELINE AND FOUR WEEKS AFTER COMPLETING THE INTERVENTION. RESULTS: THIRTY-ONE PATIENTS COMPLETED THE PROGRAM (MEAN AGE 42.6 +/- 13.3 YEARS). AMONG COMPLETERS, SIGNIFICANT REDUCTIONS OCCURRED IN THE PRE- AND POST-INTERVENTION MEAN HAM-A TOTAL SCORE (T=4.59; P<0.01) AND PSYCHIC SUBSCALE (T=5.00; P</=0.01). THE RESPONSE RATE WAS 73% AND THE REMISSION RATE 41% AS MEASURED ON THE HAM-A. CONCLUSION: THE RESULTS OF THIS SMALL PILOT TRIAL SUGGEST THAT THE SKY COURSE REPRESENTS A POTENTIALLY VALUABLE ADJUNCT TO STANDARD PHARMACOTHERAPY IN PATIENTS WITH GAD OR TREATMENT-RESISTANT GAD, AND WARRANTS FURTHER INVESTIGATION. IN PARTICULAR, CHANGES IN WORRY AND BODY SYMPTOMS SHOWED SIGNIFICANT IMPROVEMENTS THAT MAY FURTHER OUR UNDERSTANDING OF THE MECHANISM OF CHANGE IN THE TOLERANCE OF ANXIETY AND WORRY.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
2  306  36 AN EVALUATION OF THE ABILITY TO VOLUNTARILY REDUCE THE HEART RATE AFTER A MONTH OF YOGA PRACTICE. THE STUDY AIMED AT DETERMINING WHETHER NOVICES TO YOGA WOULD BE ABLE TO REDUCE THEIR HEART RATE VOLUNTARILY AND WHETHER THE MAGNITUDE OF REDUCTION WOULD BE MORE AFTER 30 DAYS OF YOGA TRAINING. TWO GROUPS (YOGA AND CONTROL, N = 12 EACH) WERE ASSESSED ON DAY 1 AND ON DAY 30. DURING THE INTERVENING 30 DAYS, THE YOGA GROUP RECEIVED TRAINING IN YOGA TECHNIQUES WHILE THE CONTROL GROUP CARRIED ON WITH THEIR ROUTINE. AT EACH ASSESSMENT THE BASELINE HEART RATE WAS RECORDED FOR ONE MINUTE, THIS WAS FOLLOWED BY A SIX-MINUTE PERIOD DURING WHICH PARTICIPANTS WERE ASKED TO ATTEMPT TO VOLUNTARILY REDUCE THEIR HEART RATE, USING ANY STRATEGY. BOTH THE BASELINE HEART RATE AND THE LOWEST HEART RATE ACHIEVED VOLUNTARILY DURING THE SIX-MINUTE PERIOD WERE SIGNIFICANTLY LOWER IN THE YOGA GROUP ON DAY 30 COMPARED TO DAY 1 BY A GROUP AVERAGE OF 10.7 BEATS PER MINUTE (I.E., BPM) AND 6.8 BPM, RESPECTIVELY (P < .05, WILCOXON PAIRED SIGNED RANKS TEST). IN CONTRAST, THERE WAS NO SIGNIFICANT CHANGE IN EITHER THE BASELINE HEART RATE OR THE LOWEST HEART RATE ACHIEVED VOLUNTARILY IN THE CONTROL GROUP ON DAY 30 COMPARED TO DAY 1. THE RESULTS SUGGEST THAT YOGA TRAINING CAN ENABLE PRACTITIONERS TO USE THEIR OWN STRATEGIES TO REDUCE THE HEART RATE, WHICH HAS POSSIBLE THERAPEUTIC APPLICATIONS.	2004	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
3 2364  42 VOLUNTARY HEART RATE REDUCTION FOLLOWING YOGA USING DIFFERENT STRATEGIES. BACKGROUND/AIMS: ONE MONTH OF YOGA TRAINING HAS BEEN SHOWN TO REDUCE THE PULSE RATE VOLUNTARILY WITHOUT USING EXTERNAL CUES. HENCE, THE PRESENT STUDY WAS DESIGNED TO UNDERSTAND THE STRATEGIES USED BY YOGA PRACTITIONERS AND AUTONOMIC CHANGES ASSOCIATED WITH VOLUNTARY HEART RATE REDUCTION. MATERIALS AND METHODS: FIFTY VOLUNTEERS (GROUP MEAN AGE +/- S.D., 25.4 +/- 4.8 YEARS; 25 MALES) WERE ASSESSED IN TWO TRIALS ON SEPARATE DAYS. EACH TRIAL WAS FOR 12 MINUTES, WITH A 'PRE' STATE AND 'DURING' STATE OF 6 MINUTES EACH. FOR BOTH TRIALS THE 'PRE' STATE WAS RELAXATION WITH EYES CLOSED. IN THE 'DURING' STATE OF TRIAL I, SUBJECTS WERE ASKED TO VOLUNTARILY REDUCE THEIR HEART RATE USING A STRATEGY OF THEIR CHOICE. FROM THEIR RESPONSES TO SPECIFIC QUESTIONS IT WAS DETERMINED THAT 22 OUT OF 50 PERSONS USED BREATH REGULATION AS A STRATEGY. HENCE, IN THE 'DURING' STATE OF TRIAL II, SUBJECTS WERE ASKED TO VOLUNTARILY REDUCE THEIR HEART RATE BY BREATH REGULATION. RESULTS: IN THE FIRST TRIAL, THE HEART RATE WAS REDUCED BY AN AVERAGE OF 19.6 BEATS PER MINUTE AND IN THE SECOND TRIAL (WITH BREATH REGULATION EXCLUSIVELY) AN AVERAGE DECREASE OF 22.2 BEATS PER MINUTE WAS ACHIEVED. CONCLUSIONS: HENCE, THE STRATEGY USED DID NOT MARKEDLY ALTER THE OUTCOME.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
4 2458  50 YOGA AS A COMPLEMENTARY TREATMENT OF DEPRESSION: EFFECTS OF TRAITS AND MOODS ON TREATMENT OUTCOME. PRELIMINARY FINDINGS SUPPORT THE POTENTIAL OF YOGA AS A COMPLEMENTARY TREATMENT OF DEPRESSED PATIENTS WHO ARE TAKING ANTI-DEPRESSANT MEDICATIONS BUT WHO ARE ONLY IN PARTIAL REMISSION. THE PURPOSE OF THIS ARTICLE IS TO PRESENT FURTHER DATA ON THE INTERVENTION, FOCUSING ON INDIVIDUAL DIFFERENCES IN PSYCHOLOGICAL, EMOTIONAL AND BIOLOGICAL PROCESSES AFFECTING TREATMENT OUTCOME. TWENTY-SEVEN WOMEN AND 10 MEN WERE ENROLLED IN THE STUDY, OF WHOM 17 COMPLETED THE INTERVENTION AND PRE- AND POST-INTERVENTION ASSESSMENT DATA. THE INTERVENTION CONSISTED OF 20 CLASSES LED BY SENIOR IYENGAR YOGA TEACHERS, IN THREE COURSES OF 20 YOGA CLASSES EACH. ALL PARTICIPANTS WERE DIAGNOSED WITH UNIPOLAR MAJOR DEPRESSION IN PARTIAL REMISSION. PSYCHOLOGICAL AND BIOLOGICAL CHARACTERISTICS WERE ASSESSED PRE- AND POST-INTERVENTION, AND PARTICIPANTS RATED THEIR MOOD STATES BEFORE AND AFTER EACH CLASS. SIGNIFICANT REDUCTIONS WERE SHOWN FOR DEPRESSION, ANGER, ANXIETY, NEUROTIC SYMPTOMS AND LOW FREQUENCY HEART RATE VARIABILITY IN THE 17 COMPLETERS. ELEVEN OUT OF THESE COMPLETERS ACHIEVED REMISSION LEVELS POST-INTERVENTION. PARTICIPANTS WHO REMITTED DIFFERED FROM THE NON-REMITTERS AT INTAKE ON SEVERAL TRAITS AND ON PHYSIOLOGICAL MEASURES INDICATIVE OF A GREATER CAPACITY FOR EMOTIONAL REGULATION. MOODS IMPROVED FROM BEFORE TO AFTER THE YOGA CLASSES. YOGA APPEARS TO BE A PROMISING INTERVENTION FOR DEPRESSION; IT IS COST-EFFECTIVE AND EASY TO IMPLEMENT. IT PRODUCES MANY BENEFICIAL EMOTIONAL, PSYCHOLOGICAL AND BIOLOGICAL EFFECTS, AS SUPPORTED BY OBSERVATIONS IN THIS STUDY. THE PHYSIOLOGICAL METHODS ARE ESPECIALLY USEFUL AS THEY PROVIDE OBJECTIVE MARKERS OF THE PROCESSES AND EFFECTIVENESS OF TREATMENT. THESE OBSERVATIONS MAY HELP GUIDE FURTHER CLINICAL APPLICATION OF YOGA IN DEPRESSION AND OTHER MENTAL HEALTH DISORDERS, AND FUTURE RESEARCH ON THE PROCESSES AND MECHANISMS.	2007	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
5   70  46 A FEASIBILITY STUDY EXAMINING THE IMPACT OF YOGA ON PSYCHOSOCIAL HEALTH AND SYMPTOMS IN PEDIATRIC OUTPATIENTS RECEIVING CHEMOTHERAPY. PURPOSE: PEDIATRIC CANCER PATIENTS EXPERIENCE SYMPTOMS THAT NEGATIVELY IMPACT QUALITY OF LIFE; YOGA MAY BE AN EFFECTIVE INTERVENTION. THE PRIMARY OBJECTIVE WAS TO DETERMINE THE FEASIBILITY OF A 10-WEEK, WEEKLY INDIVIDUALIZED YOGA INTERVENTION FOR CHILDREN AND ADOLESCENTS RECEIVING OUTPATIENT CANCER THERAPY PRIMARILY DELIVERED REMOTELY USING SKYPE. SECONDARY OBJECTIVES WERE TO DESCRIBE DEPRESSION, ANXIETY, ANGER, FATIGUE, QUALITY OF LIFE, AND SYMPTOMS AT 5 AND 10 WEEKS AFTER ENROLLMENT. METHODS: WE INCLUDED ENGLISH-SPEAKING PATIENTS AGED 10 TO 18 YEARS RECEIVING OUTPATIENT CHEMOTHERAPY FOR CANCER. WEEKLY INDIVIDUALIZED YOGA SESSIONS WERE OFFERED FOR 10 WEEKS. WEEKS 1, 5, AND 10 WERE IN-HOSPITAL WHILE THE REMAINING SESSIONS WERE DELIVERED REMOTELY USING SKYPE. TWICE WEEKLY, HOMEWORK WAS ASSIGNED BETWEEN EACH SESSION. THE PRIMARY OUTCOME WAS FEASIBILITY, DEFINED AS 80% OF PARTICIPANTS COMPLETING AT LEAST 60% OF PLANNED IN-HOSPITAL OR REMOTE YOGA SESSIONS. RESULTS: BETWEEN MARCH AND NOVEMBER 2017, 10 PATIENTS WERE ENROLLED. TWO PATIENTS DISCONTINUED THE STUDY AFTER ONE AND TWO SESSIONS. ONLY SIX PARTICIPANTS ACHIEVED AT LEAST 60% OF PLANNED YOGA SESSIONS AND THUS, THE STUDY DID NOT MEET THE A PRIORI DEFINED FEASIBILITY THRESHOLD. AMONG ALL PARTICIPANTS, ONLY ONE HOMEWORK SESSION WAS PERFORMED. CONCLUSIONS: A 10-WEEK INDIVIDUALIZED IN-PERSON AND REMOTELY CONDUCTED YOGA INTERVENTION WAS NOT FEASIBLE IN CHILDREN RECEIVING CANCER TREATMENTS BECAUSE OF FAILURE TO ACHIEVE THE DESIRED FREQUENCY OF YOGA SESSIONS IN A SUFFICIENT NUMBER OF PARTICIPANTS. FUTURE RESEARCH SHOULD IDENTIFY APPROACHES TO IMPROVE COMPLIANCE WITH REMOTE YOGA SESSIONS AND HOME PRACTICE. TRIAL REGISTRATION: NCT03318068.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
6 2840  42 YOGA, AS A TRANSITIONAL PLATFORM TO MORE ACTIVE LIFESTYLE: A 6-MONTH PILOT STUDY IN THE USA. A 6-MONTH PILOT STUDY EXPLORED THE EFFECTS OF A YOGA PROGRAM ON THE PHYSICAL ACTIVITY (PA) LEVEL OF OVERWEIGHT OR OBESE SEDENTARY ADULTS. FOURTEEN COMMUNITY-DWELLING OVERWEIGHT OR OBESE SEDENTARY ADULTS PARTICIPATED IN A 6-MONTH PROGRAM (2-MONTH YOGA PROGRAM AND 4-MONTH FOLLOW-UP) DELIVERED BY TWO TYPES OF INSTRUCTION [THE DIRECT GUIDANCE OF AN INSTRUCTOR (FACE-TO-FACE GROUP) VS. THE SELF-LEARNING METHOD OF USING A DVD (DVD GROUP)]. MEASUREMENTS INCLUDED PROGRAM ADHERENCE (CLASS ATTENDANCE AND HOME PRACTICE; MIN/WEEK) AND LEVEL OF PA [METABOLIC EQUIVALENT (MET)-HOUR/WEEK] AT BASELINE, 2, 4 AND 6 MONTHS. DESCRIPTIVE STATISTICS AND NONPARAMETRIC TESTS WERE USED TO DESCRIBE THE SAMPLE AND EXAMINE DIFFERENCES BY GROUP AND TIME. THERE WERE NO SIGNIFICANT DIFFERENCES IN DEMOGRAPHIC VARIABLES BY GROUP ASSIGNED. PARTICIPANTS SHOWED SIGNIFICANT PA CHANGES FROM BASELINE TO EACH MEASUREMENT POINT. THE DIRECT GUIDANCE OF AN INSTRUCTOR WAS PREFERRED OVER THE SELF-LEARNING METHOD. AT EACH TIME INTERVAL, THE DVD GROUP SHOWED HIGHER LEVELS OF PA THAN THE FACE-TO-FACE GROUP; THE ONLY DIFFERENCE THAT ACHIEVED STATISTICAL SIGNIFICANCE OCCURRED AT 4 MONTHS. THE PA LEVEL SIGNIFICANTLY CHANGED OVER 6 MONTHS IN THE DVD GROUP, BUT NOT IN THE FACE-TO-FACE GROUP. THE RESULTS INDICATE THAT A YOGA PROGRAM MAY BE UTILIZED AS A 'STEPPING-STONE' TOWARD REGULAR EXERCISE AMONG OVERWEIGHT SEDENTARY ADULTS. RESEARCH WITH A LARGER SAMPLE IS NEEDED TO FURTHER EVALUATE THE EFFECTS OF THE PROGRAM ON THE LEVEL OF PA AMONG THIS POPULATION.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
7   44  43 A CASE SERIES ON THE EFFECTS OF KRIPALU YOGA FOR GENERALIZED ANXIETY DISORDER. GENERALIZED ANXIETY DISORDER (GAD) IS A PREVALENT PSYCHIATRIC DISORDER ASSOCIATED WITH SUBSTANTIAL IMPAIRMENT AND POOR TREATMENT RESPONSE. YOGA INFLUENCES PROCESSES THAT ARE LINKED TO THE MAINTENANCE OF GAD INCLUDING MINDFULNESS, ANXIETY, AND HEART RATE VARIABILITY, BUT HAS YET TO BE EVALUATED AMONG PEOPLE WITH THE DISORDER. THE PRESENT STUDY IS A FIRST STEP TOWARD DOCUMENTING THE EFFICACY OF YOGA FOR REDUCING WORRY AMONG PEOPLE WITH GAD USING A SINGLE-SUBJECT AB DESIGN CASE SERIES AND DAILY RATINGS OF WORRY. STANDARDIZED SELF-REPORT MEASURES OF WORRY, TRAIT ANXIETY, EXPERIENTIAL AVOIDANCE, MINDFULNESS, AND HEART RATE VARIABILITY WERE ASSESSED PRE- AND POST-INTERVENTION. THREE PARTICIPANTS WITH PRIMARY GAD RECEIVED EIGHT TWICE-WEEKLY KRIPALU YOGA SESSIONS FOLLOWING A BASELINE DATA COLLECTION PERIOD. ALL PARTICIPANTS SHOWED SYSTEMATIC IMPROVEMENT IN DAILY WORRY RATINGS ON AT LEAST ONE INDEX AND ALL SCORES ON SELF-REPORTED MEASURES OF WORRY, ANXIETY, EXPERIENTIAL AVOIDANCE, AND MINDFULNESS CHANGED IN THE EXPECTED DIRECTION FOLLOWING YOGA (WITH ONE OR TWO EXCEPTIONS). PARTICIPANTS ALSO SHOWED IMPROVED HEART RATE VARIABILITY DURING A WORRY PERIOD FROM PRE- TO POST-INTERVENTION. YOGA HAS THE POTENTIAL TO IMPROVE THE PROCESSES LINKED TO GAD AND SHOULD STIMULATE FURTHER RESEARCH IN THIS AREA.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
8 1859  46 RANDOMIZED CONTROLLED PILOT TRIAL OF YOGA IN OVERWEIGHT AND OBESE BREAST CANCER SURVIVORS: EFFECTS ON QUALITY OF LIFE AND ANTHROPOMETRIC MEASURES. PURPOSE: TO OBTAIN ESTIMATES OF TIME TO RECRUIT THE STUDY SAMPLE, RETENTION, FACILITY-BASED CLASS ATTENDANCE AND HOME PRACTICE FOR A STUDY OF YOGA IN BREAST CANCER SURVIVORS, AND ITS EFFICACY ON FATIGUE, QUALITY OF LIFE (QOL), AND WEIGHT CHANGE. METHODS: SIXTY-THREE POST-TREATMENT STAGES 0-III BORDERLINE OVERWEIGHT AND OBESE (BODY MASS INDEX >/= 24 KG/M(2)) BREAST CANCER SURVIVORS WERE RANDOMLY ASSIGNED TO A 6-MONTH, FACILITY- AND HOME-BASED VINIYOGA INTERVENTION (N = 32) OR A WAITLIST CONTROL GROUP (N = 31). THE YOGA GOAL WAS FIVE PRACTICES PER WEEK. PRIMARY OUTCOME MEASURES WERE CHANGES IN QOL, FATIGUE, AND WEIGHT FROM BASELINE TO 6 MONTHS. SECONDARY OUTCOMES INCLUDED CHANGES IN WAIST AND HIP CIRCUMFERENCE. RESULTS: IT TOOK 12 MONTHS TO COMPLETE RECRUITMENT. PARTICIPANTS ATTENDED A MEAN OF 19.6 CLASSES AND PRACTICED AT HOME A MEAN OF 55.8 TIMES DURING THE 6-MONTH PERIOD. AT FOLLOW-UP, 90% OF PARTICIPANTS COMPLETED QUESTIONNAIRES AND 87% COMPLETED ANTHROPOMETRIC MEASUREMENTS. QOL AND FATIGUE IMPROVED TO A GREATER EXTENT AMONG WOMEN IN THE YOGA GROUP RELATIVE TO WOMEN IN THE CONTROL GROUP, ALTHOUGH NO DIFFERENCES WERE STATISTICALLY SIGNIFICANT. WAIST CIRCUMFERENCE DECREASED 3.1 CM (95% CI, -5.7 AND -0.4) MORE AMONG WOMEN IN THE YOGA COMPARED WITH THE CONTROL GROUP, WITH NO DIFFERENCE IN WEIGHT CHANGE. CONCLUSIONS: THIS STUDY PROVIDES IMPORTANT INFORMATION REGARDING RECRUITMENT, RETENTION, AND PRACTICE LEVELS ACHIEVED DURING A 6-MONTH, INTENSIVE YOGA INTERVENTION IN OVERWEIGHT AND OBESE BREAST CANCER SURVIVORS. YOGA MAY HELP DECREASE WAIST CIRCUMFERENCE AND IMPROVE QUALITY OF LIFE; FUTURE STUDIES ARE NEEDED TO CONFIRM THESE RESULTS.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
9  784  31 EFFECT OF YOGA BASED LIFESTYLE INTERVENTION ON SUBJECTIVE WELL-BEING. YOGA IS ASSUMING IMPORTANCE IN IMPROVING MENTAL HEALTH AND QUALITY OF LIFE IN THE TREATMENT OF A NUMBER OF PSYCHIATRIC AND PSYCHOSOMATIC DISORDERS. THE PRESENT STUDY WAS A PROSPECTIVE CONTROLLED STUDY TO EXPLORE THE SHORT-TERM IMPACT OF A COMPREHENSIVE BUT BRIEF LIFESTYLE INTERVENTION, BASED ON YOGA, ON SUBJECTIVE WELL BEING LEVELS IN NORMAL AND DISEASED SUBJECTS. NORMAL HEALTHY INDIVIDUALS AND SUBJECTS HAVING HYPERTENSION, CORONARY ARTERY DISEASE, DIABETES MELLITUS OR A VARIETY OF OTHER ILLNESSES WERE INCLUDED IN THE STUDY. THE OUTCOME MEASURES WERE 'SUBJECTIVE WELL BEING INVENTORY' (SUBI) SCORES, TAKEN ON THE FIRST AND LAST DAY OF THE COURSE. THE INVENTORY CONSISTS OF QUESTIONS RELATED TO ONE'S FEELINGS AND ATTITUDE ABOUT VARIOUS AREAS OF LIFE, SUCH AS HAPPINESS, ACHIEVEMENT AND INTERPERSONAL RELATIONSHIP. THERE WAS SIGNIFICANT IMPROVEMENT IN THE SUBJECTIVE WELL BEING SCORES OF THE 77 SUBJECTS WITHIN A PERIOD OF 10 DAYS AS COMPARED TO CONTROLS. THESE OBSERVATIONS SUGGEST THAT A SHORT LIFESTYLE MODIFICATION AND STRESS MANAGEMENT EDUCATIONAL PROGRAM LEADS TO REMARKABLE IMPROVEMENT IN THE SUBJECTIVE WELL BEING SCORES OF THE SUBJECTS AND CAN THEREFORE MAKE AN APPRECIABLE CONTRIBUTION TO PRIMARY PREVENTION AS WELL AS MANAGEMENT OF LIFESTYLE DISEASES.	2008	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
10 2649  40 YOGA IMPROVES ATTENTION AND SELF-ESTEEM IN UNDERPRIVILEGED GIRL STUDENT. BACKGROUND: A STUDENT UNDER OPTIMAL STRESS DOES BRING OUT HIS OR HER BEST; HOWEVER, EXTREME STRESS CAN RESULT IN MENTAL HEALTH PROBLEMS AND DETERIORATES THEIR ACADEMIC PERFORMANCE. STUDENTS WHO ESTEEM THEMSELVES LOW ARE MOST LIKELY TO ENGAGE IN DESTRUCTIVE AND SELF-DESTRUCTIVE BEHAVIORS. MOREOVER, EXCESSIVE STRESS IS HARMFUL TO ACADEMIC PERFORMANCE AND MAY LEAD TO DROPPING OUT IN STUDENT. CAN YOGA BE OF BENEFIT IN STUDENTS FOR IMPROVING THEIR ATTENTION AND SELF-ESTEEM (SE)? OBJECTIVE: TO ASSESS ATTENTION AND SE IN GIRLS UNDERGOING INTEGRATED YOGA MODULE (IYM). MATERIALS AND METHODS: SIXTY LOW-INCOME HIGH SCHOOL GIRLS WITH 15.17 + 0.64 YEARS OF MEAN AGE PARTICIPATED IN THIS SINGLE GROUP PRE-POST STUDY. THE DATA WAS COLLECTED BEFORE AND AFTER 5 DAYS OF IYM. STATISTICAL ANALYSIS: MEANS, STANDARD DEVIATIONS, KOLMOGOROV-SMIRNOV TEST, AND WILCOXON SIGNED RANK TEST WERE USED TO ANALYZE THE DATA WITH THE HELP OF SPSS 16. RESULTS: THE DATA ANALYSIS SHOWED 9.04% INCREASE (P = 0.001) IN SE SCORES, WHEREAS D2 TEST FOR ATTENTION REVEALED 10.12% INCREASE (P < 0.001) IN TOTAL NUMBER OF SYMBOLS PROCESSED SCORES AND 44.73% DECREASE (P < 0.001) IN TOTAL NUMBER OF ERRORS. CONCLUSION: THE PRESENT STUDY SUGGESTS THAT OF IYM CAN RESULT IN IMPROVEMENT OF ATTENTION AND SE AMONG STUDENTS AND THEREBY ENHANCING THEIR MENTAL HEALTH AND CAN HELP THEM IN IMPROVING THEIR ACADEMIC ACHIEVEMENT. EFFORTS AIMED AT REDUCING MENTAL HEALTH PROBLEMS AMONG STUDENTS MAY FOCUS MORE ON IMPLEMENTING EFFECTIVE AND CULTURALLY ACCEPTABLE INTERVENTIONS, SUCH AS YOGA, COUNSELING, AND SOCIAL SUPPORT. ADDITIONAL WELL-DESIGNED STUDIES ARE NEEDED BEFORE A STRONG RECOMMENDATION CAN BE MADE.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
11 1378  42 IMPACT OF INDIVIDUALIZED YOGA THERAPY ON PERCEIVED QUALITY OF LIFE PERFORMANCE ON COGNITIVE TASKS AND DEPRESSION AMONG TYPE II DIABETIC PATIENTS. CONTEXT: AN INDIVIDUALIZED APPROACH OF PROVIDING YOGA SUPPORT CAN ADDRESS MANY OF THE DISEASE-RELATED CONCERNS INDICATED IN THE MANAGEMENT OF DIABETES, SPECIFICALLY THE IMPACT ON OTHER LIFE ACTIVITIES AND LONG-TERM FUNCTIONAL WELLBEING. AIM: TO ANALYZE THE ROLE OF REGULAR YOGA PRACTICE AS A SELF-MANAGEMENT APPROACH TO ACHIEVE GLYCEMIC CONTROL AND PSYCHOLOGICAL WELLBEING IN TYPE II DIABETIC PATIENTS. METHODS: NINETY-ONE SUBJECTS OF BOTH SEXES RESPONDED TO THE ANNOUNCEMENT AND CONSENTED TO PARTICIPATE IN THE STUDY. THIS WAS A SINGLE GROUP, BEFORE AND AFTER YOGA EVALUATION WITHOUT CONTROL COMPARISON. THE FASTING AND POSTPRANDIAL BLOOD SUGAR, GLYCOSYLATED HEMOGLOBIN (HBA1C), COGNITIVE TASKS, DEPRESSION, COGNITIVE FAILURE, AND DIABETIC-RELATED QUALITY OF LIFE (QOL) WERE MEASURED AS PRETEST. THE SUBJECTS UNDERWENT ONE-TO-ONE INDIVIDUALIZED YOGA THERAPY SESSIONS, WHICH INCLUDED 12 SUPERVISED SESSIONS SPREAD OVER A 3-MONTH PERIOD. THE POSTTEST DATA WERE ANALYZED USING PAIRED T-TEST AND WILCOXON PAIRED RANK TEST. RESULTS: SHOWED SIGNIFICANT REDUCTION IN FASTING BLOOD SUGAR. QOL OF THE DIABETIC PATIENTS HAD IMPROVED SIGNIFICANTLY. THERE WAS A SIGNIFICANT REDUCTION IN THE FREQUENCY (MEAN DIFFERENCE OF 7.58, P > 0.01) OF DEPRESSIVE SYMPTOMS AND INTENSITY OF DEPRESSION (MEAN DIFFERENCE 1.66, P > 0.05). CONCENTRATION AND ATTENTION SPAN IMPROVED SIGNIFICANTLY AND MEAN DISCREPANCY SCORE REDUCED (MEAN DIFFERENCE 3.42, P > 0.01). THERE WERE NO MARKED CHANGES IN THE POSTPRANDIAL BLOOD SUGAR AND HBA1C. CONCLUSION: YOGA PRACTICE ENHANCES THE SUBJECTIVE WELLBEING, QOL, IMPROVES MOOD AND CONCENTRATION, AND FACILITATES ACHIEVEMENT OF ADEQUATE GLYCEMIC CONTROL AMONG TYPE II DIABETIC PATIENTS.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
12 1552  37 LIFESTYLE MODIFICATION IN BLOOD PRESSURE STUDY II (LIMBS): STUDY PROTOCOL OF A RANDOMIZED CONTROLLED TRIAL ASSESSING THE EFFICACY OF A 24 WEEK STRUCTURED YOGA PROGRAM VERSUS LIFESTYLE MODIFICATION ON BLOOD PRESSURE REDUCTION. HYPERTENSION IS A MAJOR PUBLIC HEALTH ISSUE AFFECTING 68 MILLION ADULTS IN THE UNITED STATES. LIFESTYLE MODIFICATIONS INCLUDING COMPLEMENTARY THERAPIES SUCH AS THE MOVEMENT BASED MIND BODY PRACTICE OF YOGA HAVE BECOME INCREASINGLY POPULAR IN THE UNITED STATES AND HAVE BEEN CONSIDERED AS A POTENTIAL ALTERNATIVE TO MEDICATION IN BLOOD PRESSURE REDUCTION. WE COMPLETED A PILOT STUDY IN 2009 WHICH SHOWED MEANINGFUL DECREASES IN 24-HOUR AMBULATORY BLOOD PRESSURE READINGS AFTER A 12 WEEK PERIOD OF YOGA PARTICIPATION. BASED ON DATA FROM OUR PILOT STUDY WE ARE NOW COMPLETING THE LIFESTYLE MODIFICATION AND BLOOD PRESSURE STUDY (LIMBS II) WHICH IS A PHASE 2 RANDOMIZED CONTROLLED TRIAL DESIGNED TO DETERMINE THE EFFECTS OF YOGA THERAPY AND ENHANCED LIFESTYLE MODIFICATION ON LOWERING BLOOD PRESSURE IN PRE-HYPERTENSIVE AND STAGE 1 HYPERTENSIVE SUBJECTS. USING 24-HOUR AMBULATORY BLOOD PRESSURE MONITORING, LIMBS II AIMS TO COMPARE THE EFFECTS ON BLOOD PRESSURE REDUCTION IN SUBJECTS RANDOMIZED FOR 24 WEEKS TO ONE OF THE THREE FOLLOWING GROUPS: YOGA THERAPY VERSUS BLOOD PRESSURE EDUCATION PROGRAM (SODIUM RESTRICTION AND WALKING PROGRAM) VERSUS A COMBINATION PROGRAM THAT INVOLVES COMPONENTS OF BOTH GROUPS. LIMBS II WILL ALSO EXAMINE THE IMPACT THAT CHANGES IN BLOOD PRESSURE HAVE ON CEREBRAL BLOOD FLOW. IF SUCCESSFUL, THE LIMBS STUDY WILL DETERMINE IF YOGA THERAPY COMBINED WITH ENHANCED LIFESTYLE MODIFICATION WILL RESULT IN CLINICALLY MEANINGFUL DECREASES IN BLOOD PRESSURE AND THUS CAN BE IMPLEMENTED AS AN ALTERNATIVE TO DRUG THERAPY FOR PATIENTS WITH PREHYPERTENSION AND STAGE 1 HYPERTENSION.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
13 1861  40 RANDOMIZED CONTROLLED TRIAL OF BIKRAM YOGA AND AEROBIC EXERCISE FOR DEPRESSION IN WOMEN: EFFICACY AND STRESS-BASED MECHANISMS. BACKGROUND: THE CURRENT STUDY PRESENTS A RANDOMIZED CONTROLLED 8-WEEK TRIAL OF BIKRAM YOGA, AEROBIC EXERCISE, AND WAITLIST FOR DEPRESSION. BIKRAM YOGA WAS CHOSEN SPECIFICALLY FOR ITS STANDARDIZED NATURE. FURTHER, WE EXAMINED CHANGES IN THREE STRESS-RELATED CONSTRUCTS-PERCEIVED STRESS, RUMINATION, AND MINDFULNESS-AS MEDIATORS OF ANTIDEPRESSANT EFFECTS. METHOD: FIFTY-THREE WOMEN (AGE 18-65; 74% WHITE) WITH A UNIPOLAR DEPRESSIVE DISORDER WERE RANDOMLY ASSIGNED TO ONE OF THE THREE CONDITIONS. RESPONSE WAS DEFINED AS >50% REDUCTION ON THE HAMILTON RATING SCALE FOR DEPRESSION (HAM-D). REMISSION WAS DEFINED AS NO LONGER MEETING CRITERIA FOR DEPRESSION AND A HAM-D </= 7. SELF-REPORTED PERCEIVED STRESS, RUMINATION, AND MINDFULNESS WERE ASSESSED WEEKLY. RESULTS: IN THE INTENTION-TO-TREAT SAMPLE (N = 53), RESPONSE RATES WERE SIGNIFICANTLY HIGHER IN THE BIKRAM YOGA (61.1%; CHI(2) = 10.48, P = .001) AND AEROBIC EXERCISE (60.0%; CHI(2) = 10.44, P = .001) CONDITIONS RELATIVE TO WAITLIST (6.7%). IN THE COMPLETER SAMPLE (N = 42), 73.3% (CHI(2) = 11.41, P = .001) OF WOMEN IN YOGA AND 80.0% (CHI(2) = 13.72, P < .001) IN EXERCISE ACHIEVED RESPONSE COMPARED TO 8.3% IN WAITLIST. REDUCTIONS IN RUMINATION SIGNIFICANTLY MEDIATED HAM-D CHANGE FOR BOTH ACTIVE TREATMENTS, AND MINDFUL ACCEPTANCE WAS A PARTIAL MEDIATOR IN THE EXERCISE CONDITION. LIMITATIONS: THE SAMPLE WAS SMALL IN SIZE, CONSISTED OF WOMEN ONLY, AND WAS ETHNICALLY HOMOGENOUS. INTER-RATER RELIABILITY WAS NOT ASSESSED, AEROBIC EXERCISE WAS NOT STANDARDIZED, AND MEDIATORS WERE ASSESSED BY SELF-REPORT. CONCLUSIONS: BIKRAM YOGA SHOWED DESCRIPTIVELY SIMILAR EFFICACY TO AEROBIC EXERCISE AND BOTH MAY WORK, IN PART, BY HELPING INDIVIDUALS INTERRUPT NEGATIVE THINKING.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
14 1902  45 RESTORATIVE YOGA IN ADULTS WITH METABOLIC SYNDROME: A RANDOMIZED, CONTROLLED PILOT TRIAL. BACKGROUND: METABOLIC SYNDROME INCREASES THE RISK OF DIABETES AND CARDIOVASCULAR DISEASE. YOGA IMPROVES SOME METABOLIC PARAMETERS, BUT IT HAS NOT BEEN STUDIED IN PERSONS WITH METABOLIC SYNDROME. WE CONDUCTED A RANDOMIZED CONTROLLED PILOT TRIAL TO DETERMINE WHETHER A RESTORATIVE YOGA INTERVENTION WAS FEASIBLE AND ACCEPTABLE IN UNDERACTIVE, OVERWEIGHT ADULTS WITH METABOLIC SYNDROME. METHODS: TWENTY SIX UNDERACTIVE, OVERWEIGHT ADULT MEN AND WOMEN WITH METABOLIC SYNDROME WERE RANDOMIZED TO ATTEND 15 YOGA SESSIONS OF 90 MINUTES EACH OVER 10 WEEKS OR TO A WAIT-LIST CONTROL GROUP. FEASIBILITY WAS MEASURED BY RECRUITMENT RATES, SUBJECT RETENTION, AND ADHERENCE. ACCEPTABILITY WAS ASSESSED BY INTERVIEW AND QUESTIONNAIRES. CHANGES IN METABOLIC OUTCOMES AND QUESTIONNAIRE MEASURES FROM BASELINE TO WEEK 10 WERE CALCULATED. RESULTS: A TOTAL OF 280 PEOPLE WERE SCREENED BY PHONE, AND 93 WITH HIGH LIKELIHOOD OF METABOLIC SYNDROME WERE INVITED TO A SCREENING VISIT. OF THE 68 WHO ATTENDED SCREENING VISITS, 26 (38%) WERE RANDOMIZED, AND 24 (92%) COMPLETED THE TRIAL. ATTENDANCE AT YOGA CLASSES AND ADHERENCE TO HOME PRACTICE EXCEEDED OUR GOALS. IN THE YOGA GROUP, ALL PARTICIPANTS GAVE THE STUDY THE HIGHEST POSSIBLE SATISFACTION RATING, AND THE MAJORITY (87%) FELT THAT THE YOGA POSES WERE EASY TO PERFORM. THERE WAS TREND TO REDUCED BLOOD PRESSURE (P = 0.07), A SIGNIFICANT INCREASE IN ENERGY LEVEL (P < 0.009), AND TRENDS TO IMPROVEMENT IN WELL-BEING (P < 0.12) AND STRESS (P < 0.22) IN THE YOGA VERSUS CONTROL GROUP. CONCLUSIONS: RESTORATIVE YOGA WAS A FEASIBLE AND ACCEPTABLE INTERVENTION IN OVERWEIGHT ADULTS WITH METABOLIC SYNDROME. THE EFFICACY OF YOGA FOR IMPROVING METABOLIC PARAMETERS IN THIS POPULATION SHOULD BE EXPLORED IN A LARGER RANDOMIZED CONTROLLED TRIAL.	2008	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
15 2372  47 WHAT HELPS OLDER PEOPLE PERSEVERE WITH YOGA CLASSES? A REALIST PROCESS EVALUATION OF A COVID-19-AFFECTED YOGA PROGRAM FOR FALL PREVENTION. BACKGROUND: FALLS AMONG OLDER PEOPLE ARE A MAJOR GLOBAL HEALTH CONCERN. THIS PROCESS EVALUATION INVESTIGATES THE EXPERIENCE OF PARTICIPANTS AGED 60+ IN A YOGA PROGRAM AIMED AT PREVENTING FALLS WHICH TRANSITIONED FROM STUDIO-BASED CLASSES TO ONLINE CLASSES IN RESPONSE TO COVID-19 RESTRICTIONS. WE SOUGHT TO UNDERSTAND HOW THE SUCCESSFUL AGEING (SAGE) YOGA PROGRAM FUNCTIONED IN BOTH SETTINGS AND AS A HYBRID PROGRAM, AND TO EXPLAIN WHY IT WORKED WELL FOR MOST PARTICIPANTS. METHODS: REALIST PROCESS EVALUATION WAS USED TO EXPLORE THE FACTORS THAT FACILITATED A SUCCESSFUL TRANSITION FOR MOST PARTICIPANTS, AND TO CONSIDER WHY IT DID NOT WORK FOR A MINORITY. THIS APPROACH DEVELOPS PROGRAM THEORIES THAT DESCRIBE WHICH MECHANISMS AN INTERVENTION IS (OR IS NOT) ACTIVATING, AND HOW THIS IS MEDIATED BY CONTEXT TO GENERATE PROCESS OUTCOMES. DATA INCLUDED INTERVIEWS WITH PARTICIPANTS (N = 21) AND YOGA INSTRUCTORS (N = 3), SELF-REPORT FEEDBACK FORMS (N = 46), OBSERVATION OF CLASSES AND ROUTINE PROCESS MEASURES. RESULTS: FACTORS THAT FACILITATED A SUCCESSFUL TRANSITION FOR MOST PARTICIPANTS INCLUDED THE QUALITY OF YOGA INSTRUCTION, THE PROGRAM FORMAT AND INHERENT CHARACTERISTICS OF YOGA. GAINS IN TRANSITIONING ONLINE INCLUDED CONTINUITY AND GREATER CONVENIENCE. LOSSES INCLUDED PERCEIVED REDUCTION IN THE EFFECTIVENESS OF YOGA INSTRUCTION. THERE WERE GREATER CHALLENGES FOR PEOPLE STRUGGLING WITH PAIN AND IN DISADVANTAGEOUS HOME ENVIRONMENTS. WE IDENTIFIED SIX PROGRAM THEORIES CONFIGURED AROUND 16 MECHANISMS: 1. IT'S WORTH THE EFFORT AND 2. IN EXPERT HANDS (THESE HAD THE SAME MECHANISMS: VALUE EXPECTANCY, THERAPEUTIC ALLIANCE AND ACHIEVEMENT/MASTERY), 3. A COMMUNAL EXPERIENCE (THESE MECHANISMS WERE SHARED EXPERIENCE, SOCIAL CONNECTION, SOCIAL COMPARISON AND PEER CHECKING), 4. PUTTING YOGA WITHIN REACH (ACCESSIBILITY, CONVENIENCE, GRATITUDE), 5. BUILDING YOGA HABITS (PURPOSEFUL STRUCTURE, MOMENTUM, ACCOUNTABILITY AND CONTINUITY), AND 6. YOGA'S SPECIAL PROPERTIES (EMBODIMENT AND MINDFULNESS). CONCLUSIONS: THIS STUDY SHOWED THAT ONLINE DELIVERY OF A YOGA PROGRAM FOR PEOPLE AGED 60+ RETAINED MUCH OF THE VALUE OF A FACE-TO-FACE PROGRAM FOR THE MAJORITY OF PARTICIPANTS, AND INCREASED THE VALUE FOR SOME. THE STRUCTURED, COMMUNAL NATURE OF AN ORGANISED GROUP PROGRAM DELIVERED BY A SKILLED INSTRUCTOR, TOGETHER WITH YOGA'S INTRINSIC FOCUS ON MINDFULNESS, FACILITATED CONTINUED ENGAGEMENT AND PERCEIVED HEALTH BENEFITS, DESPITE THE CHANGE IN DELIVERY MODE.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
16 1779  41 PREDICTORS OF ADHERENCE TO A 26-WEEK VINIYOGA INTERVENTION AMONG POST-TREATMENT BREAST CANCER SURVIVORS. OBJECTIVES: THIS STUDY AIMED TO IDENTIFY DEMOGRAPHIC, PSYCHOLOGICAL, HEALTH-RELATED, AND GEOGRAPHIC PREDICTORS OF ADHERENCE TO HOME-BASED AND SUPERVISED COMPONENTS OF A YOGA INTERVENTION IN BREAST CANCER SURVIVORS. METHODS: PARTICIPANTS WERE THE 32 POST-TREATMENT BREAST CANCER SURVIVORS WHO WERE RANDOMIZED TO THE VINIYOGA INTERVENTION ARM OF A CONTROLLED TRIAL. PARTICIPANTS WERE ASKED TO PRACTICE YOGA 5 TIMES PER WEEK FOR 6 MONTHS, INCLUDING AT LEAST ONE WEEKLY FACILITY-BASED SESSION. ADHERENCE WAS MONITORED USING SIGN-IN SHEETS AND LOGS. HEIGHT AND WEIGHT WERE MEASURED; OTHER POTENTIAL PREDICTORS OF ADHERENCE WERE OBTAINED FROM BASELINE QUESTIONNAIRES. RESULTS: PARTICIPANTS ATTENDED 19.6+/-13.0 YOGA CLASSES AND PERFORMED 55.8+/-32.8 HOME-BASED YOGA SESSIONS. PARTICIPANTS ADHERED TO 58% OF THE OVERALL YOGA PRACTICE GOAL (75% OF THE GOAL FOR YOGA CLASSES AND 54% OF THE GOAL FOR HOME BASED-SESSIONS). HIGHER CLASS ATTENDANCE AND HOME PRACTICE WERE PREDICTED BY GREATER SELF-EFFICACY FOR YOGA (P=0.004 AND 0.06, RESPECTIVELY). ADDITIONALLY, EMPLOYMENT OUTSIDE THE HOME WAS ASSOCIATED WITH GREATER CLASS ATTENDANCE (P=0.004), WHILE HIGHER WAIST CIRCUMFERENCE WAS MARGINALLY ASSOCIATED WITH LOWER ADHERENCE TO HOME-BASED YOGA (P=0.05). CONCLUSIONS: HIGH LEVELS OF FACILITY- AND HOME-BASED YOGA PRACTICE WERE ACHIEVED. BREAST CANCER SURVIVORS WHO HAVE LOWER SELF-EFFICACY FOR YOGA OR WHO HAVE A HIGHER WAIST CIRCUMFERENCE MAY BENEFIT FROM ADDITIONAL SUPPORT OR INTERVENTION TAILORING. ADHERENCE MAY ALSO BE IMPROVED BY ENSURING THAT CLASS TIMES ARE CONVENIENT TO BOTH WORKING AND NONWORKING WOMEN.	2013	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
17 1063  40 EFFECTS OF YOGA ON HEART RATE VARIABILITY AND MOOD IN WOMEN: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: TO EXAMINE THE EFFECTS OF AN 8-WEEK YOGA PROGRAM ON HEART RATE VARIABILITY AND MOOD IN GENERALLY HEALTHY WOMEN. DESIGN: RANDOMIZED CONTROLLED TRIAL. PARTICIPANTS: FIFTY-TWO HEALTHY WOMEN WERE RANDOMLY ASSIGNED TO A YOGA GROUP OR A CONTROL GROUP. INTERVENTIONS: PARTICIPANTS IN THE YOGA GROUP COMPLETED AN 8-WEEK YOGA PROGRAM, WHICH COMPRISED A 60-MINUTE SESSION TWICE A WEEK. EACH SESSION CONSISTED OF BREATHING EXERCISES, YOGA POSE PRACTICE, AND SUPINE MEDITATION/RELAXATION. THE CONTROL GROUP WAS INSTRUCTED NOT TO ENGAGE IN ANY YOGA PRACTICE AND TO MAINTAIN THEIR USUAL LEVEL OF PHYSICAL ACTIVITY DURING THE STUDY. OUTCOME MEASURES: PARTICIPANTS' HEART RATE VARIABILITY, PERCEIVED STRESS, DEPRESSIVE SYMPTOMS, AND STATE AND TRAIT ANXIETY WERE ASSESSED AT BASELINE (WEEK 0) AND AFTER THE INTERVENTION (WEEK 9). RESULTS: NO MEASURES OF HEART RATE VARIABILITY CHANGED SIGNIFICANTLY IN EITHER THE YOGA OR CONTROL GROUP AFTER INTERVENTION. STATE ANXIETY WAS REDUCED SIGNIFICANTLY IN THE YOGA GROUP BUT NOT IN THE CONTROL GROUP. NO SIGNIFICANT CHANGES WERE NOTED IN PERCEIVED STRESS, DEPRESSION, OR TRAIT ANXIETY IN EITHER GROUP. CONCLUSIONS: AN 8-WEEK YOGA PROGRAM WAS NOT SUFFICIENT TO IMPROVE HEART RATE VARIABILITY. HOWEVER, SUCH A PROGRAM APPEARS TO BE EFFECTIVE IN REDUCING STATE ANXIETY IN GENERALLY HEALTHY WOMEN. FUTURE RESEARCH SHOULD INVOLVE LONGER PERIODS OF YOGA TRAINING, INCLUDE HEART RATE VARIABILITY MEASURES BOTH AT REST AND DURING YOGA PRACTICE, AND ENROLL WOMEN WITH HIGHER LEVELS OF STRESS AND TRAIT ANXIETY.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
18 2197  57 THE EFFICACY OF A COMPREHENSIVE LIFESTYLE MODIFICATION PROGRAMME BASED ON YOGA IN THE MANAGEMENT OF BRONCHIAL ASTHMA: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: THERE IS A SUBSTANTIAL BODY OF EVIDENCE ON THE EFFICACY OF YOGA IN THE MANAGEMENT OF BRONCHIAL ASTHMA. MANY STUDIES HAVE REPORTED, AS THE EFFECTS OF YOGA ON BRONCHIAL ASTHMA, SIGNIFICANT IMPROVEMENTS IN PULMONARY FUNCTIONS, QUALITY OF LIFE AND REDUCTION IN AIRWAY HYPER-REACTIVITY, FREQUENCY OF ATTACKS AND MEDICATION USE. IN ADDITION, A FEW STUDIES HAVE ATTEMPTED TO UNDERSTAND THE EFFECTS OF YOGA ON EXERCISE-INDUCED BRONCHOCONSTRICTION (EIB) OR EXERCISE TOLERANCE CAPACITY. HOWEVER, NONE OF THESE STUDIES HAS INVESTIGATED ANY IMMUNOLOGICAL MECHANISMS BY WHICH YOGA IMPROVES THESE VARIABLES IN BRONCHIAL ASTHMA. METHODS: THE PRESENT RANDOMIZED CONTROLLED TRIAL (RCT) WAS CONDUCTED ON 57 ADULT SUBJECTS WITH MILD OR MODERATE BRONCHIAL ASTHMA WHO WERE ALLOCATED RANDOMLY TO EITHER THE YOGA (INTERVENTION) GROUP (N = 29) OR THE WAIT-LISTED CONTROL GROUP (N = 28). THE CONTROL GROUP RECEIVED ONLY CONVENTIONAL CARE AND THE YOGA GROUP RECEIVED AN INTERVENTION BASED ON YOGA, IN ADDITION TO THE CONVENTIONAL CARE. THE INTERVENTION CONSISTED OF 2-WK SUPERVISED TRAINING IN LIFESTYLE MODIFICATION AND STRESS MANAGEMENT BASED ON YOGA FOLLOWED BY CLOSELY MONITORED CONTINUATION OF THE PRACTICES AT HOME FOR 6-WK. THE OUTCOME MEASURES WERE ASSESSED IN BOTH THE GROUPS AT 0 WK (BASELINE), 2, 4 AND 8 WK BY USING GENERALIZED LINEAR MODEL (GLM) REPEATED MEASURES FOLLOWED BY POST-HOC ANALYSIS. RESULTS: IN THE YOGA GROUP, THERE WAS A STEADY AND PROGRESSIVE IMPROVEMENT IN PULMONARY FUNCTION, THE CHANGE BEING STATISTICALLY SIGNIFICANT IN CASE OF THE FIRST SECOND OF FORCED EXPIRATORY VOLUME (FEV1) AT 8 WK, AND PEAK EXPIRATORY FLOW RATE (PEFR) AT 2, 4 AND 8 WK AS COMPARED TO THE CORRESPONDING BASELINE VALUES. THERE WAS A SIGNIFICANT REDUCTION IN EIB IN THE YOGA GROUP. HOWEVER, THERE WAS NO CORRESPONDING REDUCTION IN THE URINARY PROSTAGLANDIN D2 METABOLITE (11BETA PROSTAGLANDIN F2ALPHA) LEVELS IN RESPONSE TO THE EXERCISE CHALLENGE. THERE WAS ALSO NO SIGNIFICANT CHANGE IN SERUM EOSINOPHILIC CATIONIC PROTEIN LEVELS DURING THE 8-WK STUDY PERIOD IN EITHER GROUP. THERE WAS A SIGNIFICANT IMPROVEMENT IN ASTHMA QUALITY OF LIFE (AQOL) SCORES IN BOTH GROUPS OVER THE 8-WK STUDY PERIOD. BUT THE IMPROVEMENT WAS ACHIEVED EARLIER AND WAS MORE COMPLETE IN THE YOGA GROUP. THE NUMBER-NEEDED-TO-TREAT WORKED OUT TO BE 1.82 FOR THE TOTAL AQOL SCORE. AN IMPROVEMENT IN TOTAL AQOL SCORE WAS GREATER THAN THE MINIMAL IMPORTANT DIFFERENCE AND THE SAME OUTCOME WAS ACHIEVED FOR THE SUB-DOMAINS OF THE AQOL. THE FREQUENCY OF RESCUE MEDICATION USE SHOWED A SIGNIFICANT DECREASE OVER THE STUDY PERIOD IN BOTH THE GROUPS. HOWEVER, THE DECREASE WAS ACHIEVED RELATIVELY EARLIER AND WAS MORE MARKED IN THE YOGA GROUP THAN IN THE CONTROL GROUP. CONCLUSION: THE PRESENT RCT HAS DEMONSTRATED THAT ADDING THE MIND-BODY APPROACH OF YOGA TO THE PREDOMINANTLY PHYSICAL APPROACH OF CONVENTIONAL CARE RESULTS IN MEASURABLE IMPROVEMENT IN SUBJECTIVE AS WELL AS OBJECTIVE OUTCOMES IN BRONCHIAL ASTHMA. THE TRIAL SUPPORTS THE EFFICACY OF YOGA IN THE MANAGEMENT OF BRONCHIAL ASTHMA. HOWEVER, THE PRELIMINARY EFFORTS MADE TOWARDS WORKING OUT THE MECHANISM OF ACTION OF THE INTERVENTION HAVE NOT THROWN MUCH LIGHT ON HOW YOGA WORKS IN BRONCHIAL ASTHMA. TRIAL REGISTRATION: CURRENT CONTROLLED TRIALS ISRCTN00815962.	2009	

19 1159  42 ESTABLISHING KEY COMPONENTS OF YOGA INTERVENTIONS FOR REDUCING DEPRESSION AND ANXIETY, AND IMPROVING WELL-BEING: A DELPHI METHOD STUDY. BACKGROUND: PREVIOUS RESEARCH SUGGESTS BENEFITS OF YOGA IN REDUCING DEPRESSION AND ANXIETY. HOWEVER, COMMON CONCERNS IN REVIEWS OF THE RESEARCH INCLUDE LACK OF DETAIL, RATIONALE AND CONSISTENCY OF APPROACH OF INTERVENTIONS USED. ISSUES RELATED TO HETEROGENEITY INCLUDE AMOUNT, TYPES AND DELIVERY OF YOGA INTERVENTIONS. THIS STUDY AIMS TO DOCUMENT CONSENSUS-BASED RECOMMENDATIONS FOR CONSISTENCY OF YOGA INTERVENTIONS FOR REDUCING DEPRESSION AND ANXIETY. METHODS: THE DELPHI METHOD WAS USED TO ESTABLISH CONSENSUS FROM EXPERIENCED YOGA TEACHERS. THIRTY-THREE ELIGIBLE TEACHERS WERE INVITED TO PARTICIPATE, FROM FOUR DIFFERENT COUNTRIES. TWO ROUNDS OF AN ONLINE SURVEY WERE SENT TO PARTICIPANTS. THE FIRST ROUND SOUGHT INITIAL VIEWS. THE SECOND ROUND SOUGHT CONSENSUS ON A SUMMARY OF THOSE VIEWS. SURVEY QUESTIONS RELATED TO FREQUENCY AND DURATION (DOSAGE) OF THE YOGA, APPROACHES AND TECHNIQUES TO BE INCLUDED OR AVOIDED, AND TRAINING AND EXPERIENCE FOR YOGA TEACHERS. RESULTS: TWENTY-FOUR TEACHERS AGREED TO PARTICIPATE. EIGHTEEN COMPLETED THE SECOND ROUND (N = 18). GENERAL CONSENSUS (>75% OF PARTICIPANTS IN AGREEMENT) WAS ACHIEVED ON PARAMETERS OF PRACTICE (DOSAGE): AN AVERAGE OF 30 TO 40 MINUTES, TO BE DONE 5 TIMES PER WEEK, OVER A PERIOD OF 6 WEEKS. NUMEROUS RECOMMENDATIONS FOR YOGA TECHNIQUES TO INCLUDE OR AVOID WERE COLLECTED IN THE FIRST ROUND. THE SECOND ROUND PRODUCED A CONSENSUS STATEMENT ON THOSE RECOMMENDATIONS. BREATH REGULATION AND POSTURES WERE CONSIDERED VERY IMPORTANT OR ESSENTIAL FOR PEOPLE WITH DEPRESSION; AND RELAXATION, BREATH REGULATION AND MEDITATION BEING VERY IMPORTANT OR ESSENTIAL FOR PEOPLE WITH ANXIETY. OTHER RECOMMENDED COMPONENTS ALSO ACHIEVED CONSENSUS. THERE WAS ALSO GENERAL CONSENSUS THAT IT IS VERY IMPORTANT OR ESSENTIAL FOR TEACHERS TO HAVE A MINIMUM OF 500 TRAINING HOURS OVER 2 YEARS, AT LEAST 2 YEARS TEACHING EXPERIENCE, TRAINING IN DEVELOPING PERSONALISED YOGA PRACTICES, TRAINING IN YOGA FOR MENTAL HEALTH, AND PROFESSIONAL SUPERVISION OR MENTORING. CONCLUSIONS: THE DELPHI PROCESS HAS ACHIEVED A CONSENSUS STATEMENT ON THE APPLICATION OF YOGA FOR REDUCING ANXIETY AND DEPRESSION. THIS CONSENSUS PROVIDES A CHECKLIST FOR IDENTIFICATION OF COMMONALITIES AND EVALUATION OF PAST RESEARCH. FUTURE RESEARCH CAN PROCEED TO DEVELOP AND EVALUATE CONSENSUS-BASED YOGA INTERVENTION PROTOCOLS FOR THE REDUCTION OF ANXIETY AND DEPRESSION, AND IMPROVEMENTS IN WELL-BEING.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
20 1402  58 IMPACT OF YOGA ON BLOOD PRESSURE AND QUALITY OF LIFE IN PATIENTS WITH HYPERTENSION - A CONTROLLED TRIAL IN PRIMARY CARE, MATCHED FOR SYSTOLIC BLOOD PRESSURE. BACKGROUND: MEDICAL TREATMENT OF HYPERTENSION IS NOT ALWAYS SUFFICIENT TO ACHIEVE BLOOD PRESSURE CONTROL. DESPITE THIS, PREVIOUS STUDIES ON SUPPLEMENTARY THERAPIES, SUCH AS YOGA, ARE RELATIVELY FEW. WE INVESTIGATED THE EFFECTS OF TWO YOGA INTERVENTIONS ON BLOOD PRESSURE AND QUALITY OF LIFE IN PATIENTS IN PRIMARY HEALTH CARE DIAGNOSED WITH HYPERTENSION. METHODS: ADULT PATIENTS (AGE 20-80 YEARS) WITH DIAGNOSED HYPERTENSION WERE IDENTIFIED BY AN ELECTRONIC CHART SEARCH AT A PRIMARY HEALTH CARE CENTER IN SOUTHERN SWEDEN. IN TOTAL, 83 SUBJECTS WITH BLOOD PRESSURE VALUES OF 120-179/</=109 MMHG AT BASELINE WERE ENROLLED. AT BASELINE, THE PATIENTS UNDERWENT STANDARDIZED BLOOD PRESSURE MEASUREMENT AT THE HEALTH CARE CENTER AND THEY COMPLETED A QUESTIONNAIRE ON SELF-RATED QUALITY OF LIFE (WHOQOL-BREF). THERE WERE THREE GROUPS: 1) YOGA CLASS WITH YOGA INSTRUCTOR (N = 28); 2) YOGA AT HOME (N = 28); AND 3) A CONTROL GROUP (N = 27). THE PARTICIPANTS WERE MATCHED AT THE GROUP LEVEL FOR SYSTOLIC BLOOD PRESSURE. AFTER 12 WEEKS OF INTERVENTION, THE ASSESSMENTS WERE PERFORMED AGAIN. AT BASELINE A MAJORITY OF THE PATIENTS (92%) WERE ON ANTIHYPERTENSIVE MEDICATION, AND THE PATIENTS WERE REQUESTED NOT TO CHANGE THEIR MEDICATION DURING THE STUDY. RESULTS: THE YOGA CLASS GROUP SHOWED NO IMPROVEMENT IN BLOOD PRESSURE OR SELF-RATED QUALITY OF LIFE, WHILE IN THE YOGA AT HOME GROUP THERE WAS A DECLINE IN DIASTOLIC BLOOD PRESSURE OF 4.4 MMHG (P < 0.05) COMPARED TO THE CONTROL GROUP. MOREOVER, THE YOGA AT HOME GROUP SHOWED SIGNIFICANT IMPROVEMENT IN SELF-RATED QUALITY OF LIFE COMPARED TO THE CONTROL GROUP (P < 0.05). CONCLUSIONS: A SHORT YOGA PROGRAM FOR THE PATIENT TO PRACTICE AT HOME SEEMS TO HAVE AN ANTIHYPERTENSIVE EFFECT, AS WELL AS A POSITIVE EFFECT ON SELF-RATED QUALITY OF LIFE COMPARED TO CONTROLS. THIS IMPLIES THAT SIMPLE YOGA EXERCISES MAY BE USEFUL AS A SUPPLEMENTARY BLOOD PRESSURE THERAPY IN ADDITION TO MEDICAL TREATMENT WHEN PRESCRIBED BY PRIMARY CARE PHYSICIANS.	2013