1 1472 122 INSULAR CORTEX MEDIATES INCREASED PAIN TOLERANCE IN YOGA PRACTITIONERS. YOGA, AN INCREASINGLY POPULAR DISCIPLINE AMONG WESTERNERS, IS FREQUENTLY USED TO IMPROVE PAINFUL CONDITIONS. WE INVESTIGATED POSSIBLE NEUROANATOMICAL UNDERPINNINGS OF THE BENEFICIAL EFFECTS OF YOGA USING SENSORY TESTING AND MAGNETIC RESONANCE IMAGING TECHNIQUES. NORTH AMERICAN YOGIS TOLERATED PAIN MORE THAN TWICE AS LONG AS INDIVIDUALLY MATCHED CONTROLS AND HAD MORE GRAY MATTER (GM) IN MULTIPLE BRAIN REGIONS. ACROSS SUBJECTS, INSULAR GM UNIQUELY CORRELATED WITH PAIN TOLERANCE. INSULAR GM VOLUME IN YOGIS POSITIVELY CORRELATED WITH YOGA EXPERIENCE, SUGGESTING A CAUSAL RELATIONSHIP BETWEEN YOGA AND INSULAR SIZE. YOGIS ALSO HAD INCREASED LEFT INTRAINSULAR WHITE MATTER INTEGRITY, CONSISTENT WITH A STRENGTHENED INSULAR INTEGRATION OF NOCICEPTIVE INPUT AND PARASYMPATHETIC AUTONOMIC REGULATION. YOGIS, AS OPPOSED TO CONTROLS, USED COGNITIVE STRATEGIES INVOLVING PARASYMPATHETIC ACTIVATION AND INTEROCEPTIVE AWARENESS TO TOLERATE PAIN, WHICH COULD HAVE LED TO USE-DEPENDENT HYPERTROPHY OF INSULAR CORTEX. TOGETHER, THESE FINDINGS SUGGEST THAT REGULAR AND LONG-TERM YOGA PRACTICE IMPROVES PAIN TOLERANCE IN TYPICAL NORTH AMERICANS BY TEACHING DIFFERENT WAYS TO DEAL WITH SENSORY INPUTS AND THE POTENTIAL EMOTIONAL REACTIONS ATTACHED TO THOSE INPUTS LEADING TO A CHANGE IN INSULAR BRAIN ANATOMY AND CONNECTIVITY. 2014 2 638 19 DO PHYSICAL THERAPY AND YOGA IMPROVE PAIN AND DISABILITY THROUGH PSYCHOLOGICAL MECHANISMS? A CAUSAL MEDIATION ANALYSIS OF ADULTS WITH CHRONIC LOW BACK PAIN. OBJECTIVE: TO INVESTIGATE WHETHER INDIRECT EFFECTS VIA PSYCHOLOGICAL MECHANISMS EXPLAIN THE EFFECTS OF PHYSICAL THERAPY (PT) OR YOGA, VERSUS EDUCATION, ON BACK-RELATED OUTCOMES. DESIGN: MEDIATION ANALYSES USING DATA FROM A RANDOMIZED CONTROLLED TRIAL OF PT, YOGA, AND EDUCATION INTERVENTIONS FOR CHRONIC LOW BACK PAIN. METHODS: PRIMARY OUTCOMES WERE CHANGES IN BACK-RELATED PAIN ON THE 11-POINT NUMERICAL RATING SCALE AND DISABILITY ON THE MODIFIED 23-POINT ROLAND MORRIS DISABILITY QUESTIONNAIRE, MEASURED AT 52-WEEKS POST-RANDOMIZATION. HYPOTHESIZED MEDIATORS WERE 12-WEEK CHANGES IN PAIN SELF-EFFICACY, FEAR AVOIDANCE BELIEFS, DEPRESSION, ANXIETY, PERCEIVED STRESS, AND SLEEP QUALITY. WE USED CAUSAL MEDIATION ANALYSIS TO ESTIMATE THE TOTAL EFFECT, DIRECT EFFECT, INDIRECT EFFECT, AND PROPORTION MEDIATED. RESULTS: WE ANALYZED DATA FROM 230 ADULTS (MEAN AGE = 46.2 YEARS, 69.6% FEMALE, 79.6% NON-WHITE). IN THE PT VERSUS EDUCATION MODEL, WHEN THE MEDIATOR WAS PERCEIVED STRESS, THE TOTAL EFFECT ON DISABILITY WAS 2.6 POINTS (95% CI: 0.3, 4.9) AND DECOMPOSED INTO A DIRECT EFFECT OF 1.7 POINTS (95% CI: -0.4, 3.8) AND AN INDIRECT EFFECT 0.9 POINTS (95% CI: 0.1, 2.0; PROPORTION MEDIATED 34%). NO OTHER PSYCHOLOGICAL CONSTRUCT WAS A SIGNIFICANT MEDIATOR. CONCLUSION: IMPROVEMENTS IN PERCEIVED STRESS MEDIATED IMPROVEMENTS IN DISABILITY AFTER PT TREATMENT COMPARED TO EDUCATION. OTHER PSYCHOLOGICAL OUTCOMES DID NOT MEDIATE THE EFFECT OF YOGA OR PT ON PAIN OR DISABILITY OUTCOMES COMPARED TO EDUCATION. J ORTHOP SPORTS PHYS THER, EPUB 18 MAY 2022. DOI:10.2519/JOSPT.2022.10813. 2022 3 2734 19 YOGA PARTICIPATION ASSOCIATED WITH CHANGES IN DIETARY PATTERNS AND STRESS: A PILOT STUDY IN STRESSED ADULTS WITH POOR DIET. BACKGROUND AND PURPOSE: STRESS CONTRIBUTES TO DIETARY PATTERNS THAT IMPEDE HEALTH. YOGA IS AN INTEGRATIVE STRESS MANAGEMENT APPROACH ASSOCIATED WITH IMPROVED DIETARY PATTERNS IN BURGEONING RESEARCH. YET, NO RESEARCH HAS EXAMINED CHANGE IN DIETARY PATTERNS, BODY MASS INDEX (BMI), AND STRESS DURING A YOGA INTERVENTION AMONG STRESSED ADULTS WITH POOR DIET. MATERIALS AND METHODS: OBJECTIVELY-MEASURED BMI AND A BATTERY OF SELF-REPORT QUESTIONNAIRES WERE COLLECTED AT FOUR TIME POINTS DURING AND FOLLOWING A 12-WEEK YOGA INTERVENTION (N = 78, 71% WOMEN, MEAN BMI = 25.69 KG/M(2)+/-4.59) - PRE-TREATMENT (T1), MID-TREATMENT (6 WEEKS; T2), POST-TREATMENT (12 WEEKS; T3), AND AT 3-MONTH FOLLOW-UP (24 WEEKS; T4). RESULTS: T1 TO T3 FRUIT AND VEGETABLE INTAKE, BMI, AND STRESS SIGNIFICANTLY DECLINED IN THE OVERALL SAMPLE. REDUCTION IN VEGETABLE INTAKE WAS NO LONGER SIGNIFICANT AFTER ACCOUNTING FOR REDUCTIONS IN CALORIC INTAKE, AND REDUCTION IN CALORIC INTAKE REMAINED SIGNIFICANT AFTER ACCOUNTING FOR REDUCTIONS IN STRESS. CONCLUSION: FINDINGS MAY BE INTERPRETED AS YOGA EITHER ENCOURAGING OR ADVERSELY IMPACTING HEALTHY DIETARY PATTERNS (I.E., MINIMIZING LIKELIHOOD OF FUTURE WEIGHT GAIN VS. DECREASING VEGETABLE INTAKE AND OVERALL CALORIC INTAKE AMONG INDIVIDUALS WHO MAY NOT NEED TO LOSE WEIGHT, RESPECTIVELY). CONTINUED RESEARCH IS WARRANTED, UTILIZING CAUSAL DESIGNS. 2021 4 1642 17 MOOD ALTERATION WITH YOGA AND SWIMMING: AEROBIC EXERCISE MAY NOT BE NECESSARY. THE MOOD BENEFITS OF HATHA YOGA AND SWIMMING, TWO ACTIVITIES THAT DIFFER GREATLY IN AEROBIC TRAINING BENEFITS, WERE EXAMINED. COLLEGE STUDENTS (N = 87) IN TWO SWIMMING CLASSES, A YOGA CLASS, AND A LECTURE-CONTROL CLASS COMPLETED MOOD AND PERSONALITY INVENTORIES BEFORE AND AFTER CLASS ON THREE OCCASIONS. A MULTIVARIATE ANALYSIS OF VARIANCE INDICATED THAT BOTH YOGA PARTICIPANTS (N = 22) AND SWIMMERS (N = 37) REPORTED GREATER DECREASES IN SCORES ON ANGET, CONFUSION, TENSION, AND DEPRESSION THAN DID THE CONTROL STUDENTS (N = 28). THE CONSISTENT MOOD BENEFITS OF YOGA SUPPORTED OUR EARLIER OBSERVATION THAT THE EXERCISE NEED NOT BE AEROBIC TO BE ASSOCIATED WITH MOOD ENHANCEMENT. HOWEVER, UNDERLYING AND CAUSAL MECHANISMS REMAIN UNCERTAIN. AMONG THE MEN, THE ACUTE DECREASES IN TENSION, FATIGUE, AND ANGER AFTER YOGA WERE SIGNIFICANTLY GREATER THAN THOSE AFTER SWIMMING. YOGA MAY BE EVEN MORE BENEFICIAL THAN SWIMMING FOR MEN WHO PERSONALLY SELECT TO PARTICIPATE. THE WOMEN REPORTED FAIRLY SIMILAR MOOD BENEFITS AFTER SWIMMING AND YOGA. IT SEEMS THAT AEROBIC EXERCISE MAY NOT BE NECESSARY TO FACILITATE THE MOOD BENEFITS. ALSO, STUDENTS WITH GREATER MOOD CHANGES ATTENDED CLASS MORE REGULARLY THAN THOSE WHO REPORTED FEWER PSYCHOLOGICAL BENEFITS. MAXIMIZING THE IMMEDIATE PSYCHOLOGICAL BENEFITS OF EXERCISE MIGHT BE ONE WAY TO ENCOURAGE ADULTS TO BE PHYSICALLY ACTIVE. 1992 5 1972 30 SHORT-TERM SAHAJA YOGA MEDITATION TRAINING MODULATES BRAIN STRUCTURE AND SPONTANEOUS ACTIVITY IN THE EXECUTIVE CONTROL NETWORK. INTRODUCTION: WHILE CROSS-SECTIONAL STUDIES HAVE SHOWN NEURAL CHANGES IN LONG-TERM MEDITATORS, THEY MIGHT BE CONFOUNDED BY SELF-SELECTION AND POTENTIAL BASELINE DIFFERENCES BETWEEN MEDITATORS AND NON MEDITATORS. PROSPECTIVE LONGITUDINAL STUDIES OF THE EFFECTS OF MEDITATION IN NAIVE SUBJECTS ARE MORE CONCLUSIVE WITH RESPECT TO CAUSAL INFERENCES, BUT RELATED EVIDENCE IS SO FAR LIMITED. METHODS: HERE, WE ASSESSED THE EFFECTS OF A 4-WEEK SAHAJA YOGA MEDITATION TRAINING ON GRAY MATTER DENSITY AND SPONTANEOUS RESTING-STATE BRAIN ACTIVITY IN A GROUP OF 12 MEDITATION-NAIVE HEALTHY ADULTS. RESULTS: COMPARED WITH 30 CONTROL SUBJECTS, THE PARTICIPANTS TO MEDITATION TRAINING SHOWED INCREASED GRAY MATTER DENSITY AND CHANGES IN THE COHERENCE OF INTRINSIC BRAIN ACTIVITY IN TWO ADJACENT REGIONS OF THE RIGHT INFERIOR FRONTAL GYRUS ENCOMPASSING THE ANTERIOR COMPONENT OF THE EXECUTIVE CONTROL NETWORK. BOTH THESE MEASURES CORRELATED WITH SELF-REPORTED WELL-BEING SCORES IN THE MEDITATION GROUP. CONCLUSIONS: THE SIGNIFICANT IMPACT OF A BRIEF MEDITATION TRAINING ON BRAIN REGIONS ASSOCIATED WITH ATTENTION, SELF-CONTROL, AND SELF-AWARENESS MAY REFLECT THE ENGAGEMENT OF COGNITIVE CONTROL SKILLS IN SEARCHING FOR A STATE OF MENTAL SILENCE, A DISTINCTIVE FEATURE OF SAHAJA YOGA MEDITATION. THE MANIFOLD IMPLICATIONS OF THESE FINDINGS INVOLVE BOTH MANAGERIAL AND REHABILITATIVE SETTINGS CONCERNED WITH WELL-BEING AND EMOTIONAL STATE IN NORMAL AND PATHOLOGICAL CONDITIONS. 2019 6 1466 28 INJURY IN YOGA ASANA PRACTICE: ASSESSMENT OF THE RISKS. BACKGROUND: THE RISK OF INJURY FROM MODERN YOGA ASANA PRACTICE IS POORLY CHARACTERIZED IN THE SCIENTIFIC LITERATURE, BUT ANECDOTAL REPORTS IN THE LAY LITERATURE AND PRESS HAVE POSED QUESTIONS ABOUT THE POSSIBILITY OF FREQUENT, SEVERE INJURIES. DESIGN: WE PERFORMED A CROSS-SECTIONAL SURVEY OF YOGA ASANA PARTICIPANTS ASSESSING THEIR EXPERIENCE WITH YOGA-RELATED INJURY, USING A VOLUNTARY CONVENIENCE SAMPLE. RESULTS: A TOTAL OF 2620 PARTICIPANTS RESPONDED TO OUR SURVEY. SEVENTY-NINE PERCENT WERE BETWEEN AGES 31 AND 60 AND 84% WERE FEMALE. THE MAJORITY OF RESPONDENTS LIVED IN NORTH AMERICA OR EUROPE. FORTY-FIVE PERCENT OF PARTICIPANTS REPORTED EXPERIENCING NO INJURIES DURING THE TIME THEY HAD BEEN PRACTICING YOGA. OF THOSE WHO DID EXPERIENCE AN INJURY FROM ASANA PRACTICE, 28% WERE MILD (E.G., SPRAINS OR NONSPECIFIC PAINS NOT REQUIRING A MEDICAL PROCEDURE, WITH SYMPTOMS LASTING LESS THAN 6 MONTHS) AND 63% WERE MODERATE (E.G., SPRAINS OR NONSPECIFIC PAINS NOT REQUIRING A MEDICAL PROCEDURE, WITH SYMPTOMS LASTING FROM 6 MONTHS TO 1 YEAR). ONLY 9% OF THOSE REPORTING INJURIES (4% OF THE TOTAL SAMPLE) HAD A SEVERE INJURY. THE STRONGEST PREDICTORS FOR INCREASED PROBABILITY OF REPORTING AN INJURY OVER A LIFETIME OF YOGA PRACTICE WERE GREATER NUMBER OF YEARS OF PRACTICE (P<.0001) AND TEACHING YOGA (P=.0177). OTHER ASPECTS OF PARTICIPANT DEMOGRAPHICS OR YOGA PRACTICE HABITS WERE NOT RELATED TO LIKELIHOOD OF REPORTING A YOGA-RELATED INJURY. CONCLUSIONS: WE FOUND THE NUMBER OF INJURIES REPORTED BY YOGA PARTICIPANTS PER YEARS OF PRACTICE EXPOSURE TO BE LOW AND THE OCCURRENCE OF SERIOUS INJURIES IN YOGA TO BE INFREQUENT COMPARED TO OTHER PHYSICAL ACTIVITIES, SUGGESTING THAT YOGA IS NOT A HIGH-RISK PHYSICAL ACTIVITY. MORE WORK IS NEEDED TO CLARIFY THE CAUSAL RELATIONSHIPS BETWEEN THE YOGA PARTICIPANT CHARACTERISTICS, THE ASANA PRACTICE STYLE, AND THE RISK OF SIGNIFICANT INJURY. 2019 7 1621 26 MINDFULNESS AND AVOIDANCE MEDIATE THE RELATIONSHIP BETWEEN YOGA PRACTICE AND ANXIETY. OBJECTIVES: THERE IS ACCUMULATING EVIDENCE THAT YOGA AND MINDFULNESS MEDITATION CAN ALLEVIATE SYMPTOMS OF ANXIETY, ALTHOUGH THE MECHANISMS BY WHICH THIS OCCURS REMAIN UNCLEAR. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE RELATIONSHIP BETWEEN YOGA PRACTICE AND SELF-REPORTED ANXIETY AS WELL AS THE POTENTIAL MEDIATING ROLES OF MINDFULNESS AND EMOTIONAL AVOIDANCE. METHODS: USING A CROSS-SECTIONAL DESIGN, 367 PARTICIPANTS WERE RECRUITED ONLINE AND COMPLETED MEASURES OF ANXIETY, AVOIDANCE, AND MINDFULNESS. RESULTS: RESULTS SHOWED THAT LENGTH OF YOGA PRACTICE WAS SIGNIFICANTLY CORRELATED WITH LOWER ANXIETY IN YOGA PRACTITIONERS. AVOIDANCE AND MINDFULNESS MEDIATED THE RELATIONSHIP BETWEEN LENGTH OF YOGA PRACTICE AND ANXIETY, SHEDDING LIGHT ON POSSIBLE MECHANISMS BY WHICH THESE PRACTICES REDUCE ANXIETY. CONCLUSIONS: FUTURE EXPERIMENTAL AND LONGITUDINAL RESEARCH IS NEEDED TO EXAMINE THE CAUSAL ROLE OF MINDFULNESS AND AVOIDANCE IN THE RELATIONSHIP BETWEEN YOGA PRACTICE AND ANXIETY, AND WHETHER YOGA IS A USEFUL ADJUNCT TO COGNITIVE BEHAVIOUR THERAPY FOR ANXIETY DISORDERS. 2018 8 2377 23 WHO PRACTICES YOGA? A SYSTEMATIC REVIEW OF DEMOGRAPHIC, HEALTH-RELATED, AND PSYCHOSOCIAL FACTORS ASSOCIATED WITH YOGA PRACTICE. YOGA HAS BECOME INCREASINGLY POPULAR IN THE US AND AROUND THE WORLD, YET BECAUSE MOST YOGA RESEARCH IS CONDUCTED AS CLINICAL TRIALS OR EXPERIMENTS, LITTLE IS KNOWN ABOUT THE CHARACTERISTICS AND CORRELATES OF PEOPLE WHO INDEPENDENTLY CHOOSE TO PRACTICE YOGA. WE CONDUCTED A SYSTEMATIC REVIEW OF THIS ISSUE, IDENTIFYING 55 STUDIES AND CATEGORIZING CORRELATES OF YOGA PRACTICE INTO SOCIODEMOGRAPHICS, PSYCHOSOCIAL CHARACTERISTICS, AND MENTAL AND PHYSICAL WELL-BEING. YOGA USE IS GREATEST AMONG WOMEN AND THOSE WITH HIGHER SOCIOECONOMIC STATUS AND APPEARS FAVORABLY RELATED TO PSYCHOSOCIAL FACTORS SUCH AS COPING AND MINDFULNESS. YOGA PRACTICE OFTEN RELATES TO BETTER SUBJECTIVE HEALTH AND HEALTH BEHAVIORS BUT ALSO WITH MORE DISTRESS AND PHYSICAL IMPAIRMENT. HOWEVER, EVIDENCE IS SPARSE AND METHODOLOGICAL LIMITATIONS PRECLUDE DRAWING CAUSAL INFERENCES. NATIONALLY REPRESENTATIVE STUDIES HAVE MINIMALLY ASSESSED YOGA WHILE STUDIES WITH STRONG ASSESSMENT OF YOGA PRACTICE (E.G., TYPE, DOSE) ARE GENERALLY CONDUCTED WITH CONVENIENCE SAMPLES. ALMOST ALL STUDIES REVIEWED ARE CROSS-SECTIONAL AND FEW CONTROL FOR POTENTIAL CONFOUNDING VARIABLES. WE PROVIDE RECOMMENDATIONS FOR FUTURE RESEARCH TO BETTER UNDERSTAND THE CORRELATES OF YOGA PRACTICE. 2015 9 225 21 A SYSTEMATIC REVIEW OF MECHANISMS OF CHANGE IN BODY-ORIENTED YOGA IN MAJOR DEPRESSIVE DISORDERS. INTRODUCTION: DESPITE EMPIRICAL EVIDENCE FOR THE EFFICACY OF BODY-ORIENTED YOGA AS ADD-ON TREATMENT FOR MAJOR DEPRESSIVE DISORDER (MDD), THE SPECIFIC MECHANISMS BY WHICH YOGA LEADS TO THERAPEUTIC CHANGES REMAIN UNCLEAR. BY MEANS OF A SYSTEMATIC REVIEW, WE EVALUATE HOW THE FIELD IS PROGRESSING IN ITS EMPIRICAL INVESTIGATION OF MECHANISMS OF CHANGE IN YOGA FOR MDD. METHODS: TO IDENTIFY RELEVANT STUDIES, A SYSTEMATIC SEARCH WAS CONDUCTED. RESULTS: THE SEARCH PRODUCED 441 ARTICLES, OF WHICH 5 WERE INCLUDED, THAT EMPIRICALLY EXAMINED 2 PSYCHOLOGICAL MECHANISMS (MINDFULNESS, RUMINATION) AND 3 BIOLOGICAL MECHANISMS (VAGAL CONTROL, HEART RATE VARIABILITY [HRV], BRAIN-DERIVED NEUROTROPHIC FACTOR [BDNF], CORTISOL). 2 STUDIES FOUND THAT DECREASED RUMINATION AND 1 STUDY THAT INCREASED MINDFULNESS WAS ASSOCIATED WITH THE EFFECT OF YOGA ON TREATMENT OUTCOME. IN ADDITION, PRELIMINARY STUDIES SUGGEST THAT ALTERATIONS IN CORTISOL, BDNF, AND HRV MAY PLAY A ROLE IN HOW YOGA EXERTS ITS CLINICAL EFFECT. DISCUSSION: THE RESULTS SUGGEST THAT BODY-ORIENTED YOGA COULD WORK THROUGH SOME OF THE THEORETICALLY PREDICTED MECHANISMS. HOWEVER, THERE IS A NEED FOR MORE RIGOROUS DESIGNS THAT CAN ASSESS GREATER LEVELS OF CAUSAL SPECIFICITY. 2018 10 2751 23 YOGA PRACTICE IS ASSOCIATED WITH ATTENUATED WEIGHT GAIN IN HEALTHY, MIDDLE-AGED MEN AND WOMEN. BACKGROUND: YOGA IS PROMOTED OR WEIGHT MAINTENANCE, BUT THERE IS LITTLE EVIDENCE OF ITS EFFICACY. OBJECTIVE: TO EXAMINE WHETHER YOGA PRACTICE IS ASSOCIATED WITH LOWER MEAN 10-YEAR WEIGHT GAIN AFTER AGE 45. PARTICIPANTS: PARTICIPANTS INCLUDED 15,550 ADULTS, AGED 53 TO 57 YEARS, RECRUITED TO THE VITAMIN AND LIFESTYLE (VITAL) COHORT STUDY BETWEEN 2000 AND 2002. MEASUREMENTS: PHYSICAL ACTIVITY (INCLUDING YOGA) DURING THE PAST 10 YEARS, DIET, HEIGHT, AND WEIGHT AT RECRUITMENT AND AT AGES 30 AND 45. ALL MEASURES WERE BASED ON SELF-REPORTING, AND PAST WEIGHT WAS RETROSPECTIVELY ASCERTAINED. METHODS: MULTIPLE REGRESSION ANALYSES WERE USED TO EXAMINED COVARIATE-ADJUSTED ASSOCIATIONS BETWEEN YOGA PRACTICE AND WEIGHT CHANGE FROM AGE 45 TO RECRUITMENT, AND POLYCHOTOMOUS LOGISTIC REGRESSION WAS USED TO EXAMINE ASSOCIATIONS OF YOGA PRACTICE WITH THE RELATIVE ODDS OF WEIGHT MAINTENANCE (WITHIN 5%) AND WEIGHT LOSS (> 5%) COMPARED TO WEIGHT GAIN. RESULTS: YOGA PRACTICE FOR FOUR OR MORE YEARS WAS ASSOCIATED WITH A 3.1-LB LOWER WEIGHT GAIN AMONG NORMAL WEIGHT (BMI < 25) PARTICIPANTS [9.5 LBS VERSUS 12.6 IBS] AND AN 18.5-LB LOWER WEIGHT GAIN AMONG OVERWEIGHT PARTICIPANTS [-5.0 LBS VERSUS 13.5 IBS] (BOTH P FOR TREND <.001). AMONG OVERWEIGHT INDIVIDUALS, 4+ YEARS OF YOGA PRACTICE WAS ASSOCIATED WITH A RELATIVE ODDS OF 1.85 (95% CONFIDENCE INTERVAL [CI] 0.63-5.42) FOR WEIGHT MAINTENANCE (WITHIN 5%) AND 3.88 (95% CL 1.30-9.88) FOR WEIGHT LOSS (> 5%) COMPARED TO WEIGHT GAIN (P FOR TREND .026 AND .003, RESPECTIVELY). CONCLUSIONS: REGULAR YOGA PRACTICE WAS ASSOCIATED WITH ATTENUATED WEIGHT GAIN, MOST STRONGLY AMONG INDIVIDUALS WHO WERE OVERWEIGHT. ALTHOUGH CAUSAL INFERENCE FROM THIS OBSERVATIONAL STUDY IS NOT POSSIBLE, RESULTS ARE CONSISTENT WITH THE HYPOTHESIS THAT REGULAR YOGA PRACTICE CAN BENEFIT INDIVIDUALS WHO WISH TO MAINTAIN OR LOSE WEIGHT. 2005 11 540 28 COMPLIANCE EFFECTS IN A RANDOMISED CONTROLLED TRIAL OF YOGA FOR CHRONIC LOW BACK PAIN: A METHODOLOGICAL STUDY. STUDY DESIGN: METHODOLOGICAL STUDY NESTED WITHIN A MULTICENTRE RANDOMISED CONTROLLED TRIAL (RCT) OF YOGA PLUS USUAL GENERAL PRACTITIONER (GP) CARE VS USUAL GP CARE FOR CHRONIC LOW BACK PAIN. OBJECTIVE: TO EXPLORE THE TREATMENT EFFECTS OF NON-COMPLIANCE USING THREE APPROACHES IN AN RCT EVALUATING YOGA FOR LOW BACK PAIN. SUMMARY OF BACKGROUND DATA: A LARGE MULTICENTRE RCT USING INTENTION-TO-TREAT (ITT) ANALYSIS FOUND THAT PARTICIPANTS WITH CHRONIC LOW BACK PAIN WHO WERE OFFERED A 12-WEEK PROGRESSIVE PROGRAMME OF YOGA PLUS USUAL GP CARE HAD BETTER BACK FUNCTION THAN THOSE OFFERED USUAL GP CARE ALONE. HOWEVER, ITT ANALYSIS CAN UNDERESTIMATE THE EFFECT OF TREATMENT IN THOSE WHO COMPLY WITH TREATMENT. AS SUCH, THE DATA WERE ANALYSED USING OTHER APPROACHES TO ASSESS THE PROBLEM OF NON-COMPLIANCE. THE MAIN OUTCOME MEASURE WAS THE SELF-REPORTED ROLAND MORRIS DISABILITY QUESTIONNAIRE (RMDQ). METHODS: COMPLIER AVERAGE CAUSAL EFFECT (CACE) ANALYSIS, PER-PROTOCOL ANALYSIS AND ON-TREATMENT ANALYSIS WERE CONDUCTED ON THE DATA OF PARTICIPANTS WHO WERE FULLY COMPLIANT, PREDEFINED AS ATTENDANCE OF AT LEAST THREE OF THE FIRST SIX SESSIONS AND AT LEAST THREE OTHER SESSIONS. THE ANALYSIS WAS REPEATED FOR PARTICIPANTS WHO HAD ATTENDED AT LEAST ONE YOGA SESSION (I.E. ANY COMPLIANCE), WHICH INCLUDED PARTICIPANTS WHO WERE FULLY COMPLIANT. EACH APPROACH WAS DESCRIBED, INCLUDING STRENGTHS AND WEAKNESSES, AND THE RESULTS OF THE DIFFERENT APPROACHES WERE COMPARED WITH THOSE OF THE ITT ANALYSIS. RESULTS: FOR THE PARTICIPANTS WHO WERE FULLY COMPLIANT (N=93, 60%), A LARGER BENEFICIAL TREATMENT EFFECT WAS SEEN USING CACE ANALYSIS COMPARED WITH PER-PROTOCOL, ON-TREATMENT AND ITT ANALYSES AT 3 AND 12 MONTHS. THE DIFFERENCE IN MEAN CHANGE IN RMDQ SCORE BETWEEN RANDOMISED GROUPS WAS -3.30 [95% CONFIDENCE INTERVAL (CI) -4.90 TO -1.70, P<0.001] AT 3 MONTHS AND -2.23 (95% CI -3.93 TO -0.53, P=0.010) AT 12 MONTHS FOR CACE ANALYSIS, -3.12 (95% CI -4.26 TO -1.98, P<0.001) AT 3 MONTHS AND -2.11 (95% CI -3.33 TO -0.89, P=0.001) AT 12 MONTHS FOR PER-PROTOCOL ANALYSIS, AND -2.91 (95% CI -4.06 TO -1.76, P<0.001) AT 3 MONTHS AND -2.10 (95% CI -3.31 TO -0.89, P=0.001) AT 12 MONTHS FOR ON-TREATMENT ANALYSIS. FOR THE PARTICIPANTS WHO DEMONSTRATED ANY COMPLIANCE (N=133, 85%), THE RESULTS WERE GENERALLY CONSISTENT WITH THE FULLY COMPLIANT GROUP AT 3 MONTHS, BUT THE TREATMENT EFFECT WAS SMALLER. THE DIFFERENCE IN MEAN CHANGE IN RMDQ SCORE BETWEEN RANDOMISED GROUPS WAS -2.45 (95% CI -3.67 TO -1.24) FOR CACE ANALYSIS, -2.30 (95% CI -3.43 TO 1.17) FOR PER-PROTOCOL ANALYSIS AND -2.15 (95% CI -3.25 TO -1.06) FOR ON-TREATMENT ANALYSIS, WHICH WAS SLIGHTLY LESS THAN THAT FOR ITT ANALYSIS. IN CONTRAST, AT 12 MONTHS, PER-PROTOCOL AND ON-TREATMENT ANALYSES SHOWED A LARGER TREATMENT EFFECT COMPARED WITH CACE AND ITT ANALYSES: PER PROTOCOL ANALYSIS -1.86 (95% CI -3.02 TO -0.71), ON-TREATMENT ANALYSIS -1.99 (95% CI -3.13 TO -0.86) AND CACE ANALYSIS -1.67 (95% CI -2.95 TO -0.40). CONCLUSION: ITT ANALYSIS ESTIMATED A SLIGHTLY SMALLER TREATMENT EFFECT IN PARTICIPANTS WHO COMPLIED WITH TREATMENT. WHEN EXAMINING COMPLIANCE, CACE ANALYSIS IS MORE RIGOROUS THAN PER-PROTOCOL AND ON-TREATMENT ANALYSES. USING CACE ANALYSIS, THE TREATMENT EFFECT WAS LARGER IN PARTICIPANTS WHO COMPLIED WITH TREATMENT COMPARED WITH PARTICIPANTS WHO WERE ALLOCATED TO TREATMENT, AND THE DIFFERENCE BETWEEN ITT AND CACE ANALYSES FOR THE FULLY COMPLIANT GROUP AT 3 MONTHS WAS SMALL BUT CLINICALLY IMPORTANT. PER-PROTOCOL AND ON-TREATMENT ANALYSES MAY PRODUCE UNRELIABLE ESTIMATES WHEN THE EFFECT OF TREATMENT IS SMALL. INTERNATIONAL STANDARD RANDOMISED TRIAL NUMBER REGISTER: ISRCTN 81079604. 2014 12 2371 32 WHAT HAS NEUROIMAGING TAUGHT US ON THE NEUROBIOLOGY OF YOGA? A REVIEW. YOGA IS BECOMING INCREASINGLY POPULAR WORLDWIDE, WITH SEVERAL IMPLICATED PHYSICAL AND MENTAL BENEFITS. HERE WE PROVIDE A COMPREHENSIVE AND CRITICAL REVIEW OF THE RESEARCH GENERATED FROM THE EXISTING NEUROIMAGING LITERATURE IN STUDIES OF YOGA PRACTITIONERS. WE REVIEWED 34 INTERNATIONAL PEER-REVIEWED NEUROIMAGING STUDIES OF YOGA USING MAGNETIC RESONANCE IMAGING (MRI), POSITRON EMISSION TOMOGRAPHY (PET), OR SINGLE-PHOTON EMISSION COMPUTED TOMOGRAPHY (SPECT): 11 MORPHOLOGICAL AND 26 FUNCTIONAL STUDIES, INCLUDING THREE STUDIES THAT WERE CLASSIFIED AS BOTH MORPHOLOGICAL AND FUNCTIONAL. CONSISTENT FINDINGS INCLUDE INCREASED GRAY MATTER VOLUME IN THE INSULA AND HIPPOCAMPUS, INCREASED ACTIVATION OF PREFRONTAL CORTICAL REGIONS, AND FUNCTIONAL CONNECTIVITY CHANGES MAINLY WITHIN THE DEFAULT MODE NETWORK. THERE IS QUITE SOME VARIABILITY IN THE NEUROIMAGING FINDINGS THAT PARTIALLY REFLECTS DIFFERENT YOGA STYLES AND APPROACHES, AS WELL AS SAMPLE SIZE LIMITATIONS. DIRECT COMPARATOR GROUPS SUCH AS PHYSICAL ACTIVITY ARE SCARCELY USED SO FAR. FINALLY, HYPOTHESES ON THE UNDERLYING NEUROBIOLOGY DERIVED FROM THE IMAGING FINDINGS ARE DISCUSSED IN THE LIGHT OF THE POTENTIAL BENEFICIAL EFFECTS OF YOGA. 2020 13 1641 23 MONITORING THE NEURAL ACTIVITY OF THE STATE OF MENTAL SILENCE WHILE PRACTICING SAHAJA YOGA MEDITATION. OBJECTIVE: TO IDENTIFY THE NEURAL CORRELATES OF THE STATE OF MENTAL SILENCE AS EXPERIENCED THROUGH SAHAJA YOGA MEDITATION. DESIGN: NINETEEN EXPERIENCED MEDITATORS UNDERWENT FUNCTIONAL MAGNETIC RESONANCE IMAGING DURING THREE SHORT CONSECUTIVE MEDITATION PERIODS, CONTRASTED WITH A CONTROL RELAXATION CONDITION. RESULTS: RELATIVE TO BASELINE, AT THE BEGINNING OF THE MEDITATION SESSIONS THERE WAS A SIGNIFICANT INCREASE OF ACTIVATION IN BILATERAL INFERIOR FRONTAL AND TEMPORAL REGIONS. ACTIVATION BECAME PROGRESSIVELY MORE REDUCED WITH DEEPER MEDITATION STAGES AND IN THE LAST MEDITATION SESSION IT BECAME LOCALIZED TO THE RIGHT INFERIOR FRONTAL CORTEX/ RIGHT INSULA AND RIGHT MIDDLE/SUPERIOR TEMPORAL CORTEX. FURTHERMORE, RIGHT INFERIOR FRONTAL ACTIVATION WAS DIRECTLY ASSOCIATED WITH THE SUBJECTIVE DEPTH OF THE MENTAL SILENCE EXPERIENCE. CONCLUSIONS: MEDITATORS APPEAR TO PASS THROUGH AN INITIAL INTENSE NEURAL SELF-CONTROL PROCESS NECESSARY TO SILENCE THEIR MIND. AFTER THIS THEY EXPERIENCE RELATIVELY REDUCED BRAIN ACTIVATION CONCOMITANT WITH THE DEEPENING OF THE STATE OF MENTAL SILENCE OVER RIGHT INFERIOR FRONTAL CORTEX, PROBABLY REFLECTING AN EFFORTLESS PROCESS OF ATTENTIONAL CONTEMPLATION ASSOCIATED WITH THIS STATE. 2015 14 1492 23 INTERNALIZED WEIGHT STIGMA AND INTUITIVE EATING AMONG STRESSED ADULTS DURING A MINDFUL YOGA INTERVENTION: ASSOCIATIONS WITH CHANGES IN MINDFULNESS AND SELF-COMPASSION. PURPOSE: INTERNALIZED WEIGHT STIGMA (IWS) IS COMMON IN THE UNITED STATES OF AMERICA ACROSS BODY WEIGHT CATEGORIES, AND IS IMPLICATED IN THE DEVELOPMENT OF DISTRESS AND UNHEALTHY EATING BEHAVIORS (E.G. OVEREATING, DISORDERED EATING) THAT CAN FOSTER POOR CARDIOMETABOLIC HEALTH. WHILE EMERGING INTERVENTION RESEARCH SHOWS EARLY PROMISE IN REDUCING IWS, LONG-TERM EFFICACY IS UNCLEAR AND NOVEL STRATEGIES REMAIN NEEDED. THIS ANALYSIS EXAMINED WHETHER PARTICIPATION IN A MINDFUL YOGA INTERVENTION WAS ASSOCIATED WITH REDUCED IWS AND INCREASED INTUITIVE EATING, AN ADAPTIVE EATING BEHAVIOR, AND WHETHER THESE CHANGES CORRELATED WITH EACH OTHER OR WITH CHANGES IN MINDFULNESS AND SELF-COMPASSION. METHODS: PARTICIPANTS WERE STRESSED ADULTS WITH LOW FRUIT AND VEGETABLE INTAKE (N = 78, 64.1% WHITE, M. BODY MASS INDEX 25.59 +/- 4.45) ENROLLED IN A PARENT CLINICAL TRIAL OF A 12-WEEK MINDFUL YOGA INTERVENTION. VALIDATED SELF-REPORT MEASURES OF IWS, INTUITIVE EATING, MINDFULNESS, AND SELF-COMPASSION WERE ADMINISTERED AT PRE-TREATMENT, MID-TREATMENT (8 WEEKS), POST-TREATMENT (12 WEEKS), AND 4-MONTH FOLLOW-UP (24 WEEKS). RESULTS: LINEAR MIXED MODELING REVEALED SIGNIFICANT IMPROVEMENTS IN IWS AND INTUITIVE EATING ACROSS THE FOUR TIMEPOINTS (P < .001). REDUCED IWS CORRELATED WITH INCREASED INTUITIVE EATING PRE- TO POST-TREATMENT (P = .01). IMPROVED SELF-COMPASSION AND MINDFULNESS CORRELATED WITH INTUITIVE EATING (BOTH P = . 04), BUT NOT IWS (P = .74 AND P = .56, RESPECTIVELY). CONCLUSION: THIS STUDY OFFERS PRELIMINARY SUPPORT FOR THE HYPOTHESIS THAT MINDFUL YOGA MAY PROMOTE INTUITIVE EATING AND REDUCE IWS AMONG STRESSED ADULTS WITH POOR DIET, AND SUGGESTS THAT CHANGES IN THESE FACTORS MAY CO-OCCUR OVER TIME. FURTHER INVESTIGATION WITH CONTROLLED DESIGNS IS NECESSARY TO BETTER UNDERSTAND THE TEMPORALITY AND CAUSALITY OF THESE RELATIONSHIPS.TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT02098018. 2021 15 1596 25 MEDITATION HAS STRONGER RELATIONSHIPS WITH MINDFULNESS, KUNDALINI, AND MYSTICAL EXPERIENCES THAN YOGA OR PRAYER. CONTEMPLATIVE PRACTICES CAN HAVE PROFOUND EFFECTS ON MINDFULNESS AND ON PHYSICAL AND SENSORY AND MYSTICAL EXPERIENCES. INDIVIDUALS WHO SELF-REPORTED MEDITATION, YOGA, CONTEMPLATIVE PRAYER, OR A COMBINATION OF PRACTICES AND THEIR PATTERNS OF PRACTICE WERE COMPARED FOR MINDFULNESS, KUNDALINI EFFECTS, AND MYSTICAL EXPERIENCES. THE RESULTS SUGGEST THAT THE AMOUNT OF PRACTICE BUT NOT THE PATTERN AND SOCIAL CONDITIONS OF PRACTICE INFLUENCES MINDFULNESS AND POSSIBLY MYSTICAL EXPERIENCES. MEDITATION, YOGA, CONTEMPLATIVE PRAYER, OR A COMBINATION OF PRACTICES ALL WERE FOUND TO BE ASSOCIATED WITH ENHANCEMENTS OF MINDFULNESS, KUNDALINI EFFECTS, AND MYSTICAL EXPERIENCES, BUT MEDITATION HAD PARTICULARLY STRONG ASSOCIATIONS AND MAY BE THE BASIS OF THE ASSOCIATIONS OF YOGA AND PRAYER WITH THESE OUTCOMES. THE RESULTS FURTHER SUGGEST THAT THE PRIMARY ASSOCIATION OF CONTEMPLATIVE PRACTICES IS WITH THE REAL TIME AWARENESS AND APPRECIATION OF SENSORY AND PERCEPTUAL EXPERIENCES WHICH MAY BE THE INTERMEDIARY BETWEEN DISPARATE PRACTICES AND MINDFULNESS, KUNDALINI EFFECTS, AND MYSTICAL EXPERIENCES. 2015 16 1286 43 GRAY MATTER AND FUNCTIONAL CONNECTIVITY IN ANTERIOR CINGULATE CORTEX ARE ASSOCIATED WITH THE STATE OF MENTAL SILENCE DURING SAHAJA YOGA MEDITATION. SOME MEDITATION TECHNIQUES TEACH THE PRACTITIONER TO ACHIEVE THE STATE OF MENTAL SILENCE. THE AIM OF THIS STUDY WAS TO INVESTIGATE BRAIN REGIONS THAT ARE ASSOCIATED WITH THEIR VOLUME AND FUNCTIONAL CONNECTIVITY (FC) WITH THE DEPTH OF MENTAL SILENCE IN LONG-TERM PRACTITIONERS OF SAHAJA YOGA MEDITATION. TWENTY-THREE LONG-TERM PRACTITIONERS OF THIS MEDITATION WERE SCANNED USING MAGNETIC RESONANCE IMAGING. IN ORDER TO IDENTIFY THE NEURAL CORRELATES OF THE DEPTH OF MENTAL SILENCE, WE TESTED WHICH GRAY MATTER VOLUMES (GMV) WERE CORRELATED WITH THE DEPTH OF MENTAL SILENCE AND WHICH REGIONS THESE AREAS WERE FUNCTIONALLY CONNECTED TO UNDER A MEDITATION CONDITION. GMV IN MEDIAL PREFRONTAL CORTEX INCLUDING ROSTRAL ANTERIOR CINGULATE CORTEX WERE POSITIVELY CORRELATED WITH THE SUBJECTIVE PERCEPTION OF THE DEPTH OF MENTAL SILENCE INSIDE THE SCANNER. FURTHERMORE, THERE WAS SIGNIFICANTLY INCREASED FC BETWEEN THIS AREA AND BILATERAL ANTERIOR INSULA/PUTAMEN DURING A MEDITATION-STATE SPECIFICALLY, WHILE DECREASED CONNECTIVITY WITH THE RIGHT THALAMUS/PARAHIPPOCAMPAL GYRUS WAS PRESENT DURING THE MEDITATION-STATE AND THE RESTING-STATE. THE CAPACITY OF LONG-TERM MEDITATORS TO ESTABLISH A DURABLE STATE OF MENTAL SILENCE INSIDE AN MRI SCANNER WAS ASSOCIATED WITH LARGER GRAY MATTER VOLUME IN A MEDIAL FRONTAL REGION THAT IS CRUCIAL FOR TOP-DOWN COGNITIVE, EMOTION AND ATTENTION CONTROL. THIS IS FURTHERMORE CORROBORATED BY INCREASED FC OF THIS REGION DURING THE MEDITATION-STATE WITH BILATERAL ANTERIOR INSULA/PUTAMEN, WHICH ARE IMPORTANT FOR INTEROCEPTION, EMOTION, AND ATTENTION REGULATION. THE FINDINGS HENCE SUGGEST THAT THE DEPTH OF MENTAL SILENCE IS ASSOCIATED WITH MEDIAL FRONTO-INSULAR-STRIATAL NETWORKS THAT ARE CRUCIAL FOR TOP-DOWN ATTENTION AND EMOTIONAL CONTROL. 2018 17 1266 31 FLUID INTELLIGENCE AND BRAIN FUNCTIONAL ORGANIZATION IN AGING YOGA AND MEDITATION PRACTITIONERS. NUMEROUS STUDIES HAVE DOCUMENTED THE NORMAL AGE-RELATED DECLINE OF NEURAL STRUCTURE, FUNCTION, AND COGNITIVE PERFORMANCE. PRELIMINARY EVIDENCE SUGGESTS THAT MEDITATION MAY REDUCE DECLINE IN SPECIFIC COGNITIVE DOMAINS AND IN BRAIN STRUCTURE. HERE WE EXTENDED THIS RESEARCH BY INVESTIGATING THE RELATION BETWEEN AGE AND FLUID INTELLIGENCE AND RESTING STATE BRAIN FUNCTIONAL NETWORK ARCHITECTURE USING GRAPH THEORY, IN MIDDLE-AGED YOGA AND MEDITATION PRACTITIONERS, AND MATCHED CONTROLS. FLUID INTELLIGENCE DECLINED SLOWER IN YOGA PRACTITIONERS AND MEDITATORS COMBINED THAN IN CONTROLS. RESTING STATE FUNCTIONAL NETWORKS OF YOGA PRACTITIONERS AND MEDITATORS COMBINED WERE MORE INTEGRATED AND MORE RESILIENT TO DAMAGE THAN THOSE OF CONTROLS. FURTHERMORE, MINDFULNESS WAS POSITIVELY CORRELATED WITH FLUID INTELLIGENCE, RESILIENCE, AND GLOBAL NETWORK EFFICIENCY. THESE FINDINGS REVEAL THE POSSIBILITY TO INCREASE RESILIENCE AND TO SLOW THE DECLINE OF FLUID INTELLIGENCE AND BRAIN FUNCTIONAL ARCHITECTURE AND SUGGEST THAT MINDFULNESS PLAYS A MECHANISTIC ROLE IN THIS PRESERVATION. 2014 18 1025 27 EFFECTS OF YOGA ASANA PRACTICE APPROACH ON TYPES OF BENEFITS EXPERIENCED. CONTEXT: MODERN SCIENCE AND THE CLASSIC TEXT ON HATHA YOGA, HATHA YOGA PRADIPIKA, REPORT PHYSICAL, MENTAL, EMOTIONAL, SPIRITUAL, AND RELATIONAL BENEFITS OF YOGA PRACTICE. WHILE ALL HAVE SPECIFIC SUGGESTIONS FOR HOW TO PRACTICE, LITTLE RESEARCH HAS BEEN DONE TO ASCERTAIN WHETHER SPECIFIC PRACTICE APPROACHES IMPACT THE BENEFITS EXPERIENCED BY PRACTITIONERS. AIMS: OUR AIM WAS TO RELATE THE EXPERIENCE LEVEL OF THE PRACTITIONER, THE CONTEXT OF PRACTICE APPROACHES (TIME OF DAY, DURATION OF PRACTICE, FREQUENCY OF PRACTICE, ETC.), AND EXPERIENCE LEVEL OF THE TEACHER, TO THE LIKELIHOOD OF REPORTING PARTICULAR BENEFITS OF YOGA. METHODS: WE CONDUCTED A CROSS-SECTIONAL DESCRIPTIVE SURVEY OF YOGA PRACTITIONERS ACROSS LEVELS AND STYLES OF PRACTICE. DATA WERE COMPILED FROM A LARGE VOLUNTARY CONVENIENCE SAMPLE (N = 2620) REGARDING RESPONDENTS' METHODS OF PRACTICE, YOGA EXPERIENCE LEVELS, AND BENEFITS EXPERIENCED. MULTIPLE LOGISTIC REGRESSION WAS USED TO IDENTIFY APPROACHES TO YOGA PRACTICE THAT POSITIVELY PREDICTED PARTICULAR BENEFITS. RESULTS: FREQUENCY OF PRACTICE, EITHER WITH OR WITHOUT A TEACHER, WAS A POSITIVE PREDICTOR OF REPORTING NEARLY ALL BENEFITS OF YOGA, WITH AN INCREASED LIKELIHOOD OF EXPERIENCING MOST BENEFITS WHEN THE PRACTITIONER DID YOGA FIVE OR MORE DAYS PER WEEK. OTHER ASPECTS OF PRACTICE APPROACH, EXPERIENCE LEVEL OF THE PRACTITIONER, AND THE EXPERIENCE LEVEL OF THE TEACHER, HAD LESS EFFECT ON THE BENEFITS REPORTED. CONCLUSIONS: PRACTICE FREQUENCY OF AT LEAST 5 DAYS PER WEEK WILL PROVIDE PRACTITIONERS WITH THE GREATEST AMOUNT OF BENEFIT ACROSS ALL CATEGORIES OF BENEFITS. OTHER PRACTICE APPROACHES CAN VARY MORE WIDELY WITHOUT HAVING A MARKED IMPACT ON MOST BENEFITS EXPERIENCED. 2019 19 2370 25 WHAT BRINGS YOUNG ADULTS TO THE YOGA MAT? CROSS-SECTIONAL ASSOCIATIONS BETWEEN MOTIVATIONAL PROFILES AND PHYSICAL AND PSYCHOLOGICAL HEALTH AMONG PARTICIPANTS IN THE PROJECT EAT-IV SURVEY. OBJECTIVES: THIS STUDY EXAMINES MOTIVATIONS FOR YOGA AND IDENTIFIES UNIQUE MOTIVATIONAL PROFILES AMONG A SAMPLE OF YOUNG ADULT YOGA PRACTITIONERS. THIS STUDY FURTHER DETERMINES HOW YOUNG ADULT YOGA PRACTITIONERS' MOTIVATIONAL PROFILES ASSOCIATE WITH PHYSICAL HEALTH BEHAVIORS AND PSYCHOLOGICAL FACTORS. SUBJECTS/SETTING: SURVEY DATA WERE DRAWN FROM THE FOURTH WAVE OF A LARGE, POPULATION-BASED STUDY (PROJECT EAT-IV; EATING AND ACTIVITY IN TEENS AND YOUNG ADULTS). DESIGN: LATENT CLASS ANALYSIS (LCA) WAS USED TO IDENTIFY MOTIVATIONAL PROFILES AMONG PROJECT EAT-IV PARTICIPANTS PRACTICING YOGA (N = 297; MEAN AGE: 30.8-1.7 YEARS; 79.7 % FEMALE). CROSS-SECTIONAL ASSOCIATIONS BETWEEN LATENT MOTIVATIONAL PROFILES, PHYSICAL HEALTH BEHAVIORS, AND PSYCHOLOGICAL FACTORS WERE DETERMINED WITH UNADJUSTED AND ADJUSTED (GENDER, RACE/ETHNICITY, AND BODY MASS INDEX) GENERAL LINEAR MODELS. RESULTS: ACROSS MOTIVATIONAL PROFILES, MOST YOUNG ADULT YOGA PRACTITIONERS WERE MOTIVATED BY ENHANCED FITNESS AND STRESS REDUCTION/RELAXATION. ADDITIONAL MOTIVATIONS FOR YOGA CLUSTERED BY APPEARANCE (DESIRE TO CHANGE BODY APPEARANCE OR WEIGHT) OR MINDFULNESS (DESIRE TO INCREASE PRESENT MOMENT AWARENESS) UNDERPINNINGS. THE LCA CHARACTERIZED MOTIVATIONAL PROFILES AS "LOW APPEARANCE, LOW MINDFULNESS" (CLASS 1; N = 77), "LOW APPEARANCE, HIGH MINDFULNESS" (CLASS 2; N = 48), "HIGH APPEARANCE, LOW MINDFULNESS" (CLASS 3; N = 79), AND "HIGH APPEARANCE, HIGH MINDFULNESS" (CLASS 4; N = 93). HAVING A PROFILE WITH HIGH MINDFULNESS AND LOW APPEARANCE MOTIVATIONS (CLASS 2) WAS ASSOCIATED WITH HIGHER BODY SATISFACTION IN COMPARISON TO THE OTHER CLASSES (P < 0.001). RELATIVE TO CLASS 2, THOSE WITH LOW MINDFULNESS MOTIVATIONS (CLASS 1; CLASS 3) REPORTED LESS TOTAL PHYSICAL ACTIVITY (P = 0.002) AND THOSE WITH HIGH APPEARANCE MOTIVATIONS (CLASS 3; CLASS 4) REPORTED HIGHER COMPULSIVE EXERCISE SCORES (P = 0.002). CONCLUSIONS: IN THIS SAMPLE, HIGH MINDFULNESS AND LOW APPEARANCE MOTIVATIONS FOR YOGA APPEARED OPTIMAL FOR PHYSICAL AND PSYCHOLOGICAL HEALTH. CROSS-SECTIONAL FINDINGS SUGGEST THAT YOUNG ADULT YOGA PRACTITIONERS' MIND-BODY HEALTH MAY BE SUPPORTED BY MOTIVATIONAL UNDERPINNINGS THAT EMPHASIZE YOGA'S INTERNAL (MINDFULNESS) RATHER THAN EXTERNAL (APPEARANCE) BENEFITS. 2022 20 1418 23 IMPORTANT FACTORS AFFECTING USER EXPERIENCE DESIGN AND SATISFACTION OF A MOBILE HEALTH APP-A CASE STUDY OF DAILY YOGA APP. IN RECENT YEARS, MOBILE HEALTH (MHEALTH) HAS GAINED POPULARITY. YOGA APPS HELP USERS TO EXERCISE AT HOME AND IMPROVE THEIR HEALTH. IT IS WORTH DISCUSSING HOW TO GIVE YOGIS A BETTER EXPERIENCE AND HIGHER SATISFACTION TO IMPROVE THEIR WILLINGNESS TO KEEP USING YOGA APPS. IN THIS STUDY, THE DAILY YOGA APP WAS SELECTED AS THE RESEARCH OBJECT TO EXPLORE IMPORTANT FACTORS RELATED TO ITS USER EXPERIENCE DESIGN AND USER SATISFACTION. THROUGH A LITERATURE REVIEW AND DELPHI METHOD COMPOSED OF EIGHT EXPERTS, THIS STUDY PUT FORWARD THE IMPORTANT CRITERIA FRAMEWORK OF USER EXPERIENCE DESIGN FOR THE DAILY YOGA APP AND THEN, USED THE DEMATEL (DECISION MAKING AND TRIAL EVALUATION LABORATORY)-BASED ANP (ANALYTIC NETWORK PROCESS) METHOD TO DETERMINE THE FACTORS' IMPORTANCE ORDER AND THE CAUSAL RELATIONSHIPS AMONG THEM. FINALLY, COMBINED WITH THE RESULTS OF AN IMPORTANCE-PERFORMANCE ANALYSIS OF 16 REAL USERS, WE DISCUSS THE IMPROVEMENT MEASURES. THE RESEARCH RESULTS SHOW THAT THE YOGA CLASS IS THE MOST CRITICAL FACTOR IN THE USER EXPERIENCE DESIGN OF THE DAILY YOGA APP, THE TARGET PLAN IS A FACTOR THAT IS IN GREAT NEED OF IMPROVEMENT, AND HAVING AN ATTRACTIVE INTERFACE CAN IMPROVE USER EXPERIENCE. THE EVALUATION MODEL OF THE STUDY CAN ACT AS A REFERENCE FOR IMPROVING USER EXPERIENCE WITH THE DAILY YOGA APP, AND CAN ALSO BE WIDELY USED IN THE PROCESS OF USER EXPERIENCE DESIGN, QUESTIONNAIRE PRODUCTION, AND EVALUATION OPTIMIZATION OF MHEALTH APP AND RELATED APPLICATIONS. 2020