1 1981 142 SLEEP QUALITY AND BODY COMPOSITION VARIATIONS IN OBESE MALE ADULTS AFTER 14 WEEKS OF YOGA INTERVENTION: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: OBESITY IS A BIG CHALLENGE ALL OVER THE WORLD. IT IS ASSOCIATED WITH MANY NONCOMMUNICABLE DISEASES. YOGA KNOWN TO BE ADD-ON TREATMENT MAY BE EFFECTIVE FOR OBESITY CONTROL. AIM: TO ASSESS THE EFFECT OF INTEGRATED APPROACH OF YOGA THERAPY (IAYT) FOR BODY COMPOSITION AND QUALITY OF SLEEP IN ADULT OBESE MALE. SUBJECTS AND METHODS: A RANDOMIZED CONTROLLED TRIAL WAS CONDUCTED FOR 14 WEEKS ON OBESE MALE OF URBAN SETTING. EIGHTY INDIVIDUALS WERE RANDOMLY DIVIDED INTO TWO GROUPS, I.E., YOGA GROUP (N = 40; AGE; 40.03 +/- 8.74 YEARS, BODY MASS INDEX [BMI] 28.7 +/- 2.35 KG/M(2)) AND CONTROL GROUP (AGE; 42.20 +/- 12.06 YEARS, BMI 27.70 +/- 2.05 KG/M(2)). THE IAYT WAS IMPARTED TO YOGA GROUP FOR 1(1/2) HOUR FOR 5 DAYS IN A WEEK FOR 14 WEEKS. THE CONTROL GROUP CONTINUED THEIR REGULAR ACTIVITIES. THE BODY COMPOSITION BY INBODY R20 AND SLEEP QUALITY BY PITTSBURGH SLEEP QUALITY INDEX (PSQI) WERE ASSESSED. STATISTICAL ANALYSIS WAS DONE FOR WITHIN AND BETWEEN GROUPS USING SPSS VERSION 21. THE CORRELATION ANALYSIS WAS DONE ON THE DIFFERENCE IN PRE-POST VALUES. RESULTS: THE RESULTS SHOWED THAT WEIGHT (P = 0.004), BMI (P = 0.008), BONE MASS (P = 0.017), OBESITY DEGREE (P = 0.005), AND MINERAL MASS (P = 0.046) WERE IMPROVED IN YOGA GROUP AND NO CHANGE IN CONTROL GROUP (P > 0.05). THE GLOBAL SCORE OF PSQI IMPROVED (P = 0.017) IN YOGA GROUP ALONE. CONCLUSION: THE RESULTS INDICATE THE BENEFICIAL EFFECTS OF IAYT ON BODY COMPOSITION AND SLEEP QUALITY IN OBESE MALES. THE YOGA PRACTICE MAY REDUCE OBESITY WITH THE IMPROVEMENT IN QUALITY OF LIFE. 2017 2 2756 84 YOGA PRACTICE TO IMPROVE SLEEP QUALITY AND BODY COMPOSITION PARAMETERS OF OBESE MALE - A RANDOMIZED CONTROLLED TRIAL. BACKGROUND GLOBALLY OBESITY INCREASE IS A BIG CHALLENGE. OBESITY CAUSES MANY NON-COMMUNICABLE DISEASES. OPTIONS TO CONTROL OBESITY ARE IN SEARCH. AIM: TO ASSESS THE OUTCOME OF 3 MONTHS FOLLOW-UP PERIOD, AFTER 14 WEEKS YOGA INTERVENTION, FOR BODY COMPOSITION AND SLEEP QUALITY PARAMETERS ON OBESE MALE IN URBAN SETTING. MATERIALS AND METHODS DESIGN: PARALLEL GROUP RCT (RANDOMIZED CONTROLLED TRIAL) ON OBESE MALE. THE TWO GROUPS WERE YOGA AND CONTROL GROUPS, WITH YOGA (N = 37, AGE 40.03 +/- 8.74), CONTROL (N = 35, AGE 42.20 +/- 12.06). THE IAYT (INTEGRATED APPROACH OF YOGA THERAPY) TRAINING WAS GIVEN TO YOGA GROUP FOR 14 WEEKS, AND THE UNSUPERVISED YOGA PRACTICE WAS CONTINUED BY THE SUBJECTS AT THEIR HOME, FOR FURTHER 3 MONTHS. TRAINING WAS 1.5 HOUR DAILY FOR 5 DAYS IN A WEEK, WHICH INCLUDED THE IAYT MODULE OF SURYANAMASKARA ASANA PRANAYAMA AND RELAXATION. NO YOGA ACTIVITY BUT WALKING ETC. FOR THE SAME TIME, WAS GIVEN TO CONTROL GROUP. BODY COMPOSITION PARAMETERS WERE ASSESSED THROUGH BIA (BIOELECTRICAL IMPEDANCE) METHOD USING INBODY R 20 MODEL. THE SLEEP QUALITY WAS ASSESSED USING PSQI (PITTSBURGH SLEEP QUALITY INDEX). WITHIN GROUP AND BETWEEN GROUP ANALYSIS WERE PERFORMED, USING SPSS VERSION 21. THE CORRELATION ANALYSIS WAS CARRIED OUT ON THE DIFFERENCE IN PRE FOLLOW-UP VALUES. RESULTS DURING THE FOLLOW-UP PERIOD WITHIN THE GROUP, THE BODY COMPOSITION PARAMETERS IMPROVED AND THE PARAMETERS OF QUALITY OF SLEEP SHOWED TRENDS OF IMPROVEMENT. ALSO SOME OF THE GAIN OBTAINED DURING 14 WEEKS INTERVENTION WAS LOST DURING FOLLOW-UP PERIOD. CONCLUSIONS THE CHANGES OBSERVED MAY INDICATE THE LONG-TERM BENEFITS OF YOGA PRACTICE FOR CONTROL OF OBESITY IN URBAN SETTING FOR MALES. 2018 3 2750 40 YOGA PRACTICE INCREASES MINIMUM MUSCULAR FITNESS IN CHILDREN WITH VISUAL IMPAIRMENT. INTRODUCTION: MUSCLE STRENGTH, A COMPONENT FOR BALANCE, GAIT AND FUNCTIONAL MOBILITY IS VITAL FOR CHILDREN WITH VISUAL IMPAIRMENT. YOGA HAS FREQUENTLY BEEN DEMONSTRATED TO IMPROVE PHYSICAL AND MENTAL FITNESS IN CHILDREN. THIS STUDY AIMED TO ASSESS THE EFFECT OF 16 WEEKS YOGA TRAINING ON MUSCULAR FI TNESS IN CHILDREN WITH VISUAL IMPAIRMENT. METHODS: THIS WAS A WAIT-LISTED TWO-ARMED-MATCHED CASE-CONTROL STUDY. EIGHTY (41 YOGA, 39 CONTROL) VISUAL IMPAIRMENT STUDENTS OF BOTH GENDERS AGED 9-16 YEARS MATCHED ON AGE, GENDER AND DEGREE OF BLINDNESS WERE ASSESSED AT PRE, MID (AFTER 8 WEEKS) AND POST (AFTER 16 WEEKS) YOGA INTERVENTION USING THE KRAUS-WEBER TEST. RESULTS: THE PERCENTAGE OF STUDENTS PASSED IN YOGA GROUP WERE 12.2%, 43.9% AND 68.3% WHEREAS PERCENTAGES IN THE CONTROL GROUP WERE 23.1%, 30.8% AND 30.8% IN PRE, MID, AND POST TESTS RESPECTIVELY. MCNEMAR TEST SHOWED SIGNIFICANT DIFFERENCES BETWEEN PRE AND MID, MID AND POST IN THE YOGA GROUP WHILE THOSE PARAMETERS WERE NOT SIGNIFICANTLY DIFFERENT IN THE CONTROL GROUP. YOGA THERAPY SEEMED TO HAVE CONSIDERABLE BENEFITS FOR THE CHILDREN'S MUSCULAR FI TNESS. CONCLUSION: THE STUDY SUGGESTS THAT YOGA HAVE CONSIDERABLE BENEFITS FOR IMPROVEMENT OF FITNESS LEVEL IN CHILDREN WITH VISUAL IMPAIRMENT AND MAY BE RECOMMENDED AS AND EFFECTIVE, ALTERNATIVE, INEXPENSIVE LOW RISK TRAINING ACTIVITY OPTION FOR THEM. 2015 4 2507 41 YOGA BASED CARDIAC REHABILITATION AFTER CORONARY ARTERY BYPASS SURGERY: ONE-YEAR RESULTS ON LVEF, LIPID PROFILE AND PSYCHOLOGICAL STATES--A RANDOMIZED CONTROLLED STUDY. OBJECTIVE: TO COMPARE THE LONG TERM EFFECTS OF YOGA BASED CARDIAC REHABILITATION PROGRAM WITH ONLY PHYSIOTHERAPY BASED PROGRAM AS AN ADD-ON TO CONVENTIONAL REHABILITATION AFTER CORONARY ARTERY BYPASS GRAFTING (CABG) ON RISK FACTORS. METHODS: IN THIS SINGLE BLIND PROSPECTIVE RANDOMIZED PARALLEL TWO ARMED ACTIVE CONTROL STUDY, 1026 PATIENTS POSTED FOR CABG AT NARAYANA HRUDAYALAYA INSTITUTE OF CARDIAC SCIENCES, BENGALURU (INDIA) WERE SCREENED. OF THESE, 250 MALE PARTICIPANTS (35-65 YEARS) WHO SATISFIED THE SELECTION CRITERIA AND CONSENTED WERE RANDOMIZED INTO TWO GROUPS. WITHIN AND BETWEEN GROUP COMPARISONS WERE DONE AT THREE POINTS OF FOLLOW UP (I.E. 6TH WEEK, 6TH MONTH, AND 12TH MONTH) BY USING WILCOXON'S SIGNED RANKS TEST AND MANN WHITNEY U TEST RESPECTIVELY. RESULTS: YOGA GROUP HAD SIGNIFICANTLY (P = 0.001, MANN WHITNEY) BETTER IMPROVEMENT IN LVEF THAN CONTROL GROUP IN THOSE WITH ABNORMAL BASELINE EF (<53%) AFTER 1 YEAR. THERE WAS A BETTER REDUCTION IN BMI IN THE YOGA GROUP (P = 0.038, BETWEEN GROUPS) IN THOSE WITH HIGH BASELINE BMI (>/=23) AFTER 12 MONTHS. YOGA GROUP SHOWED SIGNIFICANT (P = 0.008, WILCOXON'S) REDUCTION IN BLOOD GLUCOSE AT ONE YEAR IN THOSE WITH HIGH BASELINE FBS >/=110 MG/DL. THERE WAS SIGNIFICANTLY BETTER IMPROVEMENT IN YOGA THAN THE CONTROL GROUP IN HDL (P = 0.003), LDL (P = 0.01) AND VLDL (P = 0.03) IN THOSE WITH ABNORMAL BASELINE VALUES. THERE WAS SIGNIFICANTLY BETTER IMPROVEMENT (P = 0.02, BETWEEN GROUPS) IN POSITIVE AFFECT IN YOGA GROUP. WITHIN YOGA GROUP, THERE WAS SIGNIFICANT DECREASE IN PERCEIVED STRESS (P = 0.001), ANXIETY (P = 0.001), DEPRESSION (P = 0.001), AND NEGATIVE AFFECT (P = 0.03) WHILE IN THE CONTROL GROUP THERE WAS REDUCTION (P = 0.003) ONLY IN SCORES ON ANXIETY. CONCLUSION: ADDITION OF YOGA BASED RELAXATION TO CONVENTIONAL POST-CABG CARDIAC REHABILITATION HELPS IN BETTER MANAGEMENT OF RISK FACTORS IN THOSE WITH ABNORMAL BASELINE VALUES AND MAY HELP IN PREVENTING RECURRENCE. 2014 5 881 48 EFFECT OF YOGA TRAINING ON INFLAMMATORY CYTOKINES AND C-REACTIVE PROTEIN IN EMPLOYEES OF SMALL-SCALE INDUSTRIES. OBJECTIVE: THE PRESENT STUDY INTENDS TO SEE THE EFFECT OF YOGA PRACTICES ON LIPID PROFILE, INTERLEUKIN (IL)-6, TUMOR NECROSIS FACTOR (TNF)-ALPHA, AND HIGH-SENSITIVITY-C-REACTIVE PROTEIN (HS-CRP) AMONG APPARENTLY HEALTHY ADULTS EXPOSED TO OCCUPATIONAL HAZARDS. MATERIALS AND METHODS: IN THE PRESENT STUDY, 48 PARTICIPANTS AGED 30-58 YEARS (41.5 +/- 5.2) WHO WERE EXPOSED TO OCCUPATIONAL HAZARDS WERE RANDOMIZED INTO TWO GROUPS, THAT IS, EXPERIMENTAL AND WAIT-LIST CONTROL. ALL THE PARTICIPANTS WERE ASSESSED FOR LIPID PROFILE, IL-6, TNF-ALPHA, AND HS-CRP AT THE BASELINE AND AFTER COMPLETION OF 3 MONTHS OF YOGA TRAINING INTERVENTION. THE EXPERIMENTAL GROUP UNDERWENT YOGA TRAINING INTERVENTION FOR 1 H FOR 6 DAYS A WEEK FOR 3 MONTHS, WHEREAS CONTROL GROUP CONTINUED WITH THEIR DAILY ACTIVITIES EXCEPT YOGA TRAINING. DATA ANALYSIS WAS DONE USING STATISTICAL SOFTWARE SPSS VERSION 20.0. DATA WERE ANALYZED USING PAIRED T-TESTS AND INDEPENDENT T-TEST. RESULTS: THE RESULTS OF WITHIN GROUP COMPARISON REVEALED HIGHLY SIGNIFICANT CHANGES IN CHOLESTEROL (P < 0.001), HIGH-DENSITY LIPOPROTEIN (P < 0.001), LOW-DENSITY LIPOPROTEIN (LDL)(P < 0.01), HS-CRP (P < 0.01), IL-6 (P < 0.001), AND TNF-ALPHA (P < 0.001) IN EXPERIMENTAL GROUP. COMPARISON BETWEEN EXPERIMENTAL AND CONTROL GROUP REVEALED SIGNIFICANT CHANGES IN CHOLESTEROL (P < 0.01), LDL (P < 0.05), IL-6 (P < 0.01), TNF-ALPHA (P < 0.01), AND HS-CRP (P < 0.01). CONCLUSION: A YOGA-BASED LIFESTYLE INTERVENTION SEEMS TO BE A HIGHLY PROMISING ALTERNATIVE THERAPY WHICH FAVORABLY ALTERS INFLAMMATORY MARKERS AND METABOLIC RISK FACTORS. 2017 6 165 48 A RANDOMIZED CONTROL TRIAL OF THE EFFECT OF YOGA ON VERBAL AGGRESSIVENESS IN NORMAL HEALTHY VOLUNTEERS. OBJECTIVE: TO STUDY THE EFFECT OF YOGA ON VERBAL AGGRESSIVENESS IN NORMAL HEALTHY ADULTS. METHODS: OF THE 1228 PERSONS WHO ATTENDED INTRODUCTORY LECTURES, 226 SUBJECTS OF BOTH SEXES WHO SATISFIED THE INCLUSION AND EXCLUSION CRITERIA AND WHO CONSENTED TO PARTICIPATE IN THE STUDY WERE RANDOMLY ALLOCATED INTO TWO GROUPS. THESE 226 SUBJECTS WERE BETWEEN THE AGES OF 17 AND 62 YEARS AND 173/226 COMPLETED THE EIGHT WEEKS OF INTERVENTION. THE YOGA (Y) GROUP PRACTISED AN INTEGRATED YOGA MODULE THAT INCLUDED ASANAS, PRANAYAMA, MEDITATION, NOTIONAL CORRECTION, AND DEVOTIONAL SESSIONS. THE CONTROL GROUP PRACTISED MILD TO MODERATE PHYSICAL EXERCISES (PE). BOTH GROUPS HAD SUPERVISED PRACTICES (BY TRAINED EXPERTS) FOR ONE HOUR DAILY, SIX DAYS A WEEK FOR EIGHT WEEKS. VERBAL AGGRESSIVENESS WAS ASSESSED BEFORE AND AFTER EIGHT WEEKS USING THE SELF-ADMINISTERED VERBAL AGGRESSIVE SCALE. RESULTS: THE BASELINE SCORE OF THE TWO GROUPS DID NOT DIFFER SIGNIFICANTLY (P = 0.66). THERE WAS A SIGNIFICANT DECREASE IN VERBAL AGGRESSIVENESS IN THE YOGA GROUP (P = 0.01 PAIRED SAMPLES T-TEST) WITH A NONSIGNIFICANT INCREASE IN THE PE GROUP. ANCOVA USING PRE- VALUES AS COVARIATES SHOWED A SIGNIFICANT DIFFERENCE BETWEEN THE GROUPS (P = 0.013). RMANOVA FOR INTERACTION BETWEEN THE SEXES OR AGE GROUPS IN CHANGE SCORES WERE NOT SIGNIFICANT. CONCLUSIONS: THIS STUDY HAS DEMONSTRATED THAT AN EIGHT WEEK INTERVENTION OF AN INTEGRATED YOGA MODULE DECREASED VERBAL AGGRESSIVENESS IN THE YOGA GROUP (IN MALES AND THOSE BELOW 25 YEARS OF AGE), WITH A NONSIGNIFICANT INCREASE IN THE PE GROUP. 2008 7 884 37 EFFECT OF YOGA TRAINING ON ONE LEG STANDING AND FUNCTIONAL REACH TESTS IN OBESE INDIVIDUALS WITH POOR POSTURAL CONTROL. [PURPOSE] THE AIM OF THE PRESENT STUDY WAS TO INVESTIGATE THE EFFECT OF YOGA TRAINING ON STATIC AND DYNAMIC STANDING BALANCE IN OBESE INDIVIDUALS WITH POOR STANDING BALANCE. [SUBJECTS AND METHODS] SIXTEEN OBESE VOLUNTEERS WERE RANDOMLY ASSIGNED INTO YOGA AND CONTROL GROUPS. THE YOGA TRAINING PROGRAM WAS PERFORMED FOR 45 MINUTES PER DAY, 3 TIMES PER WEEK, FOR 4 WEEKS. STATIC AND DYNAMIC BALANCE WERE ASSESSED IN VOLUNTEERS WITH ONE LEG STANDING AND FUNCTIONAL REACH TESTS. OUTCOME MEASURES WERE TESTED BEFORE TRAINING AND AFTER A SINGLE WEEK OF TRAINING. TWO-WAY REPEATED MEASURE ANALYSIS OF VARIANCE WITH TUKEY'S HONESTLY SIGNIFICANT DIFFERENCE POST HOC STATISTICS WAS USED TO ANALYZE THE DATA. [RESULTS] OBESE INDIVIDUALS SHOWED SIGNIFICANTLY INCREASED STATIC STANDING BALANCE IN THE YOGA TRAINING GROUP, BUT THERE WAS NO SIGNIFICANT IMPROVEMENT OF STATIC OR DYNAMIC STANDING BALANCE IN THE CONTROL GROUP AFTER 4 WEEKS. IN THE YOGA GROUP, SIGNIFICANT INCREASES IN STATIC STANDING BALANCE WAS FOUND AFTER THE 2ND, 3RD, AND 4TH WEEKS. COMPARED WITH THE CONTROL GROUP, STATIC STANDING BALANCE IN THE YOGA GROUP WAS SIGNIFICANTLY DIFFERENT AFTER THE 2ND WEEK, AND DYNAMIC STANDING BALANCE WAS SIGNIFICANTLY DIFFERENT AFTER THE 4TH WEEK. [CONCLUSION] YOGA TRAINING WOULD BE BENEFICIAL FOR IMPROVING STANDING BALANCE IN OBESE INDIVIDUALS WITH POOR STANDING BALANCE. 2015 8 753 40 EFFECT OF SHORT-TERM INTENSIVE YOGA PROGRAM ON PAIN, FUNCTIONAL DISABILITY AND SPINAL FLEXIBILITY IN CHRONIC LOW BACK PAIN: A RANDOMIZED CONTROL STUDY. OBJECTIVE: THE AIM OF THIS STUDY WAS TO COMPARE THE EFFECT OF A SHORT-TERM INTENSIVE RESIDENTIAL YOGA PROGRAM WITH PHYSICAL EXERCISE (CONTROL) ON PAIN AND SPINAL FLEXIBILITY IN SUBJECTS WITH CHRONIC LOW-BACK PAIN (CLBP). DESIGN: THIS WAS A WAIT-LIST, RANDOMIZED CONTROLLED STUDY. SETTING: THE STUDY WAS CONDUCTED AT A RESIDENTIAL INTEGRATIVE HEALTH CENTER IN BANGALORE, SOUTH INDIA. SUBJECTS: EIGHTY (80) SUBJECTS (FEMALES, N = 37) WITH CLBP, WHO CONSENTED WERE RANDOMLY ASSIGNED TO RECEIVE YOGA OR PHYSICAL EXERCISE IF THEY SATISFIED THE SELECTION CRITERIA. INTERVENTION: THE INTERVENTION CONSISTED OF A 1-WEEK INTENSIVE RESIDENTIAL YOGA PROGRAM COMPRISED OF ASANAS (PHYSICAL POSTURES) DESIGNED FOR BACK PAIN, PRANAYAMAS (BREATHING PRACTICES), MEDITATION, AND DIDACTIC AND INTERACTIVE SESSIONS ON PHILOSOPHICAL CONCEPTS OF YOGA. THE CONTROL GROUP PRACTICED PHYSICAL EXERCISES UNDER A TRAINED PHYSIATRIST AND ALSO HAD DIDACTIC AND INTERACTIVE SESSIONS ON LIFESTYLE CHANGE. BOTH OF THE GROUPS WERE MATCHED FOR TIME ON INTERVENTION AND ATTENTION. OUTCOME MEASURES: PAIN-RELATED OUTCOMES WERE ASSESSED BY THE OSWESTRY DISABILITY INDEX (ODI) AND BY SPINAL FLEXIBILITY, WHICH WAS ASSESSED USING GONIOMETER AT PRE AND POST INTERVENTION. DATA WERE ANALYZED USING REPEATED MEASURES ANALYSIS OF VARIANCE (RMANOVA). RESULTS: DATA CONFORMED TO A GAUSSIAN DISTRIBUTION. THERE WAS A SIGNIFICANT REDUCTION IN ODI SCORES IN THE YOGA GROUP COMPARED TO THE CONTROL GROUP (P = 0.01; EFFECT SIZE 1.264). SPINAL FLEXIBILITY MEASURES IMPROVED SIGNIFICANTLY IN BOTH GROUPS BUT THE YOGA GROUP HAD GREATER IMPROVEMENT AS COMPARED TO CONTROLS ON SPINAL FLEXION (P = 0.008; EFFECT SIZE 0.146), SPINAL EXTENSION (P = 0.002; EFFECT SIZE 0.251), RIGHT LATERAL FLEXION (P = 0.059; EFFECT SIZE 0.006); AND LEFT LATERAL FLEXION (P = 0.006; EFFECT SIZE 0.171). CONCLUSIONS: SEVEN (7) DAYS OF A RESIDENTIAL INTENSIVE YOGA-BASED LIFESTYLE PROGRAM REDUCED PAIN-RELATED DISABILITY AND IMPROVED SPINAL FLEXIBILITY IN PATIENTS WITH CLBP BETTER THAN A PHYSICAL EXERCISE REGIMEN. 2008 9 278 34 ADDRESSING OBSTETRICS AND GYNECOLOGY TRAINEE BURNOUT USING A YOGA-BASED WELLNESS INITIATIVE DURING DEDICATED EDUCATION TIME. OBJECTIVE: TO ESTIMATE THE FEASIBILITY OF IMPLEMENTING A YOGA-BASED WELLNESS PROGRAM DURING TRAINING AND ITS INFLUENCE ON BURNOUT, DEPRESSION, ANXIETY, STRESS, AND MINDFULNESS AMONG OBSTETRICS AND GYNECOLOGY TRAINEES. METHODS: WE CONDUCTED A DEPARTMENTAL QUALITY IMPROVEMENT INITIATIVE CONSISTING OF WEEKLY 1-HOUR YOGA CLASSES CONDUCTED DURING PROTECTED EDUCATION TIME AND NUTRITION AND PHYSICAL CHALLENGES FOR 24 OBSTETRICS AND GYNECOLOGY RESIDENTS AND FIVE MATERNAL-FETAL MEDICINE FELLOWS. PARTICIPANTS RECEIVED A FREE WRIST-WORN FITNESS TRACKER DEVICE TO RECORD THEIR ACTIVITY. PREPROGRAM AND POSTPROGRAM DATA COLLECTION INCLUDED RESULTS FROM VALIDATED SCALES ON BURNOUT, MINDFULNESS, DEPRESSION AND ANXIETY, BLOOD PRESSURE, HEART RATE, AND WEIGHT. WILCOXON SIGNED RANK TESTS WERE USED FOR ANALYSIS. A P-VALUE <.05 WAS CONSIDERED SIGNIFICANT. RESULTS: OVER AN 8-WEEK PERIOD, 90% (N=26) OF PARTICIPANTS ATTENDED AT LEAST ONE YOGA CLASS AND 68% ATTENDED AT LEAST 50% OF THE CLASSES. NO PARTICIPANT COMPLETED ALL SESSIONS. EIGHTY PERCENT (N=20) ENGAGED IN AT LEAST ONE NUTRITION CHALLENGE AND 60% (N=15) IN AT LEAST ONE PHYSICAL CHALLENGE. AFTER THE PROGRAM, A SIGNIFICANT REDUCTION IN THE DEPERSONALIZATION COMPONENT OF BURNOUT (P=.04), ANXIETY (P=.02), AND SYSTOLIC (PREPROGRAM: 122, POSTPROGRAM: 116 MM HG; P=.01) AND DIASTOLIC BLOOD PRESSURE (PREPROGRAM: 82, POSTPROGRAM: 76 MM HG; P=.01) OCCURRED. THOSE PARTICIPANTS WHO ATTENDED MORE THAN 50% OF YOGA CLASSES DEMONSTRATED A SIGNIFICANT REDUCTION IN SYSTOLIC AND DIASTOLIC BLOOD PRESSURE COMPARED WITH LESS-FREQUENT ATTENDEES (P=.02 AND .04, RESPECTIVELY). A POSTPROGRAM SURVEY REVEALED FEELINGS OF INCREASED CAMARADERIE, APPRECIATION, MOTIVATION, AND OVERALL TRAINING EXPERIENCE. DISCUSSION: IMPLEMENTING A WELLNESS PROGRAM CONSISTING OF WEEKLY YOGA CLASSES IS FEASIBLE AND MAY BE BENEFICIAL. A WELLNESS INITIATIVE THAT EMPHASIZES ACTIVE PARTICIPATION DURING EDUCATION TIME WITH THE AUTONOMY TO IMPLEMENT DAILY WELLNESS ACTIVITIES MAY REDUCE BURNOUT AND IMPROVE WELL-BEING. 2019 10 1087 42 EFFECTS OF YOGA ON SYMPTOM MANAGEMENT IN BREAST CANCER PATIENTS: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THIS STUDY COMPARES THE EFFECTS OF AN INTEGRATED YOGA PROGRAM WITH BRIEF SUPPORTIVE THERAPY ON DISTRESSFUL SYMPTOMS IN BREAST CANCER OUTPATIENTS UNDERGOING ADJUVANT RADIOTHERAPY. MATERIALS AND METHODS: EIGHTY-EIGHT STAGE II AND III BREAST CANCER OUTPATIENTS WERE RANDOMLY ASSIGNED TO RECEIVE YOGA (N = 44) OR BRIEF SUPPORTIVE THERAPY (N = 44) PRIOR TO THEIR RADIOTHERAPY TREATMENT. INTERVENTION CONSISTED OF YOGA SESSIONS LASTING 60 MIN DAILY WHILE THE CONTROL GROUP WAS IMPARTED SUPPORTIVE THERAPY ONCE IN 10 DAYS DURING THE COURSE OF THEIR ADJUVANT RADIOTHERAPY. ASSESSMENTS INCLUDED ROTTERDAM SYMPTOM CHECK LIST AND EUROPEAN ORGANIZATION FOR RESEARCH IN THE TREATMENT OF CANCER-QUALITY OF LIFE (EORTC QOL C30) SYMPTOM SCALE. ASSESSMENTS WERE DONE AT BASELINE AND AFTER 6 WEEKS OF RADIOTHERAPY TREATMENT. RESULTS: A GLM REPEATED-MEASURES ANOVA SHOWED A SIGNIFICANT DECREASE IN PSYCHOLOGICAL DISTRESS (P = 0.01), FATIGUE (P = 0.007), INSOMNIA (P = 0.001), AND APPETITE LOSS (P = 0.002) OVER TIME IN THE YOGA GROUP AS COMPARED TO CONTROLS. THERE WAS SIGNIFICANT IMPROVEMENT IN THE ACTIVITY LEVEL (P = 0.02) IN THE YOGA GROUP AS COMPARED TO CONTROLS. THERE WAS A SIGNIFICANT POSITIVE CORRELATION BETWEEN PHYSICAL AND PSYCHOLOGICAL DISTRESS AND FATIGUE, NAUSEA AND VOMITING, PAIN, DYSPNEA, INSOMNIA, APPETITE LOSS, AND CONSTIPATION. THERE WAS A SIGNIFICANT NEGATIVE CORRELATION BETWEEN THE ACTIVITY LEVEL AND FATIGUE, NAUSEA AND VOMITING, PAIN, DYSPNEA, INSOMNIA, AND APPETITE LOSS. CONCLUSION: THE RESULTS SUGGEST BENEFICIAL EFFECTS WITH YOGA INTERVENTION IN MANAGING CANCER-AND TREATMENT-RELATED SYMPTOMS IN BREAST CANCER PATIENTS. 2009 11 50 39 A COMPARATIVE CONTROLLED TRIAL COMPARING THE EFFECTS OF YOGA AND WALKING FOR OVERWEIGHT AND OBESE ADULTS. BACKGROUND: WALKING AND YOGA HAVE BEEN INDEPENDENTLY EVALUATED FOR WEIGHT CONTROL; HOWEVER, THERE ARE VERY FEW STUDIES COMPARING THE 2 WITH RANDOMIZATION. MATERIAL AND METHODS: THE PRESENT STUDY COMPARED THE EFFECTS OF 90 MINUTES/DAY FOR 15 DAYS OF SUPERVISED YOGA OR SUPERVISED WALKING ON: (I) RELATED BIOCHEMISTRY, (II) ANTHROPOMETRIC VARIABLES, (III) BODY COMPOSITION, (IV) POSTURAL STABILITY, AND (V) BILATERAL HAND GRIP STRENGTH IN OVERWEIGHT AND OBESE PERSONS. SIXTY-EIGHT PARTICIPANTS, OF WHOM 5 WERE OVERWEIGHT (BMI >/=25 KG/M2) AND 63 WERE OBESE (BMI >/=30 KG/M2; GROUP MEAN AGE +/-S.D., 36.4+/-11.2 YEARS; 35 FEMALES), WERE RANDOMIZED AS 2 GROUPS - (I) A YOGA GROUP AND (II) A WALKING GROUP - GIVEN THE SAME DIET. RESULTS: ALL DIFFERENCES WERE PRE-POST CHANGES WITHIN EACH GROUP. BOTH GROUPS SHOWED A SIGNIFICANT (P<0.05; REPEATED MEASURES ANOVA, POST-HOC ANALYSES) DECREASE IN: BMI, WAIST CIRCUMFERENCE, HIP CIRCUMFERENCE, LEAN MASS, BODY WATER, AND TOTAL CHOLESTEROL. THE YOGA GROUP INCREASED SERUM LEPTIN (P<0.01) AND DECREASED LDL CHOLESTEROL (P<0.05). THE WALKING GROUP DECREASED SERUM ADIPONECTIN (P<0.05) AND TRIGLYCERIDES (P<0.05). CONCLUSIONS: BOTH YOGA AND WALKING IMPROVED ANTHROPOMETRIC VARIABLES AND SERUM LIPID PROFILE IN OVERWEIGHT AND OBESE PERSONS. THE POSSIBLE IMPLICATIONS ARE DISCUSSED. 2014 12 2303 44 TO COMPARE THE EFFECTS OF AEROBIC EXERCISE AND YOGA ON PREMENSTRUAL SYNDROME. BACKGROUND: EIGHTY PERCENT OF WOMEN DURING THEIR REPRODUCTIVE AGE EXPERIENCE SOME SYMPTOMS ATTRIBUTED TO PREMENSTRUAL PHASE OF THE MENSTRUAL CYCLE. PREMENSTRUAL SYNDROME (PMS) IS CHARACTERIZED BY EMOTIONAL, BEHAVIORAL, AND PHYSICAL SYMPTOMS THAT OCCUR DURING LATE LUTEAL PHASE OF MENSTRUAL CYCLE AND ARE RELIEVED AFTER THE ONSET OF MENSTRUATION. AEROBIC EXERCISE AND YOGA ARE ONE OF THE WAYS TO REDUCE THESE SYMPTOMS. THE AIM OF THIS STUDY WAS TO COMPARE THE EFFECTS OF AEROBIC EXERCISE AND YOGA ON PMS. MATERIALS AND METHODS: A TOTAL OF 72 PARTICIPANTS OF PMS, REFERRED FOR PHYSIOTHERAPY TREATMENT (MEAN AGE 28 YEARS), WERE ENROLLED AND ALLOCATED INTO TWO GROUPS (GROUP A AND B) BY SIMPLE COMPUTERIZED RANDOMIZATION. PATIENTS IN GROUP A RECEIVED AEROBIC EXERCISE AND IN GROUP B RECEIVED YOGA MOVEMENTS FOR 40 MIN, 3 TIMES A WEEK FOR 1 MONTH. THE PAIN INTENSITY (VISUAL ANALOG SCALE) AND PMS SCALE WERE MEASURED BEFORE, AT THE END OF 15 DAYS, AND 1 MONTH OF TREATMENT PROGRAM. RESULTS: DATA WERE ANALYZED BY PAIRED T-TEST, UNPAIRED T-TEST, AND ONE-WAY ANOVA; AND THE RESULTS SHOWED THAT BOTH AEROBIC EXERCISE AND YOGA MOVEMENTS SIGNIFICANTLY REDUCED PAIN INTENSITY AND PMS SYMPTOMS. SIGNIFICANT REDUCTION IN PMS SYMPTOMS WAS FOUND IN PATIENTS TREATED WITH YOGA COMPARED TO AEROBIC EXERCISE; HOWEVER, NO SIGNIFICANT DIFFERENCE WAS FOUND IN PAIN INTENSITY BETWEEN THESE TWO GROUPS (P > 0.05). CONCLUSION: IT IS CONCLUDED THAT BOTH AEROBIC EXERCISE AND YOGA MOVEMENTS ARE EFFECTIVE IN TREATING PMS; HOWEVER, YOGA IS MORE EFFECTIVE IN RELIEVING THE SYMPTOMS OF PMS THAN AEROBIC EXERCISE. 2019 13 818 45 EFFECT OF YOGA ON COGNITIVE FUNCTIONS IN CLIMACTERIC SYNDROME: A RANDOMISED CONTROL STUDY. OBJECTIVE: TO ASSESS THE EFFICACY OF AN INTEGRATED APPROACH OF YOGA THERAPY (IAYT) ON COGNITIVE ABILITIES IN CLIMACTERIC SYNDROME. DESIGN: A RANDOMISED CONTROL STUDY WHEREIN THE PARTICIPANTS WERE DIVIDED INTO EXPERIMENTAL AND CONTROL GROUPS. SETTINGS: FOURTEEN CENTRES OF SWAMI VIVEKANANDA YOGA RESEARCH FOUNDATION, BANGALORE, INDIA. SAMPLE: ONE HUNDRED AND EIGHT PERIMENOPAUSAL WOMEN BETWEEN 40 AND 55 YEARS WITH FOLLICLE-STIMULATING HORMONE LEVEL EQUAL TO OR GREATER THAN 15 MIU/ML. ONE HUNDRED AND TWENTY PERIMENOPAUSAL WOMEN WERE RANDOMLY ALLOTTED INTO THE YOGA AND THE CONTROL GROUPS. METHODS: THE YOGA GROUP PRACTISED A MODULE COMPRISING BREATHING PRACTICES, SUN SALUTATION AND CYCLIC MEDITATION, WHEREAS THE CONTROL GROUP PRACTISED A SET OF SIMPLE PHYSICAL EXERCISES, UNDER SUPERVISION (1 HOUR/DAY, 5 DAYS/WEEK FOR 8 WEEKS). MAIN OUTCOME MEASURES: ASSESSMENTS WERE MADE BY VASOMOTOR SYMPTOM CHECKLIST, SIX-LETTER CANCELLATION TEST (SLCT) FOR ATTENTION AND CONCENTRATION AND PUNIT GOVIL INTELLIGENCE MEMORY SCALE (PGIMS) WITH TEN SUBTESTS. RESULTS: THE WILCOXON TEST SHOWED SIGNIFICANT (P < 0.001) REDUCTION IN HOT FLUSHES, NIGHT SWEATS AND SLEEP DISTURBANCE IN YOGA GROUP, WITH A TREND OF SIGNIFICANT DIFFERENCE BETWEEN GROUPS AT P = 0.06 ON MANN-WHITNEY TEST IN NIGHT SWEATS. THERE WAS NO CHANGE WITHIN OR BETWEEN GROUPS IN THE CONTROL GROUP. THE SLCT SCORE AND THE PGIMS SHOWED SIGNIFICANT IMPROVEMENT IN EIGHT OF TEN SUBTESTS IN THE YOGA GROUP AND SIX OF TEN SUBTESTS IN THE CONTROL GROUP. THE YOGA GROUP PERFORMED SIGNIFICANTLY BETTER (P < 0.001) WITH HIGHER EFFECT SIZES IN SLCT AND SEVEN TESTS OF PGIMS COMPARED WITH THE CONTROL GROUP. CONCLUSIONS: INTEGRATED APPROACH OF YOGA THERAPY CAN IMPROVE HOT FLUSHES AND NIGHT SWEATS. IT ALSO CAN IMPROVE COGNITIVE FUNCTIONS SUCH AS REMOTE MEMORY, MENTAL BALANCE, ATTENTION AND CONCENTRATION, DELAYED AND IMMEDIATE RECALL, VERBAL RETENTION AND RECOGNITION TESTS. 2008 14 389 36 BENEFITS OF YOGA FOR AFRICAN AMERICAN HEART FAILURE PATIENTS. BACKGROUND: THE NUMBER OF AFRICAN AMERICAN (AA) PATIENTS LIVING WITH HEART FAILURE (HF) HAS BEEN INCREASING, ESPECIALLY AMONG THE ECONOMICALLY DISADVANTAGED. YOGA THERAPY HAS BEEN FOUND TO IMPROVE PHYSICAL AND PSYCHOLOGICAL PARAMETERS AMONG HEALTHY INDIVIDUALS, BUT ITS EFFECT IN PATIENTS WITH HF REMAINS UNKNOWN. THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE EFFECTS OF YOGA THERAPY ON CARDIOVASCULAR ENDURANCE (VO2PEAK), FLEXIBILITY, QUALITY OF LIFE (QOL), AND INFLAMMATORY MARKERS ON MEDICALLY STABLE HF PATIENTS. METHODS: FORTY PATIENTS (38 AA, 1 ASIAN, AND 1 CAUCASIAN) WITH SYSTOLIC OR DIASTOLIC HF WERE RANDOMIZED TO THE YOGA GROUP (YG, N = 21) OR THE CONTROL GROUP (CG, N = 19). ALL PATIENTS WERE ASKED TO FOLLOW A HOME WALK PROGRAM. PREMEASUREMENT AND POSTMEASUREMENT INCLUDED A TREADMILL STRESS TEST TO PEAK EXERTION, FLEXIBILITY, INTERLEUKIN-6 (IL-6), C-REACTIVE PROTEIN (CRP), AND EXTRACELLULAR SUPEROXIDE DISMUTASE (EC-SOD). QOL WAS ASSESSED BY THE MINNESOTA LIVING WITH HEART FAILURE QUESTIONNAIRE (MLWHFQ). RESULTS: THE STATISTICAL ANALYSES (ASSESSED BY ANOVA AND T-TESTS) WERE SIGNIFICANT FOR FAVORABLE CHANGES IN THE YG, COMPARED WITH THOSE IN THE CG, FOR FLEXIBILITY (P = 0.012), TREADMILL TIME (P = 0.002), VO2PEAK (P = 0.003), AND THE BIOMARKERS (IL-6, P = 0.004; CRP, P = 0.016; AND EC-SOD, P = 0.012). WITHIN THE YG, PRETEST TO POSTTEST SCORES FOR THE TOTAL (P = 0.02) AND PHYSICAL SUBSCALES (P < 0.001) OF THE MLWHFQ WERE IMPROVED. CONCLUSIONS: YOGA THERAPY OFFERED ADDITIONAL BENEFITS TO THE STANDARD MEDICAL CARE OF PREDOMINANTLY AA HF PATIENTS BY IMPROVING CARDIOVASCULAR ENDURANCE, QOL, INFLAMMATORY MARKERS, AND FLEXIBILITY. 2010 15 1220 25 FACTORS INFLUENCING CHANGES IN TWEEZER DEXTERITY SCORES FOLLOWING YOGA TRAINING. YOGA HAS ALREADY BEEN SHOWN TO IMPROVE PERCEPTUAL-MOTOR SKILLS, BUT THE FACTORS WHICH INFLUENCE ITS EFFECTS ARE NOT WELL DEFINED. THIS STUDY CORRELATES AGE, GENDER, AND MOTIVATION TO LEARN YOGA WITH THE PERFORMANCE IN A DEXTERITY TASK FOLLOWING YOGA. TWEEZER DEXTERITY WAS RECORDED IN EIGHTY SUBJECTS BELONGING TO FOUR GROUPS. TWO GROUPS WERE GIVEN A MONTH OF YOGA TRAINING. ONE GROUP CONSISTED OF SUBJECTS WHO HAD VOLUNTEERED TO JOIN FOR THE TRAINING AND THE OTHER GROUP WERE DEPUTED FOR THE TRAINING AS PART OF THEIR JOB. THE TWO REMAINING GROUPS DID NOT RECEIVE YOGA TRAINING AND WERE SELECTED TO MATCH THE RESPECTIVE GROUPS RECEIVING YOGA, FOR AGE AND SEX, BUT NOT FOR THEIR MOTIVATION TO LEARN YOGA. THE TEST INVOLVED USING A TWEEZER TO PLACE METAL PINS IN EVENLY SPACED HOLES IN A METAL PLATE WITHIN FOUR MINUTES. FOLLOWING YOGA THE SCORES OF THE VOLUNTEERS WHO LEARNT YOGA INCREASED SIGNIFICANTLY, WHEREAS THERE WAS NO CHANGE IN SCORES OF DEPUTED SUBJECTS AND NON-YOGA GROUPS. FOR REASONS DESCRIBED IN DETAIL, FACTORS SUCH AS AGE AND GENDER DID NOT APPEAR TO CONTRIBUTE TO THE DIFFERENCE IN PERFORMANCE. HENCE MOTIVATION TO LEARN YOGA APPEARED TO INFLUENCE THE MAGNITUDE OF INCREASE. 1999 16 939 47 EFFECTS OF 12 WEEKS PRACTICE OF YOGA ON HEART RATE VARIABILITY IN MALES WITH TYPE 2 DIABETES RECEIVING ORAL ANTIDIABETIC DRUGS: A RANDOMIZED CONTROL TRIAL. OBJECTIVE: TO INVESTIGATE THE EFFECTS OF 12 WEEKS PRACTICE OF A STRUCTURED YOGA MODULE ON HEART RATE VARIABILITY (HRV) AND CARDIOMETABOLIC RISKS IN PATIENTS WITH TYPE 2 DIABETES (T2D) RECEIVING SIMILAR KIND OF ORAL ANTIDIABETIC DRUGS (OAD) WITH YOGA THERAPY AND WITHOUT YOGA THERAPY, MATCHED FOR ALL THE KNOWN CONFOUNDERS. DESIGN: PARALLEL DESIGN INTERVENTIONAL (RANDOMIZED CONTROL TRIAL) STUDY. SUBJECTS: EIGHTY TREATMENT-NAIVE MALES WITH T2D WERE RANDOMIZED INTO CONTROL GROUP (N = 40) AND STUDY GROUP (N = 40). INTERVENTION: STUDY GROUP PARTICIPANTS RECEIVED A STRUCTURED YOGA THERAPY THAT INCLUDED ASANA AND PRANAYAMA PRACTICE FOR 12 WEEKS IN ADDITION TO OAD, WHEREAS CONTROL GROUP PARTICIPANTS RECEIVED OAD ALONE. OUTCOME MEASURES: BEFORE AND AFTER INTERVENTION, BP PARAMETERS, RATE PRESSURE PRODUCT (RPP) AS THE MARKER OF MYOCARDIAL STRESS, TOTAL POWER (TP) OF HRV, LOW-FREQUENCY TO HIGH-FREQUENCY (LF-HF) RATIO OF HRV, HOMEOSTATIC MODEL OF INSULIN RESISTANCE (HOMA-IR), LIPID PROFILE AND LIPID RISK FACTORS, MALONDIALDEHYDE (MDA), AND HIGH-SENSITIVE C-REACTIVE PROTEIN (HSCRP) WERE MEASURED. TP OF HRV WAS DEFINED AS THE PRIMARY OUTCOME. ASSOCIATION OF TP (THE MARKER OF HRV) AND LF-HF RATIO (THE MARKER OF SYMPATHOVAGAL BALANCE) WITH CARDIOMETABOLIC PARAMETERS WAS ASSESSED BY CORRELATION AND REGRESSION ANALYSES. RESULTS: AFTER 12 WEEKS YOGA THERAPY, THERE WAS SIGNIFICANT REDUCTION IN CARDIOMETABOLIC RISKS (TP OF HRV, RPP, LIPID RISKS FACTORS, LEVELS OF MDA, AND HSCRP) IN STUDY GROUP SUBJECTS COMPARED WITH CONTROL SUBJECTS THAT DID NOT RECEIVE YOGA THERAPY. ALL CARDIOMETABOLIC RISK FACTORS WERE SIGNIFICANTLY CORRELATED WITH TP IN STUDY GROUP, HAVING MAXIMUM SIGNIFICANCE WITH HOMEOSTATIC MODEL OF INSULIN SECRETION (R = 0.502, P