1 1649 163 MULTI-OMICS INTEGRATION AND INTERACTOMICS REVEALS MOLECULAR NETWORKS AND REGULATORS OF THE BENEFICIAL EFFECT OF YOGA AND EXERCISE. BACKGROUND: YOGA IS A MULTIFACETED SPIRITUAL TOOL THAT HELPS IN MAINTAINING HEALTH, PEACE OF MIND, AND POSITIVE THOUGHTS. IN THE CONTEXT OF ASANA, YOGA IS SIMILAR TO PHYSICAL EXERCISE. THIS STUDY AIMS TO CONSTRUCT A MOLECULAR NETWORK TO FIND HUB GENES THAT PLAY IMPORTANT ROLES IN PHYSICAL EXERCISE AND YOGA. METHODOLOGY: WE COMBINED DIFFERENTIALLY EXPRESSED GENES (DEGS) IN YOGA AND EXERCISE USING COMPUTATIONAL BIOINFORMATICS FROM PUBLICLY AVAILABLE GENE EXPRESSION OMNIBUS (GEO) DATASETS AND IDENTIFIED THE CODIFFERENTIALLY EXPRESSED MRNAS WITH GEO2R. THE CO-DEGS WERE DIVIDED INTO FOUR DIFFERENT GROUPS AND EACH GROUP WAS SUBJECTED TO PROTEIN-PROTEIN INTERACTION (PPI) NETWORK, PATHWAYS ANALYSIS, AND GENE ONTOLOGY. RESULTS: OUR STUDY IDENTIFIED IMMUNOLOGICAL MODULATION AS A DOMINANT TARGET OF DIFFERENTIAL EXPRESSION IN YOGA AND EXERCISE. YOGA PREDOMINANTLY MODULATED GENES AFFECTING THE TH1 AND NK CELLS, WHEREAS CYTOKINES, MACROPHAGE ACTIVATION, AND OXIDATIVE STRESS WERE AFFECTED BY EXERCISE. WE ALSO OBSERVED THAT WHILE YOGA REGULATED GENES FOR TWO MAIN PHYSIOLOGICAL FUNCTIONS OF THE BODY, NAMELY CIRCADIAN RHYTHM (BHLHE40) AND IMMUNITY (LBP, T-BOX TRANSCRIPTION FACTOR 21, CEACAM1), EXERCISE-REGULATED GENES INVOLVED IN APOPTOSIS (BAG3, PROTEIN KINASE C ALPHA), ANGIOGENESIS, AND CELLULAR ADHESION (EPH RECEPTOR A1). CONCLUSION: THE DISSIMILARITY IN THE GENETIC EXPRESSION PATTERNS IN YOGA AND EXERCISE HIGHLIGHTS THE DISCRETE EFFECT OF EACH IN BIOLOGICAL SYSTEMS. THE INTEGRATION AND CONVERGENCES OF MULTI-OMICS SIGNALS CAN PROVIDE DEEPER AND COMPREHENSIVE INSIGHTS INTO THE VARIOUS BIOLOGICAL MECHANISMS THROUGH WHICH YOGA AND EXERCISE EXERT THEIR BENEFICIAL EFFECTS AND OPENS UP POTENTIAL NEWER RESEARCH AREAS. 2022 2 700 22 EFFECT OF HIGH TEMPERATURE YOGA EXERCISE ON IMPROVING PHYSICAL AND MENTAL WELL-BEING OF OVERWEIGHT MIDDLE-AGED AND YOUNG WOMEN. OBJECTIVE: TO EXPLORE THE EFFECT OF HIGH TEMPERATURE YOGA EXERCISE ON IMPROVING PHYSICAL AND PSYCHOLOGICAL WELL-BEING OF OVERWEIGHT MIDDLE-AGED AND YOUNG WOMEN. DESIGN: 50 OVERWEIGHT MIDDLE-AGED AND YOUNG WOMEN FROM YOGA CLUBS WERE SELECTED. THE INDEXES OF THEIR CONSTITUTION, PHYSIOLOGICAL FUNCTIONS, PSYCHOLOGICAL ADAPTATION WERE MEASURED AND COMPARED BEFORE AND AFTER ONE YEAR OF UNINTERRUPTED HIGH TEMPERATURE YOGA EXERCISE. RESULTS: THE INDEXES OF THE SUBJECTS' CONSTITUTION AND PHYSIOLOGICAL FUNCTIONS WERE REMARKABLY UPLIFTED (P < 0.05); THEIR PSYCHOLOGICAL ADAPTATION WAS IMPROVED AS WELL. CONCLUSION: AEROBICS REPRESENTED BY HIGH TEMPERATURE YOGA CAN IMPROVE BODY SHAPE, LOWER LIPID, REDUCE WEIGHT, AND EXERT AN EVIDENT THERAPEUTIC EFFECT ON IMPROVING PHYSIOLOGICAL FUNCTIONS AND BOOSTING PSYCHOLOGICAL WELL-BEING. 2014 3 266 25 ACUTE EFFECTS OF WALKING, CYCLING, AND YOGA EXERCISE ON COGNITION IN PERSONS WITH RELAPSING-REMITTING MULTIPLE SCLEROSIS WITHOUT IMPAIRED COGNITIVE PROCESSING SPEED. INTRODUCTION: COGNITIVE IMPAIRMENT IS A HIGHLY PREVALENT, DISABLING, AND POORLY MANAGED CONSEQUENCE OF MULTIPLE SCLEROSIS (MS). EXERCISE TRAINING REPRESENTS A PROMISING APPROACH FOR MANAGING COGNITIVE IMPAIRMENT IN THIS POPULATION. HOWEVER, THERE IS LIMITED EVIDENCE SUPPORTING AN OPTIMAL EXERCISE STIMULUS FOR IMPROVING COGNITION IN MS. THE CURRENT STUDY COMPARED THE ACUTE EFFECTS OF MODERATE-INTENSITY TREADMILL WALKING, MODERATE-INTENSITY CYCLE ERGOMETRY, AND GUIDED YOGA WITH THOSE OF QUIET REST ON EXECUTIVE CONTROL IN 24 PERSONS WITH RELAPSING-REMITTING MS WITHOUT IMPAIRED COGNITIVE PROCESSING SPEED USING A WITHIN-SUBJECTS, REPEATED MEASURES DESIGN. METHOD: PARTICIPANTS COMPLETED FOUR EXPERIMENTAL CONDITIONS THAT CONSISTED OF 20 MINUTES OF MODERATE-INTENSITY TREADMILL WALKING EXERCISE, MODERATE-INTENSITY CYCLE ERGOMETER EXERCISE, GUIDED YOGA, AND QUIET REST IN A RANDOMIZED, COUNTERBALANCED ORDER. PARTICIPANTS UNDERWENT A MODIFIED-FLANKER TASK AS A MEASURE OF EXECUTIVE CONTROL IMMEDIATELY PRIOR TO AND FOLLOWING EACH CONDITION. RESULTS: REPEATED MEASURES ANALYSES OF VARIANCE (ANOVAS) INDICATED GENERAL PRE-TO-POST IMPROVEMENTS IN REACTION TIME, BUT NOT ACCURACY, ON THE MODIFIED-FLANKER TASK FOR ALL THREE EXERCISE MODALITIES COMPARED WITH QUIET REST. HOWEVER, THERE WERE ADDITIONAL, SELECTIVE PRE-TO-POST REDUCTIONS IN THE COST OF INTERFERING STIMULI ON REACTION TIME ON THE MODIFIED-FLANKER TASK FOR TREADMILL WALKING, F(1, 23) = 4.67, P = .04, ETA(P)2 = .17, BUT NOT CYCLE ERGOMETRY, F(1, 23) = 0.12, P = .73, ETA(P)2 < .01, OR GUIDED YOGA, F(1, 23) = 0.73, P = .40, ETA(P)2 = .03, COMPARED WITH QUIET REST. CONCLUSIONS: THE PRESENT RESULTS SUPPORT TREADMILL WALKING AS THE MODALITY OF EXERCISE THAT MIGHT EXERT THE LARGEST BENEFICIAL EFFECTS ON EXECUTIVE CONTROL IN PERSONS WITH RELAPSING-REMITTING MS WITHOUT IMPAIRED COGNITIVE PROCESSING SPEED. THIS REPRESENTS AN EXCITING STARTING POINT FOR DELINEATING THE APPROPRIATE EXERCISE STIMULUS (I.E., MODALITY AND INTENSITY) FOR INCLUSION IN A SUBSEQUENT LONGITUDINAL EXERCISE TRAINING INTERVENTION FOR IMPROVING COGNITIVE PERFORMANCE IN THIS POPULATION. 2015 4 2411 29 YOGA AND IMMUNE SYSTEM FUNCTIONING: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS. YOGA IS AN ANCIENT MIND-BODY PRACTICE THAT IS INCREASINGLY RECOGNIZED TO HAVE HEALTH BENEFITS IN A VARIETY OF CLINICAL AND NON-CLINICAL CONDITIONS. THIS SYSTEMATIC REVIEW SUMMARIZES THE FINDINGS OF RANDOMIZED CONTROLLED TRIALS EXAMINING THE EFFECTS OF YOGA ON IMMUNE SYSTEM FUNCTIONING WHICH IS IMPERATIVE TO JUSTIFY ITS APPLICATION IN THE CLINIC. FIFTEEN RCTS WERE ELIGIBLE FOR THE REVIEW. EVEN THOUGH THE EXISTING EVIDENCE IS NOT ENTIRELY CONSISTENT, A GENERAL PATTERN EMERGED SUGGESTING THAT YOGA CAN DOWNREGULATE PRO-INFLAMMATORY MARKERS. IN PARTICULAR, THE QUALITATIVE EVALUATION OF RCTS REVEALED DECREASES IN IL-1BETA, AS WELL AS INDICATIONS FOR REDUCTIONS IN IL-6 AND TNF-ALPHA. THESE RESULTS IMPLY THAT YOGA MAY BE IMPLEMENTED AS A COMPLEMENTARY INTERVENTION FOR POPULATIONS AT RISK OR ALREADY SUFFERING FROM DISEASES WITH AN INFLAMMATORY COMPONENT. BEYOND THIS, YOGA PRACTICE MAY EXERT FURTHER BENEFICIAL EFFECTS BY ENHANCING CELL-MEDIATED AND MUCOSAL IMMUNITY. IT IS HYPOTHESIZED THAT LONGER TIME SPANS OF YOGA PRACTICE ARE REQUIRED TO ACHIEVE CONSISTENT EFFECTS ESPECIALLY ON CIRCULATING INFLAMMATORY MARKERS. OVERALL, THIS FIELD OF INVESTIGATION IS STILL YOUNG, HENCE THE CURRENT BODY OF EVIDENCE IS SMALL AND FOR MOST IMMUNE PARAMETERS, MORE RESEARCH IS REQUIRED TO DRAW DISTINCT CONCLUSIONS. 2018 5 966 27 EFFECTS OF A YOGA-BASED STRESS INTERVENTION PROGRAM ON THE BLOOD PRESSURE OF YOUNG POLICE OFFICERS: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: DESPITE IMPROVEMENTS IN HEALTH EDUCATION AND TREATMENT, ARTERIAL HYPERTENSION REMAINS A MAJOR HEALTH PROBLEM OF INCREASING EPIDEMIOLOGICAL IMPORTANCE. THE PURPOSE OF THIS RANDOMIZED CONTROLLED TRIAL WAS TO DETERMINE THE IMPACT OF REGULAR YOGA BREATHING EXERCISES ON BLOOD PRESSURE, WORK-RELATED STRESS, AND THE PREVALENCE OF ARTERIAL HYPERTENSION IN YOUNG POLICE ACADEMY TRAINEES WITH NO EXISTING COMORBIDITIES. DESIGN: A SINGLE-CENTER, PROSPECTIVE, RANDOMIZED CONTROLLED TRIAL. SUBJECTS: THE STUDY INCLUDED 120 HEALTHY TRAINEES AGED BETWEEN 18 AND 39 YEARS WHO PRACTICED WEEKLY YOGA EXERCISES WITH AN EMPHASIS ON BREATHING (PRANAYAMA) OVER AN OBSERVATION PERIOD OF 6 MONTHS. RESULTS: THESE REGULAR EXERCISES LOWERED THE BLOOD PRESSURE OF THE PARTICIPANTS BY 1.34 MMHG (RIGHT ARM, P = 0.007), INCREASED THEIR REGENERATIVE CAPACITY (RECOVERY EXPERIENCE QUESTIONNAIRE [REQ] SCALE +2.77, P < 0.001) AND RESILIENCE (RESILIENCE SCALE [RS] +4.6, P = 0.001), AND CONCOMITANTLY REDUCED THE LEVEL OF PERCEIVED STRESS (PERCEIVED STRESS SCALE [PSS] -0.9, P < 0.001). IN CONTRAST, BLOOD PRESSURE IN THE CONTROL GROUP HAD SLIGHTLY INCREASED OVER THE STUDY PERIOD BY 0.1 MMHG (RIGHT ARM, P < 0.001) AND 1.0 MMHG (LEFT ARM, P = 0.03), AND SUBJECTIVE SCORES HAD SIGNIFICANTLY WORSENED (REQ SCALE -3.4, P < 0.001; RS -2.29, P = 0.001; PSS +0.88, P < 0.001). CONCLUSIONS: THE RESULTS POINT TO A SIGNIFICANT CORRELATION BETWEEN BLOOD PRESSURE AND BOTH REGENERATIVE CAPACITY AND STRESS LEVEL. THUS, THE STUDY CONFIRMS THE HYPOTHESIS THAT YOGA EXERCISES REDUCE PERCEIVED STRESS AND EXERT POSITIVE EFFECTS ON BLOOD PRESSURE. CLINICAL TRIAL REGISTRATION NUMBER: DRKS00025921. 2022 6 1582 31 MEDIATORS OF YOGA AND STRETCHING FOR CHRONIC LOW BACK PAIN. ALTHOUGH YOGA IS AN EFFECTIVE TREATMENT FOR CHRONIC LOW BACK PAIN, LITTLE IS KNOWN ABOUT THE MECHANISMS RESPONSIBLE FOR ITS BENEFITS. IN A TRIAL COMPARING YOGA TO INTENSIVE STRETCHING AND SELF-CARE, WE EXPLORED WHETHER PHYSICAL (HOURS OF BACK EXERCISE/WEEK), COGNITIVE (FEAR AVOIDANCE, BODY AWARENESS, AND SELF-EFFICACY), AFFECTIVE (PSYCHOLOGICAL DISTRESS, PERCEIVED STRESS, POSITIVE STATES OF MIND, AND SLEEP), AND PHYSIOLOGICAL FACTORS (CORTISOL, DHEA) MEDIATED THE EFFECTS OF YOGA OR STRETCHING ON BACK-RELATED DYSFUNCTION (ROLAND-MORRIS DISABILITY SCALE (RDQ)). FOR YOGA, 36% OF THE EFFECT ON 12-WEEK RDQ WAS MEDIATED BY INCREASED SELF-EFFICACY, 18% BY SLEEP DISTURBANCE, 9% BY HOURS OF BACK EXERCISE, AND 61% BY THE BEST COMBINATION OF ALL POSSIBLE MEDIATORS (6 MEDIATORS). FOR STRETCHING, 23% OF THE EFFECT WAS MEDIATED BY INCREASED SELF-EFFICACY, 14% BY DAYS OF BACK EXERCISE, AND 50% BY THE BEST COMBINATION OF ALL POSSIBLE MEDIATORS (7 MEDIATORS). IN OPEN-ENDED QUESTIONS, >/=20% OF PARTICIPANTS NOTED THE FOLLOWING TREATMENT BENEFITS: LEARNING NEW EXERCISES (BOTH GROUPS), RELAXATION, INCREASED AWARENESS, AND THE BENEFITS OF BREATHING (YOGA), BENEFITS OF REGULAR PRACTICE (STRETCHING). ALTHOUGH BOTH SELF-EFFICACY AND HOURS OF BACK EXERCISE WERE THE STRONGEST MEDIATORS FOR EACH INTERVENTION, COMPARED TO SELF-CARE, QUALITATIVE DATA SUGGEST THAT THEY MAY EXERT THEIR BENEFITS THROUGH PARTIALLY DISTINCT MECHANISMS. 2013 7 927 25 EFFECTIVENESS OF YOGA NIDRA IN REDUCING STRESS IN SCHOOL GOING ADOLESCENTS: AN EXPERIMENTAL STUDY. BACKGROUND AND OBJECTIVES: ACADEMIC STRESS CAN EXERT SEVERE STRESS IN ADOLESCENTS ANSWERING THEIR CAREER DECIDING BOARD EXAMS. THE PRESENT STUDY ATTEMPTED TO UNDERSTAND THE EFFICACY OF YOGA NIDRA (YN) IN MITIGATING PSYCHOSOCIAL STRESS. DESIGN: AND METHODS: THIS STUDY WAS CARRIED ON 10TH-GRADE STUDENTS (AGES 14 TO 16) AND HAD TWO ARMS, ONE PERFORMING YN (EXPERIMENTAL) AND THE OTHER WITHOUT YN (CONTROL) FOR 21 CONSECUTIVE DAYS. MODIFIED ADOLESCENT STRESS QUESTIONNAIRE (ASQ-I) WAS USED TO ASSESS THE STRESS IN THE STUDENTS BEFORE AND AFTER THE INTERVENTION. RESULTS: THE RESULTS INDICATE THAT PERFORMING YN WAS EFFECTIVE AND SIGNIFICANTLY DECREASED THE TOTAL STRESS (P < 0.001) AND VITAL DOMAINS LIKE THE STRESS OF HOME LIFE (P < 0.005), SCHOOL PERFORMANCE (P < 0.026), TEACHER INTERACTION (P < 0.024), FUTURE UNCERTAINTY (P < 0.001), SCHOOL AND LEISURE CONFLICT (P < 0.001). ALSO, AT THE END OF THE STUDY IN CONTROL, LOW AND MODERATE STRESS WAS OBSERVED IN 58.06% AND 41.93%, WHILE IN THE YN GROUP, IT WAS 96.15% AND 3.85% AND WAS STATISTICALLY SIGNIFICANT (P < 0.001). CONCLUSIONS: THIS STUDY SHOWS THAT YN EFFECTIVELY REDUCED PSYCHOSOCIAL STRESS IN ADOLESCENTS AND COULD BE USEFUL IN SCHOOL CURRICULUM. 2021 8 2660 27 YOGA IN ARTERIAL HYPERTENSION. BACKGROUND: YOGA SEEMS TO EXERT ITS EFFECT AGAINST ARTERIAL HYPERTENSION MAINLY THROUGH THE ASSOCIATED BREATHING AND MEDITATION TECHNIQUES, AND LESS SO THROUGH YOGA POSTURES. THE GOAL OF THIS TRIAL WAS TO COMPARE THE BLOOD PRESSURE-LOWERING EFFECT OF YOGA INTERVENTIONS WITH AND WITHOUT YOGA POSTURES IN PATIENTS WITH ARTERIAL HYPERTENSION. METHODS: 75 PATIENTS TAKING MEDICATIONS FOR ARTERIAL HYPERTENSION (72% WOMEN, MEAN AGE 58.7 +/- 9.5 YEARS) WERE RANDOMIZED INTO THREE GROUPS: A YOGA INTERVENTION GROUP WITH YOGA POSTURES (25 PATIENTS, OF WHOM 5 DROPPED OUT OF THE TRIAL BEFORE ITS END), A YOGA INTERVENTION GROUP WITHOUT YOGA POSTURES (25 PATIENTS, 3 DROPOUTS), AND A WAIT LIST CONTROL GROUP (25 PATIENTS, ONE DROPOUT). THE INTERVENTIONS CONSISTED OF 90 MINUTES OF YOGA PRACTICE PER WEEK FOR TWELVE WEEKS. THE DATA COLLECTORS, WHO WERE BLINDED TO THE INTERVENTION RECEIVED, ASSESSED THE PRIMARY OUTCOME MEASURES "SYSTOLIC 24-HOUR BLOOD PRESSURE" AND "DIASTOLIC 24-HOUR BLOOD PRESSURE" BEFORE AND AFTER THE INTERVENTION. IN THIS REPORT, WE ALSO PRESENT THE FINDINGS ON SECONDARY OUTCOME MEASURES, INCLUDING FOLLOW-UP DATA. RESULTS: AFTER THE INTERVENTION, THE SYSTOLIC 24-HOUR BLOOD PRESSURE IN THE YOGA INTERVENTION GROUP WITHOUT YOGA POSTURES WAS SIGNIFICANTLY LOWER THAN IN THE CONTROL GROUP (GROUP DIFFERENCE [DELTA]= -3.8 MMHG; [95% CONFIDENCE INTERVAL (CI): (-0.3; -7.4) P = 0.035]); IT WAS ALSO SIGNIFICANTLY LOWER THAN IN THE YOGA INTERVENTION GROUP WITH YOGA POSTURES (DELTA = -3.2 MMHG; 95% CI: [-6.3; -0.8]; P = 0.045). DIASTOLIC BLOOD PRESSURES DID NOT DIFFER SIGNIFICANTLY ACROSS GROUPS. NO SERIOUS ADVERSE EVENTS WERE ENCOUNTERED IN THE COURSE OF THE TRIAL. CONCLUSION: IN ACCORDANCE WITH THE FINDINGS OF EARLIER STUDIES, WE FOUND THAT ONLY YOGA WITHOUT YOGA POSTURES INDUCED A SHORT-TERM LOWERING OF AMBULATORY SYSTOLIC BLOOD PRESSURE. YOGA IS SAFE AND EFFECTIVE IN PATIENTS TAKING MEDICATIONS FOR ARTERIAL HYPERTENSION AND THUS CAN BE RECOMMENDED AS AN ADDITIONAL TREATMENT OPTION FOR PERSONS IN THIS CATEGORY. 2018 9 2661 28 YOGA IN AUSTRALIA: RESULTS OF A NATIONAL SURVEY. INTRODUCTION: THE THERAPEUTIC BENEFITS OF YOGA AND MEDITATION ARE WELL DOCUMENTED, YET LITTLE IS KNOWN ABOUT THE PRACTICE OF YOGA IN AUSTRALIA OR ELSEWHERE, WHETHER AS A PHYSICAL ACTIVITY, A FORM OF THERAPY, A SPIRITUAL PATH OR A LIFESTYLE. MATERIALS AND METHODS: TO INVESTIGATE THE PRACTICE OF YOGA IN AUSTRALIA, A NATIONAL SURVEY OF YOGA PRACTITIONERS WAS CONDUCTED UTILIZING A COMPREHENSIVE WEB-BASED QUESTIONNAIRE. RESPONDENTS WERE SELF-SELECTING TO PARTICIPATE. A TOTAL OF 3,892 RESPONDENTS COMPLETED THE SURVEY. SIXTY OVERSEAS RESPONDENTS AND 1265 YOGA TEACHERS (TO BE REPORTED SEPARATELY) WERE EXCLUDED, LEAVING 2,567 YOGA PRACTITIONER RESPONDENTS. RESULTS: THE TYPICAL YOGA SURVEY RESPONDENT WAS A 41-YEAR-OLD, TERTIARY EDUCATED, EMPLOYED, HEALTH-CONSCIOUS FEMALE (85% WOMEN). ASANA (POSTURES) AND VINYASA (SEQUENCES OF POSTURES) REPRESENTED 61% OF THE TIME SPENT PRACTICING, WITH THE OTHER 39% DEVOTED TO THE GENTLER PRACTICES OF RELAXATION, PRANAYAMA (BREATHING TECHNIQUES), MEDITATION AND INSTRUCTION. RESPONDENTS COMMONLY STARTED PRACTICING YOGA FOR HEALTH AND FITNESS BUT OFTEN CONTINUED PRACTICING FOR STRESS MANAGEMENT. ONE IN FIVE RESPONDENTS PRACTICED YOGA FOR A SPECIFIC HEALTH OR MEDICAL REASON WHICH WAS SEEN TO BE IMPROVED BY YOGA PRACTICE. OF THESE, MORE PEOPLE USED YOGA FOR STRESS MANAGEMENT AND ANXIETY THAN BACK, NECK OR SHOULDER PROBLEMS, SUGGESTING THAT MENTAL HEALTH MAY BE THE PRIMARY HEALTH-RELATED MOTIVATION FOR PRACTICING YOGA. HEALTHY LIFESTYLE CHOICES WERE SEEN TO BE MORE PREVALENT IN RESPONDENTS WITH MORE YEARS OF PRACTICE. YOGA-RELATED INJURIES OCCURRING UNDER SUPERVISION IN THE PREVIOUS 12 MONTHS WERE LOW AT 2.4% OF RESPONDENTS. CONCLUSIONS: YOGA PRACTICE WAS SEEN TO ASSIST IN THE MANAGEMENT OF SPECIFIC HEALTH ISSUES AND MEDICAL CONDITIONS. REGULAR YOGA PRACTICE MAY ALSO EXERT A HEALTHY LIFESTYLE EFFECT INCLUDING VEGETARIANISM, NON-SMOKING, REDUCED ALCOHOL CONSUMPTION, INCREASED EXERCISE AND REDUCED STRESS WITH RESULTING COST BENEFITS TO THE COMMUNITY. 2012 10 2213 18 THE HYPOTENSIVE EFFECT OF YOGA'S BREATHING EXERCISES: A SYSTEMATIC REVIEW. THE AIM OF THIS REVIEW WAS TO EVALUATE THE EFFECT OF PRANAYAMA (YOGA'S BREATHING EXERCISES) ON BP AND ITS APPLICABILITY IN THE TREATMENT OF HYPERTENSION. THIRTEEN TRIALS, ASSESSING ACUTE (EIGHT STUDIES) AND CHRONIC (FIVE STUDIES) BP RESPONSE TO PRANAYAMA WERE INCLUDED. SIGNIFICANT BP REDUCTIONS AFTER PRANAYAMA WERE FOUND IN BOTH ACUTE (2-10 MMHG MEAN SBP REDUCTION, N = 5 STUDIES; 1 MMHG MEAN DBP REDUCTION, N = 1 STUDY) AND CHRONIC STUDIES (4-21 MMHG MEAN SBP REDUCTION, N = 3 STUDIES; 4-7 MMHG MEAN DBP REDUCTION, N = 2 STUDIES). THE PRANAYAMA'S EFFECT ON BP WERE NOT ROBUST AGAINST SELECTION BIAS DUE TO THE LOW QUALITY OF STUDIES. BUT, THE LOWERING BP EFFECT OF PRANAYAMA IS ENCOURAGING. THE PRANAYAMA WITH SLOWER RHYTHMS AND MANIPULATION OF THE NOSTRILS, MAINLY WITH BREATHS BY THE LEFT, PRESENT BETTER RESULTS WHEN COMPARED WITH THE OTHER TYPES AND SHOULD BE THE MAIN PRANAYAMA APPLIED WHEN THE GOAL IS TO REDUCE BLOOD PRESSURE ESPECIALLY IN HYPERTENSIVE PATIENTS. 2017 11 2901 16 [ESSENTIAL HYPERTENSION AND STRESS. WHEN DO YOGA, PSYCHOTHERAPY AND AUTOGENIC TRAINING HELP?]. PSYCHOSOCIAL FACTORS PLAY AN IMPORTANT ROLE IN THE DEVELOPMENT AND COURSE OF ESSENTIAL HYPERTENSION, ALTHOUGH "STRESS" CAN ACCOUNT FOR ONLY 10% OF BLOOD PRESSURE VARIANCE. A VARIETY OF PSYCHOTHERAPEUTIC INTERVENTIONS, SUCH AS RELAXATION TECHNIQUES (AUTOGENIC TRAINING OR PROGRESSIVE MUSCULAR RELAXATION), BEHAVIORAL THERAPY OR BIOFEEDBACK TECHNIQUES, CAN LOWER ELEVATED BLOOD PRESSURE BY AN AVERAGE OF 10 MMHG (SYSTOLIC) AND 5 MMHG (DIASTOLIC). AS A "SECONDARY EFFECT", SUCH MEASURES MAY ALSO PROMPT THE HYPERTENSIVE TO ADOPT A MORE HEALTH-CONSCIOUS LIFESTYLE. 2002 12 2196 19 THE EFFICACY AND SAFETY OF YOGA IN MANAGING HYPERTENSION. HYPERTENSION IS A MAJOR PUBLIC HEALTH PROBLEM AND ONE OF THE MOST IMPORTANT CAUSES OF PREMATURE MORBIDITY AND MORTALITY. YOGA IS A TRADITIONAL INDIAN PRACTICE THAT HAS BEEN ADAPTED FOR USE IN COMPLEMENTARY AND ALTERNATIVE MEDICINE AND MAINLY INCLUDES PHYSICAL POSTURES, BREATHING TECHNIQUES, AND MEDITATION. THE IMPACT OF YOGA AS A COMPLEMENTARY INTERVENTION FOR HYPERTENSION HAS BEEN INVESTIGATED IN A NUMBER OF RANDOMIZED CONTROLLED TRIALS; WITH AN OVERALL EFFECT OF ABOUT 10 MMHG REDUCTION IN SYSTOLIC AND ABOUT 8 MMHG REDUCTION IN DIASTOLIC BLOOD PRESSURE. YOGA SEEMS TO BE EFFECTIVE ONLY FOR HYPERTENSION BUT NOT FOR PREHYPERTENSION; AND ONLY AS AN ADJUNCT TO ANTIHYPERTENSIVE PHARMACOLOGICAL TREATMENT BUT NOT AS AN ALTERNATIVE THERAPY. BREATHING AND MEDITATION RATHER THAN PHYSICAL ACTIVITY SEEM TO BE THE ACTIVE PART OF YOGA INTERVENTIONS FOR HYPERTENSIVE PATIENTS. THESE PRACTICES CAN INCREASE PARASYMPATHIC ACTIVITY AND DECREASE SYMPATHETIC ACTIVITY, ARGUABLY MAINLY BY INCREASING GABA ACTIVITY; THUS COUNTERACTING EXCESS ACTIVITY OF THE SYMPATHETIC NERVOUS SYSTEM WHICH HAS BEEN ASSOCIATED WITH HYPERTENSION. ALTHOUGH YOGA HAS BEEN ASSOCIATED WITH SERIOUS ADVERSE EVENTS IN SINGLE CASE REPORTS, POPULATION-BASED SURVEYS AS WELL AS CLINICAL TRIALS INDICATE THAT YOGA IS A RELATIVELY SAFE INTERVENTION THAT IS NOT ASSOCIATED WITH MORE ADVERSE EVENTS THAN OTHER FORMS OF PHYSICAL ACTIVITY. YOGA CAN THUS BE CONSIDERED A SAFE AND EFFECTIVE INTERVENTION FOR MANAGING HYPERTENSION. GIVEN THE POSSIBLY BETTER RISK/BENEFIT RATIO, IT MAY BE ADVISABLE TO FOCUS ON YOGIC MEDITATION AND/OR BREATHING TECHNIQUES. 2016 13 1873 25 RAPID GENE EXPRESSION CHANGES IN PERIPHERAL BLOOD LYMPHOCYTES UPON PRACTICE OF A COMPREHENSIVE YOGA PROGRAM. ONE OF THE MOST COMMON INTEGRATIVE MEDICINE (IM) MODALITIES IS YOGA AND RELATED PRACTICES. PREVIOUS WORK HAS SHOWN THAT YOGA MAY IMPROVE WELLNESS IN HEALTHY PEOPLE AND HAVE BENEFITS FOR PATIENTS. HOWEVER, THE MECHANISMS OF HOW YOGA MAY POSITIVELY AFFECT THE MIND-BODY SYSTEM ARE LARGELY UNKNOWN. HERE WE HAVE ASSESSED POSSIBLE RAPID CHANGES IN GLOBAL GENE EXPRESSION PROFILES IN THE PERIPHERAL BLOOD MONONUCLEAR CELLS (PBMCS) IN HEALTHY PEOPLE THAT PRACTICED EITHER A COMPREHENSIVE YOGA PROGRAM OR A CONTROL REGIMEN. THE EXPERIMENTAL SESSIONS INCLUDED GENTLE YOGA POSTURES, BREATHING EXERCISES, AND MEDITATION (SUDARSHAN KRIYA AND RELATED PRACTICES--SK&P) COMPARED WITH A CONTROL REGIMEN OF A NATURE WALK AND LISTENING TO RELAXING MUSIC. WE SHOW THAT THE SK&P PROGRAM HAS A RAPID AND SIGNIFICANTLY GREATER EFFECT ON GENE EXPRESSION IN PBMCS COMPARED WITH THE CONTROL REGIMEN. THESE DATA SUGGEST THAT YOGA AND RELATED PRACTICES RESULT IN RAPID GENE EXPRESSION ALTERATIONS WHICH MAY BE THE BASIS FOR THEIR LONGER TERM CELL BIOLOGICAL AND HIGHER LEVEL HEALTH EFFECTS. 2013 14 532 20 COMPARISON OF THE EFFECT OF YOGA, ZUMBA AND AEROBICS IN CONTROLLING BLOOD PRESSURE IN THE INDIAN POPULATION. AIM: THIS STUDY AIMS AT COMPARING THE EFFECT OF YOGA, ZUMBA DANCE, AND AEROBIC EXERCISES IN CONTROLLING BLOOD PRESSURE AMONG THE INDIAN POPULATION WITHOUT USING HYPERTENSIVE DRUGS. OBJECTIVE: THIS STUDY IS DESIGNED TO ANALYZE THE EFFECT OF YOGA, ZUMBA, AND AEROBICS IN CONTROLLING BLOOD PRESSURE AMONG THE INDIAN POPULATION AND TO DETERMINE WHICH OF THE THREE IS BETTER TO TREAT HYPERTENSION WITHOUT USING HYPERTENSIVE DRUGS. BACKGROUND: HYPERTENSION IS A DISEASE WHICH IS NOWADAYS MOST COMMONLY SEEN AMONG CHILDREN AND ADOLESCENTS AND HAS BEEN FOUND THAT REGULAR EXERCISE TENDS TO REDUCE THE LEVELS OF HIGH BLOOD PRESSURE IN A VERY EFFECTIVE WAY AMONG WHICH THE EFFECTS OF AEROBICS EXERCISE ON REDUCING HIGH BLOOD PRESSURE IN HYPERTENSIVE PATIENTS HAD BEEN MORE CONVINCING THAT REGULAR AEROBICS EXERCISE REDUCES THE BLOOD PRESSURE BY > 1.5 MMHG. 2020 15 1028 22 EFFECTS OF YOGA EXERCISE ON MAXIMUM OXYGEN UPTAKE, CORTISOL LEVEL, AND CREATINE KINASE MYOCARDIAL BOND ACTIVITY IN FEMALE PATIENTS WITH SKELETAL MUSCLE PAIN SYNDROME. [PURPOSE] THIS STUDY ANALYZED THE EFFECTS OF YOGA EXERCISE ON MAXIMUM OXYGEN UPTAKE, CORTISOL LEVEL, AND CREATINE KINASE MYOCARDIAL BOND ACTIVITY IN FEMALE PATIENTS WITH SKELETAL MUSCLE PAIN SYNDROME. [SUBJECTS] THE SUBJECTS WERE 24 FEMALE PATIENTS WITH SKELETAL MUSCLE PAIN SYNDROME. [METHODS] THE SUBJECTS WERE DIVIDED INTO 2 GROUPS: A YOGA EXERCISE GROUP (N = 12) AND A NON-EXERCISE CONTROL GROUP (N = 12). BODY COMPOSITION, MAXIMUM OXYGEN UPTAKE, CORTISOL LEVEL, AND CREATINE KINASE MYOCARDIAL BOND ACTIVITY WERE MEASURED BEFORE AND AFTER A 12-WEEK YOGA EXERCISE PROGRAM. [RESULTS] AFTER THE 12-WEEK YOGA EXERCISE PROGRAM, THE EXERCISE GROUP EXHIBITED SLIGHTLY HIGHER MAXIMUM OXYGEN UPTAKE AND CREATINE KINASE MYOCARDIAL BOND ACTIVITY THAN THE CONTROL GROUP, BUT THE DIFFERENCES WERE NOT STATISTICALLY SIGNIFICANT. IN ADDITION, THE EXERCISE GROUP EXHIBITED A SIGNIFICANT DECREASE IN CORTISOL LEVEL. [CONCLUSION] REGULAR AND CONTINUOUS AEROBIC EXERCISE SUCH AS YOGA IMPROVES BODY COMPOSITION, MAXIMUM OXYGEN UPTAKE, CORTISOL LEVEL, AND CREATINE KINASE MYOCARDIAL BOND ACTIVITY IN FEMALE PATIENTS WITH SKELETAL MUSCLE PAIN SYNDROME. 2015 16 1179 21 EVALUATION OF THE BENEFITS OF A KRIPALU YOGA PROGRAM FOR POLICE ACADEMY TRAINEES: A PILOT STUDY. BACKGROUND: LAW ENFORCEMENT RANKS AS ONE OF THE MOST STRESSFUL OCCUPATIONS IN THE WORLD. YOGA IS A MIND-BODY PRACTICE COMPOSED OF POSTURES, BREATHING, AND MEDITATION TECHNIQUES, AND IS KNOWN FOR ITS BENEFICIAL EFFECTS ON STRESS AND MOOD DISTURBANCE. OBJECTIVES: THIS PILOT STUDY EVALUATED THE EFFECTS OF KRIPALU YOGA ON PERCEIVED STRESS, MOOD, AND MINDFULNESS DURING POLICE ACADEMY TRAINING. METHOD: FORTY-TWO RECRUITS PARTICIPATED IN A 6-CLASS YOGA INTERVENTION. PARTICIPANTS COMPLETED THE PROFILE OF MOOD STATES-SHORT FORM, PERCEIVED STRESS SCALE, AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE PRIOR TO AND IMMEDIATELY FOLLOWING COMPLETION OF THE YOGA PROGRAM, AS WELL AS AN EXIT SURVEY. RESULTS: PAIRED SAMPLES T-TESTS REVEALED SIGNIFICANT POSTINTERVENTION CHANGES IN PERCEIVED STRESS AND MOOD, REDUCTIONS IN TENSION AND FATIGUE, AND A TREND TOWARD REDUCED ANGER. CHANGES IN MINDFULNESS WERE NOT DETECTED. THE EXIT SURVEY INDICATED PERCEIVED BENEFITS OF YOGA FOR SOME PARTICIPANTS. CONCLUSIONS: THIS PRELIMINARY STUDY SUGGESTS THAT YOGA MAY BE BENEFICIAL FOR REDUCING STRESS, TENSION, AND FATIGUE AMONG POLICE ACADEMY TRAINEES. FUTURE LONGITUDINAL RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO EVALUATE ITS FULL POTENTIAL AS A PERMANENT COMPONENT OF POLICE ACADEMY TRAINING. 2013 17 650 37 DYNAMICS OF HEART RATE VARIABILITY UNDER THE INFLUENCE OF COURSE YOGA BREATHING EXERCISES ON HEALTHY YOUNG PEOPLE. OBJECTIVE: INTRODUCTION: HEART RATE VARIABILITY IS A HIGHLY INFORMATIVE NON-INVASIVE METHOD OF RESEARCH NOT ONLY FOR THE FUNCTIONAL STATE OF THE CARDIOVASCULAR SYSTEM AND ALSO FOR THE INTEGRATIVE REGULATORY ACTIVITY OF THE AUTONOMIC NERVOUS SYSTEM. THE POSITIVE EFFECT OF DIAPHRAGMATIC BREATHING IS POSITIVE IN THE MODE OF BIOLOGICAL FEEDBACK USING PORTABLE DEVICES, BUT THERE IS LITTLE EVIDENCE OF THE USE OF YOGA BREATHING GYMNASTICS IN ORDER TO INFLUENCE THE HEART RATE VARIABILITY. THE AIM: TO COMPARE THE POSSIBILITIES OF USING COURSES OF BREATHING GYMNASTICS OF YOGIS AND DIAPHRAGMATIC BREATHING SESSIONS IN THE MODE OF BIOLOGICAL FEEDBACK USING A PORTABLE DEVICE. PATIENTS AND METHODS: MATERIALS AND METHODS: THE STUDY INVOLVED 70 PRACTICALLY HEALTHY FOREIGNERS, WHO WERE DIVIDED INTO 2 GROUPS OF 35 PEOPLE. PARTICIPANTS OF THE 1ST GROUP DAILY ENGAGE IN RESPIRATORY EXERCISES PRANAYAMA FOR 15 MINUTES IN 1 MONTH. PARTICIPANTS IN THE 2ND GROUP USED THE MYCALMBEAT PORTABLE DEVICE. HEART RATE VARIABILITY WAS REGISTERED BY USING THE COMPUTER DIAGNOSTIC COMPLEX "CARDIOLAB" ("KHAI-MEDIKA", UKRAINE). RESULTS: RESULTS: IN BOTH GROUPS THERE WAS SIMILAR DYNAMICS OF HEART RATE VARIABILITY INDICES, BUT ITS SEVERITY WAS DIFFERENT. THE COMMON INTEGRAL EFFECT WAS A SIGNIFICANT GROWTH OF HEART RATE VARIABILITY BOTH ACCORDING TO STATISTICAL AND SPECTRAL INDICATORS - TOTAL POWER INCREASED, AS WELL AS HIGH-FREQUENCY COMPONENT. THE POWER OF THE VERY-LOW FREQUENCY WAVES HAS PROBABLY DECREASED ONLY IN THE GROUP WITH THE DEVICE. IN THE PERCENTAGE STRUCTURE OF THE CARDIAC RHYTHM SPECTRUM, THE SPECIFIC WEIGHT OF VERY-LOW FREQUENCY COMPONENT AND THE PERCENTAGE OF HIGH-FREQUENCY COMPONENT INCREASED. CONCLUSION: CONCLUSIONS: RESPIRATORY GYMNASTICS YOGA FOR 15 MINUTES DAILY CONTRIBUTES TO THE GROWTH OF HEART RATE VARIABILITY THROUGH THE SUPPRESSION OF THE CENTRAL LINK (VERY-LOW FREQUENCY COMPONENT) OF REGULATION OF CARDIAC RHYTHM AND INCREASED ACTIVITY OF PARASYMPATHETIC INFLUENCES (HIGH-FREQUENCY COMPONENT), AS WELL AS THE REDISTRIBUTION OF REGULATORY ACTIVITY OF THE CENTRAL NERVOUS SYSTEM BETWEEN THE CENTRAL AND PERIPHERAL LINKS OF REGULATION OF THE CARDIAC RHYTHM IN FAVOR OF THE LATTER. 2019 18 2384 32 YOGA - A LABORIOUS WAY TO WELL-BEING: PATIENTS' EXPERIENCES OF YOGA AS A TREATMENT FOR HYPERTENSION IN PRIMARY CARE. OBJECTIVE: THE AIM OF THE STUDY WAS TO DESCRIBE PATIENTS' EXPERIENCE OF YOGA AS A TREATMENT FOR HYPERTENSION, AS WELL AS THEIR EXPERIENCE OF LIVING WITH HYPERTENSION. DESIGN: QUALITATIVE INTERVIEW STUDY METHOD AND MATERIALS: IN 2013-2014, IN SOUTHERN SWEDEN, PATIENTS WITH HYPERTENSION FROM THREE HEALTH CARE CENTRES WERE INVITED TO PARTICIPATE IN A RANDOMISED CONTROLLED TRIAL ON YOGA FOR HYPERTENSION. AFTER COMPLETION OF THE STUDY, EIGHT WOMEN AND FIVE MEN (AGED 35-79), WHO HAD PRACTICED THE YOGA INTERVENTION, WERE INTERVIEWED ABOUT THEIR EXPERIENCES. WE USED A SEMI-STRUCTURED INTERVIEW GUIDE ACCORDING TO KVALE. QUALITATIVE ANALYSIS WAS CONDUCTED BY SYSTEMATIC TEXT CONDENSATION INSPIRED BY MALTERUD. RESULTS: TWO MAIN THEMES EMERGED DURING THE ANALYSIS PROCESS: YOGA - A LABORIOUS WAY TO WELL-BEING AND HYPERTENSION - A SILENT DISEASE. THE POSITIVE EXPERIENCES OF DOING YOGA WERE DESCRIBED IN TERMS OF TRANQUILLITY AND INCREASED AGILITY. THE DRAWBACKS WERE MAINLY LINKED TO THE TIME REQUIRED TO PERFORM THE EXERCISES. LIVING WITH HIGH BLOOD PRESSURE AND HAVING TO TAKE MEDICATION CAN IMPLY A STIGMA AND CAUSE CONCERNS FOR FUTURE CARDIOVASCULAR EVENTS. MOST PATIENTS THAT WE INTERVIEWED EXPRESSED A WISH TO FIND ALTERNATIVE WAYS TO TREAT THEIR HIGH BLOOD PRESSURE. PARTICIPATING IN THE YOGA STUDY WAS SEEN AS A GOOD POSSIBILITY TO TRY SUCH AN ALTERNATIVE WAY. CONCLUSIONS: MANY PATIENTS WITH HYPERTENSION IN SWEDISH PRIMARY CARE SEEM TO BE INTERESTED IN TRYING ALTERNATIVE TREATMENTS TO CONTROL BLOOD PRESSURE. THE PATIENTS IN OUR STUDY EXPERIENCED SEVERAL BENEFITS FROM DOING YOGA, BUT THEY ALSO POINTED OUT DIFFICULTIES IN IMPLEMENTING YOGA AS A REGULAR AND PERMANENT LIFESTYLE CHANGE. 2017 19 1204 30 EXPERIENCE OF ELDERLY PEOPLE REGARDING THE EFFECT OF YOGA/LIGHT EXERCISE ON SEDENTARY BEHAVIOR: A LONGITUDINAL QUALITATIVE STUDY IN MADHYA PRADESH, INDIA. THIS STUDY IS SET ON THE BACKGROUND OF A RANDOMIZED CONTROL TRIAL (RCT) IN WHICH INTERVENTION WAS CARRIED TO OBSERVE THE EFFECTS OF YOGA/LIGHT EXERCISE ON THE IMPROVEMENT IN HEALTH AND WELL-BEING AMONG THE ELDERLY POPULATION. A LONGITUDINAL QUALITATIVE STUDY WAS CONDUCTED AS PART OF RCT INTERVENTIONS TO EXPLORE THE EXPERIENCE OF THE ELDERLY PRACTICING YOGA/LIGHT EXERCISE IN RELATION TO SEDENTARY BEHAVIOR IN THE UJJAIN DISTRICT OF MADHYA PRADESH, INDIA. PARTICIPANTS OF THE RCT WERE SELECTED FOR THIS STUDY. EIGHTEEN FOCUS GROUP DISCUSSIONS WERE CONDUCTED-SIX DURING EACH PHASE OF RCT INTERVENTIONS (BEFORE, DURING, AND AFTER). THE FINDINGS REGARDING MOTIVATING AND DEMOTIVATING FACTORS IN VARIOUS PHASES OF INTERVENTION WERE PRESENTED IN THREE CATEGORIES: EXPERIENCE AND PERCEPTION OF THE EFFECTS OF YOGA/LIGHT EXERCISE ON SEDENTARY BEHAVIOR (1) BEFORE, (2) DURING, AND (3) AFTER INTERVENTION. THIS STUDY EXPLORES THE POSITIVE EFFECT OF YOGA/LIGHT EXERCISE ON SEDENTARY BEHAVIOR AND SUBJECTIVE WELL-BEING ON THE ELDERLY POPULATION. THEY WERE RECOGNIZED TO HAVE UNDERGONE CHANGES IN THEIR PHYSICAL AND EMOTIONAL WELL-BEING BY CONSISTENTLY PRACTICING YOGA/LIGHT EXERCISE. THE MAIN DRIVING FACTORS WERE PERIODIC HEALTH CHECK-UPS AND THE ENCOURAGEMENT OF QUALIFIED TRAINERS WITHOUT ANY COST. THIS STUDY CONCLUDES WITH THE NOTION THAT THESE INTERVENTIONS SHOULD BE ENCOURAGED IN THE COMMUNITY TO USE PHYSICAL EXERCISE AS A METHOD TO BETTER CONTROL THE PHYSICAL AND SOCIAL EFFECTS OF AGING. 2020 20 436 24 CARDIORESPIRATORY AND METABOLIC CHANGES DURING YOGA SESSIONS: THE EFFECTS OF RESPIRATORY EXERCISES AND MEDITATION PRACTICES. THE NOVELTY OF THIS STUDY WAS TO INVESTIGATE THE CHANGES IN CARDIORESPIRATORY AND METABOLIC INTENSITY BROUGHT ABOUT BY THE PRACTICE OF PRANAYAMAS (BREATHING EXERCISES OF YOGA) AND MEDITATION DURING THE SAME HATHA-YOGA SESSION. THE TECHNIQUE APPLIED WAS THE ONE ADVOCATED BY THE HATHA-YOGA SYSTEM. NINE YOGA INSTRUCTORS-FIVE FEMALES AND FOUR MALES, MEAN AGE OF 44+/-11, 6, WERE SUBJECTED TO ANALYSIS OF THE GASES EXPIRED DURING THREE DISTINCT PERIODS OF 30 MIN: REST, RESPIRATORY EXERCISES AND MEDITATIVE PRACTICE. A METABOLIC OPEN CIRCUIT COMPUTERIZED SYSTEM WAS APPLIED (VO2000, MEDGRAPHICS-USA). THE OXYGEN UPTAKE (VO(2)) AND THE CARBON DIOXIDE OUTPUT (VCO(2)) WERE STATISTICALLY DIFFERENT (P