1 2720 116 YOGA MEDITATION PRACTITIONERS EXHIBIT GREATER GRAY MATTER VOLUME AND FEWER REPORTED COGNITIVE FAILURES: RESULTS OF A PRELIMINARY VOXEL-BASED MORPHOMETRIC ANALYSIS. HATHA YOGA TECHNIQUES, INCLUDING PHYSICAL POSTURES (ASANAS), BREATHING EXERCISES (PRANAYAMA), AND MEDITATION, INVOLVE THE PRACTICE OF MINDFULNESS. IN TURN, YOGA MEDITATION PRACTICES MAY INDUCE THE STATE OF MINDFULNESS, WHICH, WHEN EVOKED RECURRENTLY THROUGH REPEATED PRACTICE, MAY ACCRUE INTO TRAIT OR DISPOSITIONAL MINDFULNESS. PUTATIVELY, THESE CHANGES MAY BE MEDIATED BY EXPERIENCE-DEPENDENT NEUROPLASTIC CHANGES. THOUGH PRIOR STUDIES HAVE IDENTIFIED DIFFERENCES IN GRAY MATTER VOLUME (GMV) BETWEEN LONG-TERM MINDFULNESS PRACTITIONERS AND CONTROLS, NO STUDIES TO DATE HAVE REPORTED ON WHETHER YOGA MEDITATION IS ASSOCIATED WITH GMV DIFFERENCES. THE PRESENT STUDY INVESTIGATED GMV DIFFERENCES BETWEEN YOGA MEDITATION PRACTITIONERS (YMP) AND A MATCHED CONTROL GROUP (CG). THE YMP GROUP EXHIBITED GREATER GM VOLUME IN FRONTAL, LIMBIC, TEMPORAL, OCCIPITAL, AND CEREBELLAR REGIONS; WHEREAS THE CG HAD NO GREATER REGIONAL GREATER GMV. IN ADDITION, THE YMP GROUP REPORTED SIGNIFICANTLY FEWER COGNITIVE FAILURES ON THE COGNITIVE FAILURES QUESTIONNAIRE (CFQ), THE MAGNITUDE OF WHICH WAS POSITIVELY CORRELATED WITH GMV IN NUMEROUS REGIONS IDENTIFIED IN THE PRIMARY ANALYSIS. LASTLY, GMV WAS POSITIVELY CORRELATED WITH THE DURATION OF YOGA PRACTICE. RESULTS FROM THIS PRELIMINARY STUDY SUGGEST THAT HATHA YOGA PRACTICE MAY BE ASSOCIATED WITH THE PROMOTION OF NEUROPLASTIC CHANGES IN EXECUTIVE BRAIN SYSTEMS, WHICH MAY CONFER THERAPEUTIC BENEFITS THAT ACCRUE WITH REPEATED PRACTICE. 2012 2 47 27 A CLOSER LOOK AT YOGA NIDRA: SLEEP LAB PROTOCOL. EXTENDED SLEEP ONSET LATENCY (SOL), OR "SLEEP ONSET INSOMNIA," CAN DECREASE TOTAL SLEEP TIME, INCREASING RISK FOR MANY HEALTH CONDITIONS, INCLUDING HEART DISEASE, STROKE, AND ALL-CAUSE MORTALITY. SLEEP DISORDERS PERSIST IN THE UNITED STATES DESPITE CURRENT BEHAVIORAL/PHARMACEUTICAL REMEDIES, WITH 10% TO 15% OF THE POPULATION SUFFERING FROM INSOMNIA. MIND-BODY THERAPIES OFFER ADDITIONAL SOLUTIONS, AS MEDITATION HAS BEEN CORRELATED WITH DECREASED SOL. MORE RESEARCH ON USE OF MIND-BODY PRACTICES FOR INSOMNIA IS NEEDED. THIS STUDY INVESTIGATES THE GUIDED MEDITATION PRACTICE OF YOGA NIDRA (YOGIC SLEEP) AS A PROMISING INTERVENTION FOR SLEEP DISORDERS BECAUSE OF ITS PURPORTED ABILITY TO INDUCE MENTAL, PHYSICAL, AND EMOTIONAL RELAXATION. IN THIS PILOT STUDY, WE ADDRESS THE FEASIBILITY OF YOGA NIDRA FOR INSOMNIA, APPROPRIATENESS OF OUR SELECTED MEASUREMENT SYSTEMS, AND EFFECT OF YOGA NIDRA ON BRAINWAVES, SLEEP ONSET, AND THE AUTONOMIC NERVOUS SYSTEM. OUR STUDY SAMPLE INCLUDES 22 ADULTS, AGES 18-45, WITH INSOMNIA. THE DESIGN INCLUDES TWO CLINIC VISITS (V1, LYING QUIETLY FOR 90 MIN; V2, RANDOMIZATION TO 90-MIN LYING QUIETLY VS. 30-MIN YOGA NIDRA PLUS 60-MIN LYING QUIETLY), TAKING PLACE 1 TO 14 DAYS APART. OUTCOMES MEASURED DURING/AFTER YOGA NIDRA (VS. CONTROL) INCLUDE SLEEP ONSET, ELECTROENCEPHALOGRAPHY (EEG) POWER, HEART RATE VARIABILITY (HRV), AND RESPIRATORY RATE. SELF-REPORTED MOOD AND ANXIETY WILL BE MEASURED BEFORE/AFTER EACH VISIT. RESULTING PHYSIOLOGICAL, PSYCHOLOGICAL, AND FEASIBILITY DATA WILL BE USED TO INFORM FUTURE CLINICAL STUDIES OF YOGA NIDRA FOR SLEEP AND RELAXATION. 2021 3 439 24 CARDIOVASCULAR, CELLULAR, AND NEURAL ADAPTATIONS TO HOT YOGA VERSUS NORMAL-TEMPERATURE YOGA. CONTEXT: CHRONIC HEAT EXPOSURE PROMOTES CARDIOVASCULAR AND CELLULAR ADAPTATIONS, IMPROVING AN ORGANISM'S ABILITY TO TOLERATE SUBSEQUENT STRESSORS. HEAT EXPOSURE MAY ALSO PROMOTE NEURAL ADAPTATIONS AND ALTER THE NEURAL-HORMONAL STRESS RESPONSE. HOT-TEMPERATURE YOGA (HY) COMBINES MIND-BODY EXERCISE WITH HEAT EXPOSURE. THE ADDED HEAT COMPONENT IN HY MAY INDUCE CARDIOVASCULAR AND CELLULAR CHANGES, ALONG WITH NEURAL BENEFITS AND MODULATION OF STRESS HORMONES. AIMS: THE PURPOSE OF THE PRESENT STUDY IS TO COMPARE THE CARDIOVASCULAR, CELLULAR HEAT SHOCK PROTEIN 70 (HSP70), NEURAL, AND HORMONAL ADAPTATIONS OF HY VERSUS NORMAL-TEMPERATURE YOGA (NY). SETTINGS AND DESIGN: TWENTY-TWO SUBJECTS (MALES = 11 AND FEMALES = 11, 26 +/- 6 YEARS) COMPLETED 4 WEEKS OF NY (N = 11) OR HY (N = 11, 41 DEGREES C, 40% HUMIDITY). YOGA SESSIONS WERE PERFORMED 3 TIMES/WEEK FOLLOWING A MODIFIED BIKRAM PROTOCOL. SUBJECTS AND METHODS: PRE- AND POSTTESTING INCLUDED (1) HEMODYNAMIC MEASURES DURING A HEAT TOLERANCE TEST AND MAXIMAL AEROBIC FITNESS TEST; (2) NEURAL AND HORMONAL ADAPTATIONS USING SERUM BRAIN-DERIVED NEUROTROPHIC FACTOR (BDNF) AND ADRENOCORTICOTROPIC HORMONE (ACTH), ALONG WITH A MENTAL STRESS QUESTIONNAIRE; AND (3) CELLULAR ADAPTATIONS (HSP70) IN PERIPHERAL BLOOD MONONUCLEAR CELLS (PBMCS). STATISTICAL ANALYSIS: WITHIN- AND BETWEEN-GROUP STUDENT'S T-TEST ANALYSES WERE CONDUCTED TO COMPARE PRE- AND POST-VO2 MAX, PERCEIVED STRESS, BDNF, HSP70, AND ACTH IN HY AND NY GROUPS. RESULTS: MAXIMAL AEROBIC FITNESS INCREASED IN THE HY GROUP ONLY. NO EVIDENCE OF HEAT ACCLIMATION OR CHANGE IN MENTAL STRESS WAS OBSERVED. SERUM BDNF SIGNIFICANTLY INCREASED IN YOGA GROUPS COMBINED. ANALYSIS OF HSP70 SUGGESTED HIGHER EXPRESSION OF HSP70 IN THE HY GROUP ONLY. CONCLUSIONS: TWELVE SESSIONS OF HY PROMOTED CARDIOVASCULAR FITNESS AND CELLULAR THERMOTOLERANCE ADAPTATIONS. SERUM BDNF INCREASED IN RESPONSE TO YOGA (NY + HY) AND APPEARED TO NOT BE TEMPERATURE DEPENDENT. 2021 4 1897 36 RESTING STATE FUNCTIONAL CONNECTIVITY ASSOCIATED WITH SAHAJA YOGA MEDITATION. NEUROSCIENCE RESEARCH HAS SHOWN THAT MEDITATION PRACTICES HAVE EFFECTS ON BRAIN STRUCTURE AND FUNCTION. HOWEVER, FEW STUDIES HAVE COMBINED INFORMATION ON THE EFFECTS ON STRUCTURE AND FUNCTION IN THE SAME SAMPLE. LONG-TERM DAILY MEDITATION PRACTICE PRODUCES REPEATED ACTIVITY OF SPECIFIC BRAIN NETWORKS OVER YEARS OF PRACTICE, WHICH MAY INDUCE LASTING STRUCTURAL AND FUNCTIONAL CONNECTIVITY (FC) CHANGES WITHIN RELEVANT CIRCUITS. THE AIM OF OUR STUDY WAS THEREFORE TO IDENTIFY DIFFERENCES IN FC DURING THE RESTING STATE BETWEEN 23 SAHAJA YOGA MEDITATION EXPERTS AND 23 HEALTHY PARTICIPANTS WITHOUT MEDITATION EXPERIENCE. SEED-BASED FC ANALYSIS WAS PERFORMED DEPARTING FROM VOXELS THAT HAD SHOWN STRUCTURAL DIFFERENCES BETWEEN THESE SAME PARTICIPANTS. THE CONTRAST OF CONNECTIVITY MAPS YIELDED THAT MEDITATORS SHOWED INCREASED FC BETWEEN THE LEFT VENTROLATERAL PREFRONTAL CORTEX AND THE RIGHT DORSOLATERAL PREFRONTAL CORTEX BUT REDUCED FC BETWEEN THE LEFT INSULA AND THE BILATERAL MID-CINGULATE AS WELL AS BETWEEN THE RIGHT ANGULAR GYRUS AND THE BILATERAL PRECUNEUS/CUNEUS CORTICES. IT THUS APPEARS THAT LONG-TERM MEDITATION PRACTICE INCREASES DIRECT FC BETWEEN VENTRAL AND DORSAL FRONTAL REGIONS WITHIN BRAIN NETWORKS RELATED TO ATTENTION AND COGNITIVE CONTROL AND DECREASES FC BETWEEN REGIONS OF THESE NETWORKS AND AREAS OF THE DEFAULT MODE NETWORK. 2021 5 1911 15 ROLE OF AYURVEDA AND YOGA-BASED LIFESTYLE IN THE COVID-19 PANDEMIC - A NARRATIVE REVIEW. THE COVID-19 PANDEMIC HAS POSED AN IMMENSE CHALLENGE TO HEALTH CARE SYSTEMS AROUND THE GLOBE IN TERMS OF LIMITED HEALTH CARE FACILITIES AND PROVEN MEDICAL THERAPEUTICS TO ADDRESS THE SYMPTOMS OF THE INFECTION. THE CURRENT HEALTH CARE STRATEGIES ARE PRIMARILY FOCUSED ON EITHER THE PATHOGEN OR THE ENVIRONMENTAL FACTORS. HOWEVER, EFFORTS TOWARDS STRENGTHENING THE HOST IMMUNITY ARE IMPORTANT FROM PUBLIC HEALTH PERSPECTIVE TO PREVENT THE SPREAD OF INFECTION AND DOWNREGULATE THE POTENCY OF THE INFECTIOUS AGENT. WHILE A VACCINE CAN INDUCE SPECIFIC IMMUNITY IN THE HOST, NON-SPECIFIC WAYS OF IMPROVING OVERALL HOST IMMUNITY ARE NEEDED AS WELL. THIS SCENARIO HAS PAVED THE WAY FOR THE USE OF TRADITIONAL INDIAN THERAPIES SUCH AS AYURVEDA AND YOGA. THIS REVIEW AIMS AT COLLATING AVAILABLE EVIDENCE ON AYURVEDA, YOGA, AND COVID-19. FURTHER, IT DRAWS INFERENCES FROM RECENT STUDIES ON YOGA AND AYURVEDA ON IMMUNITY, RESPIRATORY HEALTH, AND MENTAL HEALTH RESPECTIVELY TO APPROXIMATE ITS PROBABLE ROLE IN PROPHYLAXIS AND AS AN ADD-ON MANAGEMENT OPTION FOR THE CURRENT PANDEMIC. 2022 6 2652 26 YOGA IMPROVES MITOCHONDRIAL HEALTH AND REDUCES SEVERITY OF AUTOIMMUNE INFLAMMATORY ARTHRITIS: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: OXIDATIVE STRESS (OS) AND MITOCHONDRIAL ALTERATIONS HAVE BEEN IMPLICATED IN THE PATHOGENESIS OF RHEUMATOID ARTHRITIS (RA). VARIOUS ENVIRONMENTAL TRIGGERS LIKE AIR POLLUTANTS, SMOKING, UNHEALTHY SOCIAL HABITS AND SEDENTARY LIFESTYLE INDUCE OS, WHICH MAY COMPROMISE MITOCHONDRIAL INTEGRITY. THIS TRIAL WAS DESIGNED TO EXPLORE THE EFFECT OF 8-WEEKS YOGA PRACTICE ON MITOCHONDRIAL HEALTH AND DISEASE SEVERITY IN AN ACTIVE RA GROUP COMPARED WITH A USUAL-CARE CONTROL GROUP. METHODS: A TOTAL OF 70 SUBJECTS WERE RANDOMIZED INTO TWO GROUPS: YOGA GROUP AND NON-YOGA GROUP. MITOCHONDRIAL HEALTH WAS ASSESSED BY CALCULATION OF MITOCHONDRIAL DNA COPY NUMBER (MTDNA-CN), OS MARKERS, MITOCHONDRIAL ACTIVITY, MITOCHONDRIAL MEMBRANE POTENTIAL (DELTAPSIM), CIRCADIAN RHYTHM MARKERS AND TRANSCRIPTS ASSOCIATED WITH MITOCHONDRIAL INTEGRITY: AMPK, TIMP-1, KLOTHO, SIRT-1, AND TFAM. PARAMETERS OF DISEASE ACTIVITY AND DISABILITY QUOTIENT WERE ALSO ASSESSED BY DISEASE ACTIVITY SCORE - ERYTHROCYTE SEDIMENTATION RATE (DAS28-ESR) AND HEALTH ASSESSMENT QUESTIONNAIRE-DISABILITY INDEX (HAQ-DI), RESPECTIVELY. RESULTS: IN YOGA GROUP, THERE WAS A SIGNIFICANT UPREGULATION OF MTDNA-CN, MITOCHONDRIAL ACTIVITY MARKERS, DELTAPSIM, AND TRANSCRIPTS THAT MAINTAIN MITOCHONDRIAL INTEGRITY AFTER 8-WEEKS OF YOGA. THERE WAS OPTIMIZATION OF OS MARKERS, AND CIRCADIAN RHYTHM MARKERS POST 8-WEEKS PRACTICE OF YOGA. YOGA GROUP PARTICIPANTS SHOWED SIGNIFICANT IMPROVEMENTS IN DAS28-ESR (P < 0.05) AND HAQ-DI (P < 0.05) OVER THE NON-YOGA GROUP. CONCLUSION: ADOPTION OF YOGA BY RA PATIENTS HOLDS THE KEY TO ENHANCE MITOCHONDRIAL HEALTH, IMPROVE CIRCADIAN RHYTHM MARKERS, OS MARKER REGULATION, UPREGULATION OF TRANSCRIPTS THAT MAINTAIN MITOCHONDRIAL INTEGRITY, REDUCE DISEASE ACTIVITY AND ITS ASSOCIATED CONSEQUENCES ON HEALTH OUTCOME AND HENCE CAN BE BENEFICIAL AS AN ADJUNCT THERAPY. 2021 7 1458 20 INFLUENCE OF YOGA ON BLOOD COAGULATION. YOGA IS KNOWN TO INDUCE BENEFICIAL EFFECTS ON PHYSIOLOGICAL, BIOCHEMICAL AND MENTAL FUNCTIONS IN MAN. ITS EFFECTS ON BLOOD COAGULATION ARE NOT KNOWN. A STUDY WAS CONDUCTED IN SEVEN PREVIOUSLY UNTRAINED MALE ADULTS WHO UNDERWENT A COMBINATION OF YOGIC EXERCISES, DAILY FOR ONE HOUR, OVER A PERIOD OF FOUR MONTHS. PARAMETERS OF BLOOD COAGULATION WERE ESTIMATED BEFORE AND AFTER THE END OF YOGA TRAINING. THE FOLLOWING CHANGES WERE OBSERVED: FIBRINOLYTIC ACTIVITY INCREASED SIGNIFICANTLY WITH A CONCOMITANT FALL IN FIBRINOGEN; ACTIVATED PARTIAL THROMBOPLASTIN TIME AND PLATELET AGGREGATION TIME WERE PROLONGED; BLOOD AND PLASMA PLATELETS SHOWED A RISE; AND BOTH HAEMOGLOBIN AND HEAMATOCRIT WERE RAISED AT THE END OF THE TRAINING. THESE FINDINGS SUGGEST THAT YOGA INDUCES A STATE OF BLOOD HYPOCOAGULABILITY. THE IMPACT OF YOGA ON PREVENTION OF CARDIOVASCULAR AND THROMBOTIC DISORDERS IS OBVIOUS. 1984 8 2412 19 YOGA AND ITS IMPACT ON CHRONIC INFLAMMATORY AUTOIMMUNE ARTHRITIS. RHEUMATOID ARTHRITIS (RA) IS ONE OF THE MOST COMMON CHRONIC INFLAMMATORY AUTOIMMUNE DISEASES, WHICH ADVERSELY AFFECTS THE QUALITY OF LIFE. RA IS A DISEASE OF UNKNOWN ETIOLOGY, HOWEVER, BOTH GENETIC AND ENVIRONMENTAL FACTORS APPEAR TO CONTRIBUTE TO THE SUSCEPTIBILITY TO THIS DISEASE. THE SEVERITY AND PROGRESSION OF THE DISEASE ARE ATTRIBUTABLE TO THE RELEASE OF A HOST OF INFLAMMATORY CYTOKINES, CYTOTOXIC AND IMMUNE REGULATORY FACTORS. THE TREATMENTS OF RA ARE PRIMARILY LIMITED TO SYMPTOMATIC ALLEVIATION OF PAIN OR OTHER SYMPTOMS OR TO THE USE OF CYTOTOXIC DRUG TREATMENT IN SEVERE FORMS OF THE DISEASE WHICH IS COMMONLY ASSOCIATED WITH SIGNIFICANT SIDE EFFECTS. DESPITE LACK OF A CURE, THE DISEASE MAY BE CONTROLLED BY MIND-BODY INTERVENTIONS. HOLISTIC TREATMENTS SUCH AS YOGA SIGNIFICANTLY IMPROVE AND REDUCE THE PSYCHO-SOMATIC SYMPTOMS, PAIN PERCEPTION, DISABILITY QUOTIENT, JOINT FLEXIBILITY, RANGE OF MOTION, POSTURE, MUSCLE STRENGTH, COORDINATION, AND DISEASE ACTIVITY. HERE, WE DISCUSS THE FEATURES OF RA AND ADDRESS HOW YOGA CAN BE USED AS A THERAPEUTIC REGIMEN TO IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH RA. 2021 9 82 30 A MECHANISTIC MODEL FOR YOGA AS A PREVENTIVE AND THERAPEUTIC MODALITY. YOGA IS AN ANCIENT INDIAN TECHNIQUE OF HEALTHY LIVING. NUMEROUS STUDIES HAVE CORROBORATED YOGA'S BENEFICIAL EFFECTS, INCLUDING A FAVORABLE INFLUENCE ON AUTONOMIC FUNCTION AND NEGATIVE EMOTIONS. EXTENSIVE RESEARCH IN THE LAST FEW DECADES HAS REVEALED THE CRITICAL ROLE THAT YOGA CAN PLAY IN ERADICATING STRESS. THIS HAS LAID TO THE FOUNDATION FOR A SCIENTIFIC UNDERSTANDING OF PATHOPHYSIOLOGICAL CHANGES ATTRIBUTED TO STRESS, PARTICULARLY AT THE MOLECULAR AND GENETIC LEVELS. THIS PRIMARILY HAS HELPED UNDERSTAND THE EPIGENETIC AND GENETIC MECHANISM AT PLAY TO INDUCE AND ALLEVIATE STRESS, PARTICULARLY THOSE RELATED TO EMOTIONAL ABERRATIONS. AS RESEARCH HAS INDICATED, NEGATIVE EMOTIONS ARE TRANSLATED INTO VASCULAR INFLAMMATION APPROPRIATELY ACCENTUATED BY A SYMPATHETIC PREDOMINANT AUTONOMIC FUNCTION. THIS CASCADE IS BOLSTERED BY MULTIPLE FACTORS, INCLUDING ACTIVATION OF "STRESSOR" GENES AND ELABORATING HORMONES, INCLUDING STEROIDS WITH SOMETIMES NOCUOUS CONSEQUENCES, PARTICULARLY WHEN CHRONIC. YOGA HAS BEEN CATEGORICALLY FOUND TO HAVE INHIBITED EACH AND EVERY ONE OF THESE BANEFUL EFFECTS OF STRESS. IN FACT, IT ALSO CHANGES THE NEURONAL CIRCUITS THAT POTENTIATE SUCH A PLETHORA OF PATHOLOGICAL CHANGES. THIS, IN TURN, HAS ACCENTUATED YOGA'S RELEVANCE AS A POWERFUL PREVENTIVE INTERVENTION IN NONCOMMUNICABLE DISEASES (NCD). NCDS, INCLUDING HEART DISEASE, STROKE, AND RHEUMATOLOGICAL DISORDERS, ARE ESSENTIALLY INFLAMMATORY DISEASES THAT PERPETUATE INFLAMMATION IN DIFFERENT BEDS LIKE VASCULAR OR JOINT SPACES. THE PRECISE MECHANISM BY WHICH YOGA INDUCES SUCH BENEFICIAL CHANGES IS YET TO BE DELINEATED. HOWEVER, A CORNUCOPIA OF POINTERS INDICATES THAT NEURAL, ENDOCRINE, IMMUNOLOGICAL, CELLULAR, GENETIC, AND EPIGENETIC MECHANISMS ARE AT PLAY. THIS ARTICLE ATTEMPTS TO COBBLE TOGETHER NEWFANGLED RESEARCH TO DELINEATE A MEDICAL MODEL FOR THIS 5000-YEAR-OLD PRACTICE FROM INDIA. THIS IS IMPERATIVE, AS A MECHANISTIC MODEL OF THIS ANCIENT-BUT-COMPLEX SYSTEM WOULD ENABLE A MORE COMPREHENSIVE UNDERSTANDING OF ITS MECHANISM AND REVEAL ITS YET-UNDISCOVERED POSITIVE HEALTH EFFECTS. 2021 10 341 42 ARTERIAL BLOOD PRESSURE AND CARDIOVASCULAR RESPONSES TO YOGA PRACTICE. CONTEXT: YOGA IS QUALITATIVELY DIFFERENT FROM ANY OTHER MODE OF PHYSICAL ACTIVITY IN THAT IT CONSISTS OF A UNIQUE COMBINATION OF ISOMETRIC MUSCULAR CONTRACTIONS, STRETCHING EXERCISES, RELAXATION TECHNIQUES, AND BREATHING EXERCISES. IN PARTICULAR, YOGA POSTURES CONSIST OF SYSTEMIC ISOMETRIC CONTRACTIONS THAT ARE KNOWN TO ELICIT MARKED INCREASES IN MEAN BLOOD PRESSURE THAT ARE NOT OBSERVED DURING DYNAMIC EXERCISE. STRETCHING CAN ALSO INDUCE INCREASES IN BLOOD PRESSURE AND SYMPATHETIC NERVE ACTIVITY IN THE MUSCLES. CURRENTLY, NOT MUCH IS KNOWN ABOUT CHANGES IN BLOOD PRESSURE AND OTHER CARDIOVASCULAR RESPONSES TO YOGA PRACTICE. OBJECTIVE: THE STUDY INTENDED TO DETERMINE THE ACUTE EFFECTS OF ONE SESSION OF HATHA YOGA PRACTICE ON BLOOD PRESSURE AND OTHER CARDIOVASCULAR RESPONSES. TO GAIN INSIGHT INTO THE LONG-TERM EFFECTS OF YOGA PRACTICE, BOTH NOVICE (N = 19) AND ADVANCED (N = 18) YOGA PRACTITIONERS WERE STUDIED. DESIGN: THE TWO GROUPS WERE MATCHED FOR AGE, GENDER, BMI, AND BLOOD PRESSURE. SETTING: THE SETTING WAS A RESEARCH LABORATORY AT A UNIVERSITY. PARTICIPANTS: THIRTY-SIX APPARENTLY HEALTHY, NONOBESE, SEDENTARY, OR RECREATIONALLY ACTIVE INDIVIDUALS FROM THE COMMUNITY PARTICIPATED IN THE STUDY. INTERVENTION THE INTERVENTION COMPRISED ONE SESSION OF YOGA PRACTICE, IN WHICH PARTICIPANTS FOLLOWED A CUSTOM MADE INSTRUCTIONAL VIDEO PROVIDING A YOGA ROUTINE THAT CONSISTED OF A SERIES OF 23 HATHA-BASED YOGA POSTURES. OUTCOME MEASURES: PRIOR TO ARRIVING AT THE LABORATORY, EACH PARTICIPANT COMPLETED A RESEARCH HEALTH QUESTIONNAIRE, A TRAINING-STATUS QUESTIONNAIRE, AND A YOGA-EXPERIENCE QUESTIONNAIRE. PRIOR TO THE YOGA PRACTICE, EACH PARTICIPANT'S HEIGHT, BODY FAT PERCENTAGE, TRUNK OR LUMBAR FLEXIBILITY, AND ARTERIAL STIFFNESS AS ASSESSED BY CAROTID FEMORAL PULSE WAVE VELOCITY (CFPWV) WERE MEASURED. FOR EACH POSTURE DURING THE YOGA PRACTICE, THE STUDY CONTINUOUSLY MEASURED SYSTOLIC, MEAN, AND DIASTOLIC BLOOD PRESSURES, HEART RATE, STROKE VOLUME, AND CARDIAC OUTPUT. RESULTS: SYSTOLIC, MEAN, AND DIASTOLIC BLOOD PRESSURES INCREASED SIGNIFICANTLY DURING THE YOGA PRACTICE. THE MAGNITUDE OF THESE INCREASES IN BLOOD PRESSURE WAS GREATEST WITH STANDING POSTURES. HEART RATE AND CARDIAC OUTPUT INCREASED SIGNIFICANTLY DURING YOGA PRACTICE, ESPECIALLY WITH STANDING POSTURES. OVERALL, NO DIFFERENCES EXISTED IN CARDIOVASCULAR RESPONSES BETWEEN THE NOVICE AND ADVANCED PRACTITIONERS THROUGHOUT THE YOGA TESTING SESSION; CFPWV VELOCITY WAS SIGNIFICANTLY AND INVERSELY ASSOCIATED WITH LUMBAR FLEXION BUT NOT WITH SIT-AND-REACH TEST SCORES. CONCLUSIONS: THE RESEARCH TEAM CONCLUDED THAT A VARIETY OF HATHA YOGA POSTURES, ESPECIALLY STANDING POSTURES, EVOKED SIGNIFICANT INCREASES IN BLOOD PRESSURE. THE ELEVATION IN BLOOD PRESSURE DUE TO YOGA PRACTICE WAS ASSOCIATED WITH INCREASES IN CARDIAC OUTPUT AND HEART RATE, WHICH ARE RESPONSES SIMILAR TO THOSE OBSERVED IN ISOMETRIC EXERCISE. THE LACK OF OBVIOUS DIFFERENCES IN BLOOD PRESSURE AND OTHER CARDIOVASCULAR RESPONSES BETWEEN NOVICE AND ADVANCED YOGA PRACTITIONERS SUGGESTS THAT LONG-TERM YOGA PRACTICE DOES NOT ATTENUATE ACUTE YOGA RESPONSES. 2013 11 1927 26 ROLE OF YOGA IN CARDIAC DISEASE AND REHABILITATION. PURPOSE: CARDIOVASCULAR DISEASE CONTINUES TO BE THE LEADING CAUSE OF MORBIDITY AND MORTALITY AROUND THE WORLD. YOGA, A COMBINATION OF PHYSICAL POSTURES (ASANA), BREATHING EXERCISES (PRANAYAMA), AND MEDITATION (DHYANA), HAS GAINED INCREASING RECOGNITION AS A FORM OF MIND-BODY EXERCISE. IN THIS NARRATIVE REVIEW, WE INTENDED TO REVIEW THE EMERGING EVIDENCE ASSESSING THE PHYSIOLOGIC AND CLINICAL EFFECTS OF YOGA ON THE CARDIOVASCULAR SYSTEM AND THE POTENTIAL ROLE OF YOGA AS A COMPONENT OF COMPREHENSIVE CARDIAC REHABILITATION. METHODS: WE SEARCHED PUBMED, GOOGLE SCHOLAR, EMBASE, AND COCHRANE DATABASES FOR LITERATURE RELATED TO CARDIOVASCULAR EFFECTS OF YOGA FROM INCEPTION UP UNTIL 2017. RESULTS: YOGA HAS BEEN SHOWN TO HAVE FAVORABLE EFFECTS ON SYSTEMIC INFLAMMATION, STRESS, THE CARDIAC AUTONOMIC NERVOUS SYSTEM, AND TRADITIONAL AND EMERGING CARDIOVASCULAR RISK FACTORS. CONCLUSIONS: YOGA HAS SHOWN PROMISE AS A USEFUL LIFESTYLE INTERVENTION THAT CAN BE INCORPORATED INTO CARDIOVASCULAR DISEASE MANAGEMENT ALGORITHMS. ALTHOUGH MANY INVESTIGATORS HAVE REPORTED THE CLINICAL BENEFITS OF YOGA IN REDUCING CARDIOVASCULAR EVENTS, MORBIDITY, AND MORTALITY, EVIDENCE SUPPORTING THESE CONCLUSIONS IS SOMEWHAT LIMITED, THEREBY EMPHASIZING THE NEED FOR LARGE, WELL-DESIGNED RANDOMIZED TRIALS THAT MINIMIZE BIAS AND METHODOLOGICAL DRAWBACKS. 2019 12 2418 25 YOGA AND MENOPAUSAL TRANSITION. WITH INCREASED LIFE EXPECTANCY, TODAY, WOMEN SPEND ONE-THIRD OF THEIR LIFE AFTER MENOPAUSE. THUS MORE ATTENTION IS NEEDED TOWARDS PERI- AND POST-MENOPAUSAL SYMPTOMS. ESTROGEN REPLACEMENT THERAPY IS THE MOST EFFECTIVE TREATMENT, HOWEVER, IT HAS ITS OWN LIMITATIONS. THE PRESENT NEED IS TO EXPLORE NEW OPTIONS FOR THE MANAGEMENT OF MENOPAUSAL SYMPTOMS. YOGIC LIFE STYLE IS A WAY OF LIVING WHICH AIMS TO IMPROVE THE BODY, MIND AND DAY TO DAY LIFE OF INDIVIDUALS. THE MOST COMMONLY PERFORMED YOGA PRACTICES ARE POSTURES (ASANA), CONTROLLED BREATHING (PRANAYAMA), AND MEDITATION (DHYANA). YOGA HAS BEEN UTILIZED AS A THERAPEUTIC TOOL TO ACHIEVE POSITIVE HEALTH AND CONTROL AND CURE DISEASES. THE EXACT MECHANISM AS TO HOW YOGA HELPS IN VARIOUS DISEASE STATES IS NOT KNOWN. THERE COULD BE NEURO-HORMONAL PATHWAYS WITH A SELECTIVE EFFECT IN EACH PATHOLOGICAL SITUATION. THERE HAVE BEEN MULTIPLE STUDIES THAT HAVE COMBINED THE MANY ASPECTS OF YOGA INTO A GENERAL YOGA SESSION IN ORDER TO INVESTIGATE ITS EFFECTS ON MENOPAUSAL SYMPTOMS. INTEGRATED APPROACH OF YOGA THERAPY CAN IMPROVE HOT FLUSHES AND NIGHT SWEATS. THERE IS INCREASING EVIDENCE SUGGESTING THAT EVEN THE SHORT-TERM PRACTICE OF YOGA CAN DECREASE BOTH PSYCHOLOGICAL AND PHYSIOLOGICAL RISK FACTORS FOR CARDIOVASCULAR DISEASE (CVD). STUDIES CONCLUDE THAT OUR AGE OLD THERAPY, YOGA, IS FAIRLY EFFECTIVE IN MANAGING MENOPAUSAL SYMPTOMS. 2010 13 1698 21 PAIN-RELATED ENCEPHALIC REGIONS INFLUENCED BY YOGA MEDITATION: AN INTEGRATIVE REVIEW. INTRODUCTION: THE MECHANISMS UNDERLYING THE USE OF YOGA IN PAIN RELIEF ARE STILL UNCLEAR. THIS STUDY REVIEWED LITERATURE REPORTS ON ENCEPHALIC ACTIVITY RELATED TO ANALGESIA INDUCED BY YOGA MEDITATION PRACTICE. METHODS: THIS INTEGRATIVE REVIEW EXAMINED STUDIES PUBLISHED IN THE PUBMED, LILACS AND MEDLINE DATABASES WITHOUT RESTRICTION OF THE YEAR OF PUBLICATION. THE RESEARCH INVOLVED 16 DESCRIPTORS RELATED TO THE WORDS: YOGA, PAIN AND NEUROIMAGING METHODS. INCLUSION CRITERIA INVOLVED ONLY THE PUBLICATIONS AVAILABLE ONLINE, WITH FREE ACCESS AND WRITTEN IN ENGLISH. RESULTS: 2 CASE STUDIES AND 1 PILOT STUDY MET THE CRITERIA. YOGA MEDITATION PRACTICE INDUCES ANALGESIA PRIMARILY THROUGH ATTENUATION OF THE MEDIAL PAIN PERCEPTION SYSTEM INCLUDING THE ANTERIOR CINGULATE CORTEX AND INSULA REGIONS, AS WELL AS THE LATERAL SYSTEM INCLUDING THE SECONDARY SENSORY CORTEX AND THALAMUS. CONCLUSION: YOGA INDUCED ANALGESIA IS A POTENTIALLY IMPORTANT ADJUNCT TO CURRENT PAIN MANAGEMENT. THIS INTEGRATIVE REVIEW REVEALED THAT THERE IS A NEED FOR FURTHER RESEARCH THAT ANALYZES THE ENCEPHALIC REGIONS RELATED TO ANALGESIA INDUCED BY YOGA PRACTICE. 2018 14 297 26 ALTERNATE NOSTRIL BREATHING AT DIFFERENT RATES AND ITS INFLUENCE ON HEART RATE VARIABILITY IN NON PRACTITIONERS OF YOGA. INTRODUCTION: HEART RATE VARIABILITY IS A MEASURE OF MODULATION IN AUTONOMIC INPUT TO THE HEART AND IS ONE OF THE MARKERS OF AUTONOMIC FUNCTIONS. THOUGH THERE ARE MANY STUDIES ON THE LONG TERM INFLUENCE OF BREATHING ON HRV (HEART RATE VARIABILITY) THERE ARE ONLY A FEW STUDIES ON THE IMMEDIATE EFFECT OF BREATHING ESPECIALLY ALTERNATE NOSTRIL BREATHING ON HRV. THIS STUDY FOCUSES ON THE IMMEDIATE EFFECTS OF ALTERNATE NOSTRIL BREATHING AND THE INFLUENCE OF DIFFERENT BREATHING RATES ON HRV. MATERIALS AND METHODS: THE STUDY WAS DONE ON 25 SUBJECTS IN THE AGE GROUP OF 17-35 YEARS. ECG AND RESPIRATION WERE RECORDED BEFORE INTERVENTION AND IMMEDIATELY AFTER THE SUBJECTS WERE ASKED TO PERFORM ALTERNATE NOSTRIL BREATHING FOR FIVE MINUTES. RESULTS: LOW FREQUENCY (LF) WHICH IS A MARKER OF SYMPATHETIC ACTIVITY INCREASED, HIGH FREQUENCY (HF) WHICH IS A MARKER OF PARASYMPATHETIC ACTIVITY DECREASED AND THEIR RATIO LF/HF WHICH IS A MARKER OF SYMPATHO/VAGAL BALANCE INCREASED IMMEDIATELY AFTER 6 AND 12 MINUTES IN COMPARISON TO BASELINE VALUES WHEREAS THERE WAS NO SIGNIFICANT DIFFERENCE IN THE MEANS OF THESE COMPONENTS WHEN BOTH 6 AND 12 MINUTES WERE COMPARED. CONCLUSION: IMMEDIATE EFFECTS OF ALTERNATE NOSTRIL BREATHING ON HRV IN NON PRACTITIONERS OF YOGIC BREATHING ARE VERY DIFFERENT FROM THE LONG TERM INFLUENCE OF YOGIC BREATHING ON HRV WHICH SHOW A PREDOMINANT PARASYMPATHETIC INFLUENCE ON THE HEART. 2016 15 650 24 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 16 1972 36 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 17 226 25 A SYSTEMATIC REVIEW OF RANDOMISED CONTROL TRIALS ON THE EFFECTS OF YOGA ON STRESS MEASURES AND MOOD. STRESS RELATED DISORDERS SUCH AS DEPRESSION AND ANXIETY ARE LEADING SOURCES OF DISABILITY WORLDWIDE, AND CURRENT TREATMENT METHODS SUCH AS CONVENTIONAL ANTIDEPRESSANT MEDICATIONS ARE NOT BENEFICIAL FOR ALL INDIVIDUALS. THERE IS EVIDENCE THAT YOGA HAS MOOD-ENHANCING PROPERTIES POSSIBLY RELATED TO ITS INHIBITORY EFFECTS ON PHYSIOLOGICAL STRESS AND INFLAMMATION, WHICH ARE FREQUENTLY ASSOCIATED WITH AFFECTIVE DISORDERS. HOWEVER THE BIOLOGICAL MECHANISMS VIA WHICH YOGA EXERTS ITS THERAPEUTIC MOOD-MODULATING EFFECTS ARE LARGELY UNKNOWN. THIS SYSTEMATIC REVIEW INVESTIGATES THE EFFECTS OF YOGA ON SYMPATHETIC NERVOUS SYSTEM AND HYPOTHALAMIC PITUITARY ADRENAL AXIS REGULATION MEASURES. IT FOCUSES ON STUDIES COLLECTING PHYSIOLOGICAL PARAMETERS SUCH AS BLOOD PRESSURE, HEART RATE, CORTISOL, PERIPHERAL CYTOKINE EXPRESSION AND/OR STRUCTURAL AND FUNCTIONAL BRAIN MEASURES IN REGIONS INVOLVED IN STRESS AND MOOD REGULATION. OVERALL THE 25 RANDOMISED CONTROL STUDIES DISCUSSED PROVIDE PRELIMINARY EVIDENCE TO SUGGEST THAT YOGA PRACTICE LEADS TO BETTER REGULATION OF THE SYMPATHETIC NERVOUS SYSTEM AND HYPOTHALAMIC-PITUITARY-ADRENAL SYSTEM, AS WELL AS A DECREASE IN DEPRESSIVE AND ANXIOUS SYMPTOMS IN A RANGE OF POPULATIONS. FURTHER RESEARCH IS WARRANTED TO CONFIRM THESE PRELIMINARY FINDINGS AND FACILITATE IMPLEMENTATION IN CLINICAL SETTINGS. 2015 18 2516 14 YOGA CLINICAL RESEARCH REVIEW. IN THIS PAPER RECENT RESEARCH IS REVIEWED ON THE EFFECTS OF YOGA POSES ON PSYCHOLOGICAL CONDITIONS INCLUDING ANXIETY AND DEPRESSION, ON PAIN SYNDROMES, CARDIOVASCULAR, AUTOIMMUNE AND IMMUNE CONDITIONS AND ON PREGNANCY. FURTHER, THE PHYSIOLOGICAL EFFECTS OF YOGA INCLUDING DECREASED HEARTRATE AND BLOOD PRESSURE AND THE PHYSICAL EFFECTS INCLUDING WEIGHT LOSS AND INCREASED MUSCLE STRENGTH ARE REVIEWED. FINALLY, POTENTIAL UNDERLYING MECHANISMS ARE PROPOSED INCLUDING THE STIMULATION OF PRESSURE RECEPTORS LEADING TO ENHANCED VAGAL ACTIVITY AND REDUCED CORTISOL. THE REDUCTION IN CORTISOL, IN TURN, MAY CONTRIBUTE TO POSITIVE EFFECTS SUCH AS ENHANCED IMMUNE FUNCTION AND A LOWER PREMATURITY RATE. 2011 19 1951 22 SCIENCE OF THE MIND: ANCIENT YOGA TEXTS AND MODERN STUDIES. THE PRACTICE OF YOGA IS GAINING IN POPULARITY WITH A WIDE RANGE OF PRACTICES. RECENT RESEARCH AND DESCRIPTIONS FROM THE ANCIENT TEXTS ARE OFTEN CONCURRENT WITH REGARD TO THE EFFECTS OF THE PRACTICE, TAKING INTO ACCOUNT EXPECTED DIFFERENCES BETWEEN MODERN SCIENTIFIC TERMS AND THOSE USED IN THE ORIGINAL TEXTS. VOLUNTARILY REGULATED YOGA BREATHING PRACTICES FORM A BRIDGE BETWEEN PHYSICAL AND MENTAL CHANGES. THE VOLUNTARILY REGULATED YOGA BREATHING HAS DISTINCT EFFECTS ON METABOLISM, THE AUTONOMIC NERVOUS SYSTEM, HIGHER BRAIN FUNCTIONS, AND MENTAL STATE. THE EFFECTS OF MEDITATION ON THE NERVOUS SYSTEM AND MENTAL STATE ARE EVEN CLEARER. 2013 20 683 32 EFFECT OF AN 8-WEEK YOGA-BASED LIFESTYLE INTERVENTION ON PSYCHO-NEURO-IMMUNE AXIS, DISEASE ACTIVITY, AND PERCEIVED QUALITY OF LIFE IN RHEUMATOID ARTHRITIS PATIENTS: A RANDOMIZED CONTROLLED TRIAL. VARIOUS EXTERNAL STRESSORS AND ENVIRONMENTAL CHALLENGES LEAD TO THE PROVOCATION OF THE IMMUNE SYSTEM IN AUTOIMMUNE DISEASES LIKE RHEUMATOID ARTHRITIS (RA). THE INAPPROPRIATE IMMUNE RESPONSE FURTHER TRIGGERS THE CASCADE OF INFLAMMATORY CHANGES RESULTING IN PRECIPITATION OF SYMPTOMS AND HAMPERS QUALITY OF LIFE (QOL). THE UNDERLYING PSYCHO-SOMATIC COMPONENT OF THE DISEASE REQUIRES A HOLISTIC APPROACH TO ITS TREATMENT DIMENSION RATHER THAN THE USE OF PHARMACOTHERAPY. THE APPLICABILITY OF MIND-BODY INTERVENTIONS HAS BECOME ESSENTIAL IN TODAY'S FAST-PACED LIFE. YOGA, A MIND-BODY TECHNIQUE, ALTERS THE MIND'S CAPACITY TO FACILITATE SYSTEMIC FUNCTIONING AT MULTIPLE ORGAN SYSTEM LEVELS. HENCE, WE CONDUCTED THIS STUDY TO EVALUATE THE IMPACT OF 8 WEEKS OF A YOGA-BASED LIFESTYLE INTERVENTION (YBLI) ON PSYCHO-NEURO-IMMUNE MARKERS, GENE EXPRESSION PATTERNS, AND QOL IN RA PATIENTS ON ROUTINE MEDICAL THERAPY. A TOTAL OF 66 PATIENTS WERE RANDOMIZED INTO TWO GROUPS: YOGA GROUP OR NON-YOGA GROUP AND WERE ASSESSED FOR A PANEL OF INFLAMMATORY CYTOKINES (IL-6, IL-17A, TNF-ALPHA, AND TGF-BETA), MIND-BODY COMMUNICATIVE MARKERS (BDNF, DHEAS, BETA-ENDORPHIN, AND SIRTUIN) AND TRANSCRIPT LEVELS OF VARIOUS GENES (IL-6, TNF-ALPHA, NFKB1, TGF-BETA, AND CTLA4). WE ASSESSED DISEASE ACTIVITY AND QOL USING THE DAS28-ESR AND WHOQOL-BREF QUESTIONNAIRE, RESPECTIVELY. YOGA GROUP OBSERVED SIGNIFICANT IMPROVEMENTS IN THE LEVELS OF MARKERS, WHICH INFLUENCED THE PSYCHO-NEURO-IMMUNE AXIS (P < 0.001) WITH AN ESTIMATED EFFECT SIZE FROM SMALL TO MEDIUM RANGE. IN THE YOGA GROUP, THERE WAS A SIGNIFICANT REDUCTION IN DAS28-ESR (P < 0.001) AND IMPROVEMENT SEEN IN THE PHYSICAL HEALTH, PSYCHOLOGICAL, SOCIAL RELATIONSHIPS DOMAINS (P < 0.001) OF QOL, EXCEPT ENVIRONMENTAL (P > 0.05). THE YOGA GROUP SHOWED DOWNREGULATION OF IL-6, TNF-ALPHA, AND CTLA4 AND UPREGULATION OF TGF-BETA. THESE RESULTS SUGGEST THAT A DECREASE IN DISEASE ACTIVITY AFTER YOGA PRACTICE IS ASSOCIATED WITH A SIGNIFICANT REDUCTION IN INFLAMMATORY CYTOKINES, THE ELEVATION OF MIND-BODY COMMUNICATIVE MARKERS, AND NORMALIZATION OF VARIOUS TRANSCRIPT LEVELS, WHICH IMPROVED QOL. THUS THE ADOPTION OF YBLI IMPROVES CLINICAL OUTCOME IN RA, AND DECREASES SYSTEMIC INFLAMMATION BY ITS BENEFICIAL EFFECTS ON PSYCHO-NEURO-IMMUNE AXIS AND NORMALIZATION OF DYSREGULATED TRANSCRIPTS. THUS YBLI MAY BE USED FOR RA PATIENTS AS AN ADJUNCTIVE THERAPY. 2020