1 2734 127 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 2 1492 60 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 3 1860 30 RANDOMIZED CONTROLLED TRIAL OF A 12-WEEK YOGA-BASED (INCLUDING DIET) LIFESTYLE VS. DIETARY INTERVENTION ON CARDIO-METABOLIC RISK FACTORS AND CONTINUOUS RISK SCORE IN INDIAN ADULTS WITH METABOLIC SYNDROME. METABOLIC SYNDROME, A PREDIABETIC AND PRECARDIOVASCULAR PATHOLOGIC CONDITION THAT BEGINS EARLY IN LIFE, TRACKS INTO ADULTHOOD AND MAGNIFIES WITH AGE. RANDOMIZED CONTROLLED TRIALS EVALUATING EFFICACY OF YOGA-BASED LIFESTYLE VS. DIETARY INTERVENTION ON METABOLIC SYNDROME ARE LACKING. HERE, THE EFFICACY OF A 12-WEEK YOGA-BASED LIFESTYLE INTERVENTION VS. DIETARY INTERVENTION ON CARDIO-METABOLIC RISK FACTORS AND METABOLIC SYNDROME RISK SCORES HAVE BEEN ASSESSED IN INDIAN ADULTS WITH METABOLIC SYNDROME. IN THIS TWO-ARM, OPEN LABEL, PARALLEL GROUP, RANDOMIZED CONTROLLED TRIAL, 260 ADULTS (20-45 YEARS) DIAGNOSED WITH METABOLIC SYNDROME AS PER JOINT INTERIM STATEMENT, 2009 WERE RANDOMIZED TO YOGA-BASED (INCLUDING DIET) LIFESTYLE OR DIETARY INTERVENTION ALONE (N = 130, EACH) FOR 12 WEEKS. PRIMARY ENDPOINTS WERE THE 12-WEEK CHANGES IN CARDIO-METABOLIC RISK FACTORS AND METABOLIC RISK SCORES. THE SECONDARY ENDPOINTS WERE THE 12-WEEK CHANGES IN THE PROPORTION OF SUBJECTS RECOVERED FROM METABOLIC SYNDROME, DIETARY INTAKE, AND PHYSICAL ACTIVITY. INTENT-TO-TREAT ANALYSIS WAS PERFORMED INCLUDING ALL THE SUBJECTS WITH BASELINE DATA WITH IMPUTED MISSING DATA. TREATMENT X TIME INTERACTION SHOWED YOGA-BASED LIFESTYLE INTERVENTION HAD A GREATER TREATMENT EFFECT OVER DIETARY INTERVENTION BY SIGNIFICANTLY REDUCING WAIST CIRCUMFERENCE, CONTINUOUS METABOLIC SYNDROME Z-SCORE, AND DIETARY INTAKE/DAY WHILE SIGNIFICANTLY INCREASING PHYSICAL ACTIVITY. HIGH-DENSITY LIPOPROTEIN CHOLESTEROL SHOWED A SIGNIFICANTLY GREATER REDUCTION FOLLOWING DIETARY INTERVENTION THAN YOGA-BASED LIFESTYLE INTERVENTION. A SIGNIFICANTLY GREATER PROPORTION OF SUBJECTS RECOVERED FROM METABOLIC SYNDROME IN YOGA-BASED LIFESTYLE (45.4%) VS. DIETARY INTERVENTION GROUP (32.3%). A 12-WEEK YOGA-BASED LIFESTYLE INTERVENTION IS MORE EFFICACIOUS THAN USUAL DIETARY INTERVENTION IN IMPROVING CARDIO-METABOLIC RISK FACTOR AND METABOLIC RISK SCORE IN INDIAN ADULTS WITH METABOLIC SYNDROME. 2020 4 2690 37 YOGA IN WOMEN WITH ABDOMINAL OBESITY - DO LIFESTYLE FACTORS MEDIATE THE EFFECT? SECONDARY ANALYSIS OF A RCT. INTRODUCTION: THE REDUCTION OF OBESITY IS AN IMPORTANT CHALLENGE FOR HEALTH POLICY. ALTHOUGH DIETARY INTERVENTIONS ARE WIDELY AVAILABLE, PATIENT ADHERENCE IS USUALLY LOW. A PROMISING ALTERNATIVE IS YOGA. WE HYPOTHESIZED THAT WEIGHT REDUCTION THROUGH YOGA IS MEDIATED BY ASPECTS RELATED TO EATING HABITS AS WELL AS PHYSICAL ASPECTS. METHODS: THIS IS AN EXPLORATORY SECONDARY ANALYSIS OF A RANDOMIZED CONTROLLED TRIAL COMPARING THE EFFECTS OF YOGA TO WAITING LIST IN WOMEN WITH ABDOMINAL OBESITY. BODY MASS INDEX (BMI) AND WAIST CIRCUMFERENCE WERE ASSESSED AS OUTCOMES; PHYSICAL EXERCISE HABITS, PHYSICAL ACTIVITY HABITS AT LEISURE TIME, PHYSICAL ACTIVITY HABITS AT WORK TIME, DAILY FRUIT AND VEGETABLE INTAKE, NUTRITION SELF-EFFICACY, AND PHYSICAL SELF-EFFICACY WERE CAPTURED AS MEDIATORS. MEASURES WERE ASSESSED AT WEEKS 0 AND 12. THE ORIGINAL TRIAL WAS CONDUCTED BETWEEN APRIL AND AUGUST 2015. THE SECONDARY ANALYSIS WAS PERFORMED DECEMBER 2019. RESULTS: FORTY PATIENTS WERE RANDOMIZED TO THE 12 WEEKLY YOGA SESSIONS (48.5 +/- 7.9 YEARS) AND 20 PATIENTS TO THE WAITLIST GROUP (46.4 +/- 8.9 YEARS). PHYSICAL EXERCISE HABITS FULLY MEDIATED THE EFFECT OF YOGA ON BMI (B=-0.26;CI[-.56;-.07]). DAILY FRUIT AND VEGETABLE INTAKE PARTIALLY MEDIATED THE EFFECT OF YOGA ON BMI (B=-0.13;CI[-.38;-.01]). NO FURTHER MEDIATION EFFECTS WERE FOUND. CONCLUSIONS: YOGA SUPPORTS PEOPLE WITH OVERWEIGHT IN EATING HEALTHIER AND INCREASING THEIR PHYSICAL ACTIVITY WHICH IN TURN LEADS TO A REDUCED BMI. YOGA'S EFFECTS ON WAIST CIRCUMFERENCE SEEM TO BE DUE TO OTHER MECHANISMS. 2021 5 2841 31 YOGA, BIOENERGETICS AND EATING BEHAVIORS: A CONCEPTUAL REVIEW. YOGA IS AN ANCIENT ORIENTAL DISCIPLINE THAT EMERGED FROM MYSTICAL AND PHILOSOPHICAL CONCEPTS. TODAY IT IS PRACTICED IN THE WEST, PARTLY DUE TO THE PROMOTION OF ITS BENEFITS TO IMPROVE THE LIFESTYLE AND OVERALL HEALTH. AS COMPARED TO NON-HATHA YOGA (HY) PRACTITIONERS, HEALTHIER AND BETTER-EATING PATTERNS HAVE BEEN OBSERVED IN THOSE WHO PRACTICE IT. AGREEMENT WITH THE BROUGHT BENEFITS, HY CAN BE USED AS A THERAPEUTIC METHOD TO CORRECT ABNORMAL EATING BEHAVIORS (AEB), OBESITY, AND SOME METABOLIC DISEASES. HOWEVER, THE ENERGY EXPENDITURE DURING TRADITIONAL PROTOCOLS OF HY IS NOT HIGH; HENCE, IT IS NOT VERY EFFECTIVE FOR REDUCING OR MAINTAINING BODY WEIGHT OR TO IMPROVE CARDIOVASCULAR CONDITIONING. EVEN SO, SEVERAL OBSERVATIONAL STUDIES SUGGEST SIGNIFICANT CHANGES IN EATING BEHAVIORS, LIKE A REDUCTION IN DIETARY FAT INTAKE AND INCREMENTS IN THAT OF FRESH VEGETABLES, WHOLE GRAINS AND SOY-BASED PRODUCTS, WHICH IN TURN MAY REDUCE THE RISK FOR CARDIOVASCULAR DISEASES. GIVEN THE INCONSISTENCY OF THE RESULTS DERIVED FROM CROSS-SECTIONAL STUDIES, MORE CASE-CONTROL STUDIES ARE NEEDED TO DEMONSTRATE THE EFFICACY OF HY AS AN ALTERNATIVE METHOD IN THE CLINICAL TREATMENT OF DISORDERED EATING AND METABOLIC DISEASES. 2015 6 938 37 EFFECTS OF 1-YEAR YOGA ON CARDIOVASCULAR RISK FACTORS IN MIDDLE-AGED AND OLDER ADULTS WITH METABOLIC SYNDROME: A RANDOMIZED TRIAL. BACKGROUND: METABOLIC SYNDROME (METS) IS A CLUSTERING OF CARDIOVASCULAR RISK FACTORS, WHICH IS ASSOCIATED WITH DIABETES MELLITUS AND CARDIOVASCULAR DISEASE. LIFESTYLE INTERVENTIONS APPLIED TO PEOPLE WITH METS HAS CONSIDERABLE BENEFICIAL EFFECTS ON DISEASE PREVENTIVE OUTCOMES. THIS STUDY AIMED TO EXAMINE THE EFFECTS OF 1-YEAR OF YOGA EXERCISE ON THE CARDIOVASCULAR RISK FACTORS INCLUDING CENTRAL OBESITY, HYPERTENSION, DYSLIPIDEMIA AND HYPERGLYCEMIA IN MIDDLE-AGED AND OLDER HONG KONG CHINESE ADULTS WITH METS. METHODS: ADULTS DIAGNOSED WITH METS USING NATIONAL CHOLESTEROL EDUCATION PROGRAM CRITERIA (N = 182; MEAN +/- SD AGE = 56 +/- 9.1) WERE RANDOMLY ASSIGNED TO A 1-YEAR YOGA INTERVENTION GROUP OR CONTROL GROUP. SYSTOLIC AND DIASTOLIC BLOOD PRESSURE, WAIST CIRCUMFERENCE, FASTING PLASMA GLUCOSE, TRIGLYCERIDES, AND HIGH-DENSITY LIPOPROTEIN CHOLESTEROL WERE EXAMINED AT BASELINE, MIDWAY, AND ON COMPLETION OF THE STUDY. PHYSICAL ACTIVITY LEVEL AND CALORIC INTAKE WERE ASSESSED AND INCLUDED IN THE COVARIATE ANALYSES. RESULTS: A REDUCTION OF THE NUMBER OF DIAGNOSTIC COMPONENTS FOR METS WAS FOUND TO BE ASSOCIATED WITH THE YOGA INTERVENTION. WAIST CIRCUMFERENCE WAS SIGNIFICANTLY IMPROVED AFTER THE 1-YEAR YOGA INTERVENTION. A TREND TOWARDS A DECREASE IN SYSTOLIC BLOOD PRESSURE WAS OBSERVED FOLLOWING YOGA INTERVENTION. CONCLUSION: THESE RESULTS SUGGEST THAT YOGA EXERCISE IMPROVES THE CARDIOVASCULAR RISK FACTORS INCLUDING CENTRAL OBESITY AND BLOOD PRESSURE IN MIDDLE-AGED AND OLDER ADULTS WITH METS. THESE FINDINGS SUPPORT THE COMPLEMENTARY BENEFICIAL ROLE OF YOGA IN MANAGING METS. 2015 7 1783 42 PREDICTORS OF HEALTH-RELATED QUALITY OF LIFE IN INDIANS WITH METABOLIC SYNDROME UNDERGOING RANDOMIZED CONTROLLED TRIAL OF YOGA-BASED LIFESTYLE INTERVENTION VS DIETARY INTERVENTION. THE PRESENT STUDY EXPLORES THE EFFICACY OF 12-WEEK YOGA + DIET-BASED LIFESTYLE INTERVENTION (YBLI) VS DIETARY INTERVENTION (DI) ON HEALTH-RELATED QUALITY OF LIFE (HRQOL) AND IDENTIFIES THE PREDICTORS OF CHANGE IN HRQOL IN INDIANS WITH METABOLIC SYNDROME (MET S). DATA FROM THE HISTORICAL RANDOMIZED CONTROLLED TRIAL WAS USED INCLUDING ADULTS (N = 260, 20-45 YEARS) WITH MET S. FOUR DOMAINS OF HRQOL WERE MEASURED AT BASELINE, 2 AND 12 WEEKS USING WHOQOL-BREF QUESTIONNAIRE. GENERALIZED ESTIMATING EQUATION AND CHI-SQUARE TEST WAS USED TO COMPARE 12-WEEK CHANGES IN HRQOL DOMAINS AND PROPORTION OF SUBJECTS, RESPECTIVELY. CHANGES IN HRQOL WERE PREDICTED USING REGRESSION MODELS CONCERNING CHANGES IN BODY MASS INDEX (BMI), PHYSICAL ACTIVITY, TOTAL CALORIE INTAKE, ADIPONECTIN, AND SUPEROXIDE DISMUTASE (SOD) LEVELS. EXPLORATORY MEDIATION ANALYSIS WAS CARRIED OUT USING BARON & KENNY APPROACH. YBLI RESULTED IN A SIGNIFICANTLY GREATER INCREASE IN THE PHYSICAL DOMAIN SCORE OF HRQOL THAN DI. A SIGNIFICANTLY GREATER PROPORTION OF SUBJECTS IN YBLI GROUP (71%) SHOWED AN INCREASE IN PHYSICAL DOMAIN SCORES COMPARED TO DI (51%). A UNIT CHANGE IN BMI NEGATIVELY PREDICTED A UNIT CHANGE IN PHYSICAL, PSYCHOLOGICAL AND ENVIRONMENTAL HEALTH. WHEREAS, A UNIT CHANGE IN ADIPONECTIN AND SOD LEVELS POSITIVELY PREDICTED A UNIT CHANGE IN PHYSICAL AND ENVIRONMENTAL HEALTH. PARTIAL MEDIATION BETWEEN YBLI INTERVENTION AND PHYSICAL HRQOL DOMAIN WAS OBSERVED VIA ADIPONECTIN. IN CONCLUSION, A 12-WEEK YBLI HAS A POSITIVE AND GREATER EFFECT ON HRQOL PHYSICAL DOMAIN SCORE THAN FOLLOWING DI ALONE. CHANGES IN BMI, ADIPONECTIN, AND SOD LEVELS MAY PREDICT CHANGES IN HRQOL DOMAINS AFTER LIFESTYLE INTERVENTION. 2021 8 68 38 A DIFFERENT WEIGHT LOSS EXPERIENCE: A QUALITATIVE STUDY EXPLORING THE BEHAVIORAL, PHYSICAL, AND PSYCHOSOCIAL CHANGES ASSOCIATED WITH YOGA THAT PROMOTE WEIGHT LOSS. YOGA INTERVENTIONS IMPROVE OBESITY-RELATED OUTCOMES INCLUDING BODY MASS INDEX (BMI), BODY WEIGHT, BODY FAT, AND WAIST CIRCUMFERENCE, YET IT IS UNCLEAR WHETHER THESE IMPROVEMENTS ARE DUE TO INCREASED PHYSICAL ACTIVITY, INCREASED LEAN MUSCLE MASS, AND/OR CHANGES IN EATING BEHAVIORS. THE PURPOSE OF THIS STUDY IS TO EXPAND OUR UNDERSTANDING OF THE EXPERIENCE OF LOSING WEIGHT THROUGH YOGA. METHODS. SEMISTRUCTURED INTERVIEWS WERE QUALITATIVELY ANALYZED USING A DESCRIPTIVE PHENOMENOLOGICAL APPROACH. RESULTS. TWO DISTINCT GROUPS WHO HAD LOST WEIGHT THROUGH YOGA RESPONDED: THOSE WHO WERE OVERWEIGHT AND HAD REPEATEDLY STRUGGLED IN THEIR ATTEMPTS TO LOSE WEIGHT (55%, N = 11) AND THOSE WHO WERE OF NORMAL WEIGHT AND HAD LOST WEIGHT UNINTENTIONALLY (45%, N = 9). FIVE THEMES EMERGED THAT DIFFERED SLIGHTLY BY GROUP: SHIFT TOWARD HEALTHY EATING, IMPACT OF THE YOGA COMMUNITY/YOGA CULTURE, PHYSICAL CHANGES, PSYCHOLOGICAL CHANGES, AND THE BELIEF THAT THE YOGA WEIGHT LOSS EXPERIENCE WAS DIFFERENT THAN PAST WEIGHT LOSS EXPERIENCES. CONCLUSIONS. THESE FINDINGS IMPLY THAT YOGA COULD OFFER DIVERSE BEHAVIORAL, PHYSICAL, AND PSYCHOSOCIAL EFFECTS THAT MAY MAKE IT A USEFUL TOOL FOR WEIGHT LOSS. ROLE MODELING AND SOCIAL SUPPORT PROVIDED BY THE YOGA COMMUNITY MAY CONTRIBUTE TO WEIGHT LOSS, PARTICULARLY FOR INDIVIDUALS STRUGGLING TO LOSE WEIGHT. 2016 9 283 29 ADHERENCE TO YOGA AND ITS RESULTANT EFFECTS ON BLOOD GLUCOSE IN TYPE 2 DIABETES: A COMMUNITY-BASED FOLLOW-UP STUDY. AIM: TO STUDY THE ADHERENCE TO YOGA AND ITS EFFECTS ON BLOOD GLUCOSE PARAMETERS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS. METHODS: A SINGLE GROUP LONGITUDINAL STUDY OVER 6 MONTHS WAS CONDUCTED AT VASK YOGA CENTRE, BANGALORE. FASTING BLOOD SUGAR, POST PRANDIAL BLOOD SUGAR LEVELS AND GLYCOSYLATED HEMOGLOBIN AND QUALITATIVE IN-DEPTH INTERVIEW OF THE PARTICIPANTS AND THERAPIST WAS CONDUCTED AT BASELINE, END OF 3(RD) MONTH AND END OF 6 MONTHS; INTERMEDIATE OBSERVATIONS WAS CONDUCTED AT THE END OF EVERY MONTH. RESULTS: ADHERENCE TO YOGA IN THE COMMUNITY IN BANGALORE IS AROUND 50% OVER 6 MONTHS. PARTICIPANTS WHO COMPLETED THE YOGA PROGRAMME HAD SIGNIFICANTLY LOWER HBA1C (END OF 3(RD) MONTH). AT THE END OF 6 MONTHS YOGA ADHERENCE WAS SIGNIFICANTLY NEGATIVELY CORRELATED WITH FBS AND STRESS. FURTHER THERE WAS A TREND TOWARDS THOSE WHO DROPPED OUT HAVING HIGHER FBS, CONTROLLING FOR MEDICATION INTAKE, STRESS LEVELS AND DIET PATTERN (OR = 1.027, P = 0.07). QUALITATIVE DATA REVEALED THAT MOST OF THE PARTICIPANTS JOINED AND COMPLETED THE YOGA PROGRAMME TO HELP CURE THEIR DIABETES. PARTICIPANTS WHO DROPPED OUT FROM THE YOGA PROGRAMME GAVE REASONS OF TRAVEL, ILL-HEALTH AND INCREASED WORK-LOAD AT OFFICE. CONCLUSIONS: ADHERENCE TO YOGA HAS AN EFFECT ON THE BLOOD GLUCOSE PARAMETERS IN DIABETES. HENCE, STRATEGIES TO MOTIVATE PARTICIPANTS TO UNDERGO 'LIFESTYLE MODIFICATION PRACTICES' INCLUDING MAXIMIZING ADHERENCE TO YOGA SHOULD BE THE FOCUS TO EXPERIENCE ANY BENEFICIAL EFFECTS OF YOGA. 2017 10 1030 35 EFFECTS OF YOGA EXERCISE ON SERUM ADIPONECTIN AND METABOLIC SYNDROME FACTORS IN OBESE POSTMENOPAUSAL WOMEN. OBJECTIVE: REGULAR AND CONTINUOUS YOGA EXERCISE IS ONE OF THE MOST IMPORTANT NONPHARMACOLOGICAL METHODS OF IMPROVING SERUM LIPID CONCENTRATIONS, ADIPOSE TISSUE, AND METABOLIC SYNDROME FACTORS. THE PURPOSE OF THIS STUDY WAS TO ANALYZE THE EFFECTS OF YOGA EXERCISE ON SERUM ADIPONECTIN AND METABOLIC SYNDROME FACTORS IN OBESE POSTMENOPAUSAL KOREAN WOMEN. METHODS: SIXTEEN HEALTHY POSTMENOPAUSAL WOMEN AGED 54.50 +/- 2.75 YEARS WITH MORE THAN 36% BODY FAT WERE RANDOMLY ASSIGNED TO EITHER A YOGA EXERCISE GROUP (N = 8) OR TO A "NO EXERCISE" CONTROL GROUP (N = 8). THE VARIABLES OF BODY COMPOSITION, VISCERAL FAT, SERUM ADIPONECTIN, AND METABOLIC SYNDROME FACTORS WERE MEASURED IN ALL THE PARTICIPANTS BEFORE AND AFTER THE 16-WEEK STUDY. RESULTS: BODY WEIGHT, PERCENTAGE OF BODY FAT, LEAN BODY MASS, BODY MASS INDEX, WAIST CIRCUMFERENCE, AND VISCERAL FAT AREA HAD SIGNIFICANTLY DECREASED. HIGH-DENSITY LIPOPROTEIN CHOLESTEROL AND ADIPONECTIN HAD SIGNIFICANTLY INCREASED, BUT TOTAL CHOLESTEROL, TRIGLYCERIDE, LOW-DENSITY LIPOPROTEIN CHOLESTEROL, BLOOD PRESSURE, INSULIN, GLUCOSE, AND HOMOEOSTASIS MODEL ASSESSMENT-INSULIN RESISTANCE HAD SIGNIFICANTLY DECREASED. SERUM ADIPONECTIN CONCENTRATIONS WERE SIGNIFICANTLY CORRELATED WITH WAIST CIRCUMFERENCE, HIGH-DENSITY LIPOPROTEIN CHOLESTEROL, DIASTOLIC BLOOD PRESSURE, AND HOMOEOSTASIS MODEL ASSESSMENT-INSULIN RESISTANCE IN THE POSTYOGA EXERCISE GROUP. CONCLUSIONS: OUR FINDINGS INDICATE THAT YOGA EXERCISE IMPROVES ADIPONECTIN LEVEL, SERUM LIPIDS, AND METABOLIC SYNDROME RISK FACTORS IN OBESE POSTMENOPAUSAL WOMEN. CONSEQUENTLY, YOGA EXERCISE WILL BE EFFECTIVE IN PREVENTING CARDIOVASCULAR DISEASE CAUSED BY OBESITY IN OBESE POSTMENOPAUSAL KOREAN WOMEN. 2012 11 913 33 EFFECTIVENESS OF LIQUID FASTING WITH YOGA AND NATUROPATHY TREATMENTS IN REDUCING METABOLIC AND CARDIOVASCULAR RISKS IN OBESITY. CONTEXT: OBESITY IS ASSOCIATED WITH CHRONIC DISEASES, INCLUDING METABOLIC SYNDROME AND CARDIOVASCULAR DISEASES (CVDS). FASTING IS COMMONLY EMPLOYED BY OBESE PEOPLE TO REDUCE THEIR WEIGHT. LIKEWISE, YOGA AND NATUROPATHY (YN) THAT INCLUDE LIQUID FASTING (LF) HAVE BEEN SHOWN TO BE BENEFICIAL IN REDUCING WEIGHT FOR PEOPLE WITH METABOLIC DISORDERS. HOWEVER, THE SAFETY OF LF DURING YN TREATMENTS AND ITS EFFECTS ON METABOLIC AND CARDIOVASCULAR RISK FACTORS HAVEN'T YET BEEN REPORTED. OBJECTIVE: THE STUDY INTENDED TO EVALUATE THE SAFETY OF LF DURING YN TREATMENTS AND ITS EFFECTS ON METABOLIC AND CARDIOVASCULAR RISK FACTORS IN PEOPLE WITH OBESITY. DESIGN: A SINGLE-GROUP, PRETEST-AND-POSTTEST DESIGN WAS ADOPTED FOR THE STUDY. SETTING: THE STUDY TOOK PLACE IN A YN HOSPITAL LOCATED IN SOUTH INDIA. PARTICIPANTS: PARTICIPANTS WERE 176 OBESE PEOPLE AGED BETWEEN 18 AND 65 YEARS. INTERVENTION: TOGETHER WITH YN TREATMENTS, ALL PARTICIPANTS UNDERWENT LF USING LIME JUICE WITH JAGGERY, ASH GUARD JUICE, VEGETABLE SOUP, BUTTERMILK, AND KOKUM JUICE FOR A PERIOD OF 5 CONSECUTIVE DAYS. OUTCOME MEASURES: ASSESSMENTS SUCH AS BODY WEIGHT, BODY MASS INDEX (BMI), FAT MASS, LIPID PROFILE, AND BLOOD PRESSURE WERE TAKEN AT BASELINE AND POSTINTERVENTION. RESULTS: PARTICIPANTS SHOWED A SIGNIFICANT REDUCTION IN BODY WEIGHT, BMI, FAT MASS, TRIGLYCERIDES (TG), TOTAL CHOLESTEROL (TC), LOW-DENSITY LIPOPROTEIN CHOLESTEROL (LDL-C), VERY-LOW-DENSITY LIPOPROTEIN CHOLESTEROL (VLDL-C), HIGH-DENSITY LIPOPROTEIN CHOLESTEROL (HDL-C), SYSTOLIC BLOOD PRESSURE (SBP), AND DIASTOLIC BLOOD PRESSURE (DBP). CONCLUSIONS: THE RESULTS SUGGEST THAT LF DURING YN TREATMENT CANBE EFFECTIVE IN REDUCING METABOLIC AND CARDIOVASCULAR RISK FACTORS IN PEOPLE WITH OBESITY. 2021 12 1832 35 PSYCHOLOGICAL WELL-BEING, HEALTH BEHAVIORS, AND WEIGHT LOSS AMONG PARTICIPANTS IN A RESIDENTIAL, KRIPALU YOGA-BASED WEIGHT LOSS PROGRAM. UNLABELLED: THE INCREASING PREVALENCE OF OVERWEIGHT AND OBESITY IN HUMANS IS A GROWING PUBLIC HEALTH CONCERN IN THE UNITED STATES. CONCOMITANTS INCLUDE POOR HEALTH BEHAVIORS AND REDUCED PSYCHOLOGICAL WELL-BEING. PRELIMINARY EVIDENCE SUGGESTS YOGA AND TREATMENT PARADIGMS INCORPORATING MINDFULNESS, SELF-COMPASSION (SC), ACCEPTANCE, NON-DIETING, AND INTUITIVE EATING MAY IMPROVE THESE ANCILLARY CORRELATES, WHICH MAY PROMOTE LONG-TERM WEIGHT LOSS. METHODS: WE EXPLORED THE IMPACT OF A 5-DAY RESIDENTIAL WEIGHT LOSS PROGRAM, WHICH WAS MULTIFACETED AND BASED ON KRIPALU YOGA, ON HEALTH BEHAVIORS, WEIGHT LOSS, AND PSYCHOLOGICAL WELL-BEING IN OVERWEIGHT/OBESE INDIVIDUALS. THIRTY-SEVEN OVERWEIGHT/OBESE PROGRAM PARTICIPANTS (AGE 32-65, BMI<25) COMPLETED VALIDATED MIND-FULNESS, SC, LIFESTYLE BEHAVIOR, AND MOOD QUESTIONNAIRES AT BASELINE, POST-PROGRAM, AND 3-MONTH FOLLOW-UP AND REPORTED THEIR WEIGHT 1 YEAR AFTER PROGRAM COMPLETION. RESULTS: SIGNIFICANT IMPROVEMENTS IN NUTRITION BEHAVIORS, SC, MINDFULNESS, STRESS MANAGEMENT, AND SPIRITUAL GROWTH WERE OBSERVED IMMEDIATELY POST-PROGRAM (N = 31, 84% RETENTION), WITH MEDIUM TO LARGE EFFECT SIZES. AT 3-MONTH FOLLOW-UP (N = 18, 49% RETENTION), MOST CHANGES PERSISTED. PHYSICAL ACTIVITY AND MOOD DISTURBANCE HAD IMPROVED SIGNIFICANTLY POST-PROGRAM BUT FAILED TO REACH SIGNIFICANCE AT 3-MONTH FOLLOW-UP. SELF-REPORT WEIGHT LOSS AT 1 YEAR (N = 19, 51% RETENTION) WAS SIGNIFICANT. CONCLUSION: THESE FINDINGS SUGGEST A KRIPALU YOGA-BASED, RESIDENTIAL WEIGHT LOSS PROGRAM MAY FOSTER PSYCHOLOGICAL WELL-BEING, IMPROVED NUTRITION BEHAVIORS, AND WEIGHT LOSS. GIVEN THE EXPLORATORY NATURE OF THIS INVESTIGATION, MORE RIGOROUS WORK IN THIS AREA IS WARRANTED. 2012 13 1970 30 SHORT TERM HEALTH IMPACT OF A YOGA AND DIET CHANGE PROGRAM ON OBESITY. BACKGROUND: OBESE PERSONS OFTEN FIND PHYSICAL ACTIVITY DIFFICULT. THE EFFECTS OF A YOGA AND DIET CHANGE PROGRAM, EMPHASIZING BREATHING TECHNIQUES PRACTICED WHILE SEATED, WAS ASSESSED IN OBESE PERSONS. MATERIAL/METHODS: A SINGLE GROUP OF 47 PERSONS WERE ASSESSED ON THE FIRST AND LAST DAY OF A YOGA AND DIET CHANGE PROGRAM, WITH 6 DAYS OF THE INTERVENTION BETWEEN ASSESSMENTS. THE ASSESSMENTS WERE: BODY MASS INDEX (BMI), WAIST AND HIP CIRCUMFERENCES, MID-ARM CIRCUMFERENCE, BODY COMPOSITION, HAND GRIP STRENGTH, POSTURAL STABILITY, SERUM LIPID PROFILE AND FASTING SERUM LEPTIN LEVELS. PARTICIPANTS PRACTICED YOGA FOR 5 HOURS EVERY DAY AND HAD A LOW FAT, HIGH FIBER, VEGETARIAN DIET. LAST AND FIRST DAY DATA WERE COMPARED USING A T-TEST FOR PAIRED DATA. RESULTS: FOLLOWING THE 6-DAY RESIDENTIAL PROGRAM, PARTICIPANTS SHOWED A DECREASE IN BMI (1.6 PERCENT), WAIST AND HIP CIRCUMFERENCES, FAT-FREE MASS, TOTAL CHOLESTEROL (7.7 PERCENT DECREASE), HIGH DENSITY LIPOPROTEIN (HDL) CHOLESTEROL (8.7 PERCENT DECREASE), FASTING SERUM LEPTIN LEVELS (44.2 PERCENT DECREASE) AND AN INCREASE IN POSTURAL STABILITY AND HAND GRIP STRENGTH (P<0.05, ALL COMPARISONS). CONCLUSIONS: A 6-DAY YOGA AND DIET CHANGE PROGRAM DECREASED THE BMI AND THE FAT-FREE MASS. TOTAL CHOLESTEROL ALSO DECREASED DUE TO REDUCED HDL LEVELS. THIS SUGGESTS THAT A BRIEF, INTENSIVE YOGA PROGRAM WITH A CHANGE IN DIET CAN POSE CERTAIN RISKS. BENEFITS SEEN WERE BETTER POSTURAL STABILITY, GRIP STRENGTH (THOUGH A 'PRACTICE EFFECT' WAS NOT RULED OUT), REDUCED WAIST AND HIP CIRCUMFERENCES AND A DECREASE IN SERUM LEPTIN LEVELS. 2010 14 1221 27 FACTORS INFLUENCING TREATMENT ACCEPTANCE IN NEUROTIC PATIENTS REFERRED FOR YOGA THERAPY-;AN EXPLORATORY STUDY. A TOTAL OF 186 NEUROTIC PATIENTS SEEKING TREATMENT IN THE PSYCHIATRY OUTPATIENT CLINIC OF THE NEHRU HOSPITAL, P.G.I.M.E.R. WERE ASSIGNED CONSEQUENTLY TO THREE TREATMENTS I.E. YOGA THERAPY (Y), YOGIC RELAXATION (YR) AND CHEMOTHERAPY (C). A RECORD WAS KEPT OF THE NUMBER OF VISITS MADE BY EACH PATIENT DURING THE 5 MONTHS STUDY PERIOD. IN ORDER TO FIND OUT THE FACTORS ASSOCIATED WITH TREATMENT ACCEPTANCE, A COMPARISON WAS MADE OF THOSE SUBJECTS WHO COMPLETED 4-6 WEEKS OF TREATMENT WITH THOSE WHO DROPPED OUT BEFORE COMPLETING THE TREATMENT IN THE YOGA GROUP. THE DROPOUTS AND NON-DROPOUTS WERE FOUND TO BE COMPARABLE ON SOCIODEMOGRAPHIC AND CLINICAL VARIABLES. THEY WERE ALSO SIMILAR WITH REGARD TO THE ATTITUDE TO YOGA. THE ONLY FACTOR WHICH DISTINGUISHED THE TWO GROUPS WAS THE SEVERITY OF ILLNESS AT INTAKE. THOSE WHO CONTINUED TREATMENT HAD SIGNIFICANTLY HIGHER SCORES ON THE P. G. I. HEALTH QUESTIONNAIRE N-2 AND THE CLINICAL RATINGS OF THE SEVERITY OF ILLNESS. FURTHER, ANALYSIS OF STAGE AT WHICH DROPOUT OCCURRED, AND THE RESPONSES TO THE REPLY PAID QUESTIONNAIRE INDICATED THAT TREATMENT FAILURE AS NOT THE MAIN REASON FOR DROPOUT. 1989 15 2135 34 THE EFFECTS OF A YOGA EXERCISE AND NUTRITIONAL GUIDANCE PROGRAM ON PREGNANCY OUTCOMES AMONG HEALTHY PREGNANT JAPANESE WOMEN: A STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THIS REPORT PROVIDES AN EXPERIMENTAL PROTOCOL FOR A STUDY DESIGNED TO VERIFY THE EFFECTS OF YOGA EXERCISE AND A NUTRITIONAL GUIDANCE PROGRAM DURING PREGNANCY ON SEVERAL KEY PREGNANCY AND BIRTH OUTCOMES AMONG JAPANESE WOMEN. DESIGN: THIS IS A STUDY PROTOCOL OF A RANDOMIZED CONTROLLED TRIAL. SETTING/LOCATION: THIS INTERVENTION WILL BE CARRIED OUT IN A UNIVERSITY HOSPITAL IN TOKYO. SUBJECTS: HEALTHY PRIMIPAROUS WOMEN WILL BE RECRUITED AT 18-23 GESTATIONAL WEEKS IN THE HOSPITAL. A TOTAL OF 400 PARTICIPANTS WILL BE RANDOMLY ASSIGNED TO ONE OF FOUR GROUPS IN THIS TRIAL, WITH 100 PARTICIPANTS IN EACH GROUP-GROUP WITH YOGA EXERCISE, WITH NUTRITIONAL GUIDANCE, WITH BOTH YOGA AND NUTRITIONAL GUIDANCE, AND WITH STANDARD CARE ALONE, AS THE CONTROL GROUP. YOGA EXERCISE CONSISTS OF YOGA CLASSES HELD AT THE HOSPITAL 3 OR 5 DAYS A MONTH, DURATION 60 MIN, AND HOME PRACTICE USING A DIGITAL VIDEO DISK, DURATION 30 OR 60 MIN PER SESSION. WE RECOMMEND PARTICIPANTS DO YOGA AT LEAST 3 DAYS A WEEK FOR A TOTAL OF 60 MIN PER DAY. NUTRITIONAL GUIDANCE IS BASED ON INDIVIDUAL DIETARY INTAKE ASSESSED USING A BRIEF-TYPE DIET HISTORY QUESTIONNAIRE. RESULTS: THE PRIMARY OUTCOME IS RATE OF PREGNANT WOMEN WITH ADEQUATE GESTATIONAL WEIGHT GAIN. SECONDARY OUTCOMES INCLUDE PHYSIOLOGIC AND PSYCHOLOGIC STATUS ASSESSED VIA BIOMARKERS AND HEALTH-RELATED SCALES, DIETARY NUTRITION INTAKE, AND BIRTH OUTCOMES. CONCLUSIONS: THIS STUDY SHOWS THE EFFECTS OF A YOGA EXERCISE AND NUTRITIONAL INTERVENTION. IF THE INTERVENTION IS FOUND TO BE EFFECTIVE, OUR RESULTS WILL BE USEFUL FOR HEALTHCARE PROVIDERS AND PREGNANT WOMEN. 2018 16 1688 40 OUTCOMES FROM A WHOLE-SYSTEMS AYURVEDIC MEDICINE AND YOGA THERAPY TREATMENT FOR OBESITY PILOT STUDY. OBJECTIVES: TO DETERMINE THE FEASIBILITY AND ACCEPTABILITY OF AN AYURVEDA/YOGA INTERVENTION FOR WEIGHT LOSS, USING DUAL-DIAGNOSIS INCLUSION CRITERIA, DUAL-PARADIGM OUTCOMES, AND A SEMISTANDARDIZED PROTOCOL WITH TAILORING ACCORDING TO THE AYURVEDIC CONSTITUTION/IMBALANCE PROFILE OF EACH PARTICIPANT. DESIGN: SEVENTEEN PARTICIPANTS ENROLLED IN A WEEKLY INTERVENTION FOR 3 MONTHS. OUTCOME MEASUREMENTS WERE PERFORMED AT BASELINE, POSTINTERVENTION, AND 3 AND 6 MONTHS FOLLOW-UP. SETTING: THE INTERVENTION WAS CONDUCTED THROUGH THE UNIVERSITY OF ARIZONA, DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE FROM APRIL THROUGH DECEMBER 2012. SUBJECTS: PARTICIPANTS INCLUDED 2 MEN AND 15 WOMEN RECRUITED FROM THE COMMUNITY OF TUCSON, AZ USING FLYERS AND HOSPITAL MESSAGE BOARDS. SEVENTEEN ENROLLED AND 12 PARTICIPANTS PROVIDED COMPLETE FOLLOW-UP DATA. INTERVENTION: PARTICIPANTS MET WITH AN AYURVEDIC PRACTITIONER TWICE MONTHLY (SIX TIMES) AND FOLLOWED SEMISTANDARDIZED DIETARY GUIDELINES WITH INDIVIDUAL TAILORING TO ADDRESS RELEVANT PSYCHOPHYSIOLOGICAL IMBALANCES OBSTRUCTING WEIGHT LOSS AND A STANDARDIZED PROTOCOL OF THERAPEUTIC YOGA CLASSES THREE TIMES WEEKLY WITH RECOMMENDED HOME PRACTICE OF TWO TO FOUR ADDITIONAL SESSIONS. OUTCOME MEASURES: PRIMARY OUTCOME WAS WEIGHT LOSS. OTHER BIOMEDICAL OUTCOMES INCLUDED BODY MASS INDEX, BODY FAT PERCENTAGE, WAIST AND HIP CIRCUMFERENCE, WAIST TO HIP RATIO, AND BLOOD PRESSURE. UNIQUE INSTRUMENTS WERE DESIGNED TO COLLECT DATA ON OUTCOMES ASSOCIATED WITH THE AYURVEDIC MEDICAL PARADIGM, INCLUDING DIETARY CHANGES BY FOOD QUALITIES, MOOD/AFFECT, RELATIONSHIPS, AND CHANGES IN AYURVEDIC IMBALANCE PROFILES. RESULTS: PARTICIPANTS LOST AN AVERAGE OF 3.5 KG DURING THE 3-MONTH INTERVENTION. WEIGHT LOSS AT 3 AND 6 MONTHS POSTINTERVENTION INCREASED TO AN AVERAGE OF 5.6 KG AND 5.9 KG, RESPECTIVELY. PARTICIPANTS WHO LOST 3% OF THEIR BODY WEIGHT DURING THE 12 WEEK INTERVENTION, LOST ON AVERAGE AN ADDITIONAL 3% DURING THE FOLLOW-UP PERIOD. PSYCHOSOCIAL OUTCOMES ALSO IMPROVED. NO ADDITIONAL SERVICES WERE PROVIDED TO PARTICIPANTS DURING THE FOLLOW-UP PERIOD. CONCLUSIONS: A WHOLE-SYSTEMS AYURVEDIC MEDICINE AND YOGA THERAPY APPROACH PROVIDES A FEASIBLE PROMISING NONINVASIVE LOW-COST ALTERNATIVE TO TRADITIONAL WEIGHT LOSS INTERVENTIONS WITH POTENTIAL ADDED BENEFITS ASSOCIATED WITH SUSTAINABLE HOLISTIC LIFESTYLE MODIFICATION AND POSITIVE PSYCHOSOCIAL CHANGES. 2019 17 2229 34 THE IMPACT OF YOGA ON COMPONENTS OF ENERGY BALANCE IN ADULTS WITH OVERWEIGHT OR OBESITY: A SYSTEMATIC REVIEW. BACKGROUND: YOGA MAY REDUCE BODY WEIGHT IN INDIVIDUALS WITH OVERWEIGHT OR OBESITY, BUT WHETHER THIS OCCURS THROUGH DECREASED ENERGY INTAKE (EI) OR INCREASED ENERGY EXPENDITURE (EE)/PHYSICAL ACTIVITY (PA) IS UNCLEAR. METHODS: A SYSTEMATIC SEARCH OF PUBMED, WEB OF SCIENCE, EMBASE, AND PSYCHINFO WAS CONDUCTED FROM INCEPTION UNTIL APRIL 26, 2021. ELIGIBLE STUDIES INCLUDED RANDOMIZED CONTROLLED TRIALS OR SINGLE-ARM PRE-POST STUDIES WITH ANY TYPE AND DURATION OF YOGA INTERVENTION IN ADULTS WITH OVERWEIGHT OR OBESITY. STUDIES WITH MEASURES RELATED TO EI , EE, OR PA WERE ELIGIBLE. THE REVIEW INITIALLY IDENTIFIED 1,373 ARTICLES. RESULTS: OF THE 10 INCLUDED STUDIES, ONE USED INDIRECT CALORIMETER MEASURES OF RESTING EE, WHILE NINE USED SELF-REPORTED MEASURES OF EI AND PA. OF THE SEVEN STUDIES MEASURING PARAMETERS RELATED TO EI, ONLY ONE FOUND GREATER DECREASES IN EI RELATIVE TO THE CONTROL GROUP, ALTHOUGH THREE OTHER INVESTIGATIONS REPORTED TRENDS TOWARD IMPROVED DIETARY INTAKE. OF THE EIGHT STUDIES MEASURING PA, TWO REPORTED GREATER INCREASES IN RESTING EE OR PA IN THE YOGA GROUP RELATIVE TO THE CONTROL GROUP. TWO REPORTED SIGNIFICANT WITHIN-GROUP INCREASES IN PA FROM PRE-POST INTERVENTION, AND FOUR STUDIES REPORTED A TREND FOR INCREASED PA WITH NO P-VALUES REPORTED. CONCLUSIONS: LIMITED EVIDENCE SUGGESTS YOGA MAY REDUCE EI AND INCREASE PA IN ADULTS WITH OVERWEIGHT OR OBESITY. ADDITIONAL STUDIES THAT INVESTIGATE THE EFFECTS OF YOGA INTERVENTIONS ON ENERGY BALANCE PARAMETERS USING OBJECTIVE TECHNIQUES ARE WARRANTED. 2022 18 636 27 DISTRESS TOLERANCE AS A PREDICTOR OF ADHERENCE TO A YOGA INTERVENTION: MODERATING ROLES OF BMI AND BODY IMAGE. THIS STUDY TESTED WHETHER DISTRESS TOLERANCE, BODY IMAGE, AND BODY MASS INDEX (BMI) PREDICTED ADHERENCE TO A YOGA INTERVENTION. PARTICIPANTS WERE 27 WOMEN WHO PARTICIPATED IN A YOGA INTERVENTION AS PART OF A RANDOMIZED CONTROLLED TRIAL. ATTENDANCE AND DISTRESS TOLERANCE WERE ASSESSED WEEKLY, AND BODY IMAGE AND BMI WERE MEASURED AT BASELINE. MULTILEVEL MODELING REVEALED A THREE-WAY INTERACTION OF DISTRESS TOLERANCE, BMI, AND BODY IMAGE (P < .001). FOR PARTICIPANTS WITH FEW BODY IMAGE CONCERNS, DISTRESS TOLERANCE WAS POSITIVELY ASSOCIATED WITH ADHERENCE REGARDLESS OF BMI (P = .009). HOWEVER, FOR THOSE WITH POOR BODY IMAGE, INCREASES IN DISTRESS TOLERANCE WERE ASSOCIATED WITH INCREASES IN ADHERENCE AMONG OVERWEIGHT PARTICIPANTS (P < .001) BUT LOWER ADHERENCE AMONG OBESE PARTICIPANTS (P = .007). DISTRESS TOLERANCE MAY BE IMPLICATED IN ADHERENCE TO A YOGA INTERVENTION, ALTHOUGH ITS EFFECTS MAY BE DEPENDENT ON BODY IMAGE CONCERNS, BMI, AND THEIR INTERACTION. RESEARCH AND CLINICAL IMPLICATIONS ARE DISCUSSED. 2016 19 1844 36 QUALITATIVE IMPRESSIONS OF A YOGA NIDRA PRACTICE FOR INSOMNIA: AN EXPLORATORY MIXED-METHODS DESIGN. INTRODUCTION: INSOMNIA AFFECTS UP TO HALF OF THE U.S. POPULATION, AND DUE TO LIMITATIONS OF CURRENT TREATMENTS, THERE IS A GROWING INTEREST IN MIND-BODY PRACTICES TO REDUCE INSOMNIA. TO UNDERSTAND HOW A GUIDED MEDITATION PRACTICE, YOGA NIDRA, MAY AFFECT RELAXATION AND ALIGN WITH CURRENT DESCRIPTIONS OF NONPHARMACEUTICAL PRACTICES THAT COULD IMPROVE SLEEP, QUALITATIVE AND QUANTITATIVE METHODS WERE USED TO EXPLORE PARTICIPANT EXPERIENCE OF A SINGLE YOGA NIDRA PRACTICE, ADMINISTERED IN A GROUP SETTING. METHODS: CURRENT INSOMNIA (INSOMNIA SEVERITY INDEX), SLEEP PRACTICES, AND MOOD (POSITIVE AND NEGATIVE AFFECT SCHEDULE [PANAS]) WERE MEASURED AT INTAKE. AFTER 30 MIN OF YOGA NIDRA PRACTICE, THE PANAS WAS READMINISTERED. IN A FOCUS GROUP THAT FOLLOWED, PARTICIPANTS DISCUSSED THEIR EXPERIENCE BEFORE, DURING, AND AFTER THE PRACTICE AND THE LIKELIHOOD OF REPEATING IT. SIX GROUPS WERE CONDUCTED. ALL INTERESTED ADULTS WERE WELCOME TO JOIN. RESULTS: IN THE FINAL SAMPLE OF 33 INDIVIDUALS (79% FEMALE), 80% OF PARTICIPANTS REPORTED INSOMNIA AT INTAKE AND 45% REPORTED A REGULAR MIND-BODY PRACTICE, SUPPORTING THE PREVALENCE OF INSOMNIA IN THE SOCIETY AS WELL AS THE INTEREST IN MIND-BODY PRACTICES. AFTER THE YOGA NIDRA INTERVENTION, MEAN NEGATIVE AFFECT DECREASED 5.6 +/- 4.5 POINTS, A 31% DECREASE FROM BASELINE, AND POSITIVE AFFECT DECREASED 3.5 +/- 9.7 POINTS, A 13% DECREASE. THREE MAJOR THEMES WERE IDENTIFIED FROM FOCUS GROUP DISCUSSIONS: RESPONSE TO THE PRACTICE (RELAXATION, PERCEIVED SLEEP, AND SENSE WITHDRAWAL); FACTORS THAT AFFECT ENGAGEMENT (DELIVERY METHOD AND INTRAPERSONAL FACTORS); AND POTENTIAL AS A CLINICAL INTERVENTION (FOR CONDITIONS INCLUDING SLEEP, ANXIETY, AND PAIN). CONCLUSION: YOGA NIDRA APPEARED TOLERABLE WITHIN THE SAMPLE, AND DESCRIPTIONS SUGGEST IT MAY BE USEFUL FOR ENHANCING RELAXATION, FACILITATING SLEEP, EASING ANXIETY, AND REDUCING PAIN. RESULTS FROM THIS STUDY WILL INFORM THE DESIGN OF FUTURE STUDIES OF YOGA NIDRA FOR INSOMNIA AND RELATED CONDITIONS. 2021 20 105 45 A PILOT FEASIBILITY STUDY OF WHOLE-SYSTEMS AYURVEDIC MEDICINE AND YOGA THERAPY FOR WEIGHT LOSS. OBJECTIVE: TO DEVELOP AND TEST THE FEASIBILITY OF A WHOLE-SYSTEMS LIFESTYLE INTERVENTION FOR OBESITY TREATMENT BASED ON THE PRACTICES OF AYURVEDIC MEDICINE/ YOGA THERAPY. DESIGN: A PRE-POST WEIGHT LOSS INTERVENTION PILOT STUDY USING CONVENTIONAL AND AYURVEDIC DIAGNOSIS INCLUSION CRITERIA, TAILORED TREATMENT WITHIN A STANDARDIZED TREATMENT ALGORITHM, AND STANDARDIZED DATA COLLECTION INSTRUMENTS FOR COLLECTING AYURVEDIC OUTCOMES. PARTICIPANTS: A CONVENIENCE SAMPLE OF OVERWEIGHT/OBESE ADULT COMMUNITY MEMBERS FROM TUCSON, ARIZONA INTERESTED IN A "HOLISTIC WEIGHT LOSS PROGRAM" AND MEETING PREDETERMINED INCLUSION/EXCLUSION CRITERIA. INTERVENTION: A COMPREHENSIVE DIET, ACTIVITY, AND LIFESTYLE MODIFICATION PROGRAM BASED ON PRINCIPLES OF AYURVEDIC MEDICINE/YOGA THERAPY WITH SIGNIFICANT SELF-MONITORING OF LIFESTYLE BEHAVIORS. THE 3-MONTH PROGRAM WAS DESIGNED TO CHANGE EATING AND ACTIVITY PATTERNS AND TO IMPROVE SELF-EFFICACY, QUALITY OF LIFE, WELL-BEING, VITALITY, AND SELF-AWARENESS AROUND FOOD CHOICES, STRESS MANAGEMENT, AND BARRIERS TO WEIGHT LOSS. PRIMARY OUTCOME MEASURES: CHANGES IN BODY WEIGHT, BODY MASS INDEX; BODY FAT PERCENTAGE, FAT/LEAN MASS, WAIST/HIP CIRCUMFERENCE AND RATIO, AND BLOOD PRESSURE. SECONDARY OUTCOME MEASURES: DIET AND EXERCISE SELF-EFFICACY SCALES; PERCEIVED STRESS SCALE; VISUAL ANALOG SCALES (VAS) OF ENERGY, APPETITE, STRESS, QUALITY OF LIFE, WELL-BEING, AND PROGRAM SATISFACTION AT ALL TIME POINTS. RESULTS: TWENTY-TWO ADULTS ATTENDED AN IN-PERSON AYURVEDIC SCREENING; 17 INITIATED THE INTERVENTION, AND 12 COMPLETED THE 3-MONTH INTERVENTION. TWELVE COMPLETED FOLLOW-UP AT 6 MONTHS AND 11 COMPLETED FOLLOW-UP AT 9 MONTHS. MEAN WEIGHT LOSS AT 3 MONTHS WAS 3.54 KG (SD 4.76); 6 MONTHS: 4.63 KG, (SD 6.23) AND 9 MONTHS: 5.9 KG (SD 8.52). SELF-REPORT OF PROGRAM SATISFACTION WAS MORE THAN 90% AT ALL TIME POINTS. CONCLUSIONS: AN AYURVEDA-/YOGA-BASED LIFESTYLE MODIFICATION PROGRAM IS AN ACCEPTABLE AND FEASIBLE APPROACH TO WEIGHT MANAGEMENT. DATA COLLECTION, INCLUDING SELF-MONITORING AND CONVENTIONAL AND AYURVEDIC OUTCOMES, DID NOT UNDULY BURDEN PARTICIPANTS, WITH ATTRITION SIMILAR TO THAT OF OTHER WEIGHT LOSS STUDIES. 2014