1  938 125 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
2  944  55 EFFECTS OF A 12-WEEK HATHA YOGA INTERVENTION ON METABOLIC RISK AND QUALITY OF LIFE IN HONG KONG CHINESE ADULTS WITH AND WITHOUT METABOLIC SYNDROME. OBJECTIVE: TO DETERMINE THE EFFICACY OF A 12-WEEK HATHA YOGA INTERVENTION TO IMPROVE METABOLIC RISK PROFILES AND HEALTH-RELATED QUALITY OF LIFE (HRQOL) IN CHINESE ADULTS WITH AND WITHOUT METABOLIC SYNDROME (METS). METHODS: WE CONDUCTED A CONTROLLED TRIAL WITHIN AN UNIVERSITY-AFFILIATED HOSPITAL. 173 CHINESE MEN AND WOMEN AGED 18 OR ABOVE WERE ASSIGNED TO EITHER THE YOGA INTERVENTION GROUP (N = 87) OR THE CONTROL GROUP (N = 86). PRIMARY OUTCOMES INCLUDED 12-WEEK CHANGE IN METABOLIC RISK FACTORS AND METS Z SCORE. SECONDARY OUTCOME WAS HRQOL (MEDICAL OUTCOMES SHORT FORM SURVEY AT 12 WEEKS). RESULTS: THE MEAN AGE OF PARTICIPANTS WAS 52.0 (SD 7.4, RANGE 31-71) YEARS. ANALYSIS INVOLVING THE ENTIRE STUDY POPULATION REVEALED THAT THE YOGA GROUP ACHIEVED GREATER DECLINE IN WAIST CIRCUMFERENCE (P<0.001), FASTING GLUCOSE (P<0.01), TRIGLYCERIDES (P<0.05), AND METS Z SCORE (P<0.01). YOGA TRAINING ALSO IMPROVED GENERAL HEALTH PERCEPTIONS (P<0.01), PHYSICAL COMPONENT SCORE (P<0.01), AND SOCIAL FUNCTIONING (P<0.01) DOMAINS SCORE OF HRQOL. HOWEVER, NO SIGNIFICANT DIFFERENCES BETWEEN GROUPS WERE OBSERVED IN THE MEAN CHANGE OF SYSTOLIC/DIASTOLIC BLOOD PRESSURES OR HIGH-DENSITY LIPID PROTEIN CHOLESTEROL (ALL P>0.05). THERE WERE NO SIGNIFICANT DIFFERENCES IN THE INTERVENTION EFFECTS ON WAIST CIRCUMFERENCE AND METS Z SCORE BETWEEN THE METS SUBGROUPS (BOTH P>0.05). CONCLUSION: A 12-WEEK HATHA YOGA INTERVENTION IMPROVES METABOLIC RISK PROFILES AND HRQOL IN CHINESE ADULTS WITH AND WITHOUT METS. TRIAL REGISTRATION: AUSTRALIAN NEW ZEALAND CLINICAL TRIALS REGISTRY ACTRN12613000816752.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
3  642  35 DOES PRACTICING HATHA YOGA SATISFY RECOMMENDATIONS FOR INTENSITY OF PHYSICAL ACTIVITY WHICH IMPROVES AND MAINTAINS HEALTH AND CARDIOVASCULAR FITNESS? BACKGROUND: LITTLE IS KNOWN ABOUT THE METABOLIC AND HEART RATE RESPONSES TO A TYPICAL HATHA YOGA SESSION. THE PURPOSES OF THIS STUDY WERE 1) TO DETERMINE WHETHER A TYPICAL YOGA PRACTICE USING VARIOUS POSTURES MEETS THE CURRENT RECOMMENDATIONS FOR LEVELS OF PHYSICAL ACTIVITY REQUIRED TO IMPROVE AND MAINTAIN HEALTH AND CARDIOVASCULAR FITNESS; 2) TO DETERMINE THE RELIABILITY OF METABOLIC COSTS OF YOGA ACROSS SESSIONS; 3) TO COMPARE THE METABOLIC COSTS OF YOGA PRACTICE TO THOSE OF TREADMILL WALKING. METHODS: IN THIS OBSERVATIONAL STUDY, 20 INTERMEDIATE-TO-ADVANCED LEVEL YOGA PRACTITIONERS, AGE 31.4 +/- 8.3 YEARS, PERFORMED AN EXERCISE ROUTINE INSIDE A HUMAN RESPIRATORY CHAMBER (INDIRECT CALORIMETER) WHILE WEARING HEART RATE MONITORS. THE EXERCISE ROUTINE CONSISTED OF 30 MINUTES OF SITTING, 56 MINUTES OF BEGINNER-LEVEL HATHA YOGA ADMINISTERED BY VIDEO, AND 10 MINUTES OF TREADMILL WALKING AT 3.2 AND 4.8 KPH EACH. MEASURES WERE MEAN OXYGEN CONSUMPTION (VO2), HEART RATE (HR), PERCENTAGE PREDICTED MAXIMAL HEART RATE (%MHR), METABOLIC EQUIVALENTS (METS), AND ENERGY EXPENDITURE (KCAL). SEVEN SUBJECTS REPEATED THE PROTOCOL SO THAT MEASUREMENT RELIABILITY COULD BE ESTABLISHED. RESULTS: MEAN VALUES ACROSS THE ENTIRE YOGA SESSION FOR VO2, HR, %MHR, METS, AND ENERGY/MIN WERE 0.6 L/KG/MIN; 93.2 BEATS/MIN; 49.4%; 2.5; AND 3.2 KCAL/MIN; RESPECTIVELY. RESULTS OF THE ICCS (2,1) FOR MEAN VALUES ACROSS THE ENTIRE YOGA SESSION FOR KCAL, METS, AND %MHR WERE 0.979 AND 0.973, AND 0.865, RESPECTIVELY. CONCLUSION: METABOLIC COSTS OF YOGA AVERAGED ACROSS THE ENTIRE SESSION REPRESENT LOW LEVELS OF PHYSICAL ACTIVITY, ARE SIMILAR TO WALKING ON A TREADMILL AT 3.2 KPH, AND DO NOT MEET RECOMMENDATIONS FOR LEVELS OF PHYSICAL ACTIVITY FOR IMPROVING OR MAINTAINING HEALTH OR CARDIOVASCULAR FITNESS. YOGA PRACTICE INCORPORATING SUN SALUTATION POSTURES EXCEEDING THE MINIMUM BOUT OF 10 MINUTES MAY CONTRIBUTE SOME PORTION OF SUFFICIENTLY INTENSE PHYSICAL ACTIVITY TO IMPROVE CARDIO-RESPIRATORY FITNESS IN UNFIT OR SEDENTARY INDIVIDUALS. THE MEASUREMENT OF ENERGY EXPENDITURE ACROSS YOGA SESSIONS IS HIGHLY RELIABLE.	2007	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
4  229  28 A SYSTEMATIC REVIEW OF THE ENERGY COST AND METABOLIC INTENSITY OF YOGA. PURPOSE: WITH THE INCREASING POPULARITY OF HATHA YOGA, IT IS IMPORTANT TO UNDERSTAND THE ENERGY COST AND METS OF YOGA PRACTICE WITHIN THE CONTEXT OF THE AMERICAN COLLEGE OF SPORTS MEDICINE (ACSM) AND THE AMERICAN HEART ASSOCIATION (AHA) PHYSICAL ACTIVITY GUIDELINES. METHODS: THIS SYSTEMATIC REVIEW EVALUATED THE ENERGY COST AND METABOLIC INTENSITY OF YOGA PRACTICE INCLUDING YOGA ASANAS (POSES/POSTURES) AND PRANAYAMAS (BREATH EXERCISES) MEASURED BY INDIRECT CALORIMETRY. THE ENGLISH-SPEAKING LITERATURE WAS SURVEYED VIA PUBMED USING THE GENERAL TERMS "YOGA" AND "ENERGY EXPENDITURE" WITH NO DATE LIMITATIONS. RESULTS: THIRTEEN MANUSCRIPTS WERE INITIALLY IDENTIFIED WITH AN ADDITIONAL FOUR LOCATED FROM REVIEW OF MANUSCRIPT REFERENCES. OF THE 17 STUDIES, 10 EVALUATED THE ENERGY COST AND METS OF FULL YOGA SESSIONS OR FLOW THROUGH SURYA NAMASKAR (SUN SALUTATIONS), EIGHT OF INDIVIDUAL ASANAS, AND FIVE OF PRANAYAMAS. METS FOR YOGA PRACTICE AVERAGED 3.3 +/- 1.6 (RANGE = 1.83-7.4 METS) AND 2.9 +/- 0.8 METS WHEN ONE OUTLIER (I.E., 7.4 METS FOR SURYA NAMASKAR) WAS OMITTED. METS FOR INDIVIDUAL ASANAS AVERAGED 2.2 +/- 0.7 (RANGE = 1.4-4.0 METS), WHEREAS THAT OF PRANAYAMAS WAS 1.3 +/- 0.3. ON THE BASIS OF ACSM/AHA CLASSIFICATION, THE INTENSITY OF MOST ASANAS AND FULL YOGA SESSIONS RANGED FROM LIGHT (LESS THAN 3 METS) TO MODERATE AEROBIC INTENSITY (3-6 METS), WITH THE MAJORITY CLASSIFIED AS LIGHT INTENSITY. CONCLUSION: THIS REVIEW SUGGESTS THAT YOGA IS TYPICALLY CLASSIFIED AS A LIGHT-INTENSITY PHYSICAL ACTIVITY. HOWEVER, A FEW SEQUENCES/POSES, INCLUDING SURYA NAMASKAR, MEET THE CRITERIA FOR MODERATE- TO VIGOROUS-INTENSITY ACTIVITY. IN ACCORDANCE WITH THE ACSM/AHA GUIDELINES, THE PRACTICE OF ASANA SEQUENCES WITH MET INTENSITIES HIGHER THAN THREE (I.E., >10 MIN) CAN BE ACCUMULATED THROUGHOUT THE DAY AND COUNT TOWARD DAILY RECOMMENDATIONS FOR MODERATE- OR VIGOROUS-INTENSITY PHYSICAL ACTIVITY.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
5 2819  58 YOGA TRAINING MODULATES ADIPOKINES IN ADULTS WITH HIGH-NORMAL BLOOD PRESSURE AND METABOLIC SYNDROME. METABOLIC SYNDROME (METS) IS ASSOCIATED WITH DIABETES MELLITUS AND CARDIOVASCULAR DISEASES. OUR PREVIOUS STUDY INDICATED THAT PEOPLE WITH METS SHOWED A DECREASE IN WAIST CIRCUMFERENCE AND A DECREASING TREND IN BLOOD PRESSURE AFTER 1-YEAR YOGA. THIS STUDY INVESTIGATED THE EFFECT OF YOGA ON METS PEOPLE WITH HIGH-NORMAL BLOOD PRESSURE BY EXPLORING MODULATIONS IN PROINFLAMMATORY ADIPOKINES (LEPTIN, CHEMERIN, VISFATIN, AND PLASMINOGEN ACTIVATOR INHIBITOR-1 OR PAI-1) AND AN ANTI-INFLAMMATORY ADIPOKINE (ADIPONECTIN). A TOTAL OF 97 HONG KONG CHINESE INDIVIDUALS AGED 57.6 +/- 9.1 YEARS WITH METS AND HIGH-NORMAL BLOOD PRESSURE WERE RANDOMLY ASSIGNED TO CONTROL (N = 45) AND YOGA GROUPS (N = 52). PARTICIPANTS IN THE CONTROL GROUP WERE NOT GIVEN ANY INTERVENTION BUT WERE CONTACTED MONTHLY TO MONITOR THEIR HEALTH STATUS. PARTICIPANTS IN THE YOGA GROUP UNDERWENT A YOGA TRAINING PROGRAM WITH THREE 1-HOUR YOGA SESSIONS WEEKLY FOR 1 YEAR. THE PARTICIPANTS' SERA WERE HARVESTED AND ASSESSED FOR ADIPOKINES. GENERALIZED ESTIMATING EQUATION (GEE) WAS USED TO EXAMINE THE INTERACTION EFFECT BETWEEN 1-YEAR TIME (PRE VS POST), AND INTERVENTION (CONTROL VS YOGA). GEE ANALYSES REVEALED SIGNIFICANT INTERACTION EFFECTS BETWEEN 1-YEAR TIME AND YOGA INTERVENTION FOR THE DECREASES IN LEPTIN AND CHEMERIN AND THE INCREASE IN ADIPONECTIN CONCENTRATION IN THE SERA EXAMINED. THESE RESULTS DEMONSTRATED THAT 1-YEAR YOGA TRAINING DECREASED PROINFLAMMATORY ADIPOKINES AND INCREASED ANTI-INFLAMMATORY ADIPOKINE IN ADULTS WITH METS AND HIGH-NORMAL BLOOD PRESSURE. THESE FINDINGS SUPPORT THE BENEFICIAL ROLE OF YOGA IN MANAGING METS BY FAVORABLY MODULATING ADIPOKINES.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
6 1476  39 INTEGRATED YOGA AND NATUROPATHY MODULE IN MANAGEMENT OF METABOLIC SYNDROME: A CASE REPORT. A 50-YEAR-OLD MALE PARTICIPANT WITH SEDENTARY LIFESTYLE, DIAGNOSED WITH METABOLIC SYNDROME (METS) [OBESITY, TYPE-2 DIABETES MELLITUS, HYPERTENSION] AND HYPOTHYROIDISM SINCE 2013, WAS ADMINISTERED INTEGRATED YOGA AND NATUROPATHY (IYN) FOR 6 WEEKS AS A TAILOR MADE INDIVIDUALIZED PROTOCOL AT THE RESIDENTIAL INTEGRATIVE MEDICAL FACILITY IN BANGALORE BETWEEN OCTOBER AND NOVEMBER 2015. THE RESULTS SHOWED REDUCTION IN WEIGHT (97.9 KG TO 74.6 KG), BODY MASS INDEX (BMI) (35.1 KG/M(2) TO 27.86 KG/M(2)), TOTAL CHOLESTEROL (192 MG% TO 145 MG%), TRIGLYCERIDES (153 MG% TO 90 MG%), LOW DENSITY LIPOPROTEIN (LDL) (124 MG% TO 81 MG%), HIGH DENSITY LIPOPROTEIN (HDL) (40 MG% TO 46 MG%), FASTING BLOOD GLUCOSE (110 MG/DL TO 75 MG/DL), POSTPRANDIAL GLUCOSE (267 MG/DL TO 100 MG/DL), GLYCATED HEMOGLOBIN (HBA1C) (7.8%-7.1%), THYROID STIMULATING HORMONE (TSH) (6.90 MUIU/ML TO 3.052 MUIU/ML). FOLLOWING THE INTERVENTION, THE ANTI-HYPERTENSIVE, ORAL HYPOGLYCEMIC, THYROID RAISING AND ANALGESIC MEDICINES WERE NOT REQUIRED TO BE CONTINUED. HIS KNEE PAIN MINIMIZED ON DISCHARGE AS OBSERVED ON A VISUAL ANALOG SCALE. HE HAD AN IMPROVED FEELING OF WELLNESS AND OVERALL FUNCTIONAL HEALTH. ALL HIS PARAMETERS WERE WITHIN NORMAL RANGE AT THE 12-WEEKS FOLLOW-UP, AS HE HAD INCORPORATED THE LIFESTYLE PROGRAM INTO HIS DAILY ROUTINE. THIS CASE REPORT SUGGESTS THAT LIFESTYLE CHANGE BY INTEGRATION OF SPECIFIC NON-DRUG YOGA AND NATUROPATHIC INTERVENTION IS USEFUL IN THE MANAGEMENT OF METS.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
7 1030  51 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
8 1319  25 HEART RATE VARIABILITY, FLOW, MOOD AND MENTAL STRESS DURING YOGA PRACTICES IN YOGA PRACTITIONERS, NON-YOGA PRACTITIONERS AND PEOPLE WITH METABOLIC SYNDROME. HEART RATE VARIABILITY (HRV) AND RESPIRATORY SINUS ARRHYTHMIA ARE DIRECTLY ASSOCIATED WITH AUTONOMIC FLEXIBILITY, SELF-REGULATION AND WELL-BEING, AND INVERSELY ASSOCIATED WITH PHYSIOLOGICAL STRESS, PSYCHOLOGICAL STRESS AND PATHOLOGY. YOGA ENHANCES AUTONOMIC ACTIVITY, MITIGATES STRESS AND BENEFITS STRESS-RELATED CLINICAL CONDITIONS, YET THE RELATIONSHIP BETWEEN AUTONOMIC ACTIVITY AND PSYCHOPHYSIOLOGICAL RESPONSES DURING YOGA PRACTICES AND STRESSFUL STIMULI HAS NOT BEEN WIDELY EXPLORED. THIS EXPERIMENTAL STUDY EXPLORED THE RELATIONSHIP BETWEEN HRV, MOOD STATES AND FLOW EXPERIENCES IN REGULAR YOGA PRACTITIONERS (YP), NON-YOGA PRACTITIONERS (NY) AND PEOPLE WITH METABOLIC SYNDROME (METS), DURING MENTAL ARITHMETIC STRESS TEST (MAST) AND VARIOUS YOGA PRACTICES. THE STUDY FOUND THAT THE MAST PLACED A CARDIO-AUTONOMIC BURDEN IN ALL PARTICIPANTS WITH THE YP GROUP SHOWING THE GREATEST REACTIVITY AND THE MOST RAPID RECOVERY, WHILE THE METS GROUP HAD SIGNIFICANTLY BLUNTED RECOVERY. THE YP GROUP ALSO REPORTED A HEIGHTENED EXPERIENCE OF FLOW AND POSITIVE MOOD STATES COMPARED TO NY AND METS GROUPS AS WELL AS HAVING A HIGHER VAGAL TONE DURING ALL RESTING CONDITIONS. THESE RESULTS SUGGEST YOGA PRACTITIONERS HAVE A GREATER HOMEOSTATIC CAPACITY AND AUTONOMIC, METABOLIC AND PHYSIOLOGICAL RESILIENCE. FURTHER STUDIES ARE NOW NEEDED TO DETERMINE IF REGULAR YOGA PRACTICE MAY IMPROVE AUTONOMIC FLEXIBILITY IN NON-YOGA PRACTITIONERS AND METABOLIC SYNDROME PATIENTS. CLINICAL TRIAL NO 'ACTRN 2614001075673'.	2016	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
9 1374  43 IMPACT OF AN INTEGRATED YOGA THERAPY PROTOCOL ON INSULIN RESISTANCE AND GLYCEMIC CONTROL IN PATIENTS WITH TYPE 2 DIABETES MELLITUS. OBJECTIVE: DIABETES MELLITUS (DM), CHARACTERIZED BY CHRONIC HYPERGLYCEMIA, IS ATTRIBUTED TO RELATIVE INSULIN DEFICIENCY OR RESISTANCE, OR BOTH. STUDIES HAVE SHOWN THAT YOGA CAN MODULATE PARAMETERS OF INSULIN RESISTANCE. THE PRESENT STUDY EXPLORED THE POSSIBLE BENEFICIAL EFFECTS OF INTEGRATED YOGA THERAPY WITH REFERENCE TO GLYCEMIC CONTROL AND INSULIN RESISTANCE (IR) IN INDIVIDUALS WITH DIABETES MAINTAINED ON STANDARD ORAL MEDICAL CARE WITH YOGA THERAPY, COMPARED TO THOSE ON STANDARD ORAL MEDICAL CARE ALONE. METHODS: IN THIS STUDY, THE SUBJECTS ON YOGA INTERVENTION COMPRISED 35 TYPE 2 DIABETICS, AND AN EQUAL NUMBER OF VOLUNTEERS CONSTITUTED THE CONTROL GROUP. SUBJECTS RANGED IN AGE FROM 30 TO 70 YEARS, WITH HEMOGLOBIN A1C (HBA1C) TEST MORE THAN 7%, AND WERE MAINTAINED ON DIABETIC DIET AND ORAL HYPOGLYCEMIC AGENTS. BLOOD SAMPLES WERE DRAWN PRIOR TO AND AFTER 120 DAYS OF INTEGRATED YOGA THERAPY INTERVENTION. FASTING BLOOD GLUCOSE (FBG), POST-PRANDIAL BLOOD GLUCOSE (PPBG), HBA1C, INSULIN, AND LIPID PROFILE WERE ASSESSED IN BOTH THE INTERVENTION AND CONTROL GROUPS. RESULTS: THE INTERVENTION GROUP REVEALED SIGNIFICANT IMPROVEMENTS IN BODY MASS INDEX (BMI) (0.7 KG/M(2) MEDIAN DECREASE; P=0.001), FBG (20 MG/DL MEDIAN DECREASE; P<0.001), PPBG (33 MG/DL MEDIAN DECREASE; P<0.001), HBA1C (0.4% MEDIAN DECREASE; P<0.001), HOMEOSTATIC MODEL ASSESSMENT FOR INSULIN RESISTANCE (HOMA-IR) (1.2 MEDIAN DECREASE; P<0.001), CHOLESTEROL (13 MG/DL MEDIAN DECREASE, P=0.006), TRIACYLGLYCEROL (22 MG/DL MEDIAN DECREASE; P=0.027), LOW-DENSITY LIPOPROTEIN (6 MG/DL MEDIAN DECREASE; P=0.004), AND VERY-LOW-DENSITY LIPOPROTEIN LEVELS (4 MG/DL MEDIAN DECREASE; P=0.032). INCREASES IN HIGH-DENSITY LIPOPROTEIN AFTER 120 DAYS WERE NOT SIGNIFICANT (6 MG/DL MEDIAN INCREASE; P=0.15). HOWEVER, WHEN COMPARED TO CHANGES OBSERVED IN PATIENTS IN THE CONTROL GROUP, ALL THESE IMPROVEMENTS PROVED TO BE SIGNIFICANT. CONCLUSION: ADMINISTRATION OF INTEGRATED YOGA THERAPY TO INDIVIDUALS WITH DIABETES LEADS TO A SIGNIFICANT IMPROVEMENT IN GLYCEMIC CONTROL, INSULIN RESISTANCE, AND KEY BIOCHEMICAL PARAMETERS.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
10  324  35 ANTHROPOMETRIC, BIOCHEMICAL AND CLINICAL PARAMETERS IN CLIMACTERIC YOGA PRACTITIONERS. OBJECTIVE: THIS STUDY AIMED TO EVALUATE ANTHROPOMETRIC, BIOCHEMICAL AND CLINICAL PARAMETERS IN CLIMACTERIC YOGA PRACTITIONERS. METHODS: THIS STUDY INVESTIGATED 108 CLIMACTERIC WOMEN. WE RECRUITED 28 WOMEN BETWEEN 40 AND 65 YEARS OLD WHO STARTED YOGA PRACTICES IN PREMENOPAUSE AND HAD ALREADY PRACTICED FOR AT LEAST 5 YEARS. AS CONTROLS, WE SELECTED 30 PHYSICAL ACTIVITY (PA) PRACTITIONERS WHO HAD PRACTICED FOR AT LEAST 5 YEARS AND 50 SEDENTARY WOMEN IN THE SAME AGE RANGE. WE CONDUCED ANTHROPOMETRIC, BIOCHEMICAL AND BLOOD PRESSURE MEASUREMENTS. RESULTS: THE YOGA GROUP HAD SIGNIFICANTLY LOWER FASTING BLOOD GLUCOSE THAN THE PA PRACTITIONERS AND SEDENTARY WOMEN. YOGA PRACTITIONERS ALSO HAD LOWER WEIGHT, BODY MASS INDEX, WAIST CIRCUMFERENCE, BODY FAT PERCENTAGE AND WAIST-TO-HEIGHT RATIO; HIGHER LEVELS OF HIGH-DENSITY LIPOPROTEIN CHOLESTEROL; LOWER LEVELS OF TRIGLYCERIDES, INSULIN, HOMEOSTASIS MODEL ASSESSMENT OF INSULIN RESISTANCE, URIC ACID, APOLIPOPROTEIN B AND HIGH-SENSITIVITY C-REACTIVE PROTEIN; AND LOWER FREQUENCY OF METABOLIC SYNDROME, LIPID ACCUMULATION PRODUCT, VISCERAL ADIPOSITY INDEX AND SYSTOLIC BLOOD PRESSURE THAN THE SEDENTARY WOMEN. CONCLUSION: YOGA PRACTITIONERS HAD LOWER GLUCOSE SERUM CONCENTRATIONS THAN THE PA PRACTITIONERS AND SEDENTARY WOMEN. OVERALL, THE YOGA GROUP ALSO HAD BETTER ANTHROPOMETRIC, BIOCHEMICAL AND CLINICAL VARIABLES THAN THE OTHER GROUPS. ALTHOUGH FURTHER INVESTIGATION IS REQUIRED, YOGA PRACTICE IN PREMENOPAUSE SEEMS TO BE BENEFICIAL FOR WOMEN WHEN THEY REACH MENOPAUSE.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
11 1147  31 ENERGY EXPENDITURE DURING A VINYASA YOGA SESSION. BACKGROUND: VINYASA YOGA HAS BEEN RECENTLY PROMOTED AS ONE OF THE MOST POPULAR MINDFUL EXERCISES TO IMPROVE OVERALL HEALTH, INCLUDING BODY WEIGHT MANAGEMENT. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE METABOLIC RESPONSE OF 24 MODERATELY TRAINED INDIVIDUALS DURING A 90-MIN GROUP VINYASA YOGA ROUTINE. METHODS: HEART RATE (HR) TIME COURSE OF 12 MALES AND 12 FEMALES (AGE: 39+/-7.33 YEARS) WAS RECORDED DURING TWO GROUP VINYASA YOGA SESSIONS CONSISTED OF FOUR SECTIONS (WARM-UP, HIGH-INTENSITY SURYA NAMASKAR (HSN), NO SURYA NAMASKAR POSTURES, AND COOL-DOWN). MAXIMAL OXYGEN UPTAKE (VO<INF>2PEAK</INF>) AND MAXIMUM HR HAD BEEN ESTIMATED EARLIER AFTER A MAXIMAL TREADMILL TEST. VO<INF>2</INF> DURING VINYASA YOGA SESSIONS WAS ESTIMATED FROM INDIVIDUAL REGRESSION EQUATIONS USING THE RELATIONSHIP OF VO<INF>2</INF> AND HR VALUES DERIVED FROM VO<INF>2PEAK</INF> TEST, WHILE THE METABOLIC RATE (KCAL/MIN) WAS CALCULATED FROM THE RELATIONSHIP OF HR AND KCAL/MIN. TOTAL SESSION ENERGY CONSUMPTION WAS THE AVERAGE VALUE OF THE TWO YOGA SESSIONS. RESULTS: THE 2 (GENDER) X 4 (SECTIONS) MIXED ANOVA REVEALED NO SIGNIFICANT INTERACTION BETWEEN THE TWO FACTORS (P=0.101) FOR THE MEAN METABOLIC RATE (7.1+/-2.6 KCAL/MIN). MEAN METABOLIC RATE THOUGHT WAS HIGHER (P=0.015) IN MALES COMPARED TO FEMALES AT EACH SECTION. ALSO, SIGNIFICANT DIFFERENCES WERE FOUND AMONG THE FOUR VINYASA YOGA SECTIONS (P<0.001) IN THE RATE OF ENERGY EXPENDITURE, WITH HSN PRESENTING THE HIGHEST MEAN VALUES (P<0.05). CONCLUSIONS: IT SEEMS THAT SYSTEMATIC PARTICIPATION IN VINYASA YOGA MAY EFFECTIVELY IMPROVE CARDIORESPIRATORY FITNESS AND PROMOTE BODY WEIGHT LOSS, AS AN ALTERNATIVE METHOD TO TRADITIONAL AEROBIC EXERCISE.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
12 1860  44 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	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
13 2816  37 YOGA TRAINING IMPROVES METABOLIC PARAMETERS IN OBESE BOYS. YOGA HAS BEEN KNOWN TO HAVE STIMULATORY OR INHIBITORY EFFECTS ON THE METABOLIC PARAMETERS AND TO BE UNCOMPLICATED THERAPY FOR OBESITY. THE PURPOSE OF THE PRESENT STUDY WAS TO TEST THE EFFECT OF AN 8-WEEK OF YOGA-ASANA TRAINING ON BODY COMPOSITION, LIPID PROFILE, AND INSULIN RESISTANCE (IR) IN OBESE ADOLESCENT BOYS. TWENTY VOLUNTEERS WITH BODY MASS INDEX (BMI) GREATER THAN THE 95TH PERCENTILE WERE RANDOMLY ASSIGNED TO YOGA (AGE 14.7+/-0.5 YEARS, N=10) AND CONTROL GROUPS (AGE 14.6+/-1.0 YEARS, N=10). THE YOGA GROUP PERFORMED EXERCISES THREE TIMES PER WEEK AT 40~60% OF HEART-RATE RESERVE (HRR) FOR 8 WEEKS. IR WAS DETERMINED WITH THE HOMEOSTASIS MODEL ASSESSMENT OF INSULIN RESISTANCE (HOMA-IR). AFTER YOGA TRAINING, BODY WEIGHT, BMI, FAT MASS (FM), AND BODY FAT % (BF %) WERE SIGNIFICANTLY DECREASED, AND FAT-FREE MASS AND BASAL METABOLIC RATE WERE SIGNIFICANTLY INCREASED THAN BASELINE VALUES. FM AND BF % WERE SIGNIFICANTLY IMPROVED IN THE YOGA GROUP COMPARED WITH THE CONTROL GROUP (P<0.05). TOTAL CHOLESTEROL (TC) WAS SIGNIFICANTLY DECREASED IN THE YOGA GROUP (P<0.01). HDL-CHOLESTEROL WAS DECREASED IN BOTH GROUPS (P<0.05). NO SIGNIFICANT CHANGES WERE OBSERVED BETWEEN OR WITHIN GROUPS FOR TRIGLYCERIDES, LDL-CHOLESTEROL, GLUCOSE, INSULIN, AND HOMA-IR. OUR FINDINGS SHOW THAT AN 8-WEEK OF YOGA TRAINING IMPROVES BODY COMPOSITION AND TC LEVELS IN OBESE ADOLESCENT BOYS, SUGGESTING THAT YOGA TRAINING MAY BE EFFECTIVE IN CONTROLLING SOME METABOLIC SYNDROME FACTORS IN OBESE ADOLESCENT BOYS.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
14 2252  27 THE METABOLIC COST OF HATHA YOGA. TO DETERMINE THE METABOLIC AND HEART RATE (HR) RESPONSES OF HATHA YOGA, 26 WOMEN (19-40 YEARS OLD) PERFORMED A 30-MINUTE HATHA YOGA ROUTINE OF SUPINE LYING, SITTING, AND STANDING ASANAS (I.E., POSTURES). SUBJECTS FOLLOWED IDENTICAL VIDEOTAPED SEQUENCES OF HATHA YOGA ASANAS. MEAN PHYSIOLOGICAL RESPONSES WERE COMPARED TO THE PHYSIOLOGICAL RESPONSES OF RESTING IN A CHAIR AND WALKING ON A TREADMILL AT 93.86 M.MIN(-1) [3.5 MILES PER HOUR (MPH)]. DURING THE 30-MINUTE HATHA YOGA ROUTINE, MEAN ABSOLUTE OXYGEN CONSUMPTION (VO(2)), RELATIVE VO(2), PERCENTAGE MAXIMAL OXYGEN CONSUMPTION (%VO(2)R), METABOLIC EQUIVALENTS (METS), ENERGY EXPENDITURE, HR, AND PERCENTAGE MAXIMAL HEART RATE (%MHR) WERE 0.45 L.MIN(-1), 7.59 ML.KG(-1).MIN(-1), 14.50%, 2.17 METS, 2.23 KCAL.MIN(-1), 105.29 B.MIN(-1), AND 56.89%, RESPECTIVELY. WHEN COMPARED TO RESTING IN A CHAIR, HATHA YOGA REQUIRED 114% GREATER O(2) (L.MIN(-1)), 111% GREATER O(2)(ML.KG(-1).MIN(-1)), 4,294% GREATER %VO(2)R, 111% GREATER METS, 108% GREATER KCAL.MIN(-1), 24% GREATER HR, AND 24% GREATER %MHR. WHEN COMPARED TO WALKING AT 93.86 M.MIN(-1), HATHA YOGA REQUIRED 54% LOWER O(2)(L.MIN(-1)), 53% LOWER O(2)(ML.KG(-1).MIN(-1)), 68% LOWER %VO(2)R, 53% LOWER METS, 53% LOWER KCAL.MIN(-1), 21% LOWER HR, AND 21% LOWER %MHR. THE HATHA YOGA ROUTINE IN THIS STUDY REQUIRED 14.50% VO(2)R, WHICH CAN BE CONSIDERED A VERY LIGHT INTENSITY AND SIGNIFICANTLY LIGHTER THAN 44.8% VO(2)R FOR WALKING AT 93.86 M.MIN(-1) (3.5 MPH). THE INTENSITY OF HATHA YOGA MAY BE TOO LOW TO PROVIDE A TRAINING STIMULUS FOR IMPROVING CARDIOVASCULAR FITNESS. ALTHOUGH PREVIOUS RESEARCH SUGGESTS THAT HATHA YOGA IS AN ACCEPTABLE FORM OF PHYSICAL ACTIVITY FOR ENHANCING MUSCULAR FITNESS AND FLEXIBILITY, THESE DATA DEMONSTRATE THAT HATHA YOGA MAY HAVE LITTLE, IF ANY, CARDIOVASCULAR BENEFIT.	2005	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
15  679  38 EFFECT OF A YOGA PROGRAM ON GLUCOSE METABOLISM AND BLOOD LIPID LEVELS IN ADOLESCENT GIRLS WITH POLYCYSTIC OVARY SYNDROME. OBJECTIVE: TO ASSESS THE EFFICACY OF YOGA THERAPY ON GLUCOSE METABOLISM AND BLOOD LIPID VALUES IN ADOLESCENT GIRLS WITH POLYCYSTIC OVARY SYNDROME (PCOS). METHODS: A PROSPECTIVE, RANDOMIZED, INTERVENTIONAL CONTROLLED TRIAL RECRUITED 90 ADOLESCENTS AGED BETWEEN 15 AND 18 YEARS WHO MET THE ROTTERDAM CRITERIA FOR PCOS. A YOGA GROUP PRACTICED SURYANAMASKARA, ASANAS, PRANAYAMA, AND MEDITATION 1 HOUR PER DAY EACH DAY FOR 12 WEEKS WHILE ANOTHER GROUP PRACTICED CONVENTIONAL PHYSICAL EXERCISES. THE MANN-WHITNEY U TEST WAS USED TO COMPARE SCORE CHANGES BETWEEN THE 2 GROUPS. RESULTS: THE CHANGES IN FASTING INSULIN, FASTING BLOOD GLUCOSE, AND HOMEOSTASIS MODEL ASSESSMENT OF INSULIN RESISTANCE WERE SIGNIFICANTLY DIFFERENT IN THE 2 GROUPS (P<0.05). EXCEPT FOR HIGH-DENSITY LIPOPROTEIN CHOLESTEROL, THE CHANGES IN BLOOD LIPID VALUES WERE ALSO SIGNIFICANTLY DIFFERENT (P<0.05). THE CHANGES IN BODY MASS INDEX, WAIST CIRCUMFERENCE, HIP CIRCUMFERENCE, AND WAIST-TO-HIP RATIO, HOWEVER, WERE NOT SIGNIFICANTLY DIFFERENT (P>0.05). CONCLUSION: YOGA WAS FOUND TO BE MORE EFFECTIVE THAN CONVENTIONAL PHYSICAL EXERCISES IN IMPROVING GLUCOSE, LIPID, AND INSULIN VALUES, INCLUDING INSULIN RESISTANCE VALUES, IN ADOLESCENT GIRLS WITH PCOS INDEPENDENT OF ANTHROPOMETRIC CHANGES. CENTRAL TRIAL REGISTRY OF INDIA NO.: REFCTRI-2008 000291.	2012	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
16 1898  45 RESTORATIVE YOGA AND METABOLIC RISK FACTORS: THE PRACTICING RESTORATIVE YOGA VS. STRETCHING FOR THE METABOLIC SYNDROME (PRYSMS) RANDOMIZED TRIAL. AIMS: INTENSIVE LIFESTYLE CHANGE PREVENTS TYPE 2 DIABETES BUT IS DIFFICULT TO SUSTAIN. PRELIMINARY EVIDENCE SUGGESTS THAT YOGA MAY IMPROVE METABOLIC FACTORS. WE TESTED A RESTORATIVE YOGA INTERVENTION VS. ACTIVE STRETCHING FOR METABOLIC OUTCOMES. METHODS: IN 2009-2012, WE CONDUCTED A 48-WEEK RANDOMIZED TRIAL COMPARING RESTORATIVE YOGA VS. STRETCHING AMONG UNDERACTIVE ADULTS WITH THE METABOLIC SYNDROME AT THE UNIVERSITIES OF CALIFORNIA, SAN FRANCISCO AND SAN DIEGO. WE PROVIDED LIFESTYLE COUNSELING AND A TAPERING SERIES OF 90-MIN GROUP CLASSES IN THE 24-WEEK INTERVENTION PERIOD AND 24-WEEK MAINTENANCE PERIOD. FASTING AND 2-H GLUCOSE, HBA1C, TRIGLYCERIDES, HDL-CHOLESTEROL, INSULIN, SYSTOLIC BLOOD PRESSURE, VISCERAL FAT, AND QUALITY OF LIFE WERE ASSESSED AT BASELINE, 6- AND 12-MONTHS. RESULTS: 180 PARTICIPANTS WERE RANDOMIZED AND 135 (75%) COMPLETED THE TRIAL. AT 12 MONTHS, FASTING GLUCOSE DECREASED MORE IN THE YOGA GROUP THAN IN THE STRETCHING GROUP (-0.35 MMOL/L VS. -0.03 MMOL/L; P=0.002); THERE WERE NO OTHER SIGNIFICANT DIFFERENCES BETWEEN GROUPS. AT 6 MONTHS FAVORABLE CHANGES WITHIN THE YOGA GROUP INCLUDED REDUCTIONS IN FASTING GLUCOSE, INSULIN, AND HBA1C AND AN INCREASE IN HDL-CHOLESTEROL THAT WERE NOT SUSTAINED AT 1 YEAR EXCEPT CHANGES IN FASTING GLUCOSE. THE STRETCHING GROUP HAD A SIGNIFICANT REDUCTION IN TRIGLYCERIDES AT 6 MONTHS WHICH WAS NOT SUSTAINED AT 1 YEAR BUT HAD IMPROVED QUALITY OF LIFE AT BOTH TIME-POINTS. CONCLUSIONS: RESTORATIVE YOGA WAS MARGINALLY BETTER THAN STRETCHING FOR IMPROVING FASTING GLUCOSE BUT NOT OTHER METABOLIC FACTORS.	2014	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
17  435  40 CARDIOPULMONARY AND METABOLIC EFFECTS OF YOGA IN HEALTHY VOLUNTEERS. BACKGROUND: YOGA THE SPIRITUAL UNION OF MIND WITH THE DIVINE INTELLIGENCE OF THE UNIVERSE AIMS TO LIBERATE A HUMAN BEING FROM CONFLICTS OF BODY-MIND DUALITY. BENEFICIAL CARDIOVASCULAR AND PULMONARY EFFECTS OF YOGA ARE IN PAR WITH AEROBIC EXERCISE, EVEN AMOUNTING TO REPLACE THE EXERCISE MODEL. WE CONDUCTED AN INTERVENTIONAL STUDY IN HEALTHY VOLUNTEERS, TO ANALYZE THE IMPACT OF SHORT-TERM YOGA TRAINING ON CARDIOVASCULAR, PULMONARY, AUTONOMIC FUNCTION TESTS, LIPID PROFILE, AND THYROID FUNCTION TESTS. MATERIALS AND METHODS: A SAMPLE OF FIFTY NEW RECRUITS ATTENDING THE DISTRICT YOGA CENTER WAS SUBJECT TO 75 MIN YOGA PRACTICE A DAY FOR 41 DAYS. BASAL VALUES OF CARDIOVASCULAR, PULMONARY, AUTONOMIC FUNCTION TESTS, LIPID PROFILE, AND THYROID FUNCTION TESTS WERE RECORDED BEFORE YOGA TRAINING AND WERE REASSESSED FOR POSTYOGA CHANGES AFTER 41 DAYS. RESULTS: AFTER YOGA PRACTICE THERE WAS A SIGNIFICANT REDUCTION IN THE RESTING HEART RATE, SYSTOLIC BLOOD PRESSURE, DIASTOLIC BLOOD PRESSURE, AND MEAN BLOOD PRESSURE OF THE PARTICIPANTS. EFFECTS ON AUTONOMIC FUNCTION TESTS WERE VARIABLE AND INCONCLUSIVE. THERE WAS A SIGNIFICANT INCREASE IN FORCED VITAL CAPACITY, FORCED EXPIRATORY VOLUME IN 1 S, AND PEAK EXPIRATORY FLOW RATE AFTER YOGA. A SIGNIFICANT REDUCTION IN BODY MASS INDEX WAS OBSERVED. EFFECTS ON METABOLIC PARAMETERS WERE PROMISING WITH A SIGNIFICANT REDUCTION IN FASTING BLOOD SUGAR LEVEL, SERUM TOTAL CHOLESTEROL, SERUM TRIGLYCERIDES SERUM LOW-DENSITY LIPOPROTEIN LEVELS, AND SIGNIFICANT INCREASE IN HIGH-DENSITY LIPOPROTEIN. THERE WAS NO SIGNIFICANT CHANGE IN THYROID FUNCTION TESTS AFTER YOGA. CONCLUSION: SHORT-TERM YOGA PRACTICE HAS NO EFFECT ON THYROID FUNCTIONS. YOGA PRACTICE WAS FOUND BENEFICIAL IN MAINTAINING PHYSIOLOGICAL MILIEU PERTAINING TO CARDIOVASCULAR AND OTHER METABOLIC PARAMETERS.	2017	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
18 1477  53 INTEGRATED YOGA PRACTICE IN CARDIAC REHABILITATION PROGRAM: A RANDOMIZED CONTROL TRIAL. BACKGROUND: CORONARY ARTERY DISEASE (CAD) IS A DETRIMENTAL NONCOMMUNICABLE DISEASE, WHICH IS INCREASING DUE TO SEDENTARY LIFESTYLE AND URBANIZATION IN THE YOUNG POPULATION. IT IS FURTHER ELEVATED WITH RISK FACTORS SUCH AS STRESS, ANXIETY, DEPRESSION, AN INCREASE IN TRIGLYCERIDES, DYSLIPIDEMIA, HYPERGLYCEMIA, HYPERTENSION, AND SO ON, WHICH MANIFESTS AS ATHEROSCLEROTIC DISEASE. YOGA-BASED LIFESTYLE INTERVENTION IS A NONINVASIVE EFFECTIVE TREATMENT METHOD TO CONTROL AND PREVENT CARDIAC RISK FACTORS IN CAD PATIENTS. YOGA HAS BEEN USED IN INDIA AS A THERAPEUTIC METHOD TO MANAGE HYPERTENSION AND OTHER CHRONIC DISORDERS AND IS FAST GAINING POPULARITY AS AN EFFECTIVE MEANS FOR THE ALLEVIATION OF STRESS, IMPROVEMENT OF FITNESS, AND ENHANCEMENT OF WELL-BEING. THIS STUDY AIMED TO DETERMINE THE FEASIBILITY OF INTRODUCING THE INTEGRATED APPROACH OF YOGA THERAPY (IAYT) IN A CARDIAC REHABILITATION CENTER IN INDIA AND UNDERSTAND ITS USEFULNESS IN IMPROVING THE CARDIAC FUNCTION AND MANAGING THE CARDIAC RISK FACTORS IN ACUTE MYOCARDIAL INFARCTION PATIENTS WITH LEFT VENTRICULAR DYSFUNCTION. METHODS AND DESIGN: CARDIAC PATIENTS WERE RANDOMIZED TO A YOGA-PRACTICING GROUP (N = 33) AND A CONTROL GROUP (N = 33). THE YOGA-PRACTICING GROUP WAS INSTRUCTED TO ATTEND THREE SUPERVISED IAYT CLASSES 3 DAYS PER WEEK FOR 12 WEEKS AT THE HOSPITAL YOGA CENTER. THE CONTROL GROUP RECEIVED STANDARD CARE THAT INCLUDED PHARMACOLOGIC TREATMENT AND THE INSTRUCTIONS OF THE CARDIOLOGIST. THE OUTCOME MEASURES WERE ASSESSED AT BASELINE (T1 = 0) AND COMPLETION (T2 = 3 MONTHS). THE PRIMARY OUTCOME MEASURE WAS THE LEFT VENTRICULAR EJECTION FRACTION (LVEF). RESULTS: THERE WAS NO STATISTICALLY SIGNIFICANT DIFFERENCE IN LVEF (U = 420.500, P VALUE = 0.218) BETWEEN THE TWO GROUPS. HOWEVER, THE YOGA-PRACTICING GROUP SHOWED SIGNIFICANT REDUCTION IN DEPRESSION (CARDIAC DEPRESSION SCALE [CDS], U = 71, P VALUE = 0.0), ANXIETY (HAMILTON ANXIETY RATING SCALE [HAM-A], U = 128, P VALUE = 0.0), AND A SIGNIFICANT INCREASE IN QUALITY OF LIFE (QOL) SCORES (DUKE ACTIVITY STATUS INDEX [DASI], U = 146, P VALUE = 0.0; AND METABOLIC EQUIVALENTS (METS), U = 136, P VALUE = 0.0) AT 3 MONTHS COMPARED TO CONTROL. OVERALL, THE CAD PATIENTS PRACTICING YOGA SHOWED A FAVORABLE PROFILE COMPARED TO CONTROL INDIVIDUALS ON CDS, HAM-A, DASI, AND MET OUTCOMES. CONTROL AND YOGA PRACTICING GROUPS DID NOT DIFFER SIGNIFICANTLY IN THE LIPID LEVELS. CONCLUSION: THIS STUDY INDICATED THAT THE INTEGRATION OF YOGA PRACTICE IN A CARDIAC REHABILITATION PROGRAM IS FEASIBLE AND HAS NO ADDED BENEFIT IN IMPROVING THE CARDIAC FUNCTION. HOWEVER, THE ADDITION OF YOGA TO CARDIAC REHABILITATION MAY BE BENEFICIAL IN REDUCING DEPRESSION AND ANXIETY AND IMPROVING QOL IN PATIENTS.	2020	

19 1676  23 OBJECTIVE AND SUBJECTIVE MEASURES OF EXERCISE INTENSITY DURING THERMO-NEUTRAL AND HOT YOGA. WHILE HOT YOGA HAS GAINED ENORMOUS POPULARITY IN RECENT YEARS, OWING IN PART TO INCREASED ENVIRONMENTAL CHALLENGE ASSOCIATED WITH EXERCISE IN THE HEAT, IT IS NOT CLEAR WHETHER HOT YOGA IS MORE VIGOROUS THAN THERMO-NEUTRAL YOGA. THEREFORE, THE AIM OF THIS STUDY WAS TO DETERMINE OBJECTIVE AND SUBJECTIVE MEASURES OF EXERCISE INTENSITY DURING CONSTANT INTENSITY YOGA IN A HOT AND THERMO-NEUTRAL ENVIRONMENT. USING A RANDOMIZED, CROSSOVER DESIGN, 14 PARTICIPANTS COMPLETED 2 IDENTICAL APPROXIMATELY 20-MIN YOGA SESSIONS IN A HOT (35.3 +/- 0.8 DEGREES C; HUMIDITY: 20.5% +/- 1.4%) AND THERMO-NEUTRAL (22.1 +/- 0.2 DEGREES C; HUMIDITY: 27.8% +/- 1.6%) ENVIRONMENT. OXYGEN CONSUMPTION AND HEART RATE (HR) WERE RECORDED AS OBJECTIVE MEASURES (PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION AND PERCENTAGE OF MAXIMAL HR (%HRMAX)) AND RATING OF PERCEIVED EXERTION (RPE) WAS RECORDED AS A SUBJECTIVE MEASURE OF EXERCISE INTENSITY. THERE WAS NO DIFFERENCE IN EXERCISE INTENSITY BASED ON PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION DURING HOT VERSUS THERMO-NEUTRAL YOGA (30.9% +/- 2.3% VS. 30.5% +/- 1.8%, P = 0.68). HOWEVER, EXERCISE INTENSITY WAS SIGNIFICANTLY HIGHER DURING HOT VERSUS THERMO-NEUTRAL YOGA BASED ON %HRMAX (67.0% +/- 2.3% VS. 60.8% +/- 1.9%, P = 0.01) AND RPE (12 +/- 1 VS. 11 +/- 1, P = 0.04). ACCORDING TO ESTABLISHED EXERCISE INTENSITIES, HOT YOGA WAS CLASSIFIED AS LIGHT-INTENSITY EXERCISE BASED ON PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION BUT MODERATE-INTENSITY EXERCISE BASED ON %HRMAX AND RPE WHILE THERMO-NEUTRAL YOGA WAS CLASSIFIED AS LIGHT-INTENSITY EXERCISE BASED ON PERCENTAGE OF MAXIMAL OXYGEN UPTAKE, %HRMAX, AND RPE. DESPITE THE ADDED HEMODYNAMIC STRESS AND PERCEPTION THAT YOGA IS MORE STRENUOUS IN A HOT ENVIRONMENT, WE OBSERVED SIMILAR OXYGEN CONSUMPTION DURING HOT VERSUS THERMO-NEUTRAL YOGA, CLASSIFYING BOTH EXERCISE MODALITIES AS LIGHT-INTENSITY EXERCISE.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
20  913  45 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