1 1800 153 PREVALENCE AND CHARACTERIZATION OF YOGA MENTIONS IN THE ELECTRONIC HEALTH RECORD. BACKGROUND: THERE IS A GROWING PATIENT POPULATION USING YOGA AS A THERAPEUTIC INTERVENTION, BUT LITTLE IS KNOWN ABOUT HOW YOGA INTERFACES WITH HEALTH CARE IN CLINICAL SETTINGS. PURPOSE: TO CHARACTERIZE HOW YOGA IS DOCUMENTED AT A LARGE ACADEMIC MEDICAL CENTER AND TO SYSTEMATICALLY IDENTIFY CLINICIAN-DERIVED THERAPEUTIC USE CASES OF YOGA. METHODS: WE DESIGNED A RETROSPECTIVE OBSERVATIONAL STUDY USING A YOGA COHORT (N = 30,976) AND A DEMOGRAPHICALLY MATCHED CONTROL COHORT (N = 92,919) FROM THE ELECTRONIC HEALTH RECORDS AT PENN MEDICINE BETWEEN 2006 AND 2016. WE MODELED THE DISTRIBUTION OF YOGA NOTES AMONG PATIENTS, CLINICIANS, AND CLINICAL SERVICE DEPARTMENTS, BUILT A MULTINOMIAL NAIVE BAYES CLASSIFIER TO SEPARATE THE NOTES BY CONTEXT-DEPENDENT USE OF THE WORD YOGA, AND MODELED ASSOCIATIONS BETWEEN CLINICIAN RECOMMENDATIONS TO USE YOGA AND 754 DIAGNOSTIC CODES WITH FISHER'S EXACT TEST, SETTING AN FALSE DISCOVERY RATE (FDR)-ADJUSTED P-VALUE </= .05 (IE, Q-VALUE) AS THE SIGNIFICANCE THRESHOLD. RESULTS: YOGA MENTIONS IN THE ELECTRONIC HEALTH RECORD HAVE INCREASED 10.4-FOLD DURING THE 10-YEAR STUDY PERIOD, WITH 2.6% OF PATIENTS HAVING AT LEAST 1 MENTION OF YOGA IN THEIR NOTES. IN TOTAL, 30,976 PATIENTS, 2398 CLINICIANS, AND 41 CLINICAL SERVICE DEPARTMENTS WERE AFFILIATED WITH YOGA NOTES. THE MAJORITY OF YOGA NOTES ARE IN PRIMARY CARE. NINE DIAGNOSES MET THE SIGNIFICANCE CRITERIA FOR HAVING AN ASSOCIATION WITH CLINICIAN RECOMMENDATIONS TO USE YOGA INCLUDING PARKINSON'S DISEASE (ODDS RATIO [OR], 6.3 [3.7 TO 11.4]; Q-VALUE < 0.001), ANXIETY (OR, 5.8 [3.8 TO 9.0]; Q-VALUE < 0.001), AND BACKACHE (OR, 3.8 [2.4 TO 6.3]; Q-VALUE = 0.001). CONCLUSIONS: THERE IS A WIDESPREAD AND GROWING TREND TO INCLUDE YOGA AS PART OF THE CLINICAL RECORD. IN PRACTICE, CLINICIANS ARE RECOMMENDING YOGA AS A NONPHARMACOLOGICAL INTERVENTION FOR A SUBSET OF COMMON CHRONIC DISEASES.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
2 2753  36 YOGA PRACTICE IS BENEFICIAL FOR MAINTAINING HEALTHY LIFESTYLE AND ENDURANCE UNDER RESTRICTIONS AND STRESS IMPOSED BY LOCKDOWN DURING COVID-19 PANDEMIC. UNCERTAINTY ABOUT CORONAVIRUS DISEASE 2019 (COVID-19) AND RESULTING LOCKDOWN CAUSED WIDESPREAD PANIC, STRESS, AND ANXIETY. YOGA IS A KNOWN PRACTICE THAT REDUCES STRESS AND ANXIETY AND MAY ENHANCE IMMUNITY. THIS STUDY AIMED TO (1) INVESTIGATE THAT INCLUDING YOGA IN DAILY ROUTINE IS BENEFICIAL FOR PHYSICAL AND MENTAL HEALTH, AND (2) TO EVALUATE LIFESTYLE OF YOGA PRACTITIONERS THAT MAY BE INSTRUMENTAL IN COPING WITH STRESS ASSOCIATED WITH LOCKDOWN. THIS IS A PAN-INDIA CROSS-SECTIONAL SURVEY STUDY, WHICH WAS CONDUCTED DURING THE LOCKDOWN. A SELF-RATED SCALE, COVID HEALTH ASSESSMENT SCALE (CHAS), WAS DESIGNED BY 11 EXPERTS IN 3 DELPHI ROUNDS (CONTENT VALID RATIO = 0.85) TO EVALUATE THE PHYSICAL HEALTH, MENTAL HEALTH, LIFESTYLE, AND COPING SKILLS OF THE INDIVIDUALS. THE SURVEY WAS MADE AVAILABLE DIGITALLY USING GOOGLE FORMS AND COLLECTED 23,760 CHAS RESPONSES. THERE WERE 23,290 VALID RESPONSES (98%). AFTER THE STUDY'S INCLUSION AND EXCLUSION CRITERIA OF YOGIC PRACTICES, THE RESPONDENTS WERE CATEGORIZED INTO THE YOGA (N = 9,840) AND NON-YOGA (N = 3,377) GROUPS, WHO ACTIVELY PRACTICED YOGA DURING THE LOCKDOWN IN INDIA. THE STATISTICAL ANALYSES WERE PERFORMED RUNNING LOGISTIC AND MULTINOMIAL REGRESSION AND CALCULATING ODDS RATIO ESTIMATION USING R SOFTWARE VERSION 4.0.0. THE NON-YOGA GROUP WAS MORE LIKELY TO USE SUBSTANCES AND UNHEALTHY FOOD AND LESS LIKELY TO HAVE GOOD QUALITY SLEEP. YOGA PRACTITIONERS REPORTED GOOD PHYSICAL ABILITY AND ENDURANCE. YOGA GROUP ALSO SHOWED LESS ANXIETY, STRESS, FEAR, AND HAVING BETTER COPING STRATEGIES THAN THE NON-YOGA GROUP. THE YOGA GROUP DISPLAYED STRIKING AND SUPERIOR ABILITY TO COPE WITH STRESS AND ANXIETY ASSOCIATED WITH LOCKDOWN AND COVID-19. IN THE YOGA GROUP, PARTICIPANTS PERFORMING MEDITATION REPORTEDLY HAD RELATIVELY BETTER MENTAL HEALTH. YOGA MAY LEAD TO RISK REDUCTION OF COVID-19 BY DECREASING STRESS AND IMPROVING IMMUNITY IF SPECIFIC YOGA PROTOCOLS ARE IMPLEMENTED THROUGH A GLOBAL PUBLIC HEALTH INITIATIVE.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
3 2275  33 THE ROLE OF YOGA IN WORKING FROM HOME DURING THE COVID-19 GLOBAL LOCKDOWN. BACKGROUND: THE COVID-19 PANDEMIC HAS BECOME A MAJOR CAUSE OF STRESS AND ANXIETY WORLDWIDE. DUE TO THE GLOBAL LOCKDOWN, WORK, EMPLOYMENT, BUSINESSES AND THE ECONOMIC CLIMATE HAVE BEEN SEVERELY AFFECTED. IT HAS GENERATED STRESS AMONG PEOPLE FROM ALL SECTIONS OF SOCIETY, ESPECIALLY TO WORKERS WHO HAVE BEEN ASSIGNED TO CATER TO HEALTHCARE SERVICE OR THOSE CONSTRAINED TO SECURE DAILY ESSENTIAL ITEMS. IT IS WIDELY PERCEIVED THAT ELDERLY OR THOSE AFFECTED BY DIABETES, HYPERTENSION AND OTHER CARDIOVASCULAR DISEASES ARE PRONE TO COVID-19. AS PER AN ONGOING SURVEY, THE INITIAL DATA SHOWS THAT THE ABOVE-MENTIONED ANXIETY AND STRESS CAUSE INSOMNIA, AND HAS THE CONSIDERABLE POTENTIAL TO WEAKEN THE IMMUNE SYSTEM, THE SOLE PROTECTION AGAINST THE VIRUS. OBJECTIVE: THIS STUDY FOCUSES ON THE NEED OF YOGA PRACTICE AT WORK PLACES AND AT HOME DURING THE GLOBAL LOCKDOWN DUE TO THE COVID-19 PANDEMIC. METHODS: LITERATURE WAS SEARCHED USING PUBMED AND GOOGLE SCHOLAR FOR COVID-19-RELATED STRESS AND ANXIETY AT WORK AND SOCIETY DUE TO THE WORLDWIDE LOCKDOWN. THE PREDISPOSING COMORBIDITIES, VIRAL MECHANISM OF ACTION AND TREATMENT REGIMEN WERE ALSO SEARCHED. YOGA-BASED INTERVENTION STUDIES AND ONLINE PROGRAMS WERE ALSO SEARCHED. RESULTS: AS THE LOCKDOWN CANNOT LAST FOREVER AND WORKPLACES WILL HAVE TO BE FUNCTIONAL SOON, THERE IS AN INCREASED POSSIBILITY OF RECURRENT INFECTION. THEREFORE, YOGA CAN PROVIDE THE NECESSARY TOOL FOR RISK REDUCTION, AMELIORATION OF STRESS AND ANXIETY AND STRENGTHENING OF THE IMMUNE FUNCTION. THE ONLINE PLATFORMS PROVIDE A GOOD MEDIA FOR YOGA TRAINING AT WORK PLACES AND HOMES. CONCLUSION: DUE TO SOCIAL DISTANCING NORMS, THE AVAILABILITY OF YOGA TRAINERS HAS BECOME RESTRICTED. YOGA PRACTICE IS ACTIVELY SOUGHT TO ACHIEVE REDUCED ANXIETY AND STRESS SO THAT IMPROVED SLEEP MAY POSITIVELY IMPACT IMMUNITY. AS A CONSEQUENCE, THERE IS A SPURT IN SOCIAL MEDIA, CATERING TO DAILY ONLINE YOGA SESSIONS WHICH APPARENTLY PROVE USEFUL IN PROVIDING ACCESSIBLE MEANS TO ACHIEVE MENTAL AS WELL AS PHYSICAL WELL-BEING.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
4  906  31 EFFECTIVENESS OF APP-BASED YOGA OF IMMORTALS (YOI) INTERVENTION FOR INSOMNIA IN ASIAN POPULATION DURING PANDEMIC RESTRICTIONS. THE CORONAVIRUS DISEASE 2019 (COVID-19) PANDEMIC CREATED SIGNIFICANT PSYCHOLOGICAL CHALLENGES WORLDWIDE, INCLUDING STRESS, EMOTIONAL DISTRESS, AND INSOMNIA. IN ADDITION, SOCIAL DISTANCING, TRAVEL RESTRICTIONS, AND SPREAD OF DISEASE HAVE RESULTED IN UNIQUE CHALLENGES, CREATING BARRIERS TO HEALTHCARE ACCESS. COMPARED TO THE RATE PRIOR TO THE COVID-19 PANDEMIC, A SIGNIFICANT INCREASE IN CLINICAL INSOMNIA RATES HAVE BEEN REPORTED. WITH WELL-KNOWN LIMITATIONS OF CURRENTLY ESTABLISHED TREATMENTS (E.G., COGNITIVE BEHAVIORAL THERAPY-INSOMNIA (CBT-I), PHARMACOTHERAPY), THERE IS A NEED TO EXPLORE OTHER EFFECTIVE AND SAFE TREATMENT MODALITIES TO TREAT INSOMNIA, ESPECIALLY THOSE THAT CAN BE USED REMOTELY. THE PURPOSE OF THIS STUDY IS TO ASSESS THE EFFECTIVENESS OF APP-BASED INTERVENTION TO TREAT INSOMNIA IN THE CURRENT ERA OF THE COVID-19 PANDEMIC (USING THE YOGA OF IMMORTALS (YOI) APP). THIS PROSPECTIVE COHORT STUDY WAS APPROVED BY THE INSTITUTIONAL REVIEW BOARD. ALL PARTICIPANTS IN THIS STUDY WERE ASKED TO COMPLETE AN ONLINE SURVEY INCLUDING DEMOGRAPHIC DATA AND VALIDATED INSOMNIA SEVERITY INDEX (ISI) AT BASELINE (15 MAY 2020), 4 WEEKS, AND 8 WEEKS AFTER STARTING THE YOI INTERVENTION. SURVEY DATA WAS EXPORTED USING MICROSOFT EXCEL. STATISTICAL ANALYSIS WAS DONE USING THE GRAPHPAD PRISM 8. YOI INTERVENTION SIGNIFICANTLY IMPROVED THE MEAN ISI SCORES IN ALL CATEGORIES OF INSOMNIA (SEVERE, MODERATE, AND SUBTHRESHOLD) AT EACH FOLLOW-UP (P </= 0.0001). THE IMPROVEMENT WAS SIGNIFICANT AMONG ALL AGE GROUPS AND IN BOTH GENDERS. IN OUR STUDY, YOI WAS A NOVEL AND EFFECTIVE INTERVENTION FOR IMPROVING INSOMNIA SYMPTOMS AND MAY BE A NEW ADDITION TO THE ARMAMENTARIUM OF INSOMNIA MANAGEMENT. BEING APP-BASED, THIS HAS POTENTIAL WIDER APPLICABILITY, ESPECIALLY DURING THE CURRENT COVID-19 PANDEMIC.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
5  357  31 ASSOCIATION BETWEEN SUDARSHAN KRIYA YOGA AND HEALTHY LIFESTYLE PRACTICES AMONG WORKING ADULTS: A CROSS-SECTIONAL STUDY FROM SINGAPORE. OBJECTIVES: THERE IS A PAUCITY OF RESEARCH ON THE ASSOCIATION BETWEEN YOGIC BREATHING AND HEALTHY LIFESTYLE FACTORS IN WORKING ADULTS. ALSO, THERE IS VERY LITTLE INFORMATION ABOUT THE FREQUENCY OF YOGIC BREATHING PRACTICE AND ITS BENEFITS. THE AUTHORS INVESTIGATED THE RELATIONSHIP BETWEEN SUDARSHAN KRIYA YOGA (SKY) FREQUENCY AND THE LIKELIHOOD OF LEADING A HEALTHIER LIFESTYLE AMONG PRACTITIONERS AND NONPRACTITIONERS. DESIGN: CROSS-SECTIONAL INVESTIGATION ON NON-SKY AND SKY PRACTITIONERS, SKY WAS CATEGORIZED INTO NON-, MONTHLY, WEEKLY, AND DAILY PRACTITIONERS. CONFOUNDING VARIABLES INCLUDED AGE, GENDER, ETHNICITY, MARITAL STATUS, AND EDUCATION LEVEL. A MULTIVARIATE LOGISTIC REGRESSION MODEL WAS USED TO COMPARE PRACTICE FREQUENCIES WITH THE ODDS OF HAVING A HEALTHIER LIFESTYLE. SETTINGS: COMMUNITY CENTERS, COMMUNITY EVENTS, WORKPLACES, AND UNIVERSITIES THROUGHOUT SINGAPORE SUBJECTS: OF THE 531 WORKING ADULTS (54.8% FEMALE), 50.1% HAD A HEALTHIER LIFESTYLE >/= 4 HEALTHY LIFESTYLE FACTORS). OUTCOME MEASURE: HAVING A HEALTHIER LIFESTYLE WAS DEFINED AS HAVING >/= 4 HEALTHY LIFESTYLE FACTORS OUT OF SEVEN (SMOKING, ALCOHOL, DIET, EXERCISE, SLEEP, STRESS, AND WEIGHT). RESULTS: MULTIVARIATE ANALYSIS DEMONSTRATED THAT THOSE WHO PRACTICED SKY >/= 4 DAYS/WEEK HAD SIGNIFICANTLY HIGHER ODDS OF HAVING A HEALTHIER LIFESTYLE (ODDS RATIO = 3.62; 95% CONFIDENCE INTERVAL = 2.10-6.23). THE P FOR TREND ANALYSIS DEMONSTRATED THAT AS THE FREQUENCY OF PRACTICE INCREASED THE LIKELIHOOD OF HAVING A HEALTHIER LIFESTYLE ALSO INCREASED ( P < 0.001). CONCLUSION: THE PRACTICE OF YOGIC BREATHING MAY PROMOTE A HEALTHIER LIFESTYLE IN WORKING ADULTS. FURTHER EXPERIMENTAL AND LONGITUDINAL INVESTIGATIONS ARE WARRANTED.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
6 1718  34 PERCEIVED STRESS, RESILIENCE, WELL-BEING, AND COVID 19 RESPONSE IN ISHA YOGA PRACTITIONERS COMPARED TO MATCHED CONTROLS: A RESEARCH PROTOCOL. OBJECTIVES: THE COVID-19 PANDEMIC HAS BEEN A SIGNIFICANT STRESSOR WORLDWIDE AND REPORTS OF PSYCHOLOGICAL DISTRESS, DEPRESSION, SEDENTARY LIFESTYLES, AND OVERALL DECREASED WELLBEING ARE INCREASING. YOGA PRACTICES HAVE BEEN FOUND TO IMPROVE MENTAL AND PHYSICAL HEALTH. THE PURPOSE OF THIS RANDOMIZED CONTROLLED TRIAL IS TO COMPARE ISHA YOGA PRACTITIONERS TO CONTROLS ON PERCEIVED STRESS, RESILIENCE, WELLBEING, AND PROTECTION AND RECOVERY FROM COVID-19. TRIAL DESIGN. IN THIS PROSPECTIVE RANDOMIZED CONTROL TRIAL, THE EFFECTS OF YOGA PRACTICES ARE BEING COMPARED BETWEEN SEASONED YOGA PRACTITIONERS WITH TWO CONTROLS WHO ARE AGE (+/-3 YEARS), GENDER MATCHED, AND LIVING IN THE SAME NEIGHBORHOOD. METHODS: PARTICIPANTS WILL BE ASKED TO COMPLETE A SERIES OF WEB-BASED SURVEYS AT BASELINE, SIX WEEKS, AND 12 WEEKS. THESE SURVEYS INCLUDE VALIDATED SCALES AND OBJECTIVE QUESTIONS ON COVID-19 INFECTION AND MEDICAL HISTORY. THE VALIDATED QUESTIONNAIRES ASSESS STRESS, MOOD STATES, RESILIENCE, AND OVERALL WELLBEING. QUESTIONNAIRES, WEEKLY ACTIVITY DIARIES, AND MEDICAL HISTORY, WILL BE COLLECTED USING REDCAP. RESULTS: WE HYPOTHESIZE THAT ROUTINE YOGA PRACTICE DURING THE COVID-19 PANDEMIC WILL REDUCE STRESS, ENHANCE WELL-BEING, AND PROVIDE PROTECTIVE EFFECTS AGAINST COVID-19. CONCLUSION: WITH THE GROWING CONCERN ABOUT THE PHYSICAL AND MENTAL IMPACTS OF COVID-19 AND INCREASED INTEREST IN ALTERNATIVE PRACTICES SUCH AS YOGIC PRACTICES, THIS STUDY WILL CONTRIBUTE TO THE GROWING BODY OF EVIDENCE ABOUT THE SAFETY AND EFFICACY OF YOGA FOR EMOTIONAL, MENTAL, AND PHYSICAL HEALTH CONDITIONS.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
7  619  33 DEVELOPMENT OF THE CLARIFY (CHECKLIST STANDARDISING THE REPORTING OF INTERVENTIONS FOR YOGA) GUIDELINES: A DELPHI STUDY. BACKGROUND: THE USE OF YOGA AS A THERAPEUTIC MODALITY IS INCREASING; HOWEVER, A LACK OF TRANSPARENT INTERVENTION REPORTING IS RESTRICTING THE DISSEMINATION AND IMPLEMENTATION OF YOGA RESEARCH INTO CLINICAL AND COMMUNITY PRACTICE. THE AIM OF THIS STUDY WAS TO DEVELOP A YOGA-SPECIFIC REPORTING GUIDELINE AS AN EXTENSION TO EXISTING REPORTING GUIDELINES FOR RANDOMISED CONTROLLED TRIALS, OBSERVATIONAL STUDIES AND CASE REPORTS. METHODS: RECOGNISED INTERNATIONAL STAKEHOLDERS IN THE DESIGN AND CONDUCT OF YOGA RESEARCH WERE INVITED TO CONTRIBUTE TO THE ELECTRONIC DELPHI SURVEY. A FOUR-ROUND DELPHI WAS CONDUCTED, WHEREBY PANELLISTS RATED SELECTED ITEMS FOR THEIR IMPORTANCE IN THE INCLUSION OF YOGA REPORTING GUIDELINES, ACCORDING TO A 5-STEP LIKERT SCALE. A PRIORI CONSENSUS FOR ITEM INCLUSION WAS AGREEMENT OF ITEMS AS 'VERY IMPORTANT' OR 'EXTREMELY IMPORTANT' BY >/=80% OF PANELLISTS. NON-CONSENSUS ITEMS WERE FORWARDED TO SUBSEQUENT ROUNDS FOR RE-RATING. RESULTS: 53 EXPERTS IN YOGA RESEARCH FROM 11 COUNTRIES, PRIMARILY IDENTIFYING AS RESEARCHERS (50%), ALLIED HEALTH PROFESSIONALS (18.8%) AND YOGA PROFESSIONALS (12.5%), CONSENTED TO PARTICIPATE IN THE DELPHI. OF THESE, 48 COMPLETED ROUND 1 (91%), 43 COMPLETED ROUND 2 (81%), 39 COMPLETED ROUND 3 (74%) AND 32 COMPLETED ROUND 4 (60%). PANELLISTS REACHED CONSENSUS FOR INCLUSION ON 21 ITEMS, GROUPED UNDER 10 DOMAINS REFLECTIVE OF MORE GENERIC INTERVENTION-BASED GUIDELINES. CONCLUSIONS: THE CONSENSUS-BASED 21-ITEM CLARIFY (CHECKLIST STANDARDISING THE REPORTING OF INTERVENTIONS FOR YOGA) CHECKLIST PROVIDES A MINIMUM REPORTING TEMPLATE FOR RESEARCHERS ACROSS A RANGE OF METHODOLOGY DESIGNS. USE OF THESE YOGA-SPECIFIC GUIDELINES, IN CONJUNCTION WITH THE CLARIFY EXPLANATION AND ELABORATION GUIDELINES, WILL STANDARDISE THE MINIMUM LEVEL OF DETAIL REQUIRED FOR TRANSPARENT YOGA INTERVENTION, FACILITATING THE REPLICATION, DISSEMINATION AND IMPLEMENTATION OF YOGA RESEARCH. ONGOING RESEARCH WILL ASSESS THE UPTAKE AND IMPACT OF CLARIFY, TO ENSURE THESE GUIDELINES RETAIN THEIR RELEVANCE TO THE INTERNATIONALLY GROWING FIELD OF YOGA RESEARCH.	2022	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
8  603  25 DEVELOPMENT AND VALIDATION OF INTEGRATED YOGA MODULE FOR OBESITY IN ADOLESCENTS. BACKGROUND: OBESITY IS A GROWING GLOBAL EPIDEMIC AND CAUSE OF NONCOMMUNICABLE DISEASES. YOGA IS ONE OF THE EFFECTIVE WAYS TO REDUCE STRESS WHICH IS ONE OF THE CAUSES OF OBESITY. NOWADAYS, CHILDREN IN ADOLESCENT AGE ARE MORE PRONE TO GET OBESE DUE TO LACK OF PHYSICAL ACTIVITY MAKING THEM MORE SEDENTARY. AIM: TO IDENTIFY THE DESIGN AND VALIDATION OF INTEGRATED APPROACH OF YOGA THERAPY MODULE (IAYTM) FOR OBESITY IN ADOLESCENTS. MATERIALS AND METHODS: FIRST PHASE - IAYTM FOR OBESITY WAS DESIGNED BASED ON THE LITERATURE REVIEW OF CLASSICAL TEXTS AND RECENTLY PUBLISHED RESEARCH ARTICLES. SECOND PHASE - DESIGNED IAYTM WAS VALIDATED BY 16 SUBJECT MATTER (YOGA) EXPERTS. CONTENT-VALIDITY RATIO (CVR) WAS ANALYZED USING LAWSHE'S FORMULA. RESULTS: YOGA PRACTICES WERE DESIGNED FOR INTEGRATED YOGA MODULE FOR OBESITY IN ADOLESCENTS. YOGA PRACTICES WITH CVR >/=0.5 AND WHICH WERE VALIDATED BY 16 YOGA EXPERTS AND APPROVED IN FACULTY GROUP DISCUSSION WERE INCLUDED IN FINAL INTEGRATED YOGA THERAPY MODULE. CONCLUSION: THE YOGA PRACTICES WERE DESIGNED AND VALIDATED FOR IAYTM FOR OBESITY IN ADOLESCENTS.	2018	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
9 2831  36 YOGA VS. PHYSICAL THERAPY VS. EDUCATION FOR CHRONIC LOW BACK PAIN IN PREDOMINANTLY MINORITY POPULATIONS: STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC LOW BACK PAIN CAUSES SUBSTANTIAL MORBIDITY AND COST TO SOCIETY WHILE DISPROPORTIONATELY IMPACTING LOW-INCOME AND MINORITY ADULTS. SEVERAL RANDOMIZED CONTROLLED TRIALS SHOW YOGA IS AN EFFECTIVE TREATMENT. HOWEVER, THE COMPARATIVE EFFECTIVENESS OF YOGA AND PHYSICAL THERAPY, A COMMON MAINSTREAM TREATMENT FOR CHRONIC LOW BACK PAIN, IS UNKNOWN. METHODS/DESIGN: THIS IS A RANDOMIZED CONTROLLED TRIAL FOR 320 PREDOMINANTLY LOW-INCOME MINORITY ADULTS WITH CHRONIC LOW BACK PAIN, COMPARING YOGA, PHYSICAL THERAPY, AND EDUCATION. INCLUSION CRITERIA ARE ADULTS 18-64 YEARS OLD WITH NON-SPECIFIC LOW BACK PAIN LASTING >/= 12 WEEKS AND A SELF-REPORTED AVERAGE PAIN INTENSITY OF >/= 4 ON A 0-10 SCALE. RECRUITMENT TAKES PLACE AT BOSTON MEDICAL CENTER, AN URBAN ACADEMIC SAFETY-NET HOSPITAL AND SEVEN FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS LOCATED IN DIVERSE NEIGHBORHOODS. THE 52-WEEK STUDY HAS AN INITIAL 12-WEEK TREATMENT PHASE WHERE PARTICIPANTS ARE RANDOMIZED IN A 2:2:1 RATIO INTO I) A STANDARDIZED WEEKLY HATHA YOGA CLASS SUPPLEMENTED BY HOME PRACTICE; II) A STANDARDIZED EVIDENCE-BASED EXERCISE THERAPY PROTOCOL ADAPTED FROM THE TREATMENT BASED CLASSIFICATION METHOD, INDIVIDUALLY DELIVERED BY A PHYSICAL THERAPIST AND SUPPLEMENTED BY HOME PRACTICE; AND III) EDUCATION DELIVERED THROUGH A SELF-CARE BOOK. CO-PRIMARY OUTCOME MEASURES ARE 12-WEEK PAIN INTENSITY MEASURED ON AN 11-POINT NUMERICAL RATING SCALE AND BACK-SPECIFIC FUNCTION MEASURED USING THE MODIFIED ROLAND MORRIS DISABILITY QUESTIONNAIRE. IN THE SUBSEQUENT 40-WEEK MAINTENANCE PHASE, YOGA PARTICIPANTS ARE RE-RANDOMIZED IN A 1:1 RATIO TO EITHER STRUCTURED MAINTENANCE YOGA CLASSES OR HOME PRACTICE ONLY. PHYSICAL THERAPY PARTICIPANTS ARE SIMILARLY RE-RANDOMIZED TO EITHER FIVE BOOSTER SESSIONS OR HOME PRACTICE ONLY. EDUCATION PARTICIPANTS CONTINUE TO FOLLOW RECOMMENDATIONS OF EDUCATIONAL MATERIALS. WE WILL ALSO ASSESS COST EFFECTIVENESS FROM THE PERSPECTIVES OF THE INDIVIDUAL, INSURERS, AND SOCIETY USING CLAIMS DATABASES, ELECTRONIC MEDICAL RECORDS, SELF-REPORT COST DATA, AND STUDY RECORDS. QUALITATIVE DATA FROM INTERVIEWS WILL ADD SUBJECTIVE DETAIL TO COMPLEMENT QUANTITATIVE DATA. TRIAL REGISTRATION: THIS TRIAL IS REGISTERED IN CLINICALTRIALS.GOV, WITH THE ID NUMBER: NCT01343927.	2014	
                                                                                                                                                                                                                                                   
10 1646  30 MOTIVATIONS FOR ADOPTING AND MAINTAINING A YOGA PRACTICE: A NATIONAL CROSS-SECTIONAL SURVEY. BACKGROUND: YOGA PRACTICE IS BECOMING INCREASINGLY POPULAR AROUND THE WORLD, YET LITTLE IS KNOWN REGARDING WHY PEOPLE ADOPT THE PRACTICE OF YOGA OR HOW THEIR REASONS FOR PRACTICE CHANGE WITH CONTINUED PRACTICE. FURTHERMORE, WHETHER THOSE WHO PRACTICE DIFFERENT TYPES OF YOGA HAVE DIFFERENT MOTIVES REMAINS UNKNOWN. METHODS: TO ADDRESS THESE ISSUES, THE AUTHORS CONDUCTED A NATIONAL CROSS-SECTIONAL ONLINE SURVEY OF 1,702 YOGA PRACTITIONERS IN GERMANY, ASKING ABOUT DEMOGRAPHIC INFORMATION AND MOTIVES FOR INITIATING AND CONTINUING YOGA PRACTICE. RESULTS: THE MOST COMMON PRIMARY REASONS FOR STARTING YOGA WERE RELAXATION (26.6%) AND PREVENTION (25.5%), WHICH WERE ALSO THE MOST COMMON SECONDARY REASONS. NINE HUNDRED AND FORTY-ONE (55.3%) REPORTED A DIFFERENT PRIMARY REASON FOR MAINTAINING THAN FOR ADOPTING YOGA PRACTICE. PREVENTION (38.4%) AND SPIRITUALITY (26.4%) WERE THE MOST COMMONLY REPORTED PRIMARY REASONS FOR MAINTAINING YOGA PRACTICE. MORE HIGHLY EDUCATED PARTICIPANTS AND THOSE PRACTICING LONGER THAN 5 YEARS AT THE TIME OF THE SURVEY WERE MORE LIKELY TO HAVE REPORTED A DIFFERENT CURRENT PRIMARY REASON FOR YOGA PRACTICE THAN THAT FOR WHICH THEY STARTED PRACTICING. CONCLUSIONS: THESE RESULTS SHED LIGHT ON YOGA'S APPEAL TO NOVICES AND REGULAR PRACTITIONERS, WITH IMPORTANT IMPLICATIONS FOR MAKING YOGA APPEALING TO BEGINNERS AS WELL AS PROMOTING THE PRACTICE AS A LONG-TERM LIFESTYLE BEHAVIOR.	2019	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
11 2749  35 YOGA PRACTICE IN THE UK: A CROSS-SECTIONAL SURVEY OF MOTIVATION, HEALTH BENEFITS AND BEHAVIOURS. OBJECTIVES: DESPITE THE POPULARITY OF YOGA AND EVIDENCE OF ITS POSITIVE EFFECTS ON PHYSICAL AND MENTAL HEALTH, LITTLE IS KNOWN ABOUT YOGA PRACTICE IN THE UK. THIS STUDY INVESTIGATED THE CHARACTERISTICS OF PEOPLE WHO PRACTISE YOGA, REASONS FOR INITIATING AND MAINTAINING PRACTICE, AND PERCEIVED IMPACT OF YOGA ON HEALTH AND WELL-BEING. DESIGN, SETTING AND PARTICIPANTS: A CROSS-SECTIONAL ONLINE ANONYMOUS SURVEY DISTRIBUTED THROUGH UK-BASED YOGA ORGANISATIONS, STUDIOS AND EVENTS, THROUGH EMAIL INVITES AND FLYERS. 2434 YOGA PRACTITIONERS COMPLETED THE SURVEY, INCLUDING 903 YOGA TEACHERS: 87% WERE WOMEN, 91% WHITE AND 71% DEGREE EDUCATED; MEAN AGE WAS 48.7 YEARS. MAIN OUTCOME MEASURES: PERCEIVED IMPACT OF YOGA ON HEALTH CONDITIONS, HEALTH OUTCOMES AND INJURIES. RELATIONSHIPS BETWEEN YOGA PRACTICE AND MEASURES OF HEALTH, LIFESTYLE, STRESS AND WELL-BEING. RESULTS: IN COMPARISON WITH NATIONAL POPULATION NORMS, PARTICIPANTS REPORTED SIGNIFICANTLY HIGHER WELL-BEING BUT ALSO HIGHER ANXIETY; LOWER PERCEIVED STRESS, BODY MASS INDEX AND INCIDENCE OF OBESITY, AND HIGHER RATES OF POSITIVE HEALTH BEHAVIOURS. 47% REPORTED CHANGING THEIR MOTIVATIONS TO PRACTISE YOGA, WITH GENERAL WELLNESS AND FITNESS KEY TO INITIAL UPTAKE, AND STRESS MANAGEMENT AND SPIRITUALITY IMPORTANT TO CURRENT PRACTICE. 16% OF PARTICIPANTS REPORTED STARTING YOGA TO MANAGE A PHYSICAL OR MENTAL HEALTH CONDITION. RESPONDENTS REPORTED THE VALUE OF YOGA FOR A WIDE RANGE OF HEALTH CONDITIONS, MOST NOTABLY FOR MUSCULOSKELETAL AND MENTAL HEALTH CONDITIONS. 20.7% REPORTED AT LEAST ONE YOGA-RELATED INJURY OVER THEIR LIFETIME. CONTROLLING FOR DEMOGRAPHIC FACTORS, FREQUENCY OF YOGA PRACTICE ACCOUNTED FOR SMALL BUT SIGNIFICANT VARIANCE IN HEALTH-RELATED REGRESSION MODELS (P<0.001). CONCLUSION: THE FINDINGS OF THIS FIRST DETAILED UK SURVEY WERE CONSISTENT WITH SURVEYS IN OTHER WESTERN COUNTRIES. YOGA WAS PERCEIVED TO HAVE A POSITIVE IMPACT ON PHYSICAL AND MENTAL HEALTH CONDITIONS AND WAS LINKED TO POSITIVE HEALTH BEHAVIOURS. FURTHER INVESTIGATION OF YOGA'S ROLE IN SELF-CARE COULD INFORM HEALTH-RELATED CHALLENGES FACED BY MANY COUNTRIES.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
12 1946  17 SATISFACTION WITH ONLINE VERSUS IN-PERSON YOGA DURING COVID-19. INTRODUCTION: DURING COVID-19 RESTRICTIONS, YOGA CLASSES TRANSITIONED TO ONLINE DELIVERY. THIS REPORT COMPARES THE PERCEIVED BENEFITS AND BARRIERS TO ONLINE AND IN-PERSON YOGA AND DETERMINE THE PREFERRED FORMAT. A SECONDARY AIM WAS TO COMPARE HOW WELL EACH FORMAT WAS PERCEIVED TO PRODUCE COMMON BENEFITS OF YOGA PRACTICE. MATERIALS AND METHODS: A CROSS-SECTIONAL ONLINE SURVEY OF AUSTRALIAN PARTICIPANTS. RESULTS: IN-PERSON YOGA SCORED HIGHEST FOR PROVIDING MENTAL HEALTH/MOOD BENEFITS, PHYSICAL SATISFACTION, AND FEELING ENERGIZED. ONLINE YOGA SCORED HIGHEST FOR CONVENIENCE, MENTAL HEALTH/MOOD BENEFITS, AND AFFORDABILITY (INITIAL N = 156; FOLLOW-UP N = 55). CONCLUSION: ONLINE YOGA WAS ACCEPTABLE AND PERCEIVED TO PROVIDE IMPROVED MENTAL HEALTH AND MOOD.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
13 1803  33 PREVALENCE OF DIABETES AND ITS DETERMINANTS IN THE YOUNG ADULTS INDIAN POPULATION-CALL FOR YOGA INTERVENTION. BACKGROUND: THE YOUNG INDIAN POPULATION, WHICH CONSTITUTES 65% OF THE COUNTRY, IS FAST ADAPTING TO A NEW LIFESTYLE, WHICH WAS NOT KNOWN EARLIER. THEY ARE AT A HIGH RISK OF THE INCREASING BURDEN OF DIABETES AND ASSOCIATED COMPLICATIONS. THE NEW EVOLVING LIFESTYLE IS NOT ONLY AFFECTING PEOPLE'S HEALTH BUT ALSO MOUNTING THE MONETARY BURDEN ON A DEVELOPING COUNTRY SUCH AS INDIA. AIM: WE AIMED TO COLLECT INFORMATION REGARDING THE PREVALENCE OF RISK OF DIABETES IN YOUNG ADULTS (<35 YEARS) IN THE 29 MOST POPULOUS STATES AND UNION TERRITORIES (7 ZONES) OF INDIA, USING A VALIDATED QUESTIONNAIRE. METHODS: A USER-FRIENDLY QUESTIONNAIRE-BASED SURVEY USING A MOBILE APPLICATION WAS CONDUCTED ON ALL ADULTS IN THE 29 MOST POPULOUS STATES/UNION TERRITORIES OF INDIA, AFTER OBTAINING ETHICAL CLEARANCE FOR THE STUDY. HERE, WE REPORT THE ESTIMATION OF THE PREVALENCE OF THE RISK OF DIABETES AND SELF-REPORTED DIABETES ON 58,821 YOUNG INDIVIDUALS BELOW THE AGE OF 35 YEARS. RISK FOR DIABETES WAS ASSESSED USING A STANDARDIZED INSTRUMENT, THE INDIAN DIABETES RISK SCORE (IDRS), THAT HAS 4 FACTORS (AGE, FAMILY HISTORY OF DIABETES, WAIST CIRCUMFERENCE, AND PHYSICAL ACTIVITY). SPEARMAN'S CORRELATION COEFFICIENT WAS USED TO CHECK THE CORRELATIONS. RESULTS: THE PREVALENCE OF HIGH (IDRS SCORE > 60), MODERATE (IDRS SCORE 30-50), AND LOW (IDRS < 30) DIABETES RISK IN YOUNG ADULTS (<35 YEARS) WAS 10.2%, 33.1%, AND 56.7%, RESPECTIVELY. THOSE WITH HIGH-RISK SCORES WERE HIGHEST (14.4%) IN THE JAMMU ZONE AND LOWEST (4.1%) IN THE CENTRAL ZONE. THE PREVALENCE OF SELF-REPORTED DIABETES WAS 1.8% WITH A SMALL DIFFERENCE BETWEEN MEN (1.7%) AND WOMEN (1.9%), AND THE HIGHEST (8.4%) IN THOSE WITH A PARENTAL HISTORY OF DIABETES. THE SOUTH ZONE HAD THE HIGHEST (2.5%), AND THE NORTH WEST ZONE HAD THE LOWEST (4.4%) PREVALENCE. CONCLUSIONS: INDIAN YOUTH ARE AT HIGH RISK FOR DIABETES, WHICH CALLS FOR AN URGENT ACTION PLAN THROUGH INTENSIVE EFFORTS TO PROMOTE LIFESTYLE BEHAVIOR MODIFICATIONS DURING THE PANDEMICS OF BOTH COMMUNICABLE AND NONCOMMUNICABLE DISEASES.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
14 1158  30 ESTABLISHING KEY COMPONENTS OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS: A DELPHI SURVEY. BACKGROUND: EVIDENCE SUGGESTS YOGA IS A SAFE AND EFFECTIVE INTERVENTION FOR THE MANAGEMENT OF PHYSICAL AND PSYCHOSOCIAL SYMPTOMS ASSOCIATED WITH MUSCULOSKELETAL CONDITIONS. HOWEVER, HETEROGENEITY IN THE COMPONENTS AND REPORTING OF CLINICAL YOGA TRIALS IMPEDES BOTH THE GENERALIZATION OF STUDY RESULTS AND THE REPLICATION OF STUDY PROTOCOLS. THE AIM OF THIS DELPHI SURVEY WAS TO ADDRESS THESE ISSUES OF HETEROGENEITY, BY DEVELOPING A LIST OF RECOMMENDATIONS OF KEY COMPONENTS FOR THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. METHODS: RECOGNISED EXPERTS INVOLVED IN THE DESIGN, CONDUCT, AND TEACHING OF YOGA FOR MUSCULOSKELETAL CONDITIONS WERE IDENTIFIED FROM A SYSTEMATIC REVIEW, AND INVITED TO CONTRIBUTE TO THE DELPHI SURVEY. FORTY-ONE OF THE 58 EXPERTS CONTACTED, REPRESENTING SIX COUNTRIES, AGREED TO PARTICIPATE. A THREE-ROUND DELPHI WAS CONDUCTED VIA ELECTRONIC SURVEYS. ROUND 1 PRESENTED AN OPEN-ENDED QUESTION, ALLOWING PANELLISTS TO INDIVIDUALLY IDENTIFY COMPONENTS THEY CONSIDERED KEY TO THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. THEMATIC ANALYSIS OF ROUND 1 IDENTIFIED ITEMS FOR QUANTITATIVE RATING IN ROUND 2; ITEMS NOT REACHING CONSENSUS WERE FORWARDED TO ROUND 3 FOR RE-RATING. RESULTS: THIRTY-SIX PANELLISTS (36/41; 88%) COMPLETED THE THREE ROUNDS OF THE DELPHI SURVEY. PANELLISTS PROVIDED 348 COMMENTS TO THE ROUND 1 QUESTION. THESE COMMENTS WERE REDUCED TO 49 ITEMS, GROUPED UNDER FIVE THEMES, FOR RATING IN SUBSEQUENT ROUNDS. A PRIORI GROUP CONSENSUS OF >/=80% WAS REACHED ON 28 ITEMS RELATED TO FIVE THEMES CONCERNING DEFINING THE YOGA INTERVENTION, TYPES OF YOGA PRACTICES TO INCLUDE IN AN INTERVENTION, DELIVERY OF THE YOGA PROTOCOL, DOMAINS OF OUTCOME MEASURES, AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. ADDITIONALLY, A PRIORI CONSENSUS OF >/=50% WAS REACHED ON FIVE ITEMS RELATING TO MINIMUM VALUES FOR INTERVENTION PARAMETERS. CONCLUSIONS: EXPERT CONSENSUS HAS PROVIDED A NON-PRESCRIPTIVE REFERENCE LIST FOR THE DESIGN AND REPORTING OF YOGA INTERVENTIONS FOR MUSCULOSKELETAL CONDITIONS. IT IS ANTICIPATED FUTURE RESEARCH INCORPORATING THE DELPHI GUIDELINES WILL FACILITATE HIGH QUALITY INTERNATIONAL RESEARCH IN THIS FIELD, INCREASE HOMOGENEITY OF INTERVENTION COMPONENTS AND PARAMETERS, AND ENHANCE THE COMPARISON AND REPRODUCIBILITY OF RESEARCH INTO THE USE OF YOGA FOR THE MANAGEMENT OF MUSCULOSKELETAL CONDITIONS.	2014	
                                                                                                                                       
15 2054  33 THE ASSOCIATION OF SUDARSHAN KRIYA YOGA FREQUENCY WITH SLEEP QUALITY: A CROSS-SECTIONAL STUDY FROM SINGAPORE. PURPOSE: THERE IS A DEARTH OF EVIDENCE FOR THE RELATIONSHIP BETWEEN YOGIC BREATHING AND SLEEP QUALITY. EVEN LESS IS KNOWN ABOUT PRACTICE FREQUENCY AND BENEFIT. WE INVESTIGATED THE ASSOCIATION OF SUDARSHAN KRIYA YOGA FREQUENCY WITH SLEEP QUALITY AMONGST ADULT PRACTITIONERS. METHODS: IN A CROSS-SECTIONAL INVESTIGATION ON ADULT PRACTITIONERS OF SUDARSHAN KRIYA YOGA IN SINGAPORE, THE PITTSBURGH SLEEP QUALITY INDEX (PSQI) WAS USED TO ASSESS SLEEP QUALITY. SLEEP QUALITY WAS EXAMINED ACROSS THREE CATEGORIES OF PRACTICE FREQUENCY (MONTHLY, WEEKLY, DAILY). A MULTIVARIATE LOGISTIC REGRESSION MODEL WAS USED TO DETERMINE ASSOCIATION. RESULTS: OF 385 ADULTS (241 WOMEN), THE MEAN AGE (SD) WAS 42.5 (9.9) YEARS. IN TOTAL, 32% OF THE SAMPLE (N = 124) WAS IDENTIFIED AS HAVING POOR SQ. AFTER ADJUSTING FOR STUDY COVARIATES, INDEPENDENT ANALYSES REVEALED AN INVERSE ASSOCIATION FOR HIGHER FREQUENCY OF PRACTICE AND LOWER ODDS OF POOR SQ (OR = 0.52; 95% CI = 0.28-0.94). THE P FOR TREND WAS 0.03. CONCLUSION: THE PRACTICE OF YOGIC BREATHING MAY BENEFIT SLEEP QUALITY. FURTHER EXPERIMENTAL INVESTIGATIONS ARE WARRANTED.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
16 2377  31 WHO PRACTICES YOGA? A SYSTEMATIC REVIEW OF DEMOGRAPHIC, HEALTH-RELATED, AND PSYCHOSOCIAL FACTORS ASSOCIATED WITH YOGA PRACTICE. YOGA HAS BECOME INCREASINGLY POPULAR IN THE US AND AROUND THE WORLD, YET BECAUSE MOST YOGA RESEARCH IS CONDUCTED AS CLINICAL TRIALS OR EXPERIMENTS, LITTLE IS KNOWN ABOUT THE CHARACTERISTICS AND CORRELATES OF PEOPLE WHO INDEPENDENTLY CHOOSE TO PRACTICE YOGA. WE CONDUCTED A SYSTEMATIC REVIEW OF THIS ISSUE, IDENTIFYING 55 STUDIES AND CATEGORIZING CORRELATES OF YOGA PRACTICE INTO SOCIODEMOGRAPHICS, PSYCHOSOCIAL CHARACTERISTICS, AND MENTAL AND PHYSICAL WELL-BEING. YOGA USE IS GREATEST AMONG WOMEN AND THOSE WITH HIGHER SOCIOECONOMIC STATUS AND APPEARS FAVORABLY RELATED TO PSYCHOSOCIAL FACTORS SUCH AS COPING AND MINDFULNESS. YOGA PRACTICE OFTEN RELATES TO BETTER SUBJECTIVE HEALTH AND HEALTH BEHAVIORS BUT ALSO WITH MORE DISTRESS AND PHYSICAL IMPAIRMENT. HOWEVER, EVIDENCE IS SPARSE AND METHODOLOGICAL LIMITATIONS PRECLUDE DRAWING CAUSAL INFERENCES. NATIONALLY REPRESENTATIVE STUDIES HAVE MINIMALLY ASSESSED YOGA WHILE STUDIES WITH STRONG ASSESSMENT OF YOGA PRACTICE (E.G., TYPE, DOSE) ARE GENERALLY CONDUCTED WITH CONVENIENCE SAMPLES. ALMOST ALL STUDIES REVIEWED ARE CROSS-SECTIONAL AND FEW CONTROL FOR POTENTIAL CONFOUNDING VARIABLES. WE PROVIDE RECOMMENDATIONS FOR FUTURE RESEARCH TO BETTER UNDERSTAND THE CORRELATES OF YOGA PRACTICE.	2015	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
17 1787  39 PREFERENCE AND EXPECTATION FOR TREATMENT ASSIGNMENT IN A RANDOMIZED CONTROLLED TRIAL OF ONCE- VS TWICE-WEEKLY YOGA FOR CHRONIC LOW BACK PAIN. BACKGROUND: IN STUDIES INVOLVING NONPHARMACOLOGICAL COMPLEMENTARY AND ALTERNATIVE MEDICINE INTERVENTIONS, PARTICIPANT BLINDING IS VERY DIFFICULT. PARTICIPANT EXPECTATIONS MAY AFFECT PERCEIVED BENEFIT OF THERAPY. IN STUDIES OF YOGA AS TREATMENT FOR CHRONIC LOW BACK PAIN, LITTLE IS KNOWN ABOUT THE RELATIONSHIP BETWEEN PATIENT EXPECTATIONS AND PREFERENCES ON OUTCOMES. THIS STUDY WAS DESIGNED TO IDENTIFY BASELINE PREDICTORS OF PREFERENCE AND TO DETERMINE IF EXPECTATIONS AND PREFERENCES FOR DIFFERENT DOSES OF YOGA AFFECT BACK-RELATED FUNCTION AND LOW BACK PAIN INTENSITY. METHODS: THIS WAS A SECONDARY DATA ANALYSIS OF A 12-WEEK RANDOMIZED CONTROLLED TRIAL COMPARING ONCE-WEEKLY VS TWICE-WEEKLY YOGA FOR TREATMENT OF CHRONIC LOW BACK PAIN IN 93 ADULTS FROM A PREDOMINANTLY LOW-INCOME MINORITY POPULATION. AT BASELINE, PARTICIPANTS WERE ASKED ABOUT BACK FUNCTION, BACK PAIN, TREATMENT EXPECTATIONS, AND TREATMENT PREFERENCES. WE CREATED A VARIABLE "CONCORDANCE" TO DESCRIBE THE MATCHING OF PARTICIPANT PREFERENCE TO RANDOMIZED TREATMENT. OUR OUTCOME VARIABLES WERE CHANGE IN BACK FUNCTION AND PAIN INTENSITY AFTER 12 WEEKS OF YOGA INSTRUCTION. WE PERFORMED LOGISTIC REGRESSION TO IDENTIFY PREDICTORS OF PREFERENCE FOR ONCE- OR TWICE-WEEKLY YOGA INSTRUCTION. WE CREATED LINEAR REGRESSION MODELS TO IDENTIFY INDEPENDENT ASSOCIATIONS BETWEEN EXPECTATIONS, PREFERENCE, CONCORDANCE, AND OUTCOMES. RESULTS: WORSE BACK FUNCTION AT BASELINE WAS ASSOCIATED WITH 20% HIGHER ODDS OF PREFERRING TWICE-WEEKLY YOGA (OR 1.2, CI 1.1, 1.3). INDIVIDUALS WITH HIGHER EXPECTATION SCORES FOR TWICE-WEEKLY YOGA HAD 90% HIGHER ODDS OF PREFERRING TWICE-WEEKLY VS ONCE-WEEKLY YOGA (OR 1.9, CI 1.3, 2.7). INDIVIDUALS WITH HIGHER EXPECTATION SCORES FOR ONCE-WEEKLY YOGA HAD 40% LESS ODDS OF PREFERRING TWICE-WEEKLY YOGA (OR 0.6, CI 0.5, 0.9). AFTER CONTROLLING FOR BASELINE CHARACTERISTICS, WE FOUND NO STATISTICALLY SIGNIFICANT RELATIONSHIP BETWEEN TREATMENT OUTCOMES, PREFERENCE, EXPECTATION SCORES, OR CONCORDANCE. CONCLUSION: IN A POPULATION OF PREDOMINANTLY LOW-INCOME MINORITY PARTICIPANTS WITH CHRONIC LOW BACK PAIN, WORSE BACK FUNCTION WAS ASSOCIATED WITH PREFERENCE FOR MORE FREQUENT YOGA CLASSES. THOSE WHO PREFERRED MORE YOGA CLASSES HAD HIGHER EXPECTATIONS FOR THOSE CLASSES. TWELVE-WEEK CHANGE IN BACK PAIN INTENSITY AND BACK FUNCTION WERE NOT AFFECTED BY DOSING PREFERENCE, EXPECTATION SCORE, OR CONCORDANCE. MORE RESEARCH IS NEEDED TO BETTER MEASURE AND QUANTIFY PREFERENCE, EXPECTATIONS, AND THEIR RELATIONSHIP TO OUTCOMES IN YOGA RESEARCH.	2015	

18  100  22 A PERSPECTIVE ON YOGA AS A PREVENTIVE STRATEGY FOR CORONAVIRUS DISEASE 2019. THE PANDEMIC OUTBREAK OF CORONAVIRUS DISEASE 2019 (COVID-19) INFECTION CAUSED BY SEVERE ACUTE RESPIRATORY SYNDROME-CORONAVIRUS 2 HAS LED TO PROFOUND PUBLIC HEALTH CRISIS. IN PARTICULAR, INDIVIDUALS WITH PREEXISTING CONDITIONS OF HEART DISEASE, DIABETES, CEREBROVASCULAR DISEASES AND THE ELDERLY ARE MOST VULNERABLE TO SUCCUMB TO THIS INFECTION. THE CURRENT COVID-19 EMERGENCY CALLS FOR RAPID DEVELOPMENT OF POTENTIAL PREVENTION AND MANAGEMENT STRATEGIES AGAINST THIS VIRUS-MEDIATED DISEASE. THERE IS A PLETHORA OF EVIDENCE THAT SUPPORTS THE ADD-ON BENEFITS OF YOGA IN STRESS MANAGEMENT, AS WELL AS PREVENTION AND MANAGEMENT OF CHRONIC NONCOMMUNICABLE DISEASES. THERE ARE SOME STUDIES ON THE EFFECT OF YOGA IN COMMUNICABLE DISEASES AS WELL BUT VERY FEW FOR ACUTE CONDITIONS AND ALMOST NONE FOR THE RAPIDLY SPREADING INFECTIONS RESULTING IN PANDEMICS. BASED ON THE AVAILABLE SCIENTIFIC EVIDENCES ON YOGA IN IMPROVING RESPIRATORY AND IMMUNE FUNCTIONS, WE HAVE FORMULATED VERY SIMPLE DOABLE INTEGRATED YOGA MODULES IN THE FORM OF VIDEOS TO BE PRACTICED FOR PREVENTION OF THE DISEASE BY CHILDREN, ADULTS, AND THE ELDERLY.	2020	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
19 2763  32 YOGA PROGRAM FOR TYPE 2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE: QUALITATIVE STUDY TO EXPLORE REASONS FOR NON-PARTICIPATION IN A FEASIBILITY RANDOMIZED CONTROLLED TRIAL IN INDIA. BACKGROUND: YOGA-BASED INTERVENTIONS CAN BE EFFECTIVE IN PREVENTING TYPE 2 DIABETES MELLITUS (T2DM). WE DEVELOPED A YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE AND CONDUCTED A FEASIBILITY RANDOMIZED CONTROLLED TRIAL (RCT) IN INDIA. THE OBJECTIVE OF THIS STUDY WAS TO IDENTIFY AND EXPLORE WHY POTENTIAL PARTICIPANTS DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT. METHODS: AN EXPLORATORY QUALITATIVE STUDY, USING SEMI-STRUCTURED INTERVIEWS, WAS CONDUCTED AT A YOGA CENTER IN NEW DELHI, INDIA. FOURTEEN PEOPLE (10 WOMEN AND FOUR MEN) WHO DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT WERE INTERVIEWED, AND 13 OF THEM COMPLETED THE NON-PARTICIPANT QUESTIONNAIRE, WHICH CAPTURED THEIR SOCIO-DEMOGRAPHICS, DIETS, PHYSICAL ACTIVITIES, AND REASONS FOR DECLINING. RESULTS: THREE TYPES OF BARRIERS WERE IDENTIFIED AND EXPLORED WHICH PREVENTED PARTICIPATION IN THE FEASIBILITY RCT: (1) PERSONAL BARRIERS, SUCH AS LACK OF TIME, PERCEIVED SUFFICIENCY OF KNOWLEDGE, PREFERENCES ABOUT SELF-MANAGEMENT OF HEALTH, AND TRUST IN OTHER TRADITIONAL AND ALTERNATIVE THERAPIES; (2) CONTEXTUAL BARRIERS, SUCH AS SOCIAL INFLUENCES AND LACK OF AWARENESS ABOUT PREVENTIVE CARE; AND (3) STUDY-RELATED BARRIERS, SUCH AS LACK OF STUDY INFORMATION, POOR ACCESSIBILITY TO THE YOGA SITE, AND LACK OF TRUST IN THE STUDY METHODS AND INTERVENTION. CONCLUSIONS: WE IDENTIFIED AND EXPLORED PERSONAL, CONTEXTUAL, AND STUDY-RELATED BARRIERS TO PARTICIPATION IN A FEASIBILITY RCT IN INDIA. THE FINDINGS WILL HELP TO ADDRESS RECRUITMENT CHALLENGES IN FUTURE YOGA AND OTHER RCTS. CLINICAL TRIAL REGISTRATION:WWW.CLINICALTRIALS.GOV, IDENTIFIER: CTRI/2019/05/018893.	2021	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
20  151  34 A QUALITATIVE INVESTIGATION TO INFORM YOGA INTERVENTION RECRUITMENT PRACTICES FOR RACIAL/ETHNIC MINORITY ADOLESCENTS IN OUTPATIENT MENTAL HEALTH TREATMENT. OBJECTIVE: YOGA IS RECOGNIZED AS AN EFFECTIVE APPROACH TO IMPROVING OVERALL PHYSICAL AND MENTAL HEALTH; HOWEVER, THERE MAY BE PERCEIVED BARRIERS TO YOGA PARTICIPATION, PARTICULARLY AMONG POPULATIONS MOST AT RISK FOR MENTAL HEALTH ISSUES. WE CONDUCTED QUALITATIVE FORMATIVE RESEARCH TO HELP INFORM RECRUITMENT PRACTICES FOR A FUTURE STUDY AND TO SPECIFICALLY UNDERSTAND THE BARRIERS AND FACILITATORS TO ENGAGEMENT IN YOGA PRACTICE AMONG RACIAL/ETHNIC MINORITY ADOLESCENTS, AS WELL AS ADOLESCENTS IN OUTPATIENT MENTAL HEALTH TREATMENT. METHODS: QUALITATIVE DATA WERE COLLECTED AT A COMMUNITY HEALTH CLINIC THAT SERVES LOW INCOME FAMILIES IN SOUTHEASTERN FLORIDA. USING SEMI STRUCTURED INTERVIEWS WITH RACIAL AND ETHNIC MINORITY ADOLESCENTS BETWEEN 12 AND 17 YEARS OLD, PARTICIPANTS WERE ASKED ABOUT BELIEFS AND PERCEPTIONS ABOUT YOGA, AS WELL AS RECOMMENDATIONS ON RECRUITING PEERS. A THEMATIC ANALYSIS APPROACH WAS USED TO IDENTIFY AND EXAMINE COMMON THEMES. RESULTS: TWENTY INTERVIEWS WERE CONDUCTED AND EIGHT MAJOR THEMES EMERGED FROM THE DATA. THEMES WERE GROUPED AS (1) FACILITATORS TO RECRUITMENT AND (2) BARRIERS TO RECRUITMENT. INTERPRETATION: ADVERTISING FREE YOGA THAT EMPHASIZES THE SOCIAL, PHYSICAL, AND MENTAL BENEFITS CAN HELP ASSUAGE NEGATIVE PERCEPTIONS OF YOGA AND PROMOTE THE ADVANTAGES OF YOGA AMONG TEENAGERS. HAVING RECRUITMENT MATERIALS AND MODALITIES THAT HIGHLIGHT INCLUSIVITY OF ALL GENDERS AND PHYSICAL ABILITIES IN THE YOGA CLASSES ARE ALSO IMPORTANT IN FACILITATING PARTICIPATION. UNDERSTANDING PERCEPTIONS OF YOGA, AS WELL AS PERCEIVED BARRIERS AND FACILITATORS, AMONG RACIALLY/ETHNICALLY DIVERSE ADOLESCENTS IN OUTPATIENT MENTAL HEALTH TREATMENT, CAN ASSIST RECRUITMENT EFFORTS, INCREASE YOGA INTERVENTION PARTICIPATION, AND ULTIMATELY, IMPROVE MENTAL HEALTH OUTCOMES FOR UNDERSERVED POPULATIONS.	2020