1 1347 180 HYPOXIA IN CNS PATHOLOGIES: EMERGING ROLE OF MIRNA-BASED NEUROTHERAPEUTICS AND YOGA BASED ALTERNATIVE THERAPIES. CELLULAR RESPIRATION IS A VITAL PROCESS FOR THE EXISTENCE OF LIFE. ANY CONDITION THAT RESULTS IN DEPRIVATION OF OXYGEN (ALSO TERMED AS HYPOXIA) MAY EVENTUALLY LEAD TO DELETERIOUS EFFECTS ON THE FUNCTIONING OF TISSUES. BRAIN BEING THE HIGHEST CONSUMER OF OXYGEN IS PRONE TO INCREASED RISK OF HYPOXIA-INDUCED NEUROLOGICAL INSULTS. THIS IN TURN HAS BEEN ASSOCIATED WITH MANY DISEASES OF CENTRAL NERVOUS SYSTEM (CNS) SUCH AS STROKE, ALZHEIMER'S, ENCEPHALOPATHY ETC. ALTHOUGH SEVERAL STUDIES HAVE INVESTIGATED THE PATHOPHYSIOLOGICAL MECHANISMS UNDERLYING ISCHEMIC/HYPOXIC CNS DISEASES, THE KNOWLEDGE ABOUT PROTECTIVE THERAPEUTIC STRATEGIES TO AMELIORATE THE AFFECTED NEURONAL CELLS IS MEAGER. THIS HAS AUGMENTED THE NEED TO IMPROVE OUR UNDERSTANDING OF THE HYPOXIC AND ISCHEMIC EVENTS OCCURRING IN THE BRAIN AND IDENTIFY NOVEL AND ALTERNATE TREATMENT MODALITIES FOR SUCH INSULTS. MICRORNA (MIRNAS), SMALL NON-CODING RNA MOLECULES, HAVE RECENTLY EMERGED AS POTENTIAL NEUROPROTECTIVE AGENTS AS WELL AS TARGETS, UNDER HYPOXIC CONDITIONS. THESE 18-22 NUCLEOTIDE LONG RNA MOLECULES ARE PROFUSELY PRESENT IN BRAIN AND OTHER ORGANS AND FUNCTION AS GENE REGULATORS BY CLEAVING AND SILENCING THE GENE EXPRESSION. IN BRAIN, THESE ARE KNOWN TO BE INVOLVED IN NEURONAL DIFFERENTIATION AND PLASTICITY. THEREFORE, TARGETING MIRNA EXPRESSION REPRESENTS A NOVEL THERAPEUTIC APPROACH TO INTERCEDE AGAINST HYPOXIC AND ISCHEMIC BRAIN INJURY. IN THE FIRST PART OF THIS REVIEW, WE WILL DISCUSS THE NEUROPHYSIOLOGICAL CHANGES CAUSED AS A RESULT OF HYPOXIA, FOLLOWED BY THE CONTRIBUTION OF HYPOXIA IN THE NEURODEGENERATIVE DISEASES. SECONDLY, WE WILL PROVIDE RECENT UPDATES AND INSIGHTS INTO THE ROLES OF MIRNA IN THE REGULATION OF GENES IN OXYGEN AND GLUCOSE DEPRIVED BRAIN IN ASSOCIATION WITH CIRCADIAN RHYTHMS AND HOW THESE CAN BE TARGETED AS NEUROPROTECTIVE AGENTS FOR CNS INJURIES. FINALLY, WE WILL EMPHASIZE ON ALTERNATE BREATHING OR YOGIC INTERVENTIONS TO OVERCOME THE HYPOXIA ASSOCIATED ANOMALIES THAT COULD ULTIMATELY LEAD TO IMPROVEMENT IN CEREBRAL PERFUSION. 2017 2 624 19 DIABETES MELLITUS TYPE 2 AND YOGA: ELECTRO PHOTONIC IMAGING PERSPECTIVE. BACKGROUND: YOGA IS THE MOST POPULAR FORM OF ALTERNATIVE MEDICINE FOR THE MANAGEMENT OF DIABETES MELLITUS TYPE 2. THE ELECTRO-PHOTONIC IMAGING (EPI) IS ANOTHER CONTRIBUTION FROM ALTERNATIVE MEDICINE IN HEALTH MONITORING. AIM: TO EVALUATE DIABETES FROM EPI PERSPECTIVE. OBJECTIVES: (1) COMPARE VARIOUS EPI PARAMETERS IN NORMAL, PREDIABETIC AND DIABETIC PATIENTS. (2) FIND DIFFERENCE IN CONTROLLED AND UNCONTROLLED DIABETES. (3) STUDY THE EFFECT OF 7 DAYS DIABETES-SPECIFIC YOGA PROGRAM. MATERIALS AND METHODS: FOR THE FIRST OBJECTIVE, THERE WERE 102 PATIENTS (NORMAL 29, PREDIABETIC 13, DIABETIC 60). IN THE SECOND STUDY, THERE WERE 60 PATIENTS (CONTROLLED DIABETES 27, UNCONTROLLED DIABETES 33). THE THIRD STUDY COMPRISED 37 PATIENTS. EPI PARAMETERS WERE RELATED TO GENERAL HEALTH AS WELL TO SPECIFIC ORGANS. RESULTS: IN THE FIRST STUDY, SIGNIFICANT DIFFERENCE WAS OBSERVED BETWEEN (1) DIABETICS AND NORMAL: AVERAGE INTENSITY 5.978, FORM COEFFICIENT 3.590, IMMUNE ORGANS 0.281 ALL P < 0.001; (2) DIABETICS AND PREDIABETICS: AVERAGE INTENSITY 6.676, FORM COEFFICIENT 4.158, IMMUNE ORGANS 5.890 P < 0.032; (3) NORMAL AND PREDIABETES: IMMUNE ORGANS (-6.171 P = 000). IN THE SECOND STUDY, REMARKABLE DIFFERENCE WAS IN THE IMMUNE ORGANS (0.201, P = 0.031). IN THE PRE- AND POST-STUDY, THE MEAN DIFFERENCE WAS: AREA 630.37, FORM COEFFICIENT 1.78, ENTROPY 0.03, LIVER 0.24, PANCREAS 0.17, CORONARY VESSELS 0.11, AND LEFT KIDNEY 29, WITH ALL P < 0.02. CONCLUSION: THERE IS A SIGNIFICANT DIFFERENCE IN EPI PARAMETERS BETWEEN NORMAL, PREDIABETICS AND DIABETICS, THE PROMINENT BEING AVERAGE INTENSITY, FORM COEFFICIENT, AND IMMUNE ORGANS. BETWEEN CONTROLLED AND UNCONTROLLED DIABETES, IMMUNE ORGANS SHOW SIGNIFICANT CHANGE. INTERVENTION OF YOGA RESULTS IN CHANGE IN MOST PARAMETERS. 2017 3 2802 25 YOGA THERAPY IN CHILDREN WITH CYSTIC FIBROSIS DECREASES IMMEDIATE ANXIETY AND JOINT PAIN. THIS STUDY WAS DESIGNED TO DETERMINE WHETHER YOGA MIGHT ALLEVIATE SYMPTOMS OF PAIN, SLEEP DISTURBANCE, ANXIETY, AND DEPRESSION IN CHILDREN WITH CYSTIC FIBROSIS (CF). CF IS THE MOST COMMON GENETIC, LIFE-LIMITING CHRONIC DISEASE AMONG CAUCASIAN POPULATIONS. IT PRIMARILY AFFECTS THE LUNGS BUT ALSO MANY OTHER SECRETORY ORGANS AND CONSEQUENTLY LEADS TO SIGNIFICANT MORBIDITIES. RESEARCH HAS SHOWN THAT CHILDREN WITH CF HAVE SIGNIFICANTLY INCREASED DEPRESSION, ANXIETY, AND PAIN COMPARED TO THEIR HEALTHY COUNTERPARTS. SUBJECTS PARTICIPATED IN SIX ONE-ON-ONE SESSIONS OVER A 10-WEEK PERIOD WITH A CERTIFIED INSTRUCTOR WHO DESIGNED EACH YOGA PRACTICE BASED ON A PREESTABLISHED LIST OF 30 YOGA ASANAS. QUESTIONNAIRES EVALUATING PAIN, SLEEP DISTURBANCE, SUSTAINED ANXIETY, IMMEDIATE ANXIETY, AND DEPRESSION WERE ADMINISTERED. DIFFERENCES BETWEEN PREMEASURES AND POSTMEASURES WERE EVALUATED USING A TWO-SIDED TEST. TWENTY SUBJECTS WERE ASSESSED (12 FEMALES/8 MALES), MEDIAN AGE OF 11 (7-20) YEARS. MEAN IMMEDIATE ANXIETY SCORES DECREASED (BEFORE SESSION TO AFTER SESSION 29 TO 23.6, RESPECTIVELY, P < 0.001). JOINT PAIN IMPROVED (3.25 TO 3.65, P = 0.028). CFQ-R EMOTION SUBSCALE IMPROVED FROM 79.2 TO 85 (P = 0.073), AND THE RESPIRATORY SUBSCALE IMPROVED FROM 66.7 TO 79.2 (P = 0.076). OTHER RESULTS WERE LESS NOTABLE. WE CONCLUDE THAT YOGA MAY REDUCE IMMEDIATE ANXIETY AND JOINT PAIN IN PATIENTS WITH CF. 2016 4 2474 31 YOGA AS AN ADJUNCT ACTIVITY FOR MEDICAL STUDENTS LEARNING ANATOMY. BACKGROUND: MEDICAL STUDENTS EXPERIENCE HIGH LEVELS OF STRESS DURING TRAINING DUE TO DEMANDING COURSE LOADS WHICH OFTEN LEAVES LESS TIME FOR SELF-CARE. THIS STUDY COMBINES THE SELF-CARE TECHNIQUE OF YOGA WITH LEARNING ANATOMICAL LOCATIONS, INNERVATIONS, ACTIONS, AND FUNCTIONS OF THE MUSCLES AND ORGANS TO DETERMINE IF ANATOMY TESTS SCORES ARE IMPROVED AND WHETHER STUDENTS' STRESS LEVELS ATTENUATE FROM PARTICIPATING IN YOGA. METHODS: IN THIS RANDOMIZED CONTROLLED STUDY, 64 STUDENT VOLUNTEERS WERE RANDOMIZED INTO EITHER A YOGA INTERVENTION GROUP OR WAIT LIST CONTROL GROUP THROUGHOUT THE M1 ANATOMY COURSE. THE YOGA GROUP (N = 32) PARTICIPATED IN 8 YOGA SESSIONS SYNCED WITH THE ANATOMY TOPICS THEY WERE LEARNING IN LECTURE. THE WAIT LIST GROUP (N = 32) WENT THROUGH THEIR NORMAL ANATOMY CURRICULUM BUT HAD AN OPTION TO PARTICIPATE IN THE SAME YOGA SESSIONS AFTER THE ANATOMY COURSE. THE PRIMARY RESEARCH PURPOSE WAS TO DETERMINE WHETHER YOGA IMPROVED ANATOMY EXAM PERFORMANCE BY COMPARING FOUR ANATOMY EXAM SCORES BETWEEN THE TWO GROUPS. THE SECONDARY RESEARCH PURPOSES INCLUDED THE FOLLOWING: TO DETERMINE WHETHER YOGA CLASSES INCLUDING ANATOMY TEACHING STILL CONFERRED ACUTE AND LONG-LASTING STRESS RELIEF BY, RESPECTIVELY, COMPARING A STUDENTS' OWN PRE- AND POST-YOGA STRESS LEVEL AND SELF-PERCEIVED STRESS LEVELS BETWEEN THE TWO GROUPS; AND TO DETERMINE IF A STUDENT'S CONFIDENCE IN ANATOMY WAS IMPROVED AFTER A YOGA SESSION. RESULTS: THERE WAS NO SIGNIFICANT DIFFERENCE IN ANATOMY EXAM PERFORMANCE BETWEEN STUDENTS WHO RECEIVED YOGA AND THOSE ON THE WAITLIST (ALL P > 0.05). FOR STUDENTS WHO RECEIVED YOGA, THEIR AVERAGE SELF-REPORTED STRESS LEVELS DECREASED AFTER EACH YOGA SESSION, THEIR AVERAGE DASS (DEPRESSION, ANXIETY AND STRESS SCALE) SCORE DECREASED AFTER A YOGA SESSION, BUT THEY WERE NOT SIGNIFICANTLY LESS STRESSED THAN THEIR WAITLIST PEERS PRIOR TO AN EXAM, AND THEIR SELF-REPORTED CONFIDENCE IN ANATOMY MATERIAL RELATED TO THE BACK, UPPER EXTREMITY, HEAD AND NECK, AND ABDOMEN/PELVIS INCREASED. CONCLUSION: WITH THIS SAMPLE, THERE WAS NO EVIDENCE THAT YOGA SESSIONS PAIRED WITH ANATOMY LECTURE MATERIAL IMPROVED OVERALL ANATOMY EXAM PERFORMANCE, AS OPPOSED TO ONLY THE MUSCULOSKELETAL PORTION WHICH OTHER STUDIES HAVE LOOKED AT. HOWEVER, YOGA ACUTELY REDUCED STRESS LEVELS, AND SUBJECTIVE FEELINGS OF KNOWLEDGE IMPROVEMENT WERE NOTED BY PARTICIPANTS. BOTH OF THESE CAN PROVIDE BENEFITS TO MEDICAL STUDENTS. 2022 5 888 44 EFFECT OF YOGA VERSUS LIGHT EXERCISE TO IMPROVE WELL-BEING AND PROMOTE HEALTHY AGING AMONG OLDER ADULTS IN CENTRAL INDIA: A STUDY PROTOCOL FOR A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: AGING IS A NATURAL PROCESS ASSOCIATED WITH MANY FUNCTIONAL AND STRUCTURAL CHANGES. THESE CHANGES MAY INCLUDE IMPAIRED SELF-REGULATION, CHANGES IN TISSUES AND ORGANS. AGING ALSO AFFECTS MOOD, PHYSICAL STATUS AND SOCIAL ACTIVITY. THERE ARE ADVERSE CHANGES IN COGNITIVE BEHAVIOR, PERCEIVED SENSATION AND THINKING PROCESSES. REGULAR PHYSICAL ACTIVITY CAN ALLEVIATE MANY HEALTH PROBLEMS; YET, MANY OLDER ADULTS ARE INACTIVE. YOGA IS ONE OF THE SCIENTIFIC AND POPULAR LIFESTYLE PRACTICE CONSIDERED AS THE INTEGRATION OF MIND, BODY AND SOUL. RESULTS OF PREVIOUS STUDIES REPORTED POSITIVE EFFECTS OF YOGA ON MULTIPLE HEALTH OUTCOMES IN ELDERLY. HOWEVER, THERE IS SCARCITY OF SCIENTIFIC INFORMATION WHERE YOGA'S EFFECT IS EXAMINED ON OVER WELL-BEING AND ON MULTIPLE HEALTH OUTCOMES SIMULTANEOUSLY IN ELDERLY. THIS PROTOCOL DESCRIBES METHODS FOR A 12-WEEK YOGA-BASED INTERVENTION EXPLORING THE EFFECTS OF YOGA ON WELL-BEING IN PHYSICALLY INACTIVE ELDERLY LIVING IN COMMUNITY. METHODS AND ANALYSIS: THIS TWO GROUP PARALLEL SINGLE BLIND RANDOMIZED CONTROLLED TRIAL THAT WILL BE CONDUCTED AT A DESIGNATED FACILITY OF R.D. GARDI MEDICAL COLLEGE, UJJAIN, MADHYA PRADESH, CENTRAL INDIA. A 12-WEEK 60-MIN YOGA INTERVENTION THREE TIMES WEEKLY IS DESIGNED. COMPARISON GROUP PARTICIPANTS WILL UNDERGO A 60-MIN PROGRAM COMPRISING LIGHT EXERCISE FOCUSING ON CONVENTIONAL STRETCHING TO IMPROVE MOBILITY. AFTER SCREENING, 144 PARTICIPANTS AGED 60-80 YEARS WILL BE RECRUITED. THE PRIMARY OUTCOME IS SUBJECTIVE WELL-BEING. SECONDARY OUTCOMES INCLUDE MOBILITY, FALL RISK, COGNITION, ANXIETY AND DEPRESSION, MOOD AND STRESS, SLEEP QUALITY, PAIN, PHYSICAL ACTIVITY/SEDENTARY BEHAVIOR AND CARDIO-METABOLIC RISK FACTORS. ASSESSMENTS WILL BE CONDUCTED AT BASELINE (0 WEEK), AFTER THE INTERVENTION (12+1 WEEK) AND AT FOLLOW-UP (36+1 WEEK). INTENTION-TO-TREAT ANALYSES WITH MIXED LINEAR MODELING WILL BE APPLIED. DISCUSSION: THROUGH THIS TRIAL, WE AIM TO DETERMINE WHETHER ELDERLY PEOPLE IN THE INTERVENTION GROUP PRACTICING YOGA SHOW MORE FAVORABLE PRIMARY (WELL-BEING) AND SECONDARY OUTCOMES THAN THOSE IN THE LIGHT EXERCISE FOCUSING ON CONVENTIONAL STRETCHING GROUP. WE ASSUME THAT YOGA MAY BE PRACTICED TO MAINTAIN HEALTH, REDUCE PARTICULAR SYMPTOMS COMMONLY ASSOCIATED WITH SKELETAL PAIN, ASSIST IN PAIN RELIEF AND ENHANCE WELL-BEING. WE ANTICIPATE THAT PRACTICING YOGA WILL IMPROVE WELL-BEING AND MENTAL HEALTH AND MAY LEAD TO SIGNIFICANT IMPROVEMENT IN DEPRESSION, PAIN AND SLEEP QUALITY.ETHICS AND DISSEMINATION: THIS STUDY IS APPROVED BY THE INSTITUTIONAL ETHICS COMMITTEE OF R.D. GARDI MEDICAL COLLEGE, UJJAIN, IEC REF NO. 09/2018. ALL PARTICIPANTS WOULD BE PROVIDED WITH WRITTEN AND VERBAL INFORMATION ABOUT THE PURPOSE OF THE PROJECT AND WOULD BE FREE TO WITHDRAW FROM THE STUDY AT ANY TIME. REFUSAL TO PARTICIPATE IN THE STUDY WOULD NOT HAVE ANY NEGATIVE CONSEQUENCES. CONFIDENTIALITY OF THE INFORMATION OF EACH PARTICIPANT WOULD BE ENSURED. KNOWLEDGE OBTAINED WOULD BE DISSEMINATED TO STAKEHOLDERS THROUGH WORKSHOPS, MEETINGS AND RELEVANT SCIENTIFIC CONFERENCES. TRIAL REGISTRATION: THE TRIAL IS PROSPECTIVELY REGISTERED WITH THE INDIAN COUNCIL OF MEDICAL RESEARCH TRIAL REGISTRY CTRI/2018/07/015051. 2019 6 405 31 BIOENERGY AND ITS IMPLICATION FOR YOGA THERAPY. ELECTRO PHOTONIC IMAGING (EPI) IS BEING RESEARCHED RELATIVE TO ITS APPLICATION FOR YOGA THERAPY. THREE PARAMETERS OF INTEREST IN EPI MEASUREMENTS ARE AS FOLLOWS: COMMUNICATION ENERGY (C), INTEGRAL OR NORMALIZED AREA (IA), AND ENTROPY (E). IT IS IMPORTANT TO NOTE THAT C INDICATES THE TOTAL ENERGY OF COMMUNICATION FOR THE ORGAN SYSTEM; IA IS AN INDICATION OF TOTAL AMOUNT OF ENERGY THAT IS AVAILABLE FOR THE ORGAN SYSTEM WHILE ENTROPY IS AN INDICATION OF THE AMOUNT OF COHERENCE OF THE ENERGY. COHERENCE AND ENTROPY ARE INVERSELY RELATED; THIS MEANS LESS THE ENTROPY, MORE THE COHERENCE AND VICE VERSA. ILLUSTRATIVE CASES OF SUCCESSFUL THERAPY WITH YOGA PRACTICES IN A WIDE VARIETY OF ABNORMAL CONDITIONS ARE EXAMINED, AND IN EVERY CASE, ENTROPY IS SHOWN TO DECREASE FOR THE AFFECTED ORGAN SYSTEM WHILE COMMUNICATION ENERGY STAYS WITHIN STABLE RANGE. RELATIVE TO THE ELECTROMAGNETIC (RUBIK) AND LIVING MATRIX (OSCHMAN) MODELS, IT IS SUGGESTED THAT THE REGULATION OF ENERGY, ITS COHERENCE IN THE BIOLOGICAL SYSTEM AND INTERACTION WITH LIFE PROCESSES PROVIDE THE BASIS FOR MODEL BUILDING AND DESIGN OF HEALTH-PROMOTING PROCEDURES. FURTHER, THIS APPROACH IS EXAMINED RELATIVE TO YOGA THEORY, TRADITIONAL MEDICINE SYSTEMS, AND SCIENTIFIC DEVELOPMENTS IN THE FIELD OF GENE EXPRESSION AND NEUROPLASTICITY AND A GENERALIZED MODEL THAT WE CALL UNIFIED SYSTEM OF MEDICINE IS PROPOSED. THIS MODEL HAS DIRECT IMPLICATIONS ON METHODS USED TO CONTROL THE ENVIRONMENTAL FACTORS TO GET ROBUST RESULTS FROM EPI APPLICATION FOR THERAPEUTIC PURPOSES. IMPLICATIONS FOR FURTHERING RESEARCH IN YOGA THERAPY USING EPI AND IMPLICATIONS OF EPI AS A TRANSLATIONAL TECHNOLOGY BETWEEN TRADITIONAL MEDICINE SYSTEMS AND MODERN MEDICINE IS DISCUSSED. 2018 7 2467 31 YOGA AS A THERAPY FOR ADOLESCENTS AND YOUNG ADULTS WITH CYSTIC FIBROSIS: A PILOT STUDY. RATIONALE: YOGA HAS BEEN SHOWN TO IMPROVE OUTCOMES IN PATIENTS WITH ASTHMA BUT HAS NOT BEEN INVESTIGATED IN CYSTIC FIBROSIS (CF) PATIENTS. METHODS: THIS WAS A PROSPECTIVE PILOT STUDY TO EVALUATE THE SAFETY OF A STANDARDIZED YOGA PROGRAM AMONG CF PATIENTS AGED 12 TO 25 YEARS. PARTICIPANTS ENGAGED IN A 50-MINUTE YOGA SESSION TWICE WEEKLY FOR 8 WEEKS CONDUCTED BY A CERTIFIED YOGA INSTRUCTOR USING A STANDARDIZED PROGRAM DESIGNED TO BE SAFE FOR HEALTH-COMPROMISED INDIVIDUALS. YOGA SESSIONS WERE INDIVIDUAL TO AVOID TRANSMISSION OF INFECTIONS. PRIMARY OUTCOME WAS SAFETY AND TOLERABILITY. SECONDARY OUTCOME MEASURES INCLUDED RESPIRATORY SYMPTOMS, THE CYSTIC FIBROSIS QUALITY OF LIFE INSTRUMENT (CFQ-R), LUNG FUNCTION, EASE OF BREATHING SCORE (MEASURE OF EXERCISE TOLERANCE), AND WEIGHT. RESULTS: ELEVEN PARTICIPANTS WERE ENROLLED, AND 10 COMPLETED THE STUDY. ADHERENCE WAS VERY GOOD; THE MEAN (SD) NUMBER OF SESSIONS COMPLETED WAS 14.2 (1.3) OUT OF 16 SESSIONS. EIGHT PATIENTS REPORTED 25 ADVERSE EVENTS. THE MOST COMMON WAS COUGH, REPORTED IN 7. TWO EVENTS WERE POSSIBLY RELATED TO STUDY PROCEDURES: CALF PAIN AND HEADACHE. THERE WERE NO SIGNIFICANT CHANGES IN DYSPNEA OR PAIN SCALES. THE MEAN (SD) CFQ-R RESPIRATORY DOMAIN SCORE INCREASED FROM SCREENING TO END OF STUDY: 67.9 (11.4) TO 82.1 (9.9), P=.04. THERE WERE NO SIGNIFICANT CHANGES IN THE OTHER OUTCOME MEASURES. CONCLUSIONS: IN THIS PILOT STUDY, A STANDARDIZED 8-WEEK YOGA PROGRAM WAS SAFE AND WELL TOLERATED AMONG ADOLESCENT AND YOUNG ADULT CF PATIENTS WITH MILD TO MODERATE LUNG DISEASE. THIS STUDY MAY BE HELPFUL TO YOGA INSTRUCTORS WHO ARE INTERESTED IN WORKING WITH CF PATIENTS. LARGER CONTROLLED TRIALS ARE WARRANTED TO DETERMINE FURTHER BENEFITS. 2015 8 785 21 EFFECT OF YOGA BASED TECHNIQUES ON STRESS AND HEALTH INDICES USING ELECTRO PHOTONIC IMAGING TECHNIQUE IN MANAGERS. BACKGROUND: MEDITATION TECHNIQUES ARE KNOWN TO ELICIT RELAXATION RESPONSE IN WHICH MOVING MEDITATION WHICH COMBINES THE PRACTICE OF YOGA POSTURES AND GUIDED RELAXATION IS KNOWN AS CYCLIC MEDITATION REPORTED HELPFUL IN REDUCING THE SYMPATHETIC AROUSAL AND IMPROVING HEALTH OF PRACTITIONERS. OBJECTIVES: THE OBJECTIVE OF THIS STUDY WAS TO INVESTIGATE THE EFFECT OF CYCLIC MEDITATION ON STRESS AND HEALTH INDICES IN MANAGERS AS MEASURED BY ELECTRO PHOTONIC IMAGING (EPI) TECHNIQUE. MATERIALS AND METHODS: EPI TECHNIQUE WAS USED TO ASSESS PARTICIPANTS BEFORE AND AFTER 35 MIN OF CYCLIC MEDITATION (CM) AND EQUAL DURATION OF SUPINE REST (SR) SESSION. A TOTAL OF SIXTY SIX MALE MANAGERS, AGE RANGES FROM 35 TO 60 YEARS (MEAN +/- SD 53.97 +/- 5.96) WERE INCLUDED IN THE STUDY. EPI PARAMETERS, INCLUDING ACTIVATION COEFFICIENT, INTEGRAL AREA LEFT AND RIGHT AND INTEGRAL ENTROPY, LEFT AND RIGHT WERE TAKEN FOR STATISTICAL ANALYSES. RESULTS: CYCLIC MEDITATION HAS PRODUCED A HIGHLY SIGNIFICANT REDUCTION IN STRESS LEVEL, WHEREAS THIS REDUCTION WAS NOT FOUND SIGNIFICANT WITHIN SR GROUP. THERE WAS A SIGNIFICANT IMPROVEMENT IN HEALTH INDEX 'INTEGRAL AREA' VALUES IN BOTH LEFT AND RIGHT SIDES WITHIN THE CM GROUP WHILE ONLY IA RIGHT SIDE SHOWED A SIGNIFICANT IMPROVEMENT WITHIN THE CM GROUP. THE INTEGRAL ENTROPY VALUE RIGHT SIDE DECREASED SIGNIFICANTLY WITHIN THE CM GROUP, WHEREAS IE LEFT WAS FOUND DETERIORATED WITHIN THE SR GROUP. MOREOVER, ONLY IE LEFT SIDE HAS SHOWN A SIGNIFICANT DIFFERENCE BETWEEN THE GROUPS. CONCLUSION: THE INVESTIGATIONS IN THIS STUDY SUGGEST THAT CYCLIC MEDITATION PRACTICE REDUCES STRESS AND IMPROVES PSYCHOSOMATIC HEALTH INDICES MORE EFFECTIVELY THAN SUPINE REST IN MANAGERS. 2016 9 1093 33 EFFECTS OF YOGA ON WELL-BEING AND HEALTHY AGEING: STUDY PROTOCOL FOR A RANDOMISED CONTROLLED TRIAL (FITFORAGE). INTRODUCTION: DUE TO AGEING POPULATIONS WORLDWIDE, THE BURDEN OF DISABILITY IS INCREASING. IT IS THEREFORE IMPORTANT TO DEVELOP INTERVENTIONS THAT IMPROVE HEALTHY AGEING, REDUCE DISABILITY ONSET AND ENHANCE LIFE QUALITY. PHYSICAL ACTIVITY CAN PROMOTE HEALTHY AGEING AND HELP MAINTAIN INDEPENDENCE, YET MANY OLDER ADULTS ARE INACTIVE. YOGA IS A FORM OF PHYSICAL ACTIVITY THAT AIMS TO IMPROVE HEALTH AND MAY BE PARTICULARLY SUITABLE FOR OLDER ADULTS. RESEARCH INDICATES POSITIVE EFFECTS OF YOGA ON SEVERAL HEALTH-RELATED OUTCOMES; HOWEVER, EMPIRICAL STUDIES EXAMINING THE BENEFITS OF YOGA ON WELL-BEING AMONG THE ELDERLY REMAIN SCARCE. THIS STUDY PROTOCOL REPORTS THE METHODOLOGY FOR A 12-WEEK YOGA PROGRAMME AIMED TO IMPROVE HEALTH AND WELL-BEING AMONG PHYSICALLY INACTIVE OLDER ADULTS. METHODS AND ANALYSIS: THREE GROUP PARALLEL, SINGLE-BLIND RANDOMISED CONTROLLED TRIAL. TWO COMPARISON GROUPS ARE INCLUDED: AEROBIC EXERCISE AND A NON-ACTIVE WAIT-LIST CONTROL. IN TOTAL, 180 PARTICIPANTS AGED 65-85 YEARS WILL BE RECRUITED. ASSESSMENTS WILL BE PERFORMED AT BASELINE AND POSTINTERVENTION (12-WEEK FOLLOW-UP). THE PRIMARY OUTCOME IS SUBJECTIVE WELL-BEING. SECONDARY OUTCOMES INCLUDE PHYSICAL ACTIVITY/SEDENTARY BEHAVIOUR, MOBILITY/FALL RISK, COGNITION, DEPRESSION, ANXIETY, MOOD, STRESS, PAIN, SLEEP QUALITY, SOCIAL SUPPORT AND CARDIOMETABOLIC RISK FACTORS. DATA WILL BE ANALYSED USING INTENTION-TO-TREAT ANALYSES, WITH MIXED LINEAR MODELLING. ETHICS AND DISSEMINATION: THIS STUDY IS APPROVED BY THE ETHICAL REVIEW BOARD IN STOCKHOLM (2017/1862-31/2). ALL PARTICIPANTS MUST VOLUNTARILY AGREE TO PARTICIPATE AND ARE FREE TO WITHDRAW FROM THE STUDY AT ANY POINT. WRITTEN INFORMED CONSENT WILL BE OBTAINED FROM EACH PARTICIPANT PRIOR TO INCLUSION. RESULTS WILL BE AVAILABLE THROUGH RESEARCH ARTICLES AND CONFERENCES. A SUMMARY OF KEY RESULTS WILL BE PUBLICLY AVAILABLE THROUGH NEWSPAPER ARTICLES. TRIAL REGISTRATION NUMBER: DRKS00015093, U1111-1217-4248. 2019 10 1211 34 EXPLORING HOW DIFFERENT TYPES OF YOGA CHANGE PSYCHOLOGICAL RESOURCES AND EMOTIONAL WELL-BEING ACROSS A SINGLE SESSION. OBJECTIVES: YOGA DEMONSTRATES BENEFICIAL EFFECTS IN MANY POPULATIONS, YET OUR UNDERSTANDING OF HOW YOGA BRINGS ABOUT THESE EFFECTS IS QUITE LIMITED. AMONG THE PROPOSED MECHANISMS OF YOGA ARE INCREASING PSYCHOLOGICAL RESOURCES (MINDFULNESS, BODY CONSCIOUSNESS, SELF-TRANSCENDENCE, SPIRITUAL PEACE, AND SOCIAL CONNECTEDNESS) THAT MAY BRING ABOUT SALUTARY EFFECTS ON EMOTIONAL WELLBEING. FURTHER, YOGA IS A COMPLEX PRACTICE COMPRISING MEDITATION, ACTIVE AND RESTORATIVE POSTURES, AND BREATHWORK; HOWEVER LITTLE IS KNOWN ABOUT HOW DIFFERENT COMPONENTS MAY AFFECT MECHANISMS. WE AIMED TO DETERMINE HOW AN ACUTE SESSION OF YOGA (AND ITS SPECIFIC COMPONENTS) RELATED TO PRE- TO POST- SESSION CHANGES IN PROPOSED MECHANISMS (PSYCHOLOGICAL RESOURCES) AND WHETHER THOSE CHANGES WERE ASSOCIATED WITH POSITIVE CHANGES IN EMOTIONS. DESIGN: 144 REGULAR YOGA PRACTITIONERS COMPLETED MEASURES OF MINDFULNESS, BODY CONSCIOUSNESS, SELF-TRANSCENDENCE, SOCIAL CONNECTEDNESS, SPIRITUAL PEACE, AND EXERCISE-INDUCED EMOTIONS (POSITIVE ENGAGEMENT, REVITALIZATION, TRANQUILITY, EXHAUSTION) IMMEDIATELY BEFORE AND AFTER A YOGA SESSION (N=11 SESSIONS, EACH A DIFFERENT TYPE OF YOGA). PERCEIVED PROPERTIES OF EACH YOGA SESSION, EXERCISE EXERTION AND ENGAGEMENT WITH THE YOGA TEACHER WERE ASSESSED IMMEDIATELY FOLLOWING THE SESSION. RESULTS: PRE-TO POST- YOGA, LEVELS OF POSITIVE EMOTIONS (ENGAGEMENT, TRANQUILITY AND REVITALIZATION) INCREASED WHILE EXHAUSTION DECREASED. FURTHER, ALL PSYCHOLOGICAL RESOURCES INCREASED AND CLOSELY TRACKED IMPROVED EMOTIONS. ADDITIONALLY, ASPECTS OF THE YOGA SESSION CORRELATED WITH CHANGES IN PSYCHOLOGICAL RESOURCES (MECHANISMS) AND EMOTIONS. CONCLUSIONS: YOGA MAY INFLUENCE MULTIPLE PSYCHOLOGICAL MECHANISMS THAT INFLUENCE EMOTIONAL WELL-BEING. FURTHER, DIFFERENT TYPES OF YOGA MAY AFFECT DIFFERENT MECHANISMS. RESULTS CAN INFORM YOGA INTERVENTIONS AIMING TO OPTIMIZE EFFECTS THROUGH SPECIFIC MECHANISMS SUCH AS MINDFULNESS OR SPIRITUALITY. 2020 11 2490 30 YOGA AS AN INTERVENTION TO MANAGE MULTIPLE SCLEROSIS SYMPTOMS. MULTIPLE SCLEROSIS (MS) IS AN AUTOIMMUNE, DEMYELINATING, INFLAMMATORY DISEASE OF CENTRAL NERVOUS SYSTEM (CNS) WHICH IS CHARACTERIZED BY SPASTICITY, FATIGUE, DEPRESSION, ANXIETY, BOWEL AND BLADDER DYSFUNCTION, IMPAIRED MOBILITY, COGNITIVE IMPAIRMENT ETC. AND AFFECTS APPROXIMATELY 2.5 MILLION PEOPLE WORLDWIDE. DISEASE MODIFYING THERAPIES FOR MS WHICH HELP IN PREVENTING ACCUMULATION OF LESIONS IN WHITE MATTER OF CNS ARE COSTLY AND HAVE SIGNIFICANT ADVERSE EFFECTS. THEREFORE, PATIENTS WITH MS ARE USING COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) AND YOGA IS ONE OF THE MOST POPULAR FORM OF CAM WHICH IS BEING USED IMMENSELY TO REDUCE OR OVERCOME THE SYMPTOMS OF MS. IN THE CURRENT REVIEW ATTEMPTED TO PRESENT THE POTENTIAL IMPACT OF YOGA PRACTICES ON REDUCING MS RELATED SYMPTOMS. 2020 12 2299 33 THERAPEUTIC YOGA FOR THE MANAGEMENT OF CHRONIC NONSPECIFIC NECK PAIN: CURRENT EVIDENCE AND MECHANISMS. CHRONIC NONSPECIFIC NECK PAIN (CNNP), WHICH IS NECK PAIN IN THE ABSENCE OF ATTRIBUTABLE STRUCTURAL AND NEUROLOGICAL FINDINGS, IS OFTEN CHALLENGING FOR MEDICAL AND REHABILITATION PROFESSIONALS TO TREAT. CONVENTIONAL TREATMENTS SUCH AS MEDICATIONS AND PHYSICAL THERAPY OFTEN FAIL TO PROVIDE LASTING RELIEF, WHICH LEADS PATIENTS TO PURSUE COMPLEMENTARY THERAPIES SUCH AS YOGA. THIS REVIEW DISCUSSES THE EVIDENCE FROM NINE STUDIES, INCLUDING FOUR RANDOMIZED CONTROLLED TRIALS, WHICH SUGGESTS THAT A SUPERVISED YOGA PROGRAM MAY DECREASE PAIN INTENSITY, DISABILITY, AND MOOD SYMPTOMS IN ADULTS WITH CNNP. CERVICAL RANGE OF MOTION AND QUALITY OF LIFE (BOTH PHYSICAL AND MENTAL) MAY ALSO IMPROVE WITH YOGA INTERVENTION, ALTHOUGH THIS IS LESS CONSISTENT ACROSS STUDIES. EVIDENCE OF YOGA'S SUPERIORITY TO OTHER EXERCISE-BASED PRACTICES SUCH AS PILATES WAS CONFLICTING. ADVERSE EFFECTS OF YOGA, SUCH AS EXACERBATION OF NECK PAIN, WERE RELATIVELY UNCOMMON, MINOR, AND OFTEN TRANSIENT. THIS ARTICLE ALSO COMPREHENSIVELY REVIEWS THE PATHOPHYSIOLOGY OF CNNP, THERAPEUTIC MECHANISMS OF YOGA, AND LIMITATIONS IN THE EVIDENCE (INCLUDING RISK-OF-BIAS ASSESSMENT). FUTURE STUDIES SHOULD ATTEMPT TO: (1) COMPARE THE EFFECTIVENESS OF DIFFERENT LINEAGES OF YOGA FOR INDIVIDUALS WITH CNNP, (2) DETERMINE THE OPTIMAL LENGTH AND DURATION OF THESE YOGA INTERVENTIONS, (3) BETTER CHARACTERIZE THE PHYSICAL AND PSYCHOLOGICAL MECHANISMS OF YOGA, (4) COMPARE YOGA TO OTHER EXERCISE- AND MINDFULNESS-BASED PRACTICES, (5) EVALUATE THE EFFECT OF YOGA ON SLEEP IN THE CNNP POPULATION, AND (6) EXPLORE THE APPLICABILITY/EFFICACY OF VIRTUAL YOGA INSTRUCTION. 2022 13 1698 28 PAIN-RELATED ENCEPHALIC REGIONS INFLUENCED BY YOGA MEDITATION: AN INTEGRATIVE REVIEW. INTRODUCTION: THE MECHANISMS UNDERLYING THE USE OF YOGA IN PAIN RELIEF ARE STILL UNCLEAR. THIS STUDY REVIEWED LITERATURE REPORTS ON ENCEPHALIC ACTIVITY RELATED TO ANALGESIA INDUCED BY YOGA MEDITATION PRACTICE. METHODS: THIS INTEGRATIVE REVIEW EXAMINED STUDIES PUBLISHED IN THE PUBMED, LILACS AND MEDLINE DATABASES WITHOUT RESTRICTION OF THE YEAR OF PUBLICATION. THE RESEARCH INVOLVED 16 DESCRIPTORS RELATED TO THE WORDS: YOGA, PAIN AND NEUROIMAGING METHODS. INCLUSION CRITERIA INVOLVED ONLY THE PUBLICATIONS AVAILABLE ONLINE, WITH FREE ACCESS AND WRITTEN IN ENGLISH. RESULTS: 2 CASE STUDIES AND 1 PILOT STUDY MET THE CRITERIA. YOGA MEDITATION PRACTICE INDUCES ANALGESIA PRIMARILY THROUGH ATTENUATION OF THE MEDIAL PAIN PERCEPTION SYSTEM INCLUDING THE ANTERIOR CINGULATE CORTEX AND INSULA REGIONS, AS WELL AS THE LATERAL SYSTEM INCLUDING THE SECONDARY SENSORY CORTEX AND THALAMUS. CONCLUSION: YOGA INDUCED ANALGESIA IS A POTENTIALLY IMPORTANT ADJUNCT TO CURRENT PAIN MANAGEMENT. THIS INTEGRATIVE REVIEW REVEALED THAT THERE IS A NEED FOR FURTHER RESEARCH THAT ANALYZES THE ENCEPHALIC REGIONS RELATED TO ANALGESIA INDUCED BY YOGA PRACTICE. 2018 14 450 43 CHANGES IN CIRCULATING MICRORNA AFTER RECUMBENT ISOMETRIC YOGA PRACTICE BY PATIENTS WITH MYALGIC ENCEPHALOMYELITIS/CHRONIC FATIGUE SYNDROME: AN EXPLORATIVE PILOT STUDY. BACKGROUND: YOGA IS A REPRESENTATIVE MIND-BODY THERAPY. OUR PREVIOUS STUDIES HAVE DEMONSTRATED THAT ISOMETRIC YOGA (I.E. YOGA PROGRAMS THAT WE DEVELOPED SO INDIVIDUALS CAN PRACTICE YOGA POSES WITH A SELF-ADJUSTABLE ISOMETRIC LOAD) REDUCES THE FATIGUE OF PATIENTS WITH MYALGIC ENCEPHALOMYELITIS/CHRONIC FATIGUE SYNDROME (ME/CFS); HOWEVER, THE UNDERLYING MECHANISMS REMAIN UNCLEAR. SEVERAL STUDIES HAVE SUGGESTED THAT THE MICRO-RIBONUCLEIC ACID (MIRNA) EXPRESSION OF ME/CFS PATIENTS IS DIFFERENT FROM THAT OF HEALTHY SUBJECTS. HOWEVER, IT HAS NOT TO DATE BEEN DETERMINED IF THE PRACTICE OF ISOMETRIC YOGA CAN AFFECT MIRNA EXPRESSION. THEREFORE, WE SOUGHT TO INVESTIGATE IF ISOMETRIC YOGA IS ASSOCIATED WITH CHANGES IN THE EXPRESSION LEVELS OF SERUM MIRNA OF PATIENTS WITH ME/CFS. METHODS: THE STUDY INCLUDED NINE PATIENTS WITH ME/CFS WHO FAILED TO SHOW SATISFACTORY IMPROVEMENT AFTER AT LEAST 6 MONTHS OF TREATMENT ADMINISTERED AT OUR HOSPITAL. PATIENTS PRACTICED RECUMBENT ISOMETRIC YOGA FOR 3 MONTHS; THEY MET WITH A YOGA INSTRUCTOR EVERY 2 TO 4 WEEKS AND PARTICIPATED IN DAILY IN-HOME SESSIONS. THE EFFECT OF RECUMBENT ISOMETRIC YOGA ON FATIGUE WAS ASSESSED BY COMPARING PRE- AND POST-INTERVENTION SCORES ON THE JAPANESE VERSION OF THE 11-ITEM CHALDER FATIGUE SCALE (CFQ 11). PATIENT BLOOD SAMPLES WERE DRAWN PRE- AND POST-INTERVENTION, JUST PRIOR TO PRACTICING RECUMBENT ISOMETRIC YOGA WITH AN INSTRUCTOR. THE SERUM WAS USED FOR MIRNA ARRAY ANALYSIS WITH KNOWN HUMAN MIRNAS. RESULTS: THE AVERAGE CFQ 11 SCORE DECREASED SIGNIFICANTLY (FROM 25.3 +/- 5.5 TO 17.0 +/- 5.8, P < 0.0001) AFTER PRACTICING RECUMBENT ISOMETRIC YOGA FOR 3 MONTHS. THE MIRNA MICROARRAY ANALYSIS REVEALED THAT FOUR MIRNAS WERE SIGNIFICANTLY UPREGULATED, AND 42 WERE DOWNREGULATED AFTER THE INTERVENTION PERIOD. CONCLUSIONS: THIS EXPLORATIVE PILOT STUDY IS THE FIRST TO DEMONSTRATE CHANGES IN THE SERUM LEVELS OF SEVERAL MIRNAS AFTER REGULAR PRACTICE OF RECUMBENT ISOMETRIC YOGA. THESE MIRNAS MIGHT REPRESENT BIOMARKERS FOR THE FATIGUE-RELIEVING EFFECTS OF ISOMETRIC YOGA OF PATIENTS WITH ME/CFS. TRIAL REGISTRATION: UNIVERSITY HOSPITAL MEDICAL INFORMATION NETWORK (UMIN CTR) 000023472. REGISTERED AUG 4, 2016. 2019 15 1789 31 PRELIMINARY INDICATIONS OF THE EFFECT OF A BRIEF YOGA INTERVENTION ON MARKERS OF INFLAMMATION AND DNA METHYLATION IN CHRONICALLY STRESSED WOMEN. YOGA IS ASSOCIATED WITH REDUCED STRESS AND INCREASED WELL-BEING, ALTHOUGH THE MOLECULAR BASIS FOR THESE BENEFITS IS NOT CLEAR. MOUNTING EVIDENCE IMPLICATES THE IMMUNE RESPONSE, WITH CURRENT STUDIES FOCUSED ON PROTEIN IMMUNE MARKERS (SUCH AS CYTOKINES) IN CLINICAL POPULATIONS. TO EXPLORE THE MOLECULAR IMPACT, THIS PILOT STUDY USES A SUBSAMPLE (N=28) FROM A RANDOMISED WAITLIST CONTROL TRIAL INVESTIGATING THE IMPACT OF AN 8-WEEK YOGA INTERVENTION IN A COMMUNITY POPULATION OF WOMEN REPORTING PSYCHOLOGICAL DISTRESS (N=116). WE MEASURED INTERLEUKIN-6 (IL-6), TUMOUR NECROSIS FACTOR (TNF) AND C-REACTIVE PROTEIN (CRP) PROTEIN LEVELS, AND THE DNA METHYLATION OF THESE GENES AND THE GLOBAL INDICATOR, LINE-1. CORRELATIONS BETWEEN THESE AND PSYCHOLOGICAL VARIABLES WERE EXPLORED, IDENTIFYING MODERATE CORRELATIONS WITH CRP PROTEIN LEVELS, AND METHYLATION OF IL-6, CRP AND LINE-1. MANY CYTOKINE SAMPLES WERE BELOW DETECTION, HOWEVER A MANN-WHITNEY U DEMONSTRATED A TREND OF MODERATE BETWEEN-GROUP EFFECT FOR ELEVATED IL-6 IN THE YOGA GROUP. METHYLATION ANALYSES APPLIED CROSS-SECTIONAL AND NON-CONTROLLED LONGITUDINAL ANALYSES. WAIST-TO-HEIGHT RATIO AND AGE WERE COVARIED. WE DEMONSTRATED REDUCED METHYLATION OF THE TNF REGION IN THE YOGA GROUP RELATIVE TO THE WAITLIST CONTROL GROUP. NO OTHER GENES DEMONSTRATED A SIGNIFICANT DIFFERENCE. LONGITUDINAL ANALYSIS FURTHER SUPPORTED THESE RESULTS. THIS STUDY IS ONE OF THE FIRST TO EXPLORE YOGA AND IMMUNOLOGICAL MARKERS IN A NON-CLINICAL POPULATION, AND IS THE FIRST STUDY TO EXPLORE DNA METHYLATION. THESE FINDINGS INDICATE THAT FURTHER RESEARCH INTO MOLECULAR IMPACT OF YOGA ON MARKERS OF IMMUNE FUNCTION IS WARRANTED, WITH LARGER STUDIES REQUIRED. 2016 16 2486 54 YOGA AS AN INTEGRATIVE APPROACH FOR PREVENTION AND TREATMENT OF ORAL CANCER. DESPITE TREMENDOUS ADVANCEMENTS IN MEDICINE, THE NUMBER OF ORAL CANCER CASES CONTINUES TO INCREASE, AND THE NEED FOR INTEGRATING ALTERNATE MEDICINE OR ADOPTING AN INTEGRATIVE APPROACH HAS BECOME A COMPELLING COST-EFFECTIVE REQUIREMENT FOR THE MANAGEMENT AND TREATMENT OF DISEASES. CONVENTIONAL TREATMENT OF ORAL CANCER INVOLVES SURGERY FOLLOWED BY RADIOTHERAPY WITH OR WITHOUT CHEMOTHERAPY WHICH CAUSES SEVERAL COMPLICATIONS INCLUDING POOR QUALITY OF LIFE AND HIGH CHANCES OF RECURRENCE OF CANCER. ORAL CANCER IS OFTEN LINKED WITH OBESITY WHICH IS MAJOR RISK FACTORS IN OTHER CANCERS. APART FROM OBESITY, ORAL CANCER IS THOUGHT TO HAVE AN INVERSE RELATION WITH NEURODEGENERATIVE DISORDERS PRESUMABLY BECAUSE CELL DEATH DECREASES IN THE FORMER CASE AND INCREASES IN THE LATTER. ANCIENT MIND-BODY TECHNIQUES SUCH AS YOGA HAVE NOT BEEN ADEQUATELY TESTED AS A TOOL TO SYNERGIZE THE CELLULAR EQUILIBRIUM PERTAINING TO THE TREATMENT OF ORAL CANCER. NERVE GROWTH FACTOR (NGF), TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA), AND INTERLEUKIN-6 (IL-6) ARE AMONG THE EARLY EXPERIMENTAL CELLULAR BIOMARKERS THAT MAY BE USED TO PROBE THE MODULATION OF ORAL CANCER, OBESITY, AND NEURODEGENERATIVE DISORDERS. YOGA HAS BEEN REPORTED TO INFLUENCE THESE MOLECULES IN HEALTHY INDIVIDUALS BUT WHETHER THEIR EXPRESSION CAN BE ALTERED IN PATIENTS OF ORAL CANCER BY YOGA INTERVENTION IS THE SUBJECT OF THIS RESEARCH BEING DISCUSSED IN THIS REVIEW ARTICLE. THEREFORE, THE PRESENT ARTICLE NOT ONLY REVIEWS THE CURRENT STATUS OF RESEARCH STUDIES IN ORAL CANCER, OBESITY, AND NEURODEGENERATIVE DISORDERS BUT ALSO HOW THESE ARE LINKED TO EACH OTHER AND WHY THE INVESTIGATIONS OF THE PUTATIVE NGF PATHWAY, INVOLVING TNF-ALPHA AND IL-6, COULD PROVIDE USEFUL CLUES TO UNDERSTAND THE MOLECULAR EFFECTS BROUGHT ABOUT BY YOGA INTERVENTION IN SUCH PATIENTS. 2018 17 1640 51 MOLECULAR SIGNATURE OF THE IMMUNE RESPONSE TO YOGA THERAPY IN STRESS-RELATED CHRONIC DISEASE CONDITIONS: AN INSIGHT. THE WORLD HEALTH ORGANIZATION DEFINES HEALTH AS COMPLETE WELL-BEING IN TERMS OF PHYSICAL, MENTAL AND SOCIAL, AND NOT MERELY THE ABSENCE OF DISEASE. TO ATTAIN THIS, INDIVIDUAL SHOULD ADAPT AND SELF-MANGE THE SOCIAL, PHYSICAL AND EMOTIONAL CHALLENGES OF LIFE. EXPOSURE TO CHRONIC STRESS DUE TO URBANIZATION, WORK STRESS, NUCLEAR FAMILY, POLLUTION, UNHEALTHY FOOD HABITS, LIFESTYLE, ACCIDENTAL DEATH IN THE FAMILY, AND NATURAL CALAMITIES ARE THE TRIGGERING FACTORS, LEADING TO HORMONAL IMBALANCE AND INFLAMMATION IN THE TISSUE. THE RELATIONSHIP BETWEEN STRESS AND ILLNESS IS COMPLEX; ALL CHRONIC ILLNESSES SUCH AS CARDIOVASCULAR DISEASE AND ASTHMA HAVE THEIR ROOT IN CHRONIC STRESS ATTRIBUTED BY INFLAMMATION. IN RECENT TIMES, YOGA THERAPY HAS EMERGED AS AN IMPORTANT COMPLEMENTARY ALTERNATIVE MEDICINE FOR MANY HUMAN DISEASES. YOGA THERAPY HAS A POSITIVE IMPACT ON MIND AND BODY; IT ACTS BY INCORPORATING APPROPRIATE BREATHING TECHNIQUES AND MINDFULNESS TO ATTAIN CONSCIOUS DIRECTION OF OUR AWARENESS OF THE PRESENT MOMENT BY MEDITATION, WHICH HELPS ACHIEVE HARMONY BETWEEN THE BODY AND MIND. STUDIES HAVE ALSO DEMONSTRATED THE IMPORTANT REGULATORY EFFECTS OF YOGA THERAPY ON BRAIN STRUCTURE AND FUNCTIONS. DESPITE THESE ADVANCES, THE CELLULAR AND MOLECULAR MECHANISMS BY WHICH YOGA THERAPY RENDERS ITS BENEFICIAL EFFECTS ARE INADEQUATELY KNOWN. A GROWING BODY OF EVIDENCE SUGGESTS THAT YOGA THERAPY HAS IMMUNOMODULATORY EFFECTS. HOWEVER, THE PRECISE MECHANISTIC BASIS HAS NOT BEEN ADDRESSED EMPIRICALLY. IN THIS REVIEW, WE HAVE ATTEMPTED TO HIGHLIGHT THE EFFECT OF YOGA THERAPY ON IMMUNE SYSTEM FUNCTIONING WITH AN AIM TO IDENTIFY IMPORTANT IMMUNOLOGICAL SIGNATURES THAT INDEX THE EFFECT OF YOGA THERAPY. TOWARD THIS, WE HAVE SUMMARIZED THE AVAILABLE SCIENTIFIC EVIDENCE SHOWING POSITIVE IMPACTS OF YOGA THERAPY. FINALLY, WE HAVE EMPHASIZED THE EFFICACY OF YOGA IN IMPROVING PHYSICAL AND MENTAL WELL-BEING. YOGA HAS BEEN A PART OF INDIAN CULTURE AND TRADITION FOR LONG; NOW, THE TIME HAS COME TO SCIENTIFICALLY VALIDATE THIS AND IMPLEMENT THIS AS AN ALTERNATIVE TREATMENT METHOD FOR STRESS-RELATED CHRONIC DISEASE. 2020 18 2001 23 STRESS, INFLAMMATION, AND YOGA PRACTICE. OBJECTIVE: TO ADDRESS THE MECHANISMS UNDERLYING HATHA YOGA'S POTENTIAL STRESS-REDUCTION BENEFITS, WE COMPARED INFLAMMATORY AND ENDOCRINE RESPONSES OF NOVICE AND EXPERT YOGA PRACTITIONERS BEFORE, DURING, AND AFTER A RESTORATIVE HATHA YOGA SESSION, AS WELL AS IN TWO CONTROL CONDITIONS. STRESSORS BEFORE EACH OF THE THREE CONDITIONS PROVIDED DATA ON THE EXTENT TO WHICH YOGA SPEEDED AN INDIVIDUAL'S PHYSIOLOGICAL RECOVERY. METHODS: A TOTAL OF 50 HEALTHY WOMEN (MEAN AGE, 41.32 YEARS; RANGE, 30-65 YEARS), 25 NOVICES AND 25 EXPERTS, WERE EXPOSED TO EACH OF THE CONDITIONS (YOGA, MOVEMENT CONTROL, AND PASSIVE-VIDEO CONTROL) DURING THREE SEPARATE VISITS. RESULTS: THE YOGA SESSION BOOSTED PARTICIPANTS' POSITIVE AFFECT COMPARED WITH THE CONTROL CONDITIONS, BUT NO OVERALL DIFFERENCES IN INFLAMMATORY OR ENDOCRINE RESPONSES WERE UNIQUE TO THE YOGA SESSION. IMPORTANTLY, EVEN THOUGH NOVICES AND EXPERTS DID NOT DIFFER ON KEY DIMENSIONS, INCLUDING AGE, ABDOMINAL ADIPOSITY, AND CARDIORESPIRATORY FITNESS, NOVICES' SERUM INTERLEUKIN (IL)-6 LEVELS WERE 41% HIGHER THAN THOSE OF EXPERTS ACROSS SESSIONS, AND THE ODDS OF A NOVICE HAVING DETECTABLE C-REACTIVE PROTEIN (CRP) WERE 4.75 TIMES AS HIGH AS THAT OF AN EXPERT. DIFFERENCES IN STRESS RESPONSES BETWEEN EXPERTS AND NOVICES PROVIDED ONE PLAUSIBLE MECHANISM FOR THEIR DIVERGENT SERUM IL-6 DATA; EXPERTS PRODUCED LESS LIPOPOLYSACCHARIDE-STIMULATED IL-6 IN RESPONSE TO THE STRESSOR THAN NOVICES, AND IL-6 PROMOTES CRP PRODUCTION. CONCLUSION: THE ABILITY TO MINIMIZE INFLAMMATORY RESPONSES TO STRESSFUL ENCOUNTERS INFLUENCES THE BURDEN THAT STRESSORS PLACE ON AN INDIVIDUAL. IF YOGA DAMPENS OR LIMITS STRESS-RELATED CHANGES, THEN REGULAR PRACTICE COULD HAVE SUBSTANTIAL HEALTH BENEFITS. 2010 19 1824 45 PSYCHO-NEURO-ENDOCRINE-IMMUNE MECHANISMS OF ACTION OF YOGA IN TYPE II DIABETES. YOGA HAS BEEN FOUND TO BENEFIT ALL THE COMPONENTS OF HEALTH VIZ. PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL WELL BEING BY INCORPORATING A WIDE VARIETY OF PRACTICES. PATHOPHYSIOLOGY OF TYPE II DM AND CO-MORBIDITIES IN TYPE II DM HAS BEEN CORRELATED WITH STRESS MECHANISMS. STRESS SUPPRESSES BODY'S IMMUNE SYSTEM AND NEURO-HUMORAL ACTIONS THEREBY AFF ECTING NORMAL PSYCHOLOGICAL STATE. IT WOULD NOT BE WRONG TO STATE THAT CORRELATION OF DIABETES WITH STRESS, ANXIETY AND OTHER PSYCHOLOGICAL FACTORS ARE BIDIRECTIONAL AND LEAD TO DIFFICULTY IN UNDERSTANDING THE INTERRELATED MECHANISMS. TYPE II DM CANNOT BE UNDERSTOOD IN ISOLATION WITH PSYCHOLOGICAL FACTORS SUCH AS STRESS, ANXIETY AND DEPRESSION, NEURO-ENDOCRINE AND IMMUNOLOGICAL FACTORS. THERE IS NO REVIEW WHICH TRIES TO UNDERSTAND THESE MECHANISMS EXCLUSIVELY. THE PRESENT LITERATURE REVIEW AIMS TO UNDERSTAND INTERRELATED PSYCHO-NEURO-ENDOCRINE AND IMMUNOLOGICAL MECHANISMS OF ACTION OF YOGA IN TYPE II DIABETES MELLITUS. PUBLISHED LITERATURE CONCERNING MECHANISMS OF ACTION OF YOGA IN TYPE II DM EMPHASIZING PSYCHO-NEURO-ENDOCRINE OR IMMUNOLOGICAL RELATIONS WAS RETRIEVED FROM PUBMED USING KEY WORDS YOGA, TYPE II DIABETES MELLITUS, PSYCHOLOGICAL, NEURAL, ENDOCRINE, IMMUNE AND MECHANISM OF ACTION. THOSE STUDIES WHICH EXPLAINED THE PSYCHO-NEUROENDOCRINE AND IMMUNE MECHANISMS OF ACTION OF YOGA WERE INCLUDED AND REST WERE EXCLUDED. ALTHOUGH PRIMARY AIM OF THIS STUDY IS TO EXPLAIN THESE MECHANISMS IN TYPE II DM, SOME STUDIES IN NON-DIABETIC POPULATION WHICH HAD A SIMILAR PATHWAY OF STRESS MECHANISM WAS INCLUDED BECAUSE MANY INSIGHTFUL STUDIES WERE AVAILABLE IN THAT AREA. SEARCH WAS CONDUCTED USING TERMS YOGA OR YOGIC AND DIABETES OR DIABETIC IN TITLE OR ABSTRACT FOR ENGLISH ARTICLES. OF THE 89 ARTICLES, WE EXCLUDED NON-ENGLISH ARTICLES (22), EDITORIALS (20) AND LETTERS TO EDITOR (10). 37 STUDIES WERE CONSIDERED FOR THIS REVIEW. THE POSTULATED MECHANISM OF ACTION OF YOGA IS THROUGH PARASYMPATHETIC ACTIVATION AND THE ASSOCIATED ANTI STRESS MECHANISM. IT REDUCES PERCEIVED STRESS AND HPA AXIS ACTIVATION THEREBY IMPROVING OVERALL METABOLIC AND PSYCHOLOGICAL PROFILES, INCREASING INSULIN SENSITIVITY, AND IMPROVING GLUCOSE TOLERANCE AND LIPID METABOLISM. YOGA HAS POSITIVE EFFECTS ON IMMUNE SYSTEM OF DIABETICS.- OVERALL, TYPE II DM IS INFLUENCED BY PSYCHO-NEURO-ENDOCRINE AND IMMUNE MECHANISMS WHERE YOGA HAS IMPORTANT POSITIVE ROLE IN COMBATING STRESSORS AND IMPROVING THESE SYSTEMS TO REGAIN HEALTH. 2015 20 2516 26 YOGA CLINICAL RESEARCH REVIEW. IN THIS PAPER RECENT RESEARCH IS REVIEWED ON THE EFFECTS OF YOGA POSES ON PSYCHOLOGICAL CONDITIONS INCLUDING ANXIETY AND DEPRESSION, ON PAIN SYNDROMES, CARDIOVASCULAR, AUTOIMMUNE AND IMMUNE CONDITIONS AND ON PREGNANCY. FURTHER, THE PHYSIOLOGICAL EFFECTS OF YOGA INCLUDING DECREASED HEARTRATE AND BLOOD PRESSURE AND THE PHYSICAL EFFECTS INCLUDING WEIGHT LOSS AND INCREASED MUSCLE STRENGTH ARE REVIEWED. FINALLY, POTENTIAL UNDERLYING MECHANISMS ARE PROPOSED INCLUDING THE STIMULATION OF PRESSURE RECEPTORS LEADING TO ENHANCED VAGAL ACTIVITY AND REDUCED CORTISOL. THE REDUCTION IN CORTISOL, IN TURN, MAY CONTRIBUTE TO POSITIVE EFFECTS SUCH AS ENHANCED IMMUNE FUNCTION AND A LOWER PREMATURITY RATE. 2011