1 985 152 EFFECTS OF HATHA YOGA AND OMKAR MEDITATION ON CARDIORESPIRATORY PERFORMANCE, PSYCHOLOGIC PROFILE, AND MELATONIN SECRETION. OBJECTIVES: TO EVALUATE EFFECTS OF HATHA YOGA AND OMKAR MEDITATION ON CARDIORESPIRATORY PERFORMANCE, PSYCHOLOGIC PROFILE, AND MELATONIN SECRETION. SUBJECTS AND METHODS: THIRTY HEALTHY MEN IN THE AGE GROUP OF 25-35 YEARS VOLUNTEERED FOR THE STUDY. THEY WERE RANDOMLY DIVIDED IN TWO GROUPS OF 15 EACH. GROUP 1 SUBJECTS SERVED AS CONTROLS AND PERFORMED BODY FLEXIBILITY EXERCISES FOR 40 MINUTES AND SLOW RUNNING FOR 20 MINUTES DURING MORNING HOURS AND PLAYED GAMES FOR 60 MINUTES DURING EVENING HOURS DAILY FOR 3 MONTHS. GROUP 2 SUBJECTS PRACTICED SELECTED YOGIC ASANAS (POSTURES) FOR 45 MINUTES AND PRANAYAMA FOR 15 MINUTES DURING THE MORNING, WHEREAS DURING THE EVENING HOURS THESE SUBJECTS PERFORMED PREPARATORY YOGIC POSTURES FOR 15 MINUTES, PRANAYAMA FOR 15 MINUTES, AND MEDITATION FOR 30 MINUTES DAILY, FOR 3 MONTHS. ORTHOSTATIC TOLERANCE, HEART RATE, BLOOD PRESSURE, RESPIRATORY RATE, DYNAMIC LUNG FUNCTION (SUCH AS FORCED VITAL CAPACITY, FORCED EXPIRATORY VOLUME IN 1 SECOND, FORCED EXPIRATORY VOLUME PERCENTAGE, PEAK EXPIRATORY FLOW RATE, AND MAXIMUM VOLUNTARY VENTILATION), AND PSYCHOLOGIC PROFILE WERE MEASURED BEFORE AND AFTER 3 MONTHS OF YOGIC PRACTICES. SERIAL BLOOD SAMPLES WERE DRAWN AT VARIOUS TIME INTERVALS TO STUDY EFFECTS OF THESE YOGIC PRACTICES AND OMKAR MEDITATION ON MELATONIN LEVELS. RESULTS: YOGIC PRACTICES FOR 3 MONTHS RESULTED IN AN IMPROVEMENT IN CARDIORESPIRATORY PERFORMANCE AND PSYCHOLOGIC PROFILE. THE PLASMA MELATONIN ALSO SHOWED AN INCREASE AFTER THREE MONTHS OF YOGIC PRACTICES. THE SYSTOLIC BLOOD PRESSURE, DIASTOLIC BLOOD PRESSURE, MEAN ARTERIAL PRESSURE, AND ORTHOSTATIC TOLERANCE DID NOT SHOW ANY SIGNIFICANT CORRELATION WITH PLASMA MELATONIN. HOWEVER, THE MAXIMUM NIGHT TIME MELATONIN LEVELS IN YOGA GROUP SHOWED A SIGNIFICANT CORRELATION (R = 0.71, P < 0.05) WITH WELL-BEING SCORE. CONCLUSION: THESE OBSERVATIONS SUGGEST THAT YOGIC PRACTICES CAN BE USED AS PSYCHOPHYSIOLOGIC STIMULI TO INCREASE ENDOGENOUS SECRETION OF MELATONIN, WHICH, IN TURN, MIGHT BE RESPONSIBLE FOR IMPROVED SENSE OF WELL-BEING. 2004 2 867 61 EFFECT OF YOGA REGIMEN ON LUNG FUNCTIONS INCLUDING DIFFUSION CAPACITY IN CORONARY ARTERY DISEASE PATIENTS: A RANDOMIZED CONTROLLED STUDY. BACKGROUND: LUNG FUNCTIONS ARE FOUND TO BE IMPAIRED IN CORONARY ARTERY DISEASE (CAD), CONGESTIVE HEART FAILURE, LEFT VENTRICULAR DYSFUNCTION, AND AFTER CARDIAC SURGERY. DIFFUSION CAPACITY PROGRESSIVELY WORSENS AS THE SEVERITY OF CAD INCREASES DUE TO REDUCTION IN LUNG TISSUE PARTICIPATING IN GAS EXCHANGE. AIMS AND OBJECTIVES: PRANAYAMA BREATHING EXERCISES AND YOGIC POSTURES MAY PLAY AN IMPRESSIVE ROLE IN IMPROVING CARDIO-RESPIRATORY EFFICIENCY AND FACILITATING GAS DIFFUSION AT THE ALVEOLO-CAPILLARY MEMBRANE. THIS STUDY WAS DONE TO SEE THE EFFECT OF YOGA REGIMEN ON LUNG FUNCTIONS PARTICULARLY DIFFUSION CAPACITY IN CAD PATIENTS. MATERIALS AND METHODS: A TOTAL OF 80 STABLE CAD PATIENTS BELOW 65 YEARS OF AGE OF BOTH SEXES WERE SELECTED AND RANDOMIZED INTO TWO GROUPS OF 40 EACH. GROUP I CAD PATIENTS WERE GIVEN YOGA REGIMEN FOR 3 MONTHS WHICH CONSISTED OF YOGIC POSTURES, PRANAYAMA BREATHING EXERCISES, DIETARY MODIFICATION, AND HOLISTIC TEACHING ALONG WITH THEIR CONVENTIONAL MEDICINE WHILE GROUP II CAD PATIENTS WERE PUT ONLY ON CONVENTIONAL MEDICINE. LUNG FUNCTIONS INCLUDING DIFFUSION CAPACITY WERE RECORDED THRICE IN BOTH THE GROUPS: 0 DAY AS BASELINE, 22(ND) DAY AND ON 90(TH) DAY BY USING COMPUTERIZED MS MEDISOFT CARDIO-RESPIRATORY INSTRUMENT, HYP'AIR COMPACT MODEL OF CARDIO-RESPIRATORY TESTING MACHINE WAS MANUFACTURED BY P K MORGAN, INDIA. THE RECORDED PARAMETERS WERE STATISTICALLY ANALYZED BY REPEATED MEASURES ANOVA FOLLOWED BY TUKEY'S TEST IN BOTH THE GROUPS. CARDIOVASCULAR PARAMETERS WERE ALSO COMPARED BEFORE AND AFTER INTERVENTION IN BOTH THE GROUPS. RESULTS: STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE SEEN IN SLOW VITAL CAPACITY, FORCED VITAL CAPACITY, PEAK EXPIRATORY FLOW RATE, MAXIMUM VOLUNTARY VENTILATION, AND DIFFUSION FACTOR/ TRANSFER FACTOR OF LUNG FOR CARBON MONOXIDE AFTER 3 MONTHS OF YOGA REGIMEN IN GROUP I. FORCED EXPIRATORY VOLUME IN 1(ST) SEC (FEV1), AND FEV1 % ALSO SHOWED A TREND TOWARD IMPROVEMENT ALTHOUGH NOT STATISTICALLY SIGNIFICANT. HR, SBP AND DBP ALSO SHOWED SIGNIFICANT IMPROVEMENT IN GROUP-I PATIENTS WHO FOLLOWED YOGA REGIMEN. CONCLUSIONS: YOGA REGIMEN WAS FOUND TO IMPROVE LUNG FUNCTIONS AND DIFFUSION CAPACITY IN CAD PATIENTS BESIDES IMPROVING CARDIOVASCULAR FUNCTIONS. THUS, IT CAN BE USED AS A COMPLIMENTARY OR ADJUNCT THERAPY ALONG WITH THE CONVENTIONAL MEDICINE FOR THEIR TREATMENT AND REHABILITATION. 2015 3 865 52 EFFECT OF YOGA PRACTICES ON PULMONARY FUNCTION TESTS INCLUDING TRANSFER FACTOR OF LUNG FOR CARBON MONOXIDE (TLCO) IN ASTHMA PATIENTS. PRANA IS THE ENERGY, WHEN THE SELF-ENERGIZING FORCE EMBRACES THE BODY WITH EXTENSION AND EXPANSION AND CONTROL, IT IS PRANAYAMA. IT MAY AFFECT THE MILIEU AT THE BRONCHIOLES AND THE ALVEOLI PARTICULARLY AT THE ALVEOLO-CAPILLARY MEMBRANE TO FACILITATE DIFFUSION AND TRANSPORT OF GASES. IT MAY ALSO INCREASE OXYGENATION AT TISSUE LEVEL. AIM OF OUR STUDY IS TO COMPARE PULMONARY FUNCTIONS AND DIFFUSION CAPACITY IN PATIENTS OF BRONCHIAL ASTHMA BEFORE AND AFTER YOGIC INTERVENTION OF 2 MONTHS. SIXTY STABLE ASTHMATIC-PATIENTS WERE RANDOMIZED INTO TWO GROUPS I.E GROUP 1 (YOGA TRAINING GROUP) AND GROUP 2 (CONTROL GROUP). EACH GROUP INCLUDED THIRTY PATIENTS. LUNG FUNCTIONS WERE RECORDED ON ALL PATIENTS AT BASELINE, AND THEN AFTER TWO MONTHS. GROUP 1 SUBJECTS SHOWED A STATISTICALLY SIGNIFICANT IMPROVEMENT (P<0.001) IN TRANSFER FACTOR OF THE LUNG FOR CARBON MONOXIDE (TLCO), FORCED VITAL CAPACITY (FVC), FORCED EXPIRATORY VOLUME IN 1ST SEC (FEV1), PEAK EXPIRATORY FLOW RATE (PEFR), MAXIMUM VOLUNTARY VENTILATION (MVV) AND SLOW VITAL CAPACITY (SVC) AFTER YOGA PRACTICE. QUALITY OF LIFE ALSO INCREASED SIGNIFICANTLY. IT WAS CONCLUDED THAT PRANAYAMA & YOGA BREATHING AND STRETCHING POSTURES ARE USED TO INCREASE RESPIRATORY STAMINA, RELAX THE CHEST MUSCLES, EXPAND THE LUNGS, RAISE ENERGY LEVELS, AND CALM THE BODY. 2012 4 844 40 EFFECT OF YOGA ON PULMONARY FUNCTION TESTS OF HYPOTHYROID PATIENTS. AIM OF THIS STUDY WAS TO SEE ANY EFFECT ON RESPIRATORY FUNCTIONS IN HYPOTHYROID PATIENTS AFTER PRANAYAMA (YOGA). THE SUBJECTS FOR THE STUDY WERE 20 HYPOTHYROID FEMALES, 39.70 +/- 8.27 YEARS OF MEAN AGE REFERRED FROM MEDICINE DEPARTMENT OF UCMS & G.T.B. HOSPITAL. SPIRO METRIC RECORDINGS WERE TAKEN WITH HYPAIR (VERSION-1.28). BASELINE (FIRST) RECORDINGS WERE TAKEN WHEN PATIENT CAME FOR THE FIRST TIME. PATIENTS CAME TO YOGA LAB IN PHYSIOLOGY DEPARTMENT FOR 21 DAYS CONTINUOUSLY WHERE THEY WERE TRAINED BY THE YOGA INSTRUCTORS AND THEN TOLD TO DO PRANAYAMA AT HOME AND CALLED AT REGULAR INTERVALS AFTER 7 DAYS TO SEE THE COMPLIANCE. THE BREATHING EXERCISES WERE DONE FOR 45 MINUTES EVERYDAY. AFTER 6 MONTHS OF PRANAYAMA SECOND RECORDING WAS TAKEN AND COMPARED WITH THE BASELINE. THERE WERE SIGNIFICANT IMPROVEMENT IN FORCED EXPIRATORY VOLUME IN FIRST SECOND (FEV1), MAXIMUM VOLUNTARY VENTILATION (MVV) AND INSPIRATORY CAPACITY(IC). THUS PRANAYAMA AND MEDITATION HAS BENEFICIAL EFFECT ON PULMONARY FUNCTIONS OF HYPOTHYROID PATIENTS ALONG WITH CONVENTIONAL TREATMENT. 2010 5 572 25 DEFINITION OF A YOGA BREATHING (PRANAYAMA) PROTOCOL THAT IMPROVES LUNG FUNCTION. THIS STUDY TESTS THE HYPOTHESIS THAT YOGA BREATHING (PRANAYAMA) IMPROVES LUNG FUNCTION IN HEALTHY VOLUNTEERS DURING A 6-WEEK PROTOCOL. A RANDOMIZED CONTROLLED PILOT STUDY DEMONSTRATED AN IMPROVEMENT IN PEAK EXPIRATORY FLOW RATE AND FORCED EXPIRATORY VOLUME. THE EASY-TO-LEARN APPROACH CAN BE TRANSLATED TO THE INPATIENT AND OUTPATIENT SETTINGS. 2019 6 2547 31 YOGA FOR BRONCHIAL ASTHMA: A CONTROLLED STUDY. FIFTY THREE PATIENTS WITH ASTHMA UNDERWENT TRAINING FOR TWO WEEKS IN AN INTEGRATED SET OF YOGA EXERCISES, INCLUDING BREATHING EXERCISES, SURYANAMASKAR, YOGASANA (PHYSICAL POSTURES), PRANAYAMA (BREATH SLOWING TECHNIQUES), DHYANA (MEDITATION), AND A DEVOTIONAL SESSION, AND WERE TOLD TO PRACTISE THESE EXERCISES FOR 65 MINUTES DAILY. THEY WERE THEN COMPARED WITH A CONTROL GROUP OF 53 PATIENTS WITH ASTHMA MATCHED FOR AGE, SEX, AND TYPE AND SEVERITY OF ASTHMA, WHO CONTINUED TO TAKE THEIR USUAL DRUGS. THERE WAS A SIGNIFICANTLY GREATER IMPROVEMENT IN THE GROUP WHO PRACTISED YOGA IN THE WEEKLY NUMBER OF ATTACKS OF ASTHMA, SCORES FOR DRUG TREATMENT, AND PEAK FLOW RATE. THIS STUDY SHOWS THE EFFICACY OF YOGA IN THE LONG TERM MANAGEMENT OF BRONCHIAL ASTHMA, BUT THE PHYSIOLOGICAL BASIS FOR THIS BENEFICIAL EFFECT NEEDS TO BE EXAMINED IN MORE DETAIL. 1985 7 751 28 EFFECT OF SHORT TERM YOGA PRACTICE ON VENTILATORY FUNCTION TESTS. TWENTYFIVE NORMAL MALE VOLUNTEERS UNDERGOING A TEN WEEKS COURSE IN THE PRACTICE OF YOGA HAVE BEEN STUDIED BY SOME PARAMETERS OF VENTILATORY FUNCTIONS TESTS. THE OBSERVATIONS RECORDED AT THE END OF TEN WEEKS OF THE COURSE HAVE SHOWN IMPROVED VENTILATORY FUNCTIONS IN THE FORM OF LOWERED RESPIRATORY RATE, INCREASED FORCED VITAL CAPACITY, FEV1, MAXIMUM BREATHING CAPACITY AND BREATH HOLDING TIME, WHILE TIDAL VOLUME AND %FEV1, DID NOT REVEAL ANY SIGNIFICANT CHANGE. THUS, A COMBINED PRACTICE OF YOGA SEEMS TO BE BENEFICIAL ON RESPIRATORY EFFICIENCY. 1988 8 904 34 EFFECTIVENESS OF ADJUVANT YOGA THERAPY IN DIABETIC LUNG: A RANDOMIZED CONTROL TRIAL. CONTEXT: RECENT STUDIES PROVIDE AMPLE EVIDENCE OF THE BENEFITS OF YOGA IN VARIOUS CHRONIC DISORDERS. DIABETES MELLITUS IS A GROUP OF METABOLIC DISEASES CHARACTERIZED BY CHRONIC HYPERGLYCEMIA AND SANDLER COINED THE TERM "DIABETIC LUNG" FOR THE ABNORMAL PULMONARY FUNCTION DETECTED IN DIABETIC PATIENTS DUE UNDERLYING PULMONARY DYSFUNCTION. YOGA THERAPY MAY HELP IN ACHIEVING BETTER PULMONARY FUNCTION ALONG WITH ENHANCED GLYCAEMIC CONTROL AND OVERALL HEALTH BENEFITS. AIM: TO STUDY THE EFFECT OF ADJUVANT YOGA THERAPY IN DIABETIC LUNG THROUGH SPIROMETRY. SETTINGS AND DESIGN: RANDOMIZED CONTROL TRIAL WAS MADE AS INTERDISCIPLINARY COLLABORATIVE WORK BETWEEN DEPARTMENTS OF YOGA THERAPY, PULMONARY MEDICINE AND ENDOCRINOLOGY, OF MGMC & RI, SRI BALAJI VIDYAPEETH PUDUCHERRY. MATERIALS AND METHODS: 72 PATIENTS OF DIABETIC LUNG AS CONFIRMED BY SPIROMETRY (<70% OF EXPECTED) WERE RANDOMIZED INTO CONTROL GROUP (N=36) WHO RECEIVED ONLY STANDARD MEDICAL TREATMENT AND YOGA GROUP (N=36) WHO RECEIVED YOGA TRAINING THRICE WEEKLY FOR 4 MONTHS ALONG WITH STANDARD MEDICAL MANAGEMENT. YOGA THERAPY PROTOCOL INCLUDED YOGIC COUNSELING, PREPARATORY PRACTICES, ASANAS OR STATIC POSTURES, PRANAYAMA OR BREATHING TECHNIQUES AND RELAXATION TECHNIQUES. HATHENAS OF THE GITANANDA YOGA TRADITION WERE THE MAIN PRACTICES USED. SPIROMETRY WAS DONE AT THE END OF THE STUDY PERIOD. DATA WAS ANALYZED BY STUDENT'S PAIRED AND UNPAIRED 'T' TEST AS IT PASSED NORMALITY. RESULTS: THERE WAS A STATISTICALLY SIGNIFICANT (P < 0.05) REDUCTION IN WEIGHT, AND BMI ALONG WITH A SIGNIFICANT (P < 0.01) IMPROVEMENT IN PULMONARY FUNCTION (FEV1, FVC) IN YOGA GROUP AS COMPARED TO CONTROL GROUP WHERE PARAMETERS WORSENED OVER STUDY PERIOD. CONCLUSION: IT IS CONCLUDED FROM THE PRESENT RCT THAT YOGA HAS A DEFINITE ROLE AS AN ADJUVANT THERAPY AS IT ENHANCES STANDARD MEDICAL CARE AND HENCE IS EVEN MORE SIGNIFICANT IN ROUTINE CLINICAL MANAGEMENT OF DIABETES, IMPROVING PHYSICAL CONDITION AND PULMONARY FUNCTION. 2019 9 2246 30 THE INTEGRATED APPROACH OF YOGA: A THERAPEUTIC TOOL FOR MENTALLY RETARDED CHILDREN: A ONE-YEAR CONTROLLED STUDY. NINETY CHILDREN WITH MENTAL RETARDATION OF MILD, MODERATE AND SEVERE DEGREE WERE SELECTED FROM FOUR SPECIAL SCHOOLS IN BANGALORE, INDIA. FORTY-FIVE CHILDREN UNDERWENT YOGIC TRAINING FOR ONE ACADEMIC YEAR (5 H IN EVERY WEEK) WITH AN INTEGRATED SET OF YOGIC PRACTICES, INCLUDING BREATHING EXERCISES AND PRANAYAMA, SITHILIKARANA VYAYAMA (LOOSENING EXERCISES), SURYANAMASKAR, YOGASANAS AND MEDITATION. THEY WERE COMPARED BEFORE AND AFTER YOGIC TRAINING WITH A CONTROL GROUP OF 45 MENTALLY RETARDED CHILDREN MATCHED FOR CHRONOLOGICAL AGE, SEX, IQ, SOCIO-ECONOMIC STATUS AND SOCIO ENVIRONMENTAL BACKGROUND WHO WERE NOT EXPOSED TO YOGA TRAINING BUT CONTINUED THEIR USUAL SCHOOL ROUTINE DURING THAT PERIOD. THERE WAS HIGHLY SIGNIFICANT IMPROVEMENT IN THE IQ AND SOCIAL ADAPTATION PARAMETERS IN THE YOGA GROUP AS COMPARED TO THE CONTROL GROUP. THIS STUDY SHOWS THE EFFICACY OF YOGA AS AN EFFECTIVE THERAPEUTIC TOOL IN THE MANAGEMENT OF MENTALLY RETARDED CHILDREN. 1989 10 703 39 EFFECT OF INTEGRAL YOGA ON PSYCHOLOGICAL AND HEALTH VARIABLES AND THEIR CORRELATIONS. OBJECTIVE: CERTAIN PSYCHOLOGICAL AND HEALTH VARIABLES ARE COMMONLY MEASURED IN INDIA. THIS STUDY EVALUATES THE EFFECTS OF INTEGRAL YOGA PRACTICES ON THESE VARIABLES AND ALSO THE CONSISTENCY OF CORRELATIONS OBSERVED BETWEEN THEM. MATERIALS AND METHODS: THE STUDY WAS A PRE-POST INTERVENTION STUDY. THE VARIABLES WERE MEASURED AT THE BEGINNING AND THE END OF A ONE-MONTH YOGA COURSE. THERE WAS NO CONTROL GROUP.THE STUDY WAS CARRIED OUT AT SWAMI VIVEKANANDA YOGA ANUSANDHANA SAMSTHANA (S-VYASA) UNIVERSITY, IN ITS RURAL CAMPUS SOUTH OF BANGALORE. BASED ON HEALTH CRITERIA, 108 SUBJECTS WERE SELECTED OUT OF 198 VOLUNTEERS TO FORM THE EXPERIMENTAL YOGA GROUP. AGES RANGED FROM 17 TO 63 YEARS. THE YOGASANAS (POSTURES), PRANAYAMA (BREATHING EXERCISES), RELAXATION TECHNIQUES, MEDITATION, CHANTING AND LECTURES WERE THE COMPONENTS OF YOGA INTERVENTION. THE VARIABLES MEASURED WERE SUSTAINED ATTENTION, EMOTIONAL INTELLIGENCE - EQ, GENERAL HEALTH - GHQ, GUNA PERSONALITY - SATTVA, RAJAS AND TAMAS. RESULTS: SIGNIFICANT PRE-POST CHANGES WERE FOUND IN ALL VARIABLES. SIGNIFICANT CORRELATIONS WERE FOUND BETWEEN THE FOLLOWING PAIRS: THE TWO SUSTAINED ATTENTION VARIABLES; EMOTIONAL INTELLIGENCE AND GENERAL HEALTH; GHQ AND TAMAS; SATTVA AND TAMAS; AND RAJAS AND TAMAS. CONCLUSION: THE STUDY SHOWS THAT THERE WERE SIGNIFICANT CHANGES IN ALL VARIABLES (P< 0.001) EXCEPT IN SATTVA. IT ALSO CONFIRMS THAT EQ AND GENERAL HEALTH VARIABLES CORRELATE SIGNIFICANTLY WITH EACH OTHER AND NEGATIVELY WITH TAMAS. EQ AND TAMAS FORM POSITIVE AND NEGATIVE PREDICTORS OF HEALTH RESPECTIVELY. SATTVA CORRELATES POSITIVELY WITH EQ SUGGESTING THAT A SATTVIC PERSONALITY INDICATES BETTER SELF-CONTROL. THIS SUGGESTS THAT, BY IMPROVING GUNA PERSONALITY, LONG-TERM YOGA PRACTICE MAY STABILIZE EQ. 2011 11 436 34 CARDIORESPIRATORY AND METABOLIC CHANGES DURING YOGA SESSIONS: THE EFFECTS OF RESPIRATORY EXERCISES AND MEDITATION PRACTICES. THE NOVELTY OF THIS STUDY WAS TO INVESTIGATE THE CHANGES IN CARDIORESPIRATORY AND METABOLIC INTENSITY BROUGHT ABOUT BY THE PRACTICE OF PRANAYAMAS (BREATHING EXERCISES OF YOGA) AND MEDITATION DURING THE SAME HATHA-YOGA SESSION. THE TECHNIQUE APPLIED WAS THE ONE ADVOCATED BY THE HATHA-YOGA SYSTEM. NINE YOGA INSTRUCTORS-FIVE FEMALES AND FOUR MALES, MEAN AGE OF 44+/-11, 6, WERE SUBJECTED TO ANALYSIS OF THE GASES EXPIRED DURING THREE DISTINCT PERIODS OF 30 MIN: REST, RESPIRATORY EXERCISES AND MEDITATIVE PRACTICE. A METABOLIC OPEN CIRCUIT COMPUTERIZED SYSTEM WAS APPLIED (VO2000, MEDGRAPHICS-USA). THE OXYGEN UPTAKE (VO(2)) AND THE CARBON DIOXIDE OUTPUT (VCO(2)) WERE STATISTICALLY DIFFERENT (P