1 1538 146 KNOWLEDGE AND ATTITUDES TOWARD PRENATAL YOGA AMONG WOMEN WITH HIGH-RISK PREGNANCIES. THIS STUDY SOUGHT TO EVALUATE ATTITUDES AND KNOWLEDGE ABOUT PRENATAL YOGA AND TO INVESTIGATE BARRIERS AND FACILITATORS TO YOGA PARTICIPATION IN HIGH-RISK PREGNANT WOMEN RECEIVING PRENATAL CARE IN AN ACADEMIC TERTIARY CARE CENTER. WE SURVEYED A CONVENIENCE SAMPLE OF WOMEN RECEIVING PRENATAL CARE THROUGH THE MATERNAL-FETAL MEDICINE PRACTICE AT BRIGHAM AND WOMEN'S HOSPITAL. WE CLASSIFIED PARTICIPANTS AS YOGA-EXPERIENCED OR YOGA-NAIVE DEPENDING ON SELF-REPORT. WE COMPARED DIFFERENCES BETWEEN THE TWO GROUPS USING THE APPROPRIATE NONPARAMETRIC TESTS AND COMPARED BIVARIATE ODDS RATIOS FOR SURVEY RESULTS USING LOGISTIC REGRESSION. OF THE 100 RESPONDENTS, 53% HAD PRACTICED YOGA PREVIOUSLY. WOMEN WITH YOGA EXPERIENCE WERE OLDER (AGE 34.9 +/- 5.6 VS. 31.0 +/- 6.0 YEARS, P = 0.004), MORE LIKELY TO BE COLLEGE GRADUATES (94% VS. 68%, P = 0.002), AND MORE LIKELY TO BE WHITE (77% VS. 47%, P = 0.002) THAN WOMEN WITHOUT PREVIOUS YOGA EXPERIENCE. PREVIOUS YOGA EXPERIENCE WAS ASSOCIATED WITH PARTICIPANT AGREEMENT THAT YOGA WAS SAFE DURING THEIR CURRENT PREGNANCY (ODDS RATIO 5.9, 95% CONFIDENCE INTERVAL 1.9-17.7). OF THE WOMEN SURVEYED, 56% AGREED THAT THEY WOULD LIKE TO ATTEND A PRENATAL YOGA CLASS. IN A MULTIVARIATE MODEL INCLUDING AGE, RACE, AND EDUCATION, PREVIOUS YOGA EXPERIENCE WAS THE ONLY SIGNIFICANT PREDICTOR ASSOCIATED WITH WILLINGNESS TO PARTICIPATE IN PRENATAL YOGA CLASSES DURING CURRENT PREGNANCY (ODDS RATIO 3.1, 95% CONFIDENCE INTERVAL 1.1-8.6). PRIOR YOGA EXPERIENCE WAS THE STRONGEST PREDICTOR OF WILLINGNESS TO ATTEND A PRENATAL YOGA CLASS IN OUR POPULATION. OUR RESULTS SUGGEST THAT WOMEN WITH HIGH-RISK PREGNANCIES WHO MAY BENEFIT FROM PRENATAL YOGA INTERVENTIONS BUT LACK PRIOR YOGA EXPERIENCE MAY NEED ADDITIONAL EDUCATION TO FACILITATE PARTICIPATION. 2020 2 628 31 DIFFERENCES BETWEEN VEGETARIAN AND OMNIVOROUS YOGA PRACTITIONERS-RESULTS OF A NATIONALLY REPRESENTATIVE SURVEY OF US ADULT YOGA PRACTITIONERS. BACKGROUND: TO EXAMINE THE PREVALENCE OF VEGETARIANISM AMONG YOGA PRACTITIONERS, AND TO EXPLORE DIFFERENCES AND SIMILARITIES BETWEEN YOGA PRACTITIONERS WHO ALSO USE VEGETARIAN DIET AND THOSE WHO DO NOT. DESIGN AND SETTING: USING CROSS-SECTIONAL DATA FROM THE 2012 NATIONAL HEALTH INTERVIEW SURVEY (NHIS) (N = 34,525), WEIGHTED FREQUENCIES FOR 12-MONTH PREVALENCE OF VEGETARIAN DIET USE AMONG YOGA PRACTITIONERS WERE ANALYZED. LOGISTIC REGRESSION ANALYSES WERE USED TO ANALYZE SOCIODEMOGRAPHIC AND CLINICAL PREDICTORS OF VEGETARIAN DIET USE. RESULTS: A TOTAL OF 1.7 MILLION US YOGA PRACTITIONERS HAVE USED A VEGETARIAN DIET IN THE PAST 12 MONTHS (8.3%), COMPARED TO 2.7 MILLION NON-YOGA PRACTITIONERS (1.3%). YOGA PRACTITIONERS WHO WERE AGED BETWEEN 30 AND 64 YEARS AS COMPARED TO BEING 29 YEARS OR YOUNGER WERE MORE LIKELY TO HAVE USED A VEGETARIAN DIET IN THE PAST 12 MONTHS; WHILE THOSE BEING IN A RELATIONSHIP (OR = 0.64), OVERWEIGHT (OR = 0.54), SMOKING (OR 0.64) OR HAVING PRIVATE HEALTH INSURANCE (OR = 0.59) WERE LESS LIKELY. VEGETARIAN DIET PRACTITIONERS MORE OFTEN INCLUDED MEDITATION AS PART OF THEIR YOGA PRACTICE AND MORE OFTEN CHOSE YOGA BECAUSE IT HAD A HOLISTIC FOCUS, AND WAS PERCEIVED TO TREAT THE CAUSE AND NOT THE SYMPTOMS OF THEIR HEALTH COMPLAINT. CONCLUSIONS: YOGA PRACTITIONERS FOLLOWING A VEGETARIAN DIET SEEM TO EMBRACE YOGA MORE AS A LIFESTYLE THAN AS A THERAPY. 2018 3 1785 50 PREDICTORS OF YOGA USE AMONG INTERNAL MEDICINE PATIENTS. BACKGROUND: YOGA SEEMS TO BE AN EFFECTIVE MEANS TO COPE WITH A VARIETY OF INTERNAL MEDICINE CONDITIONS. WHILE CHARACTERISTICS OF YOGA USERS HAVE BEEN INVESTIGATED IN THE GENERAL POPULATION, LITTLE IS KNOWN ABOUT PREDICTORS OF YOGA USE AND BARRIERS TO YOGA USE IN INTERNAL MEDICINE PATIENTS. THE AIM OF THIS CROSS-SECTIONAL ANALYSIS WAS TO IDENTIFY SOCIODEMOGRAPHIC, CLINICAL, AND PSYCHOLOGICAL PREDICTORS OF YOGA USE AMONG INTERNAL MEDICINE PATIENTS. METHODS: A CROSS-SECTIONAL ANALYSIS WAS CONDUCTED AMONG ALL PATIENTS BEING REFERRED TO A DEPARTMENT OF INTERNAL AND INTEGRATIVE MEDICINE DURING A 3-YEAR PERIOD. IT WAS ASSESSED WHETHER PATIENTS HAD EVER USED YOGA FOR THEIR PRIMARY MEDICAL COMPLAINT, THE PERCEIVED BENEFIT, AND THE PERCEIVED HARM OF YOGA PRACTICE. POTENTIAL PREDICTORS OF YOGA USE INCLUDING SOCIODEMOGRAPHIC CHARACTERISTICS, HEALTH BEHAVIOR, INTERNAL MEDICINE DIAGNOSIS, GENERAL HEALTH STATUS, MENTAL HEALTH, SATISFACTION WITH HEALTH, AND HEALTH LOCUS OF CONTROL WERE ASSESSED; AND ASSOCIATIONS WITH YOGA USE WERE TESTED USING MULTIPLE LOGISTIC REGRESSION ANALYSIS. ODDS RATIOS (OR) WITH 95% CONFIDENCE INTERVALS (CI) WERE CALCULATED FOR SIGNIFICANT PREDICTORS. RESULTS: OF 2486 PARTICIPANTS, 303 (12.19%) REPORTED HAVING USED YOGA FOR THEIR PRIMARY MEDICAL COMPLAINT. OF THOSE, 184 (60.73%) REPORTED BENEFITS AND 12 (3.96%) REPORTED HARMS DUE TO YOGA PRACTICE. COMPARED TO YOGA NON-USERS, YOGA USERS WERE MORE LIKELY TO BE 50-64 YEARS OLD (OR = 1.45; 95%CI = 1.05-2.01; P = 0.025); FEMALE (OR = 2.45; 95%CI = 1.45-4.02; P < 0.001); AND COLLEGE GRADUATES (OR = 1.61; 95%CI = 1.14-2.27; P = 0.007); AND LESS LIKELY TO CURRENTLY SMOKE (OR = 0.61; 95%CI = 0.39-0.96; P = 0.031). MANIFEST ANXIETY (OR = 1.47; 95%CI = 1.06-2.04; P = 0.020); AND HIGH INTERNAL HEALTH LOCUS OF CONTROL (OR = 1.92; 95%CI = 1.38-2.67; P < 0.001) WERE POSITIVELY ASSOCIATED WITH YOGA USE, WHILE HIGH EXTERNAL-FATALISTIC HEALTH LOCUS OF CONTROL (OR = 0.66; 95%CI = 0.47-0.92; P = 0.014) WAS NEGATIVELY ASSOCIATED WITH YOGA USE. CONCLUSION: YOGA WAS USED FOR THEIR PRIMARY MEDICAL COMPLAINT BY 12.19% OF AN INTERNAL INTEGRATIVE MEDICINE PATIENT POPULATION AND WAS COMMONLY PERCEIVED AS BENEFICIAL. YOGA USE WAS NOT ASSOCIATED WITH THE PATIENTS' SPECIFIC DIAGNOSIS BUT WITH SOCIODEMOGRAPHIC FACTORS, MENTAL HEALTH, AND HEALTH LOCUS OF CONTROL. TO IMPROVE ADHERENCE TO YOGA PRACTICE, IT SHOULD BE CONSIDERED THAT MALE, YOUNGER, AND ANXIOUS PATIENTS AND THOSE WITH LOW INTERNAL HEALTH LOCUS OF CONTROL MIGHT BE LESS INTRINSICALLY MOTIVATED TO START YOGA. 2013 4 1786 51 PREDICTORS OF YOGA USE AMONG PATIENTS WITH BREAST CANCER. OBJECTIVE: EMERGING RESEARCH SUGGESTS THAT YOGA MAY BE BENEFICIAL FOR REDUCING SYMPTOMS AND IMPROVING QUALITY OF LIFE AMONG BREAST CANCER PATIENTS. HOWEVER, VERY LITTLE IS KNOWN ABOUT THE CHARACTERISTICS OF BREAST CANCER PATIENTS WHO USE YOGA; THUS, THIS STUDY SEEKS TO IDENTIFY THE SOCIODEMOGRAPHIC AND CLINICAL CHARACTERISTICS OF YOGA USERS AMONG THIS POPULATION. DESIGN: A CROSS-SECTIONAL SURVEY STUDY WAS CONDUCTED. SETTING: THE STUDY WAS CONDUCTED AT AN OUTPATIENT BREAST ONCOLOGY CLINIC AT A LARGE UNIVERSITY HOSPITAL. PARTICIPANTS: THREE HUNDRED POSTMENOPAUSAL BREAST CANCER PATIENTS CURRENTLY RECEIVING AROMATASE INHIBITORS WERE INCLUDED IN THIS STUDY. MAIN OUTCOME MEASUREMENT: SELF-REPORTED USE OF YOGA FOLLOWING THE CANCER DIAGNOSIS WAS COLLECTED ALONG WITH SOCIODEMOGRAPHIC AND CLINICAL DATA. MULTIVARIATE LOGISTIC REGRESSION WAS USED TO IDENTIFY INDEPENDENT PREDICTORS OF YOGA USE AMONG BREAST CANCER PATIENTS. RESULTS: OF 300 PARTICIPANTS, 53 (17.7%) REPORTED HAVING USED YOGA FOLLOWING CANCER DIAGNOSIS. WHITE PATIENTS WERE SIGNIFICANTLY MORE LIKELY TO USE YOGA THAN NONWHITE PATIENTS (P = .02). HIGHER EDUCATION LEVEL, LOWER BMI (BODY MASS INDEX), PART-TIME EMPLOYMENT STATUS, PREVIOUS CHEMOTHERAPY, AND RADIATION THERAPY WERE ALL ASSOCIATED WITH GREATER YOGA USE (ALL P < .05). CONTROLLING FOR OTHER FACTORS, GREATER YOGA USE WAS INDEPENDENTLY ASSOCIATED WITH HIGHER EDUCATION LEVEL (ADJUSTED ODDS RATIO [AOR] 2.72, 95% CONFIDENCE INTERVAL [CI], 1.15-6.46), AND LOWER BMI (AOR 0.25, 95% CI, 0.09-0.66). CONCLUSION: YOGA USE FOLLOWING BREAST CANCER DIAGNOSIS WAS SUBSTANTIALLY HIGHER FOR WHITE PATIENTS AND THOSE WITH LOWER BMI AND HIGHER EDUCATION LEVELS. CONSIDERING ITS POTENTIAL BENEFITS FOR SYMPTOM MANAGEMENT IN CANCER, MORE RESEARCH IS NEEDED TO UNDERSTAND THE ATTITUDES AND BARRIERS TO YOGA USE AMONG INDIVIDUALS WITH NONWHITE RACE, LOWER EDUCATION, AND HIGHER BMI LEVEL. SUCH INVESTIGATION WILL HELP DESIGN YOGA PROGRAMS THAT ARE ALIGNED TO THE NEEDS OF THESE POPULATIONS. 2010 5 1807 38 PREVALENCE, PATTERNS, AND PREDICTORS OF YOGA USE: RESULTS OF A U.S. NATIONALLY REPRESENTATIVE SURVEY. INTRODUCTION: THE PURPOSE OF THIS STUDY WAS TO INVESTIGATE THE PREVALENCE, PATTERNS, AND PREDICTORS OF YOGA USE IN THE U.S. GENERAL POPULATION. METHODS: USING CROSS-SECTIONAL DATA FROM THE 2012 NATIONAL HEALTH INTERVIEW SURVEY FAMILY CORE, SAMPLE ADULT CORE, AND ADULT COMPLEMENTARY AND ALTERNATIVE MEDICINE QUESTIONNAIRES (N=34,525), WEIGHTED FREQUENCIES FOR LIFETIME AND 12-MONTH PREVALENCE OF YOGA USE AND PATTERNS OF YOGA PRACTICE WERE ANALYZED. USING LOGISTIC REGRESSION ANALYSES, SOCIODEMOGRAPHIC PREDICTORS OF LIFETIME YOGA USE WERE ANALYZED. ANALYSES WERE CONDUCTED IN 2015. RESULTS: LIFETIME AND 12-MONTH PREVALENCE OF YOGA USE WERE 13.2% AND 8.9%, RESPECTIVELY. COMPARED WITH NONPRACTITIONERS, LIFETIME YOGA PRACTITIONERS WERE MORE LIKELY FEMALE, YOUNGER, NON-HISPANIC WHITE, COLLEGE EDUCATED, HIGHER EARNERS, LIVING IN THE WEST, AND OF BETTER HEALTH STATUS. AMONG THOSE WHO HAD PRACTICED IN THE PAST 12 MONTHS, 51.2% ATTENDED YOGA CLASSES, 89.9% USED BREATHING EXERCISES, AND 54.9% USED MEDITATION. YOGA WAS PRACTICED FOR GENERAL WELLNESS OR DISEASE PREVENTION (78.4%), TO IMPROVE ENERGY (66.1%), OR TO IMPROVE IMMUNE FUNCTION (49.7%). BACK PAIN (19.7%), STRESS (6.4%), AND ARTHRITIS (6.4%) WERE THE MAIN SPECIFIC HEALTH PROBLEMS FOR WHICH PEOPLE PRACTICED YOGA. CONCLUSIONS: ABOUT 31 MILLION U.S. ADULTS HAVE EVER USED YOGA, AND ABOUT 21 MILLION PRACTICED YOGA IN THE PAST 12 MONTHS. DISEASE PREVENTION AND BACK PAIN RELIEF WERE THE MOST IMPORTANT HEALTH REASONS FOR YOGA PRACTICE. YOGA PRACTICE IS ASSOCIATED WITH AGE, GENDER, ETHNICITY, SES, AND HEALTH STATUS. 2016 6 2370 38 WHAT BRINGS YOUNG ADULTS TO THE YOGA MAT? CROSS-SECTIONAL ASSOCIATIONS BETWEEN MOTIVATIONAL PROFILES AND PHYSICAL AND PSYCHOLOGICAL HEALTH AMONG PARTICIPANTS IN THE PROJECT EAT-IV SURVEY. OBJECTIVES: THIS STUDY EXAMINES MOTIVATIONS FOR YOGA AND IDENTIFIES UNIQUE MOTIVATIONAL PROFILES AMONG A SAMPLE OF YOUNG ADULT YOGA PRACTITIONERS. THIS STUDY FURTHER DETERMINES HOW YOUNG ADULT YOGA PRACTITIONERS' MOTIVATIONAL PROFILES ASSOCIATE WITH PHYSICAL HEALTH BEHAVIORS AND PSYCHOLOGICAL FACTORS. SUBJECTS/SETTING: SURVEY DATA WERE DRAWN FROM THE FOURTH WAVE OF A LARGE, POPULATION-BASED STUDY (PROJECT EAT-IV; EATING AND ACTIVITY IN TEENS AND YOUNG ADULTS). DESIGN: LATENT CLASS ANALYSIS (LCA) WAS USED TO IDENTIFY MOTIVATIONAL PROFILES AMONG PROJECT EAT-IV PARTICIPANTS PRACTICING YOGA (N = 297; MEAN AGE: 30.8-1.7 YEARS; 79.7 % FEMALE). CROSS-SECTIONAL ASSOCIATIONS BETWEEN LATENT MOTIVATIONAL PROFILES, PHYSICAL HEALTH BEHAVIORS, AND PSYCHOLOGICAL FACTORS WERE DETERMINED WITH UNADJUSTED AND ADJUSTED (GENDER, RACE/ETHNICITY, AND BODY MASS INDEX) GENERAL LINEAR MODELS. RESULTS: ACROSS MOTIVATIONAL PROFILES, MOST YOUNG ADULT YOGA PRACTITIONERS WERE MOTIVATED BY ENHANCED FITNESS AND STRESS REDUCTION/RELAXATION. ADDITIONAL MOTIVATIONS FOR YOGA CLUSTERED BY APPEARANCE (DESIRE TO CHANGE BODY APPEARANCE OR WEIGHT) OR MINDFULNESS (DESIRE TO INCREASE PRESENT MOMENT AWARENESS) UNDERPINNINGS. THE LCA CHARACTERIZED MOTIVATIONAL PROFILES AS "LOW APPEARANCE, LOW MINDFULNESS" (CLASS 1; N = 77), "LOW APPEARANCE, HIGH MINDFULNESS" (CLASS 2; N = 48), "HIGH APPEARANCE, LOW MINDFULNESS" (CLASS 3; N = 79), AND "HIGH APPEARANCE, HIGH MINDFULNESS" (CLASS 4; N = 93). HAVING A PROFILE WITH HIGH MINDFULNESS AND LOW APPEARANCE MOTIVATIONS (CLASS 2) WAS ASSOCIATED WITH HIGHER BODY SATISFACTION IN COMPARISON TO THE OTHER CLASSES (P < 0.001). RELATIVE TO CLASS 2, THOSE WITH LOW MINDFULNESS MOTIVATIONS (CLASS 1; CLASS 3) REPORTED LESS TOTAL PHYSICAL ACTIVITY (P = 0.002) AND THOSE WITH HIGH APPEARANCE MOTIVATIONS (CLASS 3; CLASS 4) REPORTED HIGHER COMPULSIVE EXERCISE SCORES (P = 0.002). CONCLUSIONS: IN THIS SAMPLE, HIGH MINDFULNESS AND LOW APPEARANCE MOTIVATIONS FOR YOGA APPEARED OPTIMAL FOR PHYSICAL AND PSYCHOLOGICAL HEALTH. CROSS-SECTIONAL FINDINGS SUGGEST THAT YOUNG ADULT YOGA PRACTITIONERS' MIND-BODY HEALTH MAY BE SUPPORTED BY MOTIVATIONAL UNDERPINNINGS THAT EMPHASIZE YOGA'S INTERNAL (MINDFULNESS) RATHER THAN EXTERNAL (APPEARANCE) BENEFITS. 2022 7 1445 39 INCREASING TREND OF YOGA PRACTICE AMONG U.S. ADULTS FROM 2002 TO 2017. INTRODUCTION: BENEFITS, RISKS, AND THE INCREASING POPULARITY OF YOGA USE WARRANT ASSESSING YOGA PRACTICE PREVALENCE AND USERS' PROFILES. THIS STUDY DESCRIBES TRENDS IN YOGA PRACTICE EXCLUSIVELY AMONG AMERICAN ADULTS FROM 2002 TO 2017, COMPARES THE PROFILE OF YOGA USERS, AND IDENTIFIES FACTORS RELATED TO YOGA USE OVER TIME. MATERIALS AND METHODS: THIS STUDY IS A SECONDARY ANALYSIS DONE IN 2019 AND 2020 USING THE NATIONAL HEALTH INTERVIEW SURVEY (NHIS) 2002, 2007, 2012, AND 2017 DATA. POPULATION WEIGHTS WERE USED TO OBTAIN STATISTICALLY ACCURATE ESTIMATES OF YOGA USE PREVALENCE FOR THE U.S. POPULATION. DESCRIPTIVE STATISTICS WERE USED TO PROFILE THE SOCIODEMOGRAPHIC AND HEALTH-RELATED CHARACTERISTICS OF YOGA USERS. MULTIVARIABLE LOGISTIC REGRESSION WAS USED TO IDENTIFY FACTORS ASSOCIATED WITH YOGA USE IN EACH COHORT DEFINED BY THE NHIS YEAR. RESULTS: YOGA PRACTICE PREVALENCE NEARLY TRIPLED FROM 5.1% IN 2002 TO 13.7% IN 2017 (WEIGHTED ESTIMATE 10,386,456 AND 32,761,194 AMERICAN ADULTS, RESPECTIVELY). TYPICAL YOGA USERS WERE YOUNG NON-HISPANIC SINGLE WHITE FEMALE ADULTS WITH BACHELOR OR HIGHER EDUCATION AND HEALTH INSURANCE, AND RESIDED IN THE WEST REGION OF THE UNITED STATES. YOGA USE PATTERN CHANGE OVER TIME WAS SIGNIFICANTLY RELATED TO ONLY YOUNGER AGE (P < 0.001) BUT NOT TO OTHER SOCIODEMOGRAPHIC OR HEALTH-RELATED FACTORS. CONCLUSIONS: YOGA HAS GAINED INCREASING POPULARITY IN THE PAST TWO DECADES AMONG AMERICAN ADULTS, WITH YOUNGER ADULTS BEING THE DRIVING FORCE. YOGA APPEARS TO BE ADOPTED FOR GENERAL WELL-BEING OR PREVENTION MORE THAN FOR SPECIFIC DISEASE TREATMENT. FUTURE RESEARCH SHOULD EVALUATE HOW YOGA CAN BE EFFECTIVELY AND SAFELY INTEGRATED INTO PREVENTIVE MEDICINE STRATEGIES. 2021 8 291 43 ADVERSE EFFECTS OF YOGA: A NATIONAL CROSS-SECTIONAL SURVEY. BACKGROUND: WHILE YOGA IS INCREASINGLY USED FOR HEALTH PURPOSES, ITS SAFETY HAS BEEN QUESTIONED. THE AIM OF THIS CROSS-SECTIONAL SURVEY WAS TO ANALYZE YOGA-ASSOCIATED ADVERSE EFFECTS AND THEIR CORRELATES. METHODS: A CROSS-SECTIONAL ANONYMOUS NATIONAL ONLINE SURVEY AMONG GERMAN YOGA PRACTITIONERS (N = 1702; 88.9% FEMALE; 47.2 +/- 10.8 YEARS) WAS CONDUCTED FROM JANUARY TO JUNE 2016. PARTICIPANTS WERE QUERIED REGARDING THEIR YOGA PRACTICE, I.E. YOGA STYLES USED, LENGTH AND INTENSITY OF YOGA PRACTICE, PRACTICE PATTERNS, AND WHETHER THEY HAD EXPERIENCED ACUTE OR CHRONIC ADVERSE EFFECTS OF THEIR YOGA PRACTICE. INDEPENDENT PREDICTORS OF ACUTE OR CHRONIC ADVERSE EFFECTS WERE IDENTIFIED USING MULTIPLE LOGISTIC REGRESSION ANALYSES. RESULTS: ASHTANGA YOGA (15.7%), TRADITIONAL HATHA YOGA (14.2%), AND SIVANANDA YOGA (22.4%) WERE THE MOST COMMONLY USED YOGA STYLES. 364 (21.4%) YOGA USERS REPORTED 702 ACUTE ADVERSE EFFECTS, OCCURRING AFTER A MEAN OF 7.6 +/- 8.0 YEARS OF YOGA PRACTICE. THE MOST COMMONLY REPORTED YOGA PRACTICES THAT WERE ASSOCIATED WITH ACUTE ADVERSE EFFECTS WERE HAND-, SHOULDER- AND HEAD STANDS (29.4%). USING VINIYOGA WAS ASSOCIATED WITH A DECREASED RISK OF ACUTE ADVERSE EFFECTS; PRACTICING ONLY BY SELF-STUDY WITHOUT SUPERVISION WAS ASSOCIATED WITH HIGHER RISK. ONE HUNDRED SEVENTY-THREE PARTICIPANTS (10.2%) REPORTED 239 CHRONIC ADVERSE EFFECTS. THE RISK OF CHRONIC ADVERSE EFFECTS WAS HIGHER IN PARTICIPANTS WITH CHRONIC ILLNESSES AND THOSE PRACTICING ONLY BY SELF-STUDY WITHOUT SUPERVISION. MOST REPORTED ADVERSE EFFECTS CONCERNED THE MUSCULOSKELETAL SYSTEM. 76.9% OF ACUTE CASES, AND 51.6% OF CHRONIC CASES REACHED FULL RECOVERY. ON AVERAGE 0.60 INJURIES (95% CONFIDENCE INTERVAL = 0.51-0.71) PER 1000 H OF PRACTICE WERE REPORTED, WITH POWER YOGA USERS REPORTING THE HIGHEST RATE (1.50 INJURIES PER 1000 H; 95% CONFIDENCE INTERVAL = 0.98-3.15). CONCLUSIONS: ONE IN FIVE ADULT YOGA USERS REPORTED AT LEAST ONE ACUTE ADVERSE EFFECT IN THEIR YOGA PRACTICE, AND ONE IN TEN REPORTED AT LEAST ONE CHRONIC ADVERSE EFFECT, MAINLY MUSCULOSKELETAL EFFECTS. ADVERSE EFFECTS WERE ASSOCIATED WITH HAND-, SHOULDER- AND HEAD STANDS; AND WITH YOGA SELF-STUDY WITHOUT SUPERVISION. MORE THAN THREE QUARTERS OF OF CASES REACHED FULL RECOVERY. BASED ON THE OVERALL INJURY RATE PER 1000 PRACTICE HOURS, YOGA APPEARS TO BE AS SAFE OR SAFER WHEN COMPARED TO OTHER EXERCISE TYPES. 2019 9 365 30 ASSOCIATIONS OF YOGA PRACTICE, HEALTH STATUS, AND HEALTH BEHAVIOR AMONG YOGA PRACTITIONERS IN GERMANY-RESULTS OF A NATIONAL CROSS-SECTIONAL SURVEY. BACKGROUND: WHILE YOGA CAN IMPROVE HEALTH-RELATED VARIABLES AND HEALTH BEHAVIOR, DIFFERENT YOGA STYLES AND PRACTICE COMPONENTS APPEAR TO BE ASSOCIATED WITH SPECIFIC HEALTH OUTCOMES. THE AIM OF THIS STUDY WAS TO EXPLORE THE CONNECTION BETWEEN YOGA USE, HEALTH, AND HEALTH BEHAVIORS ACROSS DIFFERENT YOGA STYLES. METHODS: A CROSS-SECTIONAL ANONYMOUS ONLINE SURVEY (N = 1,702; 88.9% FEMALE; 93.3% GERMAN NATIONALITY; MEAN AGE 47.2 +/- 10.8 YEARS; 58.2% YOGA TEACHERS) ASSESSED YOGA PRACTICE CHARACTERISTICS, HEALTH-RELATED VARIABLES AND HEALTH BEHAVIOR. THE SURVEY WAS DISTRIBUTED IN GERMANY ONLY BUT NOT LIMITED TO GERMAN PARTICIPANTS. RESULTS: ASHTANGA YOGA (15.7%), HATHA YOGA (14.2%), AND SIVANANDA YOGA (22.4%) WERE THE MOST COMMONLY PRACTICED YOGA STYLES; PARTICIPANTS PRACTICED FOR A MEAN OF 12.7 +/- 10.0 YEARS. MOST PARTICIPANTS HAD GOOD TO EXCELLENT (96.1%) OVERALL HEALTH; 87.7% REPORTED IMPROVED HEALTH SINCE STARTING YOGA. CONTROLLING FOR SOCIODEMOGRAPHIC AND CLINICAL FACTORS, HEALTH-RELATED VARIABLES WERE MAINLY ASSOCIATED WITH FREQUENCY OF YOGA POSTURES PRACTICE (P < 0.05), HEALTH BEHAVIORS ALSO WITH YOGA PHILOSOPHY STUDY (P < 0.05). THE VARIOUS YOGA STYLES WERE ASSOCIATED WITH SPECIFIC HEALTH-RELATED VARIABLES (P < 0.05). CONCLUSION: YOGA PRACTITIONERS GENERALLY HAVE A GOOD OVERALL HEALTH AND A HEALTHY LIFESTYLE. WHILE HEALTH VARIABLES ARE MAINLY ASSOCIATED WITH PRACTICE OF YOGA POSTURES, HEALTH BEHAVIORS ARE ALSO ASSOCIATED WITH THE STUDY OF YOGA PHILOSOPHY. YOGA INTERVENTIONS TARGETING PREVENTION OR HEALTH PROMOTION SHOULD INCLUDE YOGA PHILOSOPHY TO MODIFY HEALTH BEHAVIORS. THE SPECIFIC YOGA STYLE EMPLOYED MAY ALSO INFLUENCE HEALTH OUTCOMES. 2019 10 357 38 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 11 1271 23 FREQUENCY OF YOGA PRACTICE PREDICTS HEALTH: RESULTS OF A NATIONAL SURVEY OF YOGA PRACTITIONERS. BACKGROUND. YOGA SHOWS PROMISE AS A THERAPEUTIC INTERVENTION, BUT RELATIONSHIPS BETWEEN YOGA PRACTICE AND HEALTH ARE UNDEREXPLORED. PURPOSE. TO EXAMINE THE RELATIONSHIP BETWEEN YOGA PRACTICE AND HEALTH (SUBJECTIVE WELL-BEING, DIET, BMI, SMOKING, ALCOHOL/CAFFEINE CONSUMPTION, SLEEP, FATIGUE, SOCIAL SUPPORT, MINDFULNESS, AND PHYSICAL ACTIVITY). METHODS. CROSS-SECTIONAL, ANONYMOUS INTERNET SURVEYS DISTRIBUTED TO 4307 RANDOMLY SELECTED FROM 18,160 INDIVIDUALS AT 15 US IYENGAR YOGA STUDIOS; 1045 (24.3%) SURVEYS COMPLETED. RESULTS. MEAN AGE 51.7 (+/- 11.7) YEARS; 84.2% FEMALE. FREQUENCY OF HOME PRACTICE FAVORABLY PREDICTED (P < .001): MINDFULNESS, SUBJECTIVE WELL-BEING, BMI, FRUIT AND VEGETABLE CONSUMPTION, VEGETARIAN STATUS, SLEEP, AND FATIGUE. EACH COMPONENT OF YOGA PRACTICE (DIFFERENT CATEGORIES OF PHYSICAL POSES, BREATH WORK, MEDITATION, PHILOSOPHY STUDY) PREDICTED AT LEAST 1 HEALTH OUTCOME (P < .05). CONCLUSIONS. HOME PRACTICE OF YOGA PREDICTED HEALTH BETTER THAN YEARS OF PRACTICE OR CLASS FREQUENCY. DIFFERENT PHYSICAL POSES AND YOGA TECHNIQUES MAY HAVE UNIQUE HEALTH BENEFITS. 2012 12 1781 35 PREDICTORS OF AND BARRIERS TO ADHERENCE IN A 16-WEEK RANDOMISED CONTROLLED TRIAL OF BIKRAM YOGA IN STRESSED AND SEDENTARY ADULTS. BACKGROUND: BIKRAM YOGA MAY ENHANCE HEALTH OUTCOMES IN HEALTHY ADULTS AND THOSE AT RISK FOR CHRONIC DISEASE, HOWEVER, CHALLENGES REMAIN IN ACHIEVING OPTIMAL ADHERENCE TO THIS PRACTICE. THIS STUDY INVESTIGATED FACTORS INFLUENCING ADHERENCE TO A 16-WEEK BIKRAM YOGA INTERVENTION IN STRESSED AND SEDENTARY ADULTS. METHODS: EXPERIMENTAL GROUP PARTICIPANTS (N = 29) WERE INSTRUCTED TO ATTEND 3-5 BIKRAM YOGA CLASSES WEEKLY FOR 16 WEEKS. BASELINE DEMOGRAPHICS, BEHAVIOURS AND HEALTH MEASURES WERE INVESTIGATED AS PREDICTORS OF ADHERENCE. BARRIERS WERE ASSESSED VIA DOCUMENTATION OF ADVERSE EVENTS, AND EXIT SURVEY RESPONSES. RESULTS: PARTICIPANTS (38.2 +/- 10.1 YEARS) WERE PREDOMINANTLY OVERWEIGHT-OBESE (83%), FEMALE (79%), AND ATTENDED 27 +/- 18 CLASSES. HIGHER ADHERENCE WAS ASSOCIATED WITH OLDER AGE (P = 0.094), LESS PAIN (P = 0.011), FEWER PHYSICAL LIMITATIONS (P = 0.011), POORER BLOOD LIPID PROFILE, AND HIGHER HEART RATE VARIABILITY (HRV; TOTAL POWER, (P = 0.097)). IN MULTI-VARIABLE ANALYSIS, THREE VARIABLES: AGE (BETA = 0.492, P = 0.006), HRV (BETA = 0.413, P = 0.021) AND PAIN (BETA = 0.329, P = 0.048) REMAINED PREDICTORS OF ADHERENCE. DIFFICULTY COMMITTING TO THE TRIAL, LACK OF ENJOYMENT AND ADVERSE EVENTS WERE BARRIERS TO ADHERENCE. CONCLUSIONS: THESE FINDINGS SHOULD BE CONSIDERED IN THE DEVELOPMENT OF FUTURE BIKRAM YOGA TRIALS TO FACILITATE HIGHER LEVELS OF ADHERENCE, WHICH MAY ENHANCE HEALTH OUTCOMES AND INFORM COMMUNITY PRACTICE. FUTURE TRIALS SHOULD INVESTIGATE AND ADDRESS ADDITIONAL BARRIERS AND FACILITATORS OF BIKRAM YOGA PRACTICE. 2019 13 339 27 ARE SCREENING BY YOGA INSTRUCTORS AND THEIR PRACTICE PATTERNS IMPORTANT TO PREVENT INJURIES IN YOGA CLIENTS? BACKGROUND AND PURPOSE: LITTLE INFORMATION EXISTS REGARDING THE ASSOCIATION OF YOGA-RELATED INJURIES WITH YOGA INSTRUCTOR (YI) PRACTICE PATTERNS. THEREFORE, THIS CROSS-SECTIONAL SURVEY EXAMINED THE SCREENING AND PRACTICE CHARACTERISTICS OF YI AND ITS RELATIONSHIP WITH YOGA-RELATED INJURIES. METHODS AND MATERIALS: YI FROM NORTHEASTERN US COMPLETED A CUSTOMIZED WEB-BASED 57-ITEM QUESTIONNAIRE. RESULTS: THE RESPONSE RATE OF OUR QUESTIONNAIRE WAS 46%. IN THIS STUDY, ONLY 8.8% OF THE YI REPORTED PHYSICAL PERFORMANCE SCREENING AND 33.7% OF THE PARTICIPANTS DID MEDICAL SCREENINGS WITH THEIR CLIENTS. A BINOMIAL LOGISTIC REGRESSION ANALYSIS WITH THE ABOVE VARIABLES REVEALED THAT ADHERENCE TO TRAINING BY YI (P = 0.031) AND THE USE OF SUN SALUTATIONS (P = 0.002) PREDICTED LOWER YOGA-RELATED INJURIES IN CLIENTS REPORTED BY YI. CONCLUSIONS: REDUCTION IN CLIENT YOGA-RELATED INJURIES WAS PREDICTED BY YI ADHERING TO THEIR TRAINING AND PERFORMING SUN SALUTATIONS IN THEIR CLASSES. 2020 14 1788 41 PRELIMINARY EVIDENCE THAT YOGA PRACTICE PROGRESSIVELY IMPROVES MOOD AND DECREASES STRESS IN A SAMPLE OF UK PRISONERS. OBJECTIVES. IN THE FIRST RANDOMIZED CONTROLLED TRIAL OF YOGA ON UK PRISONERS, WE PREVIOUSLY SHOWED THAT YOGA PRACTICE WAS ASSOCIATED WITH IMPROVED MENTAL WELLBEING AND COGNITION. HERE, WE AIMED TO ASSESS HOW CLASS ATTENDANCE, SELF-PRACTICE, AND DEMOGRAPHIC FACTORS WERE RELATED TO OUTCOME AMONGST PRISONERS ENROLLED IN THE 10-WEEK YOGA INTERVENTION. METHODS. THE DATA OF 55 PARTICIPANTS (52 MALE, 3 FEMALE) WHO COMPLETED A 10-WEEK YOGA COURSE WERE ANALYSED. CHANGES IN PRE- AND POSTYOGA MEASURES OF AFFECT, PERCEIVED STRESS, AND PSYCHOLOGICAL SYMPTOMS WERE ENTERED INTO LINEAR REGRESSION ANALYSES WITH BIAS-CORRECTED AND ACCELERATED BOOTSTRAP CONFIDENCE INTERVALS. CLASS ATTENDANCE, SELF-PRACTICE, DEMOGRAPHIC VARIABLES, AND BASELINE PSYCHOMETRIC VARIABLES WERE INCLUDED AS REGRESSORS. RESULTS. PARTICIPANTS WHO ATTENDED MORE YOGA CLASSES AND THOSE WHO ENGAGED IN FREQUENT (5 TIMES OR MORE) SELF-PRACTICE REPORTED SIGNIFICANTLY GREATER DECREASES IN PERCEIVED STRESS. DECREASES IN NEGATIVE AFFECT WERE ALSO SIGNIFICANTLY RELATED TO HIGH FREQUENCY SELF-PRACTICE AND GREATER CLASS ATTENDANCE AT A NEAR-SIGNIFICANT LEVEL. AGE WAS POSITIVELY CORRELATED WITH YOGA CLASS ATTENDANCE, AND HIGHER LEVELS OF EDUCATION WERE ASSOCIATED WITH GREATER DECREASES IN NEGATIVE AFFECT. CONCLUSIONS. OUR RESULTS SUGGEST THAT THERE MAY BE PROGRESSIVE BENEFICIAL EFFECTS OF YOGA WITHIN PRISON POPULATIONS AND POINT TO SUBPOPULATIONS WHO MAY BENEFIT THE MOST FROM THIS PRACTICE. 2015 15 470 29 CHARACTERISTICS OF YOGA PRACTICE AND PREDICTORS OF PRACTICE FREQUENCY. YOGA IS A GLOBALLY POPULAR MIND-BODY PRACTICE USED FOR HEALTH. THE OBJECTIVE OF THIS STUDY WAS TO CHARACTERIZE YOGA PRACTICE AND FACTORS ASSOCIATED WITH FREQUENCY OF PRACTICE. YOGA PRACTITIONERS WERE SENT INVITATIONS VIA EMAIL TO PARTICIPATE IN AN ONLINE SURVEY. YOGA CHARACTERISTICS AND OTHER SOCIODEMOGRAPHICS WERE COLLECTED. DATA FROM 309 CONSENTING RESPONDENTS WERE ANALYZED FOR PATTERNS IN PRACTICE CHARACTERISTICS (YOGA TECHNIQUES, LOCATION OF PRACTICE, METHOD OF INSTRUCTION, TEACHER STATUS, AND YOGA TYPE). ASSOCIATIONS BETWEEN CHARACTERISTICS OF PRACTICE AND YOGA PRACTICE FREQUENCY WERE COMPUTED. THE FOLLOWING CHARACTERISTICS WERE THEN ANALYZED AS PREDICTORS OF PRACTICE FREQUENCY IN A REGRESSION MODEL: LOCATION OF PRACTICE, METHOD OF INSTRUCTION, TEACHER STATUS, YOGA TYPE, AND TECHNIQUES. MOST RESPONDENTS REPORTED USE OF ALL THREE YOGA TECHNIQUES (MOVEMENTS, BREATHING, AND MEDITATION) AND PRACTICED AN AVERAGE OF 4.5 +/- 1.9 DAYS A WEEK. KEY CHARACTERISTICS SUCH AS LOCATION OF PRACTICE, METHOD OF INSTRUCTION, AND FREQUENCY SIGNIFICANTLY DIFFERED BY TEACHER STATUS AND BY YOGA TYPE (VINIYOGA PRACTITIONERS VS. OTHER YOGA STYLES). IN OUR REGRESSION MODEL, BEING A YOGA TEACHER, BEING TAUGHT A ONE-ON-ONE YOGA PRACTICE BY SOMEONE ELSE, AND REGULAR USE OF MOVEMENT WERE POSITIVELY ASSOCIATED WITH INCREASED PRACTICE FREQUENCY. OUR ANALYSES PROVIDE INSIGHT INTO HOW YOGA FACTORS SUCH AS TEACHER STATUS, METHOD OF INSTRUCTION, AND USE OF TOOLS RELATE TO PRACTICE FREQUENCY. UNDERSTANDING THE RELATIONSHIPS BETWEEN PRACTICE CHARACTERISTICS AND PRACTICE FREQUENCY MAY ALLOW FOR THE IMPROVED IMPLEMENTATION OF YOGA FOR HEALTH. 2018 16 1466 43 INJURY IN YOGA ASANA PRACTICE: ASSESSMENT OF THE RISKS. BACKGROUND: THE RISK OF INJURY FROM MODERN YOGA ASANA PRACTICE IS POORLY CHARACTERIZED IN THE SCIENTIFIC LITERATURE, BUT ANECDOTAL REPORTS IN THE LAY LITERATURE AND PRESS HAVE POSED QUESTIONS ABOUT THE POSSIBILITY OF FREQUENT, SEVERE INJURIES. DESIGN: WE PERFORMED A CROSS-SECTIONAL SURVEY OF YOGA ASANA PARTICIPANTS ASSESSING THEIR EXPERIENCE WITH YOGA-RELATED INJURY, USING A VOLUNTARY CONVENIENCE SAMPLE. RESULTS: A TOTAL OF 2620 PARTICIPANTS RESPONDED TO OUR SURVEY. SEVENTY-NINE PERCENT WERE BETWEEN AGES 31 AND 60 AND 84% WERE FEMALE. THE MAJORITY OF RESPONDENTS LIVED IN NORTH AMERICA OR EUROPE. FORTY-FIVE PERCENT OF PARTICIPANTS REPORTED EXPERIENCING NO INJURIES DURING THE TIME THEY HAD BEEN PRACTICING YOGA. OF THOSE WHO DID EXPERIENCE AN INJURY FROM ASANA PRACTICE, 28% WERE MILD (E.G., SPRAINS OR NONSPECIFIC PAINS NOT REQUIRING A MEDICAL PROCEDURE, WITH SYMPTOMS LASTING LESS THAN 6 MONTHS) AND 63% WERE MODERATE (E.G., SPRAINS OR NONSPECIFIC PAINS NOT REQUIRING A MEDICAL PROCEDURE, WITH SYMPTOMS LASTING FROM 6 MONTHS TO 1 YEAR). ONLY 9% OF THOSE REPORTING INJURIES (4% OF THE TOTAL SAMPLE) HAD A SEVERE INJURY. THE STRONGEST PREDICTORS FOR INCREASED PROBABILITY OF REPORTING AN INJURY OVER A LIFETIME OF YOGA PRACTICE WERE GREATER NUMBER OF YEARS OF PRACTICE (P<.0001) AND TEACHING YOGA (P=.0177). OTHER ASPECTS OF PARTICIPANT DEMOGRAPHICS OR YOGA PRACTICE HABITS WERE NOT RELATED TO LIKELIHOOD OF REPORTING A YOGA-RELATED INJURY. CONCLUSIONS: WE FOUND THE NUMBER OF INJURIES REPORTED BY YOGA PARTICIPANTS PER YEARS OF PRACTICE EXPOSURE TO BE LOW AND THE OCCURRENCE OF SERIOUS INJURIES IN YOGA TO BE INFREQUENT COMPARED TO OTHER PHYSICAL ACTIVITIES, SUGGESTING THAT YOGA IS NOT A HIGH-RISK PHYSICAL ACTIVITY. MORE WORK IS NEEDED TO CLARIFY THE CAUSAL RELATIONSHIPS BETWEEN THE YOGA PARTICIPANT CHARACTERISTICS, THE ASANA PRACTICE STYLE, AND THE RISK OF SIGNIFICANT INJURY. 2019 17 2537 40 YOGA EXPERIENCE AS A PREDICTOR OF PSYCHOLOGICAL WELLNESS IN WOMEN OVER 45 YEARS. BACKGROUND: ALTHOUGH HIGH LEVELS OF SUBJECTIVE WELL-BEING (SWB) ARE COMMON IN OLD AGE, A SUBSET OF OLDER INDIVIDUALS IS DISPROPORTIONATELY VULNERABLE TO NEGATIVE AFFECT. YOGA HAS BEEN SHOWN TO HAVE MANY SHORT-TERM BENEFITS, BUT RESEARCHERS HAVE NOT DETERMINED WHETHER A LONG-TERM OR FREQUENT YOGA PRACTICE INCREASINGLY PROTECTS OLDER WOMEN FROM LOW LEVELS OF PSYCHOLOGICAL WELL-BEING. AIMS: THE PURPOSE OF THIS STUDY WAS TO EXAMINE THE EXTENT TO WHICH PSYCHOLOGICAL ATTITUDES, TRANSCENDENCE, MENTAL MASTERY, AND SUBJECTIVE VITALITY IN A SAMPLE OF FEMALE YOGA PRACTITIONERS OVER 45 YEARS VARIED ACCORDING TO THE LENGTH AND FREQUENCY OF YOGA PRACTICE. MATERIALS AND METHODS: WE ADMINISTERED ONLINE SURVEYS TO A NON-PROBABILITY SAMPLE OF 211 FEMALE YOGA PRACTITIONERS 45 TO 80. WE USED WEIGHTED LEAST SQUARES REGRESSION ANALYSES TO EVALUATE THE RELATIONSHIP OF EXTENT OF YOGA EXPERIENCE TO THE OUTCOME VARIABLES AFTER ACCOUNTING FOR AGE AND LIFESTYLE FACTORS. RESULTS: PARTICIPANTS HAD PRACTICED YOGA FOR AS LONG AS 50 YEARS AND FOR UP TO 28 H PER WEEK. THERE WERE SIGNIFICANT POSITIVE RELATIONSHIPS BETWEEN YOGA EXPERIENCE AND ALL OUTCOME VARIABLES. THESE SIGNIFICANT RELATIONSHIPS REMAINED AFTER ACCOUNTING FOR AGE AND LIFESTYLE FACTORS. WHEN WE COMPUTED YOGA EXPERIENCE IN TERMS OF TOTAL CALENDAR YEARS, WITHOUT ACCOUNTING FOR HOURS OF PRACTICE, SIGNIFICANT RELATIONSHIPS DID NOT REMAIN. TRANSCENDENCE OF THE ORDINARY WAS THE MOST STRONGLY ASSOCIATED WITH CURRENT YOGA PRACTICE FREQUENCY, AND POSITIVE PSYCHOLOGICAL ATTITUDES WERE THE MOST STRONGLY ASSOCIATED WITH TOTAL LIFETIME HOURS OF PRACTICE. CONCLUSIONS: AMONG A NON-PROBABILITY SAMPLE OF FEMALE YOGA PRACTITIONERS BETWEEN 45 AND 80 YEARS, INCREASED YOGA EXPERIENCE PREDICTED INCREASED LEVELS OF PSYCHOLOGICAL WELL-BEING. RESULTS SHOWED A DOSE-RESPONSE EFFECT, WITH YOGA EXPERIENCE EXERCISING AN INCREASINGLY PROTECTIVE EFFECT AGAINST LOW LEVELS OF SWB AND VITALITY. 2013 18 563 33 CROSS-SECTIONAL ANALYSIS OF HEALTH-RELATED QUALITY OF LIFE AND ELEMENTS OF YOGA PRACTICE. BACKGROUND: MIND-BODY PRACTICES SUCH AS YOGA HAVE BEEN STUDIED FOR THEIR GENERALLY POSITIVE EFFECTS ON HEALTH-RELATED QUALITY OF LIFE (HRQOL). THE ASSOCIATION BETWEEN HOW A PERSON PRACTICES YOGA AND THE PERSON'S HRQOL IS NOT KNOWN. MATERIALS AND METHODS: YOGA PRACTITIONERS WERE SENT INVITATIONS TO PARTICIPATE IN AN ONLINE SURVEY VIA EMAIL. YOGA CHARACTERISTICS, HRQOL, AND OTHER SOCIODEMOGRAPHICS WERE COLLECTED. ANALYSES OF DATA FROM 309 CONSENTING RESPONDERS EVALUATED ASSOCIATIONS BETWEEN YOGA PRACTICE CHARACTERISTICS (USE OF YOGA TOOLS, LENGTH OF PRACTICE, LOCATION, METHOD, ETC.) AND THE 10-ITEM PROMIS GLOBAL HEALTH SCALE FOR BOTH PHYSICAL AND MENTAL HEALTH COMPONENTS. RESULTS: MULTIVARIABLE REGRESSION MODELS DEMONSTRATED HIGHER MENTAL HEALTH SCORES WERE ASSOCIATED WITH REGULAR MEDITATION PRACTICE, HIGHER INCOME, AND THE METHOD OF PRACTICING IN A COMMUNITY GROUP CLASS (VERSUS ONE-ON-ONE). HIGHER PHYSICAL HEALTH SCORES WERE ASSOCIATED WITH LENGTH OF LIFETIME PRACTICE, TEACHER STATUS, KRISHNAMACHARYA YOGA STYLE, AND PRACTICING IN A YOGA SCHOOL/STUDIO (VERSUS AT HOME). CONCLUSIONS: MEDITATION PRACTICE IN YOGA IS POSITIVELY ASSOCIATED WITH MENTAL HEALTH. LENGTH OF LIFETIME YOGA PRACTICE WAS SIGNIFICANTLY ASSOCIATED WITH BETTER PHYSICAL HEALTH, SUGGESTING YOGA HAS A POTENTIAL CUMULATIVE BENEFIT OVER TIME. DIFFERENT LOCATIONS AND METHODS OF PRACTICE MAY BE ASSOCIATED WITH VARYING EFFECTS ON HEALTH OUTCOMES. COMPARATIVE CROSS-SECTIONAL AND LONGITUDINAL STUDIES ON THE VARIATIONS IN YOGA PRACTICE ARE NEEDED TO FURTHER CHARACTERIZE HEALTH BENEFITS OF YOGA. 2017 19 1779 36 PREDICTORS OF ADHERENCE TO A 26-WEEK VINIYOGA INTERVENTION AMONG POST-TREATMENT BREAST CANCER SURVIVORS. OBJECTIVES: THIS STUDY AIMED TO IDENTIFY DEMOGRAPHIC, PSYCHOLOGICAL, HEALTH-RELATED, AND GEOGRAPHIC PREDICTORS OF ADHERENCE TO HOME-BASED AND SUPERVISED COMPONENTS OF A YOGA INTERVENTION IN BREAST CANCER SURVIVORS. METHODS: PARTICIPANTS WERE THE 32 POST-TREATMENT BREAST CANCER SURVIVORS WHO WERE RANDOMIZED TO THE VINIYOGA INTERVENTION ARM OF A CONTROLLED TRIAL. PARTICIPANTS WERE ASKED TO PRACTICE YOGA 5 TIMES PER WEEK FOR 6 MONTHS, INCLUDING AT LEAST ONE WEEKLY FACILITY-BASED SESSION. ADHERENCE WAS MONITORED USING SIGN-IN SHEETS AND LOGS. HEIGHT AND WEIGHT WERE MEASURED; OTHER POTENTIAL PREDICTORS OF ADHERENCE WERE OBTAINED FROM BASELINE QUESTIONNAIRES. RESULTS: PARTICIPANTS ATTENDED 19.6+/-13.0 YOGA CLASSES AND PERFORMED 55.8+/-32.8 HOME-BASED YOGA SESSIONS. PARTICIPANTS ADHERED TO 58% OF THE OVERALL YOGA PRACTICE GOAL (75% OF THE GOAL FOR YOGA CLASSES AND 54% OF THE GOAL FOR HOME BASED-SESSIONS). HIGHER CLASS ATTENDANCE AND HOME PRACTICE WERE PREDICTED BY GREATER SELF-EFFICACY FOR YOGA (P=0.004 AND 0.06, RESPECTIVELY). ADDITIONALLY, EMPLOYMENT OUTSIDE THE HOME WAS ASSOCIATED WITH GREATER CLASS ATTENDANCE (P=0.004), WHILE HIGHER WAIST CIRCUMFERENCE WAS MARGINALLY ASSOCIATED WITH LOWER ADHERENCE TO HOME-BASED YOGA (P=0.05). CONCLUSIONS: HIGH LEVELS OF FACILITY- AND HOME-BASED YOGA PRACTICE WERE ACHIEVED. BREAST CANCER SURVIVORS WHO HAVE LOWER SELF-EFFICACY FOR YOGA OR WHO HAVE A HIGHER WAIST CIRCUMFERENCE MAY BENEFIT FROM ADDITIONAL SUPPORT OR INTERVENTION TAILORING. ADHERENCE MAY ALSO BE IMPROVED BY ENSURING THAT CLASS TIMES ARE CONVENIENT TO BOTH WORKING AND NONWORKING WOMEN. 2013 20 1787 41 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