1 1445 147 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 2 628 39 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 1219 39 EXPOSURE TO ADVERSE EVENTS AND ASSOCIATIONS WITH STRESS LEVELS AND THE PRACTICE OF YOGA: SURVEY FINDINGS FROM A POPULATION-BASED STUDY OF DIVERSE EMERGING YOUNG ADULTS. OBJECTIVES: THIS STUDY EXAMINES THE PREVALENCE OF EXPOSURE TO ADVERSE EVENTS AND ASSOCIATIONS WITH STRESS LEVELS AMONG A DIVERSE POPULATION-BASED SAMPLE OF YOUNG PEOPLE. THE STUDY FURTHER EXPLORES WHETHER THESE VULNERABLE POPULATIONS, WHO HAVE THE POTENTIAL TO BENEFIT FROM THE MIND-BODY PRACTICE OF YOGA, ENGAGE IN A REGULAR YOGA PRACTICE. DESIGN: EAT 2018 (EATING AND ACTIVITY OVER TIME) IS A POPULATION-BASED STUDY IN WHICH SURVEY DATA WERE COLLECTED FROM 1568 ETHNICALLY/RACIALLY DIVERSE (81.2% NONWHITE) EMERGING YOUNG ADULTS (MEAN AGE: 22.0 +/- 2.0 YEARS). RESULTS: EXPOSURE TO ADVERSE EVENTS WAS HIGHLY PREVALENT. FOR EXAMPLE, 43.9% REPORTED AT LEAST ONE ADVERSE CHILDHOOD EXPERIENCE (ACE) (E.G., PHYSICAL, EMOTIONAL, OR SEXUAL ABUSE BEFORE AGE 18), WHEREAS 40.1% REPORTED EXPERIENCING DISCRIMINATION. EXPOSURE TO ADVERSE EVENTS WAS ASSOCIATED WITH HIGHER STRESS LEVELS. PRACTICING YOGA AT LEAST 30 MIN/WEEK WAS REPORTED BY 12.7% OF THE POPULATION, WITH VARIATION ACROSS SOCIODEMOGRAPHIC CHARACTERISTICS. YOUNG ADULTS EXPOSED TO ADVERSE EVENTS WERE EITHER MORE OR SIMILARLY LIKELY TO PRACTICE YOGA THAN YOUNG ADULTS NOT REPORTING ADVERSE EVENTS. CONCLUSIONS: THE HIGH PREVALENCE OF EXPOSURE TO ADVERSE EVENTS AND ASSOCIATIONS WITH HIGHER LEVELS OF STRESS POINTS TO A NEED FOR PUBLIC HEALTH INTERVENTIONS. THUS, IT WAS PROMISING TO FIND THAT YOUNG PEOPLE EXPOSED TO ADVERSE EVENTS, WHO MAY HAVE GREATER EMOTIONAL BURDENS, PRACTICE YOGA AT EQUAL OR GREATER PROPORTIONS TO THOSE WITHOUT THESE EXPOSURES. GIVEN THE POTENTIAL BENEFITS OF YOGA FOR POPULATIONS LIVING WITH HIGH STRESS, IT IS IMPORTANT TO DEVELOP FURTHER OUTREACH EFFORTS AND PROVIDE ACCESSIBLE, ACCEPTABLE, AND AFFORDABLE OPPORTUNITIES FOR PRACTICING YOGA. 2020 4 2377 33 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 5 2928 37 [YOGA IN GERMANY - RESULTS OF A NATIONALLY REPRESENTATIVE SURVEY]. BACKGROUND: YOGA IS INCREASINGLY USED AS A THERAPEUTIC AND PREVENTIVE METHOD WORLDWIDE. THE AIM OF THIS NATIONALLY REPRESENTATIVE SURVEY WAS TO ASSESS PREVALENCE AND PATTERNS OF YOGA PRACTICE IN GERMANY. METHODS: BETWEEN AUGUST AND SEPTEMBER 2014, A NATIONALLY REPRESENTATIVE SAMPLE OF 2,041 INDIVIDUALS OF AT LEAST 14 YEARS OF AGE WAS INTERVIEWED REGARDING ACTUAL AND PRIOR YOGA PRACTICE. DIFFERENCES BETWEEN SOCIOECONOMIC SUBGROUPS WERE ANALYZED USING CHI-SQUARED TESTS. RESULTS: LIFETIME PREVALENCE OF YOGA PRACTICE WAS 15.1%, POINT PREVALENCE 3.3%. HIGHER PREVALENCE WAS ASSOCIATED WITH FEMALE GENDER (P < 0.001), HIGHER EDUCATION (P < 0.001), EMPLOYMENT (P = 0.047), AND LIVING IN A MAJOR CITY (P < 0.001). MEAN DURATION OF YOGA PRACTICE WAS 48.2 MONTHS; 61.7% PRACTICED AT LEAST ONCE WEEKLY. THE MAIN REASONS FOR YOGA PRACTICE WERE IMPROVED PHYSICAL (62.8%) AND MENTAL WELL-BEING (56.9%) AS WELL AS PHYSICAL (54.4%) AND MENTAL CAPACITY (50.0%). POSITIVE CHANGES DUE TO YOGA WERE REPORTED BY 89.7% OF PRACTITIONERS, MAINLY INCREASED INNER BALANCE (58.8%). ANOTHER 16.1% OF THOSE WHO WERE NOT CURRENTLY PRACTICING COULD IMAGINE PRACTICING YOGA IN THE NEXT 12 MONTHS. CONCLUSION: AN ESTIMATED 15.7 MILLION GERMANS ARE CURRENTLY PRACTICING YOGA OR ARE AT LEAST INTERESTED IN STARTING TO PRACTICE, MOST COMMONLY WOMEN, METROPOLITANS, AND THOSE WITH A HIGHER EDUCATION AS WELL AS EMPLOYED PERSONS. ALMOST 90% PRACTITIONERS REPORT POSITIVE CHANGES DUE TO THEIR YOGA PRACTICE. 2015 6 1646 26 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 7 122 34 A PILOT STUDY OF YOGA AS SELF-CARE FOR ARTHRITIS IN MINORITY COMMUNITIES. BACKGROUND: WHILE ARTHRITIS IS THE MOST COMMON CAUSE OF DISABILITY, NON-HISPANIC BLACKS AND HISPANICS EXPERIENCE WORSE ARTHRITIS IMPACT DESPITE HAVING THE SAME OR LOWER PREVALENCE OF ARTHRITIS COMPARED TO NON-HISPANIC WHITES. PEOPLE WITH ARTHRITIS WHO EXERCISE REGULARLY HAVE LESS PAIN, MORE ENERGY, AND IMPROVED SLEEP, YET ARTHRITIS IS ONE OF THE MOST COMMON REASONS FOR LIMITING PHYSICAL ACTIVITY. MIND-BODY INTERVENTIONS, SUCH AS YOGA, THAT TEACH STRESS MANAGEMENT ALONG WITH PHYSICAL ACTIVITY MAY BE WELL SUITED FOR INVESTIGATION IN BOTH OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS. YOGA USERS ARE PREDOMINANTLY WHITE, FEMALE, AND COLLEGE EDUCATED. THERE ARE FEW STUDIES THAT EXAMINE YOGA IN MINORITY POPULATIONS; NONE ADDRESS ARTHRITIS. THIS PAPER PRESENTS A STUDY PROTOCOL EXAMINING THE FEASIBILITY AND ACCEPTABILITY OF PROVIDING YOGA TO AN URBAN, MINORITY POPULATION WITH ARTHRITIS. METHODS/DESIGN: IN THIS ONGOING PILOT STUDY, A CONVENIENCE SAMPLE OF 20 MINORITY ADULTS DIAGNOSED WITH EITHER OSTEOARTHRITIS OR RHEUMATOID ARTHRITIS UNDERGO AN 8-WEEK PROGRAM OF YOGA CLASSES. IT IS BELIEVED THAT BY ATTENDING YOGA CLASSES DESIGNED FOR PATIENTS WITH ARTHRITIS, WITH RACIALLY CONCORDANT INSTRUCTORS; ACCEPTABILITY OF YOGA AS AN ADJUNCT TO STANDARD ARTHRITIS TREATMENT AND SELF-CARE WILL BE ENHANCED. SELF-CARE IS DEFINED AS ADOPTING BEHAVIORS THAT IMPROVE PHYSICAL AND MENTAL WELL-BEING. THIS CONCEPT IS QUANTIFIED THROUGH COLLECTING PATIENT-REPORTED OUTCOME MEASURES RELATED TO SPIRITUAL GROWTH, HEALTH RESPONSIBILITY, INTERPERSONAL RELATIONS, AND STRESS MANAGEMENT. ADDITIONAL MEASURES COLLECTED DURING THIS STUDY INCLUDE: PHYSICAL FUNCTION, ANXIETY/DEPRESSION, FATIGUE, SLEEP DISTURBANCE, SOCIAL ROLES, AND PAIN; AS WELL AS BASELINE DEMOGRAPHIC AND CLINICAL DATA. FIELD NOTES, QUANTITATIVE AND QUALITATIVE DATA REGARDING FEASIBILITY AND ACCEPTABILITY ARE ALSO COLLECTED. ACCEPTABILITY IS DETERMINED BY RESPONSE/RETENTION RATES, POSITIVE QUALITATIVE DATA, AND CONTINUING YOGA PRACTICE AFTER THREE MONTHS. DISCUSSION: THERE ARE A NUMBER OF CHALLENGES IN RECRUITING AND RETAINING PARTICIPANTS FROM A COMMUNITY CLINIC SERVING MINORITY POPULATIONS. ADOPTING BEHAVIORS THAT IMPROVE WELL-BEING AND QUALITY OF LIFE INCLUDE THOSE THAT INTEGRATE MENTAL HEALTH (MIND) AND PHYSICAL HEALTH (BODY). FEW STUDIES HAVE EXAMINED OFFERING INTEGRATIVE MODALITIES TO THIS POPULATION. THIS PILOT WAS UNDERTAKEN TO QUANTIFY MEASURES OF FEASIBILITY AND ACCEPTABILITY THAT WILL BE USEFUL WHEN EVALUATING FUTURE PLANS FOR EXPANDING THE STUDY OF YOGA IN URBAN, MINORITY POPULATIONS WITH ARTHRITIS. TRIAL REGISTRATION: CLINICALTRIALS.GOV: NCT01617421. 2013 8 2343 26 USE OF YOGA, MEDITATION, AND CHIROPRACTORS AMONG U.S. CHILDREN AGED 4-17 YEARS. YOGA, MEDITATION, AND USE OF CHIROPRACTORS ARE TYPES OF COMPLEMENTARY HEALTH APPROACHES DEVELOPED OUTSIDE OF MAINSTREAM WESTERN MEDICINE (1-2). ALTHOUGH COMPLEMENTARY HEALTH APPROACHES AS A WHOLE ARE NOT WIDELY USED AMONG CHILDREN, PREVIOUS WORK HAS ESTABLISHED A RISE IN THE USE OF SELECTED APPROACHES OVER TIME (3). THIS REPORT PRESENTS THE MOST RECENT NATIONAL ESTIMATES OF USE OF THE THREE MOST PREVALENT APPROACHES DURING THE PAST 12 MONTHS, AMONG CHILDREN AGED 4-17 YEARS IN THE UNITED STATES. COMPARABLE ESTIMATES FROM 2012 ARE ALSO INCLUDED TO EXAMINE CHANGES OVER TIME. 2018 9 2749 39 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 10 2286 40 THE USE OF YOGA IN SPECIALIZED VA PTSD TREATMENT PROGRAMS. BACKGROUND: POSTTRAUMATIC STRESS DISORDER (PTSD) IS A CHRONIC, DEBILITATING ANXIETY DISORDER THAT IS HIGHLY PREVALENT AMONG U.S. MILITARY VETERANS. YOGA, DEFINED TO INCLUDE PHYSICAL POSTURES (ASANA) AND MINDFULNESS AND MEDITATION, IS BEING INCREASINGLY USED AS AN ADJUNCTIVE TREATMENT FOR PTSD AND OTHER PSYCHOLOGICAL DISORDERS. NO RESEARCH OR ADMINISTRATIVE DATA HAVE DETAILED THE USE OF THESE SERVICES IN DEPARTMENT OF VETERANS AFFAIRS' (VA) 170 PTSD TREATMENT PROGRAMS. METHODS: ONE HUNDRED TWENTY-FIVE PROGRAM COORDINATORS OR DESIGNATED STAFF COMPLETED AN 81-ITEM SURVEY OF THEIR PROGRAM'S USE OF COMPLEMENTARY AND ALTERNATIVE MEDICINE MODALITIES IN THE PAST YEAR. THIS REPORT DESCRIBES DATA FROM A SUBSET OF 30 QUESTIONS USED TO ASSESS THE PREVALENCE, NATURE, AND CONTEXT OF THE USE OF YOGA, MINDFULNESS, AND MEDITATION OTHER THAN MINDFULNESS PRACTICES. RESULTS: RESULTS REVEALED THAT THESE PRACTICES ARE WIDELY OFFERED IN VA SPECIALIZED PTSD TREATMENT PROGRAMS AND THAT THERE IS GREAT VARIABILITY IN THE CONTEXT AND NATURE OF HOW THEY ARE DELIVERED. CONCLUSIONS: UNDERSTANDING HOW YOGA IS USED BY THESE PROGRAMS MAY INFORM ONGOING EFFORTS TO DEFINE AND DISTINGUISH YOGA THERAPY AS A RESPECTED THERAPEUTIC DISCIPLINE AND TO CREATE PATIENT-CENTERED CARE MODELS THAT MINDFULLY FULFILL THE UNMET NEEDS OF INDIVIDUALS WITH MENTAL HEALTH ISSUES, INCLUDING VETERANS WITH PTSD. 2012 11 473 51 CHARACTERISTICS OF YOGA USERS: RESULTS OF A NATIONAL SURVEY. BACKGROUND: THERE ARE LIMITED DATA ON THE CHARACTERISTICS OF YOGA USERS IN THE U.S. OBJECTIVE: TO CHARACTERIZE YOGA USERS, MEDICAL REASONS FOR USE, PERCEPTIONS OF HELPFULNESS, AND DISCLOSURE OF USE TO MEDICAL PROFESSIONALS. METHODS: UTILIZING CROSS-SECTIONAL SURVEY DATA FROM THE 2002 NATIONAL HEALTH INTERVIEW SURVEY (NHIS) ALTERNATIVE MEDICINE SUPPLEMENT (N = 31044), WE EXAMINED CORRELATES OF YOGA USE FOR HEALTH. THE ESTIMATED PREVALENCE FROM 2002 NHIS OF YOGA FOR HEALTH WAS 5.1% CORRESPONDING TO OVER 10 MILLION ADULTS. RESULTS: IN 2002, YOGA USERS WERE PREDOMINATELY CAUCASIAN (85%) AND FEMALE (76%) WITH A MEAN AGE OF 39.5 YEARS. COMPARED TO NON-YOGA USERS, YOGA USERS WERE MORE LIKELY FEMALE (OR 3.76, 95% CI 3.11-4.33); LESS LIKELY BLACK THAN WHITE (OR 0.65, 95% CI 0.53-0.80); TENDED TO BE YOUNGER; AND MORE LIKELY COLLEGE EDUCATED (OR 2.70, 95% CI 2.37-3.08). MUSCULOSKELETAL CONDITIONS (OR 1.61, 95% CI 1.42-1.83), MENTAL HEALTH CONDITIONS (OR 1.43, 95% CI 1.22-1.67), SEVERE SPRAINS IN THE LAST 12 MONTHS (OR 1.49, 95% CI 1.22-1.81), AND ASTHMA (OR 1.27, 95% CI 1.05-1.54) WERE INDEPENDENTLY ASSOCIATED WITH HIGHER YOGA USE, WHILE HYPERTENSION (OR 0.78, 95% CI 0.64-0.95) AND CHRONIC OBSTRUCTIVE LUNG DISEASE (OR 0.69, 95% CI 0.48-1.00) WERE ASSOCIATED WITH LOWER USE. YOGA WAS MOST COMMONLY USED TO TREAT MUSCULOSKELETAL OR MENTAL HEALTH CONDITIONS, AND MOST USERS REPORTED YOGA TO BE HELPFUL FOR THESE CONDITIONS. A MAJORITY OF YOGA USERS (61%) FELT YOGA WAS IMPORTANT IN MAINTAINING HEALTH, THOUGH ONLY 25% DISCLOSED YOGA PRACTICE TO THEIR MEDICAL PROFESSIONAL. CONCLUSIONS: WE FOUND THAT YOGA USERS ARE MORE LIKELY TO BE WHITE, FEMALE, YOUNG AND COLLEGE EDUCATED. YOGA USERS REPORT BENEFIT FOR MUSCULOSKELETAL CONDITIONS AND MENTAL HEALTH, INDICATING THAT FURTHER RESEARCH ON THE EFFICACY OF YOGA FOR THE TREATMENT AND/OR PREVENTION OF THESE CONDITIONS IS WARRANTED. 2008 12 2805 30 YOGA THERAPY IN THE GERMAN HEALTHCARE SYSTEM. AN ESTIMATED 15.7 MILLION GERMANS ARE CURRENTLY PRACTICING YOGA OR ARE AT LEAST INTERESTED IN STARTING TO PRACTICE, AND THEY OFTEN PERCEIVE YOGA AS A THERAPEUTIC APPROACH. FROM A HEALTHCARE SYSTEM PERSPECTIVE, THE SITUATION IS LESS CLEAR. HERE, YOGA IS ONLY RECOGNIZED AS A RECREATIONAL OR PREVENTIVE ACTIVITY. WHEN YOGA TEACHERS FULFILL SPECIFIC QUALIFICATIONS, THEIR PREVENTIVE YOGA CLASSES ARE COVERED BY THE STATUTORY HEALTH INSURANCES. ONLY THOSE WITH ADDITIONAL QUALIFICATIONS IN MEDICINE OR PSYCHOTHERAPY, HOWEVER, CAN INDEPENDENTLY USE AND PROMOTE "YOGA THERAPY." THE GENERAL PERCEPTION OF YOGA IN GERMANY AS A PREVENTIVE PRACTICE IS REFLECTED IN THE PROFESSIONAL ORGANIZATION OF YOGA PROVIDERS. MOST PROVIDERS ARE CONSIDERED TO BE YOGA TEACHERS RATHER THAN YOGA THERAPISTS AND ARE ORGANIZED MAINLY IN YOGA TEACHER ASSOCIATIONS. DESPITE THE UNCERTAIN LEGAL FRAMEWORK, YOGA IS NOW CONSIDERED IN A NUMBER OF MEDICAL GUIDELINES; IN A NUMBER OF HOSPITALS, YOGA IS PART OF MULTIMODAL INPATIENT TREATMENT PROGRAMS AND IS DELIVERED BY PHYSICAL THERAPISTS OR MEMBERS OF OTHER HEALTH PROFESSIONS. AN INCREASING NUMBER OF YOGA THERAPY CLINICAL TRIALS ARE CONDUCTED IN GERMANY, AND EFFORTS ARE UNDERWAY TO ESTABLISH YOGA THERAPY AS AN ACCEPTED ADJUNCT TREATMENT APPROACH FOR SELECTED MEDICAL CONDITIONS WITHIN THE GERMAN HEALTHCARE SYSTEM. 2018 13 1658 35 MUSCULOSKELETAL PAIN ASSOCIATED WITH RECREATIONAL YOGA PARTICIPATION: A PROSPECTIVE COHORT STUDY WITH 1-YEAR FOLLOW-UP. BACKGROUND: YOGA IS A POPULAR COMPLEMENTARY THERAPY FOR MUSCULOSKELETAL PAIN. THERE ARE FEW STUDIES HOWEVER, THAT HAVE EXAMINED THE RISKS OF RECREATIONAL PARTICIPATION FOR CAUSING MUSCULOSKELETAL PAIN. OBJECTIVES: TO EXAMINE THE RELATIONSHIP BETWEEN MUSCULOSKELETAL PAIN AND RECREATIONAL YOGA PARTICIPATION. METHODS: THIS WAS A PROSPECTIVE COHORT STUDY WITH ONE-YEAR FOLLOW-UP. DATA WERE COLLECTED VIA ELECTRONIC QUESTIONNAIRES, ONE YEAR APART. OUTCOMES INCLUDED INCIDENCE AND IMPACT OF PAIN CAUSED BY YOGA AND PREVALENCE OF PAIN CAUSED, EXACERBATED, UNAFFECTED, AND IMPROVED BY YOGA. PREDICTORS INCLUDED AGE, EXPERIENCE, HOURS OF PARTICIPATION, AND INTENSITY OF PARTICIPATION. RESULTS: THE FINAL SAMPLE INCLUDED 354 PARTICIPANTS FROM TWO SUBURBAN YOGA STUDIOS. THE INCIDENCE RATE OF PAIN CAUSED BY YOGA WAS 10.7%. MORE THAN ONE-THIRD OF INCIDENT CASES RESULTED IN LOST YOGA PARTICIPATION TIME AND/OR SYMPTOMS LASTING MORE THAN 3 MONTHS. NONE OF THE RISK FACTORS AT BASELINE INCREASED THE RISK FOR SUBSEQUENT INCIDENT CASES OF PAIN CAUSED BY YOGA. CONCLUSIONS: YOGA CAN CAUSE MUSCULOSKELETAL PAIN. PARTICIPANTS MAY BENEFIT FROM DISCLOSURE OF PRACTICE TO THEIR HEALTHCARE PROFESSIONALS AND BY INFORMING TEACHERS OF INJURIES THEY MAY HAVE PRIOR TO PARTICIPATION. YOGA TEACHERS SHOULD ALSO DISCUSS THE RISKS FOR INJURY WITH THEIR STUDENTS. 2018 14 639 28 DO SIDE-EFFECTS/INJURIES FROM YOGA PRACTICE RESULT IN DISCONTINUED USE? RESULTS OF A NATIONAL SURVEY. CONTEXT: YOGA-RELATED INJURIES ARE OF INCREASING CONCERN AS THE USE OF YOGA CONTINUES TO RISE. AIMS: THE AIM OF THE FOLLOWING STUDY IS TO EXAMINE WHETHER A NATIONAL SAMPLE OF YOGA PRACTITIONERS WOULD REPORT DISCONTINUED USE OF YOGA DUE TO INJURY FROM THE PRACTICE, ASSESS WHAT INJURIES RESULTED IN DISCONTINUED USE, DETERMINE WHAT INJURIES WERE MOST COMMON AND IDENTIFY INJURIES REQUIRING MEDICAL ATTENTION. METHODS: SECONDARY DATA ANALYSIS OF A NATIONALLY REPRESENTATIVE SAMPLE OF ADULTS IN THE UNITED STATES (N = 23,393). RESULTS: LESS THAN 1% OF INDIVIDUALS WHO HAD EVER PRACTICED YOGA (N = 2230) REPORTED AN INJURY FROM YOGA THAT LED TO DISCONTINUED USE. OF THOSE REPORTING INJURY, LESS THAN ONE-THIRD (N = 4) REPORTED SEEKING MEDICAL ATTENTION. THE MOST COMMON SIDE-EFFECT WAS BACK PAIN. APPROXIMATELY, HALF OF THOSE REPORTING BACK PAIN SOUGHT MEDICAL ATTENTION. CONCLUSIONS: INJURY DUE TO YOGA IS AN INFREQUENT BARRIER TO CONTINUED PRACTICE AND SEVERE INJURY DUE TO YOGA IS RARE. 2014 15 2126 34 THE EFFECTIVENESS OF YOGA FOR DEPRESSION: A CRITICAL LITERATURE REVIEW. IN THE UNITED STATES, THE PREVALENCE OF DEPRESSION IS QUITE HIGH-9% IN THE GENERAL POPULATION-WITH WOMEN, YOUNG ADULTS, AND SENIORS PARTICULARLY VULNERABLE. IN RECENT YEARS, INCREASING NUMBERS OF PEOPLE ARE TURNING TO COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) FOR RELIEF FROM DEPRESSION AND OTHER MENTAL HEALTH PROBLEMS. ONE FORM OF CAM, YOGA, HAS BEEN GROWING IN POPULARITY; THIS RISE IN POPULARITY HAS, IN PART, BEEN DRIVEN BY INTEREST IN HOW THIS PRACTICE, WITH ITS MINDFULNESS AND MEDITATION ASPECTS, MAY DECREASE DEPRESSION. THIS CRITICAL LITERATURE REVIEW EXAMINES SIX RECENT STUDIES ON YOGA AS AN INTERVENTION; SPECIFICALLY, THIS REVIEW FOCUSES ON YOGA STYLES IN WHICH THE PRACTICE OF YOGA POSES, CALLED ASANAS, IS THE CORE COMPONENT. ALTHOUGH THE SIGNIFICANT POSITIVE FINDINGS ARE PROMISING, THE STUDIES HAD METHODOLOGICAL LIMITATIONS; IDENTIFICATION OF THESE LIMITATIONS CAN INFORM FUTURE STUDIES. 2014 16 536 40 COMPARISON OF YOGA VERSUS STRETCHING FOR CHRONIC LOW BACK PAIN: PROTOCOL FOR THE YOGA EXERCISE SELF-CARE (YES) TRIAL. BACKGROUND: BACK PAIN, ONE OF THE MOST PREVALENT CONDITIONS AFFLICTING AMERICAN ADULTS, IS THE LEADING REASON FOR USING COMPLEMENTARY AND ALTERNATIVE MEDICINE (CAM) THERAPIES. YOGA IS AN INCREASINGLY POPULAR "MIND-BODY" CAM THERAPY OFTEN USED FOR RELIEVING BACK PAIN AND SEVERAL SMALL STUDIES HAVE FOUND YOGA EFFECTIVE FOR THIS CONDITION. THIS STUDY WILL ASSESS WHETHER YOGA IS EFFECTIVE FOR TREATING CHRONIC LOW BACK PAIN COMPARED WITH SELF CARE AND EXERCISE AND WILL EXPLORE THE MECHANISMS RESPONSIBLE FOR ANY OBSERVED BENEFITS. METHODS/DESIGN: A TOTAL OF 210 PARTICIPANTS WITH LOW BACK PAIN LASTING AT LEAST 3 MONTHS WILL BE RECRUITED FROM PRIMARY CARE CLINICS OF A LARGE HEALTHCARE SYSTEM BASED IN SEATTLE. THEY WILL BE RANDOMIZED IN A 2:2:1 RATIO TO RECEIVE 12 WEEKLY YOGA CLASSES, 12 WEEKLY CONVENTIONAL THERAPEUTIC EXERCISE CLASSES OF COMPARABLE PHYSICAL EXERTION, OR A SELF-CARE BOOK. INTERVIEWERS MASKED TO PARTICIPANTS' TREATMENT GROUP WILL ASSESS OUTCOMES AT BASELINE AND 6, 12 AND 26 WEEKS AFTER RANDOMIZATION. PRIMARY OUTCOMES WILL BE BACK-RELATED DYSFUNCTION AND SYMPTOM BOTHERSOMENESS. IN ADDITION, DATA WILL BE COLLECTED ON PHYSICAL MEASUREMENTS (E.G., FLEXION) AT BASELINE AND 12 WEEKS AND SALIVA SAMPLES WILL BE OBTAINED AT BASELINE, 6 AND 12 WEEKS. INFORMATION WILL BE COLLECTED ON SPECIFIC PHYSICAL, PSYCHOLOGICAL, AND PHYSIOLOGICAL FACTORS TO ALLOW EXPLORATION OF POSSIBLE MECHANISMS OF ACTION THROUGH WHICH YOGA COULD RELIEVE BACK PAIN AND DYSFUNCTION. THE EFFECTIVENESS OF YOGA WILL BE ASSESSED USING ANALYSIS OF COVARIANCE (USING GENERAL ESTIMATING EQUATIONS - GEE) WITHIN AN INTENTION-TO-TREAT CONTEXT. IF YOGA IS FOUND EFFECTIVE, FURTHER ANALYSES WILL EXPLORE WHETHER YOGA'S BENEFITS ARE ATTRIBUTABLE TO PHYSICAL, PSYCHOLOGICAL AND/OR PHYSIOLOGICAL FACTORS. CONCLUSIONS: THIS STUDY WILL PROVIDE THE CLEAREST EVIDENCE TO DATE ABOUT THE VALUE OF YOGA AS A THERAPEUTIC OPTION FOR TREATING CHRONIC BACK PAIN, AND IF THE RESULTS ARE POSITIVE, WILL HELP FOCUS FUTURE, MORE IN-DEPTH, RESEARCH ON THE MOST PROMISING POTENTIAL MECHANISMS OF ACTION IDENTIFIED BY THIS STUDY. 2010 17 567 34 DECLINE IN THE USE OF MEDICALIZED YOGA BETWEEN 2002 AND 2012 WHILE THE OVERALL YOGA USE INCREASED IN THE UNITED STATES: A CONUNDRUM. WE ANALYZED THE NATIONAL HEALTH INSTITUTE SURVEY ALTERNATIVE MEDICINE SUPPLEMENT YOGA DATA FOR 2002, 2007, AND 2012 TO ANSWER THE FOLLOWING QUESTIONS: (1) DO THE CLAIMS ABOUT INCREASE IN THE USE OF YOGA HOLD TRUE AT THE LEVEL OF SPECIFIC HEALTH PROBLEMS? (2) DO TRENDS SUPPORT A PROPOSITION THAT YOGA IS BELIEVED TO BE HELPFUL IN AMELIORATION OF DISEASE CONDITIONS? (3) DO THE PRESCRIBING PATTERNS OF HEALTH CARE PROVIDERS CORRESPOND WITH THE INCREASING POPULARITY OF YOGA? DATA WERE ANALYZED USING SAS SOFTWARE, VERSION 9.4. RESPONSE PERCENTAGES WERE COMPARED USING CHI-SQUARE TEST AFTER ADJUSTING FOR AGE. BETWEEN 2002 AND 2012, USE OF YOGA INCREASED BUT ADHERENCE FAILED TO INCREASE, AND USE FOR SPECIFIC HEALTH PROBLEMS AND FOR BACK PAIN DECLINED; USE OF HEALTH CARE PROVIDERS' REFERRAL-DRIVEN YOGA DECLINED BETWEEN 2007 AND 2012. ALL RESULTS WERE STATISTICALLY SIGNIFICANT. OUR RESULTS SUGGEST THAT THE USE OF MEDICALIZED YOGA DECLINED BETWEEN 2002 AND 2012. 2017 18 1466 36 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 19 2039 37 TESTING THE EFFICACY OF YOGA AS A COMPLEMENTARY THERAPY FOR SMOKING CESSATION: DESIGN AND METHODS OF THE BREATHEASY TRIAL. INTRODUCTION: SMOKERS TRYING TO QUIT ENCOUNTER MANY CHALLENGES INCLUDING NICOTINE WITHDRAWAL SYMPTOMS, CIGARETTE CRAVING, INCREASED STRESS AND NEGATIVE MOOD AND CONCERN REGARDING WEIGHT GAIN. THESE PHENOMENA MAKE IT DIFFICULT TO SUCCESSFULLY QUIT SMOKING. STUDIES IN NON-SMOKING POPULATIONS SHOW THAT YOGA REDUCES STRESS AND NEGATIVE MOOD AND IMPROVES WEIGHT CONTROL. BY INCREASING MINDFULNESS WE ANTICIPATE THAT YOGA MAY ALSO IMPROVE SMOKERS' ABILITY TO COPE WITH THE NEGATIVE SYMPTOMS ASSOCIATED WITH QUITTING. YOGA MAY ALSO IMPROVE COGNITIVE DELIBERATION WHICH IS NEEDED TO MAKE EFFECTIVE CHOICES AND AVOID SMOKING IN TEMPTING SITUATIONS. METHODS/DESIGN: THE BREATHEASY STUDY IS A RIGOROUS, RANDOMIZED CONTROLLED CLINICAL TRIAL EXAMINING THE EFFICACY OF IYENGAR YOGA AS A COMPLEMENTARY THERAPY TO COGNITIVE-BEHAVIORAL THERAPY FOR SMOKING CESSATION. ALL PARTICIPANTS ARE GIVEN AN 8-WEEK PROGRAM OF SMOKING CESSATION CLASSES, AND ARE RANDOMIZED TO EITHER TWICE WEEKLY YOGA (YOGA) OR TWICE-WEEKLY HEALTH AND WELLNESS CLASSES WHICH SERVE AS A CONTROL FOR CONTACT AND PARTICIPANT BURDEN (CTL). ASSESSMENTS ARE CONDUCTED AT BASELINE, 8 WEEKS, 3, 6, AND 12 MONTHS OF FOLLOW-UP. THE PRIMARY OUTCOME IS PROLONGED ABSTINENCE USING AN INTENTION-TO-TREAT APPROACH. MULTIPLE INTERNAL AND EXTERNAL AUDITS USING BLIND DATA COLLECTION ARE EMPLOYED TO ENSURE TREATMENT FIDELITY AND RELIABILITY OF STUDY RESULTS. TO UNDERSTAND WHY YOGA MAY BE MORE EFFECTIVE THAN CTL, WE WILL EXAMINE THE MECHANISMS OF ACTION (I.E., MEDIATORS) UNDERLYING INTERVENTION EFFICACY. WE WILL EXAMINE THE MAINTENANCE OF YOGA PRACTICE AND SMOKING STATUS AT EACH FOLLOW-UP. FOCUS GROUPS AND INTERVIEWS WILL BE USED TO ENRICH OUR UNDERSTANDING OF THE RELATIONSHIP OF YOGA PRACTICE AND SMOKING ABSTINENCE. CONCLUSIONS: THIS STUDY WILL PROVIDE A STRINGENT TEST OF THE RELATIVE EFFICACY OF YOGA COMPARED TO A CONDITION THAT CONTROLS FOR CONTACT TIME AND ATTENTION. THE USE OF MIXED METHODOLOGY ALSO PROVIDES THE OPPORTUNITY TO VALIDATE EXISTING KNOWLEDGE ABOUT YOGA AND HELPS TO EXPLORE NEW THEMES FOR FUTURE MINDFULNESS AND YOGA RESEARCH. 2014 20 1803 36 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