1 432 170 CAN YOGA PRACTICES BENEFIT HEALTH BY IMPROVING ORGANISM REGULATION? EVIDENCE FROM ELECTRODERMAL MEASURES OF ACUPUNCTURE MERIDIANS. OBJECTIVES: TO DOCUMENT AND EXPLAIN YOGA'S EFFECTS ON ACUPUNCTURE MERIDIAN ENERGIES. TO UNDERSTAND MECHANISMS BEHIND YOGA'S EFFICACY BY TESTING LINKS BETWEEN YOGA AND TRADITIONAL CHINESE MEDICINE. MATERIALS AND METHODS: THE STUDY COMPARED TWO GROUPS OF YOGA PRACTITIONERS: NOVICE AND EXPERIENCED. NOVICES CONSISTED OF 33 VOLUNTEERS FROM A SWAMI VIVEKANANDA YOGA ANUSANDHANA SAMSTHANA (S-VYASA) YOGA INSTRUCTOR TRAINING MODULE AND THE EXPERIENCED PRACTITIONERS WERE 20 RESIDENT SVYASA STUDENTS. THE INTERVENTION WAS 3 WEEKS OF A YOGA TRAINING PROGRAM, NEW FOR THE NOVICES, BUT THE LIFESTYLE OF THE EXPERIENCED GROUP, WHO WERE THEREFORE ASSESSED ONLY ONCE. NOVICES WERE ASSESSED ON DAY 2 AND 23 OF THEIR PROGRAM AT SVYASA'S YOGA MEDICINE HOSPITAL, MAKING THEIR DATA A PRE-POST, SELF-AS-CONTROL, PROSPECTIVE STUDY. MAIN OUTCOME MEASURES WERE MEAN ACUMERIDIAN ENERGY LEVELS ASSESSED BY ACUGRAPH3 MEASURES OF ELECTRODERMAL RESISTANCE AT ACUPOINTS; ADDITIONALLY, GENDER DIFFERENCES, STANDARD DEVIATIONS (SDS) OF ALL MEASURES, AND COMPARISON OF POST AND EXPERIENCED GROUP DATA. RESULTS: AVERAGED ENERGY LEVELS SIGNIFICANTLY IMPROVED IN ALL 24 MERIDIANS (MAXIMUM P = 0.032, 4-P < 0.01, AND 19-P < 0.001). FEMALES IMPROVED MORE THAN MALES (P < 0.05), BOTH ENDING AT SIMILAR LEVELS TO EXPERIENCED PRACTITIONERS, WHOSE SDS WERE LOWER THAN NOVICES ON 19/24 MERIDIANS (MEAN F = 3.715, P = 0.0022), AND 4/5 AVERAGE VARIABLES. CONCLUSIONS: ACUGRAPH3 ELECTRODERMAL MEASURES CONTAIN SUBSTANTIAL INFORMATION, P << 0.00001. YOGA-LIFESTYLE PRACTICE CAN INCREASE AND BALANCE ACUMERIDIAN ENERGIES; LONG-TERM PRACTICE DECREASES GROUP SD'S. THESE THREE SUGGEST REASONS WHY YOGA PRACTICE IMPACTS HEALTH: ONE, INCREASED PRANA LEVELS ARE IMPORTANT; TWO AND THREE, IMPROVED PHYSIOLOGICAL REGULATION IS THE KEY. FURTHER STUDIES RELATING TRADITIONAL INDIAN AND CHINESE MEDICAL SYSTEMS ARE NEEDED. 2014 2 703 45 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 3 2008 38 STUDY PROTOCOL FOR YOGA-BASED LIFESTYLE INTERVENTION FOR HEALTHY AGEING PHENOTYPE IN THE OLDER ADULTS (YHAP): A TWO-ARMED, WAITLIST RANDOMISED CONTROLLED TRIAL WITH MULTIPLE PRIMARY OUTCOMES. INTRODUCTION: THE CONCEPTUALISATION OF HEALTHY AGEING PHENOTYPE (HAP) AND THE AVAILABILITY OF A TENTATIVE PANEL FOR HAP BIOMARKERS RAISE THE NEED TO TEST THE EFFICACY OF POTENTIAL INTERVENTIONS TO PROMOTE HEALTH IN OLDER ADULTS. THIS STUDY PROTOCOL REPORTS THE METHODOLOGY FOR A 24-WEEK PROGRAMME TO EXPLORE THE HOLISTIC INFLUENCE OF THE YOGA-BASED INTERVENTION ON THE (BIO)MARKERS OF HAP. METHODS AND ANALYSIS: THE STUDY IS A TWO-ARMED, RANDOMISED WAITLIST CONTROLLED TRIAL WITH BLINDED OUTCOME ASSESSORS AND MULTIPLE PRIMARY OUTCOMES. WE AIM TO RECRUIT 250 SUBJECTS, AGED 60-80 YEARS FROM THE RESIDENTIAL COMMUNITIES AND OLD AGE CLUBS IN BANGALORE CITY, INDIA, WHO WILL UNDERGO RANDOMISATION INTO INTERVENTION OR CONTROL ARMS (1:1). THE INTERVENTION WILL INCLUDE A YOGA-BASED PROGRAMME TAILORED FOR THE OLDER ADULTS, 1 HOUR PER DAY FOR 6 DAYS A WEEK, SPREAD FOR 24 WEEKS. DATA WOULD BE COLLECTED AT THE BASELINE AND POST-INTERVENTION, THE 24TH WEEK. THE MULTIPLE PRIMARY OUTCOMES OF THE STUDY ARE THE (BIO)MARKERS OF HAP: GLYCATED HAEMOGLOBIN, LOW-DENSITY LIPOPROTEIN CHOLESTEROL (LDL-C), SYSTOLIC BLOOD PRESSURE, AND FORCED EXPIRATORY VOLUME IN 1 S FOR PHYSIOLOGICAL AND METABOLIC HEALTH; DIGIT SYMBOL SUBSTITUTION TEST, TRAIL MAKING TESTS A AND B FOR COGNITION; HAND GRIP STRENGTH AND GAIT SPEED FOR PHYSICAL CAPABILITY; LONELINESS FOR SOCIAL WELL-BEING AND WHO QUALITY OF LIFE INSTRUMENT-SHORT FORM FOR QUALITY OF LIFE. THE SECONDARY OUTCOMES INCLUDE INFLAMMATORY MARKERS, TUMOUR NECROSIS FACTOR-ALPHA RECEPTOR II, C REACTIVE PROTEIN, INTERLEUKIN 6 AND SERUM KLOTHO LEVELS. ANALYSES WILL BE BY INTENTION-TO-TREAT AND THE HOLISTIC IMPACT OF YOGA ON HAP WILL BE ASSESSED USING GLOBAL STATISTICAL TEST. ETHICS AND DISSEMINATION: THE STUDY IS APPROVED BY THE INSTITUTIONAL ETHICS COMMITTEE OF SWAMI VIVEKANANDA YOGA ANUSANDHANA SAMSTHANA UNIVERSITY, BANGALORE (ID: RES/IEC-SVYASA/143/2019). WRITTEN INFORMED CONSENT WILL BE OBTAINED FROM EACH PARTICIPANT PRIOR TO INCLUSION. RESULTS WILL BE AVAILABLE THROUGH RESEARCH ARTICLES AND CONFERENCES. TRIAL REGISTRATION NUMBER: CTRI/2021/02/031373. 2021 4 2764 43 YOGA PROGRAMME FOR TYPE-2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH RISK PEOPLE IN INDIA: A MULTICENTRE FEASIBILITY RANDOMISED CONTROLLED TRIAL PROTOCOL. INTRODUCTION: A HUGE POPULATION IN INDIA IS AT HIGH RISK OF TYPE-2 DIABETES (T2DM). PHYSICAL ACTIVITY AND A HEALTHY DIET (HEALTHY LIFESTYLE) IMPROVE BLOOD GLUCOSE LEVELS IN PEOPLE AT HIGH RISK OF T2DM. HOWEVER, AN UNHEALTHY LIFESTYLE IS COMMON AMONG INDIANS. YOGA COVERS PHYSICAL ACTIVITY AND A HEALTHY DIET AND CAN HELP TO PREVENT T2DM. THE RESEARCH QUESTION TO BE ADDRESSED BY THE MAIN RANDOMISED CONTROLLED TRIAL (RCT) IS WHETHER A YOGA PROGRAMME FOR T2DM PREVENTION (YOGA-DP) IS EFFECTIVE IN PREVENTING T2DM AMONG HIGH RISK PEOPLE IN INDIA AS COMPARED WITH ENHANCED STANDARD CARE. IN THIS CURRENT STUDY, WE ARE DETERMINING THE FEASIBILITY OF UNDERTAKING THE MAIN RCT. INTERVENTION: YOGA-DP IS A STRUCTURED LIFESTYLE EDUCATION AND EXERCISE PROGRAMME. THE EXERCISE PART IS BASED ON YOGA AND INCLUDES SHITHILIKARANA VYAYAMA (LOOSENING EXERCISES), SURYA NAMASKAR (SUN SALUTATION EXERCISES), ASANA (YOGIC POSES), PRANAYAMA (BREATHING PRACTICES) AND DHYANA (MEDITATION) AND RELAXATION PRACTICES. METHODS AND ANALYSIS: THIS IS A MULTICENTRE, TWO-ARM, PARALLEL-GROUP, FEASIBILITY RCT WITH BLINDED OUTCOME ASSESSMENT AND INTEGRATED MIXED-METHODS PROCESS EVALUATION. ELIGIBLE PARTICIPANTS SHOULD BE AGED 18-74 YEARS, AT HIGH RISK OF T2DM (FASTING PLASMA GLUCOSE LEVEL 5.6-6.9 MMOL/L) AND SAFE TO PARTICIPATE IN PHYSICAL ACTIVITIES. AT LEAST 64 PARTICIPANTS WILL BE RANDOMISED TO INTERVENTION OR CONTROL GROUP WITH FINAL FOLLOW-UP AT 6 MONTHS. IMPORTANT PARAMETERS, NEEDED TO DESIGN THE MAIN RCT, WILL BE ESTIMATED, SUCH AS SD OF THE OUTCOME MEASURE (FASTING PLASMA GLUCOSE LEVEL AT 6-MONTH FOLLOW-UP), RECRUITMENT, INTERVENTION ADHERENCE, FOLLOW-UP, POTENTIAL CONTAMINATION AND TIME NEEDED TO CONDUCT THE STUDY. SEMISTRUCTURED QUALITATIVE INTERVIEWS WILL BE CONDUCTED WITH UP TO 20-30 PARTICIPANTS, A SAMPLE OF THOSE DECLINING TO PARTICIPATE, FOUR YOGA-DP INSTRUCTORS AND AROUND EIGHT STUDY STAFF TO EXPLORE THEIR PERCEPTIONS AND EXPERIENCES OF TAKING PART IN THE STUDY AND OF THE INTERVENTION, REASONS BEHIND NON-PARTICIPATION, EXPERIENCES OF DELIVERING THE INTERVENTION AND RUNNING THE STUDY, RESPECTIVELY. ETHICS AND DISSEMINATION: ETHICS APPROVAL HAS BEEN OBTAINED FROM THE FOLLOWING RESEARCH ETHICS COMMITTEES: FACULTY OF MEDICINE AND HEALTH SCIENCES, UNIVERSITY OF NOTTINGHAM (UK); CENTRE FOR CHRONIC DISEASE CONTROL (CCDC, INDIA); BAPU NATURE CURE HOSPITAL AND YOGASHRAM (BNCHY, INDIA) AND SWAMI VIVEKANANDA YOGA ANUSANDHANA SAMSTHANA (S-VYASA, INDIA). THE RESULTS WILL BE WIDELY DISSEMINATED AMONG KEY STAKEHOLDERS THROUGH VARIOUS AVENUES. TRIAL REGISTRATION NUMBER: CTRI/2019/05/018893. 2020 5 2254 36 THE ORIGIN AND CLINICAL RELEVANCE OF YOGA NIDRA. YOGA NIDRA, ALSO KNOWN AS 'YOGIC SLEEP', IS A SIMPLIFIED FORM OF AN ANCIENT TANTRIC RELAXATION TECHNIQUE. THE MOST GENERAL DESCRIPTION OF THE PRACTICE IS THAT IT COMBINES GUIDED MENTAL IMAGERY WITH A SPECIFIC YOGA POSTURE CALLED SHAVASANA (OR "CORPSE POSE"). THE GOAL OF YOGA NIDRA IS TO PROMOTE A PROFOUND STATE OF RELAXATION, WHICH DIFFERS FROM SLEEP INASMUCH AS THERE IS STILL AN AWARENESS OF ONE'S SURROUNDINGS. WHILE SEVERAL COMPONENTS OF THE PRACTICE HAVE BEEN KNOWN SINCE ANCIENT TIMES, IT WAS NOT UNTIL THE 1960S THAT AN UPDATED AND SYSTEMATIZED SYSTEM OF PRACTICE WAS INTRODUCED TO THE PUBLIC THROUGH THE WRITINGS OF SWAMI SATYANANDA SARASWATI. UNLIKE OTHER SCHOOLS OF YOGA, WHICH EMPHASIZE CONCENTRATION OR CONTEMPLATION, YOGA NIDRA'S GOAL IS COMPLETE RELAXATION. AS SUCH, ITS ADVOCATES CLAIM THAT IT IS SUITABLE FOR ALL INDIVIDUALS, FROM BEGINNERS TO ADVANCED PRACTITIONERS OF YOGA. THE CALM INNER STILLNESS INDUCED BY YOGA NIDRA IS CLAIMED BY PRACTITIONERS TO BE AN EFFECTIVE STRESS MANAGEMENT TOOL AS WELL AS A MEANS FOR ATTAINING GREATER RECEPTIVITY TO PERSONAL RESOLUTIONS. THESE RESOLUTIONS CAN RANGE FROM THE GOAL OF ACHIEVING SELF-TRANSFORMATION, ENHANCING CREATIVITY, OR IMPROVING ONE'S LEARNING ABILITY. ADDITIONALLY, YOGA NIDRA IS CLAIMED TO PROMOTE BENEFICIAL CHANGES IN PHYSIOLOGICAL AND MENTAL HEALTH. THE FOLLOWING NARRATIVE REVIEW SUMMARIZES THE BASIC STEPS USED TO ACHIEVE THE FINAL STATE OF YOGA NIDRA RELAXATION AS WELL AS SOME RECENT EXPERIMENTAL FINDINGS REGARDING ITS PHYSIOLOGICAL AND PSYCHOLOGICAL EFFECTS. STANDARD RESEARCH DATABASES WERE SEARCHED FOR RELEVANT ARTICLES. CLINICAL STUDIES HAVE SHOWN THAT YOGA NIDRA MEDITATION IS ASSOCIATED WITH POSITIVE PHYSIOLOGICAL CHANGES, INCLUDING IMPROVEMENTS IN SEVERAL HEMATOLOGICAL VARIABLES, RED BLOOD CELL COUNTS, BLOOD GLUCOSE LEVELS, AND HORMONAL STATUS. TWO NEUROIMAGING STUDIES HAVE SHOWN THAT YOGA NIDRA PRODUCES CHANGES IN ENDOGENOUS DOPAMINE RELEASE AND CEREBRAL BLOOD FLOW, A FURTHER CONFIRMATION THAT ITS EFFECTS ON THE CNS ARE OBJECTIVELY MEASURABLE. THE PRACTICE HAS ALSO BEEN SHOWN TO REDUCE PSYCHOMETRICALLY MEASURED INDICES OF MILD DEPRESSION AND ANXIETY, ALTHOUGH THESE BENEFITS WERE NOT SHOWN IN AN EXPERIMENTAL STUDY TO EXTEND TO SEVERE DEPRESSION OR SEVERE ANXIETY. 2022 6 613 34 DEVELOPMENT OF A YOGA PROGRAM FOR TYPE-2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA. INTRODUCTION: MANY INDIANS ARE AT HIGH-RISK OF TYPE-2 DIABETES MELLITUS (T2DM). YOGA IS AN ANCIENT INDIAN MIND-BODY DISCIPLINE, THAT HAS BEEN ASSOCIATED WITH IMPROVED GLUCOSE LEVELS AND CAN HELP TO PREVENT T2DM. THE STUDY AIMED TO SYSTEMATICALLY DEVELOP A YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA USING A COMPLEX INTERVENTION DEVELOPMENT APPROACH. MATERIALS AND METHODS: AS PART OF THE INTERVENTION, WE DEVELOPED A BOOKLET AND A HIGH-DEFINITION VIDEO FOR PARTICIPANTS AND A MANUAL FOR YOGA-DP INSTRUCTORS. A SYSTEMATIC ITERATIVE PROCESS WAS FOLLOWED TO DEVELOP THE INTERVENTION AND INCLUDED FIVE STEPS: (I) A SYSTEMATIC REVIEW OF THE LITERATURE TO GENERATE A LIST OF YOGIC PRACTICES THAT IMPROVES BLOOD GLUCOSE LEVELS AMONG ADULTS AT HIGH-RISK OF OR WITH T2DM, (II) VALIDATION OF IDENTIFIED YOGIC PRACTICES BY YOGA EXPERTS, (III) DEVELOPMENT OF THE INTERVENTION, (IV) CONSULTATION WITH YOGA, EXERCISE, PHYSICAL ACTIVITY, DIET, BEHAVIOR CHANGE, AND/OR DIABETES EXPERTS ABOUT THE INTERVENTION, AND (V) PRETEST THE INTERVENTION AMONG YOGA PRACTITIONERS AND LAY PEOPLE (THOSE AT RISK OF T2DM AND HAD NOT PRACTICED YOGA BEFORE) IN INDIA. RESULTS: YOGA-DP IS A STRUCTURED LIFESTYLE EDUCATION AND EXERCISE PROGRAM, PROVIDED OVER A PERIOD OF 24 WEEKS. THE EXERCISE PART IS BASED ON YOGA AND INCLUDES SHITHILIKARANA VYAYAMA (LOOSENING EXERCISES), SURYA NAMASKAR (SUN SALUTATION EXERCISES), ASANA (YOGIC POSES), PRANAYAMA (BREATHING PRACTICES), AND DHYANA (MEDITATION) AND RELAXATION PRACTICES. ONCE PARTICIPANTS COMPLETE THE PROGRAM, THEY ARE STRONGLY ENCOURAGED TO MAINTAIN A HEALTHY LIFESTYLE IN THE LONG-TERM. CONCLUSIONS: WE SYSTEMATICALLY DEVELOPED A NOVEL YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA. A MULTI-CENTER FEASIBILITY RANDOMIZED CONTROLLED TRIAL IS IN PROGRESS IN INDIA. 2020 7 818 40 EFFECT OF YOGA ON COGNITIVE FUNCTIONS IN CLIMACTERIC SYNDROME: A RANDOMISED CONTROL STUDY. OBJECTIVE: TO ASSESS THE EFFICACY OF AN INTEGRATED APPROACH OF YOGA THERAPY (IAYT) ON COGNITIVE ABILITIES IN CLIMACTERIC SYNDROME. DESIGN: A RANDOMISED CONTROL STUDY WHEREIN THE PARTICIPANTS WERE DIVIDED INTO EXPERIMENTAL AND CONTROL GROUPS. SETTINGS: FOURTEEN CENTRES OF SWAMI VIVEKANANDA YOGA RESEARCH FOUNDATION, BANGALORE, INDIA. SAMPLE: ONE HUNDRED AND EIGHT PERIMENOPAUSAL WOMEN BETWEEN 40 AND 55 YEARS WITH FOLLICLE-STIMULATING HORMONE LEVEL EQUAL TO OR GREATER THAN 15 MIU/ML. ONE HUNDRED AND TWENTY PERIMENOPAUSAL WOMEN WERE RANDOMLY ALLOTTED INTO THE YOGA AND THE CONTROL GROUPS. METHODS: THE YOGA GROUP PRACTISED A MODULE COMPRISING BREATHING PRACTICES, SUN SALUTATION AND CYCLIC MEDITATION, WHEREAS THE CONTROL GROUP PRACTISED A SET OF SIMPLE PHYSICAL EXERCISES, UNDER SUPERVISION (1 HOUR/DAY, 5 DAYS/WEEK FOR 8 WEEKS). MAIN OUTCOME MEASURES: ASSESSMENTS WERE MADE BY VASOMOTOR SYMPTOM CHECKLIST, SIX-LETTER CANCELLATION TEST (SLCT) FOR ATTENTION AND CONCENTRATION AND PUNIT GOVIL INTELLIGENCE MEMORY SCALE (PGIMS) WITH TEN SUBTESTS. RESULTS: THE WILCOXON TEST SHOWED SIGNIFICANT (P < 0.001) REDUCTION IN HOT FLUSHES, NIGHT SWEATS AND SLEEP DISTURBANCE IN YOGA GROUP, WITH A TREND OF SIGNIFICANT DIFFERENCE BETWEEN GROUPS AT P = 0.06 ON MANN-WHITNEY TEST IN NIGHT SWEATS. THERE WAS NO CHANGE WITHIN OR BETWEEN GROUPS IN THE CONTROL GROUP. THE SLCT SCORE AND THE PGIMS SHOWED SIGNIFICANT IMPROVEMENT IN EIGHT OF TEN SUBTESTS IN THE YOGA GROUP AND SIX OF TEN SUBTESTS IN THE CONTROL GROUP. THE YOGA GROUP PERFORMED SIGNIFICANTLY BETTER (P < 0.001) WITH HIGHER EFFECT SIZES IN SLCT AND SEVEN TESTS OF PGIMS COMPARED WITH THE CONTROL GROUP. CONCLUSIONS: INTEGRATED APPROACH OF YOGA THERAPY CAN IMPROVE HOT FLUSHES AND NIGHT SWEATS. IT ALSO CAN IMPROVE COGNITIVE FUNCTIONS SUCH AS REMOTE MEMORY, MENTAL BALANCE, ATTENTION AND CONCENTRATION, DELAYED AND IMMEDIATE RECALL, VERBAL RETENTION AND RECOGNITION TESTS. 2008 8 1094 57 EFFECTS OF YOGA PRACTICE ON ACUMERIDIAN ENERGIES: VARIANCE REDUCTION IMPLIES BENEFITS FOR REGULATION. BACKGROUND AND OBJECTIVE: THIS PAPER CONCERNS MECHANISMS RESPONSIBLE FOR THE EFFICACY OF YOGA MEDICINE, TRADITIONALLY ATTRIBUTED TO THE ENLIVENMENT OF PRANA. OUR STRATEGY WAS TO INVESTIGATE LEVELS OF QI IN ACUPUNCTURE MERIDIANS, SINCE QI IS USUALLY CONSIDERED EQUIVALENT TO PRANA. MATERIALS AND METHODS: ELECTRODERMAL MEASUREMENTS AT ACUMERIDIAN ENDPOINTS (TSING POINTS) WERE MADE ON 32 HEALTHY INDIVIDUALS, PRE AND POST 3 WEEKS YOGA LIFESTYLE PROGRAM USING ACUGRAPH 3 (AN INSTRUMENT IN WIDE USE). A PREVIOUS STUDY FOUND THAT INHERENT ERRORS PREVENT ACUGRAPH FROM PRECISELY EVALUATING QI ENERGIES IN SINGLE MERIDIANS, SO GROUP RESULTS ARE REPORTED: (A) ENERGY LEVELS, (B) ENERGY STABILITY, AND (C) ENERGY BALANCE BETWEEN (I) YIN/YANG MERIDIANS, (II) UPPER AND LOWER, AND (III) LEFT AND RIGHT REGIONS OF THE BODY. RESULTS: SIGNIFICANT IMPROVEMENTS WERE OBSERVED IN ALL BUT ENERGY STABILITY, SUPPORTING THE IDEAS THAT YOGA ENLIVENS PRANA, AND THAT BALANCE IN MERIDIANS CONSTITUTES HEALTH. FOR BALANCE VARIABLES, THE STUDY OBSERVED SHIFTS TOWARD NORMAL AT BOTH ENDS OF VARIABLE DISTRIBUTIONS, REDUCING STANDARD DEVIATIONS: POST-INTERVENTION PERCENTAGES OF SUBJECTS WITH VALUES IN THE 'HEALTHY' RANGE INCREASED. CONCLUSION: YOGA IMPROVED REGULATION OF QI LEVELS IN ACUMERIDIAN MERIDIANS AS WELL AS INCREASING THEM. 2013 9 568 34 DECODING THE INTEGRATED APPROACH TO YOGA THERAPY: QUALITATIVE EVIDENCE BASED CONCEPTUAL FRAMEWORK. AIM: THE AIM OF THIS STUDY WAS TO DEFINE, DECODE, AND APPEND TO THE CONCEPTUAL FRAME-WORK OF THE INTEGRATED APPROACH TO YOGA THERAPY (IAYT). MATERIALS AND METHODS: FOUR STAKEHOLDERS WHO FOLLOWED TWO IN-PATIENTS WITH DEPRESSION OVER A PERIOD OF 2 WEEKS IN THE RESIDENTIAL CENTER AROGYADHAMA (OF SWAMI VIVEKANANDA YOGA ANUSANDANA SAMSTHANA, BANGALORE, INDIA) WERE INTERVIEWED BEFORE THE START OF THE IAYT TREATMENT AND PRIOR TO DISCHARGE OF THE PATIENT. THE PATIENTS WERE ALSO INTERVIEWED PRE AND POST AND WERE OBSERVED ONCE DURING THEIR SESSION. THE DATA FROM THE AUDIO RECORDINGS FROM EIGHT IN-DEPTH INTERVIEWS WERE TRANSCRIBED MANUALLY AND QUALITATIVE ANALYSIS WAS CONDUCTED. RESULTS: THE CONCEPTUAL FRAME-WORK OF IAYT DEPICTS THAT PATIENT RELATED FACTORS ("CO-OPERATION OF PATIENT", "PATIENTS AWARENESS OF HIS/HER CONDITION"), THERAPIST RELATED FACTORS ("ABILITY TO GUIDE", "THE ASSISTANCE TO THE PATIENTS", "EXPLANATION OF THE EXERCISES") AND TREATMENT RELATED FACTORS ("COMBINATION OF PSYCHIATRIC OR AYURVEDIC MEDICATION WITH YOGA", "COUNSELING DURING THE IAYT TREATMENT", DURATION OF TREATMENT), PLAY AN INTEGRATED ROLE IN REACHING THE "AIM OF IAYT" AND EXPERIENCING "IMPROVEMENTS AND CHANGES". CONCLUSION: THE IAYT IS A HOLISTIC PROGRAM AND THE ABILITY OF THE PATIENT TO COOPERATE WITH AND INTEGRATE THE AVAILABLE FACTORS (THERAPIST RELATED AND TREATMENT RELATED) COULD ENABLE BEST RESULTS. 2014 10 98 43 A NONRANDOMIZED NON-NAIVE COMPARATIVE STUDY OF THE EFFECTS OF KAPALABHATI AND BREATH AWARENESS ON EVENT-RELATED POTENTIALS IN TRAINED YOGA PRACTITIONERS. OBJECTIVES: THE STUDY WAS CONDUCTED TO COMPARE THE P300 EVENT-RELATED POTENTIALS RECORDED BEFORE AND AFTER (1) HIGH-FREQUENCY YOGA BREATHING (HFYB) AND (2) BREATH AWARENESS. DESIGN: THE P300 WAS RECORDED IN PARTICIPANTS OF TWO GROUPS BEFORE AND AFTER THE INTERVENTION SESSION (1 MINUTE IN DURATION). SETTINGS AND LOCATION: ALL PARTICIPANTS WERE RECEIVING YOGA TRAINING IN A RESIDENTIAL YOGA CENTER, SWAMI VIVEKANADA YOGA RESEARCH FOUNDATION IN BANGALORE, INDIA. SUBJECTS: THIRTY (30) MALE PARTICIPANTS FORMED TWO GROUPS (N = 15 EACH) WITH COMPARABLE AGES (WITHIN AN AGE RANGE OF 20-35 YEARS) AND COMPARABLE EXPERIENCE OF THE TWO TECHNIQUES, THE MINIMUM EXPERIENCE BEING 3 MONTHS. INTERVENTIONS: THE TWO GROUPS WERE EACH GIVEN A SEPARATE INTERVENTION. ONE GROUP PRACTICED A HFYB AT A FREQUENCY OF APPROXIMATELY 2.0 HZ, CALLED KAPALABHATI. THE OTHER GROUP PRACTICED BREATH AWARENESS DURING WHICH PARTICIPANTS WERE AWARE OF THEIR BREATH WHILE SEATED, RELAXED. OUTCOME MEASURES: THE P300 EVENT-RELATED POTENTIAL, WHICH IS GENERATED WHEN ATTENDING TO AND DISCRIMINATING BETWEEN AUDITORY STIMULI, WAS RECORDED BEFORE AND AFTER BOTH TECHNIQUES. RESULTS: THE P300 PEAK LATENCY DECREASED AFTER HFYB AND THE P300 PEAK AMPLITUDE INCREASED AFTER BREATH AWARENESS. CONCLUSIONS: BOTH PRACTICES (HFYB AND BREATH AWARENESS), THOUGH VERY DIFFERENT, INFLUENCED THE P300. HFYB REDUCED THE PEAK LATENCY, SUGGESTING A DECREASE IN TIME NEEDED FOR THIS TASK, WHICH REQUIRES SELECTIVE ATTENTION. BREATH AWARENESS INCREASED THE P300 PEAK AMPLITUDE, SUGGESTING AN INCREASE IN THE NEURAL RESOURCES AVAILABLE FOR THE TASK. 2009 11 1191 23 EVOLUTION FROM FOUR MENTAL STATES TO THE HIGHEST STATE OF CONSCIOUSNESS: A NEUROPHYSIOLOGICAL BASIS OF MEDITATION AS DEFINED IN YOGA TEXTS. THIS CHAPTER PROVIDES A THEORETICAL INTRODUCTION TO STATES OF CONSCIOUSNESS AND REVIEWS NEUROSCIENTIFIC INVESTIGATIONS OF MEDITATION. THE DIFFERENT STATES OF CONSCIOUSNESS CONSIST OF FOUR MENTAL STATES, I.E., CANCALATA (RANDOM THINKING), EKAGRATA (NON-MEDITATIVE FOCUSING), DHARNA (FOCUSED MEDITATION), AND DHYANA (MEDITATION) AS DEFINED IN YOGA TEXTS. MEDITATION IS A SELF-REGULATED MENTAL PROCESS ASSOCIATED WITH DEEP RELAXATION AND INCREASED INTERNALIZED ATTENTION. SCIENTIFIC INVESTIGATIONS ON MEDITATION REPORTED CHANGES IN ELECTROPHYSIOLOGICAL SIGNALS AND NEUROIMAGING MEASURES. BUT MOST OUTCOMES OF MEDITATION STUDIES SHOWED INCONSISTENT RESULTS, THIS MAY BE DUE TO HETEROGENEITY IN MEDITATION METHODS AND TECHNIQUES EVOLVED IN THE LAST 200 YEARS. TRADITIONALLY, THE FEATURES OF MEDITATION INCLUDE THE CAPACITY TO SUSTAIN A HEIGHTENED AWARENESS OF THOUGHTS, BEHAVIORS, EMOTIONS, AND PERCEPTIONS. GENERALLY, MEDITATION INVOLVES NON-REACTIVE EFFORTLESS MONITORING OF THE CONTENT OF EXPERIENCE FROM MOMENT TO MOMENT. FOCUSED MEDITATION PRACTICE INVOLVES AWARENESS ON A SINGLE OBJECT AND OPEN MONITORING MEDITATION IS A NON-DIRECTIVE MEDITATION INVOLVED ATTENTION IN BREATHING, MANTRA, OR SOUND. THEREFORE, RESULTS OF FEW EMPIRICAL STUDIES OF ADVANCED MEDITATORS OR BEGINNERS REMAIN TENTATIVE. THIS IS AN ATTEMPT TO COMPILE THE MEDITATION-RELATED CHANGES IN ELECTROPHYSIOLOGICAL AND NEUROIMAGING PROCESSES AMONG EXPERIENCED AND NOVICE PRACTITIONERS. 2019 12 614 29 DEVELOPMENT OF A YOGA-BASED CARDIAC REHABILITATION (YOGA-CARE) PROGRAMME FOR SECONDARY PREVENTION OF MYOCARDIAL INFARCTION. CARDIAC REHABILITATION (CR) AFTER MYOCARDIAL INFARCTION IS HIGHLY EFFECTIVE. IT IS UNAVAILABLE IN PUBLIC HOSPITALS IN INDIA DUE TO LIMITED RESOURCES. OUR OBJECTIVE WAS TO DEVELOP A SCALABLE MODEL OF CR FOR INDIA BASED ON YOGA, WHICH COULD ALSO APPEAL TO SOME GROUPS WITH LOW UPTAKE OF CR (E.G., ETHNIC MINORITIES, WOMEN, AND OLDER PEOPLE) GLOBALLY. THE INTERVENTION WAS DEVELOPED USING A STRUCTURED PROCESS. A LITERATURE REVIEW AND CONSULTATIONS WITH YOGA EXPERTS, CR EXPERTS, AND POSTMYOCARDIAL INFARCTION PATIENTS WERE CONDUCTED TO SYSTEMATICALLY IDENTIFY AND SHORTLIST APPROPRIATE YOGA EXERCISES AND POSTURES, BREATHING EXERCISES, MEDITATION AND RELAXATION PRACTICES, AND LIFESTYLE CHANGES, WHICH WERE INCORPORATED INTO A CONVENTIONAL CR FRAMEWORK. THE DRAFT INTERVENTION WAS FURTHER REFINED BASED ON THE FEEDBACK FROM AN INTERNAL STAKEHOLDER GROUP AND AN EXTERNAL PANEL OF INTERNATIONAL EXPERTS, BEFORE BEING PILOTED WITH YOGA INSTRUCTORS AND PATIENTS WITH MYOCARDIAL INFARCTION. A FOUR-PHASE YOGA-BASED CR (YOGA-CARE) PROGRAMME WAS DEVELOPED FOR DELIVERY BY A SINGLE YOGA INSTRUCTOR WITH BASIC TRAINING. THE PROGRAMME CONSISTS OF A TOTAL OF 13 INSTRUCTOR-LED SESSIONS (2 INDIVIDUAL AND 11 GROUP) OVER A 3-MONTH PERIOD. GROUP SESSIONS INCLUDE GUIDED PRACTICE OF YOGA EXERCISES AND POSTURES, BREATHING EXERCISES, AND MEDITATION AND RELAXATION PRACTICES, AND SUPPORT FOR THE LIFESTYLE CHANGE AND COPING THROUGH A MODERATED DISCUSSION. PATIENTS ARE ENCOURAGED TO SELF-PRACTICE DAILY AT HOME AND CONTINUE LONG-TERM WITH THE HELP OF A BOOKLET AND DIGITAL VIDEO DISC (DVD). FAMILY MEMBERS/CARERS ARE ENCOURAGED TO JOIN THROUGHOUT. IN CONCLUSION, A NOVEL YOGA-BASED CR PROGRAMME HAS BEEN DEVELOPED, WHICH PROMISES TO PROVIDE A SCALABLE CR SOLUTION FOR INDIA AND AN ALTERNATIVE CHOICE FOR CR GLOBALLY. IT IS CURRENTLY BEING EVALUATED IN A LARGE MULTICENTRE RANDOMISED CONTROLLED TRIAL ACROSS INDIA. 2019 13 2763 30 YOGA PROGRAM FOR TYPE 2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE: QUALITATIVE STUDY TO EXPLORE REASONS FOR NON-PARTICIPATION IN A FEASIBILITY RANDOMIZED CONTROLLED TRIAL IN INDIA. BACKGROUND: YOGA-BASED INTERVENTIONS CAN BE EFFECTIVE IN PREVENTING TYPE 2 DIABETES MELLITUS (T2DM). WE DEVELOPED A YOGA PROGRAM FOR T2DM PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE AND CONDUCTED A FEASIBILITY RANDOMIZED CONTROLLED TRIAL (RCT) IN INDIA. THE OBJECTIVE OF THIS STUDY WAS TO IDENTIFY AND EXPLORE WHY POTENTIAL PARTICIPANTS DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT. METHODS: AN EXPLORATORY QUALITATIVE STUDY, USING SEMI-STRUCTURED INTERVIEWS, WAS CONDUCTED AT A YOGA CENTER IN NEW DELHI, INDIA. FOURTEEN PEOPLE (10 WOMEN AND FOUR MEN) WHO DECLINED TO PARTICIPATE IN THE FEASIBILITY RCT WERE INTERVIEWED, AND 13 OF THEM COMPLETED THE NON-PARTICIPANT QUESTIONNAIRE, WHICH CAPTURED THEIR SOCIO-DEMOGRAPHICS, DIETS, PHYSICAL ACTIVITIES, AND REASONS FOR DECLINING. RESULTS: THREE TYPES OF BARRIERS WERE IDENTIFIED AND EXPLORED WHICH PREVENTED PARTICIPATION IN THE FEASIBILITY RCT: (1) PERSONAL BARRIERS, SUCH AS LACK OF TIME, PERCEIVED SUFFICIENCY OF KNOWLEDGE, PREFERENCES ABOUT SELF-MANAGEMENT OF HEALTH, AND TRUST IN OTHER TRADITIONAL AND ALTERNATIVE THERAPIES; (2) CONTEXTUAL BARRIERS, SUCH AS SOCIAL INFLUENCES AND LACK OF AWARENESS ABOUT PREVENTIVE CARE; AND (3) STUDY-RELATED BARRIERS, SUCH AS LACK OF STUDY INFORMATION, POOR ACCESSIBILITY TO THE YOGA SITE, AND LACK OF TRUST IN THE STUDY METHODS AND INTERVENTION. CONCLUSIONS: WE IDENTIFIED AND EXPLORED PERSONAL, CONTEXTUAL, AND STUDY-RELATED BARRIERS TO PARTICIPATION IN A FEASIBILITY RCT IN INDIA. THE FINDINGS WILL HELP TO ADDRESS RECRUITMENT CHALLENGES IN FUTURE YOGA AND OTHER RCTS. CLINICAL TRIAL REGISTRATION:WWW.CLINICALTRIALS.GOV, IDENTIFIER: CTRI/2019/05/018893. 2021 14 2202 34 THE ESSENTIAL PROPERTIES OF YOGA QUESTIONNAIRE (EPYQ): PSYCHOMETRIC PROPERTIES. YOGA INTERVENTIONS ARE HETEROGENEOUS AND VARY ALONG MULTIPLE DIMENSIONS. THESE DIMENSIONS MAY AFFECT MENTAL AND PHYSICAL HEALTH OUTCOMES IN DIFFERENT WAYS OR THROUGH DIFFERENT MECHANISMS. HOWEVER, MOST STUDIES OF THE EFFECTS OF YOGA ON HEALTH DO NOT ADEQUATELY DESCRIBE OR QUANTIFY THE COMPONENTS OF THE INTERVENTIONS BEING IMPLEMENTED. THIS LACK OF DETAIL PREVENTS RESEARCHERS FROM MAKING COMPARISONS ACROSS STUDIES AND LIMITS OUR UNDERSTANDING OF THE RELATIVE EFFECTS OF DIFFERENT ASPECTS OF YOGA INTERVENTIONS. TO ADDRESS THIS PROBLEM, WE DEVELOPED THE ESSENTIAL PROPERTIES OF YOGA QUESTIONNAIRE (EPYQ), WHICH ALLOWS RESEARCHERS TO OBJECTIVELY CHARACTERIZE THEIR INTERVENTIONS. WE PRESENT HERE THE RELIABILITY AND VALIDITY DATA FROM THE FINAL PHASES OF THIS MEASURE-DEVELOPMENT PROJECT. ANALYSES IDENTIFIED FOURTEEN KEY DIMENSIONS OF YOGA INTERVENTIONS MEASURED BY THE EPYQ: ACCEPTANCE/COMPASSION, BANDHAS, BODY AWARENESS, BREATHWORK, INSTRUCTOR MENTION OF HEALTH BENEFITS, INDIVIDUAL ATTENTION, MEDITATION AND MINDFULNESS, MENTAL AND EMOTIONAL AWARENESS, PHYSICALITY, ACTIVE POSTURES, RESTORATIVE POSTURES, SOCIAL ASPECTS, SPIRITUALITY, AND YOGA PHILOSOPHY. THE EPYQ DEMONSTRATED GOOD RELIABILITY, AS ASSESSED BY INTERNAL CONSISTENCY AND TEST-RETEST RELIABILITY ANALYSIS, AND EVIDENCE SUGGESTS THAT THE EPYQ IS A VALID MEASURE OF MULTIPLE DIMENSIONS OF YOGA. THE MEASURE IS READY FOR USE BY CLINICIANS AND RESEARCHERS. RESULTS INDICATE THAT, CURRENTLY, TRAINED OBJECTIVE RATERS SHOULD SCORE INTERVENTIONS TO AVOID REFERENCE FRAME ERRORS AND POTENTIAL RATING BIAS, BUT ALTERNATIVE APPROACHES MAY BE DEVELOPED. THE EPYQ WILL ALLOW RESEARCHERS TO LINK SPECIFIC YOGA DIMENSIONS TO IDENTIFIABLE HEALTH OUTCOMES AND OPTIMIZE THE DESIGN OF YOGA INTERVENTIONS FOR SPECIFIC CONDITIONS. 2018 15 2067 33 THE CONSCIOUSNESS STATE OF TRADITIONAL NIDRA YOGA/MODERN YOGA NIDRA: PHENOMENOLOGICAL CHARACTERIZATION AND PRELIMINARY INSIGHTS FROM AN EEG STUDY. NIDRA YOGA IS AN ANCIENT YOGIC PRACTICE CAPABLE OF INDUCING ALTERED STATES OF CONSCIOUSNESS CHARACTERIZED BY DEEP RELAXATION, STRONG CONCENTRATION, ACUTE SELF-AWARENESS, AND JOY. IN MODERN CONTEMPLATIVE NEUROSCIENCE LANGUAGE, IT IS KNOWN BY THE NAME YOGA NIDRA, AND FEW STUDIES HAVE INVESTIGATED ITS PHENOMENOLOGICAL AND PSYCHOPHYSIOLOGICAL EFFECTS. SIX HEALTHY VOLUNTEERS (FOUR FEMALES AGED 31-74) PERFORMED 12 YOGA NIDRA SESSIONS GUIDED BY AN EXPERT DURING A 6-DAY RETREAT. EACH SESSION CONSISTED OF 10 MINUTES IN A RESTING STATE (BASELINE) FOLLOWED BY 2 HOURS OF YOGA NIDRA. PSYCHOMETRIC DATA REGARDING DISSOCIATIVE EXPERIENCES (CLINICIAN ADMINISTERED DISSOCIATIVE STATES SCALE) AND THE STATE OF CONSCIOUSNESS (PHENOMENOLOGY OF CONSCIOUSNESS INVENTORY) WERE COLLECTED AFTER BASELINE AND YOGA NIDRA, WHILE HIGH-DENSITY EEG WAS RECORDED DURING THE ENTIRE SESSION. DURING NIDRA SESSIONS, NO SLEEP HALLMARKS (I.E., K-COMPLEXES AND SLEEP SPINDLES) WERE DETECTED BY THE EEG IN ANY SUBJECT. PSYCHOMETRIC DATA WE RE ANALYZED USING A WILCOXON SIGNED-RANK TEST CORRECTED WITH THE FALSE DISCOVERY RATE APPROACH FOR MULTIPLE COMPARISONS. COMPARED TO BASELINE, YOGA NIDRA PRACTICE WAS RELATED TO: (1) INCREASED DISSOCIATIVE EFFECTS (P = 0.022); (2) PERCEPTION OF BEING IN AN ALTERED STATE OF CONSCIOUSNESS (P = 0.026); (3) ALTERATIONS IN PERCEIVED BODY IMAGE (P = 0.022); (4) INCREASED "MEANINGFULNESS" ATTRIBUTED TO THE EXPERIENCE (P = 0.026); (5) REDUCED RATIONAL THINKING (P = 0.029); AND (6) REDUCED VOLITIONAL THOUGHT CONTROL (P = 0.026). FIRST-PERSON EXPERIENCE IS DISCUSSED IN RELATION TO DESCRIPTIVE EEG POWER SPECTRAL DENSITY ANALYSIS, WHICH WAS PERFORMED IN ONE SUBJECT BECAUSE OF SEVERE EEG ARTIFACTS IN THE OTHER RECORDINGS; THAT SUBJECT SHOWED, COMPARED TO BASELINE: (1) EARLY INCREASE OF ALPHA AND BETA POWER, FOLLOWED BY A PROGRESSIVE WIDESPREAD REDUCTION; (2) WIDESPREAD EARLY INCREASE OF THETA POWER, FOLLOWED BY A PROGRESSIVE REDUCTION; AND (3) WIDESPREAD INCREASE OF GAMMA POWER IN THE LATEST STAGES. THE PRESENT PRELIMINARY RESULTS ENRICH THE KNOWLEDGE OF YOGA NIDRA, ELUCIDATING ITS PHENOMENOLOGY AND SUGGESTING SOME PSYCHOPHYSIOLOGICAL CORRELATES THAT FUTURE STUDIES MAY ADDRESS. 2021 16 39 40 A BRIEF BUT COMPREHENSIVE LIFESTYLE EDUCATION PROGRAM BASED ON YOGA REDUCES RISK FACTORS FOR CARDIOVASCULAR DISEASE AND DIABETES MELLITUS. OBJECTIVES: THE OBJECTIVE OF THE STUDY WAS TO STUDY THE SHORT-TERM IMPACT OF A BRIEF LIFESTYLE INTERVENTION BASED ON YOGA ON SOME OF THE BIOCHEMICAL INDICATORS OF RISK FOR CARDIOVASCULAR DISEASE AND DIABETES MELLITUS. DESIGN: THE VARIABLES OF INTEREST WERE MEASURED AT THE BEGINNING (DAY 1) AND END (DAY 10) OF THE INTERVENTION USING A PRE-POST DESIGN. SETTING: THE STUDY IS THE RESULT OF OPERATIONAL RESEARCH CARRIED OUT IN OUR INTEGRAL HEALTH CLINIC (IHC). THE IHC IS AN OUTPATIENT FACILITY WHICH CONDUCTS 8-DAY LIFESTYLE MODIFICATION PROGRAMS BASED ON YOGA FOR PREVENTION AND MANAGEMENT OF CHRONIC DISEASE. A NEW COURSE BEGINS EVERY ALTERNATE WEEK OF THE YEAR. SUBJECTS: THE STUDY IS BASED ON DATA COLLECTED ON 98 SUBJECTS (67 MALE, 31 FEMALE), AGES 20-74 YEARS, WHO ATTENDED ONE OF OUR PROGRAMS. THE SUBJECTS WERE A HETEROGENEOUS GROUP OF PATIENTS WITH HYPERTENSION, CORONARY ARTERY DISEASE, DIABETES MELLITUS, AND A VARIETY OF OTHER ILLNESSES. INTERVENTION: THE INTERVENTION CONSISTED OF ASANAS (POSTURES), PRANAYAMA (BREATHING EXERCISES), RELAXATION TECHNIQUES, GROUP SUPPORT, INDIVIDUALIZED ADVICE, LECTURES AND FILMS ON THE PHILOSOPHY OF YOGA AND THE PLACE OF YOGA IN DAILY LIFE, MEDITATION, STRESS MANAGEMENT, NUTRITION, AND KNOWLEDGE ABOUT THE ILLNESS. OUTCOME MEASURES: THE OUTCOME MEASURES WERE FASTING PLASMA GLUCOSE AND SERUM LIPOPROTEIN PROFILE. THESE VARIABLES WERE DETERMINED IN FASTING BLOOD SAMPLES, TAKEN ON THE FIRST AND LAST DAY OF THE COURSE. RESULTS: FASTING PLASMA GLUCOSE, SERUM TOTAL CHOLESTEROL, LOW-DENSITY LIPOPROTEIN (LDL) CHOLESTEROL, VERY- LDL CHOLESTEROL, THE RATIO OF TOTAL CHOLESTEROL TO HIGH DENSITY LIPOPROTEIN (HDL) CHOLESTEROL, AND TOTAL TRIGLYCERIDES WERE SIGNIFICANTLY LOWER, AND HDL CHOLESTEROL SIGNIFICANTLY HIGHER, ON THE LAST DAY OF THE COURSE COMPARED TO THE FIRST DAY OF THE COURSE. THE CHANGES WERE MORE MARKED IN SUBJECTS WITH HYPERGLYCEMIA OR HYPERCHOLESTEROLEMIA. CONCLUSIONS: THE OBSERVATIONS SUGGEST THAT A SHORT LIFESTYLE MODIFICATION AND STRESS MANAGEMENT EDUCATION PROGRAM LEADS TO FAVORABLE METABOLIC EFFECTS WITHIN A PERIOD OF 9 DAYS. 2005 17 2847 33 YOGA, MEDITATION AND MIND-BODY HEALTH: INCREASED BDNF, CORTISOL AWAKENING RESPONSE, AND ALTERED INFLAMMATORY MARKER EXPRESSION AFTER A 3-MONTH YOGA AND MEDITATION RETREAT. THIRTY-EIGHT INDIVIDUALS (MEAN AGE: 34.8 YEARS OLD) PARTICIPATING IN A 3-MONTH YOGA AND MEDITATION RETREAT WERE ASSESSED BEFORE AND AFTER THE INTERVENTION FOR PSYCHOMETRIC MEASURES, BRAIN DERIVED NEUROTROPHIC FACTOR (BDNF), CIRCADIAN SALIVARY CORTISOL LEVELS, AND PRO- AND ANTI-INFLAMMATORY CYTOKINES. PARTICIPATION IN THE RETREAT WAS FOUND TO BE ASSOCIATED WITH DECREASES IN SELF-REPORTED ANXIETY AND DEPRESSION AS WELL AS INCREASES IN MINDFULNESS. AS HYPOTHESIZED, INCREASES IN THE PLASMA LEVELS OF BDNF AND INCREASES IN THE MAGNITUDE OF THE CORTISOL AWAKENING RESPONSE (CAR) WERE ALSO OBSERVED. THE NORMALIZED CHANGE IN BDNF LEVELS WAS INVERSELY CORRELATED WITH BSI-18 ANXIETY SCORES AT BOTH THE PRE-RETREAT (R = 0.40, P < 0.05) AND POST-RETREAT (R = 0.52, P < 0.005) SUCH THAT THOSE WITH GREATER ANXIETY SCORES TENDED TO EXHIBIT SMALLER PRE- TO POST-RETREAT INCREASES IN PLASMA BDNF LEVELS. IN LINE WITH A HYPOTHESIZED DECREASE IN INFLAMMATORY PROCESSES RESULTING FROM THE YOGA AND MEDITATION PRACTICES, WE FOUND THAT THE PLASMA LEVEL OF THE ANTI-INFLAMMATORY CYTOKINE INTERLEUKIN-10 WAS INCREASED AND THE PRO-INFLAMMATORY CYTOKINE INTERLEUKIN-12 WAS REDUCED AFTER THE RETREAT. CONTRARY TO OUR INITIAL HYPOTHESES, PLASMA LEVELS OF OTHER PRO-INFLAMMATORY CYTOKINES, INCLUDING INTERFERON GAMMA (IFN-GAMMA), TUMOR NECROSIS FACTOR (TNF-ALPHA), INTERLEUKIN-1BETA (IL-1BETA), INTERLEUKIN-6 (IL-6), AND INTERLEUKIN-8 (IL-8) WERE INCREASED AFTER THE RETREAT. GIVEN EVIDENCE FROM PREVIOUS STUDIES OF THE POSITIVE EFFECTS OF MEDITATIVE PRACTICES ON MENTAL FITNESS, AUTONOMIC HOMEOSTASIS AND INFLAMMATORY STATUS, WE HYPOTHESIZE THAT THESE FINDINGS ARE RELATED TO THE MEDITATIVE PRACTICES THROUGHOUT THE RETREAT; HOWEVER, SOME OF THE OBSERVED CHANGES MAY ALSO BE RELATED TO OTHER ASPECTS OF THE RETREAT SUCH AS PHYSICAL EXERCISE-RELATED COMPONENTS OF THE YOGA PRACTICE AND DIET. WE HYPOTHESIZE THAT THE PATTERNS OF CHANGE OBSERVED HERE REFLECT MIND-BODY INTEGRATION AND WELL-BEING. THE INCREASED BDNF LEVELS OBSERVED IS A POTENTIAL MEDIATOR BETWEEN MEDITATIVE PRACTICES AND BRAIN HEALTH, THE INCREASED CAR IS LIKELY A REFLECTION OF INCREASED DYNAMIC PHYSIOLOGICAL AROUSAL, AND THE RELATIONSHIP OF THE DUAL ENHANCEMENT OF PRO- AND ANTI-INFLAMMATORY CYTOKINE CHANGES TO HEALTHY IMMUNOLOGIC FUNCTIONING IS DISCUSSED. 2017 18 1251 29 FEASIBILITY TRIAL OF YOGA PROGRAMME FOR TYPE 2 DIABETES PREVENTION (YOGA-DP) AMONG HIGH-RISK PEOPLE IN INDIA: A QUALITATIVE STUDY TO EXPLORE PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. YOGA-BASED INTERVENTIONS CAN BE EFFECTIVE IN PREVENTING TYPE 2 DIABETES MELLITUS (T2DM). WE DEVELOPED A YOGA PROGRAMME FOR T2DM PREVENTION (YOGA-DP) AND CONDUCTED A FEASIBILITY RANDOMISED CONTROLLED TRIAL (RCT) AMONG HIGH-RISK PEOPLE IN INDIA. THIS QUALITATIVE STUDY'S OBJECTIVE WAS TO IDENTIFY AND EXPLORE PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. THE FEASIBILITY TRIAL WAS CONDUCTED AT TWO YOGA CENTRES IN NEW DELHI AND BENGALURU, INDIA. IN THIS QUALITATIVE STUDY, 25 TRIAL PARTICIPANTS (13 INTERVENTION GROUP, 12 CONTROL GROUP) WERE RECRUITED FOR SEMI-STRUCTURED INTERVIEWS. DATA WERE ANALYSED USING DEDUCTIVE LOGIC AND AN INTERPRETATIVE PHENOMENOLOGICAL APPROACH. AMONGST INTERVENTION AND CONTROL PARTICIPANTS, KEY BARRIERS TO TRIAL PARTICIPATION WERE INADEQUATE INFORMATION ABOUT RECRUITMENT AND RANDOMISATION PROCESSES AND THE NEGATIVE INFLUENCE OF NON-PARTICIPANTS. FREE BLOOD TESTS TO AID T2DM PREVENTION, SITE STAFF'S FRIENDLY BEHAVIOUR AND FRIENDS' POSITIVE INFLUENCE FACILITATED TRIAL PARTICIPATION. AMONGST INTERVENTION PARTICIPANTS, READABILITY AND UNDERSTANDING OF THE PROGRAMME BOOKLETS, DISLIKE OF THE YOGA DIARY, POOR QUALITY YOGA MATS, DIFFICULTY IN USING THE PROGRAMME VIDEO, HOUSEHOLD COMMITMENT DURING HOME SESSIONS, UNPLANNED TRAVEL, DIFFICULTY IN PRACTISING YOGA POSES, HESITATION IN ATTENDING PROGRAMME SESSIONS WITH THE YOGA-DP INSTRUCTOR OF THE OPPOSITE SEX AND MIXED-SEX GROUP PROGRAMME SESSIONS WERE KEY BARRIERS TO INTERVENTION PARTICIPATION. ADEQUATE INFORMATION WAS PROVIDED ON T2DM PREVENTION AND SELF-CARE, GOOD VENUE AND OTHER SUPPORT PROVIDED FOR PROGRAMME SESSIONS, YOGA-DP INSTRUCTORS' POSITIVE BEHAVIOUR AND IMPROVEMENTS IN PHYSICAL AND MENTAL WELL-BEING FACILITATED INTERVENTION PARTICIPATION. IN CONCLUSION, WE IDENTIFIED AND EXPLORED PARTICIPANTS' TRIAL- AND INTERVENTION-RELATED BARRIERS AND FACILITATORS. WE IDENTIFIED AN ALMOST EQUAL NUMBER OF BARRIERS (N = 12) AND FACILITATORS (N = 13); HOWEVER, INTERVENTION-RELATED BARRIERS AND FACILITATORS WERE GREATER THAN FOR PARTICIPATING IN THE TRIAL. THESE FINDINGS WILL INFORM THE DESIGN OF THE PLANNED DEFINITIVE RCT DESIGN AND INTERVENTION AND CAN ALSO BE USED TO DESIGN OTHER YOGA INTERVENTIONS AND RCTS. 2022 19 1698 23 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 20 1934 17 ROLE OF YOGA IN STRESS MANAGEMENT. THE STATE OF THE MIND AND THAT OF THE BODY ARE INTIMATELY RELATED. IF THE MIND IS RELAXED, THE MUSCLES IN THE BODY WILL ALSO BE RELAXED. STRESS PRODUCES A STATE OF PHYSICAL AND MENTAL TENSION. YOGA, DEVELOPED THOUSANDS OF YEARS AGO, IS RECOGNIZED AS A FORM OF MIND-BODY MEDICINE. IN YOGA, PHYSICAL POSTURES AND BREATHING EXERCISES IMPROVE MUSCLE STRENGTH, FLEXIBILITY, BLOOD CIRCULATION AND OXYGEN UPTAKE AS WELL AS HORMONE FUNCTION. IN ADDITION, THE RELAXATION INDUCED BY MEDITATION HELPS TO STABILIZE THE AUTONOMIC NERVOUS SYSTEM WITH A TENDENCY TOWARDS PARASYMPATHETIC DOMINANCE. PHYSIOLOGICAL BENEFITS WHICH FOLLOW, HELP YOGA PRACTITIONERS BECOME MORE RESILIENT TO STRESSFUL CONDITIONS AND REDUCE A VARIETY OF IMPORTANT RISK FACTORS FOR VARIOUS DISEASES, ESPECIALLY CARDIO-RESPIRATORY DISEASES. 2004