1 372 159 AWARENESS OF YOGA FOR SUPPORTIVE CARE IN CANCER: IMPLICATIONS FOR DISSEMINATION. OBJECTIVES: EVIDENCE INDICATES THERE ARE BENEFICIAL PHYSICAL AND PSYCHOSOCIAL EFFECTS FROM PRACTICING YOGA IN CANCER PATIENTS AND SURVIVORS. DESPITE YOGA HAVING BEEN INCORPORATED INTO NATIONAL COMPREHENSIVE CANCER NETWORK GUIDELINES FOR SYMPTOMS RANGING FROM FATIGUE TO PAIN, PATIENTS' USE OF YOGA FOR SUPPORTIVE CARE IS LOW, RANGING FROM 6% TO 12%. THIS STUDY AIMS TO EVALUATE THE AWARENESS OF YOGA AS THERAPY IN AN ACADEMIC CANCER CENTER AND THE PREFERENCES FOR INFORMATION DELIVERY IN THIS POPULATION. DESIGN: WE CONDUCTED A CROSS-SECTIONAL SURVEY STUDY AT AN URBAN ACADEMIC CANCER CENTER. RESPONSES REGARDING AWARENESS AND USE OF YOGA WERE EVALUATED; THOSE RESPONDING "NOT AWARE" WERE ANALYZED FOR PREFERENCES IN INFORMATION DELIVERY. UNIVARIATE ANALYSIS WAS USED TO FURTHER CHARACTERIZE AWARENESS OF YOGA FOR SUPPORTIVE CARE. RESULTS: OF 303 RESPONDENTS, 68% WERE FEMALE, 77% WERE WHITE, AND 75% WERE COLLEGE EDUCATED. DESPITE ACCESS TO YOGA AT THE CANCER CENTER, 171 (56%) PATIENTS EXPRESSED THEY WERE NOT AWARE OF THE AVAILABILITY OF YOGA. MALE PATIENTS WERE MORE LIKELY TO BE UNAWARE OF YOGA (72.4% VS. 48.8%, P = 0.045). AWARENESS DID NOT VARY BY AGE, RACE, EDUCATIONAL ATTAINMENT, MARITAL STATUS, CANCER TYPE, OR CANCER STAGE. OF THE 171 "NOT AWARE" PATIENTS, 87.6% EXPRESSED DESIRE FOR INFORMATION IN THE FORM OF PRINTED MATERIAL, FOLLOWED BY 80.4% FOR E-MAIL, 37.6% FOR SMARTPHONE APPLICATION, AND 27.6% FOR SOCIAL MEDIA. NON-WHITE RESPONDENTS WERE MORE LIKELY TO EXPRESS INTEREST IN RECEIVING INFORMATION BY SMARTPHONE. CONCLUSIONS: MORE THAN HALF OF CANCER PATIENTS WERE UNAWARE OF THE YOGA PROGRAM DESPITE ADVERTISING ACROSS THE INSTITUTION. PATIENTS PREFER VARYING METHODS FOR INFORMATION RECEIPT, WITH PREFERENCES DIFFERING BY SOCIODEMOGRAPHIC FACTORS. TARGETED EDUCATION AND OUTREACH USING APPROPRIATE ENGAGEMENT IS NEEDED TO IMPROVE THE AWARENESS OF YOGA FOR SYMPTOM CONTROL IN CANCER PATIENTS. 2019 2 1780 42 PREDICTORS OF ADHERENCE TO AN IYENGAR YOGA PROGRAM IN BREAST CANCER SURVIVORS. CONTEXT: DESPITE THE KNOWN HEALTH BENEFITS OF PHYSICAL ACTIVITY, PARTICIPATION RATES IN CANCER SURVIVOR GROUPS REMAIN LOW. RESEARCHERS HAVE ATTEMPTED TO IDENTIFY ALTERNATIVE MODES OF NONTRADITIONAL PHYSICAL ACTIVITIES THAT MAY INCREASE PARTICIPATION AND ADHERENCE RATES. THIS STUDY INVESTIGATED THE DETERMINANTS OF YOGA IN BREAST CANCER SURVIVORS. AIM: TO EXAMINE PREDICTORS OF IYENGAR YOGA ADHERENCE IN BREAST CANCER SURVIVORS USING THE THEORY OF PLANNED BEHAVIOUR. SETTINGS AND DESIGN: CLASSES WERE HELD EITHER IN CAMPUS RECREATION FACILITIES OR AT THE BEHAVIORAL MEDICINE FITNESS CENTER AT THE UNIVERSITY OF ALBERTA IN EDMONTON, CANADA. THE STUDY WAS AN EVALUATION OF AN EXISTING YOGA PROGRAM. MATERIALS AND METHODS: TWENTY-THREE POST ADJUVANT THERAPY BREAST CANCER SURVIVORS PARTICIPATING IN A COMMUNITY-BASED, TWICE WEEKLY, 12 WEEK IYENGAR YOGA PROGRAM WERE ASKED TO COMPLETE BASELINE MEASURES OF THE THEORY OF PLANNED BEHAVIOR, DEMOGRAPHIC, MEDICAL, HEALTH/FITNESS, AND PSYCHOSOCIAL VARIABLES. ADHERENCE WAS MEASURED BY OBJECTIVE ATTENDANCE TO THE CLASSES. STATISTICAL ANALYSIS: WE ANALYZED UNIVARIATE ASSOCIATIONS BETWEEN PREDICTORS AND YOGA ADHERENCE WITH INDEPENDENT T-TESTS. RESULTS: ADHERENCE TO THE IYENGAR YOGA PROGRAM WAS 63.9% AND WAS PREDICTED BY STRONGER INTENTION (P<0.001), GREATER SELF-EFFICACY (P=0.003), MORE POSITIVE INSTRUMENTAL ATTITUDE (PS=0.025), HIGHER DISEASE STAGE (P=0.018), YOGA EXPERIENCE IN THE PAST YEAR, (P=0.044), DIAGNOSIS OF A SECOND CANCER (P=0.008), LOWER FATIGUE (P=0.037), AND GREATER HAPPINESS (P=0.023). CONCLUSIONS: ADHERENCE TO IYENGAR YOGA IN BREAST CANCER SURVIVORS WAS STRONGLY RELATED TO MOTIVATIONAL VARIABLES FROM THE THEORY OF PLANNED BEHAVIOUR. RESEARCHERS ATTEMPTING TO IMPROVE YOGA ADHERENCE IN BREAST CANCER SURVIVORS MAY BENEFIT FROM TARGETING THE KEY CONSTRUCTS IN THE THEORY OF PLANNED BEHAVIOUR. 2012 3 520 34 COMPARING THE PSYCHOLOGICAL EFFECTS OF MEDITATION- AND BREATHING-FOCUSED YOGA PRACTICE IN UNDERGRADUATE STUDENTS. OBJECTIVES: THE PRESENT STUDY AIMED TO COMPARE THE PSYCHOLOGICAL EFFECTS OF MEDITATION- AND BREATHING-FOCUSED YOGA PRACTICE IN UNDERGRADUATE STUDENTS. METHODS: A 12-WEEKS YOGA INTERVENTION WAS CONDUCTED AMONG A GROUP OF UNDERGRADUATE STUDENTS ENROLLED IN FOUR YOGA CLASSES AT AN ACADEMICALLY PRESTIGIOUS UNIVERSITY IN BEIJING, CHINA. FOUR CLASSES WERE RANDOMIZED TO MEDITATION-FOCUSED YOGA OR BREATHING-FOCUSED YOGA. A TOTAL OF 86 PARTICIPANTS FINISHED SURVEYS BEFORE AND AFTER THE 12-WEEKS INTERVENTION, MEASURING WORK INTENTION, MINDFULNESS, AND PERCEIVED STRESS. THE REPEATED-MEASURE MULTIVARIATE ANALYSIS OF COVARIANCE (MANCOVA) FOLLOWED BY UNIVARIATE ANALYSES WERE CONDUCTED TO EXAMINE THE DIFFERENCES IN WORK INTENTION, MINDFULNESS, AND STRESS BETWEEN THE TWO YOGA INTERVENTION GROUPS OVER THE SEMESTER, AFTER CONTROLLING FOR AGE AND GENDER. RESULTS: THE REPEATED-MEASURE MANCOVA REVEALED SIGNIFICANT GROUP DIFFERENCES WITH A MEDIAN EFFECT SIZE [WILKS' LAMBDA, LAMBDA = 0.90, F(3, 80) = 3.10, P = 0.031, ETA(2) = 0.104]. SUBSEQUENT UNIVARIATE ANALYSES SHOWED THAT STUDENTS IN THE BREATHING-FOCUSED YOGA GROUP HAD SIGNIFICANT HIGHER WORK INTENTIONS [F (1, 82) = 5.22; P = 0.025; ETA(2) P = 0.060] AND MINDFULNESS [F (1, 82) = 6.33; P = 0.014; ETA(2) P = 0.072] BUT MARGINALLY LOWER STRESS [F (1, 82) = 4.20; P = 0.044; ETA(2) P = 0.049] THAN STUDENTS IN THE MEDITATION-FOCUSED YOGA GROUP. CONCLUSION: YOGA PRACTICE WITH A FOCUS ON BREATHING IS MORE EFFECTIVE THAN THAT WITH A FOCUS ON MEDITATION FOR UNDERGRADUATES TO RETAIN ENERGY FOR WORK, KEEP ATTENTION AND AWARENESS, AND REDUCE STRESS. 2020 4 2031 32 TAILORED INDIVIDUAL YOGA PRACTICE IMPROVES SLEEP QUALITY, FATIGUE, ANXIETY, AND DEPRESSION IN CHRONIC INSOMNIA DISORDER. BACKGROUND: CHRONIC INSOMNIA DISORDER (CI) IS A PREVALENT SLEEP DISORDER THAT CAN LEAD TO DISTURBED DAYTIME FUNCTIONING AND IS CLOSELY ASSOCIATED WITH ANXIETY AND DEPRESSION. FIRST-CHOICE TREATMENT IS COGNITIVE BEHAVIORAL THERAPY (CBT-I). OTHER MIND-BODY INTERVENTIONS, SUCH AS TAI-CHI AND YOGA, HAVE DEMONSTRATED SUBJECTIVE IMPROVEMENTS IN SLEEP QUALITY. THE PURPOSE OF THIS STUDY WAS TO ASSESS THE EFFICACY OF YOGA FOR IMPROVEMENT OF SUBJECTIVE AND OBJECTIVE SLEEP QUALITY AS WELL AS MEASURES OF ANXIETY, DEPRESSION, SLEEPINESS, AND FATIGUE IN PATIENTS WITH CI. METHODS: ADULTS WITH CI WERE PROSPECTIVELY INCLUDED IN THIS SINGLE GROUP PRE-POST STUDY. BASELINE ASSESSMENTS INCLUDED HOME POLYSOMNOGRAPHY (PSG), 7-DAY ACTIGRAPHY, AND QUESTIONNAIRES (PITTSBURGH SLEEP QUALITY INDEX QUESTIONNAIRE (PSQI), HOSPITAL ANXIETY DEPRESSION SCALE (HADS), EPWORTH SLEEPINESS SCALE (ESS), PICHOT FATIGUE SCALE (PS)). PATIENTS PRACTICED VINIYOGA, AN INDIVIDUALISED YOGA PRACTICE WITH DAILY SELF-ADMINISTERED EXERCISES, FOR 14 WEEKS. ASSESSMENTS WERE REPEATED AT THE END OF YOGA PRACTICE. RESULTS: TWENTY-ONE PATIENTS COMPLETED THE STUDY. OBJECTIVE SLEEP MEASUREMENTS REVEALED NO CHANGE IN PSG PARAMETERS AFTER YOGA PRACTICE, BUT A DECREASE IN AROUSALS ON ACTIGRAPHY (P < 0.001). SUBJECTIVE SYMPTOMS IMPROVED FOR ALL QUESTIONNAIRES (PSQI, P < 0.001; HAD-A, P = 0.020, HAD-D, P = 0.001, ESS, P = 0.041, PS, P = 0.010). IN UNIVARIATE CORRELATIONS, DECREASE IN PSQI WAS ASSOCIATED WITH INCREASE IN SLEEP STAGE N3 (P < 0.001) ON PSG. CONCLUSIONS: WE HAVE DEMONSTRATED A POSITIVE IMPACT OF INDIVIDUALIZED YOGA PRACTICE ON SUBJECTIVE PARAMETERS RELATED TO SLEEP AND DAYTIME SYMPTOMS IN CI, RESULTING IN FEWER AROUSALS ON ACTIGRAPHY. YOGA COULD BE PROPOSED AS A POTENTIALLY USEFUL ALTERNATIVE TO CBT-I IN CI, AS IT IS EASY TO PRACTICE AUTONOMOUSLY OVER THE LONG-TERM. HOWEVER, GIVEN THE DESIGN OF THE PRESENT STUDY, FUTURE PROSPECTIVE CONTROLLED STUDIES SHOULD FIRST CONFIRM OUR RESULTS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT03314441 , DATE OF REGISTRATION: 19/10/2017. 2022 5 1290 28 GROUND REACTION FORCES GENERATED BY TWENTY-EIGHT HATHA YOGA POSTURES. ADHERENTS CLAIM MANY BENEFITS FROM THE PRACTICE OF YOGA, INCLUDING PROMOTION OF BONE HEALTH AND PREVENTION OF OSTEOPOROSIS. HOWEVER, NO KNOWN STUDIES HAVE INVESTIGATED WHETHER YOGA ENHANCES BONE MINERAL DENSITY. FURTHERMORE, NONE HAVE ESTIMATED REACTION FORCES APPLIED BY YOGA PRACTITIONERS. THE PURPOSE OF THIS STUDY WAS TO COLLECT GROUND REACTION FORCE (GRF) DATA ON A VARIETY OF HATHA YOGA POSTURES THAT WOULD COMMONLY BE PRACTICED IN FITNESS CENTERS OR PRIVATE STUDIOS. TWELVE FEMALE AND EIGHT MALE VOLUNTEERS PERFORMED A SEQUENCE OF 28 HATHA YOGA POSTURES WHILE GRF DATA WERE COLLECTED WITH AN AMTI STRAIN-GAUGE FORCE PLATFORM. THE SEQUENCE WAS REPEATED SIX TIMES BY EACH STUDY SUBJECT. FOUR DEPENDENT VARIABLES WERE STUDIED: PEAK VERTICAL GRF, MEAN VERTICAL GRF, PEAK RESULTANT GRF, AND MEAN RESULTANT GRF. UNIVARIATE ANALYSIS WAS USED TO IDENTIFY MEAN VALUES AND STANDARD DEVIATIONS FOR THE DEPENDENT VARIABLES. PEAK VERTICAL AND RESULTANT VALUES OF EACH POSTURE WERE SIMILAR FOR ALL SUBJECTS, AND STANDARD DEVIATIONS WERE SMALL. SIMILARLY, MEAN VERTICAL AND RESULTANT VALUES WERE SIMILAR FOR ALL SUBJECTS. THIS 28 POSTURE YOGA SEQUENCE PRODUCED LOW IMPACT GRF APPLIED TO UPPER AND LOWER EXTREMITIES. FURTHER RESEARCH IS WARRANTED TO DETERMINE WHETHER THESE FORCES ARE SUFFICIENT TO PROMOTE OSTEOGENESIS OR MAINTAIN CURRENT BONE HEALTH IN YOGA PRACTITIONERS. 2012 6 1805 29 PREVALENCE OF TYPE 2 DIABETES AMONG YOGA PRACTITIONERS: A PILOT CROSS-SECTIONAL STUDY IN TWO DISTRICTS IN INDIA. INTRODUCTION: DIABETES IS ONE OF THE MAJOR HEALTH DISEASES IN THE WORLD TODAY. THE EFFICACY OF YOGA IN THE MANAGEMENT OF TYPE 2 DIABETES IS WELL-ESTABLISHED. THE AIM OF THIS STUDY WAS TO ASSESS THE PREVALENCE OF TYPE 2 DIABETES AMONG YOGA PRACTITIONERS IN TWO DISTRICTS OF INDIA (ONE EACH IN WEST AND SOUTH OF INDIA). METHODOLOGY: IN THIS CROSS-SECTIONAL FIELD STUDY, 155 YOGA PRACTITIONERS FROM PUNE AND 192 FROM ERNAKULAM DISTRICTS WERE ASSESSED USING THE DIABETES RISK TEST AND FASTING BLOOD SUGAR. THE DATA COLLECTED WERE ENTERED IN A STATISTICS SOFTWARE PACKAGE AND ANALYZED USING THE PEARSON'S CORRELATION ANALYSIS, T-TEST, UNIVARIATE ANOVA, AND LINEAR REGRESSION TO UNDERSTAND THE PREDICTORS OF RISK FOR DIABETES. RESULTS: THE OVERALL PREVALENCE OF DIABETES AMONG YOGA PRACTITIONERS IN CENTRAL PUNE WAS 3.6% (95% CONFIDENCE INTERVAL [CI]: [0.01-0.04]). 18.9% OF PARTICIPANTS (95% CI: [0.16-0.19]) WERE DIAGNOSED TO BE "AT RISK" FOR DIABETES. IN ERNAKULAM, THE OVERALL PREVALENCE OF DIABETES AMONG PRACTITIONERS WAS 26% (95% CI: [0.05-0.06]) WITH 12% OF PRACTITIONERS (95% CI: [0.05-0.06]) DIAGNOSED TO BE "AT RISK" FOR DIABETES (PREDIABETIC). HIGHER AGE AND LESSER DURATION OF YOGA PRACTICE WERE SIGNIFICANT PREDICTORS OF DIABETES. CONCLUSION: IT IS ESSENTIAL FOR EVERY PERSON ABOVE THE AGE OF 40 TO UNDERGO REGULAR HEALTH CHECK-UPS AND SCREENING FOR DIABETES AND INVOLVE ONESELF IN LIFESTYLE MODIFICATION PROGRAMS SUCH AS YOGA FOR SIGNIFICANTLY LONG DURATION OF TIME ON A DAILY BASIS, TO BETTER MANAGE DIABETES. 2015 7 721 35 EFFECT OF IYENGAR YOGA THERAPY FOR CHRONIC LOW BACK PAIN. LOW BACK PAIN IS A SIGNIFICANT PUBLIC HEALTH PROBLEM AND ONE OF THE MOST COMMONLY REPORTED REASONS FOR THE USE OF COMPLEMENTARY ALTERNATIVE MEDICINE. A RANDOMIZED CONTROL TRIAL WAS CONDUCTED IN SUBJECTS WITH NON-SPECIFIC CHRONIC LOW BACK PAIN COMPARING IYENGAR YOGA THERAPY TO AN EDUCATIONAL CONTROL GROUP. BOTH PROGRAMS WERE 16 WEEKS LONG. SUBJECTS WERE PRIMARILY SELF-REFERRED AND SCREENED BY PRIMARY CARE PHYSICIANS FOR STUDY OF INCLUSION/EXCLUSION CRITERIA. THE PRIMARY OUTCOME FOR THE STUDY WAS FUNCTIONAL DISABILITY. SECONDARY OUTCOMES INCLUDING PRESENT PAIN INTENSITY, PAIN MEDICATION USAGE, PAIN-RELATED ATTITUDES AND BEHAVIORS, AND SPINAL RANGE OF MOTION WERE MEASURED BEFORE AND AFTER THE INTERVENTIONS. SUBJECTS HAD LOW BACK PAIN FOR 11.2+/-1.54 YEARS AND 48% USED PAIN MEDICATION. OVERALL, SUBJECTS PRESENTED WITH LESS PAIN AND LOWER FUNCTIONAL DISABILITY THAN SUBJECTS IN OTHER PUBLISHED INTERVENTION STUDIES FOR CHRONIC LOW BACK PAIN. OF THE 60 SUBJECTS ENROLLED, 42 (70%) COMPLETED THE STUDY. MULTIVARIATE ANALYSES OF OUTCOMES IN THE CATEGORIES OF MEDICAL, FUNCTIONAL, PSYCHOLOGICAL AND BEHAVIORAL FACTORS INDICATED THAT SIGNIFICANT DIFFERENCES BETWEEN GROUPS EXISTED IN FUNCTIONAL AND MEDICAL OUTCOMES BUT NOT FOR THE PSYCHOLOGICAL OR BEHAVIORAL OUTCOMES. UNIVARIATE ANALYSES OF MEDICAL AND FUNCTIONAL OUTCOMES REVEALED SIGNIFICANT REDUCTIONS IN PAIN INTENSITY (64%), FUNCTIONAL DISABILITY (77%) AND PAIN MEDICATION USAGE (88%) IN THE YOGA GROUP AT THE POST AND 3-MONTH FOLLOW-UP ASSESSMENTS. THESE PRELIMINARY DATA INDICATE THAT THE MAJORITY OF SELF-REFERRED PERSONS WITH MILD CHRONIC LOW BACK PAIN WILL COMPLY TO AND REPORT IMPROVEMENT ON MEDICAL AND FUNCTIONAL PAIN-RELATED OUTCOMES FROM IYENGAR YOGA THERAPY. 2005 8 2335 54 UNDERSTANDING INTEREST, BARRIERS, AND PREFERENCES RELATED TO YOGA PRACTICE AMONG CANCER SURVIVORS. PURPOSE: DESPITE GROWING EVIDENCE SUPPORTING THE BENEFITS OF YOGA FOR CANCER-RELATED SYMPTOM MANAGEMENT, YOGA USAGE AMONG CANCER SURVIVORS IS LOW. TO TRANSLATE THE EVIDENCE OF YOGA BENEFITS INTO COMMUNITY PRACTICE, IT IS CRITICAL TO UNDERSTAND INTEREST IN YOGA AS WELL AS BARRIERS AND PREFERENCES THAT INFLUENCE YOGA USAGE AMONG CANCER SURVIVORS. METHOD: WE CONDUCTED A CROSS-SECTIONAL SURVEY STUDY AMONG CANCER SURVIVORS, 18 YEARS OR OLDER, WITH A PRIMARY DIAGNOSIS OF CANCER, AND RECEIVING TREATMENT OR FOLLOW-UP CARE AT OUTPATIENT CLINICS AT FIVE REGIONAL ACADEMIC CANCER CENTER SITES. WE COLLECTED DATA AND PERFORMED BIVARIATE AND MULTIVARIABLE ANALYSES ON SELF-REPORTED YOGA USAGE AND INTEREST IN AND BARRIERS TO PRACTICING YOGA, AS WELL AS PREFERRED LOCATION AND TIME FOR YOGA PRACTICE. RESULTS: OF 857 PARTICIPANTS, 70.0% HAD NEVER PRACTICED YOGA AND 52.3% WERE INTERESTED IN PRACTICING YOGA. AMONG THOSE INTERESTED, 52.5% HAD NEVER PRACTICED YOGA. LOWER INTEREST WAS INDEPENDENTLY ASSOCIATED WITH BEING MALE (ODDS RATIO [OR] = 0.30, 95% CONFIDENCE INTERVAL [CI] = 0.20-0.44, P < 0.001), UNEMPLOYED (OR = 0.60, 95% CI = 0.39-0.91, P = 0.016), AND WHITE (OR = 0.42, 95% CI = 0.23-0.78, P = 0.005). COMMONLY CITED BARRIERS AMONG THOSE WHO WERE INTERESTED BUT HAD NEVER PRACTICED WERE NOT AWARE OF YOGA BENEFITS (36.3%), DIFFICULTY MOTIVATING (28.7%), EXPERIENCING SYMPTOMS (22.9%), AND NOT ENOUGH TIME (22.0%). PARTICIPANTS INDICATED "ON-SITE AND AT A STUDIO NEAR HOME" (41.5%) AS PREFERRED LOCATION AND EVENINGS (3-8 PM, 34.0%) AS PREFERRED TIME FOR YOGA PRACTICE. CONCLUSION: ALTHOUGH MORE THAN 50% OF PATIENTS INDICATED INTEREST IN PRACTICING YOGA, USE OF YOGA IS LOW AMONG CANCER SURVIVORS. BARRIERS AND PATIENT PREFERENCES FOR YOGA PRACTICE NEED TO BE ADDRESSED TO DESIGN EFFECTIVE YOGA PROGRAMS FOR THIS POPULATION. 2021 9 2054 32 THE ASSOCIATION OF SUDARSHAN KRIYA YOGA FREQUENCY WITH SLEEP QUALITY: A CROSS-SECTIONAL STUDY FROM SINGAPORE. PURPOSE: THERE IS A DEARTH OF EVIDENCE FOR THE RELATIONSHIP BETWEEN YOGIC BREATHING AND SLEEP QUALITY. EVEN LESS IS KNOWN ABOUT PRACTICE FREQUENCY AND BENEFIT. WE INVESTIGATED THE ASSOCIATION OF SUDARSHAN KRIYA YOGA FREQUENCY WITH SLEEP QUALITY AMONGST ADULT PRACTITIONERS. METHODS: IN A CROSS-SECTIONAL INVESTIGATION ON ADULT PRACTITIONERS OF SUDARSHAN KRIYA YOGA IN SINGAPORE, THE PITTSBURGH SLEEP QUALITY INDEX (PSQI) WAS USED TO ASSESS SLEEP QUALITY. SLEEP QUALITY WAS EXAMINED ACROSS THREE CATEGORIES OF PRACTICE FREQUENCY (MONTHLY, WEEKLY, DAILY). A MULTIVARIATE LOGISTIC REGRESSION MODEL WAS USED TO DETERMINE ASSOCIATION. RESULTS: OF 385 ADULTS (241 WOMEN), THE MEAN AGE (SD) WAS 42.5 (9.9) YEARS. IN TOTAL, 32% OF THE SAMPLE (N = 124) WAS IDENTIFIED AS HAVING POOR SQ. AFTER ADJUSTING FOR STUDY COVARIATES, INDEPENDENT ANALYSES REVEALED AN INVERSE ASSOCIATION FOR HIGHER FREQUENCY OF PRACTICE AND LOWER ODDS OF POOR SQ (OR = 0.52; 95% CI = 0.28-0.94). THE P FOR TREND WAS 0.03. CONCLUSION: THE PRACTICE OF YOGIC BREATHING MAY BENEFIT SLEEP QUALITY. FURTHER EXPERIMENTAL INVESTIGATIONS ARE WARRANTED. 2021 10 2060 42 THE BENEFITS OF YOGA FOR WOMEN VETERANS WITH CHRONIC LOW BACK PAIN. OBJECTIVES: CHRONIC LOW BACK (CLBP) PAIN IS PREVALENT AMONG MILITARY VETERANS AND OFTEN LEADS TO FUNCTIONAL LIMITATIONS, PSYCHOLOGIC SYMPTOMS, LOWER QUALITY OF LIFE, AND HIGHER HEALTH CARE COSTS. AN INCREASING PROPORTION OF U.S. VETERANS ARE WOMEN, AND WOMEN VETERANS MAY HAVE DIFFERENT HEALTH CARE NEEDS THAN MEN VETERANS. THE PURPOSE OF THIS STUDY WAS TO ASSESS THE IMPACT OF A YOGA INTERVENTION ON WOMEN AND MEN WITH CLBP. SUBJECTS/SETTING/INTERVENTION: VA PATIENTS WITH CLBP WERE REFERRED BY PRIMARY CARE PROVIDERS TO A CLINICAL YOGA PROGRAM. DESIGN: RESEARCH PARTICIPANTS COMPLETED A BRIEF BATTERY OF QUESTIONNAIRES BEFORE THEIR FIRST YOGA CLASS AND AGAIN 10 WEEKS LATER IN A SINGLE-GROUP, PRE-POST STUDY DESIGN. OUTCOME MEASURES: QUESTIONNAIRES INCLUDED MEASURES OF PAIN (PAIN SEVERITY SCALE), DEPRESSION (CESD-10), ENERGY/FATIGUE, AND HEALTH-RELATED QUALITY OF LIFE (SF-12). YOGA ATTENDANCE AND HOME PRACTICE OF YOGA WERE ALSO MEASURED. REPEATED-MEASURES ANALYSIS OF VARIANCE WAS USED TO ANALYZE GROUP DIFFERENCES OVER TIME WHILE CONTROLLING FOR BASELINE DIFFERENCES. RESULTS: THE 53 PARTICIPANTS WHO COMPLETED BOTH ASSESSMENTS HAD A MEAN AGE OF 53 YEARS, AND WERE WELL EDUCATED, 41% NONWHITE, 49% MARRIED, AND HAD VARYING EMPLOYMENT STATUS. WOMEN PARTICIPANTS HAD SIGNIFICANTLY LARGER DECREASES IN DEPRESSION (P=0.046) AND PAIN "ON AVERAGE" (P=0.050), AND LARGER INCREASES IN ENERGY (P=0.034) AND SF-12 MENTAL HEALTH (P=0.044) THAN MEN WHO PARTICIPATED. THE GROUPS DID NOT DIFFER SIGNIFICANTLY ON YOGA ATTENDANCE OR HOME PRACTICE OF YOGA. CONCLUSIONS: THESE RESULTS SUGGEST THAT WOMEN VETERANS MAY BENEFIT MORE THAN MEN VETERANS FROM YOGA INTERVENTIONS FOR CHRONIC BACK PAIN. CONCLUSIONS ARE TENTATIVE BECAUSE OF THE SMALL SAMPLE SIZE AND QUASI-EXPERIMENTAL STUDY DESIGN. A MORE RIGOROUS STUDY IS BEING DESIGNED TO ANSWER THESE RESEARCH QUESTIONS MORE DEFINITIVELY. 2012 11 2685 44 YOGA IN THE REAL WORLD: PERCEPTIONS, MOTIVATORS, BARRIERS, AND PATTERNS OF USE. BACKGROUND: YOGA IS A MIND-BODY EXERCISE PRACTICED BY NEARLY 16 MILLION US ADULTS. CLINICAL YOGA RESEARCH HAS YIELDED PROMISING FINDINGS IN PHYSICAL AND MENTAL HEALTH OUTCOMES. HOWEVER, RESEARCH IN NON-PATIENT POPULATIONS IS LIMITED. THE PURPOSE OF THIS STUDY IS TO SURVEY A NON-CLINICAL POPULATION TO BETTER UNDERSTAND YOGA USE IN A REAL-WORLD SETTING. METHODS: THIS STUDY USED A PRE-POST TEST DESIGN IN A CONVENIENCE SAMPLE OF ADULTS REGISTERED FOR A 4-WEEK BEGINNER YOGA PROGRAM WITHIN A NETWORK OF FIVE YOGA STUDIOS IN AUSTIN, TEXAS. STUDENTS WERE LINKED VIA E-MAIL TO BASELINE AND ENDPOINT SURVEYS. ANALYSES WERE DESCRIPTIVE. RESULTS: SIX HUNDRED FOUR STUDENTS COMPLETED THE BASELINE SURVEY, AND 290 (48%) COMPLETED THE 4-WEEK ENDPOINT SURVEY. BASELINE DEMOGRAPHICS WERE SIMILAR TO THOSE IN NATIONAL SURVEYS, WITH RESPONDENTS BEING PRIMARILY FEMALE (86%), WHITE (88%), AND COLLEGE EDUCATED (78%). THE PRIMARY BARRIER TO PRACTICE WAS TIME (55%). RESPONDENTS PERCEIVED YOGA PRIMARILY AS AN EXERCISE ACTIVITY (92%), SPIRITUAL ACTIVITY (73%), OR A WAY TO MANAGE OR TREAT A HEALTH CONDITION (50%). MAIN REASONS FOR TAKING YOGA WERE GENERAL WELLNESS (81%), PHYSICAL EXERCISE (80%), AND STRESS MANAGEMENT (73%). NINETY-EIGHT PERCENT BELIEVED YOGA WOULD IMPROVE THEIR HEALTH, WITH 28% TAKING YOGA TO ALLEVIATE A HEALTH CONDITION. ON AVERAGE, RESPONDENTS PRACTICED 3 TO 4 HOURS/ WEEK IN AND OUT OF CLASS. CONCLUSIONS: RESPONDENT DEMOGRAPHICS WERE CONSISTENT WITH NATIONAL SURVEY DATA. DATA SHOW THAT YOGA IS PERCEIVED SEVERAL WAYS. INFORMATION ON PRACTICE PATTERNS PROVIDES NEW INFORMATION, WHICH MAY IMPROVE UNDERSTANDING OF HOW NON-CLINICAL POPULATIONS INCORPORATE YOGA INTO DAILY LIFE FOR HEALTH MANAGEMENT. 2013 12 465 39 CHARACTERISTICS AND PREDICTORS OF SHORT-TERM OUTCOMES IN INDIVIDUALS SELF-SELECTING YOGA OR PHYSICAL THERAPY FOR TREATMENT OF CHRONIC LOW BACK PAIN. OBJECTIVE: TO COMPARE CLINICAL AND DEMOGRAPHIC CHARACTERISTICS OF INDIVIDUALS SELF-SELECTING YOGA OR PHYSICAL THERAPY (PT) FOR TREATMENT OF CHRONIC LOW BACK PAIN (CLBP) AND TO EXAMINE PREDICTORS OF SHORT-TERM PAIN AND FUNCTIONAL OUTCOMES. DESIGN: DESCRIPTIVE, LONGITUDINAL STUDY. SETTINGS: A HOSPITAL-BASED CLINIC THAT OFFERS MODIFIED INTEGRAL YOGA CLASSES FOR CLBP AND 2 OUTPATIENT PT CLINICS THAT OFFER EXERCISE-BASED PT. PARTICIPANTS: ADULTS (N=53) WITH CLBP>/=12 WEEKS: YOGA (N=27), PT (N=26). METHODS: YOGA PARTICIPANTS ATTENDED A 6-WEEK, ONCE WEEKLY, 2-HOUR YOGA CLASS. PT PARTICIPANTS UNDERWENT TWICE WEEKLY, 1-HOUR INDIVIDUALIZED PT. DATA WERE COLLECTED AT BASELINE AND AT 6 WEEKS. GROUPS WERE COMPARED BY USING CHI2 AND INDEPENDENT SAMPLES T-TESTS. HIERARCHICAL LINEAR REGRESSION WAS USED TO PREDICT TREATMENT OUTCOMES. MAIN OUTCOME MEASURES: DISABILITY (ROLAND MORRIS DISABILITY QUESTIONNAIRE), HEALTH STATUS (RAND SHORT FORM 36 HEALTH SURVEY 1.0), PAIN BOTHERSOMENESS (NUMERICAL RATING SCALE), BACK PAIN SELF-EFFICACY (BACK PAIN SELF-EFFICACY SCALE), AND TREATMENT SATISFACTION. RESULTS: AT BASELINE, YOGA PARTICIPANTS WERE SIGNIFICANTLY LESS DISABLED (P=.013), HAD HIGHER HEALTH STATUS (P=.023), GREATER PAIN SELF-EFFICACY (P=.012), AND LESS AVERAGE PAIN BOTHERSOMENESS (P=.001) COMPARED WITH PT PARTICIPANTS. AT 6 WEEKS, WHEN CONTROLLING FOR BASELINE GROUP DIFFERENCES, GREATER PAIN SELF-EFFICACY WAS THE STRONGEST PREDICTOR FOR REDUCED PAIN AND HIGHER FUNCTION FOR THE ENTIRE SAMPLE. A SIGNIFICANT GROUP INTERACTION BY BASELINE PAIN SELF-EFFICACY PREDICTED DISABILITY AT 6 WEEKS. PT PARTICIPANTS WITH LOW PAIN SELF-EFFICACY REPORTED SIGNIFICANTLY GREATER DISABILITY THAN THOSE WITH HIGH PAIN SELF-EFFICACY. YOGA PARTICIPANTS WITH LOW AND HIGH PAIN SELF-EFFICACY HAD SIMILAR DISABILITY OUTCOMES. CONCLUSION: THESE FINDINGS STRENGTHEN EVIDENCE THAT SELF-EFFICACY IS ASSOCIATED WITH CLBP OUTCOMES, ESPECIALLY IN INDIVIDUALS SELF-SELECTING PT. FURTHER RESEARCH TO EVALUATE OUTCOMES AFTER YOGA AND PT IN PARTICIPANTS WITH LOW PAIN SELF-EFFICACY IS NEEDED. 2010 13 1538 47 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 14 1786 49 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 15 1787 36 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 16 2370 44 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 17 357 36 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 18 1699 42 PARTICIPANT CHARACTERISTICS ASSOCIATED WITH SYMPTOMATIC IMPROVEMENT FROM YOGA FOR CHRONIC LOW BACK PAIN. CONTEXT: STUDIES SUGGEST THAT YOGA IS EFFECTIVE FOR MODERATE TO SEVERE CHRONIC LOW BACK PAIN (CLBP) IN DIVERSE PREDOMINANTLY LOWER SOCIOECONOMIC STATUS POPULATIONS. HOWEVER, LITTLE IS KNOWN ABOUT FACTORS ASSOCIATED WITH BENEFIT FROM THE YOGA INTERVENTION. OBJECTIVE: IDENTIFY FACTORS AT BASELINE INDEPENDENTLY ASSOCIATED WITH GREATER EFFICACY AMONG PARTICIPANTS IN A STUDY OF YOGA FOR CLBP. DESIGN: FROM SEPTEMBER-DECEMBER 2011, A 12-WEEK RANDOMIZED DOSING TRIAL WAS CONDUCTED COMPARING WEEKLY VS. TWICE-WEEKLY 75-MINUTE HATHA YOGA CLASSES FOR 95 PREDOMINANTLY LOW-INCOME MINORITY ADULTS WITH NONSPECIFIC CLBP. PARTICIPANT CHARACTERISTICS COLLECTED AT BASELINE WERE USED TO DETERMINE FACTORS BEYOND TREATMENT ASSIGNMENT (REPORTED IN THE INITIAL STUDY) THAT PREDICTED OUTCOME. WE USED BIVARIATE TESTING TO IDENTIFY BASELINE CHARACTERISTICS ASSOCIATED WITH IMPROVEMENT IN FUNCTION AND PAIN, AND INCLUDED SELECT FACTORS IN A MULTIVARIATE LINEAR REGRESSION. SETTING: RECRUITMENT AND CLASSES OCCURRED IN AN ACADEMIC SAFETY-NET HOSPITAL AND FIVE AFFILIATED COMMUNITY HEALTH CENTERS IN BOSTON, MASSACHUSETTS. PARTICIPANTS: NINETY-FIVE ADULTS WITH NONSPECIFIC CLBP, AGES RANGING FROM 20-64 (MEAN 48) YEARS; 72 WOMEN AND 23 MEN. OUTCOME MEASURES: PRIMARY OUTCOMES WERE CHANGES IN BACK-RELATED FUNCTION (MODIFIED ROLAND-MORRIS DISABILITY QUESTIONNAIRE, RMDQ; 0-23) AND MEAN LOW BACK PAIN INTENSITY (0-10) IN THE PREVIOUS WEEK, FROM BASELINE TO WEEK 12. RESULTS: ADJUSTING FOR GROUP ASSIGNMENT, BASELINE RMDQ, AGE, AND GENDER, FOREIGN NATIONALITY AND LOWER BASELINE SF36 PHYSICAL COMPONENT SCORE (PCS) WERE INDEPENDENTLY ASSOCIATED WITH IMPROVEMENT IN RMDQ. GREATER THAN HIGH SCHOOL EDUCATION LEVEL, CLBP LESS THAN 1 YEAR, AND LOWER BASELINE SF36 PCS WERE INDEPENDENTLY ASSOCIATED WITH IMPROVEMENT IN PAIN INTENSITY. OTHER DEMOGRAPHICS INCLUDING RACE, INCOME, GENDER, BMI, AND USE OF PAIN MEDICATIONS WERE NOT ASSOCIATED WITH EITHER OUTCOME. CONCLUSIONS: POOR PHYSICAL HEALTH AT BASELINE IS ASSOCIATED WITH GREATER IMPROVEMENT FROM YOGA IN BACK-RELATED FUNCTION AND PAIN. RACE, INCOME, AND BODY MASS INDEX DO NOT AFFECT THE POTENTIAL FOR A PERSON WITH LOW BACK PAIN TO EXPERIENCE BENEFIT FROM YOGA. 2014 19 2055 23 THE ASSOCIATION OF SUDARSHAN KRIYA YOGA WITH HAPPINESS: A CASE-CONTROL OBSERVATIONAL STUDY FROM SINGAPORE. HAPPINESS IS A COMPLEX SUBJECTIVE EXPERIENCE THAT IS ESSENTIAL TO SOCIETAL PROGRESS. THIS STUDY INVESTIGATED THE ASSOCIATION BETWEEN SUDARSHAN KRIYA YOGA (SKY) AND SUBJECTIVE HAPPINESS IN SINGAPORE. SUBJECTIVE HAPPINESS DATA WERE COLLECTED FROM A CONVENIENCE SAMPLE (N = 733) COMPRISED OF 2 GROUPS: SKY (N = 385) AND NON-SKY (N = 348) PRACTITIONERS. SKY WAS CATEGORIZED INTO NON-, MONTHLY, WEEKLY, AND DAILY PRACTITIONERS AND HAPPINESS WAS CATEGORIZED INTO LOWER, MIDDLE AND HIGHER TERTILE GROUPS. CONFOUNDING VARIABLES INCLUDED AGE, GENDER, ETHNICITY, MARITAL STATUS, EDUCATION LEVEL, BODY MASS INDEX (BMI), SMOKING STATUS, ALCOHOL CONSUMPTION AND SELF-REPORTED HEALTH. DAILY SKY PARTICIPATION WAS POSITIVELY ASSOCIATED WITH A 2-FOLD HIGHER LIKELIHOOD OF BEING HAPPIER IN A MULTIVARIATE REGRESSION ANALYSIS. THE TREND ANALYSIS SHOWED THAT AS SKY FREQUENCY INCREASES, THE ODDS OF BEING HAPPIER INCREASES. THESE FINDINGS HELP GENERATE THE HYPOTHESIS THAT YOGIC BREATHING MAY PROMOTE HAPPINESS. FURTHER EXPERIMENTAL AND PROSPECTIVE INVESTIGATIONS ARE WARRANTED. 2021 20 728 28 EFFECT OF LONG-TERM YOGA PRACTICE ON PSYCHOLOGICAL OUTCOMES IN BREAST CANCER SURVIVORS. AIM: BREAST CANCER HAS BECOME A PANDEMIC WITH AN EVER-INCREASING INCIDENCE. ALTHOUGH BETTER DIAGNOSTICS AND TREATMENT MODALITIES HAVE REDUCED MORTALITY, A LARGE NUMBER OF SURVIVORS FACE CANCER AND TREATMENT-RELATED LONG-TERM SYMPTOMS. MANY SURVIVORS ARE TAKING UP YOGA FOR IMPROVING THE QUALITY OF LIFE (QOL). THE PRESENT STUDY ATTEMPTS TO EVALUATE PREDICTORS OF PSYCHOLOGICAL STATES IN BREAST CANCER SURVIVORS WITH LONG-TERM YOGA EXPERIENCE. MATERIALS AND METHODS: A CASE-CONTROL STUDY RECRUITED EARLY BREAST CANCER SURVIVORS, 30-65 YEARS, COMPLETING TREATMENT > 6 MONTHS BEFORE RECRUITMENT, AND GROUPED THEM BASED ON PRIOR YOGA EXPERIENCE (BCY, N = 27) OR NAIVE (BCN, N = 25). DEMOGRAPHY, CANCER HISTORY, DIET, EXERCISE HABITS, AND YOGA SCHEDULE WERE COLLECTED AND TOOLS TO ASSESS STRESS, ANXIETY, DEPRESSION, GENERAL HEALTH, AND QOL WERE ADMINISTERED. MULTIVARIATE LINEAR REGRESSION WAS DONE TO IDENTIFY PREDICTORS OF PSYCHOLOGICAL VARIABLES. RESULTS: BCY HAD SIGNIFICANTLY LOWER STRESS, ANXIETY, DEPRESSION, BETTER GENERAL HEALTH, AND QOL (P < 0.001). GLOBAL QOL AND TRAIT ANXIETY WERE SIGNIFICANTLY PREDICTED BY YOGA PRACTICE; DEPRESSION WAS PREDICTED BY YOGA PRACTICE, ANNUAL INCOME, AND SLEEP QUALITY; STATE ANXIETY WAS PREDICTED BY YOGA PRACTICE AND INCOME; AND STRESS WAS PREDICTED BY YOGA PRACTICE AND SLEEP QUALITY. CONCLUSION: RESULTS INDICATE THAT BREAST CANCER SURVIVORS, DOING YOGA, HAVE BETTER PSYCHOLOGICAL PROFILES AND ARE ABLE TO DEAL WITH DEMANDING SITUATIONS BETTER. THE PSYCHO-ONCOGENIC MODEL OF CANCER ETIOLOGY SUGGESTS THAT A BETTER PSYCHOLOGICAL STATE IN SURVIVAL HAS THE POTENTIAL TO IMPROVE PROGNOSIS AND SURVIVAL OUTCOMES AND YOGA MAY BE A SUITABLE PRACTICE FOR STAYING CANCER-FREE FOR A LONGER TIME. 2017