1 1147 146 ENERGY EXPENDITURE DURING A VINYASA YOGA SESSION. BACKGROUND: VINYASA YOGA HAS BEEN RECENTLY PROMOTED AS ONE OF THE MOST POPULAR MINDFUL EXERCISES TO IMPROVE OVERALL HEALTH, INCLUDING BODY WEIGHT MANAGEMENT. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE METABOLIC RESPONSE OF 24 MODERATELY TRAINED INDIVIDUALS DURING A 90-MIN GROUP VINYASA YOGA ROUTINE. METHODS: HEART RATE (HR) TIME COURSE OF 12 MALES AND 12 FEMALES (AGE: 39+/-7.33 YEARS) WAS RECORDED DURING TWO GROUP VINYASA YOGA SESSIONS CONSISTED OF FOUR SECTIONS (WARM-UP, HIGH-INTENSITY SURYA NAMASKAR (HSN), NO SURYA NAMASKAR POSTURES, AND COOL-DOWN). MAXIMAL OXYGEN UPTAKE (VO2PEAK) AND MAXIMUM HR HAD BEEN ESTIMATED EARLIER AFTER A MAXIMAL TREADMILL TEST. VO2 DURING VINYASA YOGA SESSIONS WAS ESTIMATED FROM INDIVIDUAL REGRESSION EQUATIONS USING THE RELATIONSHIP OF VO2 AND HR VALUES DERIVED FROM VO2PEAK TEST, WHILE THE METABOLIC RATE (KCAL/MIN) WAS CALCULATED FROM THE RELATIONSHIP OF HR AND KCAL/MIN. TOTAL SESSION ENERGY CONSUMPTION WAS THE AVERAGE VALUE OF THE TWO YOGA SESSIONS. RESULTS: THE 2 (GENDER) X 4 (SECTIONS) MIXED ANOVA REVEALED NO SIGNIFICANT INTERACTION BETWEEN THE TWO FACTORS (P=0.101) FOR THE MEAN METABOLIC RATE (7.1+/-2.6 KCAL/MIN). MEAN METABOLIC RATE THOUGHT WAS HIGHER (P=0.015) IN MALES COMPARED TO FEMALES AT EACH SECTION. ALSO, SIGNIFICANT DIFFERENCES WERE FOUND AMONG THE FOUR VINYASA YOGA SECTIONS (P<0.001) IN THE RATE OF ENERGY EXPENDITURE, WITH HSN PRESENTING THE HIGHEST MEAN VALUES (P<0.05). CONCLUSIONS: IT SEEMS THAT SYSTEMATIC PARTICIPATION IN VINYASA YOGA MAY EFFECTIVELY IMPROVE CARDIORESPIRATORY FITNESS AND PROMOTE BODY WEIGHT LOSS, AS AN ALTERNATIVE METHOD TO TRADITIONAL AEROBIC EXERCISE. 2020 2 687 41 EFFECT OF AN OFFICE WORKSITE-BASED YOGA PROGRAM ON HEART RATE VARIABILITY: OUTCOMES OF A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC WORK-RELATED STRESS IS AN INDEPENDENT RISK FACTOR FOR CARDIOMETABOLIC DISEASES AND ASSOCIATED MORTALITY, PARTICULARLY WHEN COMPOUNDED BY A SEDENTARY WORK ENVIRONMENT. THE PURPOSE OF THIS STUDY WAS TO DETERMINE IF AN OFFICE WORKSITE-BASED HATHA YOGA PROGRAM COULD IMPROVE PHYSIOLOGICAL STRESS, EVALUATED VIA HEART RATE VARIABILITY (HRV), AND ASSOCIATED HEALTH-RELATED OUTCOMES IN A COHORT OF OFFICE WORKERS. METHODS: THIRTY-SEVEN ADULTS EMPLOYED IN UNIVERSITY-BASED OFFICE POSITIONS WERE RANDOMIZED UPON THE COMPLETION OF BASELINE TESTING TO AN EXPERIMENTAL OR CONTROL GROUP. THE EXPERIMENTAL GROUP COMPLETED A 10-WEEK YOGA PROGRAM PRESCRIBED THREE SESSIONS PER WEEK DURING LUNCH HOUR (50 MIN PER SESSION). AN EXPERIENCED INSTRUCTOR LED THE SESSIONS, WHICH EMPHASIZED ASANAS (POSTURES) AND VINYASA (EXERCISES). THE PRIMARY OUTCOME WAS THE HIGH FREQUENCY (HF) POWER COMPONENT OF HRV. SECONDARY OUTCOMES INCLUDED ADDITIONAL HRV PARAMETERS, MUSCULOSKELETAL FITNESS (I.E. PUSH-UP, SIDE-BRIDGE, AND SIT & REACH TESTS) AND PSYCHOLOGICAL INDICES (I.E. STATE AND TRAIT ANXIETY, QUALITY OF LIFE AND JOB SATISFACTION). RESULTS: ALL MEASURES OF HRV FAILED TO CHANGE IN THE EXPERIMENTAL GROUP VERSUS THE CONTROL GROUP, EXCEPT THAT THE EXPERIMENTAL GROUP SIGNIFICANTLY INCREASED LF:HF (P = 0.04) AND REDUCED PNN50 (P = 0.04) VERSUS CONTROL, CONTRARY TO OUR HYPOTHESES. FLEXIBILITY, EVALUATED VIA SIT & REACH TEST INCREASED IN THE EXPERIMENTAL GROUP VERSUS THE CONTROL GROUP (P < 0.001). NO OTHER ADAPTATIONS WERE NOTED. POST HOC ANALYSIS COMPARING PARTICIPANTS WHO COMPLETED >/=70% OF YOGA SESSIONS (N = 11) TO CONTROL (N = 19) YIELDED THE SAME FINDINGS, EXCEPT THAT THE HIGH ADHERERS ALSO REDUCED STATE ANXIETY (P = 0.02) AND RMSSD (P = 0.05), AND TENDED TO IMPROVE THE PUSH-UP TEST (P = 0.07) VERSUS CONTROL. CONCLUSIONS: A 10-WEEK HATHA YOGA INTERVENTION DELIVERED AT THE OFFICE WORKSITE DURING LUNCH HOUR DID NOT IMPROVE HF POWER OR OTHER HRV PARAMETERS. HOWEVER, IMPROVEMENTS IN FLEXIBILITY, STATE ANXIETY AND MUSCULOSKELETAL FITNESS WERE NOTED WITH HIGH ADHERENCE. FUTURE INVESTIGATIONS SHOULD INCORPORATE STRATEGIES TO PROMOTE ADHERENCE, INVOLVE MORE FREQUENT AND LONGER DURATIONS OF YOGA TRAINING, AND ENROL COHORTS WHO SUFFER FROM HIGHER LEVELS OF WORK-RELATED STRESS. TRIAL REGISTRATION: ACTRN12611000536965. 2013 3 686 34 EFFECT OF AN OFFICE WORKSITE-BASED YOGA PROGRAM ON HEART RATE VARIABILITY: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC WORK-RELATED STRESS IS A SIGNIFICANT AND INDEPENDENT RISK FACTOR FOR CARDIOVASCULAR AND METABOLIC DISEASES AND ASSOCIATED MORTALITY, PARTICULARLY WHEN COMPOUNDED BY A SEDENTARY WORK ENVIRONMENT. HEART RATE VARIABILITY (HRV) PROVIDES AN ESTIMATE OF PARASYMPATHETIC AND SYMPATHETIC AUTONOMIC CONTROL, AND CAN SERVE AS A MARKER OF PHYSIOLOGICAL STRESS. HATHA YOGA IS A PHYSICALLY DEMANDING PRACTICE THAT CAN HELP TO REDUCE STRESS; HOWEVER, TIME CONSTRAINTS INCURRED BY WORK AND FAMILY LIFE MAY LIMIT PARTICIPATION. THE PURPOSE OF THE PRESENT STUDY IS TO DETERMINE IF A 10-WEEK, WORKSITE-BASED YOGA PROGRAM DELIVERED DURING LUNCH HOUR CAN IMPROVE RESTING HRV AND RELATED PHYSICAL AND PSYCHOLOGICAL PARAMETERS IN SEDENTARY OFFICE WORKERS. METHODS AND DESIGN: THIS IS A PARALLEL-ARM RCT THAT WILL COMPARE THE OUTCOMES OF PARTICIPANTS ASSIGNED TO THE EXPERIMENTAL TREATMENT GROUP (YOGA) TO THOSE ASSIGNED TO A NO-TREATMENT CONTROL GROUP. PARTICIPANTS RANDOMIZED TO THE EXPERIMENTAL CONDITION WILL ENGAGE IN A 10-WEEK YOGA PROGRAM DELIVERED AT THEIR PLACE OF WORK. THE YOGA SESSIONS WILL BE GROUP-BASED, PRESCRIBED THREE TIMES PER WEEK DURING LUNCH HOUR, AND WILL BE LED BY AN EXPERIENCED YOGA INSTRUCTOR. THE PROGRAM WILL INVOLVE TEACHING BEGINNER STUDENTS SAFELY AND PROGRESSIVELY OVER 10 WEEKS A YOGA SEQUENCE THAT INCORPORATES ASANAS (POSES AND POSTURES), VINYASA (EXERCISES), PRANAYAMA (BREATHING CONTROL) AND MEDITATION. THE PRIMARY OUTCOME OF THIS STUDY IS THE HIGH FREQUENCY (HF) SPECTRAL POWER COMPONENT OF HRV (MEASURED IN ABSOLUTE UNITS; I.E. MS2), A MEASURE OF PARASYMPATHETIC AUTONOMIC CONTROL. SECONDARY OUTCOMES INCLUDE ADDITIONAL FREQUENCY AND TIME DOMAINS OF HRV, AND MEASURES OF PHYSICAL FUNCTIONING AND PSYCHOLOGICAL HEALTH STATUS. MEASURES WILL BE COLLECTED PRIOR TO AND FOLLOWING THE INTERVENTION PERIOD, AND AT 6 MONTHS FOLLOW-UP TO DETERMINE THE EFFECT OF INTERVENTION WITHDRAWAL. DISCUSSION: THIS STUDY WILL DETERMINE THE EFFECT OF WORKSITE-BASED YOGA PRACTICE ON HRV AND PHYSICAL AND PSYCHOLOGICAL HEALTH STATUS. THE FINDINGS MAY ASSIST IN IMPLEMENTING PRACTICAL INTERVENTIONS, SUCH AS YOGA, INTO THE WORKPLACE TO MITIGATE STRESS, ENHANCE HEALTH STATUS AND REDUCE THE RISK OF CARDIOVASCULAR AND METABOLIC DISEASES. TRIAL REGISTRATION: ACTRN12611000536965URL: HTTP://WWW.ANZCTR.ORG.AU/ACTRN12611000536965.ASPX. 2011 4 1148 43 ENERGY EXPENDITURE IN VINYASA YOGA VERSUS WALKING. BACKGROUND: WHETHER THE ENERGY COST OF VINYASA YOGA MEETS THE CRITERIA FOR MODERATE-TO-VIGOROUS PHYSICAL ACTIVITY HAS NOT BEEN ESTABLISHED. PURPOSE: TO COMPARE ENERGY EXPENDITURE DURING ACUTE BOUTS OF VINYASA YOGA AND 2 WALKING PROTOCOLS. METHODS: PARTICIPANTS (20 MALES, 18 FEMALES) PERFORMED 60-MINUTE SESSIONS OF VINYASA YOGA (YOGA), TREADMILL WALKING AT A SELF-SELECTED BRISK PACE (SELF), AND TREADMILL WALKING AT A PACE THAT MATCHED THE HEART RATE OF THE YOGA SESSION (HR-MATCH). ENERGY EXPENDITURE WAS ASSESSED VIA INDIRECT CALORIMETRY. RESULTS: ENERGY EXPENDITURE WAS SIGNIFICANTLY LOWER IN YOGA COMPARED WITH HR-MATCH (DIFFERENCE = 79.5 +/- 44.3 KCAL; P < .001) AND SELF (DIFFERENCE = 51.7 +/- 62.6 KCAL; P < .001), BUT NOT IN SELF COMPARED WITH HR-MATCH (DIFFERENCE = 27.8 +/- 72.6 KCAL; P = .054). A SIMILAR PATTERN WAS OBSERVED FOR METABOLIC EQUIVALENTS (HR-MATCH = 4.7 +/- 0.8, SELF = 4.4 +/- 0.7, YOGA = 3.6 +/- 0.6; P < .001). ANALYSES USING ONLY THE INITIAL 45 MINUTES FROM EACH OF THE SESSIONS, WHICH EXCLUDED THE RESTORATIVE COMPONENT OF YOGA, SHOWED ENERGY EXPENDITURE WAS SIGNIFICANTLY LOWER IN YOGA COMPARED WITH HR-MATCH (DIFFERENCE = 68.0 +/- 40.1 KCAL; P < .001) BUT NOT COMPARED WITH SELF (DIFFERENCE = 15.1 +/- 48.7 KCAL; P = .189). CONCLUSIONS: YOGA MEETS THE CRITERIA FOR MODERATE-INTENSITY PHYSICAL ACTIVITY. THUS, YOGA MAY BE A VIABLE FORM OF PHYSICAL ACTIVITY TO ACHIEVE PUBLIC HEALTH GUIDELINES AND TO ELICIT HEALTH BENEFITS. 2017 5 59 33 A COMPARISON OF THE ACUTE EFFECTS OF DIFFERENT FORMS OF YOGA ON PHYSIOLOGICAL AND PSYCHOLOGICAL STRESS: A PILOT STUDY. YOGA IS A FREQUENTLY RECOMMENDED STRESS MANAGEMENT STRATEGY; HOWEVER, THE ACUTE STRESS RESPONSE TO VARYING TYPES OF YOGA ARE NOT FULLY CLEAR. THUS, THE PURPOSE OF THIS STUDY WAS TO COMPARE THE ACUTE EFFECTS OF MEDITATIVE AND POWER YOGA ON INDICES OF PHYSIOLOGICAL AND PSYCHOLOGICAL STRESS. IN A CROSSOVER COUNTERBALANCED DESIGN, PHYSICALLY ACTIVE FEMALES (N = 13; AGE = 20.8 YRS +/- 0.8, HEIGHT = 164.5 CM +/- 6.1, BODY MASS = 65.0 KG +/- 13.8) WHO DID NOT REGULARLY PARTICIPATE IN YOGA OR MINDFUL TRAINING ENROLLED IN THIS STUDY. PARTICIPANTS COMPLETED TWO VISITS EACH, WITH A STANDARDIZED INSTRUCTIONAL-VIDEO 30-MIN YOGA SESSION WITH EITHER A) MEDITATIVE (HATHA STYLE) YOGA OR B) POWER (VINYASA STYLE) YOGA. PRIOR TO AND IMMEDIATELY AFTER EACH YOGA BOUT, PSYCHOLOGICAL STRESS WAS ASSESSED USING THE STATE-TRAIT ANXIETY INVENTORY (STAI) QUESTIONNAIRE, AND SALIVARY CORTISOL SAMPLES WERE OBTAINED TO MEASURE INDICES OF PHYSIOLOGICAL STRESS. STATE ANXIETY SCORES WERE SIGNIFICANTLY LOWER FOLLOWING MEDITATIVE YOGA (P = 0.047) BUT WERE NOT DIFFERENT FOLLOWING POWER YOGA (P = 0.625). SALIVARY CORTISOL LEVELS WERE SIGNIFICANTLY LOWER FOLLOWING MEDITATIVE YOGA (P = 0.020) BUT NOT FOLLOWING POWER YOGA (P = 0.242). RESULTS INDICATE THAT ACUTE ENGAGEMENT IN MEDITATIVE YOGA DECREASES MARKERS OF PSYCHOLOGICAL AND PHYSIOLOGICAL STRESS, WHILE POWER YOGA DOES NOT IMPART A SIGNIFICANT STRESS-RELIEVING BENEFIT. FINDINGS INDICATE THAT DIFFERING TYPES OF YOGA MAY HAVE VARIOUS STRESS-RELIEVING CAPABILITIES AND SHOULD BE CONSIDERED BY INDIVIDUALS SEEKING ANXIOLYTIC BENEFITS. 2020 6 262 39 ACUTE AND CUMULATIVE EFFECTS OF VINYASA YOGA ON AFFECT AND STRESS AMONG COLLEGE STUDENTS PARTICIPATING IN AN EIGHT-WEEK YOGA PROGRAM: A PILOT STUDY. BACKGROUND: COLLEGE STUDENTS ARE VULNERABLE TO A CRITICAL PERIOD IN DEVELOPMENTAL MATURATION, FACING RIGOROUS ACADEMIC WORK AND LEARNING HOW TO FUNCTION INDEPENDENTLY. WESTERN AEROBIC EXERCISE (WAE), SUCH AS RUNNING AND BICYCLING, HAS BEEN SHOWN TO IMPROVE MOOD AND RELIEVE STRESS. HOWEVER, COLLEGE STUDENTS OFTEN HAVE LOW LEVELS OF PHYSICAL ACTIVITY. YOGA IS AN ANCIENT PHYSICAL AND MENTAL PRACTICE THAT MAY AFFECT MOOD AND STRESS. HOWEVER, RIGOROUS STUDIES EXAMINING THE PSYCHOLOGICAL EFFECTS OF YOGA ARE RARE IN PEERREVIEWED WESTERN JOURNALS. THE AIM OF THIS RESEARCH WAS TO ESTABLISH PRELIMINARY EVIDENCE FOR THE ACUTE EFFECTS OF VINYASA YOGA ON AFFECT AND STRESS IN YOUNG-ADULT COLLEGE STUDENTS. METHODS: TWENTY HEALTHY COLLEGE STUDENTS AGE 18 YEARS AND OLDER WERE RECRUITED TO PARTICIPATE IN THIS PILOT STUDY. PARTICIPANTS ATTENDED A VINYASA YOGA CLASS AT A LOCAL STUDIO TWICE WEEKLY FOR 8 WEEKS. AFFECT AND STRESS WERE ASSESSED BEFORE AND AFTER EACH YOGA SESSION. MEASURES INCLUDED THE POSITIVE AND NEGATIVE AFFECTIVE SCHEDULE (PANAS) AND THE COHEN PERCEIVED STRESS SCALE. RESULTS: POSITIVE AFFECT SCORES INCREASED SIGNIFICANTLY (P < 0.05) FOR 14 OF THE 16 YOGA SESSIONS (MEAN INCREASE = 23.2%). NEGATIVE AFFECT DECREASED SIGNIFICANTLY FROM PRE- TO POSTYOGA (P < 0.05) FOR 15 OF THE 16 SESSIONS (MEAN DECREASE = 22%). REPEATED MEASURES ANOVAS EXAMINING PRE-POST COMPOSITE SCORES ACROSS ALL 8 WEEKS SHOWED SIGNIFICANT CHANGES IN PANAS, BUT NOT STRESS SCORES. CONCLUSIONS: FINDINGS SUGGEST THAT YOGA PRACTICE IS ASSOCIATED WITH ACUTE IMPROVEMENTS IN AFFECT IN A YOUNG-ADULT COLLEGE POPULATION. FUTURE RESEARCH IS NEEDED TO EXAMINE THE EXTENT TO WHICH DIFFERENT TYPES OF YOGA ADDRESS THE NEEDS OF DIFFERENT COLLEGE SUB-POPULATIONS (E.G., EATING DISORDERED, OVERWEIGHT/OBESE, SEDENTARY, AND SMOKERS). 2014 7 2043 26 THE ACUTE EFFECTS OF VINYASA FLOW YOGA ON VASCULAR FUNCTION, LIPID AND GLUCOSE CONCENTRATIONS, AND MOOD. WHILE THE CHRONIC EFFECTS OF CERTAIN STYLES OF YOGA ON CARDIOMETABOLIC FACTORS HAVE BEEN INVESTIGATED, LITTLE IS KNOWN ABOUT THE ACUTE EFFECTS OF A SINGLE YOGA SESSION ON THESE OUTCOMES. MOREOVER, VINYASA YOGA'S POTENTIAL TO MODULATE CARDIOMETABOLIC OUTCOMES HAS NOT BEEN ESTABLISHED. THE PURPOSE OF THIS STUDY IS TO DETERMINE THE ACUTE EFFECTS OF A VINYASA YOGA SESSION ON ARTERIAL STIFFNESS, WAVE REFLECTION, LIPID AND GLUCOSE CONCENTRATIONS, AND MOOD IN ADULTS WITH PRIOR YOGA EXPERIENCE. THIRTY YOGA PRACTITIONERS WITH A MINIMUM OF 3 MONTHS OF PRACTICE EXPERIENCE WERE ENROLLED INTO THE STUDY. CAROTID-FEMORAL PULSE WAVE VELOCITY (CF-PWV), AUGMENTATION INDEX (AIX), LIPID PROFILE, GLUCOSE CONCENTRATIONS, AND MOOD (POSITIVE AND NEGATIVE AFFECT SCALE) WERE ASSESSED AT BASELINE AND IMMEDIATELY FOLLOWING A 1 -H VINYASA YOGA SESSION. AFTER THE YOGA SESSION, PARTICIPANTS HAD SIGNIFICANTLY LOWER AIX (P < 0.001), NON-HDL CHOLESTEROL (P < 0.05), AND NEGATIVE AFFECT (P < 0.01) COMPARED TO BASELINE. THESE RESULTS HIGHLIGHT THE EFFICACY OF A SINGLE BOUT OF YOGA IN ALTERING WAVE REFLECTION WHILE IMPROVING MOOD AND LIPID CONCENTRATIONS IN HEALTHY ADULTS WITH A HISTORY OF YOGA PRACTICE. 2021 8 1871 35 RANGE OF YOGA INTENSITIES FROM SAVASANA TO SWEATING: A SYSTEMATIC REVIEW. BACKGROUND: THERE IS LIMITED RESEARCH EXAMINING THE INTENSITY OF YOGA AND INTENSITY VARIATIONS BETWEEN DIFFERENT STYLES. THE PURPOSE OF THIS REVIEW IS TO EXAMINE THE INTENSITY OF YOGA BASED ON DIFFERENT PHYSIOLOGIC RESPONSES BOTH BETWEEN DIFFERENT YOGA STYLES AND WITHIN STYLES OF YOGA. METHODS: ARTICLES WERE SEARCHED FOR ON THE PUBMED DATABASE IN EARLY 2019. INCLUSION CRITERIA WERE AS FOLLOWS: (1) WRITTEN IN ENGLISH, (2) CITE A SPECIFIC STYLE OF YOGA AND INCLUDE WHOLE YOGA SESSION, AND (3) MEASURE METABOLIC OR HEART RATE RESPONSE. RESULTS: TEN ARTICLES WERE REVIEWED; ARTICLES REPORTED OXYGEN CONSUMPTION (N = 1), HEART RATE (N = 4), OR BOTH VARIABLES (N = 5). YOGA STYLES ASSESSED INCLUDED ASHTANGA (N = 2), BIKRAM (N = 3), GENTLE (N = 1), HATHA (N = 3), IYENGAR (N = 1), POWER (N = 1), AND VINYASA (N = 1). OXYGEN CONSUMPTION COMMONLY CATEGORIZED YOGA AS A LIGHT-INTENSITY ACTIVITY, WHILE HEART RATE RESPONSES CLASSIFIED DIFFERENT YOGA INTO MULTIPLE INTENSITIES. CONCLUSION: THIS REVIEW DEMONSTRATES THAT LARGE DIFFERENCES IN INTENSITY CLASSIFICATIONS ARE OBSERVED BETWEEN DIFFERENT STYLES OF YOGA. FURTHERMORE, METABOLIC AND HEART RATE RESPONSES CAN BE VARIABLE, LEADING TO INCONSISTENT INTENSITY CLASSIFICATIONS. THIS IS LIKELY DUE TO THEIR NONLINEAR RELATIONSHIP DURING YOGA. THUS, IT IS IMPERATIVE THAT THE FIELD OF YOGA RESEARCH WORKS TOGETHER TO CREATE A STANDARD FOR REPORTING YOGA. 2020 9 16 34 "SMOKING DOES NOT GO WITH YOGA:" A QUALITATIVE STUDY OF WOMEN'S PHENOMENOLOGICAL PERCEPTIONS DURING YOGA AND SMOKING CESSATION. INTRODUCTION: SMOKING CESSATION IS OFTEN ACCOMPANIED BY WITHDRAWAL SYMPTOMS, CIGARETTE CRAVING, INCREASED NEGATIVE AFFECT, AND INCREASED EXPERIENCE OF STRESS. BECAUSE YOGA HAS BEEN SHOWN TO REDUCE STRESS AND NEGATIVE AFFECT, IT MAY BE AN EFFECTIVE AID TO SMOKING CESSATION. THE OBJECTIVE OF THIS STUDY WAS TO EXAMINE WOMEN'S PHENOMENOLOGICAL EXPERIENCES OF VINYASA YOGA AS PART OF A SMOKING CESSATION PROGRAM. METHODS: FOCUS GROUPS WERE CONDUCTED POST-INTERVENTION WITH WOMEN (N = 20) WHO PARTICIPATED IN A PILOT RANDOMIZED CONTROLLED TRIAL OF YOGA AS A COMPLEMENTARY THERAPY FOR SMOKING CESSATION. THE 8-WEEK VINYASA YOGA INTERVENTION INCLUDED TWICE WEEKLY 60-MINUTE CLASSES THAT INVOLVED BREATHING EXERCISES, POSTURES (ASANAS), AND RELAXATION TECHNIQUES. FOCUS GROUPS WERE AUDIO RECORDED AND TRANSCRIBED. THEMATIC ANALYSIS FOCUSED ON DESCRIPTIONS OF YOGA, BREATHING, AND BODILY SENSATIONS INCLUDING CIGARETTE CRAVING. RESULTS: FOCUS GROUP PARTICIPANTS DESCRIBED VINYASA YOGA AS PHYSICALLY CHALLENGING. MOST REPORTED DELIBERATE USE OF YOGIC BREATHING TO COPE WITH CIGARETTE CRAVING AND STRESS. OTHER PERCEIVED EFFECTS INCLUDED RELAXATION AND AN INCREASED SENSE OF BODY AWARENESS AND WELLBEING. CONCLUSIONS: PARTICIPANTS VIEWED YOGA AS POSITIVE AND POTENTIALLY HELPFUL FOR QUITTING SMOKING. YOGA MAY BE AN EFFECTIVE ADJUNCT FOR SMOKING CESSATION. 2016 10 1421 23 IMPROVED SELF-ACCEPTANCE, QUALITY OF LIFE, AND STRESS LEVEL FROM PARTICIPATION IN A WORKSITE YOGA FOUNDATIONS PROGRAM: A PILOT STUDY. YOGA IS INCREASING IN POPULARITY IN THE UNITED STATES AND ACROSS THE GLOBE. HOWEVER, MOST YOGA PROGRAMS ARE PROVIDED OUTSIDE THE WORKSITE; ALTHOUGH MANY COMPANIES OFFER WORKSITE WELLNESS PROGRAMS, AT PRESENT THERE IS LIMITED DOCUMENTATION REGARDING THE POTENTIAL BENEFITS OF PARTICIPATING IN A WORKSITE YOGA PROGRAM. THEREFORE, THE PURPOSE OF THIS PROJECT WAS TO EXAMINE THE POTENTIAL EFFECT OF A WORKSITE YOGA PROGRAM ON SELF-ACCEPTANCE, QUALITY OF LIFE, AND PERCEIVED STRESS. A PROSPECTIVE COHORT PILOT STUDY THAT EXAMINED A STRUCTURED WORKSITE YOGA PROGRAM WAS DESIGNED AND TAILORED TO INDIVIDUALS NEW TO YOGA. THE 8-WEEK YOGA FOUNDATIONS PROGRAM WAS CONDUCTED AT AN ACADEMIC MEDICAL CENTER'S WORKSITE WELLNESS CENTER WITH 86 SUBJECTS. OUTCOME MEASURES WERE THE 36-ITEM SELF-ACCEPTANCE SCALE; A SIX-ITEM QUALITY-OF-LIFE MEASURE THAT ASSESSES OVERALL, SOCIAL, MENTAL, PHYSICAL, EMOTIONAL, AND SPIRITUAL WELL-BEING; AND THE TEN-ITEM PERCEIVED STRESS SCALE. PARTICIPANTS DEMONSTRATED SIGNIFICANT IMPROVEMENT IN THEIR OVERALL SELF-ACCEPTANCE ( P < 0.001), QUALITY OF LIFE ( P < 0.001), AND PERCEIVED STRESS ( P < 0.001) LEVELS. THEY ALSO HIGHLY RATED THE YOGA INSTRUCTORS AND THE WEEKLY FORMAT OF THE PROGRAM. PARTICIPATION IN A YOGA FOUNDATIONS PROGRAM WAS ASSOCIATED WITH IMPROVEMENTS IN SELF-ACCEPTANCE, QUALITY OF LIFE AND STRESS LEVELS IN WORKSITE WELLNESS CENTER MEMBERS. FUTURE STUDIES SHOULD USE RANDOMIZED DESIGNS AND EXAMINE OTHER WELLNESS DOMAINS TO LEARN MORE ABOUT THE POTENTIAL BENEFITS OF WORKSITE YOGA PROGRAMS. 2018 11 642 50 DOES PRACTICING HATHA YOGA SATISFY RECOMMENDATIONS FOR INTENSITY OF PHYSICAL ACTIVITY WHICH IMPROVES AND MAINTAINS HEALTH AND CARDIOVASCULAR FITNESS? BACKGROUND: LITTLE IS KNOWN ABOUT THE METABOLIC AND HEART RATE RESPONSES TO A TYPICAL HATHA YOGA SESSION. THE PURPOSES OF THIS STUDY WERE 1) TO DETERMINE WHETHER A TYPICAL YOGA PRACTICE USING VARIOUS POSTURES MEETS THE CURRENT RECOMMENDATIONS FOR LEVELS OF PHYSICAL ACTIVITY REQUIRED TO IMPROVE AND MAINTAIN HEALTH AND CARDIOVASCULAR FITNESS; 2) TO DETERMINE THE RELIABILITY OF METABOLIC COSTS OF YOGA ACROSS SESSIONS; 3) TO COMPARE THE METABOLIC COSTS OF YOGA PRACTICE TO THOSE OF TREADMILL WALKING. METHODS: IN THIS OBSERVATIONAL STUDY, 20 INTERMEDIATE-TO-ADVANCED LEVEL YOGA PRACTITIONERS, AGE 31.4 +/- 8.3 YEARS, PERFORMED AN EXERCISE ROUTINE INSIDE A HUMAN RESPIRATORY CHAMBER (INDIRECT CALORIMETER) WHILE WEARING HEART RATE MONITORS. THE EXERCISE ROUTINE CONSISTED OF 30 MINUTES OF SITTING, 56 MINUTES OF BEGINNER-LEVEL HATHA YOGA ADMINISTERED BY VIDEO, AND 10 MINUTES OF TREADMILL WALKING AT 3.2 AND 4.8 KPH EACH. MEASURES WERE MEAN OXYGEN CONSUMPTION (VO2), HEART RATE (HR), PERCENTAGE PREDICTED MAXIMAL HEART RATE (%MHR), METABOLIC EQUIVALENTS (METS), AND ENERGY EXPENDITURE (KCAL). SEVEN SUBJECTS REPEATED THE PROTOCOL SO THAT MEASUREMENT RELIABILITY COULD BE ESTABLISHED. RESULTS: MEAN VALUES ACROSS THE ENTIRE YOGA SESSION FOR VO2, HR, %MHR, METS, AND ENERGY/MIN WERE 0.6 L/KG/MIN; 93.2 BEATS/MIN; 49.4%; 2.5; AND 3.2 KCAL/MIN; RESPECTIVELY. RESULTS OF THE ICCS (2,1) FOR MEAN VALUES ACROSS THE ENTIRE YOGA SESSION FOR KCAL, METS, AND %MHR WERE 0.979 AND 0.973, AND 0.865, RESPECTIVELY. CONCLUSION: METABOLIC COSTS OF YOGA AVERAGED ACROSS THE ENTIRE SESSION REPRESENT LOW LEVELS OF PHYSICAL ACTIVITY, ARE SIMILAR TO WALKING ON A TREADMILL AT 3.2 KPH, AND DO NOT MEET RECOMMENDATIONS FOR LEVELS OF PHYSICAL ACTIVITY FOR IMPROVING OR MAINTAINING HEALTH OR CARDIOVASCULAR FITNESS. YOGA PRACTICE INCORPORATING SUN SALUTATION POSTURES EXCEEDING THE MINIMUM BOUT OF 10 MINUTES MAY CONTRIBUTE SOME PORTION OF SUFFICIENTLY INTENSE PHYSICAL ACTIVITY TO IMPROVE CARDIO-RESPIRATORY FITNESS IN UNFIT OR SEDENTARY INDIVIDUALS. THE MEASUREMENT OF ENERGY EXPENDITURE ACROSS YOGA SESSIONS IS HIGHLY RELIABLE. 2007 12 1684 22 OPEN TRIAL OF VINYASA YOGA FOR PERSISTENTLY DEPRESSED INDIVIDUALS: EVIDENCE OF FEASIBILITY AND ACCEPTABILITY. THE AIM OF THIS STUDY WAS TO ASSESS THE ACCEPTABILITY AND FEASIBILITY OF VINYASA YOGA AS AN ADJUNCTIVE TREATMENT FOR DEPRESSED PATIENTS WHO WERE NOT RESPONDING ADEQUATELY TO ANTIDEPRESSANT MEDICATION. THE AUTHORS ALSO PLANNED TO ASK PARTICIPANTS FOR QUALITATIVE FEEDBACK ON THEIR EXPERIENCE OF THE CLASS AND TO ASSESS CHANGE OVER TIME IN DEPRESSION AND IN POSSIBLE MEDIATING VARIABLES. THE AUTHORS RECRUITED 11 PARTICIPANTS IN 1 MONTH FOR AN 8-WEEK OPEN TRIAL OF YOGA CLASSES. THEY FOUND THAT 10 PARTICIPANTS COMPLETED FOLLOW-UP ASSESSMENTS, 9 OF 10 WERE POSITIVE ABOUT THEIR EXPERIENCE, AND ALL PROVIDED FEEDBACK ABOUT WHAT WAS AND WAS NOT HELPFUL ABOUT YOGA, AS WELL AS BARRIERS TO CLASS ATTENDANCE. OVER THE 2-MONTH PERIOD, PARTICIPANTS EXHIBITED SIGNIFICANT DECREASES IN DEPRESSION SYMPTOMS AND SIGNIFICANT INCREASES IN AN ASPECT OF MINDFULNESS AND IN BEHAVIOR ACTIVATION. THIS PILOT STUDY PROVIDED SUPPORT FOR CONTINUING TO INVESTIGATE VINYASA YOGA AS AN ADJUNCT TREATMENT FOR DEPRESSION. THE NEXT STEP REQUIRED IS A RIGOROUS RANDOMIZED CLINICAL TRIAL. 2010 13 1781 31 PREDICTORS OF AND BARRIERS TO ADHERENCE IN A 16-WEEK RANDOMISED CONTROLLED TRIAL OF BIKRAM YOGA IN STRESSED AND SEDENTARY ADULTS. BACKGROUND: BIKRAM YOGA MAY ENHANCE HEALTH OUTCOMES IN HEALTHY ADULTS AND THOSE AT RISK FOR CHRONIC DISEASE, HOWEVER, CHALLENGES REMAIN IN ACHIEVING OPTIMAL ADHERENCE TO THIS PRACTICE. THIS STUDY INVESTIGATED FACTORS INFLUENCING ADHERENCE TO A 16-WEEK BIKRAM YOGA INTERVENTION IN STRESSED AND SEDENTARY ADULTS. METHODS: EXPERIMENTAL GROUP PARTICIPANTS (N = 29) WERE INSTRUCTED TO ATTEND 3-5 BIKRAM YOGA CLASSES WEEKLY FOR 16 WEEKS. BASELINE DEMOGRAPHICS, BEHAVIOURS AND HEALTH MEASURES WERE INVESTIGATED AS PREDICTORS OF ADHERENCE. BARRIERS WERE ASSESSED VIA DOCUMENTATION OF ADVERSE EVENTS, AND EXIT SURVEY RESPONSES. RESULTS: PARTICIPANTS (38.2 +/- 10.1 YEARS) WERE PREDOMINANTLY OVERWEIGHT-OBESE (83%), FEMALE (79%), AND ATTENDED 27 +/- 18 CLASSES. HIGHER ADHERENCE WAS ASSOCIATED WITH OLDER AGE (P = 0.094), LESS PAIN (P = 0.011), FEWER PHYSICAL LIMITATIONS (P = 0.011), POORER BLOOD LIPID PROFILE, AND HIGHER HEART RATE VARIABILITY (HRV; TOTAL POWER, (P = 0.097)). IN MULTI-VARIABLE ANALYSIS, THREE VARIABLES: AGE (BETA = 0.492, P = 0.006), HRV (BETA = 0.413, P = 0.021) AND PAIN (BETA = 0.329, P = 0.048) REMAINED PREDICTORS OF ADHERENCE. DIFFICULTY COMMITTING TO THE TRIAL, LACK OF ENJOYMENT AND ADVERSE EVENTS WERE BARRIERS TO ADHERENCE. CONCLUSIONS: THESE FINDINGS SHOULD BE CONSIDERED IN THE DEVELOPMENT OF FUTURE BIKRAM YOGA TRIALS TO FACILITATE HIGHER LEVELS OF ADHERENCE, WHICH MAY ENHANCE HEALTH OUTCOMES AND INFORM COMMUNITY PRACTICE. FUTURE TRIALS SHOULD INVESTIGATE AND ADDRESS ADDITIONAL BARRIERS AND FACILITATORS OF BIKRAM YOGA PRACTICE. 2019 14 1372 33 IMPACT OF A YOGA AND MEDITATION INTERVENTION ON STUDENTS' STRESS AND ANXIETY LEVELS. OBJECTIVE. TO EVALUATE THE IMPACT OF A SIX-WEEK YOGA AND MEDITATION INTERVENTION ON COLLEGE STUDENTS' STRESS PERCEPTION, ANXIETY LEVELS, AND MINDFULNESS SKILLS. METHODS. COLLEGE STUDENTS PARTICIPATED IN A SIX-WEEK PILOT PROGRAM THAT CONSISTED OF A 60-MINUTE VINYASA FLOW YOGA CLASS ONCE WEEKLY, FOLLOWED BY GUIDED MEDITATION DELIVERED BY TRAINED FACULTY MEMBERS AT THE UNIVERSITY OF RHODE ISLAND COLLEGE OF PHARMACY. STUDENTS COMPLETED PRE- AND POST-INTERVENTION QUESTIONNAIRES TO EVALUATE CHANGES IN THE FOLLOWING OUTCOMES: STRESS LEVELS, ANXIETY LEVELS, AND MINDFULNESS SKILLS. THE QUESTIONNAIRE CONSISTED OF THREE SELF-REPORTING TOOLS: THE BECK ANXIETY INVENTORY (BAI), THE PERCEIVED STRESS SCALE (PSS), AND THE FIVE FACET MINDFULNESS QUESTIONNAIRE (FFMQ). STUDENTS' SCORES ON EACH WERE ASSESSED TO DETECT ANY CHANGES FROM BASELINE USING THE NUMERICAL AND CATEGORICAL SCALES (LOW, MEDIUM, AND HIGH) FOR EACH INSTRUMENT. RESULTS. SEVENTEEN PARTICIPANTS, AGED 19 TO 23 YEARS, COMPLETED THE STUDY. THIRTEEN PARTICIPANTS WERE FEMALE AND FOUR WERE MALE. NINE OF THE STUDENTS WERE ENROLLED IN THE DOCTOR OF PHARMACY PROGRAM AND EIGHT WERE ENROLLED IN OTHER ACADEMIC PROGRAMS. STUDENTS' ANXIETY AND STRESS SCORES DECREASED SIGNIFICANTLY WHILE THEIR TOTAL MINDFULNESS INCREASED SIGNIFICANTLY. CHANGES IN CATEGORICAL DATA FROM PRE- TO POST-INTERVENTION ON THE BAI AND PSS WERE SIGNIFICANT, WITH NO STUDENTS SCORING IN THE "HIGH" CATEGORY FOR STRESS OR ANXIETY ON THE POST-INTERVENTION QUESTIONNAIRE. CONCLUSION. STUDENTS EXPERIENCED A REDUCTION IN STRESS AND ANXIETY LEVELS AFTER COMPLETING A SIX-WEEK YOGA AND MEDITATION PROGRAM PRECEDING FINAL EXAMINATIONS. RESULTS SUGGEST THAT ADOPTING A MINDFULNESS PRACTICE FOR AS LITTLE AS ONCE PER WEEK MAY REDUCE STRESS AND ANXIETY IN COLLEGE STUDENTS. ADMINISTRATORS SHOULD CONSIDER INCLUDING INSTRUCTION IN NONPHARMACOLOGIC STRESS AND ANXIETY REDUCTION METHODS, WITHIN CURRICULA IN ORDER TO SUPPORT STUDENT SELF-CARE. 2019 15 2233 28 THE IMPACT OF YOGA ON QUALITY OF LIFE AND PSYCHOLOGICAL DISTRESS IN CAREGIVERS FOR PATIENTS WITH CANCER. PURPOSE/OBJECTIVES: TO ASSESS THE EFFECTS OF A SIX-WEEK VINYASA YOGA (VY) INTERVENTION ON CAREGIVERS' OVERALL QUALITY OF LIFE (QOL) AND PSYCHOLOGICAL DISTRESS. DESIGN: A SINGLE-GROUP, PRE- AND POST-TEST PILOT STUDY. SETTING: UNIVERSITY PUBLIC RECREATIONAL FACILITY. SAMPLE: 12 INFORMAL CAREGIVERS FOR PATIENTS WITH CANCER. METHODS: CAREGIVERS PARTICIPATED IN A SIX-WEEK VY INTERVENTION AND COMPLETED MEASURES OF QOL AND PSYCHOLOGICAL DISTRESS PRE- AND POSTINTERVENTION. PROGRAM SATISFACTION WAS MEASURED WITH OPEN-ENDED SURVEY QUESTIONS. MAIN RESEARCH VARIABLES: QOL, PSYCHOLOGICAL DISTRESS, AND PROGRAM SATISFACTION. FINDINGS: SIGNIFICANT IMPROVEMENTS WERE FOUND IN THE MENTAL COMPONENT SCORE OF OVERALL QOL AND IN OVERALL PSYCHOLOGICAL DISTRESS. SEVERAL SUBDOMAINS OF QOL AND PSYCHOLOGICAL DISTRESS WERE ALSO IMPROVED SIGNIFICANTLY. OPEN-ENDED SURVEY QUESTION RESPONSES REVEALED PARTICIPANTS PERCEIVED PHYSICAL AND MENTAL BENEFIT FROM THE INTERVENTION, HIGHLIGHTING IMPROVEMENTS IN FLEXIBILITY, CORE AND UPPER-BODY STRENGTH, BALANCE, BREATHING, AND ENERGY. CONCLUSIONS: INFORMAL CAREGIVERS MAY BENEFIT MENTALLY AND PHYSICALLY FROM PARTICIPATING IN VY. IMPLICATIONS FOR NURSING: CAREGIVERS OF PATIENTS WITH CANCER CHARACTERIZE A GROUP WORTHY OF ATTENTION, RESEARCH, AND INTERVENTIONS FOCUSING ON THEIR HEALTHCARE NEEDS. 2014 16 668 37 EFFECT OF A 16-WEEK BIKRAM YOGA PROGRAM ON HEART RATE VARIABILITY AND ASSOCIATED CARDIOVASCULAR DISEASE RISK FACTORS IN STRESSED AND SEDENTARY ADULTS: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHRONIC ACTIVATION OF THE STRESS-RESPONSE CAN CONTRIBUTE TO CARDIOVASCULAR DISEASE RISK, PARTICULARLY IN SEDENTARY INDIVIDUALS. THIS STUDY INVESTIGATED THE EFFECT OF A BIKRAM YOGA INTERVENTION ON THE HIGH FREQUENCY POWER COMPONENT OF HEART RATE VARIABILITY (HRV) AND ASSOCIATED CARDIOVASCULAR DISEASE (CVD) RISK FACTORS (I.E. ADDITIONAL DOMAINS OF HRV, HEMODYNAMIC, HEMATOLOGIC, ANTHROPOMETRIC AND BODY COMPOSITION OUTCOME MEASURES) IN STRESSED AND SEDENTARY ADULTS. METHODS: ELIGIBLE ADULTS WERE RANDOMIZED TO AN EXPERIMENTAL GROUP (N = 29) OR A NO TREATMENT CONTROL GROUP (N = 34). EXPERIMENTAL GROUP PARTICIPANTS WERE INSTRUCTED TO ATTEND THREE TO FIVE SUPERVISED BIKRAM YOGA CLASSES PER WEEK FOR 16 WEEKS AT LOCAL STUDIOS. OUTCOME MEASURES WERE ASSESSED AT BASELINE (WEEK 0) AND COMPLETION (WEEK 17). RESULTS: SIXTY-THREE ADULTS (37.2 +/- 10.8 YEARS, 79% WOMEN) WERE INCLUDED IN THE INTENTION-TO-TREAT ANALYSIS. THE EXPERIMENTAL GROUP ATTENDED 27 +/- 18 CLASSES. ANALYSES OF COVARIANCE REVEALED NO SIGNIFICANT CHANGE IN THE HIGH-FREQUENCY COMPONENT OF HRV (P = 0.912, PARTIAL ETA (2) = 0.000) OR IN ANY SECONDARY OUTCOME MEASURE BETWEEN GROUPS OVER TIME. HOWEVER, REGRESSION ANALYSES REVEALED THAT HIGHER ATTENDANCE IN THE EXPERIMENTAL GROUP WAS ASSOCIATED WITH SIGNIFICANT REDUCTIONS IN DIASTOLIC BLOOD PRESSURE (P = 0.039; PARTIAL ETA (2) = 0.154), BODY FAT PERCENTAGE (P = 0.001, PARTIAL ETA (2) = 0.379), FAT MASS (P = 0.003, PARTIAL ETA (2) = 0.294) AND BODY MASS INDEX (P = 0.05, PARTIAL ETA (2) = 0.139). CONCLUSIONS: A 16-WEEK BIKRAM YOGA PROGRAM DID NOT INCREASE THE HIGH FREQUENCY POWER COMPONENT OF HRV OR ANY OTHER CVD RISK FACTORS INVESTIGATED. AS REVEALED BY POST HOC ANALYSES, LOW ADHERENCE LIKELY CONTRIBUTED TO THE NULL EFFECTS. FUTURE STUDIES ARE REQUIRED TO ADDRESS BARRIERS TO ADHERENCE TO BETTER ELUCIDATE THE DOSE-RESPONSE EFFECTS OF BIKRAM YOGA PRACTICE AS A MEDIUM TO LOWER STRESS-RELATED CVD RISK. TRIAL REGISTRATION: RETROSPECTIVELY REGISTERED WITH AUSTRALIA NEW ZEALAND CLINICAL TRIALS REGISTRY ACTRN12616000867493 . REGISTERED 04 JULY 2016. 2017 17 1430 25 IMPROVEMENTS IN PSYCHOLOGICAL HEALTH FOLLOWING A RESIDENTIAL YOGA-BASED PROGRAM FOR FRONTLINE PROFESSIONALS. OBJECTIVE: THE PURPOSE OF THIS PILOT STUDY WAS TO EXAMINE THE EFFECTS OF A RESIDENTIAL YOGA-BASED PROGRAM ON PSYCHOLOGICAL HEALTH AND HEALTH BEHAVIORS IN FRONTLINE PROFESSIONALS. METHODS: FRONTLINE PROFESSIONALS FROM EDUCATION, HEALTH CARE, HUMAN SERVICES, AND CORRECTIONS PARTICIPATED IN THE RISE (RESILIENCE, INTEGRATION, SELF-AWARENESS, ENGAGEMENT) PROGRAM AND COMPLETED QUESTIONNAIRES AT BASELINE, POST-PROGRAM, AND 2 MONTHS FOLLOWING RISE. RESULTS: PAIRED SAMPLES T TESTS REVEALED IMPROVEMENTS IN MINDFULNESS, STRESS, RESILIENCE, AFFECT, AND SLEEP QUALITY FROM BASELINE TO POST-PROGRAM (ALL PS < 0.001, N = 55), WHICH WERE SUSTAINED AT THE 2-MONTH FOLLOW-UP (ALL PS < 0.01, N = 40). PARTICIPANTS ALSO REPORTED INCREASES IN EXERCISE, FRUIT, AND VEGETABLE CONSUMPTION POST-PROGRAM (ALL PS < 0.001), ALL OF WHICH PERSISTED AT THE 2-MONTH FOLLOW-UP (ALL PS < 0.01) EXCEPT EXERCISE. CONCLUSION: THESE FINDINGS SUGGEST THAT RISE IMPROVED INDICES OF PSYCHOLOGICAL HEALTH AND HEALTHY BEHAVIORS THAT REMAINED 2 MONTHS FOLLOWING RISE. 2018 18 1962 35 SELF-REPORTED BENEFITS AND RISKS OF YOGA IN INDIVIDUALS WITH BIPOLAR DISORDER. BACKGROUND: ALTHOUGH HATHA YOGA HAS FREQUENTLY BEEN RECOMMENDED FOR PATIENTS WITH BIPOLAR DISORDER (BD) AND THERE IS PRELIMINARY EVIDENCE THAT IT ALLEVIATES DEPRESSION, THERE ARE NO PUBLISHED DATA ON THE BENEFITS-AND POTENTIAL RISKS-OF YOGA FOR PATIENTS WITH BD. THUS, THE GOAL OF THIS STUDY WAS TO ASSESS THE RISKS AND BENEFITS OF YOGA IN INDIVIDUALS WITH BD. METHODS: WE RECRUITED SELF-IDENTIFIED YOGA PRACTITIONERS WITH BD (N=109) TO COMPLETE AN INTERNET SURVEY THAT INCLUDED MEASURES OF DEMOGRAPHIC AND CLINICAL INFORMATION AND OPEN-ENDED QUESTIONS ABOUT YOGA PRACTICE AND THE IMPACT OF YOGA. RESULTS: 86 RESPONDENTS PROVIDED SUFFICIENT INFORMATION FOR ANALYSIS, 70 OF WHOM MET POSITIVE SCREENING CRITERIA FOR A LIFETIME HISTORY OF MANIA OR HYPOMANIA. THE MOST COMMON STYLES OF YOGA PREFERRED WERE HATHA AND VINYASA. WHEN ASKED WHAT IMPACT YOGA HAD ON THEIR LIFE, PARTICIPANTS RESPONDED MOST COMMONLY WITH POSITIVE EMOTIONAL EFFECTS, PARTICULARLY REDUCED ANXIETY, POSITIVE COGNITIVE EFFECTS (E.G., ACCEPTANCE, FOCUS, OR "A BREAK FROM MY THOUGHTS"), OR POSITIVE PHYSICAL EFFECTS (E.G., WEIGHT LOSS, INCREASED ENERGY). SOME RESPONDENTS CONSIDERED YOGA TO BE SIGNIFICANTLY LIFE CHANGING. THE MOST COMMON NEGATIVE EFFECT OF YOGA WAS PHYSICAL INJURY OR PAIN. FIVE RESPONDENTS GAVE EXAMPLES OF SPECIFIC INSTANCES OR A YOGA PRACTICE THAT THEY BELIEVED INCREASED AGITATION OR MANIC SYMPTOMS; FIVE RESPONDENTS GAVE EXAMPLES OF TIMES THAT YOGA INCREASED DEPRESSION OR LETHARGY. CONCLUSIONS: MANY INDIVIDUALS WHO SELF-IDENTIFY AS HAVING BD BELIEVE THAT YOGA HAS BENEFITS FOR MENTAL HEALTH. HOWEVER, YOGA IS NOT WITHOUT POTENTIAL RISKS. IT IS POSSIBLE THAT YOGA COULD SERVE AS A USEFUL ADJUNCTIVE TREATMENT FOR BD. 2014 19 2258 48 THE PHYSIOLOGICAL RESPONSES TO BIKRAM YOGA IN NOVICE AND EXPERIENCED PRACTITIONERS. CONTEXT: BIKRAM YOGA HAS GAINED A LARGE FOLLOWING, POSSIBLY BECAUSE OF WIDESPREAD CLAIMS BOASTING ENERGY EXPENDITURE OF UP TO 1000 CALORIES PER SESSION. HOWEVER, THESE CLAIMS ARE UNFOUNDED BECAUSE NO SCIENTIFIC STUDY HAS INVESTIGATED THE METABOLIC RESPONSE TO A COMPLETE, STANDARDIZED BIKRAM YOGA CLASS. OBJECTIVES: THIS STUDY INTENDS TO DETERMINE ENERGY EXPENDITURE, HEART RATE, AND SWEAT RATE IN NOVICE AND EXPERIENCED PRACTITIONERS FROM A STANDARDIZED BIKRAM YOGA CLASS. SETTING: DATA WERE COLLECTED IN THE ENVIRONMENTAL CHAMBER OF THE EXERCISE PHYSIOLOGY LABORATORY AT SAN DIEGO STATE UNIVERSITY IN CALIFORNIA, USA. PARTICIPANTS: MALE (N = 5) AND FEMALE (N = 19) PARTICIPANTS BETWEEN THE AGES OF 18 AND 57 Y WERE RECRUITED THROUGH FLYERS IN YOGA STUDIOS THROUGHOUT SAN DIEGO. PARTICIPANTS WERE CLASSIFIED AS EXPERIENCED OR NOVICE PRACTITIONERS, HAVING COMPLETED >/=20 OR <20 SESSIONS, RESPECTIVELY. INTERVENTIONS: PARTICIPANTS WERE GUIDED THROUGH A STANDARDIZED 90-MIN YOGA CLASS PERFORMED IN A HOT ENVIRONMENT USING BIKRAM'S STANDARD BEGINNING DIALOGUE, WHILE EXPIRED GAS WAS COLLECTED AND HEART RATE WAS RECORDED. OUTCOME MEASURES: ENERGY EXPENDITURE, CALCULATED VIA OXYGEN UPTAKE, AND HEART RATE WERE DETERMINED FOR EACH POSTURE AND TRANSITION PERIOD. IN ADDITION, SWEAT RATE AND CORE TEMPERATURE WERE RECORDED FOR EACH PARTICIPANT. RESULTS: MEAN (+/-SD) RELATIVE VO2 FOR THE ENTIRE 90-MIN SESSION WAS 9.5 +/- 1.9 ML X KG-1 X MIN-1, RANGING FROM 6.0 TO 12.9 ML X KG-1 X MIN-1. MEAN ABSOLUTE ENERGY EXPENDITURE WAS 286 +/- 72 KCALS, RANGING FROM 179 TO 478 KCALS. INDEPENDENT SAMPLE T TESTS REVEALED SIGNIFICANT DIFFERENCES (P < .05) IN RELATIVE ENERGY EXPENDITURE, HEART RATE, ENDING CORE TEMPERATURE, AND SWEAT RATE BETWEEN EXPERIENCE LEVELS. MEAN RELATIVE ENERGY EXPENDITURE WAS 3.7 +/- 0.5 KCAL/KG IN NOVICE PRACTITIONERS AND 4.7 +/- 0.8 KCAL/KG IN EXPERIENCED PRACTITIONERS. PERCENTAGE OF PREDICTED MAXIMUM HEART RATE AND SWEAT RATE WERE 72.3% +/- 10.6% AND 0.6 +/- 0.2 KG/H IN NOVICE PRACTITIONERS AND 86.4% +/- 5.2% AND 1.1 +/- 0.5 KG/H IN EXPERIENCED PARTICIPANTS. ALL POSTURES WERE CLASSIFIED AS LIGHT-TO-MODERATE INTENSITY ACCORDING TO THE AMERICAN COLLEGE OF SPORTS MEDICINE (ACSM) STANDARDS. CONCLUSIONS: BIKRAM YOGA MEETS REQUIREMENTS FOR EXERCISE OF LIGHT-TO-MODERATE INTENSITY AND, THEORETICALLY, COULD BE USED FOR WEIGHT MAINTENANCE OR WEIGHT LOSS IF PRACTICED SEVERAL TIMES PER WEEK. 2014 20 2053 34 THE ASSOCIATION BETWEEN YOGA USE, PHYSICAL FUNCTION, AND EMPLOYMENT IN ADULTS WITH RHEUMATOID ARTHRITIS. MIND-BODY EXERCISES SUCH AS YOGA OFFER PATIENTS WITH RHEUMATOID ARTHRITIS (RA) A SYMPTOM MANAGEMENT STRATEGY FOR IMPROVING PHYSICAL AND MENTAL HEALTH. STUDIES HAVE EVALUATED YOGA TO MANAGE SYMPTOMS OF RA AND IMPROVE PHYSICAL FUNCTION; HOWEVER, NONE HAS EXAMINED THE RELATIONSHIP BETWEEN YOGA AND WORK STATUS IN ADULTS WITH RA. THE OBJECTIVE WAS TO DESCRIBE DIFFERENCES IN RA SYMPTOMATOLOGY, PHYSICAL FUNCTION SCORES, AND WORK STATUS BETWEEN ADULTS WITH RA WHO PARTICIPATE IN YOGA AND THOSE WHO DO NOT. THIS CROSS-SECTIONAL STUDY SURVEYED ADULTS WITH RHEUMATOLOGIST-DIAGNOSED RA REGARDING YOGA USE IN THE PAST YEAR, SYMPTOMS, PHYSICAL FUNCTION, AND WORK STATUS. DIFFERENCES BETWEEN YOGA AND NON-YOGA PARTICIPATION GROUPS WERE ASSESSED WITH 2-SIDED T TESTS OR PEARSON CHI TESTS. MULTIVARIATE LINEAR REGRESSION ANALYSES WERE CONDUCTED TO IDENTIFY SIGNIFICANT ASSOCIATIONS BETWEEN YOGA PARTICIPATION AND PRIMARY OUTCOMES. THE SAMPLE INCLUDED 398 ADULTS WITH RA; 88% WERE FEMALES, 66% WERE WHITE, MEAN AGE 61.8 YEARS, MEAN DISEASE DURATION 24.8 YEARS; 10.6% PARTICIPATED IN YOGA. VINYASA, BIKRAM, HATHA, IYENGAR, AND RESTORATIVE YOGA STYLES WERE PRACTICED, MOSTLY IN A GROUP SETTING. YOGA PARTICIPANTS WERE SIGNIFICANTLY MORE LIKELY TO WORK FULL-TIME, LESS LIKELY TO BE UNABLE TO WORK DUE TO DISABILITY, AND HAD BETTER PHYSICAL FUNCTION. THESE FINDINGS CHARACTERIZE YOGA PRACTICE AND PRACTITIONERS AMONG ADULTS WITH RA. IN ADULTS WITH RA, YOGA PARTICIPATION IS ASSOCIATED WITH FULL-TIME WORK STATUS AND BETTER PHYSICAL FUNCTION THAN NONPARTICIPATION. THIS STUDY ADDS ADDITIONAL INFORMATION TO THE GROWING BODY OF LITERATURE ABOUT ADULTS WITH RA WHO PRACTICE YOGA. 2019