Yoga Group Research Articles

Effects of yoga practice on physiological distress, fatigue and QOL in patients affected by breast cancer undergoing adjuvant radiotherapy.

Background and purposeIn this study we want to evaluate the efficacy of yoga practice on dysfunctional stress, inflammation and QOL in breast cancer patients undergoing adjuvant radiotherapy.Patients and methodsPatients with stage 0 to III breast cancer were recruited before starting radiotherapy (XRT) and were randomly assigned to yoga group (YG) two times a week during XRT or control group (CG). Self-report measures of QOL, fatigue and sleep quality, and blood samples were collected at day 1 of treatment, day 15, end of treatment and 1, 3 and 6 months later. Cortisol blood level, IL6, IL10, IL1RA, TNFα and lymphocyte-to-monocyte ratio were analyzed as measures of dysfunctional stress and inflammation.ResultsPatients started XRT and yoga classes in October 2019. Due to COVID-19 pandemic we closed the enrollment in March 2020. We analysed 24 patients, 12 YG and 12 CG. The analysis of blood cortisol levels revealed an interaction (p = 0.04) between yoga practice and time, in particular YG had lower cortisol levels at the end of XRT respect to CG (p-adj = 0.02). The analysis of IL-1RA revealed an interaction effect (p = 0.04) suggesting differences between groups at some time points that post-hoc tests were not able to detect.ConclusionsTo our knowledge, this is the first study to evaluate the effects of yoga in a cancer population studying inflammation markers, cortisol trend and QOL during and until 6 months after XRT. This study suggests that yoga practice is able to reduce stress and inflammation levels over time. Besides including a larger number of patients to increase the power, future studies should consider other inflammatory or pro inflammatory factors and long-term yoga program to gain more evidence on yoga practice benefits.

Effectiveness of an Unsupervised Online Yoga Program on Pain and Function in People With Knee Osteoarthritis : A Randomized Clinical Trial.

Yoga is a mind-body exercise typically done in groups in person, but this delivery method can be inconvenient, inaccessible, and costly. Effective online programs may increase access to exercise for knee osteoarthritis. To evaluate the effectiveness of an unsupervised 12-week online yoga program. Two-group superiority randomized trial. (Australian New Zealand Clinical Trials Registry: ACTRN12620000012976). Community. 212 adults with symptomatic knee osteoarthritis. Both groups received online osteoarthritis information (control). The yoga group also received access to an unsupervised online yoga program delivered via prerecorded videos over 12 weeks (1 video per week, with each session to be performed 3 times per week), with optional continuation thereafter. Primary outcomes were changes in knee pain during walking (0 to 10 on a numerical rating scale) and physical function (0 to 68 on the Western Ontario and McMaster Universities Osteoarthritis Index) at 12 weeks (primary time point) and 24 weeks, analyzed using mixed-effects linear regression models. Secondary outcomes were self-reported overall knee pain, stiffness, depression, anxiety, stress, global change, quality of life, self-efficacy, fear of movement, and balance confidence. Adverse events were also collected. A total of 195 (92%) and 189 (89%) participants provided 12- and 24-week primary outcomes, respectively. Compared with control at 12 weeks, yoga improved function (between-group mean difference in change, -4.0 [95% CI, -6.8 to -1.3]) but not knee pain during walking (between-group mean difference in change, -0.6 [CI, -1.2 to 0.1]), with more yoga participants than control participants achieving the minimal clinically important difference (MCID) for both outcomes. At 12 weeks, knee stiffness, quality of life, and arthritis self-efficacy improved more with yoga than the control intervention. Benefits were not maintained at 24 weeks. Adverse events were minor. Participants were unblinded. Compared with online education, an unsupervised online yoga program improved physical function but not knee pain at 12 weeks in people with knee osteoarthritis, although the improvement did not reach the MCID and was not sustained at 24 weeks. National Health and Medical Research Council and Centres of Research Excellence.

The effect of yoga on sexual function and body image in primiparous pregnant Women: A randomized controlled single-blind study

ObjectiveThis study was conducted to examine the effect of yoga practice during pregnancy on sexual function and body image. Study desingThis study was planned as a randomized controlled single-blind trial. The study was performed with 140 pregnant women randomized in a pregnancy outpatient clinic of a hospital in Istanbul, Turkey, between March and September 2021. Two groups (A: yoga group and B: routine hospital care) were included in this study. The Personal Information Form, Female Sexual Function Index (FSFI), and Body Exposure During Sexual Activity Questionnaire (BESAQ) were used to collect the data. Clinical Trial ID: “NCT04764838″ ResultsThe groups were homogeneously distributed, except for age and income status. The mean score of the Female Sexual Function Index in the yoga group was significantly higher in the post-test (24.71 ± 3.48) compared to the pre-test (22.95 ± 4.14) (t:-3.142; p: 0.002). In the control group, there was no difference between the pre-test (24.82 ± 6.15) and post-test (25.79 ± 2.47) mean scores of the Female Sexual Function Index (t:-1.351; p: 0.181). There was no significant difference between the groups' pre-test and post-test mean BESAQ scores (Z = -0.670, p = 0.503; Z = -0.225, p = 0.822, respectively). No correlation was found between the pre-test and post-test scores of the FSFI and BESAQ (r = -0.105; p = 0.218; r = -0.099; p = 0.244). ConclusionYoga can have a positive effect on sexual function during pregnancy. However, the effect of yoga on body image during sexual function has not been observed. Midwives can direct pregnant women toward yoga practice to increase the positive effects on sexual function.

Effect of Practicing Meditation, Pranayama, and Yoga on the Mental Health of Female Undergraduate Medical Students: An Interventional Study

BackgroundMedical education is a rigorous formal education with a vast syllabus. Burnout and stresses are common among medical students and more prominent in females. Female medical students suffer from a higher level of stress than male medical students. For the improvement of physical and mental health, meditation, pranayama, and yoga are some of the ancient techniques. Meditation is a technique of focusing the mind on a target like an object, activity, or any thought. Pranayama is an ancient yogic practice focusing on the breath. Yoga is a combination of physical, mental, and spiritual dimensions that has the potential to improve mental and physical health.ObjectiveThis study aimed to find the effect of meditation, pranayama, and yoga on the improvement of mental health among female undergraduate medical students.Materials and methodsThis was an interventional study. A total of 105 females with a median age of 19 years (first quartile - third quartile: 18-20) first-year undergraduate medical students were recruited for this study. They were randomly allocated to control, meditation, pranayama, and yoga groups. The control group did not practice any form of meditation, pranayama, or yoga. The rest of the group practiced a designated program for their group, six days a week for 12 weeks. The anxiety, depression, anger, and sense of well-being were assessed by a validated self-administered questionnaire developed by the Defence Institute of Physiology and Allied Sciences, New Delhi before starting the study, at six weeks, and at 12 weeks after the intervention. Inter-group levels of anxiety, depression, anger, and well-being were compared by the Kruskal-Wallis test with Dunn’s posthoc test. Intra-group parameters at baseline, at six weeks, and at 12 weeks after the intervention was tested by Friedman’s test.ResultThe age (years) (p = 0.07), height (cm) (p = 0.98), and weight (kg) (p = 0.26) of participants among groups were similar. Anxiety, depression, and anger significantly decreased after six weeks in all three intervention groups. A further decrement was seen after 12 weeks of meditation, pranayama, and yoga. The maximum effect was seen in the yoga group. A sense of well-being was improved after practicing all types of interventions. However, meditation was found to increase a sense of well-being to the highest level compared to pranayama and yoga.ConclusionIntroduction and sustainment of meditation, pranayama, and yoga programs for first-year female undergraduate medical students may help reduce anxiety, depression, and anger and promote a sense of well-being. Although a six-week program helps to improve mental health, a 12-week program helps in further improvement. A yoga program is more effective for improving the mental health of the students in comparison with pranayama and meditation.

Effectiveness of Aromatherapy Yoga in Stress Reduction and Sleep Quality Improvement among Chinese Female College Students: A Quasi-Experimental Study.

College students, particularly female students, often suffer from severe stress and poor sleep. Aromatherapy yoga has become a popular exercise in recent years and may help reduce stress and improve sleep quality, although empirical evidence is limited. We investigated the effectiveness of aromatherapy yoga intervention in reducing stress and improving sleep quality among Chinese female college students. A total of 89 participants—44 in the experimental group (aromatherapy yoga) and 45 in the control group (yoga)—with an average age of 19.88 ± 1.13 years, were enrolled in this quasi-experimental study. Interventions were performed in the respective groups once a week for 12 weeks, for 90 min each time. The Wilcoxon signed-rank test and Mann–Whitney U test (including effect size) were used to test the differences in stress reduction and sleep quality before and after the intervention. From the findings of the current research, both therapies did not help female students’ stress levels or sleep hygiene significantly. However, aromatherapy yoga has the potential to improve sleep disturbances experienced by female college students. Additionally, there was no difference in the amount of stress or the quality of sleep between the aromatherapy yoga groups and the regular yoga groups before and after therapy.

Prenatal Yoga Menurunkan Keluhan Nyeri Punggung Bawah pada Ibu Hamil

Globally, the prevalence of low back pain in pregnancy varies between 34-86%. Prenatal yoga increases flexibility, strength, and endurance of muscles such as the back, abdominal, and pelvic floor muscles. This study aims to determine the effect of prenatal yoga on reducing low back pain in pregnant women. This research method is quasi-experimental with a pre-test and post-test approach with a control group design. A total of 46 pregnant women (23 subjects in each group) who came consecutively and had passed the selection based on inclusion criteria (pregnant women aged 16-31 weeks, experiencing mild to moderate low back pain, willing to be research respondents) and exclusion (pregnant women) with complications, nausea vomiting pregnancy, spinal disorders, multiple pregnancies, taking pain medication, having medical restrictions on physical activity or exercise, and participating in other back pain therapies) were selected as study subjects. Research subjects in the intervention group received prenatal yoga once a week (60 minutes) for eight weeks with the same sequence, while the control group was given education and motivation for pregnancy exercise according to ANC standards using leaflets. Pain measurement using VAS performed before and after the intervention. Data were analyzed using the Mann-Whitney test and paired t-test. The results of the study showed that there was a decrease in low back pain in the prenatal yoga group and the control group (p<0.001). The average decrease in low back pain in the prenatal yoga group was higher (3.57mm) than in the control group (1.76mm). The study concludes that prenatal yoga is a complementary and alternative therapy that is safe and can prevent and reduce complaints of low back pain in pregnant women.

Effectiveness of 12 weeks yoga practices on body composition parameters among healthy male college students

Background: The stressful situation may result in obesity, which is linked to a variety of diseases. Aims: The current study sought to determine whether yoga has an effect on body composition reduction. Methods: The current study included 95 (n = 95) healthy male volunteers aged 18-24 years, with 35 (n = 35) volunteers excluded. The remaining 60 volunteers (n = 60) were divided into two groups at random: (a) Yoga Group (n = 30) and (b) Control Group (n = 30). The yoga group received 60 minutes of yoga training per day, six days per week for 12 weeks, while the control group received no yoga training. Body composition parameters were assessed in both groups at baseline, before yoga training (0 week), and after the training (12 weeks). Results: Significant reduction (P < 0.001) in the percentage of body fat; levels were noted in the yoga group after 12 weeks when compared to baseline data (0 week). However, there was no significant difference in height, weight, body mass index, body surface area and lean body mass among the yoga group after 12 weeks when compared to baseline data.

Comparative effectiveness of Yoga and Pilates intervention on respiratory function of patients with breast cancer

Objective: Most modern breast cancer treatments are shown to be effective in terms of survival but lead to side effects such as dysfunction of the upper limb, lymphedema, pain syndrome, plexitis, сardiotoxicity, fatigue, and pulmonary complications. Applied radiotherapy enhances the number of side effects that patients with breast cancer experience over a long period. The aim of this study was to compare effectiveness of Hatha Yoga and Pilates interventions on respiratory function in patients with breast cancer.Methods: 95 women completed the interventions and were included in the final analysis. The participants, staged I-II, were randomly assigned to 2 groups. Group A (n = 48, 57.53 ± 1.92 years) received Hatha Yoga intervention and group B (n = 47, 58.00 ± 1.27 years) received Pilates intervention. Both programs were conducted for 12 weeks, with three 60-min sessions per week. Spirometry was used to measure pre- and post-intervention functional capacity of the respiratory system.Results: Significant differences (p<0.05) were found in Vital Capacity, Forced Vital Capacity, Peak Expiratory Flow, Maximum Expiratory Flow25, Expiratory Reserve Volume and Maximal Voluntary Ventilation in Hatha Yoga group compared with Pilates group. There was no significant difference between both groups in Force Expiratory Volume and Maximum Expiratory Flow50 (p>0,05) Conclusions: Hatha Yoga and Pilates interventions are both effective in respiratory function, but Hatha Yoga turns out more beneficial.

Online Yoga and Ayurveda Intervention as Tertiary Prevention of Psychological Comorbidities in COVID-19 Survivors: A Randomized Controlled Trial.

About 56% of symptomatic COVID-19 survivors have been found with neuropsychological comorbidities, such as depression, anxiety, posttraumatic stress disorders (PTSD), and impaired quality of life (QoL). Alongside, antimicrobial, anti-inflammatory, neuroprotective, regenerative, immunomodulatory, cardio-pulmonary health promotive, and psychological benefits of yogic and Ayurvedic intervention are well documented. Therefore, this study aimed to assess the effect of online Yoga (OYI) and Yoga cum Ayurveda intervention (OYAI) on COVID-19-induced depression, anxiety, PTSD, and poor QoL. Seventy-two participants (males/females: 33/26) with at least a 3-month back history of symptomatic COVID-19 infection and age (mean ± SD: 32.33 ± 9.9 and 33.04 ± 12.9 for males and females, respectively) were recruited from Patanjali Ayurveda Hospital, Haridwar, India, and All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India, before random allocation into an equal-sized control group (CG), Yoga group (YG) and Yoga cum concoction (YCG) group. Split-plot analysis of variance and Kruskal-Wallis tests with Bonferroni adjusted post hoc comparisons were computed for normal and nonnormal data using IBM SPSS (25th Version, SPSS South Asia Private Limited, Bangalore, India). Both the treatments-the 30-day OYI and OYAI, significantly improved depression (P < .002, ES: -0.99 and P < .001, ES: -2.11), anxiety (P < .001, ES: -1.32 and -1.89), PTSD (P < .001, ES: -1.8 and -1.83) and QoL related constructs (P < .001, ES: 0.63 and 0.76; 0.71 and 0.93 for each OYI and OYAI versus general health and physical health; P < .001, ES: 0.65 for OYAI versus psychological health; and P < .003, ES: 0.54 for OYI versus environment) of the participants compared to the controls. OYAI may better ameliorate COVID-19-induced psychological comorbidities than OYI with no adverse effects.

A comparative study to show the improvement in quality of life by short-term and long-term meditation by raj yoga meditation to reduce stress

Background: Meditation brings certain biochemical and physical changes in the body namely changes in metabolism, heart rate, respiration, blood pressure and brain chemistry, collectively referred to as the ‘relaxation response. The present study was carried out to compare the improvement in quality of life by short term and long-term meditation by raj yoga meditation to reduce stress. Materials &amp; Methods: 120 patients suffering from stress aged 18–50 years were included in the study. The patients suffering from stress were randomized to divide into two groups: Group I i.e. short term meditation by raj yoga meditation and Group II i.e. long term meditation by raj yoga meditation. Complete clinical examination, including general and systemic examination was done. Health-related quality of life (HRQOL) questions were rated. Data was collected and analysed by SPSS 22.P values of less than 0.05 was concerned significant.

Yoga to improve maternal mental health and immune function during the COVID-19 crisis (Yoga-M 2 trial): study protocol for a pilot randomized controlled trial.

Background: Mental health of women is adversely affected during pregnancy. Stress and depression during pregnancy negatively impact birthweight and neuro-cognitive development of the fetus. The current crisis due to the COVID-19 pandemic further adds to the stressful situation. Yoga practiced during pregnancy has beneficial effects on improving stress and depression and preliminary evidence suggests that yoga-based interventions can improve immunity. This study aims to examine the feasibility, acceptability, and preliminary efficacy of a Yoga-based intervention for maternal Mental health and i Mmunity (Yoga-M 2) in a rural community in India. Methods: The study design will be a single-blind individual randomized parallel group-controlled pilot trial with 1:1 allocation ratio. Adult pregnant women, with gestational age between 12-24 weeks will be randomly allocated to either the Yoga-M 2 group or the Enhanced Usual Care (EUC) group. Participants in the Yoga-M 2 arm will attend weekly group yoga sessions for 12 weeks and will be encouraged to practice yoga at home. In the EUC arm, participants will receive a single session of health education. Eligibility of the participants, recruitment, retention-in-care, and study completion rates will be estimated and feasibility of delivering Yoga-M 2 and acceptability of this intervention by the participants will be assessed. Change in the scores of the Perceived Stress Scale (PSS), EuroQoL 5 Dimensions Score (EQ-5D-5L), Wisconsin Upper Respiratory Symptom Severity Scale (WURSS-21), and serum C-Reactive Protein at three-months from baseline will be used to assess preliminary efficacy. Discussion: The key outputs of this trial will be a structured intervention manual and evidence about the feasibility, acceptability, and preliminary efficacy of the intervention,establishing the foundation to undertake an explanatory randomized controlled trial to assess efficacy and cost-effectiveness of Yoga-M 2 intervention. Trial registration: CTRI/2022/01/039701. Prospectively registered with the Clinical Trials Registry of India on 25 January 2022.

Effect of Yogic intervention on Premenstrual Syndrome among Adolescence

Background: Premenstrual Syndromes (PMS) are major public health issues that have a significant impact on one's mental health. Additional healthcare costs, absenteeism from work, and activity restrictions all add to the economic burden of such a disorder. Yoga as a therapeutic regimen has been shown to be useful to individuals with mental health and premenstrual syndrome. Aim of the study: The present study was conducted to assess the effect of Yogic intervention on Premenstrual syndrome among Adolescence. Methodology: 30 students were selected from the Government Girls Higher secondary school with ages ranging from 14 to 17 years (group average age±SD 38.37±5.52 years). They all filled Modified Moos menstrual Distress questionnaire before and after the yogic intervention. They were randomly divided into Control and Experimental group. The participants in experimental group did Yoga for 45 minutes each day for 10 weeks under supervision of a female yoga therapist whereas those in control group did not do any such specific activity. Results: Data were analyzed using paired sample t-test. There was a statistically significant reduction in the pain, water retention, autonomic reactions, negative effect, impaired concentration, behavior change, arousal, Control in yoga group as compared to control group. Computed t-value for all participants (i.e., 6.31) has been found significant for df = 28, P&lt;0.01. Conclusion: Premenstrual syndrome can be alleviated by the Yogic Intervention. It is therefore possible to administer yogic intervention (asans and breathing exercises) to help alleviate the symptoms of premenstrual syndrome (PMS) in Adolescence girls.

The effects of Baduanjin and yoga exercise programs on physical and mental health in patients with Multiple Sclerosis: A randomized controlled trial

ObjectiveTo discuss whether Baduanjin and yoga exercise interventions improve motor function, posture control, and relieving fatigue and depression in MS patients. And to explore whether practicing Baduanjin benefits MS patients more than yoga. DesignA prospective, randomized, controlled, three-arm trial comparing BDJ (n = 30), yoga (n = 30) and control group (n = 20). SettingJiangsu Provincial Corps Hospital. InterventionEligible participants were randomized to a 24-week Baduanjin or yoga intervention, or a usual activity control group. Balance, posture control and trunk movement were measured with the Berg Balance Scale (BBS) and Trunk Impairment Scale (TIS). Fatigue was measured using the Fatigue Severity Scale (FSS) and depressive symptoms via the Zung Self-Rating Depression Scale (SDS). ResultsFor BBS and TIS, there were significant changes pre- to post- exercise in two exercise groups (P < 0.05), with greater increases in the Baduanjin exercise group (BDJ group). For the FSS, there were significant changes pre- to post- exercise in both the BDJ (P = 0.0292) and yoga groups (P = 0.0150). For the SDS, the pre- and post-exercise difference of the BDJ group was larger than the yoga group (P < 0.0001). On the other hand, we could not find any changes of the BBS, TIS, FSS, and SDS scores in the control group (p > 0.05). ConclusionThe results suggest that practicing Baduanjin was more effective than yoga and that it is suitable for the MS patients.

Perceived stress and salivary biomarkers in educators: comparison among three stress reduction activities

ABSTRACT Background: The teaching profession is a potentially stressful occupation with up to 30% of all novice teachers leaving the profession and annual teacher turnover is higher when compared with turnover of all other occupations. This study investigated the effects of a one-time stress reduction activity (meditation, yoga, or aerobic exercise) in university and K-12 educators who were part of one-day seminar on Stress Reduction. Methods: Participants (N = 26) self-selected their stress reduction activity, completed a demographic questionnaire, educator stress self-assessment tool, and visual analogue scales indicating current stress levels. Salivary cortisol and amylase levels were measured before, immediately after, and 30 minutes after completion of the stress reduction activity. Results: Three (time) by three (activity) mixed factorial ANOVAs were computed for salivary analytes. The ANOVA for cortisol revealed a significant interaction (F (4, 66) = 3.60, p = .01). Comparisons showed significant differences with the aerobic exercise group having significantly higher cortisol levels at the 30-minute post-activity level when compared to the meditation (p < .05, Cohen’s d = .74) and yoga groups (p < .05, Cohen’s d = .52). Conclusion: Overall, the one-time activity of meditation and yoga showed lowered salivary cortisol levels at 30-minutes post-activity when compared to aerobic exercise activity. Additional research to examine the effects of stress reduction on educators in the work setting is needed.

Yoga to improve maternal mental health and immune function during the COVID-19 crisis (Yoga-M 2 trial): study protocol for a pilot randomized controlled trial.

Background: Mental health of women is adversely affected during pregnancy. Stress and depression during pregnancy negatively impact birthweight and neuro-cognitive development of the fetus. The current crisis due to the COVID-19 pandemic further adds to the stressful situation. Yoga practiced during pregnancy has beneficial effects on improving stress and depression and preliminary evidence suggests that yoga-based interventions can improve immunity. This study aims to examine the feasibility, acceptability, and preliminary efficacy of a Yoga -based intervention for maternal M ental health and i M munity (Yoga-M 2) in a rural community in India. Methods: The study design will be a single-blind individual randomized parallel group-controlled pilot trial with 1:1 allocation ratio. Adult pregnant women, with gestational age between 12–24 weeks will be randomly allocated to either the Yoga-M 2 group or the Enhanced Usual Care (EUC) group. Participants in the Yoga-M 2 arm will attend weekly group yoga sessions for 12 weeks and will be encouraged to practice yoga at home. In the EUC arm, participants will receive a single session of health education. Eligibility of the participants, recruitment, retention-in-care, and study completion rates will be estimated and feasibility of delivering Yoga-M 2 and acceptability of this intervention by the participants will be assessed. Change in the scores of the Perceived Stress Scale (PSS), EuroQoL 5 Dimensions Score (EQ-5D-5L), Wisconsin Upper Respiratory Symptom Severity Scale (WURSS-21), and serum C-Reactive Protein at three-months from baseline will be used to assess preliminary efficacy. Discussion: The key outputs of this trial will be a structured intervention manual and evidence about the feasibility, acceptability, and preliminary efficacy of the intervention, establishing the foundation to undertake an explanatory randomized controlled trial to assess efficacy and cost-effectiveness of Yoga-M 2 intervention. Trial registration: CTRI/2022/01/039701. Prospectively registered with the Clinical Trials Registry of India on 25 January 2022.

Impact of yoga breathing and relaxation as an add-on therapy on quality of life, anxiety, depression and pulmonary function in young adults with bronchial asthma: A randomized controlled trial

BackgroundThe impact of combinations of yogic practices on bronchial asthma have been studied. Such yoga modules tend to be too lengthy for comfortable practice long-term, giving high dropouts. Returning to conventional medicine despite improvement is common. This study tested a shorter, easier yoga routine to improve asthma condition. Material and methodsSixty young adults aged 18-30 years diagnosed with bronchial asthma of mild to moderate severity were randomly assigned to the Yoga Group, add-on yoga therapy and continuing prescribed medication, or the Control Group, continuing prescribed medication only. Measurements on days 0 and 90, included Asthma Quality of Life Questionnaire, Hamilton Anxiety Rating Scale, Beck’s Depression Inventory and Pulmonary Function Tests. The yoga therapy module, practised 30 mins daily, included four kinds of yoga breathing practices, and ended with guided relaxation. ResultsAll Asthma Quality of Life subdomains improved greatly for the Yoga Group as did Hamilton Anxiety and Becks Depression Inventory scores, t statistics were high (40 -75), all p<.0001. Pulmonary Function also improved greatly in all variables, with smaller t statistics from 2 to 14. The Control Group showed some small improvements. Differences observed in scores were highly significant, with large effect sizes. Finally, no dropouts occurred. DiscussionZero dropouts represents an unprecedented result. The yoga module was completely acceptable to participants, Yoga Group improvements were highly significant. The study indicates that the new yoga module effectively improves quality of life, levels of anxiety, depression and pulmonary function in young adults with above-stated bronchial asthma.

The Efficacy of Yoga Practice during Pregnancy on Postnatal Depression &amp; Quality of Life

Background:The postpartum period is a very special phase in the life of a woman and her newborn.There was high prevalence of depression during postnatal phase. Previous studies proposed that yoga practice has found health benefited effects in pregnancy &amp; postnatal phase. Aim:To study the effect of yoga practice during pregnancy on postnatal depression &amp; quality of life. Methodology: A cross-section study on sixty-eight pregnant women with mean age ranging from 20 to 35 years with mean age of (29.66 ± 3.57) were enrolled in this study. They were divided into groups (yoga n=37) &amp; control (31). Subjects with known case of Pregnancy complications, labor complications, psychiatric illness &amp; medical illness were excluded from the study. The subjects of yoga group were attended four month of yoga practice consist of asana, pranayama, &amp; relaxation techniques thrice in week for one hour per session per day during their pregnancy. And the subjects of control group followed their daily routine with walking for one hour. Quality of life &amp; EPDS were assessed. The assessments were carried out after 10th week of postnatal period. Mann-Whitney test was used to assess between group differences. Result: Quality of life measured by QOL more in yoga group: Physical Health (P&lt;0.001), Psychological health (P&lt;0.003), Social relationship (P&lt;0.001), Environmental health (P&lt;0.016) than control group. Postnatal depression as measured by EPDS less in yoga than control (P&lt;0.001) with significant difference between groups. In yoga group, Out of 37 participants ten pregnant women (27 %) have score 10 &amp; above (EPDS) score suggesting clinically depression, where as in control group, out of 31 participants fifteen pregnant (48%) women have score more than ten &amp; above (EPDS). Conclusion: Practice of yoga during pregnancy may help in reducing postnatal depression &amp; improves quality of life in postnatal period.

Expectations of tele-yoga in persons with long-term illness

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Swedish research council Expectations of tele-yoga in persons with long-term illness Background Rehabilitation for people with long-term illness, such as various cardiac disease including heart failure or patients with an Internal Cardioverter Defibrillator (ICD), can be a challenge due to the severity of the illness and the ability to participate in group training. Yoga is a mind-body exercise that is feasible and safe, and can lead to long-term positive effects on both physical and mental well-being. Tele-yoga is a new approach of rehabilitation for this group who may have difficulty leaving their home, where participants practice group yoga with a live-streamed yoga-instructor digitally via a tablet from home. Purpose The aim of the study was to explore the expectations of tele-yoga in people with long-term illness before starting a remotely group yoga intervention at home. Methods The study had a qualitative design and is part of a process evaluation in an ongoing randomised controlled trial, where participants in the intervention group receive yoga online in a group, twice a week for 12 weeks. In total 89 participants were interviewed of which 67 participants were diagnosed with heart failure, 22 participants had an ICD or were admitted to intensive care. The interviews took place before the start of a tele-yoga intervention. The average age was 64.8 (±11.6) year, 67% were male. The interview guide included questions about perceptions about yoga and what expectations they had of participating in tele-yoga. Interviews were recorded, transcribed and analysed with qualitative content analysis. Results Participants described expectations of tele-yoga to improve physical function and health, improved breathing, relief from discomfort, ache and pain, increased flexibility and coordination. They also expected improved psychological well-being and performance, get strategies to manage stress, anger, and anxiety and strengthened motivation drive. Some expectations were based on previous experiences. When asked about expectations some thought it was difficult to know what to anticipate but described a general excitement. The participants described that it would be exciting and fun that yoga took place in a group and expected that they could inspire and encourage each other. They also described tele-yoga as a new and exciting technical solution for being physically active in groups, the technology expected to be easy to use and would facilitate the delivery of yoga. Conclusions The expectations for tele-yoga varied, improved physical function and health together with increased mental well-being and performance emerged. Also, expectation that technical solution could facilitate the delivery of yoga, and the group could be supportive. By studying the expectations of participants in tele-yoga, we can more easily understand what influences to participate and how expectations might influence barriers and adherence to the tele-yoga intervention and be related to outcomes.

P-68028780-314 - Effect of pranayama on psycho-physiological indicators of anxiety in patients of impacted lower third molar extraction –A randomized control trial

<h3>Background</h3> The extraction of impacted lower third molar is one of the common oral surgical procedures associated with high levels of patient anxiety. The yoga therapy (YT) is reported in medical literature as an effective modality in bringing down anxiety in clinical scenarios, nevertheless the report of the same for dental settings are fewer. The current study is aimed to evaluate the effect of pranayama on psycho-physiological indicators of anxiety in patients of impacted lower third molar extraction. <h3>Materials and Method</h3> A randomized control trial study was conducted on 50 participants who underwent surgical extraction of impacted lower third molar. The sample was divided into two groups, Yoga group (group A; n=25) who received YT and control group (group B; n=25) who were subjected to self-relaxation during oral surgical procedure. The state of anxiety was measured by a five point single item Likert scale and the cardiovascular (CV) parameters [ systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR)] were derived and compared between both the groups. <h3>Results</h3> The intergroup comparison showed significant differences in anxiety score(p<0.001), SBP(p<0.001), HR(p<0.029), DBP(p<0.003) <h3>Conclusion</h3> A significant reduction was recorded in terms of anxiety and CV parameters in the yoga group. The YT can be adopted as interventional tool for anxiety management in patients indicated for surgical extraction of impacted lower third molars.

Effect of long-term yoga training on autonomic function among the healthy adults.

Autonomic dysfunction is one of the major complications in noncommunicable diseases, and there are studies to prove yoga practice improves cardiac autonomic function. So, this present study was done to compare the autonomic functions among yoga practitioners and nonyoga practitioners. This cross-sectional comparative study was initiated among 68 healthy volunteers of both sexes, after recruiting them based on inclusion and exclusion criteria in the age group of 17-30 yrs. The autonomic reactivity tests like resting heart rate, response of heart rate to standing, Valsalva maneuver, and response of heart rate to deep breathing, response of BP to standing, and sustained hand-grip were done. In the autonomic reactivity test, resting heart rate (80.92 ± 11.76 vs 69.24 ± 10.64) and sustained handgrip (16.30 ± 4.53 vs 10.20 ± 3.67) significantly decreased (P < 0.05) in the participants of the yoga group compared to control group. Deep breathing test, Valsalva maneuver, 30:15 ratio in lying to standing, and BP response to standing test did not show any significant difference between the groups (P > 0.05). The present study revealed diminished sympathetic activity and improved parasympathetic activity among the regular yoga practicing participants. It can be practiced regularly to reduce stress and prevent lifestyle-associated disorders in the future.