International Journal of Yoga最新文献

Introduction: The purpose of this study was to determine muscle activation during four standing yoga poses and their chair equivalent versions.

Methods: The approval was obtained from the university's institutional review board committee. Twenty-six healthy adults, 7 males and 19 females, with an average age of 23.73 ± 1.64 years participated. Surface electromyographic was collected using the Noraxon TeleMyo 2400GT. Electrodes were placed over the muscle bellies of bilateral biceps femoris (BF), rectus femoris (RF), external obliques (EOs), and the erector spinae (ES) on the side of the nondominant leg. Subjects performed the 8 poses in random order and held each for 10 s with the dominant leg forward for the 3 asymmetrical poses.

Results: Results of the nonparametric Wilcoxon signed-rank test revealed that muscle activation was significantly greater during standing for all muscles except for the right EO during both extended side angle and goddess pose. Similarly, peaceful warrior demonstrated significantly more activation during standing for all muscles except for the left EO. Warrior I only demonstrated significant differences between left RF and left BF with standing having greater activation. Conversely, goddess pose demonstrated more activation of the left EO and left ES during sitting, P < 0.05.

Discussion: Muscle activation was higher in the legs (BF and RF) during the standing poses, and core activation was higher during the seated poses (EO and ES).

Conclusion: This is the first study to compare muscle activation during standing and chair equivalent versions of select yoga poses.

Background: Irritable bowel syndrome (IBS) is an extremely prevalent gastrointestinal disorder that has an unfavorable impact on the living standard and IBS-related multiple symptoms. 11%-15% of people worldwide are suffering from IBS. Secondary symptoms such as depression or anxiety are experienced by IBS patients. Yoga practices combined with traditional medical treatment can be a successful therapy for IBS.

Objectives: The objective of this randomized control research was to observe the effectiveness of the yoga intervention as an add-on therapy in IBS patients with conventional treatment and its comparison with IBS with conventional treatment as a control.

Materials and methods: The suggested research is an open-blinded, prospective, randomly assigned, single-center, parallel-group, and end-point trial. Patients with IBS who satisfied the Rome Ⅳ criteria for diagnosis were recruited and randomly allocated into two groups: Intervention Group A (Yoga + conventional treatment) and Control Group B (Conventional treatment only). Group A (n = 85) received yoga intervention five times a week for 3 months, and Group B (n = 80) took their prescribed medication without yoga intervention. Psychological symptoms and IBS severity scores before and after yoga intervention were measured and compared with the control group with the help of validated questionnaires: Depression, Anxiety, and Stress Score (DASS-21) and IBS Severity Score, respectively.

Results: The body weight and body mass index after 3 months of follow-up were significantly lowered (P < 0.05) in the yoga intervention group as compared to the control group. The overall severity of IBS after yoga interventions in Group A (259.2 ± 49.9-256.1 ± 48.6, P < 0.01) was significantly reduced than the control group (270 ± 56.6-271.9 ± 54.8, P > 0.05). Moreover, the psychological stress (P < 0.05) and anxiety (P < 0.01) scores were also significantly decreased after 3 months of follow-up in the yoga intervention group. The serum cortisol level was decreased in Group A. However, it could not reach a significant level.

Conclusion: The current study indicates an affirmative result of yoga intervention along with conventional treatment for patients with IBS might be strongly advised.

Objectives: Hypertension (HTN), a lifestyle disorder, is characterized by elevated blood pressure and autonomic imbalance.

Material and methods: There is a bidirectional association between anxiety, depression, and HTN. Studies have reported the beneficial role of yoga in alleviating the symptoms of HTN; however, a validated integrated yoga module (IYM) for HTN is unavailable. The objective of this study was to develop and validate an IYM for HTN. The IYM was prepared after a thorough review of classical yoga texts and publications on yoga/meditation for HTN.

Results: Twenty experienced yoga experts, who fulfilled the inclusion criteria, were selected for validating the content of the IYM.

Conclusion: A total of 31 practices were included in the IYM, and the experts were requested to rate each practice as (i) not essential, (ii) useful but not essential, and (iii) essential; the content validity ratio (CVR) was calculated using Lawshe's formula. Out of 31 practices, 4 practices had the least CVR ratio (45 for a 20 expert panel) with a mean CVR of 0.68. This IYM for HTN has good content validity.

Intensive care units (ICUs) are high-stress environments where patients, caregivers, and healthcare staff endure significant physical and emotional challenges. For patients, ICU stays often come with anxiety, pain, and confusion, while caregivers experience stress and exhaustion due to prolonged care demands. Healthcare staff face heightened burnout and mental fatigue. Integrating yoga in ICUs presents a holistic approach to mitigating these stressors by fostering physical recovery, mental resilience, and emotional balance. This article examines the benefits, challenges, and practical strategies for incorporating yoga within ICU settings. For patients, breathing exercises and gentle assisted movements can reduce pain, enhance relaxation, and support respiratory function. Caregivers can use yoga practices to strengthen emotional resilience and manage stress. Healthcare staff benefit from mindfulness exercises that alleviate stress and enhance mental clarity, supporting focus and reducing burnout. However, implementing yoga in ICUs involves overcoming barriers such as patient mobility limitations, strict infection control, staff availability, and cultural sensitivities. Suggested strategies include customized bedside yoga for patients, designated yoga spaces for caregivers and staff, and brief guided sessions and resources that accommodate ICU demands. Introducing adaptive yoga practices can transform the ICU environment, providing compassionate support for the well-being of patients, caregivers, and healthcare providers.

This systematic review aimed to evaluate the impact of yoga interventions on preventing and alleviating mental health issues, including stress, anxiety, burnout, depression, and other related factors among nursing professionals and students. The review adhered to the PRISMA guidelines and was registered in PROSPERO (CRD42024512366). A comprehensive literature search was conducted in Google Scholar and PubMed using keywords such as "nursing students," "nursing professionals," "yoga interventions," and "mental health." Eligible studies were randomized controlled trials (RCTs) published from 1^st January 2014 to 31^st December 2024, involving nursing population and yoga-based interventions targeting mental health outcomes. The risk of bias was assessed using the CASP tool. The search identified 14 RCTs (967 participants, predominantly female, age range - 18 to 69 years) that met the eligibility criteria. The yoga intervention varied in duration (10 minutes to 1 hour per session), frequency (once to five times weekly), and protocols (Laughter yoga being the most common). Mental health outcomes such as stress, anxiety, burnout, mindfulness, depression, quality of sleep, and life satisfaction were assessed. Most studies reported significant improvements in these outcomes in the yoga intervention groups compared to control groups. Nine studies showed a significant stress reduction, and 3 studies found a decrease in anxiety. No adverse effects were reported, and dropout rates varied between 0% to 52.1%. Yoga was found to be effective in improving mental health and well-being among nursing professionals and students. Yoga mainly reduced stress, anxiety, burnout, and depression, suggesting its potential as a low-cost, accessible intervention for mental health management in this population. Future studies should focus on refining protocols and exploring long-term effects to establish yoga as an integral part of mental health care for nursing professionals and students.

Aim: To assess the impact of a yoga intervention on the physical and mental health of adults with type 2 diabetes.

Methods: This study was conducted at Madras Diabetes Research Foundation, Chennai, for 6 months. Participants aged 18-65 years, diagnosed with type 2 diabetes mellitus (T2DM), and glycated hemoglobin (HbA1c) levels ranging from ≥7.0% to ≤10.5% were recruited. One hundred and fifty-two participants were randomized in 1:1 ratio to either the intervention or control arm by simple random method. The intervention included structured yoga practice for 35 min, every 2 weeks for a period of 12 weeks, and followed up for 3 months. Participants in the control arm received the standard care for diabetes. Sociodemographic data, anthropometric measurements, and blood samples were collected at baseline and final visit. Standard questionnaires were administered for assessing mental health parameters.

Results: 53 of 76 (70%) participants from the intervention arm and 70 of 76 (92%) participants from the control arm completed the study. The mean age of the participants was 53 ± 7.5 years. The mean duration of diabetes of the participants was 10 ± 6.9 years. HbA1c showed reduction postintervention, but this was not statistically significant compared to control. The intervention group showed statistically significant improvements in depression, stress, cognitive function, and mindfulness compared to the control arm.

Conclusion: Yoga is helpful in reducing depression and stress and enhancing mindfulness and cognitive function in patients with T2DM.

Introduction: Mental health problems constitute around 7.5% of the global burden of disease. Worldwide, depression has been expected to be the second-leading cause of disability by 2020. Child and adolescent depression are associated with decreased school attendance, poor performance at school, use of drugs and alcohol, violence, and suicidal behavior. In recent times, various complementary and alternative medicines (CAMs) such as mindfulness and meditation intervention, acupuncture, nutraceuticals, and physical exercise have also gained interest with encouraging results. One such CAM intervention is Yoga. The current paper focused on the development and validation of yoga therapy.

Materials and methods: A yoga module was developed in three steps. The first step was the development of a yoga module where traditional texts, research papers were extensively reviewed. Based on that existing literature, a module was outlined. In the second step, the detailed module was validated by the experts in the field of yoga. In the third step, a pilot study was carried out on five participants and they were administered on depression scale for children. Moreover caregivers were also assessed on variables like depression, stress and anxiety at baseline and postassessment.

Results: It was found that yoga therapy was acceptable among children and adolescents with major depressive disorder. There was high compliance among participants. They reported overall satisfaction and found a reduction in depression scores on the measures used.

Discussion: Yoga therapy should be recommended by professionals in out-patient clinics. Moreover, this is a pilot-tested study and hence comment on the efficacy of the present study could not be made.

Thyroid diseases (TD) involve impaired secretion of thyroid hormones and are more prevalent in women. Risk factors include older age, family history of thyroid disease, hypertension, obesity, pregnancy, and diabetes. Psychological manifestations such as depression and mania are closely associated with TD, necessitating a mind-body-based complementary approach like Yoga. To examine the effectiveness of Yoga on the physiological and psychological symptoms of TD. A systematic search was conducted on three databases - PubMed, Google Scholar, and Web of Science in September 2023 using the keywords (Yoga AND Thyroid Disease, Yoga AND Thyroid Disorder, Yoga AND Thyroid Disorders, etc.,) and 39 results were identified while 34 results were obtained through other sources, hence 73 in total. After removing ten duplicates, and 6 nonrelevant studies, 57 were screened. Finally, 13 studies were selected for the qualitative analysis after the inclusion and exclusion criteria were applied. 9 of 13 studies involving 389 thyroid patients focused on hypothyroidism cases only. Most common Yoga practices were suryanamaskara, bhujangasana, matsyasana, sarvangasana, halasana, ujjayi pranayama, anulomvilom/nadishodhana, bhastrika pranayama, bhramari pranayama, kapalbhati, and jalandhara bandha. Studies revealed a trend toward balance in thyroid hormone, reduction in psychological symptoms such as stress, anxiety, and depression, and improvement in the quality of life of thyroid patients through Yoga. Yoga has shown beneficial effects in managing the symptoms of TD, especially in hypothyroidism management. However, more randomized controlled trials incorporating larger sample sizes are needed to establish the results. Furthermore, there remains a dearth of research on the efficacy of Yoga in the treatment of hyperthyroidism and other TD.