Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial

Pukšić, Silva; Mitrović, Joško; Čulo, Melanie-Ivana; Živković, Marcela; Orehovec, Biserka; Bobek, Dubravka; Morović‐Vergles, Jadranka

doi:10.1016/j.ctim.2020.102639

Cited by 24 publications

(23 citation statements)

References 41 publications

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“…Inclusion criteria were defined as (a) yoga exercisers with at least 5-year experience in the system Yoga in Daily Life (a detailed description of this system and further references related to it could be found in Pukšić et al 2021 ); (b) daily practice of a modified Bhujangini Pranayama breathing exercise in the camp for 3 consecutive days; (c) no chronic disease; (d) nonsmokers; (e) lactovegetarians; (f) teetotal; (g) treatments - medications during the study: all medications finished on T4, 2 subjects took two 125-mg doses of Acetazolamide per day from T1 to T4 and 5 subjects took two 250-mg doses of Ginkgo biloba per day from T0 to T4, while 400 mg of Ibuprofen was taken sporadically due to the headaches from T1 to T4, no other drugs were taken by the subjects. Taking into consideration described inclusion criteria, especially the long-term yoga experience of tested subjects, we believe, the study group we worked with can be considered quite homogenous in terms of giving reproducible data regarding the studied breathing pattern.…”

Section: Methodsmentioning

confidence: 99%

“…The standard Pranayama breathing exercise aims the attention on perceiving the feelings in the throat, whereas in the modified version the emphasis is put on perceiving an air volume and its flow in the lungs and chest region. The pattern of breathing in both yogic breathing exercises is very similar, consisting of slow, deep inspiration through both nostrils and a slow, prolonged expiration through the mouth (for additional information and further references see Pukšić et al 2021 ). Expiration is longer than inspiration (2–3 times), the duration of expiration varies according to the individual tolerance to prolonged expirations.…”

Section: Methodsmentioning

confidence: 99%

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Yogic breathing in hypobaric environment: breathing exercising and its effect on hypobaric hypoxemia and heart rate at 3,650-m elevation

Špatenková¹,

Bednar²,

Oravcova³

et al. 2021

J Exerc Rehabil

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High altitude sojourn is a risk factor for hypobaric hypoxemia and subsequent altitude sickness. The aim of this study was to analyze the ef-fect of new type of yogic breathing?Maheshwarananda’s new Modified Bhujangini Pranayama performed by active yoga practitioners?on the arterial haemoglobin saturation of oxygen (measured by the pulse oximetry - SpO2) and the heart rate compared to normal spontaneous resting breathing. A pilot prospective study was conducted in the Himalayas at an altitude of 3,650 m. We monitored SpO2 and pulse rate in 34 experienced yoga practitioners. Within the 3 measurement days at the altitude of 3,650 m, the mean value of SpO2 increased from 89.11± 4.78 to 93.26±4.44 (P<0.001) after the yogic breathing exercise. No significant changes were observed in pulse rate (P<0.230) measured before and after yogic breathing. The new Yogic breathing?Maheshwarananda’s Modified Bhujangini Pranayama?is increasing the arterial haemoglobin saturation compared to normal resting spontaneous breathing. The heart rate was not affected by this type of yogic breathing.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Yogic breathing in hypobaric environment: breathing exercising and its effect on hypobaric hypoxemia and heart rate at 3,650-m elevation

Špatenková¹,

Bednar²,

Oravcova³

et al. 2021

J Exerc Rehabil

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“…In rheumatoid arthritis, an RCT comprising 72 patients found that patients receiving yoga-based mind–body intervention combined with DMARDs had greater reductions in depression symptoms, disease activity score-28, and erythrocyte sedimentation rate (DAS28ESR), compared with patients receiving only DMARDs [ 39 ]. Similarly, another study RCT comprising 57 patients with RA found yoga to be beneficial regarding depressive symptoms and fatigue, but not on HR-QoL compared with an educational control program [ 40 ]. In the current study, we observed a tendency towards a beneficial effect of MBI on well-being measured with WHO-5 and quality of life measured by the physical component of the SF-36 in patients with PsO or RA across 26 weeks, but the finding was not significant.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Mind–Body Intervention for Inflammatory Conditions: Results from a 26-Week Randomized, Non-Blinded, Parallel-Group Trial

Nguyen

Jensen

Khoury

et al. 2021

JCM

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Biopsychosocial intervention has been suggested as a complementary treatment strategy for patients with chronic conditions. We compared the effect of a mind–body intervention (MBI), relative to treatment-as-usual (TAU) on WHO-5 Well-being Index during an intensive period of 12 weeks and follow-up at week 26 among patients with either psoriasis (PsO) or rheumatoid arthritis (RA). The MBI was based on the ‘Relaxation Response Resiliency Program’ and the ‘Open and Calm Program’, as well as ‘Mindfulness Based Stress Reduction’ (MBSR). The trial was randomized, management-as-usual, and controlled. Statistical analyses were based on the intention-to-treat population using repeated measures and mixed effects models (NCT03888261). We screened 39 potential participants, 35 of which (PsO, n = 20; RA, n = 15) met the eligibility criteria and were randomized: 17 in the MBI group and 18 in the TAU group. Attrition from the intervention program was 19%, with 65% of MBI patients and 71% of TAU patients completing the outcome assessments. After 12 weeks, a statistically significant difference in WHO-5 was observed between the groups (p = 0.019). However, according to the protocol, during the entire trial period, the average (least squares mean values) WHO-5 score was higher although not statistically significant in the MBI group (65.3) compared with the TAU group (59.1), corresponding to a between-group difference over 26 weeks of 6.15 (95% CI: −0.26 to 12.56; p = 0.060). All things considered, adding biopsychosocial intervention to clinical practice to patients with conditions, such as PsO and RA, could potentially improve health-related quality of life.

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“…It involves physical and breathing exercises which are linked to the autonomic nervous system and hypothalamic-pituitary plexus, which relaxes mood by releasing certain hormones. Literature reviews has shown the positive results of performing yoga in a patient with RA on overall wellbeing, quality of life, pain, and disease activity [13].…”

Section: Importance Of Physical Activities In Inflammatory Arthritismentioning

confidence: 99%

“…Previous research documented yoga as a safe and quite doable way of exercise in different musculoskeletal conditions, such as RA, osteoarthritis, and many more [13]. A randomized control trial (RCT) study concluded that yoga is proven to reduce psychological distress [13].…”

Section: Importance Of Physical Activities In Inflammatory Arthritismentioning

confidence: 99%

Impact of Change in Lifestyle and Exercise on Cognitive Function in Patients With Rheumatoid Arthritis: A Systematic Review

Akram

Georgiou

Shi

et al. 2021

Cureus

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Rheumatoid arthritis (RA) is a chronic destructive type of arthritis. It has a high prevalence in females as compared to the male population globally. It mainly affects the synovium of peripheral joints and leads to the destruction of joints with time. Patients with RA usually have a high burden of inflammation which may lead to certain physical disabilities and debilitating effects on mental health and cognitive ability. The question we investigated here in this systematic review is how changing lifestyles and increasing exercise or physical activities affects one's cognitive abilities. This article adheres to preferred reporting items for systematic review and meta-analyses (PRISMA) guidelines. We used different databases such as PubMed, MEDLINE, and ScienceDirect to find relevant articles. To ensure the quality of the finally selected 12 studies, we followed different quality appraisal tools.Based on our review, we found out that increasing physical activities and aerobic exercises positively increase overall well-being and decrease the inflammatory load, which will ultimately positively impact cognitive function in this subgroup of patients. We also discover certain key players affecting motivation, perception, and adherence to physical activities. We encourage future studies to be done on this topic to help in increasing quality of life and increasing independence in this group of patients. Counseling and addressing patient concerns are very important and keep disease activity well controlled so that physical activities become feasible.

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Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial

Cited by 24 publications

References 41 publications

Yogic breathing in hypobaric environment: breathing exercising and its effect on hypobaric hypoxemia and heart rate at 3,650-m elevation

Yogic breathing in hypobaric environment: breathing exercising and its effect on hypobaric hypoxemia and heart rate at 3,650-m elevation

Effectiveness of Mind–Body Intervention for Inflammatory Conditions: Results from a 26-Week Randomized, Non-Blinded, Parallel-Group Trial

Impact of Change in Lifestyle and Exercise on Cognitive Function in Patients With Rheumatoid Arthritis: A Systematic Review

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