Quality of Life and Mental Health in Patients with Chronic Diseases Who Regularly Practice Yoga and Those Who Do Not: A Case-Control Study

Cramer, Holger; Lauche, Romy; Langhorst, Jost; Dobos, Gustav; Paul, Anna

doi:10.1155/2013/702914

Cited by 20 publications

(10 citation statements)

References 33 publications

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“…However, exacerbations of multiple sclerosis were fewer or equal in number in the groups compared to the usual care or exercise groups. This is in line with previous cross-sectional studies [27] , [28] and systematic reviews of yoga interventions in other patient populations that found no evidence for serious yoga-associated adverse events [29] – [33] . It should however be considered that yoga has occasionally been associated with serious adverse events in case studies [34] .…”

Section: Discussionsupporting

confidence: 92%

Yoga for Multiple Sclerosis: A Systematic Review and Meta-Analysis

et al. 2014

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While yoga seems to be effective in a number of neuropsychiatric disorders, the evidence of efficacy in multiple sclerosis remains unclear. The aim of this review was to systematically assess and meta-analyze the available data on efficacy and safety of yoga in patients with multiple sclerosis. Medline/PubMed, Scopus, the Cochrane Central Register of Controlled Trials, PsycINFO, CAM-Quest, CAMbase, and IndMED were searched through March 2014. Randomized controlled trials (RCTs) of yoga for patients with multiple sclerosis were included if they assessed health-related quality of life, fatigue, and/or mobility. Mood, cognitive function, and safety were defined as secondary outcome measures. Risk of bias was assessed using the Cochrane tool. Seven RCTs with a total of 670 patients were included. Evidence for short-term effects of yoga compared to usual care were found for fatigue (standardized mean difference [SMD] = −0.52; 95% confidence intervals (CI) = −1.02 to −0.02; p = 0.04; heterogeneity: I2 = 60%; Chi2 = 7.43; p = 0.06) and mood (SMD = −0.55; 95%CI = −0.96 to −0.13; p = 0.01; heterogeneity: I2 = 0%; Chi2 = 1.25; p = 0.53), but not for health-related quality of life, muscle function, or cognitive function. The effects on fatigue and mood were not robust against bias. No short-term or longer term effects of yoga compared to exercise were found. Yoga was not associated with serious adverse events. In conclusion, since no methodological sound evidence was found, no recommendation can be made regarding yoga as a routine intervention for patients with multiple sclerosis. Yoga might be considered a treatment option for patients who are not adherent to recommended exercise regimens.

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Section: Discussionsupporting

confidence: 92%

Yoga for Multiple Sclerosis: A Systematic Review and Meta-Analysis

et al. 2014

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“…9,33,34 In addition, improvements in PF may become more apparent over time with other outcomes being more stable. 35 Yet, it may be beneficial to examine if programs placing a greater emphasis on relaxation and meditation may have resulted in improved MH and sleep quality outcomes.…”

Section: Mean Change From Baselinementioning

confidence: 99%

Randomized, Controlled Trial of Yoga in Women With Breast Cancer Undergoing Radiotherapy

Chandwani

Perkins

Nagendra

et al. 2014

JCO

204

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A B S T R A C T PurposePrevious research incorporating yoga (YG) into radiotherapy (XRT) for women with breast cancer finds improved quality of life (QOL). However, shortcomings in this research limit the findings. Patients and MethodsPatients with stages 0 to III breast cancer were recruited before starting XRT and were randomly assigned to YG (n ϭ 53) or stretching (ST; n ϭ 56) three times a week for 6 weeks during XRT or waitlist (WL; n ϭ 54) control. Self-report measures of QOL (Medical Outcomes Study 36-item short-form survey; primary outcomes), fatigue, depression, and sleep quality, and five saliva samples per day for 3 consecutive days were collected at baseline, end of treatment, and 1, 3, and 6 months later. ResultsThe YG group had significantly greater increases in physical component scale scores compared with the WL group at 1 and 3 months after XRT (P ϭ .01 and P ϭ .01). At 1, 3, and 6 months, the YG group had greater increases in physical functioning compared with both ST and WL groups (P Ͻ .05), with ST and WL differences at only 3 months (P Ͻ .02). The group differences were similar for general health reports. By the end of XRT, the YG and ST groups also had a reduction in fatigue (P Ͻ .05). There were no group differences for mental health and sleep quality. Cortisol slope was steepest for the YG group compared with the ST and WL groups at the end (P ϭ .023 and P ϭ .008) and 1 month after XRT (P ϭ .05 and P ϭ .04). ConclusionYG improved QOL and physiological changes associated with XRT beyond the benefits of simple ST exercises, and these benefits appear to have long-term durability.

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“…New Zealand women who regularly exercise, consume natural food, have an internal locus of control, and pursue activities with spiritual implications reported better health status than women who did not [ 48 ]. German patients who regularly practiced yoga had better general health status, higher physical functioning, and better physical component scores than those who did not [ 49 ]. Yoga has also been reported to be effective in improving health status and quality of life in patients with arthritis [ 50 ], cardiovascular conditions [ 51 ], and lung diseases [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Spiritual Behavior on Self-Reported Illness: A Cross-Sectional Study among Women in the Kailali District of Nepal

et al. 2018

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BackgroundDifferent health behaviors influence health and illness. Spiritual well-being is one of the most important aspects of health promotion. The aim of this study was to identify the association between spiritual behavior in relation to meditation, worship, and physical exercise during yoga with self-reported disease/illness among women of the Kailali district of Nepal.MethodsThis was a cross-sectional study with 453 randomly selected women in the Kailali district of Nepal within 1 municipality and 4 village development committees (VDC) using cluster sampling. We used a semi-structured interview to collect the data for selected respondents. Socioeconomics, lifestyle, self-care, and spiritual behavior variables were independent variables, and self-reported illness in the past year was a dependent variable. Descriptive statistics, chi square, hierarchical logistic regression for odds ratio, and 95% CI were used when appropriate.ResultsStudy results showed that 89% of participants were from the rural area, 29.3% were housewives, 51.4% had no formal education, 43.2% used tobacco, 42.1% did yoga, and 16.9% engaged in regular worship. Self-reported illness was associated with safe toilet-using behavior, tobacco use, junk food consumption, yoga and regular exercise, worship, and regular sleeping habits. Comparing odds ratios and 95% CIs, the women who had safe toilet behavior and did not use tobacco were 2.48 (1.98–7.98) and 2.86 (1.74–7.34) times less likely to be ill, respectively. Likewise, women who consumed junk food; did not regularly exercise, meditate, or worship; and had irregular sleeping habits were 1.65 (1.32–4.61), 2.81(1.91–5.62), 2.56 (2.01–4.88), 4.56 (3.91–8.26), and 2.45 (2.12–5.03) times more likely to become ill, respectively.ConclusionOur study concludes that spiritual behavior is effective for better health and low risk for disease occurrence. A spiritual health policy and separate curriculum for basic education and medical education should be promoted globally, and further research is recommended.

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Quality of Life and Mental Health in Patients with Chronic Diseases Who Regularly Practice Yoga and Those Who Do Not: A Case-Control Study

Cited by 20 publications

References 33 publications

Yoga for Multiple Sclerosis: A Systematic Review and Meta-Analysis

Yoga for Multiple Sclerosis: A Systematic Review and Meta-Analysis

Randomized, Controlled Trial of Yoga in Women With Breast Cancer Undergoing Radiotherapy

Impact of Spiritual Behavior on Self-Reported Illness: A Cross-Sectional Study among Women in the Kailali District of Nepal

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