BACKGROUND Reports suggest that vigilance or sustained attention increases sympathetic activity. A persistent increase in sympathetic activity can lead to an increase in blood pressure. Alternate-nostril yoga breathing has been shown to be useful to (i) improve attention and (ii) decrease the systolic and diastolic blood pressure. Earlier studies did not report simultaneous recordings of the blood pressure and performance in vigilance tests after alternate-nostril yoga breathing. With this background, the present study was planned to determine if 15 minutes of alternate nostril yoga breathing could improve the performance in a vigilance test without an increase in blood pressure. MATERIAL AND METHODS Fifteen healthy male volunteers participated in the study (group mean age +/-SD, 22.4+/-2.4 years). Participants were assessed on 3 separate days in 3 different sessions. These were (i) alternate nostril yoga breathing, (ii) breath awareness, and (iii) sitting quietly as a control. Blood pressure and the digit vigilance test were simultaneously assessed before and after each session. RESULTS Systolic blood pressure (p<0.01), mean arterial blood pressure (p<0.05), and the time taken to complete the digit vigilance test (p<0.05) significantly decreased following alternate-nostril yoga breathing. The time taken to complete the digit vigilance test differed significantly between sessions (p<0.05). The time taken to complete the digit vigilance test was also significantly decreased after sitting quietly (p<0.01). CONCLUSIONS Alternate-nostril yoga breathing appears to improve performance in the digit vigilance test, along with a reduction in systolic blood pressure. This is suggestive of better vigilance without sympathetic activation.
<p>translated edition</p>
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INTRODUCTION:Interventions to decrease stress and enhance resiliency and mindfulness are more likely to be widely implemented if they can be offered without the need for in-person training. The purpose of this study was to assess effectiveness of a self-directed Stress Management and Resiliency Training (SMART) program delivered using only written material for improving stress, resiliency, and mindfulness.
METHODS:
A total of 37 employees at a large medical center were recruited and given written material on the SMART program. Subjects were instructed to practice the skills presented in the written materials without any additional training. The skills included education about the neuropsychology of stress and resilience, training attention to focus in the present moment, and refining interpretations. Primary outcome measures assessed resilience, perceived stress, anxiety, and quality of life.
RESULTS:
Out of 37 employees, 34 (89%) enrolled subjects completed the study and provided the baseline and follow-up data. A statistically significant improvement in perceived stress, resilience, mindfulness, anxiety, and quality of life was observed at 12 weeks.
CONCLUSION:
This study demonstrated that a brief, self-directed program to decrease stress and enhance resilience and mindfulness provided excellent short-term effectiveness for enhancing resilience, mindfulness and quality of life, and decreasing stress and anxiety.
BACKGROUND: Previous research has shown a reduction in blood pressure (BP) immediately after the practice of alternate nostril yoga breathing (ANYB) in normal healthy male volunteers and in hypertensive patients of both sexes. The BP during ANYB has not been recorded. MATERIAL/METHODS: Participants were 26 male volunteers (group mean age +/-SD, 23.8+/-3.5 years). We assessed (1) heart rate variability, (2) non-invasive arterial BP, and (3) respiration rate, during (a) ANYB and (b) breath awareness (BAW) sessions. Each session was 25 minutes. We performed assessments at 3 time points: Pre (5 minutes), during (15 minutes; for ANYB or BAW) and Post (5 minutes). A naive-to-yoga control group (n=15 males, mean age +/-SD 26.1+/-4.0 years) were assessed while seated quietly for 25 minutes. RESULTS: During ANYB there was a significant decrease (repeated measures ANOVA) in systolic BP and respiration rate; while RMSSD (the square root of the mean of the sum of squares of differences between adjacent NN intervals) and NN50 (the number of interval differences of successive normal to normal intervals greater than 50 ms) significantly increased. During BAW respiration rate decreased. In contrast, respiration rate increased during the control state. ANYB and BAW were significantly different (2-factor ANOVA) in RMSSD and respiration rate. BAW and control were different with respect to respiration rate. CONCLUSIONS: The results suggest that vagal activity increased during and after ANYB, which could have contributed to the decrease in BP and changes in the HRV.
Objective: To evaluate feasibility, efficacy, and tolerability of Sudarshan Kriya yoga (SKY) as an adjunctive intervention in patients with major depressive disorder (MDD) with inadequate response to antidepressant treatment.Methods: Patients with MDD (defined by DSMIV-TR) who were depressed despite ≥ 8 weeks of antidepressant treatment were randomized to SKY or a waitlist control (delayed yoga) arm for 8 weeks. The primary efficacy end point was change in 17-item Hamilton Depression Rating Scale (HDRS-17) total score from baseline to 2 months. The key secondary efficacy end points were change in Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) total scores. Analyses of the intent-to-treat (ITT) and completer sample were performed. The study was conducted at the University of Pennsylvania between October 2014 and December 2015.
Results: In the ITT sample (n = 25), the SKY arm (n = 13) showed a greater improvement in HDRS17 total score compared to waitlist control (n = 12) (−9.77 vs 0.50, P = .0032). SKY also showed greater reduction in BDI total score versus waitlist control (−17.23 vs −1.75, P = .0101). Mean changes in BAI total score from baseline were significantly greater for SKY than waitlist (ITT mean difference: −5.19; 95% CI, −0.93 to −9.34; P = .0097; completer mean difference: −6.23; 95% CI, −1.39 to −11.07; P = .0005). No adverse events were reported.
Conclusions: Results of this randomized, waitlistcontrolled pilot study suggest the feasibility and promise of an adjunctive SKY-based intervention for patients with MDD who have not responded to antidepressants. Trial Registration: ClinicalTrials.gov identifier: NCT02616549 J Clin Psychiatry 2017;78(1):e59–e63 dx.doi.org/10.4088/JCP.16m10819 © Copyright 2016 Physicians Postgraduate Press, Inc.
Various pranayama techniques are known to produce different physiological effects. We evaluated the effect of three-different pranayama techniques on cerebrovascular hemodynamics. Eighteen healthy volunteers with the mean ± standard deviation age of 23.78 ± 2.96 years were performed three-different pranayama techniques: (1) Bhramari, (2) Kapalbhati and (3) Bahir-Kumbhaka in three-different orders. Continuous transcranial Doppler (TCD) monitoring was performed before, during and after the pranayama techniques. TCD parameters such as peak systolic velocity, end diastolic velocity (EDV), mean flow velocity (MFV) and pulsatility index (PI) of right middle cerebral artery were recorded. Practice of Kapalbhati showed significant reductions in EDV and MFV with significant increase in PI while, Bahir-Kumbhaka showed significant increase in EDV and MFV with significant reduction in PI. However, no such significant changes were observed in Bhramari pranayama. Various types of pranayama techniques produce different cerebrovascular hemodynamic changes in healthy volunteers.
Background:Pranayama techniques are known to produce variable physiological effects on the body. We evaluated the effect of the two commonly practiced Pranayama techniques on cerebral hemodynamics.
Materials and Methods:
Fifteen healthy male volunteers, trained in Yoga and Pranayama, were included in the study. Mean age was 24 years (range 22–32 years). Study participants performed 2 Pranayamas in 2 different orders. Order 1 (n = 7) performed Bhastrika (bellows breaths) followed by Kumbhaka (breath retention) while order 2 (n = 8) performed Kumbhaka followed by Bhastrika. Both breathing techniques were performed for 1 min each. Continuous transcranial Doppler (TCD) monitoring was performed during the breathing techniques. TCD parameters that were recorded included peak systolic velocity (PSV), end-diastolic velocity (EDV), mean flow velocity (MFV), and pulsatility index (PI) of the right middle cerebral artery at baseline, 15, 30, 45, and 60 s.
Results:
Significant reductions in EDV (3.67 ± 6.48; P < 0.001) and MFV (22.00 ± 7.30; P < 0.001) with a significant increase in PI (2.43 ± 0.76; P < 0.001) were observed during Bhastrika. On the contrary, a significant increase in PSV (65.27 ± 13.75; P < 0.001), EDV (28.67 ± 12.03; P < 0.001), and MFV (43.67 ± 12.85; P < 0.001) with a significant reduction in PI (0.89 ± 0.28; P < 0.01) was observed only during Kumbhaka.
Conclusion:
Bhastrika and Kumbhaka practices of Pranayama produce considerable and opposing effects on cerebral hemodynamic parameters. Our findings may play a potential role in designing the Pranayama techniques according to patients’ requirements.
BACKGROUND: The characteristics of yoga practitioners and factors motivating people to practice yoga have been studied in the US and in Australia. This study aimed to determine the characteristics of yoga users in India, the factors that motivate them to practice yoga, and the yoga techniques of choice. MATERIALS AND METHODS: The study was a one-time, cross-sectional survey based on convenience sampling. Inclusion criteria were (a) a minimum of 1 week experience of yoga and (b) at least 10 years of age. 14,250 people received the survey. After excluding those who did not meet the inclusion criteria or filled in the survey incompletely or incorrectly, 5,157 respondents were included in the study. RESULTS: Out of 5,157 respondents, there were more males (67.3%), aged between 21 and 44 years (33.7% of the sample surveyed), educated up to high school (62.5%), students (39.3%), and those who had between 1 and 12 months of experience in yoga (54.4%). The first most common reason to practice yoga for all respondents was physical fitness. Three of the remaining reasons to practice yoga differed significantly with age: (i) yoga for disease management (chi(2) = 17.62, p < 0.005), (ii) yoga as a hobby (chi(2) = 10.87, p < 0.05), and (iii) yoga based on the guru's (teacher's) instructions (chi(2) = 20.05, p < 0.001). The yoga technique of choice [i.e., (i) asanas (chi(2) = 23.17, p < 0.001), (ii) pranayama (chi(2) = 19.87, p < 0.001), or (iii) meditation (chi(2) = 9.64, p < 0.05)] differed significantly across age groups. CONCLUSION: In India, a yoga practitioner was more likely to be male, between 21 and 44 years of age, high school educated, and a student. The reasons to practice yoga and the yoga technique of choice differed significantly with age.
This book sets out to explore the doctrinal dimension of classical Hinduism (eighth century BCE to circa 1000 CE.), and is organized in terms of its key concepts: brahman, karma, karma-yoga, etc. which are discussed in their logical connection as well as in the context of a period of Hinduism which is chronologically connected with those that precede and succeed it. In textual terms, this covers the period from the Upanishads down to the late Purānas, and all that comes between them: the Smrtis (law books), the Itihāsas (epics), the Purānas (ancient lore), the Āgamas (liturgical manuals) and Darśanas (philosophical literature), etc. The purpose of the book is to synchronically and systematically present the governing concepts of classical Hinduism and their operation during the delimited period of classical Hinduism. Three features of the book to enable readers to use it to full advantage: (1) the first chapter constitutes the text of an oral presentation made at the Smithsonian Institution, designed to present classical Hindu thought in a concise and accessible manner. It forms a useful introduction to the conceptual framework of Hinduism, as the key ideas have deliberately been presented in a simple and direct manner. Their complexities and nuances are uncovered under the specific chapters that follow. (2) The rest of the book may be viewed as a magnification of the first chapter. (3) Among the essentials of classical Hindu thought, special and detailed consideration has been accorded to the concept of varna.
In the present clinical trial, two groups of patients of metabolic syndrome have been studied to evaluate the therapeutic and antidyslipidaemic effect of Ayurvedic herbs and Yogic exercises. The group A of 25 patients was given Lashunadi compound containing equal quantity of Lashuna (A ilium sativum Linn.), Gugullu (Commiphora wightii Hook.Ex. Stocks Engl) and Isabgol (Plantago ovate Forsk.) husk in the dosage of 6 gm, twice daily with lukewarm water. The group B of 25 patients was advised yoga therapy. The trial was conducted for two months and lipid and anthropometric profiles (body weight, body mass index & skin fold thickness) were periodically evaluated to assess the therapeutic and antidyslipidaemic effects of drugs under trial. At the end of the trial, group A exhibited its therapeutic and antidyslipidaemic efficiency over the group B.
BACKGROUND: Walking and yoga have been independently evaluated for weight control; however, there are very few studies comparing the 2 with randomization. MATERIAL AND METHODS: The present study compared the effects of 90 minutes/day for 15 days of supervised yoga or supervised walking on: (i) related biochemistry, (ii) anthropometric variables, (iii) body composition, (iv) postural stability, and (v) bilateral hand grip strength in overweight and obese persons. Sixty-eight participants, of whom 5 were overweight (BMI >/=25 kg/m2) and 63 were obese (BMI >/=30 kg/m2; group mean age +/-S.D., 36.4+/-11.2 years; 35 females), were randomized as 2 groups - (i) a yoga group and (ii) a walking group - given the same diet. RESULTS: All differences were pre-post changes within each group. Both groups showed a significant (p<0.05; repeated measures ANOVA, post-hoc analyses) decrease in: BMI, waist circumference, hip circumference, lean mass, body water, and total cholesterol. The yoga group increased serum leptin (p<0.01) and decreased LDL cholesterol (p<0.05). The walking group decreased serum adiponectin (p<0.05) and triglycerides (p<0.05). CONCLUSIONS: Both yoga and walking improved anthropometric variables and serum lipid profile in overweight and obese persons. The possible implications are discussed.
The present study was planned to investigate the effects of Anuloma-viloma and specific yogic asanas in Premenstrual syndrome (PMS). The study group comprised of 60 females suffering from PMS between the age group of 18- 40 years, having 28-34 days regular menstrual cycle, further subdivided into 3 groups having equal number (n=20) of subjects-group A (no intervention), group B (Anuloma-viloma) and group C (yogic asanas). Age-matched 30 healthy female subjects were taken as control. In all the subjects, a baseline recording of the systolic (SBP) and diastolic blood pressure (DBP) from the right arm was taken using an automated sphygmomanometer. The heart rate (HR/min), electromyogram (EMG; mV), galvanic skin response (GSR;kΩ), respiratory rate (RR/min), peripheral temperature (T;°F), were recorded simultaneously, on an automated biofeedback apparatus Relax 701. The subjects of group A and group B performed yogic exercises, regularly for 7 days prior to the expected date of menstruation for 3 consecutive menstrual cycles. The parameters were recorded again at the end of 7 days in each menstrual cycle. We observed that, in the group A and group B, HR, SBP, DBP, EMG, GSR and RR showed a very significant reduction (P<0.001) and T rose more significantly (P<0.001) after the 3rd menstrual cycle, when compared with their basal levels. On computing the percentage difference between the baseline and post values in all the three groups and than comparing this percentage difference, we found a y significant difference (P<0.05) between the groups. In the present study, the relaxation response in the females suffering from PMS showed a reduction in an abnormally high basal sympathetic activity and a heightened relaxation response in both the study groups (group B and Group C) in comparison with group A.
<p>The article sheds light on the Thakalis' social reform in Pokhara, Nepal. It starts with a survey of Bista's work and many recent articles. Though their population is relatively small, the Thakalis' entrepreneurship and rapid rise to wealth and power has prompted attention. The article discusses one of the main institutions responsible for this on-going social reform - the Thakali Samaj Sudhar Sangh (Thakali social reform organization) of Pokhara. The Thakalis often appear as a marginal people living just outside the ethnic and economic sphere of the kingdom of Mustang. Actually the Thakali have long controlled the salt trade, and their many other enterprises gave them a great deal of cash which is now available for investment in the rapidly expanding economies of the South. Trucking, construction, hotels, large farms, and the cloth business provide good opportunities for investment and migration has been seen as a good option. From 1951 to 1971 the Thakalis became the fourth largest group of immigrants coming to Pokhara. The Thakali social reform organization has launched many social-reforms. One of the first moves toward cultural cost-cutting was seen in the funeral practices of the Thakalis where only the services of a jhankari were required whereas earlier they had combined rituals performed by both lamas and jhankaris in a complicated and costly affair. Other such cost-cutting social reforms are discussed. (Rajeev Ranjan Singh 2007-01-04)</p>
<i>Camellia sinensis</i> is used to make special tea and also become a raw material for dietary supplements, health foods, and cosmeceuticals. Theanine (amino acid) and catechins (polyphenol) are most abundantly found in tea leaves. Theanine and catechins are also responsible for taste and flavor of tea products along with therapeutic and nutritional values. Hence, identification and quantification method for theanine and catechin has been developed using high performance thin layer chromatography (HPTLC) and NMR techniques. HPTLC method was validated for selectivity, sensitivity, accuracy, and precision. Theanine and catechin were quantified in three tea samples including randomly plucked tea leaves (HAR), authentically plucked tea leaves (HAN), and processed tea (HAT). Both theanine and catechin were found maximum in HAN as compared to HAR and HAT. The Validated HPTLC method is economical, rapid, and highly suitable for quantification of theanine and catechin. Moreover NMR studies were also used for the qualitative and quantitative estimation of theanine and catechin along with other important metabolites in <i>C. sinensis</i> samples.
OBJECTIVES: To compare the cumulative effect of commonly practised slow and fast pranayama on cognitive functions in healthy volunteers.SETTINGS AND DESIGN: 84 participants who were in self-reported good health, who were in the age group of 18-25 years, who were randomized to fast pranayama, slow pranayama and control group with 28 participants in each group.
MATERIAL AND METHODS: Fast pranayama included kapalabhati, bhastrika and kukkuriya. Slow pranayama included nadishodhana, Pranav and Savitri. Respective pranayama training was given for 35 minutes, three times per week, for a duration of 12 weeks under the supervision of a certified yoga trainer. Parameters were recorded before and after 12 weeks of intervention: Perceived stress scale (PSS), BMI, waist to hip ratio and cognitive parameters-letter cancellation test, trail making tests A and B, forward and reverse digit spans and auditory and visual reaction times for red light and green light.
STATISTICAL ANALYSIS: Inter-group comparison was done by one way ANOVA and intra-group comparison was done by paired t-test.
RESULTS AND CONCLUSION: Executive functions, PSS and reaction time improved significantly in both fast and slow pranayama groups, except reverse digit span, which showed an improvement only in fast pranayama group. In addition, percentage reduction in reaction time was significantly more in the fast pranayama group as compared to that in slow pranayama group. Both types of pranayamas are beneficial for cognitive functions, but fast pranayama has additional effects on executive function of manipulation in auditory working memory, central neural processing and sensory-motor performance.
BACKGROUND: Pranayama has been assigned very important role in yogic system of exercises and is said to be much more important than yogasanas for keeping sound health. Also different pranayamas produce divergent physiological effects. AIM: To study the effect of 12 weeks training of slow and fast pranayama on handgrip strength and endurance in young, healthy volunteers of JIPMER population. SETTINGS AND DESIGN: Present study was conducted in the Department of Physiology, JIPMER in 2011-12 (1.06.11 to 1.04.12). MATERIALS AND METHODS: Total of 91 volunteer subjects were randomised into slow pranayama (SPG) (n=29), fast pranayama (FPG) (n=32) and control groups (CG) (n=30). Supervised pranayama training (SPG - Nadisodhana, Pranav pranayama and Savitri pranayama; FPG - Kapalabhati, Bhastrika and Kukkuriya pranayama) was given for 30 minutes thrice a week for 12 weeks to both slow and fast pranayama groups by certified yoga trainer. Hand grip strength (HGS) and endurance (HGE) parameters were recorded using handgrip dynamometer (Rolex, India) at baseline and after 12 weeks of pranayama training. STATISTICAL ANALYSIS USED: Longitudinal changes in each group were compared by using Student's paired t-test. Delta changes in each group were analysed by ANOVA with Tukey post-hoc analysis. RESULTS: In SPG significant improvement occurred only in HGE parameter from 83.95+/-45.06 to 101.62+/-53.87 (seconds) (p0.05). CONCLUSION: Pranayama training decreases sympathetic activity, resulting in mental relaxation and decreased autonomic arousal thereby, decreasing force fluctuations during isometric contraction. This is reflected as improvement in HGS and HGE.
AIMS: The present study focuses on analyzing the effects of Sudarshan Kriya yoga (SKY) on brain signals during a working memory (WM) task. To envision the significant effects of SKY on WM capacity (WMC), we chose a control group for contriving a cogent comparison that could be corroborated using statistical tests. SUBJECTS AND METHODS: A total of 25 subjects were taken in the study, of which 10 were allotted to a control group and 15 to an experimental group. Electroencephalograph was taken during a WM task, which was an automated operation span test before and after SKY with 90 days intervals. No SKY was given to the control group. STATISTICAL ANALYSIS USED: t-test and one-way ANOVA were applied. RESULTS: SKY promoted the efficient use of energy and power spectral density (PSD) for different brain rhythms in the desired locations as depicted by the gamma (F8 channel), alpha, and theta 2 (F7 and FC5) bands. It was found that gamma PSD reduced for both phases of memory in the experimental group. Alpha energy increased during the retrieval phase in the experimental group after SKY. Theta 1 rhythm was not affected by SKY, but theta 2 had shown left hemispheric activation. Theta rhythm was associated with memory consolidation. CONCLUSIONS: SKY had shown minimized energy losses while performing the task. SKY can improve WMC by changing the brain rhythms such that energy is utilized efficiently in performing the task.
Twenty Type 2 diabetic subjects between theage group of 30-60 years were studied to see the effect of 40 days of <i style="">Yoga</i> <i style="">asanas</i>
on biochemical profile. The duration of diabetes ranged from 0 to 10 years.
Subjects suffering from cardiac, renal and proliferative retinal complications
were excluded from the study. <i style="">Yoga</i> <i style="">asanas</i> included <i style="">Surya Namaskar</i>, <i style="">Tadasan</i>, <i style="">Konasan</i>, <i style="">Padmasan</i>, <i style="">Pranayama</i>, <i style="">Paschimottanasan</i>, <i style="">Ardhmatsyendrasan</i>, <i style="">Shavasan</i>,
<i style="">Pavanmuktasan</i>, <i style="">Sarpasan</i> and <i style="">Shavasan</i>.
Subjects were called to the cardio-respiratory laboratory in the morning time
and were given training by the <i style="">Yoga</i>
expert. The <i style="">Yogic</i> exercises were
performed for 30 - 40 minutes every day for 40 days in the above sequence. The
subjects were prescribed medicines and diet. The basal blood glucose, lipid
profile and glycosylated haemoglobin was measured and repeated after 40 days of
<i style="">yoga asanas</i>. There was a statistically
significant decrease in fasting blood glucose (from baseline 208.3 ± 20.0 to 171.7 ± 19.5
mg/dl) and decrease in Postprandial blood glucose (from 295.3 ± 22.0 to 269.7± 19.9
mg/dl). The decreases in values of serum cholesterol were also statistically
significant (from 222.8 ± 10.2 to
207.9 ± 8.6 mg/dl). The triglyceride decreased
(from 168.5 ± 15.5 to 146.3 ±13.5 mg/dl), low-density lipoprotein cholesterol and very
low-density lipoprotein improved (from 144.8 ± 8.6 to 140.70 ± 7.9
mg/dl and from 37.4 ± 4.6 to
32.1 ± 3.4 mg/dl). The glycosylated
haemoglobin decreased from 10.27 ±0.5 to
8.68 ± 0.4 %. These findings suggest that <i style="">yoga asanas</i> have a beneficial effect on
glycaemic control and lipid profile in mild to moderate Type 2 diabetes.
<p>Background: Academic performance is concerned with the quantity and quality of learning attained in a subject or group of subjects after a long period of instruction. Excessive stress hampers students’ performance. Improvement in academic performance and alertness has been reported in several yogic studies. Aims and Objectives: The main objective of the study was to assess the effect of yoga on academic performance in relation to stress. Materials and Methods: The study started with 800 adolescent students; 159 high-stress students and 142 low-stress students were selected on the basis of scores obtained through Stress Battery. Experimental group and control group were given pre test in three subjects, i.e., Mathematics, Science, and Social Studies. A yoga module consisting of yoga asanas, pranayama, meditation, and a value orientation program was administered on experimental group for 7 weeks. The experimental and control groups were post-tested for their performance on the three subjects mentioned above. Results: The results show that the students, who practiced yoga performed better in academics. The study further shows that low-stress students performed better than high-stress students, meaning thereby that stress affects the students’ performance.</p>
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Considerable evidence exists for the place of mind body medicine in the treatment of anxiety disorders. Excessive anxiety is maladaptive. It is often considered to be the major component of unhealthy lifestyle that contributes significantly to the pathogenesis of not only psychiatric but also many other systemic disorders. Among the approaches to reduce the level of anxiety has been the search for healthy lifestyles. The aim of the study was to study the short-term impact of a comprehensive but brief lifestyle intervention, based on yoga, on anxiety levels in normal and diseased subjects. The study was the result of operational research carried out in the Integral Health Clinic (IHC) at the Department of Physiology of All India Institute of Medical Sciences. The subjects had history of hypertension, coronary artery disease, diabetes mellitus, obesity, psychiatric disorders (depression, anxiety, 'stress'), gastrointestinal problems (non ulcer dyspepsia, duodenal ulcers, irritable bowel disease, Crohn's disease, chronic constipation) and thyroid disorders (hyperthyroidism and hypothyroidism). The intervention consisted of asanas, pranayama, relaxation techniques, group support, individualized advice, and lectures and films on philosophy of yoga, the place of yoga in daily life, meditation, stress management, nutrition, and knowledge about the illness. The outcome measures were anxiety scores, taken on the first and last day of the course. Anxiety scores, both state and trait anxiety were significantly reduced. Among the diseased subjects significant improvement was seen in the anxiety levels of patients of hypertension, coronary artery disease, obesity, cervical spondylitis and those with psychiatric disorders. The observations suggest that a short educational programme for lifestyle modification and stress management leads to remarkable reduction in the anxiety scores within a period of 10 days.
Considerable evidence exists for the place of mind body medicine in the treatment of anxiety disorders. Excessive anxiety is maladaptive. It is often considered to be the major component of unhealthy lifestyle that contributes significantly to the pathogenesis of not only psychiatric but also many other systemic disorders. Among the approaches to reduce the level of anxiety has been the search for healthy lifestyles. The aim of the study was to study the short-term impact of a comprehensive but brief lifestyle intervention, based on yoga, on anxiety levels in normal and diseased subjects. The study was the result of operational research carried out in the Integral Health Clinic (IHC) at the Department of Physiology of All India Institute of Medical Sciences. The subjects had history of hypertension, coronary artery disease, diabetes mellitus, obesity, psychiatric disorders (depression, anxiety, 'stress'), gastrointestinal problems (non ulcer dyspepsia, duodenal ulcers, irritable bowel disease, Crohn's disease, chronic constipation) and thyroid disorders (hyperthyroidism and hypothyroidism). The intervention consisted of asanas, pranayama, relaxation techniques, group support, individualized advice, and lectures and films on philosophy of yoga, the place of yoga in daily life, meditation, stress management, nutrition, and knowledge about the illness. The outcome measures were anxiety scores, taken on the first and last day of the course. Anxiety scores, both state and trait anxiety were significantly reduced. Among the diseased subjects significant improvement was seen in the anxiety levels of patients of hypertension, coronary artery disease, obesity, cervical spondylitis and those with psychiatric disorders. The observations suggest that a short educational programme for lifestyle modification and stress management leads to remarkable reduction in the anxiety scores within a period of 10 days.
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