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International Updates
Yoga and Meditation
Issue 91
RAUB, National Center for Environmental Assessment, Research Triangle
Park, NC 27711, USA, raub.james@epa.gov,
has reviewed (75 references) the psychophysiological effects of Hatha
Yoga on fitness parameters.
Abstract: Yoga is increasingly popular
as a means of exercise and fitness training. However it needs to be recognized
more by health care professionals for a complement to conventional medical
care rather than just a trendy leisure activity. Over the last 10 years,
research studies have shown that the practice of Hatha Yoga improves strength
and flexibility and may help control such parameters as blood pressure,
respiration and heart rate, and metabolic rates. A summary of medically
substantiated information about the health benefits of Yoga for healthy
people and also for people with musculoskeletal or cardiac problems is
provided.
Raub JA. Psychophysiologic effects of Hatha Yoga on musculoskeletal
and cardiopulmonary function: a literature review. The Journal of Alternative
and Complementary Medicine 8 (6): 797-812, Dec 2002.
Issue 71
MANCHANDA and
colleagues, All India Institute of Medical Sciences, New Delhi, India,
evaluated the possible role of lifestyle modification incorporating
yoga on retardation of coronary artery disease (CAD).
Background: Yoga
has potential for benefit for patients with CAD. However, objective angiographic
studies are lacking.
Methods: In
this prospective, controlled clinical trial, 42 men with angiographically
proven CAD were randomized to control (n=21) or yoga (n=21) intervention
and were followed for 1 year. The active group was treated with
a user-friendly programme consisting of yoga, control of risk factors,
diet control and moderate aerobic exercise. The control
group was managed by conventional methods (risk factor control and American
Heart Association step I diet).
Results: At
1 year, the yoga group showed significant reduction in number of anginal
episodes per week, improved exercise capacity and decrease in body weight.
Serum total cholesterol, LDL cholesterol and triglyceride levels also
showed greater reductions in comparison with the control group. Revascularization
procedures (coronary angioplasty or bypass surgery) were less frequently
required in the yoga group (one versus eight patients; RR, 5.45; p=0.01).
Coronary angioplasty repeated at 1 year showed that significantly more
lesions regressed (20% versus 2%) and less lesions progressed (5% versus
37%) in the yoga group (chi-square, 24.9; p<0.0001). Compliance to
the total programme was excellent. No side effects were reported.
Conclusion: Yoga
lifestyle intervention retards progression and increases regression
of coronary atherosclerosis in patients with severe CAD. It also improves
symptomatic status, functional class and risk factor profile.
Manchanda SC et
al. Retardation of coronary atherosclerosis with yoga lifestyle intervention.
The Journal of the Associations of Physicians of India 48: 687-94.
Jul 2000.
Issue 69
YARDI, Yardi Epilepsy
Clinic, Kothrud, Pune, India, nyardi@hotmail.com,
reviewed literature on yoga in relation to epilepsy and
related conditions and relevant physiological parameters and quality-of-life
(QoL) issues.
Background: Yoga
alleviates stress, induces relaxation and
provides multiple health benefits to practitioners. Commonly practised
methods include controlled deep breathing, physical postures, meditation
and philosophical ideas in varying proportions.
Methods: The
author reviews articles related to yoga and epilepsy, seizures, electroencephalogram
(EEG) recordings, autonomic changes, neuropsychology, the limbic system,
arousal, sleep, brain plasticity, motor performance, brain imaging studies
and rehabilitation.
Conclusion: There
is a lack of randomized, blinded, controlled studies related
to yoga and seizure control. The author suggests that a
multicentre, cross-cultural, preferably blinded (although difficult for
yoga), well-randomized, controlled trial (especially using a single
yogic technique in a homogeneous population such as juvenile myoclonic
epilepsy) is justified, in order to evaluate how yoga affects seizure
control and QoL in persons with epilepsy.
Yardi N. Yoga for
control of epilepsy.
Seizure 10 (1): 7-12. Jan 2001.
RAMARATNAM, Apollo Hospital, Madras, 600006,
India, rsridharan@vsnl.com,
examines methodological issues that might be encountered in designing
and conducting a randomized, controlled trial of the efficacy of
yoga in the treatment of epilepsy. The author highlights
issues relating to patient selection, randomization, blinding, type
of intervention, outcome measures and analysis.
Ramaratnam S. Yoga
for epilepsy: methological issues.
Seizure 10 (1): 3-6. Jan 2001.
Issue 58
BERA, GORE and OAK, Scientific Research Department, Kaivalyadhama
SMYM Samiti, Lonavla described recovery from stress in two different postures
and in a yogic relaxation posture.
Results: The recovery from induced
physiological stress in Shavasana (a yogic relaxation posture) and two
other postures (resting in chair and resting supine posture) was compared,
Twenty one males and 6 females (21-30yrs) were allowed to take a rest
in one of the above postures immediately after completing a scheduled
treadmill running. The recovery was assessed in terms of heart rate (HR)
and blood pressure (BP). HR and BP were measured before and every two
minutes after the treadmill running until they returned to the initial
level. The results revealed that the effects of stress was reversed in
significantly shorter time in Shavasan, compared to the resting posture
in chair and in a supine posture.
Bera TK et al. Recovery
from stress in two different postures and in Shavasana- a yogic relaxation
posture. Indian Journal of Physiology and Pharmacology 42(4): 473-8. Oct
1998.
ELIAS, GUICH and WILSON, Department of Medicine, University
of California at Irvine, California 92868, USA described how ketosis with
enhanced GABAergic tone promotes physiological changes in transcendental
meditation.
Discussion: Transcendental meditation
(TM) is a stylized form of physical and mental relaxation which is associated
with changes in the secretion and release of several pituitary hormones.
The hormonal changes induced by TM mimic the effects of the inhibitory
neurotransmitter gamma aminobutyric acid (GABA). It is hypthesized that
TM produces changes in pituitary hormone secretion by enhancing hypothalmic
GABAergic tone as a result of TM associated ketosis. Ketosis enhances
the entry of glutamate available for conversion to GABA through the glutamate
decarboxylase pathway.
Elias AN et al. Ketosis
with enhanced GABAergic tone promotes physiological changes in transcendental
meditation. Medical Hypotheses 54(4): 660-2. Apr 2000.
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