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1.
Multimedia | Recursos Multimedia, MULTIMEDIA-SMS-SP | ID: multimedia-13612

RESUMEN

Você sabia que é possível se alongar, fortalecer o corpo e até meditar sentado? No Saúde Zen de hoje, te mostramos o benefício de uma prática chamada ioga na cadeira!


Asunto(s)
Yoga , Terapias Complementarias
3.
Int J Yoga Therap ; 34(2024)2024 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-39141511

RESUMEN

Mindfulness-related practices (e.g., yoga) appear aligned with the field of athletic performance in developing sport-related capacities such as attention regulation, volition, perception, and coping. The purpose of the present narrative study was to explore the experiences of professional baseball players who interacted with the ideas and practices of mindfulness presented in classes featuring yoga and Mindfulness-Acceptance-Commitment (MAC). Participants were seven Minor League Baseball players who learned mindfulness practices in off-season instructional classes and then completed semi-structured episodic interviews on how their mindfulness practices were perceived and utilized in training and competition during the baseball season. Data were analyzed using the three-dimensional space approach to examine participants' subjective accounts of experience, behavior, environmental conditions, and external events. Individual narratives were re-storied and themed. Results indicated various themes across settings, from players' experiences in the yoga/MAC classes (effect of breath regulation on coping strategies; self-awareness and the mind-body connection), on the baseball field (confidence and self-efficacy; self-regulation; resilience and positive coping strategies), and off the baseball field (everyday life and activities; stigma of mental training). Overall, participants appeared to be accepting of mindfulness integrated into their training and provided perspectives supporting the benefits of yoga/MAC classes. This study has research and practice implications in incorporating yoga and mindfulness-based practices in athletic performance among young professional athletes.


Asunto(s)
Béisbol , Atención Plena , Yoga , Humanos , Béisbol/psicología , Masculino , Atletas/psicología , Adaptación Psicológica , Adulto , Adulto Joven , Rendimiento Atlético/psicología
4.
Sci Rep ; 14(1): 18300, 2024 08 07.
Artículo en Inglés | MEDLINE | ID: mdl-39112599

RESUMEN

Chronic Obstructive Pulmonary Disease (COPD) is a global health concern. Mind-body exercises like Tai Chi and Yoga are suggested as non-pharmacological interventions for COPD management. This meta-analysis evaluates mind-body exercises' impact on lung function and exercise capacity in stable COPD patients, aiming to assess their effectiveness in rehabilitation. A systematic search across various databases identified relevant randomized controlled trials until April 2024. Primary outcomes included lung function tests (FEV1, FVC, FEV1/FVC, FEV1%) and Six-Minute Walk Test (6MWT) results. The Standardized Mean Difference (SMD) measured intervention effects. Fifteen studies with 1047 participants were analyzed. Mind-body exercises significantly improved FEV1 (SMD = 0.87), FEV1/FVC (SMD = 0.19), FEV1% (SMD = 0.43), and 6MWT (SMD = 1.21) compared to standard care. Sensitivity and subgroup analyses confirmed result stability despite some heterogeneity.In conclusion, Mind-body exercises enhance lung function and exercise capacity in stable COPD patients. Integrating them into comprehensive rehabilitation programs is advisable. Further research should explore the specific impacts of different exercise types and intensities.


Asunto(s)
Enfermedad Pulmonar Obstructiva Crónica , Ensayos Clínicos Controlados Aleatorios como Asunto , Enfermedad Pulmonar Obstructiva Crónica/fisiopatología , Enfermedad Pulmonar Obstructiva Crónica/rehabilitación , Humanos , Tolerancia al Ejercicio/fisiología , Pulmón/fisiopatología , Terapias Mente-Cuerpo/métodos , Pruebas de Función Respiratoria , Taichi Chuan/métodos , Terapia por Ejercicio/métodos , Yoga
5.
J Rehabil Med ; 56: jrm40188, 2024 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-39101676

RESUMEN

OBJECTIVE: Rehabilitation interventions for chronic pain typically include education, cognitive behavioural therapy, and exercise therapy, or a combination of these. A systematic review and meta-analysis of rehabilitation interventions for neuropathic pain was conducted. DESIGN: Randomized controlled trials were identified in PubMed, EMBASE, Cochrane Central Register of Controlled Trials, and PsycINFO databases from inception up to 3 March 2022. SUBJECTS/PATIENTS: Adults with chronic (> 3 months) neuropathic pain. METHODS: Primary outcomes were pain intensity, pain-related disability, and work participation. Secondary outcomes were quality of life, emotional strain, insomnia, and adverse outcomes, according to VAPAIN guidelines. Analyses were made post-intervention, which was defined as the assessment point immediately following the intervention or at the first-time measurement conducted after the intervention period. RESULTS: In total, 15 studies (total population, n = 764) were incorporated. Most common interventions were cognitive behavioural programmes including acceptance and commitment therapy (n = 4), mindfulness-based interventions (n = 5), and yoga (n = 2). Psychological interventions reduced both pain intensity (SMD -0.49, 95% CI -0.88 to -0.10) and pain-related disability (SMD -0.51, 95% CI -0.98 to -0.03), whereas other interventions had an effect on pain intensity but not on pain-related disability. CONCLUSION: Rehabilitation interventions, and psychological interventions in particular, seem to be of value for patients with chronic neuropathic pain.


Asunto(s)
Terapia Cognitivo-Conductual , Neuralgia , Ensayos Clínicos Controlados Aleatorios como Asunto , Humanos , Neuralgia/rehabilitación , Neuralgia/terapia , Terapia Cognitivo-Conductual/métodos , Terapia por Ejercicio/métodos , Calidad de Vida , Dolor Crónico/rehabilitación , Dolor Crónico/terapia , Dimensión del Dolor , Atención Plena/métodos , Yoga , Terapia de Aceptación y Compromiso/métodos
7.
Int J Community Based Nurs Midwifery ; 12(3): 188-198, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-39161864

RESUMEN

Background: Sexual function is a part of sexual health which is an important aspect of the quality of life. Physical activity is one of the healthiest activities that can effectively reduce the risk of sexual disorders. Therefore, this study was conducted with the aim of evaluating the effect of yoga and pelvic floor muscle exercises on the sexual function and sexual self-esteem of reproductive-age women. Methods: This randomized clinical trial study was conducted from September to December 2023 on 46 women of reproductive age working in the Shahrekord University of Medical Sciences and its affiliated health centers. Multi-stage cluster sampling was used to select the subjects; later, they were randomly divided into two intervention groups A (N=21) and B (N=25). Participants in intervention groups A and B performed pelvic floor muscle exercises at home using an educational pamphlet 3 times a week for 6 weeks, with 3 times a day repetition. In addition, women in the intervention group A participated in a yoga training program for 2 sessions per week for 6 weeks. Data collection tools included a demographic information form, the Female Sexual Function Index, and Sexual Self-Esteem Inventory for women. Questionnaires were completed by both groups before, immediately, and one month after the intervention. The data were analyzed using the chi-square test, fisher's exact test, independent two-sample t-test, repeated measures test, and analysis of covariance in SPSS software version 16. A significance level of less than 0.05 was considered. Results: The results showed no statistically significant difference between the two groups in sexual function (P=0.21) and sexual self-esteem (P=0.22) scores before the intervention. Also, the results showed no statistically significant difference between the two groups in terms of sexual function (P=0.35) and sexual self-esteem (P=0.59) scores one month after the intervention. However, the mean score of the sexual function index immediately after intervention showed a statistically significant difference between the intervention groups A (31.43±3.76) and B (29.41±2.38) (P<0.001). The mean score of the sexual self-esteem immediately after the intervention showed a statistically significant difference between the intervention groups A (181.19±19.90) and B (171.32±15.02) (P<0.001). Conclusion: Adding yoga exercises to pelvic floor muscle exercises can improve the sexual function and sexual self-esteem of women at their reproductive age. Trial Registration Number: IRCT20100524004015N1.


Asunto(s)
Diafragma Pélvico , Autoimagen , Yoga , Humanos , Yoga/psicología , Femenino , Adulto , Diafragma Pélvico/fisiología , Conducta Sexual/psicología , Conducta Sexual/fisiología , Calidad de Vida/psicología , Encuestas y Cuestionarios , Terapia por Ejercicio/métodos
8.
Clin Nurse Spec ; 38(5): 229-236, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39159324

RESUMEN

AIM: The aim of this study was to examine the effect of laughter yoga applied to intensive care nurses on perceived stress, job motivation, and mental well-being. DESIGN: This study was a randomized controlled trial. METHODS: The study was conducted with nurses working at the university hospital's surgical intensive care and anesthesia intensive care units of the third-level intensive care unit in Turkey. Data obtained from 30 participants in the intervention group and 33 participants in the control group were analyzed. The Nurse Introduction Form, Nurse Job Motivation Scale, Perceived Stress Scale, and Warwick-Edinburgh Mental Well-being Scale were used to collect data. Data obtained from the study were evaluated using the SPSS 22.0 package. RESULTS: It was determined that there was no statistically significant difference in the average scores of the pretest/posttest 1/posttest 2 of the Perceived Stress Scale (13.70 ± 3.33 to 14.57 ± 4.57, P > .05; 13.50 ± 3.15 to 13.48 ± 4.59, P > .05; and 13.56 ± 3.15 to 13.15 ± 3.49, P > .05, respectively) and Work Motivation Scale (59.70 ± 7.58 to 59.69 ± 7.98, P > .05; 60.30 ± 8.07 to 58.48 ± 8.94, P > .05; and 60.56 ± 7.86 to 57.93 ± 9.54, P > .05, respectively) for both the intervention and control groups of nurses. A statistically significant difference was found in the average scores of the Warwick-Edinburgh Mental Well-Being Scale pretest/posttest 1/posttest 2 for the intervention group of nurses (50.90 ± 7.60, 51.50 ± 7.80, and 53.70 ± 7.08, respectively; F = 3.330, P = .043). However, the difference was found to be insignificant in pairwise comparisons in the further analysis (a = b = c). It was determined that there was no statistically significant difference in the average scores of the Warwick-Edinburgh Mental Well-Being Scale pretest/posttest 1/posttest 2 for the control group of nurses (52.21 ± 9.89, 51.93 ± 10.45, and 51.03 ± 9.63, respectively; P > .05). CONCLUSIONS: The application of laughter yoga on intensive care nurses did not result in a significant change in perceived stress levels and work motivation. However, statistically significant differences were observed in the average mental well-being scores among the intervention group.


Asunto(s)
Motivación , Personal de Enfermería en Hospital , Yoga , Humanos , Adulto , Femenino , Masculino , Turquía , Yoga/psicología , Personal de Enfermería en Hospital/psicología , Enfermería de Cuidados Críticos , Estrés Psicológico/psicología , Estrés Laboral/psicología , Satisfacción en el Trabajo , Salud Mental , Risoterapia
9.
Maturitas ; 187: 108056, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38981156

RESUMEN

Fatigue, insomnia and sleep disturbances are common after cancer diagnosis, and have a negative impact on quality of life and function. This narrative review synthesised evidence on lifestyle and integrative oncology interventions for cancer-related fatigue, insomnia and sleep disturbances in cancer survivors. There is strong evidence in support of aerobic and strength exercise for the relief of cancer-related fatigue. Yoga, massage therapy, acupuncture, Tai Chi and qigong can also be recommended for cancer-related fatigue. The evidence on yoga, acupuncture and massage therapy for sleep disturbances in cancer is mixed, while exercise appears to have a modest favourable effect. There is insufficient evidence on nutrient supplements or dietary interventions for cancer-related fatigue or insomnia and other sleep disturbances after cancer. Beyond alleviating cancer-related fatigue and insomnia-related symptoms, integrative oncology and lifestyle interventions have potential to effect multiple other benefits, such as improvement in symptoms such as pain and menopausal symptoms. There is a need for well-designed randomised controlled trials of interventions, particularly in the areas of diet and nutrient supplements, and for implementation studies of interventions already supported by evidence.


Asunto(s)
Fatiga , Oncología Integrativa , Estilo de Vida , Neoplasias , Trastornos del Sueño-Vigilia , Humanos , Fatiga/terapia , Fatiga/etiología , Neoplasias/complicaciones , Neoplasias/terapia , Oncología Integrativa/métodos , Trastornos del Sueño-Vigilia/terapia , Trastornos del Sueño-Vigilia/etiología , Ejercicio Físico , Supervivientes de Cáncer , Calidad de Vida , Trastornos del Inicio y del Mantenimiento del Sueño/terapia , Trastornos del Inicio y del Mantenimiento del Sueño/etiología , Masaje/métodos , Yoga , Terapia por Acupuntura/métodos , Suplementos Dietéticos , Qigong , Taichi Chuan
10.
Support Care Cancer ; 32(8): 553, 2024 Jul 27.
Artículo en Inglés | MEDLINE | ID: mdl-39066831

RESUMEN

PURPOSE: Currently, available evidence suggests a positive impact of yoga on physical and psychological well-being in patients across different types of cancer, especially breast cancer survivors. However, there are no available systematic reviews on the effects of yoga on male prostate cancer survivors. The objective of the current systematic review is to specifically examine the quality of life, feasibility, and other effects of yoga on prostate cancer survivors. METHODS: Bibliographic databases such as PubMed/Medline, CINAHL, EMBASE, Cochrane Library, and Google Scholar were searched for studies that were conducted till December 2022 to assess the effect of yoga on prostate cancer survivors. Studies that met predefined eligibility criteria were included. The quality of the included studies was assessed by the Cochrane risk of bias tool, and for single-arm studies, the Newcastle-Ottawa Scale was used. RESULTS: A comprehensive literature search yielded a total of 137 studies. After careful consideration, this review included five studies involving 129 prostate cancer survivors. The included studies were published between 2012 and 2022. This systematic review observed that yoga has the potential to enhance erectile function, reduce fatigue and urinary symptoms, alleviate psychological stress, boost immune function, and improve the overall quality of life in prostate cancer survivors. Furthermore, it demonstrates the feasibility of incorporating yoga into their regular routine. CONCLUSIONS: Yoga could be an effective complementary therapy in the management of physical and psychological symptoms experienced by prostate cancer survivors. However, until more comprehensive evidence becomes available, it would be premature to draw definitive conclusions about the effectiveness of yoga in the context of prostate cancer (PCa).


Asunto(s)
Supervivientes de Cáncer , Neoplasias de la Próstata , Calidad de Vida , Yoga , Humanos , Masculino , Neoplasias de la Próstata/terapia , Neoplasias de la Próstata/psicología , Supervivientes de Cáncer/psicología , Terapias Complementarias/métodos
11.
Med Sci Monit ; 30: e942954, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38949992

RESUMEN

BACKGROUND This study aimed to investigate the impact of EIT-guided yoga breathing training on postoperative pulmonary complications (PPCs) for esophageal cancer patients. MATERIAL AND METHODS Total of 62 patients underwent radical resections of esophageal cancer. Esophageal cancer patients were randomized to the standard care group, or the intervention group receiving an additional complete breathing exercise under the guidance of EIT in AICU. Following extubation after the esophagectomy, pulmonary functions were evaluated by EIT with center of ventilation (CoV), dependent silent spaces (DSS), and non-dependent silent spaces (NSS). RESULTS Sixty-one older esophageal cancer patients (31 in the Control group and 30 in the EIT group) were included in the final analysis. Forty-four patients experienced pulmonary complications after esophagectomy, 27 (87.1%) in the Control group and 17 (36.7%) in the EIT group (RR, 0.42 (95% CI: 0.26, 0.69). The most common pulmonary complication was pleural effusion, with an incidence of 30% in the EIT group and 74.2% in the Control group, with RR of 0.40 (95% CI: 0.23, 0.73). Time for the first pulmonary complication was significantly longer in the EIT group than in the Control group (hazard ratio, HR, 0.43; 95% CI 0.21 to 0.87; P=0.019). Patients in the EIT group had significantly higher scores in CoV, DSS, and NSS than in the Control group. CONCLUSIONS Guided by EIT, the addition of the postoperative breathing exercise to the standardized care during AICU could further improve pulmonary function, and reduce postoperative pulmonary complications after esophagectomy.


Asunto(s)
Ejercicios Respiratorios , Neoplasias Esofágicas , Esofagectomía , Complicaciones Posoperatorias , Yoga , Humanos , Masculino , Esofagectomía/efectos adversos , Esofagectomía/métodos , Femenino , Ejercicios Respiratorios/métodos , Complicaciones Posoperatorias/etiología , Complicaciones Posoperatorias/prevención & control , Persona de Mediana Edad , Neoplasias Esofágicas/cirugía , Anciano , Pruebas de Función Respiratoria , Pulmón/fisiopatología
12.
Ann Afr Med ; 23(2): 202-212, 2024 Apr 01.
Artículo en Francés, Inglés | MEDLINE | ID: mdl-39028170

RESUMEN

BACKGROUND: Prediabetes is presented as a metabolic state that predisposes persons to a greater risk of diabetes progression in the future. Prediabetes is an intervening stage between normoglycemia and diabetes with impaired fasting glucose and impaired glucose tolerance. This study aimed to compare the effect of the yoga-based lifestyle intervention (including diet) versus dietary intervention (DI) alone on cardiometabolic parameters namely fasting blood glucose (FBG), glycated hemoglobin (HbA1C), lipid profile; triglyceride (TG), total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), very low-density lipoprotein (VLDL), heart rate variability (HRV), and carotid intima-media thickness (CIMT) among people with prediabetes. METHODS: A randomized controlled study was conducted on 250 people with prediabetes who were randomly allocated by computer-generated methods to the yoga-based lifestyle intervention (including diet) (n = 125) and DI alone (n = 125) groups. Yoga sessions were approximately 45 min 6 days a week over a period of 6 months. Assessments were made at baseline and after 6 months of intervention. RESULTS: Post-intervention comparison of cardiometabolic parameters in yoga-based lifestyle intervention (including diet) versus DI alone showed a significant decline in body mass index (P = 0.0002), waist-hip ratio (P = 0.0001), systolic blood pressure (P = 0.0001), diastolic blood pressure (P = 0.0001), perceived stress score (P = 0.0001), FBG (P = 0.0001), HbA1C (P = 0.0001), lipid profile; TG (P = 0.008), LDL (P = 0.0001), VLDL (P = 0.0001), HRV (P = 0.0001), CIMT (P = 0.02) and a nonsignificant decline in, TC (P = 0.22), HDL (P = 0.211), FFQ (P = 0.164). CONCLUSION: The finding of this study suggests that a 24-week yoga-based lifestyle intervention which includes diet significantly decreased cardiometabolic parameters compared to DI alone among people with prediabetes.


Résumé Contexte:Le prédiabète est présenté comme un état métabolique qui prédispose les personnes à un risque plus élevé de progression du diabète dans le futur. Le prédiabète est une étape intermédiaire entre la normoglycémie et le diabète avec une altération de la glycémie à jeun et une altération de la tolérance au glucose. Cette étude visait à comparer l'effet d'une intervention sur le style de vie basée sur le yoga (y compris le régime) par rapport à une intervention diététique (DI) seule sur les effets cardiométaboliques. paramètres à savoir glycémie à jeun (FBG), hémoglobine glyquée (HbA1C), profil lipidique; triglycéride (TG), cholestérol total (TC), lipoprotéines de haute densité (HDL), lipoprotéines de basse densité (LDL), lipoprotéines de très basse densité (VLDL), variabilité de la fréquence cardiaque (VRC) et carotide épaisseur intima-média (CIMT) chez les personnes atteintes de prédiabète.Méthodes:Une étude contrôlée randomisée a été menée auprès de 250 personnes atteintes prédiabétiques qui ont été répartis au hasard, par des méthodes générées par ordinateur, dans l'intervention sur le style de vie basée sur le yoga (y compris le régime alimentaire) (n = 125) et groupes DI seul (n = 125). Les séances de yoga duraient environ 45 minutes 6 jours par semaine sur une période de 6 mois. Des évaluations ont été faites au départ et après 6 mois d'intervention.Résultats:Comparaison post-intervention des paramètres cardiométaboliques dans un mode de vie basé sur le yoga L'intervention (y compris le régime alimentaire) par rapport à l'ID seul a montré une baisse significative de l'indice de masse corporelle (P = 0,0002), du rapport taille-hanche (P = 0,0001), de la pression systolique. tension artérielle (P = 0,0001), tension artérielle diastolique (P = 0,0001), score de stress perçu (P = 0,0001), FBG (P = 0,0001), HbA1C (P = 0,0001), profile lipidique; TG (P = 0,008), LDL (P = 0,0001), VLDL (P = 0,0001), HRV (P = 0,0001), CIMT (P = 0,02) et une baisse non significative dans, TC (P = 0,22), HDL (P = 0,211), FFQ (P = 0,164).Conclusion:Les résultats de cette étude suggèrent qu'un mode de vie basé sur le yoga pendant 24 semaines une intervention qui comprend un régime a considérablement réduit les paramètres cardiométaboliques par rapport à l'ID seul chez les personnes atteintes de prédiabète.


Asunto(s)
Glucemia , Factores de Riesgo Cardiometabólico , Hemoglobina Glucada , Estilo de Vida , Estado Prediabético , Yoga , Humanos , Estado Prediabético/terapia , Estado Prediabético/dietoterapia , Masculino , Femenino , Persona de Mediana Edad , Glucemia/metabolismo , Adulto , Hemoglobina Glucada/metabolismo , Hemoglobina Glucada/análisis , Grosor Intima-Media Carotídeo , Índice de Masa Corporal , Resultado del Tratamiento , Lípidos/sangre , Dieta/métodos , Frecuencia Cardíaca/fisiología , Factores de Riesgo , Anciano
13.
Integr Cancer Ther ; 23: 15347354241261373, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39066651

RESUMEN

BACKGROUND: Yoga interventions need fidelity monitoring to standardize the trial process and ensure adherence. We examined fidelity measures of current yoga trials and developed a fidelity assurance process in a phase III randomized clinical trial addressing chemotherapy-induced peripheral neuropathy among cancer survivors. METHODS: We qualitatively analyzed the fidelity monitoring components in published clinical trials on yoga therapy for chemotherapy-induced peripheral neuropathy through a literature search in PubMed from inception to February 2023. Leveraging fidelity measures for community-based, complex interventions and yoga therapy reporting guidelines, we developed an instructor/participant-oriented fidelity checking approach in an ongoing phase III trial evaluating yoga for improving chemotherapy-induced peripheral neuropathy in cancer survivors. Two researchers independently assessed 4 of 8 video recordings of yoga instructor-led training sessions (50%) and participant-kept home practice logs using a developed fidelity checklist. RESULTS: None of the 4 eligible yoga trials specifically have intervention fidelity measures. We prospectively incorporated yoga instructor training, virtual delivery, and participant engagement strategies in the phase III trial protocol following guidelines. All trial yoga instructors were trained under study protocol to ensure compliance and participant engagement. There was high intervention fidelity in all instructor-led virtual sessions: an average of 100% adherence to class structure and three-thirds on specific skills. Assessment of participant adherence to the established home yoga protocol was 63%. CONCLUSION: Yoga trials for chemotherapy-induced peripheral neuropathy need adequate fidelity measures. Our study provides a feasible fidelity-monitoring approach to ensure trial intervention delivery and protocol adherence by instructors and participants in oncological settings.


Asunto(s)
Antineoplásicos , Enfermedades del Sistema Nervioso Periférico , Yoga , Humanos , Enfermedades del Sistema Nervioso Periférico/inducido químicamente , Enfermedades del Sistema Nervioso Periférico/terapia , Antineoplásicos/efectos adversos , Supervivientes de Cáncer , Toma de Decisiones , Neoplasias/tratamiento farmacológico
14.
BMC Womens Health ; 24(1): 399, 2024 Jul 13.
Artículo en Inglés | MEDLINE | ID: mdl-39003439

RESUMEN

BACKGROUND: Women experiencing problematic menopausal symptoms report lower health-related quality of life and greater healthcare use than women without symptoms. Not all women want to or are able to take hormone replacement therapy. Strengthening the evidence for menopause symptom-management options, including physical activity, improves agency for women. AIM: This overview assesses effectiveness of physical activity and exercise interventions targeting women experiencing menopause symptoms. METHODS: Medline, Embase, CINAHL, Scopus, The Cochrane Database of Systematic Reviews and Social Science Citation Index were searched (June 2023) for systematic reviews of physical activity and exercise interventions targeting women experiencing menopause. Reviews were assessed using AMSTAR-2 and a best-evidence approach to synthesis without meta-analysis (SWIM) was adopted. The protocol was registered on PROSPERO (CRD42022298908). RESULTS: Seventeen reviews included 80 unique relevant primary studies with 8983 participants. There is evidence showing improvement of physical, urogenital, and total symptoms following yoga interventions. Evidence for vasomotor and psychological symptoms was inconclusive. Findings for aerobic exercise were inconclusive although there were some examples of beneficial effects on total and vasomotor symptoms. Evidence was very limited for other types of physical activity and impact on physical, sexual and urogenital symptoms. CONCLUSION: There is some evidence that yoga, and to lesser extent, aerobic exercise may be beneficial for some menopause symptoms, but there is insufficient evidence to recommend a particular form of exercise. Current reviews categorise women on menopause status; broadening this to include ethnicity, income status, employment and other factors will allow better understanding of context for successful interventions.


Asunto(s)
Terapia por Ejercicio , Ejercicio Físico , Menopausia , Humanos , Femenino , Menopausia/fisiología , Menopausia/psicología , Ejercicio Físico/psicología , Ejercicio Físico/fisiología , Terapia por Ejercicio/métodos , Calidad de Vida/psicología , Yoga/psicología , Sofocos/terapia
15.
Int J Yoga Therap ; 34(2024)2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38952154

RESUMEN

Stressful situations lead to change in or damage to the central nervous system, the hypothalamic-pituitary-adrenal axis, and autonomic function. Techniques for reducing stress such as yoga and mindfulness meditation have been reported to improve emotional regulation and mindfulness skill, as well as stress response. Mindfulness skill relies on intense focus to quiet the mind and bring concentration to the present moment. The present study was a randomized control trial to investigate the effects of an 8-week training program (three 45-minute sessions/week, one session with an instructor and two sessions as home practice) in mindfulness meditation or in yoga on stress and related variables in healthy people. Forty-four healthy participants were randomly allocated to one of three groups: a mindfulness group (n = 16), a yoga group (n = 13), and a control group (n = 15). The yoga training significantly modified heart rate variability, contributing to decreased relative power of the low-frequency band; the relative power of the high-frequency band increased after training. The mindfulness meditation training significantly improved mindfulness skill and concentration performance. In the present study, yoga was associated with increased heart rate variability and mindfulness meditation was associated with an increase in mindfulness skill and concentration performance.


Asunto(s)
Meditación , Atención Plena , Estrés Psicológico , Yoga , Humanos , Atención Plena/métodos , Masculino , Estrés Psicológico/terapia , Femenino , Adulto , Frecuencia Cardíaca , Adulto Joven
16.
Front Public Health ; 12: 1431062, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39050611

RESUMEN

Background: Depression poses significant threats to adolescents' health globally. Research has shown the potential of mind-body therapies to alleviate depression, but limited studies have directly compared the therapeutic effects of different types of mind-body therapies on adolescent depression and the optimal therapy remain unclear. Therefore, we conducted a systematic review and network meta-analysis of randomized controlled trials that met the inclusion criteria to explore the effectiveness of different types of mind-body therapies as interventions to improve depression among adolescents, and to identify the most effective interventions. Methods: A comprehensive search of databases including PubMed, EMBASE, Cochrane Library, Web of Science, and Scopus up to January 2024 was conducted to assess the impact of mind-body therapies on depression among adolescents. The risk of bias of the included studies was evaluated using Cochrane Review Manager 5.4. STATA 18.0 was used for network meta-analysis. The node-splitting method was used to test the local inconsistency of the network meta-analysis. Funnel plots and the Egger's test were utilized to assess the potential impact of bias in this study. Result: This network meta-analysis included 9 randomized controlled trials involving a total of 955 subjects. The results indicated that yoga, dance therapy and Tai Chi were more effective than other mind-body therapies in reducing symptoms of depression among adolescents. Specifically, according to the SUCRA ranking, yoga was rated to be the optimal intervention for adolescents with depression (SCURA: 82.2%), followed by dance therapy (SCURA: 77.5%) and Tai Chi (SCURA: 64.9%). Conclusion: This study revealed that mind-body therapies have positive effects on improving depression among adolescents. Yoga may be the most effective intervention among the different types of mind-body therapies. However, due to the small sample size of patients included, the certainty of the results was limited to some extent. Therefore, further investigation is necessary to strengthen the evidence base when more relevant studies become available. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42024508774.


Asunto(s)
Depresión , Terapias Mente-Cuerpo , Metaanálisis en Red , Ensayos Clínicos Controlados Aleatorios como Asunto , Humanos , Adolescente , Depresión/terapia , Yoga
17.
Taiwan J Obstet Gynecol ; 63(4): 486-491, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-39004474

RESUMEN

This topical review provides an up-to-date overview of the latest advancements in mind-body therapies in the gynaecological research field. It explores the various mind-body practices and their multifaceted benefits for expectant mothers during the transformative phase of pregnancy, including physical, emotional, and psychological aspects. The research highlights the importance of these practices in promoting maternal and fetal well-being. Prenatal yoga is found to enhance physical health, reduce discomfort, and lower stress and anxiety levels, potentially leading to shorter labour durations. Meditation is revealed to reduce stress and anxiety while nurturing emotional resilience. Prenatal Pilates improves musculoskeletal health and prepares mothers for labour, emphasising controlled movements and breathing techniques. Breathing techniques prove to be helpful for pregnant women in effectively managing pain during labour. Acupressure and reflexology offer non-pharmacological pain relief for common discomforts. Tai Chi improves physical fitness, flexibility, and mental well-being. This brief review, using evidence available from pre-clinical studies in physiological gynaecology literature, demonstrates the role of mind-body practices in enhancing the pregnancy journey, emphasising their integration into daily routines to contribute to overall well-being. By selecting the right practice or combination, expectant mothers can experience an overall better pregnancy.


Asunto(s)
Terapias Mente-Cuerpo , Humanos , Embarazo , Femenino , Terapias Mente-Cuerpo/métodos , Atención Prenatal/métodos , Yoga/psicología , Complicaciones del Embarazo/terapia , Complicaciones del Embarazo/psicología , Meditación/métodos , Meditación/psicología
18.
Psychoneuroendocrinology ; 167: 107110, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-38954979

RESUMEN

A Randomized Controlled Trial involving 158 Brazilian medical and nursing students assessed one of three conditions over an 8-week period: 1) a circuit training protocol (CTG); 2) a yoga protocol (YG); or 3) no intervention (CG). The objective was to evaluate the effectiveness of circuit training and yoga protocols in reducing perceived mental stress and examining their effects on serum cortisol levels, as well as on traditional cardiovascular risk factors (CRFs), during an academic semester. Mental stress was measured using self-reported stress questionnaires. For the CTG, comparisons of pre- vs. post-intervention data indicated a reduction in self-reported stress levels on a Brazilian scale (p < 0.001) and an international scale (p < 0.05). Regarding CRFs, there was a reduction in waist circumference (WC) (p < 0.05), systolic blood pressure (SBP) (p < 0.05), and heart rate (HR) (p < 0.001). No changes were observed in diastolic blood pressure (DBP) (p = 0.211) and serum cortisol (SC) (p = 0.423). In the YG, pre- vs. post-intervention data indicated a reduction in self-reported stress levels on the ISSL (p < 0.001), in both resistance and exhaustion stress levels on the PSS scale (p < 0.001), and in SC levels (p < 0.001), WC (p < 0.05), and SBP (p < 0.05); however, HR and DBP did not change (p = 0.168 and p = 0.07, respectively) in this group. No changes were noted in any measures in the CG. The intervention protocols demonstrated that both CTG and YG can positively impact mental or biochemical stress responses, as well as CRFs.


Asunto(s)
Biomarcadores , Presión Sanguínea , Frecuencia Cardíaca , Hidrocortisona , Estrés Psicológico , Estudiantes de Medicina , Estudiantes de Enfermería , Yoga , Humanos , Estrés Psicológico/terapia , Estrés Psicológico/psicología , Estrés Psicológico/metabolismo , Brasil , Femenino , Masculino , Hidrocortisona/sangre , Estudiantes de Medicina/psicología , Yoga/psicología , Estudiantes de Enfermería/psicología , Adulto , Adulto Joven , Frecuencia Cardíaca/fisiología , Presión Sanguínea/fisiología , Biomarcadores/sangre , Enfermedades Cardiovasculares/psicología
19.
Artículo en Inglés | MEDLINE | ID: mdl-39063461

RESUMEN

BACKGROUND: Contemplative pedagogy, specifically yoga, introduced into the higher education curriculum has the potential to develop and entrain intellectual, emotional, and social development in relation to mental health among university students studying for medical and nursing degrees. The objective of the study is to determine the extent of the current literature on the prevalence of yoga as a contemplative practice that contributes to student well-being and self-knowledge in the first-year transition from high school to university. METHODS: As part of the scoping review, CINAHL, EBSCO, Medline, Emerald, Eric, and PsycINFO were searched to identify the prevalence and connection of mind-body courses to student well-being between 2011 and 2022. Screening and selection of studies were based on eligibility criteria and methodological quality assessment. Colaizzi's method of data analysis enabled the phenomena of interest to be examined and follows the PRISMA for Scoping Reviews (PRISMA-ScR) checklist. RESULTS: Seventeen studies were included with two themes emerging, which include physical practices and training and barriers to success. CONCLUSION: Yoga is a practice that supports undergraduate students in managing their stressful lives. Due to the experiential nature of yoga the participatory reflective processes established within the physicality of the students provided a framework to cope with the stress and challenges of higher education.


Asunto(s)
Estudiantes , Yoga , Yoga/psicología , Humanos , Estudiantes/psicología , Universidades , Adulto Joven , Adolescente
20.
Sci Rep ; 14(1): 14987, 2024 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-38951149

RESUMEN

Meditation, yoga, guided imagery, and progressive relaxation are promoted as complementary approaches for health and wellbeing in the United States, but their uptake by different sociodemographic groups is unclear. This study assessed the prevalence and 20 year trends in the use of these practices in US adults between 2002-2022. We examined practice use and associations with sociodemographic and health factors in a population-weighted analysis of n = 134,959 participants across 5 cycles of the National Health Interview Survey. The overall use of meditation (18.3%, 60.53 million), yoga (16.8%, 55.78 million) and guided imagery/progressive relaxation (6.7%, 22.22 million) increased significantly from 2002 to 2022. Growth was consistent across most sociodemographic and health strata, however users of 'Other' race (comprising 54% Indigenous Americans, Odds Ratios; ORs = 1.28-1.70) and users with moderate (ORs = 1.19-1.29) psychological distress were overrepresented across all practices, and those with severe psychological distress were overrepresented in meditation (OR = 1.33) and guided imagery/progressive relaxation (OR = 1.42). Meditation use has accelerated over time for 65 + year olds (OR = 4.22), people not accessing mental health care (OR = 1.39), and less educated (OR = 4.02) groups, potentially reflecting unmet health needs. Health professionals should consider the extensive use of complementary practices in service and treatment planning and consider their risks and benefits.


Asunto(s)
Meditación , Yoga , Humanos , Yoga/psicología , Masculino , Femenino , Adulto , Estados Unidos/epidemiología , Persona de Mediana Edad , Prevalencia , Anciano , Adulto Joven , Adolescente , Terapia por Relajación/métodos , Imágenes en Psicoterapia
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