Prevalence of Non-communicable Diseases (NCDs) are on the increase and there is an urgent need for novel and effective treatment modalities in the management of NCDs. Objective of the current study is to understand the success of one such 'novel' Yoga and Naturopathy based 'Lifestyle clinic' model, executed at various government rural and urban settings in Tamil Nadu, South India. The patient trends and health conditions with which they had visited these Yoga and Naturopathy centers are presented in this article. Method: We retrospectively analyzed the data abstracted from various government Yoga & Naturopathy centers/ Lifestyle clinics in Tamil Nadu, which includes the total number of outpatients, name and frequency of diseases diagnosed and treatments offered. Results: Total number of outpatients who had approached the centers/Lifestyle clinics between the period of 2015 and 2018 was 8,914,820. There was a positive increase in the trend of the number of patients who visited various Yoga and Naturopathy centers on a year-on-year basis since 2015. Of the patients identified, most patients visited the rural centers-National Rural Health Mission (NRHM) (44%). Patients who had visited other centers like District Headquarters Hospital (DHQHpl) and Medical College Hospitals (MCH) were 31% and 25% respectively. Conclusion: Our study suggests that the Yoga and Naturopathy based 'Lifestyle clinic model' is successful in the community and there is a positive increase in trend among patients for utilizing these government centers. Further analysis of the characteristics of patients getting treated would help future researchers to implement stronger clinical evidence and its implementation on a larger scale.

Background Coronavirus disease 2019 (COVID-19) infection has caused a prominent psychological and mental havoc among the patients. Till now, there is paucity in literature for the management of psychological problems among patients with Covid-19. So we aimed in our study to assess the effect of Yoga and Naturopathy intervention on anxiety and depression of Covid-19 patients. Methods This quasi experimental study was conducted among 130 Covid-19 positive patients admitted in a tertiary care hospital. Yoga and Naturopathic intervention was given for 60 min a day for two weeks. Hospital anxiety depression scale (HADS) and Corona anxiety scale (CAS) was used to assess the generalized anxiety and depression among the patients. Results Average age of the patients participated was 44 with the range from 36 to 53 years. Among them 85 were male and 45 were female. Of all 130 patients, 33% had symptoms of borderline depression, 9.2% had severe depression, 40% had borderline anxiety and 12.3% had severe anxiety. In CAS, 59 patients (45.38%) reported Covid-19 related dysfunctional anxiety. All the patients showed a significant reduction in the HADS- anxiety (P < 0.01), HADS-depression (p < 0.01) and CAS (p < 0.01) score after the intervention. Conclusion The present study showed significant reduction of anxiety and depression level among the Covid-19 patients. These interventions can be added to the conventional care for better mental and physical wellbeing of the patients after validating the findings with justified study design.

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