Effect of yoga on the quality of life of patients with rheumatic diseases: Systematic review with meta-analysis

Casagrande, Pedro de Orleans; Coimbra, Danilo Reis; Vilarino, Guilherme Torres; Andreato, Leonardo Vidal; Andrade, Alexandro

doi:10.1016/j.ctim.2019.07.006

Cited by 26 publications

(14 citation statements)

References 59 publications

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“…Existing reviews of yoga for back pain similarly reported a lack of evidence for significant quality of life effects (Wieland et al., 2017; Cramer et al., 2013). Yet these findings are not reflected in other research using slightly different populations, including older but without musculoskeletal conditions (Patel, Newstead & Ferrer, 2012; Sivaramakrishnan et al., 2019), or those with chronic conditions but not recruited by age (Sieczkowska et al., 2019; Telles et al., 2019). Depending on the population of study, the assessment of exercise interventions that have nuanced psycho‐social outcomes could be limited by solely using quantitative outcomes, and more phenomenological studies may be needed.…”

Section: Discussionmentioning

confidence: 68%

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A systematic review of the effectiveness of yoga on pain, physical function, and quality of life in older adults with chronic musculoskeletal conditions

Denham-Jones

Gaskell

Spence

et al. 2021

Musculoskeletal Care

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Objectives Exercise interventions suitable for older adults can help to slow and manage age‐related conditions. This systematic review looks at age‐related musculoskeletal conditions in a population with a mean age over 50 years, evaluating the effectiveness of yoga for pain, physical function, and quality of life. Methods CENTRAL,CINAHL, Pubmed, PsycInfo, SCOPUS, Sports Discus, Web of Science Core Collection, and Google Scholar were searched. Study selection and quality screening using the Cochrane risk of bias tool were conducted by two reviewers to mitigate bias. PRISMA guidelines were followed in conducting and reporting the review. Results 11 studies met inclusion criteria with a total sample of 2221 (≥70% female). Eight studies measured pain, six showing significant effectiveness (p=≤0.05), for lower limb osteoarthritis (OA), hand OA, and neck pain. Nine studies measured physical function, four showing significant effects, for lower limb OA and sarcopenia. Significant quality of life effects were found for restless leg syndrome compared to baseline. Conclusion Moderate evidence was found for pain effects, generalisable for OA based on sub‐group analysis. Effective trials were mostly short‐term using at minimum one 60‐min group class, and an average of four 30‐min home practice sessions weekly. Findings support the use of props and modifications to address age‐related physical limitations. Yoga was well‐received with good adherence, but effects on a par with other exercise. There was an absence of quality of life effects in short term. Mixed methods studies could lead to further insight into the qualitative aspects of yoga practice for older adults.

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Section: Discussionmentioning

confidence: 68%

“…One systematic review was retrieved on the effect of yoga on the quality of life of patients with rheumatic diseases, without an age criterium, finding evidence that yoga may be effective in improving functional capacity, physical, emotional, and general health, and social aspects of quality of life (Sieczkowska et al., 2019).…”

Section: Introductionmentioning

confidence: 99%

A systematic review of the effectiveness of yoga on pain, physical function, and quality of life in older adults with chronic musculoskeletal conditions

Denham-Jones

Gaskell

Spence

et al. 2021

Musculoskeletal Care

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“…These instruments are well-established scales shown to be sensitive to short term mind body and other behavioral interventions, and validated in a wide range of populations, including older adults with memory loss [2,38,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58].…”

Section: Outcome Assessmentsmentioning

confidence: 99%

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial

Innes

Montgomery

Selfe

et al. 2021

ADR

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Background: Recent studies suggest meditation and music listening (ML) may improve cognitive and psychosocial outcomes in adults with subjective cognitive decline (SCD). However, lack of a usual care group has limited conclusions. Objective: To assess the: 1) feasibility of incorporating an enhanced usual care (EUC) comparator in a trial of Kirtan Kriya meditation (KK) and ML for adults experiencing SCD; and 2) preliminary effects of active treatment (KK/ML) versus an EUC program. Methods: Forty participants with SCD were randomized 1:1:2 to a 12-week KK, ML, or EUC program. KK and ML participants were asked to practice 12 minutes/day; EUC participants were given a comprehensive educational packet regarding healthy aging and strategies for improving/maintaining brain health and asked to record any activities or strategies used. Feasibility was assessed using measures of retention, adherence, treatment expectancies, and participant satisfaction, as well as information from exit questionnaires and daily practice/activity logs. Cognitive functioning, stress, mood, sleep-quality, and health-related quality of life (QOL) were measured pre- and post-intervention using well-validated instruments. Results: Thirty-two participants (80%) completed the 3-month study, with retention highest in the EUC group (p < 0.05). Active treatment participants averaged 6.0±0.4 practice sessions/week, and EUC participants, 7.5±0.6 brain health activities/week. Treatment expectancies were similar across groups. EUC participants indicated high satisfaction with the program and study. Despite limited study power, the active treatment group showed significantly greater gains in subjective memory functioning (ps≤0.025) and nonsignificant improvements in cognitive performance (TMT-B), perceived stress, QOL, and mood (ps≤0.08) compared to the EUC group. Conclusion: Findings of this pilot feasibility trial suggest incorporation of an EUC program is feasible, and that participation in a simple 12-week relaxation program may be helpful for adults with SCD versus engagement in an EUC program.

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“…Cramer et al 35 conducted the first systematic review that analyzed randomized controlled studies that investigated yoga in patients with rheumatic diseases, and the results showed the existence of only eight studies. However, this systematic review had methodological limitations that may have been reflected in the low number of studies found.…”

Section: Introductionmentioning

confidence: 99%

Effects of yoga on depressive symptoms, anxiety, sleep quality, and mood in patients with rheumatic diseases: Systematic review and meta‐analysis

Casagrande

Coimbra

Souza

et al. 2022

PM&R

Self Cite

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Objective: To investigate the effects of yoga on depressive symptoms, anxiety, sleep quality, and mood of patients with rheumatic diseases through a systematic literature review with meta-analysis. Literature Survey: This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement and the Cochrane recommendations and risk of bias tool. The study was registered in the International Prospective Register of Systematic Reviews (PROSPERO). Studies were selected using the PICOS (participants, intervention, comparison, outcome, and study) strategy. Searches were carried out until March 2022 and performed in Web of Science, PubMed, SportDiscus, Scopus, Cochrane, and EBSCO databases. Methodology: Data were extracted to identify the differences between yoga and control and exercise groups and effect sizes. Synthesis: In total, 27 studies were included for qualitative analysis and 18 for meta-analysis. The studies found investigated yoga in patients with osteoarthritis, fibromyalgia, rheumatoid arthritis, and chronic fatigue syndrome. Regarding the risk of bias, the majority of studies showed a high risk or uncertain risk of bias in several criteria. Regarding the meta-analysis, yoga was favored to decrease depressive symptoms (standard mean difference [SMD]:À0.88; 95% confidence interval [CI]:À1.42; À0.34), anxiety (SMD: À0.51; 95% CI = À0.81 to À0.20), and improve sleep quality SMD = À0.96; 95% CI = À1.36 to À0.56). No differences were found between yoga and other exercise modalities in depression (p < .01). Conclusions: Yoga is effective in improving depression, anxiety, and sleep quality of patients with rheumatic diseases. However, research in this field still needs further studies, because of methodological issues in the studies and a reduced number of studies conducted on each rheumatic disease and on the effects of yoga on each variable.

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Effect of yoga on the quality of life of patients with rheumatic diseases: Systematic review with meta-analysis

Cited by 26 publications

References 59 publications

A systematic review of the effectiveness of yoga on pain, physical function, and quality of life in older adults with chronic musculoskeletal conditions

A systematic review of the effectiveness of yoga on pain, physical function, and quality of life in older adults with chronic musculoskeletal conditions

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial

Effects of yoga on depressive symptoms, anxiety, sleep quality, and mood in patients with rheumatic diseases: Systematic review and meta‐analysis

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