Is a yoga-based program with potential to decrease falls perceived to be acceptable to community-dwelling people older than 60?

Tiedemann, Anne; O'Rourke, Sandra; Sherrington, Catherine

doi:10.17061/phrp28011801

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…The present finding that pain modestly decreased from baseline to postintervention for the overall group parallels results from previous yoga and meditation-based research interventions in chronic pain populations 9,32,33. These studies have shown a modest effect on reducing pain and disability, pain catastrophizing and acceptance, as well as cortisol, proinflammatory cytokines, and endorphin levels 1,7–14,34–36…”

Section: Discussionsupporting

confidence: 85%

<p>Impact of daily yoga-based exercise on pain, catastrophizing, and sleep amongst individuals with fibromyalgia</p>

Lazaridou¹,

Koulouris²,

Devine³

et al. 2019

JPR

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BackgroundFibromyalgia (FM) is a chronic widespread pain disorder characterized by negative affect, sleep disturbance, and fatigue. This uncontrolled pilot study investigated the efficacy of daily yoga-based exercise to improve FM symptoms and explored baseline phenotypic characteristics associated with the greatest benefit.MethodsFM patients (n=46, with 36 completers) reported psychosocial functioning and a range of FM symptoms using validated instruments before and after participation in Satyananda yoga, which included weekly in-person pain-tailored group classes for 6 weeks and daily home yoga video practice.ResultsChanges in FM symptoms from pre- to post-yoga were variable amongst participants. Group means for pain decreased, as reported by average daily diary and Brief Pain Inventory, with greater home practice minutes associated with a greater decrease in pain. Average daily ratings of sleep and fatigue improved. Pain catastrophizing was decreased overall, with greater change correlated to a decrease in FM symptoms. We did not observe any group mean changes in actigraphy sleep efficiency, Patient-Reported Outcomes Measurement Information System-anxiety and the Revised Fibromyalgia Impact Questionnaire. Multilevel Modeling analysis revealed a significant interaction between anxiety and catastrophizing for end-study sleep efficiency, fatigue, and pain, such that patients with higher baseline catastrophizing and lower baseline anxiety reported less pain and fatigue, and higher sleep efficiency after the sixth week of yoga practice.ConclusionThis pilot study suggests that yoga may reduce pain and catastrophizing, as well as improve sleep, but these changes were modest across study participants. Greater uptake of home yoga practice as well as a phenotype of higher baseline catastrophizing combined with lower baseline anxiety were associated with greater impact. Future randomized, controlled trials comparing different types of yoga or exercise will allow determination of the most effective treatments for FM and allow closer targeting to the patients who will benefit most from them.

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Section: Discussionsupporting

confidence: 85%

<p>Impact of daily yoga-based exercise on pain, catastrophizing, and sleep amongst individuals with fibromyalgia</p>

Lazaridou¹,

Koulouris²,

Devine³

et al. 2019

JPR

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show abstract

“…Unsurprisingly, people enrolled in the SAGE trial because they regarded yoga as a suitable method for improving their health or balance (value expectancy) based on prior experiences of yoga or its “good PR”. Previous research has shown that older people tend to perceive yoga as beneficial [ 13 ], and an appropriate fall prevention strategy [ 12 ], but concerns about pain and exacerbating existing conditions are barriers [ 14 ], and many novices have little intention to try yoga [ 13 ]. In SAGE, willingness to try yoga was boosted by the trial offering free classes but the participant cohort who took up this offer may have been skewed as the trial implementers found it hard to recruit to the studio in the lowest socioeconomic area which also had a higher proportion of residents from non-English speaking backgrounds.…”

Section: Discussionmentioning

confidence: 99%

“…Yoga also promotes mindfulness which is associated with increased body awareness, agency and ownership [10]. Although there has been little research on the effect of yoga on falls [11], studies suggest that older people regard yoga as an acceptable and beneficial form of exercise, and an appropriate fall prevention strategy [12][13][14].…”

Section: Yoga As a Practise For Healthy Ageingmentioning

confidence: 99%

What helps older people persevere with yoga classes? A realist process evaluation of a COVID-19-affected yoga program for fall prevention

et al. 2022

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Background Falls among older people are a major global health concern. This process evaluation investigates the experience of participants aged 60+ in a yoga program aimed at preventing falls which transitioned from studio-based classes to online classes in response to COVID-19 restrictions. We sought to understand how the Successful AGEing (SAGE) yoga program functioned in both settings and as a hybrid program, and to explain why it worked well for most participants. Methods Realist process evaluation was used to explore the factors that facilitated a successful transition for most participants, and to consider why it did not work for a minority. This approach develops program theories that describe which mechanisms an intervention is (or is not) activating, and how this is mediated by context to generate process outcomes. Data included interviews with participants (n = 21) and yoga instructors (n = 3), self-report feedback forms (n = 46), observation of classes and routine process measures. Results Factors that facilitated a successful transition for most participants included the quality of yoga instruction, the program format and inherent characteristics of yoga. Gains in transitioning online included continuity and greater convenience. Losses included perceived reduction in the effectiveness of yoga instruction. There were greater challenges for people struggling with pain and in disadvantageous home environments. We identified six program theories configured around 16 mechanisms: 1. It’s worth the effort and 2. In expert hands (these had the same mechanisms: value expectancy, therapeutic alliance and achievement/mastery), 3. A communal experience (these mechanisms were shared experience, social connection, social comparison and peer checking), 4. Putting yoga within reach (accessibility, convenience, gratitude), 5. Building yoga habits (purposeful structure, momentum, accountability and continuity), and 6. Yoga’s special properties (embodiment and mindfulness). Conclusions This study showed that online delivery of a yoga program for people aged 60+ retained much of the value of a face-to-face program for the majority of participants, and increased the value for some. The structured, communal nature of an organised group program delivered by a skilled instructor, together with yoga’s intrinsic focus on mindfulness, facilitated continued engagement and perceived health benefits, despite the change in delivery mode.

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“…Yoga has become a popular means of promoting physical and mental wellbeing9 and is shown to improve health related quality of life in older people 10. Evidence from observational studies suggests it is an acceptable and attractive form of exercise among older people 111213. There are many different types of yoga, each of which places varying emphasis on physical, mental, and spiritual practices.…”

mentioning

confidence: 99%

Does yoga reduce the risk of falls in older people?

Tew

Ward

Hewitt

et al. 2020

BMJ

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Is a yoga-based program with potential to decrease falls perceived to be acceptable to community-dwelling people older than 60?

Cited by 12 publications

References 7 publications

<p>Impact of daily yoga-based exercise on pain, catastrophizing, and sleep amongst individuals with fibromyalgia</p>

<p>Impact of daily yoga-based exercise on pain, catastrophizing, and sleep amongst individuals with fibromyalgia</p>

What helps older people persevere with yoga classes? A realist process evaluation of a COVID-19-affected yoga program for fall prevention

Does yoga reduce the risk of falls in older people?

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