Randomised clinical trial: yoga vs written self‐care advice for ulcerative colitis

Cramer, Holger; Schäfer, Martin; Schöls, M.; Köcke, J.; Elsenbruch, Sigrid; Lauche, Romy; Engler, Harald; Dobos, Gustav; Langhorst, Jost

doi:10.1111/apt.14062

Cited by 108 publications

(56 citation statements)

References 43 publications

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“…We examined the remaining 11 articles for eligibility and excluded 3 of them, two because of being conference abstracts which were superseded by the full text articles and one because of not having the RCT design. The remaining 8 studies [34][35][36][37][38][39][40][41] were included in qualitative and quantitative analysis. Seven were full text articles and one was a conference abstract (Rowan 2017) which was assessed from the abstract content and by enlarging the reported graphs and then measuring and analysing the illustrated outcomes.…”

Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease

Ewais

Begun

Kenny

et al. 2019

Journal of Psychosomatic Research

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Background Mindfulness interventions are increasingly used as a part of integrated treatment in inflammatory bowel disease (IBD) but there are limited data and a lack of consensus regarding effectiveness. Objectives We explored the efficacy of mindfulness interventions compared to treatment as usual (TAU), or other psychotherapeutic interventions, in treating physical and psychosocial symptoms associated with IBD. Methods We conducted a systematic review and meta-analysis of relevant randomised controlled trials (RCTs). We included a broad range of mindfulness interventions including mindfulness-based interventions and yoga, with no restrictions on date of publication, participants' age, language or publication type. We searched the following electronic databases: MEDLINE, EMBASE, PsycINFO, CINAHL and WHO ICTRP database. We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines in conducting the review. Results We included eight studies in the meta-analysis. Mindfulness interventions showed a statistically significant effect on stress in both the short(SMD=-0.

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Section: Resultsmentioning

confidence: 99%

A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease

Ewais

Begun

Kenny

et al. 2019

Journal of Psychosomatic Research

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“…Consequently, patients often use complementary medicines. Recently, Cramer et al ( 85 ) assessed the efficacy and safety of yoga performed 90 min per week for 12 weeks for improving quality of life in UC patients in clinical remission. By comparison to the written self-care advice group (controls, n = 38), the yoga group ( n = 39) had significantly higher disease-specific quality of life at 12 and 24 weeks of follow-up and disease activity was lower at 24 weeks.…”

Section: How To Target the Vn For Anti-inflammatory Propertiesmentioning

confidence: 99%

The Vagus Nerve in the Neuro-Immune Axis: Implications in the Pathology of the Gastrointestinal Tract

Bonaz

Sinniger

Pellissier³

2017

Front. Immunol.

278

210

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The vagus nerve (VN) is the longest nerve of the organism and a major component of the parasympathetic nervous system which constitutes the autonomic nervous system (ANS), with the sympathetic nervous system. There is classically an equilibrium between the sympathetic and parasympathetic nervous systems which is responsible for the maintenance of homeostasis. An imbalance of the ANS is observed in various pathologic conditions. The VN, a mixed nerve with 4/5 afferent and 1/5 efferent fibers, is a key component of the neuro-immune and brain-gut axes through a bidirectional communication between the brain and the gastrointestinal (GI) tract. A dual anti-inflammatory role of the VN is observed using either vagal afferents, targeting the hypothalamic–pituitary–adrenal axis, or vagal efferents, targeting the cholinergic anti-inflammatory pathway. The sympathetic nervous system and the VN act in synergy, through the splenic nerve, to inhibit the release of tumor necrosis factor-alpha (TNFα) by macrophages of the peripheral tissues and the spleen. Because of its anti-inflammatory effect, the VN is a therapeutic target in the treatment of chronic inflammatory disorders where TNFα is a key component. In this review, we will focus on the anti-inflammatory role of the VN in inflammatory bowel diseases (IBD). The anti-inflammatory properties of the VN could be targeted pharmacologically, with enteral nutrition, by VN stimulation (VNS), with complementary medicines or by physical exercise. VNS is one of the alternative treatments for drug resistant epilepsy and depression and one might think that VNS could be used as a non-drug therapy to treat inflammatory disorders of the GI tract, such as IBD, irritable bowel syndrome, and postoperative ileus, which are all characterized by a blunted autonomic balance with a decreased vagal tone.

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“…In der nun erfolgten Leitlinienaktualisierung hat der Stellenwert komplementärmedizinischer Behandlungsverfahren weiter zugenommen. Neue hochwertige kontrolliert-randomisierte Studien ermöglichten die Ergänzung der bereits vorhandenen Empfehlungen um weitere komplementärmedizinische Therapieverfahren [3,4,5]: Yoga (Empfehlung 6.2.6) und ein pflanzliches Kombinationspräparat aus Myrrhe, Kamillenblütenextrakt und Kaffeekohle (Empfehlung 6.2.10) - für das es in Deutschland ein zugelassenes traditionelles Arzneimittel gibt - können nun leitlinienkonform komplementär in der Behandlung eingesetzt werden. Innerhalb des Unterkapitels «Mind-Body Verfahren» wird weiterhin auch die Lebensstilmodifikation thematisiert - ein besonders vielversprechender Therapieansatz, da er eine Vielzahl von Ansätzen aus der Komplementärmedizin enthält.…”

Section: Tableunclassified

Komplementäre Therapieverfahren in der aktualisierten AWMF-S3-Leitlinie «Diagnostik und Therapie der Colitis ulcerosa»: Der Stellenwert von Therapieansätzen aus dem komplementären Bereich nimmt weiter zu

Koch¹,

Cramer²,

Klose³

et al. 2018

Complement Med Res

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Randomised clinical trial: yoga vs written self‐care advice for ulcerative colitis

Abstract: ClinicalTrials.gov identifier: NCT02043600.

Cited by 108 publications

References 43 publications

A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease

A systematic review and meta-analysis of mindfulness based interventions and yoga in inflammatory bowel disease

The Vagus Nerve in the Neuro-Immune Axis: Implications in the Pathology of the Gastrointestinal Tract

Komplementäre Therapieverfahren in der aktualisierten AWMF-S3-Leitlinie «Diagnostik und Therapie der Colitis ulcerosa»: Der Stellenwert von Therapieansätzen aus dem komplementären Bereich nimmt weiter zu

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