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The effects of yoga compared to active and inactive controls on physical function and health related quality of life in older adults- systematic review and meta-analysis of randomised controlled trials.

The international journal of behavioral nutrition and physical activity
January 1, 1970
Divya Sivaramakrishnan et al. (7 authors)
Journal ArticleMeta-AnalysisResearch Support, Non-U.S. Gov'tSystematic ReviewHuman Study
Study Details

Study Goal

The researchers compared the effects of yoga with active controls (including walking) on physical function and health-related quality of life in older adults.

Results Summary

Yoga showed significant improvements in lower limb strength and flexibility compared to active controls like walking, but walking was not directly evaluated for efficacy in isolation.

Population

Older adults with a mean age of 60+ years, not recruited based on any specific clinical condition.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
yoga
increase
balance
older adults not characterised by any specific clinical condition
effect size (ES) = 0.7
significant effects favouring the yoga group
#1
yoga
increase
lower body flexibility
older adults not characterised by any specific clinical condition
effect size (ES) = 0.5
significant effects favouring the yoga group
#2
yoga
increase
lower limb strength
older adults not characterised by any specific clinical condition
effect size (ES) = 0.45
significant effects favouring the yoga group
#3
yoga
increase
lower limb strength
older adults not characterised by any specific clinical condition
effect size (ES) = 0.49
significant effects favouring the yoga group
#4
yoga
increase
lower body flexibility
older adults not characterised by any specific clinical condition
effect size (ES) = 0.28
significant effects favouring the yoga group
#5
yoga
decrease
depression
older adults not characterised by any specific clinical condition
effect size (ES) = 0.64
significant effects favouring yoga
#6
yoga
increase
perceived mental health
older adults not characterised by any specific clinical condition
effect size (ES) = 0.6
significant effects favouring yoga
#7
yoga
increase
perceived physical health
older adults not characterised by any specific clinical condition
effect size (ES) = 0.61
significant effects favouring yoga
#8
yoga
increase
sleep quality
older adults not characterised by any specific clinical condition
effect size (ES) = 0.65
significant effects favouring yoga
#9
yoga
increase
vitality
older adults not characterised by any specific clinical condition
effect size (ES) = 0.31
significant effects favouring yoga
#10
yoga
decrease
depression
older adults not characterised by any specific clinical condition
effect size (ES) = 0.54
significant effects favouring yoga
#11
Abstract

BACKGROUND: Yoga has been recommended as a muscle strengthening and balance activity in national and global physical activity guidelines. However, the evidence base establishing the effectiveness of yoga in improving physical function and health related quality of life (HRQoL) in an older adult population not recruited on the basis of any specific disease or condition, has not been systematically reviewed. The objective of this study was to synthesise existing evidence on the effects of yoga on physical function and HRQoL in older adults not characterised by any specific clinical condition. METHODS: The following databases were systematically searched in September 2017: MEDLINE, PsycInfo, CINAHL Plus, Scopus, Web of Science, Cochrane Library, EMBASE, SPORTDiscus, AMED and ProQuest Dissertations & Theses Global. Study inclusion criteria: Older adult participants with mean age of 60 years and above, not recruited on the basis of any specific disease or condition; yoga intervention compared with inactive controls (example: wait-list control, education booklets) or active controls (example: walking, chair aerobics); physical function and HRQoL outcomes; and randomised/cluster randomised controlled trials published in English. A vote counting analysis and meta-analysis with standardised effect sizes (Hedges' g) computed using random effects models were conducted. RESULTS: A total of 27 records from 22 RCTs were included (17 RCTs assessed physical function and 20 assessed HRQoL). The meta-analysis revealed significant effects (5% level of significance) favouring the yoga group for the following physical function outcomes compared with inactive controls: balance (effect size (ES) = 0.7), lower body flexibility (ES = 0.5), lower limb strength (ES = 0.45); compared with active controls: lower limb strength (ES = 0.49), lower body flexibility (ES = 0.28). For HRQoL, significant effects favouring yoga were found compared to inactive controls for: depression (ES = 0.64), perceived mental health (ES = 0.6), perceived physical health (ES = 0.61), sleep quality (ES = 0.65), and vitality (ES = 0.31); compared to active controls: depression (ES = 0.54). CONCLUSION: This review is the first to compare the effects of yoga with active and inactive controls in older adults not characterised by a specific clinical condition. Results indicate that yoga interventions improve multiple physical function and HRQoL outcomes in this population compared to both control conditions. This study provides robust evidence for promoting yoga in physical activity guidelines for older adults as a multimodal activity that improves aspects of fitness like strength, balance and flexibility, as well as mental wellbeing. TRIAL REGISTRATION: PROSPERO registration number: CRD42016038052 .

Medical Subject Headings (MeSH)
AgedDepressionExerciseHumansMiddle AgedQuality of LifeRandomized Controlled Trials as TopicYoga
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality85/10
Citation Metrics
Total Citations104
Citations/Year17.3
Relative Citation Ratio9.05
NIH Percentile97.4%
Research Impact Scores
APT Score0.95
Weight Score2.03
Normalized Score0.63
Related Supplements
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