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Background: Previous studies of nostril-regulated yoga breathing have focused on unilateral breathing with both inspiration and expiration through a specified nostril. However, traditionally described yoga breathing involves inspiration through one nostril and expiration through the other, called suryabhedan pranayama (SBP) (right nostril inspiration) and chandrabhedan pranayama (CBP) (left nostril inspiration). The effects of these practices were investigated here. Methods: Forty-seven healthy male participants (group mean age ± standard deviation [SD]; 26.34 ± 6.38 years) with prior experience of yoga breathing (group mean age ± SD; 43.64 ± 32.84 months) were randomly assigned to four sessions on separate days: (i) SBP, (ii) CBP, (iii) Breath awareness, and (iv) Quiet rest. The heart rate variability (HRV) and breath rate were recorded pre, during, and post each practice. Results: There was a significant increase in low frequency (LF) power and SD of NN intervals during SBP and CBP in comparison to the respective preceding (P < 0.05; repeated measures analyses of variance with Bonferroni adjusted post hoc analysis), while LF increased post-CBP alone. During both interventions, there were significant reductions in respiration rate. Conclusion: The changes in HRV suggest common rather than distinct changes in SBP and CBP suggestive of respiration-related increased cardiac parasympathetic activity. The involvement of both nostrils in SBP and CBP may have contributed to the comparable effects of the two practices. [ABSTRACT FROM AUTHOR]

Background: Previously, yoga breathing improved mood states and attention but the effect of varying breath frequency on mood and attention was not clear. Objectives: The objective of this study was to determine the effects of changes in breath frequency on attention, mood, vigor, and affect states. Materials and Methods: Thirty participants (mean age ± standard deviation, 27.3 ± 4.2 years) were assessed on 2 separate days practicing either high-frequency yoga breathing (HFYB, breath frequency 54.23/min) or bumblebee yoga breathing (BBYB, breath frequency 3.97/min) in random order. Assessments included blood pressure (BP), cancellation test scores, Nijmegen (to check for hyperventilation), respiration (rate, height of the breath wave [depth], and duration of inhalation relative to exhalation), mood states, vigor, and affect states. Results: Diastolic BP increased after HFYB, whereas systolic BP decreased after BBYB, after both sessions scores in a cancellation test increased (changes in cancellation test performance suggest alertness and test-directed attention), also global vigor (signifying mental energy) and global affect (related to being "happy" and "calm") scores increased, whereas negative mood decreased after HFYB session (P < 0.05, Wilcoxon signed-rank test). Conclusion: Both HFYB and BBYB increased attention test scores, possibly due to cortical activation (HFYB) or relaxation (BBYB). In HFYB, breath frequency and inspiration duration increased suggestive of increased sympathetic activity, accounting for increased vigor, positive affect, and diastolic BP. In contrast in BBYB, low breath frequency, higher breath amplitude, and prolonged expiration suggestive of parasympathetic activity may account for the decreased systolic BP after BBYB. [ABSTRACT FROM AUTHOR]

Background: Yoga breathing influences cortical activity and, hence, cortico-efferent sensory activity. Previously, slow yoga breathing influenced the components of mid-latency auditory evoked potentials. Objective: The present study aimed to compare middle latency auditory evoked potentials (MLAEPs) recorded during (i) High-frequency yoga breathing (HFYB), (ii) Breath awareness (BAW), and (iii) Quiet rest (QR) as a control in experienced yoga practitioners. Materials and Methods: The MLAEPs were recorded before, during, and after the practice of HFYB compared to an equal duration of BAW and QR in 22 university students whose ages ranged from 18 to 28 years, recorded from the vertex referenced to linked earlobes and the ground electrode on forehead. Results: The peak amplitude of the Pa wave was significantly increased during HFYB compared to before HFYB (repeated measures ANOVA, post hoc analysis with least significant difference, P < 0.05). During BAW, the peak amplitude of the Na wave was significantly increased compared to before BAW (P < 0.05). During QR, the peak latency of "Pa" and "Nb" waves was significantly increased compared to before QR (P < 0.01). Conclusions: The findings suggest that changes in MLAEPs during HFYB, BAW, and QR were different and distinct. Both interventional sessions appear to increase the recruitment of neural resources in the primary auditory cortex, whereas QR appears to slow transmission within the thalamic reticular projection to the cortex. Generalizing the findings is restricted by the sample being confined to male experienced practitioners of yoga breathing. [ABSTRACT FROM AUTHOR]

An association between expectations of treatment and treatment outcome has been reported for conventional medical and surgical treatments. However, this association has not been described for yoga therapy. The present study recruited patients (154 males and 145 females, n = 299; age 48.8 ± 14.7 years) who had been admitted to a residential wellness center, most commonly with diseases of the musculoskeletal system or connective tissue; endocrine, nutritional, or metabolic diseases; and digestive system disorders (all based on ICD-11). Assessments included: (1) expectations of yoga and associated therapies at baseline using two questionnaires (Treatment Expectation Questionnaire and Expectation for Treatment Scale); and (2) treatment outcome at baseline and after 7 days of yoga and associated therapies using the Physical Health Questionnaire and Global Perceived Effect scale. The intervention included yoga and additional therapies (e.g., hydrotherapy and ayurveda for approximately 40% of the time). Multivariable regression analyses (controlled for variation due to age, gender, education, and baseline Physical Health Questionnaire scores) demonstrated that expectations of (1) positive outcomes of all aspects of treatment significantly predicted better overall perceived effect of treatment; (2) symptom resolution (positive expectations) significantly predicted higher total Physical Health Questionnaire scores, with better digestion; and (3) low adverse outcomes significantly predicted better sleep. The findings support the premise that higher positive expectations and lower negative expectations of yoga therapy predict better treatment outcomes. These findings suggest that people should be well-informed about the reported benefits and the less-frequent negative outcomes of yoga therapy so that their expectations may be positive yet realistic, optimally influencing treatment outcomes. [ABSTRACT FROM AUTHOR]

Introduction: University students' motivators and preferences for yoga as their course of study can influence their future as yoga instructors and therapists. Materials and Methods: Six hundred and thirty-six students of both genders (251:385, male: female) from four North Indian universities offering graduate and postgraduate courses in yoga were the respondents to a convenience sampling survey about their preferences and motivators. Results: The three most common reasons why students chose to study yoga were (i) "I can help many people through knowledge of yoga" (32.2%), (ii) "I will become a better person by studying yoga" (21.9%), and (iii) "I find yoga interesting" (18.9%). After completion of the course, most students wished (i) "to study another course in yoga" (28.8%), (ii) "to work in yoga and education in a university" (17.5%), and (iii) "to work in yoga and research" (14.3%). Students appreciated positive effects which they attributed to yoga (e.g. good health, feeling peaceful, and positive behavior changes). Conclusion: Students did not like regulations such as early wakening and dietary restrictions. The available information about the scope, benefits, safety considerations, and requirements of yoga can help student aspirants make an informed choice about their future careers. Students of yoga can be further motivated by evidence informed interactive sessions. [ABSTRACT FROM AUTHOR]

Objectives: Previously, yoga volitional breathing with low inspiration to expiration ratios (i/e) (as in bhramari pranayama) improved cognition and reduced state anxiety. This study compared the effects of low, high and equal i/e ratio breathing on affect and attention. Material and Methods: Affect, vigor and attention were assessed in forty healthy participants (group mean age± SD; 22.58±3.83; M:F= 2.33:1) while breathing with three different i/e regulated by a visual metronome on separate days viz., (i) low i/e (28:72), (ii) equal i/e (50:50), (iii) high i/e (72:28) compared to control, without conscious breath modification. Assessments were: (i) brief mood introspection scale (BMIS), (ii) global vigor and affect scale (GVAS), (iii) Spielberger's state trait anxiety inventory-state (STAI-S) and a six letter cancellation test to assess sustained attention. Data were analyzed with repeated measures analysis of variance with Bonferroni adjusted post-hoc tests. Results: Pleasant feelings increased after low and equal i/e. Low i/e also increased positive feelings whereas equal i/e decreased scores in the cancellation test for sustained attention. All three breathing practices and the control session decreased state anxiety and increased vigor. High i/e breathing alone did not decrease negative feelings. For all the breath ratios the breath frequency cue was set at twelve breaths per minute. Conclusion: In summary, varying breath phase ratios influenced positive and pleasant feelings but did not influence state anxiety or vigor. Understanding the mechanisms underlying the findings would be improved with concurrent physiological assessments. [ABSTRACT FROM AUTHOR]

Context: Practicing mental repetition of "OM" has been shown to cause significant changes in the middle latency auditory-evoked potentials, which suggests that it facilitates the neural activity at the mesencephalic or diencephalic levels. Aims: The aim of the study was to study the brainstem auditory-evoked potentials (BAEP) in two meditation states based on consciousness, viz. dharana, and dhyana. Materials and Methods: Thirty subjects were selected, with ages ranging from 20 to 55 years (M=29.1; ±SD=6.5 years) who had a minimum of 6 months experience in meditating "OM". Each subject was assessed in four sessions, i.e. two meditation and two control sessions. The two control sessions were: (i) ekagrata, i.e. single-topic lecture on meditation and (ii) cancalata, i.e. non-targeted thinking. The two meditation sessions were: (i) dharana, i.e. focusing on the symbol "OM" and (ii) dhyana, i.e. effortless single-thought state "OM". All four sessions were recorded on four different days and consisted of three states, i.e. pre, during and post. Results: The present results showed that the wave V peak latency significantly increased in cancalata, ekagrata and dharana, but no change occurred during the dhyana session. Conclusions: These results suggested that information transmission along the auditory pathway is delayed during cancalata, ekagrata and dharana, but there is no change during dhyana. It may be said that auditory information transmission was delayed at the inferior collicular level as the wave V corresponds to the tectum.

Background: In Indian scriptures the sacred syllable Om is the primordial sound from which all other sounds and creation emerge which signifies the Supreme Power. Aims: To explore the significance of the syllable OM from ancient texts and effects of OM meditation in contemporary science. Descriptions from ancient texts: The descriptions of Om have been taken from four Upanisads (Mundaka, Mandukya, Svetasvatara, and Katha), the Bhagvad Gita, and Patanjali′s Yoga Sutras. Scientific studies on Om: Autonomic and respiratory studies suggest that there is a combination of mental alertness with physiological rest during the practice of Om meditation. Evoked potentials studies suggest a decrease in sensory transmission time at the level of the auditory association cortices, along with recruitment of more neurons at mesencephalic-diencephalic levels. Conclusion: It is considered that a person who realizes Om, merges with the Absolute. Scientific studies on Om suggest that the mental repetition of Om results in physiological alertness, and increased sensitivity to sensory transmission.

Background: An association has been reported between the dominant nostril through which we breathe and the cerebral hemisphere found to be active. Aims : To understand the association between the nostril dominant at rest and the performance in a cancellation task using verbal information-a left hemisphere task. Materials and Methods : Two hundred eighty-nine normal, healthy volunteers attending a one week nonresidential yoga camp were assessed in a single 30 minute period. Nostril dominance was assessed using a standard method. After this, participants were given the letter cancellation task and nostril dominance was again checked. For each participant, the numbers of letters that had been left out and wrongly cancelled as well as total errors were assessed. The Mann-Whitney u test and Chi-Square test were used to assess whether there was a significant difference in cancellation task performance between right and left nostril-dominant persons. Results : There was no statistically significant difference between right and left nostril-dominant participants. Conclusions : The present results do not support previous findings of contralateral cerebral hemisphere improvement with breathing through a specific nostril.

In conventional healthcare, patients’ preferences for their treatment are determined, though this practice has not been reported for yoga therapy. The present convenience sampling exploratory survey attempted to determine whether those seeking yoga therapy would report preferences for the way yoga therapy is implemented, the therapist’s knowledge, and related aspects of yoga therapy. Responses from 426 people attending a yoga therapy institution in India were analyzed. Based on the chi-square test (p < 0.05) and Cramer’s V (> 0.10), most people wished to receive yoga therapy in a group of others with a similar disease (42.25%), in a yoga institution (83.57%), and as in-person sessions (48.83%). Patients preferred yoga therapists to know about the principles of yoga (40.38%), to be well-informed generally (61.97%), and to be able to give suggestions for emotional well-being. For the majority of participants (59.4%), the reason for selecting yoga therapy was “a belief in yoga as therapy” (rather than as an add-on therapy or as a last resort). Patients’ expectations of yoga therapy were positive, namely a cure of disease (79.34%) and improvement after 1 year (95.8%). Most patients (91.6%) wanted their conventional medicine practitioner to know that they were receiving yoga therapy. Although limited by the study design, survey design, and participant details available, overall results suggest that patients (1) reported specific preferences (for the implementation of yoga therapy and for yoga therapists’ knowledge), (2) had expectations of yoga therapy, and (3) most often were interested in their conventional care physicians being informed about the yoga therapy they received. [ABSTRACT FROM AUTHOR]

Background: Previous surveys from countries other than India reported positive health behaviors in yoga practitioners. The present study aimed to determine with respect to yoga practitioners in India: (i) percentages of yoga practitioners who consumed specific foods, had additional physical activity and leisure activity, (ii) the association between these choices and their yoga practice, and (iii) the association of yoga with adding or avoiding specific foods and with meal timings in a day. Materials and Methods: This convenience hybrid‑mode sampling survey was conducted on 551 yoga‑experienced persons. Results: (1) Yoga practitioner respondents ate fruits and vegetables regularly (62.1%), did not consume animal source products (69.2%), alcohol (98.0%), or tobacco (98.4%), had a regular physical activity other than yoga (77.5%) and leisure activities (92.2%). (2) More than 150 min/week of yoga practice and experience of yoga exceeding 60 months was (a) significantly associated with (i) regular consumption of fruits and vegetables, (ii) lower consumption of sugar‑sweetened beverages, animal source foods, tobacco, and alcohol (P < 0.05, Chi‑square test) and (b) not associated with physical activity or leisure activities (P > 0.05, Chi‑square test). (3) Yoga practitioners excluded sugar‑sweetened beverages, animal‑source foods and fast foods from their diet, whereas they added fruits, vegetables, and plant‑based juices to their diet, with earlier first and last meals for the day. Conclusion: In India, yoga practitioner respondents’ choices for foods, physical activity, and leisure conform to accepted positive health behaviors. The exclusion of animal‑source foods emphasizes the need for well‑planned and fortified diets among vegan yoga practitioners. [ABSTRACT FROM AUTHOR]

Yoga techniques practiced for varying durations have been shown to reduce state anxiety. In this study, there were 300 naive-to-yoga persons of both sexes who were attending a yoga therapy center in north India for stress relief as day visitors and were not residing at the center. They were assigned to two groups, yoga practice and yoga theory, and their state anxiety was assessed before and after a 2-hr. yoga session. A significant reduction in scores on state anxiety was found in the yoga practice group (14.7% decrease), as well as in the yoga theory group (3.4% decrease). The difference in scores following the sessions was statistically significant. Hence, yoga practice as well as learning about theoretical aspects of yoga appear to reduce state anxiety, with a greater reduction following yoga practice. DOI: 10.2466/PMS.109.3.924-930

Performance in a six-letter cancellation task was studied in 35 male experienced meditators with experience ranging from 6 to 12 months. Each participant was studied in four sessions, two Meditation and two Control sessions. The Control sessions were (i) Cancalata or nontargeted thinking and (ii) Ekagrata or focusing on a single topic, in this case, meditation. The Meditation sessions were (i) Dharana or focusing on the symbol 'OM' and (ii) Dhyana or an effortless single-thought (of OM) state. Ekagrata and dharana differ in that the former involves focusing with multiple thoughts whereas the latter involves focusing with a single thought, i.e., the significance of OM. The net scores on the six-letter cancellation task were significantly higher after a session of Dharana and lower after the Cancalata session, while there was no significant change after Ekagrata and Dhyana sessions. Focusing on the symbol OM in Dharana may favorably influence selective attention, concentration, visual scanning abilities, and a repetitive motor response compared to other sessions. DOI: 10.2466/PMS.109.3.679-689

Previously cyclic meditation and supine rest have been shown to improve performance in a letter cancellation task requiring attention, visual scanning, and motor speed. The present study assessed the performance in 57 volunteers (all male, M age=26.5 yr., SD=4.6) in three tasks, viz., a digit-letter substitution task (DLST), a letter-copying task, and a circle-dotting task. The DLST assessed attention and speed of information processing, while the other 2 tests assessed motor speed. Each participant was assessed before and after three types of sessions: Cyclic Meditation, Supine Rest, and Control (no intervention). DLST scores and scores for letter-copying and circle-dotting tasks improved significantly after cyclic meditation; the same scores also improved after supine rest. There was no change after the no-intervention/Control session. From the results it was difficult to conclude whether improved DLST scores after cyclic meditation were due to better information processing speed or improved motor speed. DOI 10.2466/PMS.109.2.563-576

Bilateral hand-grip strength was studied in 21 male volunteers (M age = 25.6 yr., SD = 5.2). All were assessed before and after five practice sessions of 20 min. duration: right-nostril yoga breathing, left-nostril yoga breathing, alternate-nostril yoga breathing, breath awareness, and a no-intervention session. Data were analyzed with analyses of variance and an analysis of variance using the no-breath awareness control condition as a covariate. There were no significant changes. The left-hand-grip strength reduced after left-nostril yoga breathing. However, findings were not considered significant, so methodological issues in yoga research which could contribute to null findings and even mask actual changes were discussed.

The performance in a six-letter cancellation task was assessed with 69 male volunteers, ages 18 to 48 years, immediately before and after two yoga-based relaxation techniques and a control session of equal duration. The techniques were Cyclic Meditation and Supine Rest. Cyclic Meditation consists of alternating cycles of yoga postures and supine rest. After both practices, the net scores were significantly higher, although the magnitude of change was more after Cyclic Meditation than after Supine Rest (24.9% versus 13.6%). There was reduction in scores for wrong cancellations after Cyclic Meditation and not after Supine Rest. The control group showed no change. The results suggest that Cyclic Meditation brings about a greater improvement in performance in this task, which requires selective attention, concentration, visual scanning abilities, and a repetitive motor response.

Background: Addictive behavior can be effectively managed with yoga. This study compared smartphone use, self-rated sleep, and beliefs about well-being in university students who practiced yoga regularly with those who did not. Materials and Methods: One hundred and forty-two university students (average age ± standard deviation: 20.2 ± 2.2; male: female = 1:1) who practiced yoga (90 min a day, 6 days a week, and 29.7 months) were compared for smartphone excessive use, self-rated sleep, and beliefs about well-being, with an equal number of comparable age- and gender-distributed university students who did not practice yoga. Results: The yoga group had lower scores on the short version of the Smartphone Addiction Scale with fewer nocturnal episodes of checking their smartphone. The nonyoga group reported longer nocturnal sleep time compared to the yoga group, whereas there was no significant difference in the beliefs about well-being scores between the two groups. Conclusions: University students who practice yoga may be less likely to use a smartphone excessively as well as have uninterrupted sleep than students who do not practice yoga. [ABSTRACT FROM AUTHOR]

Male volunteers whose ages ranged from 20 to 46 years were studied in two sessions of yoga-based guided relaxation and supine rest. Assessments of autonomic variables were made for 15 subjects, before, during, and after the practices, whereas oxygen consumption and breath volume were recorded for 25 subjects before and after both types of relaxation. A significant decrease in oxygen consumption and increase in breath volume were recorded after guided relaxation (paired t test). There were comparable reductions in heart rate and skin conductance during both types of relaxation. During guided relaxation the power of the low frequency component of the heart-rate variability spectrum reduced, whereas the power of the high frequency component increased, suggesting reduced sympathetic activity. Also, subjects with a baseline ratio of LF/HF > 0.5 showed a significant decrease in the ratio after guided relaxation, while subjects with a ratio [less than or equal to] 0.5 at baseline showed no such change. The results suggest that sympathetic activity decreased after guided relaxation based on yoga, depending on the baseline levels.

Volitional yoga breathing techniques influence several physiological functions depending on the changes made in depth of breathing, relative duration of exhalation to inhalation, and breath frequency. The practice guidelines for three routinely practiced and researched yoga breathing practices (bhastrika pranayama [bellows breath], bhramari pranayama [bee breath], and kapalabhati pranayama [breath of fire]) were compared between the traditional written texts (i.e., Hatha Yoga Pradipika, Gheranda Samhita) and published research indexed in PubMed (a total of 73 studies; 25 on bhastrika pranayama, 17 on bhramari pranayama, and 31 on kapalabhati pranayama). We compared the specifications for posture, time of day, location, and duration of practice; frequency, depth, and holding (kumbhaka) of the breath; speed and/or force and right or left nostril use for inhalation and exhalation; duration of inhalation relative to exhalation; thoracic or diaphragmatic breathing (or comparable terms in the traditional texts); mental state; physiological locks (bandhas) ; and hand gestures (mudras). Differences between the practice guidelines in the traditional texts and published research with respect to the depth of b reathing (bhastrika pranayama), relative breath phase duration (bhramari pranayama), and breath frequency (kapalabhati pranayama) are presented despite the findings being restricted to published studies from a single bibliographic database. Differences in the way yoga breathing is practiced could influence the physiological effects obtained, and differences between methods reported in published studies could make it difficult to summarize the effects of yoga breathing practice across studies. [ABSTRACT FROM AUTHOR]

Aims: Breath frequency can alter cerebral blood flow. The study aimed to determine bilateral middle cerebral arterial hemodynamics in high-frequency yoga breathing (HFYB) and slow frequency alternate nostril yoga breathing (ANYB) using transcranial Doppler sonography. Methods: Healthy male volunteers were assessed in two separate trials before, during, and after HFYB (2.0 Hz for 1 min, n = 16) and ANYB (12 breaths per minute for 5 min, n = 22). HFYB and ANYB were separately compared to breath awareness (BAW) and to control sessions. Statistical Analysis: The data were analyzed using repeated-measures ANOVA with Bonferroni adjusted post hoc tests. Results: During HFYB there was a decrease in end-diastolic velocity (EDV) and mean flow velocity (MFV) (P < 0.01 for left and P < 0.05 for right middle cerebral arteries; MCA) with an increase in pulsatility index (PI) for the right MCA (P < 0.05). During ANYB, there was a bilateral decrease in peak systolic velocity (P < 0.05 for left and P < 0.01 for right MCA), EDV (P < 0.01) and MFV (P < 0.01 for left and P < 0.001 for right MCA) and an increase in PI (P < 0.01). During BAW of the two sessions there was a decrease in lateralized flow and end-diastolic velocities (P < 0.05) and an increase in PI (P < 0.05). Conclusions: Changes in peak flow velocities and pulsatility indices during and after HFYB, ANYB, and BAW suggest decreased cerebrovascular blood flow and increased flow resistance based on different mechanisms. [ABSTRACT FROM AUTHOR]

Background and Objective: Understanding the way nonexercisers view the benefits and barriers to physical exercise helps promote physical exercise. This study reports perceived benefits and negative outcomes of yoga perceived by yoga-naïve persons. Methods: The 2550 yoga-naïve respondents of both sexes (m:f = 2162:388; group mean age ± SD 23.5 ± 12.6 years) participated in a convenience sampling in-person survey conducted to determine the perceived benefits and negative outcomes of yoga. Results: Among 2550 respondents, 97.4% believed yoga practice had benefits. The three most common perceived benefits of yoga were improvement in (i) physical health (39.8%), (ii) cognitive functions (32.8%), and (iii) mental health (20.4%). Among the respondents, 1.4% believed that yoga had negative outcomes. The three most common perceived negative outcomes were (i) apprehension that wrong methods may be harmful (0.24%), (ii) apprehension that excessive practice may harm (0.24%), and (iii) laziness (0.12%). Conclusion: The most common perceived benefit of yoga practice was "improvement in physical health," with "apprehension that wrong or excessive practice could be harmful" as the most common perceived negative outcomes of yoga. [ABSTRACT FROM AUTHOR]