Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial
Objectives: To explore the feasibility and effectiveness of a yoga program in improving health-related quality of life (HQOL), physical and psychological functioning in rheumatoid arthritis (RA) patients. Design: Single-centre parallel-arms randomized controlled trial comparing yoga (n = 30) and edu...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-03-01
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| Series: | Complementary Therapies in Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0965229920319063 |
| _version_ | 1819005154846834688 |
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| author | Silva Pukšić Joško Mitrović Melanie-Ivana Čulo Marcela Živković Biserka Orehovec Dubravka Bobek Jadranka Morović-Vergles |
| author_facet | Silva Pukšić Joško Mitrović Melanie-Ivana Čulo Marcela Živković Biserka Orehovec Dubravka Bobek Jadranka Morović-Vergles |
| author_sort | Silva Pukšić |
| collection | DOAJ |
| description | Objectives: To explore the feasibility and effectiveness of a yoga program in improving health-related quality of life (HQOL), physical and psychological functioning in rheumatoid arthritis (RA) patients. Design: Single-centre parallel-arms randomized controlled trial comparing yoga (n = 30) and education control group (n = 27). Setting: Tertiary care University hospital. Intervention: A 12-week yoga program, based on the Yoga in Daily Life system, included 2x weekly/90-minute sessions. The control group had 1xweekly/60-minute educational lectures on arthritis-related topics. Main outcome measures: Assessments were performed at baseline, 12 (post-intervention) and 24 weeks (follow-up). The primary outcome was change in The Short Form-36 (SF-36) HQOL at 12 weeks. Linear regression analysis was adjusted for baseline scores. Results: No significant between-group differences were found for SF-36 (all p > 0.05). At 12 weeks the adjusted mean difference between groups favoured yoga for Functional Assessment of Chronic Illness Therapy-fatigue (5.08 CI 1.29 to 8.86; p = 0.009) and Hospital Anxiety and Depression Scale (HADS)-depression (−1.37 CI −2.38 to −0.36); p = 0.008) and at 24 weeks for HADS-anxiety (−1.79 CI −3.34 to − 0.23; p = 0.025), while the impact on fatigue was sustained (5.43 CI 1.33 to 9.54, p = 0.01). The program had no impact on RA disease activity. Feasibility outcomes included recruitment rate 16 %, retention 80.7 %, and adherence to yoga 87.5 vs 82.7 % for control. No serious adverse events were recorded. Conclusions: Yoga in Daily Life program was not associated with change in health-related quality of life of RA patients. Significant improvements in fatigue and mood were observed at postintervention and follow-up. This yoga program was found feasible and safe for patients and may complement standard RA treat-to-target strategy. |
| first_indexed | 2024-12-20T23:48:17Z |
| format | Article |
| id | doaj.art-471e0ece9f4d4b6fa5b1dff446e15cbc |
| institution | Directory Open Access Journal |
| issn | 0965-2299 |
| language | English |
| last_indexed | 2024-12-20T23:48:17Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Complementary Therapies in Medicine |
| spelling | doaj.art-471e0ece9f4d4b6fa5b1dff446e15cbc2022-12-21T19:22:54ZengElsevierComplementary Therapies in Medicine0965-22992021-03-0157102639Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trialSilva Pukšić0Joško Mitrović1Melanie-Ivana Čulo2Marcela Živković3Biserka Orehovec4Dubravka Bobek5Jadranka Morović-Vergles6Department of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, Croatia; Corresponding author.Department of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, CroatiaDepartment of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, CroatiaClinical Department of Laboratory Diagnostics, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, CroatiaClinical Department of Laboratory Diagnostics, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, CroatiaDepartment of Physical Medicine and Rehabilitation with Rheumatology, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, CroatiaDepartment of Clinical Immunology, Allergology and Rheumatology, Department of Internal Medicine, School of Medicine University of Zagreb, Dubrava University Hospital, Avenija Gojka Šuška 6, 10 000, Zagreb, CroatiaObjectives: To explore the feasibility and effectiveness of a yoga program in improving health-related quality of life (HQOL), physical and psychological functioning in rheumatoid arthritis (RA) patients. Design: Single-centre parallel-arms randomized controlled trial comparing yoga (n = 30) and education control group (n = 27). Setting: Tertiary care University hospital. Intervention: A 12-week yoga program, based on the Yoga in Daily Life system, included 2x weekly/90-minute sessions. The control group had 1xweekly/60-minute educational lectures on arthritis-related topics. Main outcome measures: Assessments were performed at baseline, 12 (post-intervention) and 24 weeks (follow-up). The primary outcome was change in The Short Form-36 (SF-36) HQOL at 12 weeks. Linear regression analysis was adjusted for baseline scores. Results: No significant between-group differences were found for SF-36 (all p > 0.05). At 12 weeks the adjusted mean difference between groups favoured yoga for Functional Assessment of Chronic Illness Therapy-fatigue (5.08 CI 1.29 to 8.86; p = 0.009) and Hospital Anxiety and Depression Scale (HADS)-depression (−1.37 CI −2.38 to −0.36); p = 0.008) and at 24 weeks for HADS-anxiety (−1.79 CI −3.34 to − 0.23; p = 0.025), while the impact on fatigue was sustained (5.43 CI 1.33 to 9.54, p = 0.01). The program had no impact on RA disease activity. Feasibility outcomes included recruitment rate 16 %, retention 80.7 %, and adherence to yoga 87.5 vs 82.7 % for control. No serious adverse events were recorded. Conclusions: Yoga in Daily Life program was not associated with change in health-related quality of life of RA patients. Significant improvements in fatigue and mood were observed at postintervention and follow-up. This yoga program was found feasible and safe for patients and may complement standard RA treat-to-target strategy.http://www.sciencedirect.com/science/article/pii/S0965229920319063YogaRheumatoid arthritisQuality of lifeFatigueDepressionAnxiety |
| spellingShingle | Silva Pukšić Joško Mitrović Melanie-Ivana Čulo Marcela Živković Biserka Orehovec Dubravka Bobek Jadranka Morović-Vergles Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial Complementary Therapies in Medicine Yoga Rheumatoid arthritis Quality of life Fatigue Depression Anxiety |
| title | Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial |
| title_full | Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial |
| title_fullStr | Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial |
| title_full_unstemmed | Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial |
| title_short | Effects of Yoga in Daily Life program in rheumatoid arthritis: A randomized controlled trial |
| title_sort | effects of yoga in daily life program in rheumatoid arthritis a randomized controlled trial |
| topic | Yoga Rheumatoid arthritis Quality of life Fatigue Depression Anxiety |
| url | http://www.sciencedirect.com/science/article/pii/S0965229920319063 |
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