Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysis

Objective: This systematic review and meta-analysis aimed to determine the effectiveness of yoga on anthropometry, quality of life, and lipid profiles in patients with obesity and central obesity. Methodology: The Cochrane Central Register of Controlled Trials (CENTRAL) and PubMed (1985-January 2022...

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Main Authors: Ahmad Sabri Siti Asiah, Mohd Noor Norhayati, Juliawati Muhammad, Rosediani Muhamad
Format: Article
Language:English
Published: Elsevier 2023-09-01
Series:Complementary Therapies in Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0965229923000468
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author Ahmad Sabri Siti Asiah
Mohd Noor Norhayati
Juliawati Muhammad
Rosediani Muhamad
author_facet Ahmad Sabri Siti Asiah
Mohd Noor Norhayati
Juliawati Muhammad
Rosediani Muhamad
author_sort Ahmad Sabri Siti Asiah
collection DOAJ
description Objective: This systematic review and meta-analysis aimed to determine the effectiveness of yoga on anthropometry, quality of life, and lipid profiles in patients with obesity and central obesity. Methodology: The Cochrane Central Register of Controlled Trials (CENTRAL) and PubMed (1985-January 2022) and trial registries for relevant randomised clinical trials were used. Relevant and published randomised clinical trials were reviewed and evaluated. The primary outcomes were anthropometry measurements, which were weight, waist circumference, body mass index (BMI), and body fat percentages. The secondary outcomes were changes in quality of life, psychological impact, lipid profile measurement, presence of adverse events, and changes in blood pressure and blood glucose. We assessed the data for risk of bias, heterogeneity, sensitivity, reporting bias, and quality of evidence. Results: 15 studies are included, involving 1161 participants. The analysis performed is based on three comparisons. For the first comparison between yoga and control, yoga reduces the waist circumference (MD −0.84, 95% CI [−5.12 to 3.44]), while there is no difference in body weight, BMI, or body fat percentages. In the second comparison between yoga and calorie restriction, yoga reduces body weight (MD −3.47, 95% CI [−6.20 to −0.74]), while there is no difference in waist circumference, BMI, or body fat percentage. In the third comparison between yoga and exercise, yoga reduces the body weight (MD −7.58, 95% CI [−11.51 to −3.65]), while there is no difference in waist circumference or BMI. For the secondary outcomes, yoga intervention reduces total cholesterol (MD −17.12, 95% CI [−32.24 to −2.00]) and triglycerides (MD −21.75, 95% CI [−38.77 to −4.73]) compared to the control group, but there is no difference compared to the calorie restriction and exercise group. There is no difference in the rest of the outcomes, which are LDL, HDL, quality of life, psychological impact, adverse events, blood pressure, and blood glucose. However, findings are not robust due to a high risk of bias and low-quality evidence. Conclusion: From our review, there were methodological drawbacks and very low to moderate quality of evidence across all comparisons, and hence, it is inconclusive to say that yoga can significantly improve anthropometric parameters. More well-designed trials are needed to confirm and support the beneficial effects of yoga.
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spelling doaj.art-5f85efcb5c384327bd917649f5a20a952023-08-22T04:06:43ZengElsevierComplementary Therapies in Medicine0965-22992023-09-0176102959Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysisAhmad Sabri Siti Asiah0Mohd Noor Norhayati1Juliawati Muhammad2Rosediani Muhamad3Department of Family Medicine, Universiti Sains Malaysia, School of Medical Sciences, 16150 Kubang, Kerian, MalaysiaDepartment of Family Medicine, Universiti Sains Malaysia, School of Medical Sciences, 16150 Kubang, Kerian, MalaysiaCorresponding author.; Department of Family Medicine, Universiti Sains Malaysia, School of Medical Sciences, 16150 Kubang, Kerian, MalaysiaDepartment of Family Medicine, Universiti Sains Malaysia, School of Medical Sciences, 16150 Kubang, Kerian, MalaysiaObjective: This systematic review and meta-analysis aimed to determine the effectiveness of yoga on anthropometry, quality of life, and lipid profiles in patients with obesity and central obesity. Methodology: The Cochrane Central Register of Controlled Trials (CENTRAL) and PubMed (1985-January 2022) and trial registries for relevant randomised clinical trials were used. Relevant and published randomised clinical trials were reviewed and evaluated. The primary outcomes were anthropometry measurements, which were weight, waist circumference, body mass index (BMI), and body fat percentages. The secondary outcomes were changes in quality of life, psychological impact, lipid profile measurement, presence of adverse events, and changes in blood pressure and blood glucose. We assessed the data for risk of bias, heterogeneity, sensitivity, reporting bias, and quality of evidence. Results: 15 studies are included, involving 1161 participants. The analysis performed is based on three comparisons. For the first comparison between yoga and control, yoga reduces the waist circumference (MD −0.84, 95% CI [−5.12 to 3.44]), while there is no difference in body weight, BMI, or body fat percentages. In the second comparison between yoga and calorie restriction, yoga reduces body weight (MD −3.47, 95% CI [−6.20 to −0.74]), while there is no difference in waist circumference, BMI, or body fat percentage. In the third comparison between yoga and exercise, yoga reduces the body weight (MD −7.58, 95% CI [−11.51 to −3.65]), while there is no difference in waist circumference or BMI. For the secondary outcomes, yoga intervention reduces total cholesterol (MD −17.12, 95% CI [−32.24 to −2.00]) and triglycerides (MD −21.75, 95% CI [−38.77 to −4.73]) compared to the control group, but there is no difference compared to the calorie restriction and exercise group. There is no difference in the rest of the outcomes, which are LDL, HDL, quality of life, psychological impact, adverse events, blood pressure, and blood glucose. However, findings are not robust due to a high risk of bias and low-quality evidence. Conclusion: From our review, there were methodological drawbacks and very low to moderate quality of evidence across all comparisons, and hence, it is inconclusive to say that yoga can significantly improve anthropometric parameters. More well-designed trials are needed to confirm and support the beneficial effects of yoga.http://www.sciencedirect.com/science/article/pii/S0965229923000468YogaWaist circumferenceComplimentary therapiesLipid profileQuality of life
spellingShingle Ahmad Sabri Siti Asiah
Mohd Noor Norhayati
Juliawati Muhammad
Rosediani Muhamad
Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysis
Complementary Therapies in Medicine
Yoga
Waist circumference
Complimentary therapies
Lipid profile
Quality of life
title Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysis
title_full Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysis
title_fullStr Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysis
title_full_unstemmed Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysis
title_short Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysis
title_sort effect of yoga on anthropometry quality of life and lipid profile in patients with obesity and central obesity a systematic review and meta analysis
topic Yoga
Waist circumference
Complimentary therapies
Lipid profile
Quality of life
url http://www.sciencedirect.com/science/article/pii/S0965229923000468
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