Yoga versus physical exercise for cardio-respiratory fitness in adolescent school children: a randomized controlled trial
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Vhavle Satish
, Nandi Krishnamurthy Manjunath
Abstract
Background
Yoga is very effective in improving health especially cardio-respiratory fitness and also overall performance in adolescents. There are no large numbers of randomized controlled studies conducted on comparing yoga with physical activity for cardio-respiratory fitness in adolescent school children with large sample size.
Objective
Aerobic training is known to improve physical and cardio-respiratory fitness in children. Cardio-respiratory fitness is an important indicator of health in children. In this study we evaluate the effects of yoga versus physical exercise training on cardio-respiratory fitness in adolescent school children.
Subjects
Eight hundred two school students from 10 schools across four districts were recruited for this study.
Methods
In this prospective two arm RCT around 802 students were randomized to receive daily one hour yoga training (n = 411) or physical exercise (n = 391) over a period of two months. VO2 max was estimated using 20 m shuttle run test. However, yoga (n = 377) and physical exercise (n = 371) students contributed data to the analyses. Data was analysed using students t test.
Results
There was a significant improvement in VO2 max using 20 m Shuttle run test in both yoga (p < 0.001) and exercise (p < 0.001) group following intervention. There was no significant change in VO2 max between yoga and physical exercise group following intervention. However, in the subgroup with an above median cut-off of VO2 max; there was a significant improvement in yoga group compared to control group following intervention (p = 0.03).
Conclusion
The results suggest yoga can improve cardio-respiratory fitness and aerobic capacity as physical exercise intervention in adolescent school children.
Acknowledgements
We acknowledge the Dept. of AYUSH and Dept. of Education, Govt. of Karnataka.
References
[1] Zahner L, Puder JJ, Roth R, Schmid M, Guldimann R, Pühse U, et al. A school-based physical activity program to improve health and fitness in children aged 6–13 years (“Kinder-Sportstudie KISS”): study design of a randomized controlled trial [ISRCTN15360785]. BMC Public Health. 2006;6:147.10.1186/1471-2458-6-147Suche in Google Scholar PubMed PubMed Central
[2] Mesa JL, Ruiz JR, Ortega FB, Wärnberg J, González-Lamuño D, Moreno LA, et al. Aerobic physical fitness in relation to blood lipids and fasting glycaemia in adolescents: influence of weight status. Nutr Metab Cardiovasc Dis. 2006;16(4):285–93.10.1016/j.numecd.2006.02.003Suche in Google Scholar PubMed
[3] Services USD of H& H. Europe Co. President’s Council on Physical Fitness and Sports: Physical Fitness Research Digest. 2008.Suche in Google Scholar
[4] Pate RR. The evolving definition of physical fitness. Quest. 1988;40(3):174–9.10.1080/00336297.1988.10483898Suche in Google Scholar
[5] Greenberg H, Raymond SU, Leeder SR. The prevention of global chronic disease: academic public health’s new frontier. Am J Public Health. 2011;101(8):1386–90.10.2105/AJPH.2011.300147Suche in Google Scholar PubMed PubMed Central
[6] Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126–31.Suche in Google Scholar
[7] Simons-Morton BG, Parcel GS, O’Hara NM, Blair SN, Pate RR. Health-related physical fitness in childhood: status and recommendations. Annu Rev Public Health. 1988;9(1):403–25.10.1146/annurev.pu.09.050188.002155Suche in Google Scholar PubMed
[8] Wang C, Chen P, Zhuang J. A national survey of physical activity and sedentary behavior of Chinese city children and youth using accelerometers. Res Q Exerc Sport. 2013;84(Suppl 2):S12–28.10.1080/02701367.2013.850993Suche in Google Scholar PubMed
[9] de Moraes Ferrari GL, Bracco MM, Matsudo VK, Fisberg M. Cardiorespiratory fitness and nutritional status of schoolchildren: 30-year evolution. J Pediatr (Rio J). 2013;89(4):366–73.10.1016/j.jped.2012.12.006Suche in Google Scholar PubMed
[10] Finley CE, LaMonte MJ, Waslien CI, Barlow CE, Blair SN, Nichaman MZ. Cardiorespiratory fitness, macronutrient intake, and the metabolic syndrome: the Aerobics Center Longitudinal Study. J Am Diet Assoc. 2006;106(5):673–9.10.1016/j.jada.2006.02.012Suche in Google Scholar PubMed
[11] Barlow CE, DeFina LF, Radford NB, Berry JD, Cooper KH, Haskell WL, et al. Cardiorespiratory fitness and long-term survival in “low-risk” adults. J Am Heart Assoc. 2012;1(4):e001354.10.1161/JAHA.112.001354Suche in Google Scholar PubMed PubMed Central
[12] Léger L, Gadoury C. Validity of the 20 m shuttle run test with 1 min stages to predict VO2 max in adults. Can J Sport Sci. 1989;14(1):21–6.Suche in Google Scholar
[13] Metsios GS, Flouris AD, Koutedakis Y, Nevill A. Criterion-related validity and test–retest reliability of the 20 m square shuttle test. J Sci Med Sport. 2008;11(2):214–7.10.1016/j.jsams.2006.12.120Suche in Google Scholar PubMed
[14] Castro-Pinero J, Artero EG, Espana-Romero V, Ortega FB, Sjostrom M, Suni J, et al. Criterion-related validity of field-based fitness tests in youth: a systematic review. Br J Sports Med. 2010;44(13):934–43.10.1136/bjsm.2009.058321Suche in Google Scholar PubMed
[15] Ondrak KS, McMurray RG, Bangdiwala SI, Harrell JS. Influence of aerobic power and percent body fat on cardiovascular disease risk in youth. J Adolesc Heal. 2007;41(2):146–52.10.1016/j.jadohealth.2007.03.008Suche in Google Scholar PubMed
[16] Chaudhary S, Kang MK, Sandhu JS. The effects of aerobic versus resistance training on cardiovascular fitness in obese sedentary females. Asian J Sports Med. 2010;1(4):177–84.10.5812/asjsm.34835Suche in Google Scholar PubMed PubMed Central
[17] Hussey J, Bell C, Bennett K, O’Dwyer J, Gormley J. Relationship between the intensity of physical activity, inactivity, cardiorespiratory fitness and body composition in 7–10-year-old Dublin children. Br J Sports Med. 2007;41(5):311–6.10.1136/bjsm.2006.032045Suche in Google Scholar PubMed PubMed Central
[18] Boreham CA, Ferreira I, Twisk JW, Gallagher AM, Savage MJ, Murray LJ. Cardiorespiratory fitness, physical activity, and arterial stiffness: the Northern Ireland Young Hearts Project. Hypertension. 2004;44(5):721–6.10.1161/01.HYP.0000144293.40699.9aSuche in Google Scholar PubMed
[19] Dobbins M, Husson H, DeCorby K, LaRocca RL. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6–18. Cochrane database Syst Rev. 2013;(2):CD007651.10.1002/14651858.CD007651Suche in Google Scholar PubMed
[20] Sinha B, Sinha TD, Pathak A, Tomer OS. Comparison of cardiorespiratory responses between Surya Namaskar and bicycle exercise at similar energy expenditure level. Indian J Physiol Pharmacol. 2013;57(2):169–76.Suche in Google Scholar
[21] Balasubramanian B, Pansare MS. Effect of yoga on aerobic and anaerobic power of muscles. Indian J Physiol Pharmacol. 1991;35(4):281–2.Suche in Google Scholar
[22] Paradisis GP, Zacharogiannis E, Mandila D, Smirtiotou A, Argeitaki P, Cooke CB. Multi-stage 20-m shuttle run fitness test, maximal oxygen uptake and velocity at maximal oxygen uptake. J Hum Kinet. 2014;41(1):81–7.10.2478/hukin-2014-0035Suche in Google Scholar PubMed PubMed Central
[23] Léger LA, Mercier D, Gadoury C, Lambert J. The multistage 20 metre shuttle run test for aerobic fitness. J Sports Sci. 1988;6(2):93–101.10.1080/02640418808729800Suche in Google Scholar PubMed
[24] Armstrong N, Welsman JR. Assessment and interpretation of aerobic fitness in children and adolescents. Exerc Sport Sci Rev. 1994;22:435–76.10.1249/00003677-199401000-00016Suche in Google Scholar
[25] Mayorga-Vega D, Aguilar-Soto P, Viciana J. Criterion-related validity of the 20-M shuttle run test for estimating cardiorespiratory fitness: a meta-analysis. J Sports Sci Med. 2015;14(3):536–47.Suche in Google Scholar
[26] Armstrong N, Welsman J, Winsley R. Is peak VO2 a maximal index of children’s aerobic fitness? Int J Sports Med. 1996;17(5):356–9.10.1055/s-2007-972860Suche in Google Scholar PubMed
[27] Rowland T, Kline G, Goff D, Martel L, Ferrone L. One-mile run performance and cardiovascular fitness in children. Arch Pediatr Adolesc Med. 1999;153(8):845.10.1001/archpedi.153.8.845Suche in Google Scholar
[28] Perrault HM, Turcotte RA. Do athletes have “the athlete heart?” Prog Pediatr Cardiol. 1993;2(2):40–50.10.1016/1058-9813(93)90017-TSuche in Google Scholar
[29] Stone MR, Rowlands AV, Middlebrooke AR, Jawis MN, Eston RG. The pattern of physical activity in relation to health outcomes in boys. Int J Pediatr Obes. 2009;4(4):306–15.10.3109/17477160902846179Suche in Google Scholar PubMed
[30] Shouval R, Katz S, Nagler A, Merkel D, Ben-Zvi I, Segev S, et al. Gender disparities in the functional significance of anemia among apparently healthy adults. Eur J Haematol. 2017;98(5):435–42.10.1111/ejh.12849Suche in Google Scholar PubMed
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- Experience of violence amongst female medical and nursing students and their perception regarding violence against women in Delhi, India
- Adaptation and validation of the disruptive behaviour disorders teacher rating scale as a screening tool for early detection of disruptive behaviour disorders in schools in a lower-middle income setting
- Post-traumatic stress and growth among CPR survivors in the southeast of Iran
- Effect of communication skills based group counseling on mothers’ sex dialogue with their adolescent daughters
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