Abstract
Although lung cancer is perceived as a dire diagnosis, increases in the 5-year survival rate of individuals with non-small cell lung cancer (NSCLC) have been reported. Survivors, however, continue to be excessively burdened with symptoms such as respiratory distress which interfere with functioning and quality of life. While exercise and physical activity are strongly recommended, NSCLC survivors may be reluctant to participate due to actual or anticipated shortness of breath exacerbated with movement.
This quasi-experimental, intervention-only pilot study aimed to determine the effects of an 8-week standardized yoga protocol for Stage I–IIIa NSCLC survivors (n=9). The protocol was developed within the Viniyoga (Hatha) tradition with respiratory experts. Breathing ease, dyspnea, oxygen saturation, and respiratory function were explored in relationship to yoga practice (45-minute sessions once per week and home practice) using repeated-measures analysis. Number of participants reporting dyspnea ranged from 25 to 50% prior to practice with no significant increase during sessions, and moderate decreases noted at times. Oxygen saturation remained high and vital signs stable; forced expiratory volume in 1 second (FEV1) values increased significantly over the 14-week study period (p<0.0001). Yoga, with an emphasis on postures coordinated with breathing and meditation practices, offers a potentially feasible and beneficial option that requires further study in this population.
Acknowledgments
The authors thank the American Holistic Nurses Association and Sigma Theta Tau International Honor Society, Lambda Chapter for funding to support this study. They further acknowledge the support provided by members of the Yoga and More (CAM) Research Interest Group at Wayne State University, College of Nursing, Detroit, MI, and the lung cancer survivors who participated in this study.
References
1. Birdee GS, Legedza AT, Saper RB, Bertisch SM, Eisenberg DM, Phillips RS. Characteristics of yoga users: results of a national survey. J Gen Intern Med 2008;23:1653–8.10.1007/s11606-008-0735-5Suche in Google Scholar PubMed PubMed Central
2. Cohen L, Wameke C, Fouladi R, Rodriguez MA, Chaoul-Reich A. Psychological adjustment and sleep quality in a randomized trial of the effects of a Tibetan yoga intervention in patients with lymphoma. Cancer 2004;100:2253–60.10.1002/cncr.20236Suche in Google Scholar PubMed
3. Danhauer SC, Mihalko SL, Russell GB, Campbell CR, Felder L, Daley K, et al. Restorative yoga for women with breast cancer: findings from a randomized pilot study. Psychooncology 2009;18:360–8.10.1002/pon.1503Suche in Google Scholar PubMed PubMed Central
4. Moadel AB, Shah C, Wylie-Rosett J, Harris MS, Patel SR, Hall CB, et al. Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: effects on quality of life. J Clin Oncol 2007;25:4387–95.10.1200/JCO.2006.06.6027Suche in Google Scholar PubMed
5. Rao MR, Raghuram N, Nagendra HR, Gopinath KS, Srinath BS, Diwaker RB, et al. Anxiolytic effects of a yoga program in early breast cancer patients undergoing conventional treatment: a randomized controlled trial. Complement Ther Med 2009;17:1–8.10.1016/j.ctim.2008.05.005Suche in Google Scholar PubMed
6. Ross A, Thomas S. The health benefits of yoga and exercise: a review of comparison studies. J Altern Complement Med 2010;16:3–12.10.1089/acm.2009.0044Suche in Google Scholar PubMed
7. Smith KB, Pukall CF. An evidence-based review of yoga as a complementary intervention for patients with cancer. Psychooncology 2009;18:465–75.10.1002/pon.1411Suche in Google Scholar PubMed
8. Ulger O, Yagli NV. Effects of yoga on the quality of life of cancer patients. Complement Ther Clin Pract 2010;16:60–3.10.1016/j.ctcp.2009.10.007Suche in Google Scholar PubMed
9. Vadiraja HS, Rao MR, Nagarathna R, Nagendra HR, Rehka M, Vanitha N, et al. Effects of a yoga program on cortisol rhythm and mood states in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial. Integr Cancer Ther 2009;8:37–46.10.1177/1534735409331456Suche in Google Scholar PubMed
10. Vadiraja HS, Rao MR, Nagarathna R, Nagrenda HR, Rehka M, Vanitha M, et al. Effects of yoga program on quality of life and affect in early breast cancer patients undergoing adjuvant radiotherapy: a randomized controlled trial. Complement Ther Med 2009;17:274–80.10.1016/j.ctim.2009.06.004Suche in Google Scholar PubMed
11. Coups EJ, Park BJ, Feinstein MB, Steingart RM, Egleston BL, Wilson DJ, et al. Physical activity among lung cancer survivors: changes across the cancer trajectory and associations with quality of life. Cancer Epidemiol Biomarkers 2009;18:664–72.10.1158/1055-9965.EPI-08-0589Suche in Google Scholar PubMed PubMed Central
12. Courneya KS, Friedenreich CM. Relationship between exercise pattern across the cancer experience and current quality of life in colorectal cancer survivors. J Altern Complement Med 1997;3:215–26.10.1089/acm.1997.3.215Suche in Google Scholar PubMed
13. Knols R, Aaronson NK, Uebelhart D, Fransen J, Aufdemkampe G. Physical exercise in cancer patients during and after medical treatment: a systematic review of randomized and controlled clinical trials. J Clin Oncol 2005;23:3830–42.10.1200/JCO.2005.02.148Suche in Google Scholar PubMed
14. Schmitz KH, Holtzman J, Courneya KS, Masse LC, Duval S, Kane R. Controlled physical activity trials in cancer survivors: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev 2005;14:1588–95.10.1158/1055-9965.EPI-04-0703Suche in Google Scholar PubMed
15. Ferreira KASL, Kimura M, Teixeira MJ, Mendoza TR, da Nobrega JCM, Graziani SR, et al. Impact of cancer-related symptom synergisms on health-related quality of life and performance status. J Pain Symptom Manage 2008;35:604–16.10.1016/j.jpainsymman.2007.07.010Suche in Google Scholar PubMed
16. Hansen F, Sawatzky JV. Stress in patients with lung cancer: a human response to illness. Oncol Nurs Forum 2008;35:217–23.10.1188/08.ONF.217-223Suche in Google Scholar PubMed
17. Sarna L, Padilla G, Holmes C, Tashkin D, Brecht ML, Evangelista L. Quality of life of long-term survivors of non-small-cell lung cancer. J Clin Oncol 2002;20:2920–9.10.1200/JCO.2002.09.045Suche in Google Scholar PubMed
18. Sarna L, Evangelista L, Tashkin D, Padilla G, Holmes C, Brecht ML, Grannis F. Impact of respiratory symptoms and pulmonary function on quality of life of long-term survivors of non-small cell lung cancer. Chest 2004;125:439–45.10.1378/chest.125.2.439Suche in Google Scholar PubMed
19. Sarna L, Cooley ME, Brown JK, Chernecky C, Elashoff D, Kotlerman J. Symptom severity 1 to 4 months after thoracotomy for lung cancer. Am J Crit Care 2008;17:455–67.10.4037/ajcc2008.17.5.455Suche in Google Scholar
20. Sarna L, Cooley ME, Brown JK, Chernecky C, Padilla G, Danao L, Chakravarty D, Elashoff D. Women with lung cancer: quality of life after thoracotomy: a 6-month prospective study. Cancer Nurs 2010;33:85–92.10.1097/NCC.0b013e3181be5e51Suche in Google Scholar PubMed
21. Flynn KE, Shelby RA, Mitchell SA, Fawzy MR, Hardy NC, Husain AM, et al. Sleep-wake functioning along the cancer continuum: focus group results from the Patient-Reported Outcomes Measurement Information System (PROMIS®). Psychooncology 2010;19:1086–93.10.1002/pon.1664Suche in Google Scholar PubMed PubMed Central
22. Gift AG, Jablonski A, Stommel M, Given CW. Symptom clusters in elderly patients with lung cancer. Oncol Nurs Forum 2004;31:203–12.10.1188/04.ONF.203-212Suche in Google Scholar
23. Given B, Given CW, Sikorskii A, Jeon S, McCorkle R, Champion V, et al. Establishing mild, moderate, and severe scores for cancer-related symptoms: how consistent and clinically meaningful are interference-based severity cut-points? J Pain Symptom Manage 2008;35:126–35.10.1016/j.jpainsymman.2007.03.012Suche in Google Scholar PubMed PubMed Central
24. Gooneratne NS, Dean GE, Rogers AE, Nkwuo JE, Coyne JC, Kaiser LR. Sleep and quality of life in long-term lung cancer survivors. Lung Cancer 2007;58:403–10.10.1016/j.lungcan.2007.07.011Suche in Google Scholar PubMed PubMed Central
25. Hewitt J, Smeeth L, Bulpitt C, Tulloch A, Fletcher A. Respiratory symptoms in older people and their association with mortality. Thorax 2005;60:331–4.10.1136/thx.2004.029579Suche in Google Scholar PubMed PubMed Central
26. Molassiotis A, Zheng Y, Denton-Cardew L, Swindell R, Brunton L. Symptoms experienced by cancer patients during the first year from diagnosis: patient and informal caregiver ratings and agreement. Palliat Support Care 2010;8:313–24.10.1017/S1478951510000118Suche in Google Scholar PubMed
27. Podnos YD, Borneman TR, Koczywas M, Uman G, Ferrell BR. Symptom concerns and resource utilization in patients with lung cancer. J Palliat Med 2007;10:899–903.10.1089/jpm.2006.0232Suche in Google Scholar PubMed
28. Snyder CF, Garrett-Mayer E, Brahmer JR, Carducci MA, Pili R, Stearns V, et al. Symptoms, supportive care needs, and function in cancer patients: how are they related? Qual Life Res 2008;17:665–77.10.1007/s11136-008-9331-8Suche in Google Scholar PubMed PubMed Central
29. Vena C, Parker K, Cunningham M, Clark J, McMillan S. Sleep-wake disturbances in people with cancer Part I: an overview of sleep, sleep regulation, and effects of disease and treatment. Oncol Nurs Forum 2004;31:735–46.10.1188/04.ONF.735-746Suche in Google Scholar PubMed
30. Vena C, Parker KP, Allen R, Bliwise DL, Jain S, Kimble L. Sleep-wake disturbances and quality of life in patients with advanced lung cancer. Oncol Nurs Forum 2006;33:761–9.10.1188/06.ONF.761-769Suche in Google Scholar PubMed
31. Wang, XS, Shi Q, Lu C, Basch EM, Johnson VE, Mendoza TR, et al. Prognostic value of symptom burden for overall survival in patients receiving chemotherapy for advanced non-small cell lung cancer. Cancer 2010;116:137–45.10.1002/cncr.24703Suche in Google Scholar
32. Brown JK, Cooley ME, Chernecky C, Sarna L. A symptom cluster and sentinel symptom experienced by women with lung cancer. Oncol Nurs Forum 2011;38:E425–35.10.1188/11.ONF.E425-E435Suche in Google Scholar
33. Cheville AL, Novotny, PJ, Sloan, JA, Basford JR, Wampfler JA, Garces YI, et al. The value of symptom cluster of fatigue, dyspnea, and cough in predicting clinical outcomes in lung cancer survivors. J Pain Symptom Manage 2011;42:213–21.10.1016/j.jpainsymman.2010.11.005Suche in Google Scholar
34. Ferrell B, Koczywas M, Grannis F, Harrington A. Palliative care in lung cancer. Surg Clin North Am 2011;91:403–417.10.1016/j.suc.2010.12.003Suche in Google Scholar
35. Fox SW, Lyon DE. Symptom clusters and quality of life in survivors of lung cancer. Oncol Nurs Forum 2006;33:931–6.10.1188/06.ONF.931-936Suche in Google Scholar
36. Gaguski ME, Brandsema M, Gernalin L, Martinez E. Assessing dyspnea in patients with non-small cell lung cancer in the acute care setting. Clin J Oncol Nurs 2010;14:509–13.10.1188/10.CJON.509-513Suche in Google Scholar
37. Tanaka K, Akechi T, Okuyama T, Nishiwaki Y, Uchitomi Y. Prevalence and screening of dyspnea interfering with daily life activities in ambulatory patients with advanced lung cancer. J Pain Symptom Manage 2002;23:484–9.10.1016/S0885-3924(02)00394-9Suche in Google Scholar
38. Thomas S, Bausewein C, Higginson I, Booth S. Breathlessness in cancer patients – implications, management and challenges. Eur J Oncol Nurs 2011;15:459–69.10.1016/j.ejon.2010.11.013Suche in Google Scholar PubMed
39. Travers J, Dudgeon DJ, Amjadi K, McBride I, Dillon K, Laveneziana P, et al. Mechanisms of exertional dyspnea in patients with cancer. J Appl Physiol 2008;104:57–66.10.1152/japplphysiol.00653.2007Suche in Google Scholar PubMed
40. Beckles MA, Spiro SG, Colice GL, Rudd RM. Initial evaluation of the patient with lung cancer: symptoms, signs, laboratory tests and paraneoplastic syndromes. Chest 2003;123:97S–104S.10.1378/chest.123.1_suppl.97SSuche in Google Scholar PubMed
41. Quast E, Williams M. Distress with breathing in people with lung cancer: a systematic review. Intern J Allied Health Sci Pract 2009;7:1–11.10.46743/1540-580X/2009.1265Suche in Google Scholar
42. American Cancer Society. Cancer facts and figures 2010. Atlanta, GA: American Cancer Society; 2010.Suche in Google Scholar
43. American Thoracic Society. Dyspnea. Mechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med 1999;159:321–40.10.1164/ajrccm.159.1.ats898Suche in Google Scholar PubMed
44. Carrieri-Kohlman V, Donesky-Cuenco D, Park SK, Mackin L, Nguyen HQ, Paul SM. Additional evidence for the affective dimension of dyspnea in patients with COPD. Res Nurs Health 2010;33:4–19.10.1002/nur.20359Suche in Google Scholar PubMed PubMed Central
45. Akechi T, Okuyama T, Akizuki N, Shimizu K, Inagaki M, Fujimori M, et al. Associated and predictive factors of sleep disturbance in advanced cancer patients. Psychooncology 2007;16:888–94.10.1002/pon.1122Suche in Google Scholar PubMed
46. Dodge R, Cline MG, Quan SF. The natural history of insomnia and its relationship to respiratory symptoms. Arch Inter Med 1995;155:1797–1800.10.1001/archinte.1995.00430160145014Suche in Google Scholar
47. Parish JM. Sleep-related problems in common medical conditions. Chest 2009;135:563–72.10.1378/chest.08-0934Suche in Google Scholar PubMed
48. Fouladbakhsh, JM. Yoga. Oncology Nurse Edition 2011;25:40–5.10.1108/09504121111184499Suche in Google Scholar
49. Veerabhadrappa SG, Baljoshi VS, Khanapure S, Herur A, Patil S, Ankad RB, et al. Effect of yoga bellows on cardiovascular autonomic reactivity. J Cardiovasc Dis Res 2011;2:223–7.10.4103/0975-3583.89806Suche in Google Scholar PubMed PubMed Central
50. Büssing A, Ostermann T, Lüdtke R, Michalsen A. Effects of yoga interventions on pain and pain-associated disability: a meta-analysis. J Pain 2012;13:1–9.10.1016/j.jpain.2011.10.001Suche in Google Scholar PubMed
51. Danucalov MA, Simoes RS, Kozasa EH, Leite JR. Cardio-respiratory and metabolic changes during yoga sessions: the effects of respiratory exercises and meditation practices. Appl Psychophysiol Biofeedback 2008:33:77–81.10.1007/s10484-008-9053-2Suche in Google Scholar PubMed
52. Harinath K, Malhotra AS, Pal K, Prasad R, Kumar R, Kain TC, et al. Effects of Hatha yoga and Omkar meditation on cardiorespiratory performance, psychologic profile, and melatonin secretion. J Altern Complement Med 2004;10:261–8.10.1089/107555304323062257Suche in Google Scholar PubMed
53. Innes KE, Bourguignon C, Taylor AG. Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: a systematic review. J Am Board of Fam Pract 2005;18:491–519.10.3122/jabfm.18.6.491Suche in Google Scholar PubMed
54. Ray US, Pathak A, Tomer OS. Hatha yoga practices: energy expenditure, respiratory changes and intensity of exercise. Evid Based Complement Alternat Med 2011; Article ID 241294. Doi: 10.1093/ecam/neq041–12.10.1093/ecam/neq046Suche in Google Scholar
55. Telles S, Nagarathna R, Nagendra HR. Breathing through a particular nostril can alter metabolism and autonomic activities. Indian J Physiol Pharmacol 1994;38:133–7.Suche in Google Scholar
56. Brown RP, Gerbarg PL. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I – neurophysiologic model. J Altern Complement Med 2005;11:189–201.10.1089/acm.2005.11.189Suche in Google Scholar
57. Brown RP, Gerbarg PL. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part II – clinical applications and guidelines. J Altern Complement Med 2005;11:711–7.10.1089/acm.2005.11.711Suche in Google Scholar
58. Zick, S., Kelly, K., Mao, J., Fouladbakhsh, J. M., Pruthi, S, & Ben-Arye, E. (2012). Research Symposium on integrative cancer symptomology: Challenges, successes and resources in clinical research: Part II. Paper presented at the International Research Congress on Integrative Medicine and Health, Portland, OR, USA.Suche in Google Scholar
59. Michalsen A, Grossman P, Acil A, Langhorst J, Lüdtke R, Esch T, et al. Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program. Med Sci Monit 2005;11:CR555– CR561.Suche in Google Scholar
60. West J, Otte C, Geher K, Johnson J, Mohr DC. Effects of hatha yoga and African dance on perceived stress, affect, and salivary cortisol. Ann Behav Med 2004:28:114–8.10.1207/s15324796abm2802_6Suche in Google Scholar
61. Selvamurthy W, Sridharan K, Ray US, Tiwary RS, Hegde KS, Radhakrishan U, et al. A new physiological approach to control essential hypertension. Indian J Physiol Pharmacol 1998;42:205–13.10.1016/S0294-3506(99)80158-6Suche in Google Scholar
62. Gokal R, Shillito L, Maharaj SR. Positive impact of yoga and pranayam on obesity, hypertension, blood sugar, and cholesterol: a pilot assessment. J Altern Complement Med 2007;13:1056–7.10.1089/acm.2007.0679Suche in Google Scholar
63. Khatri D, Mathur KC, Gahlot S, Jain S, Agrawal RP. Effects of yoga and meditation on clinical and biochemical parameters of metabolic syndrome. Diabetes Res Clin Pract 2007;78:e9–e10.10.1016/j.diabres.2007.05.002Suche in Google Scholar
64. Damodaran A, Malathi A, Patil N, Shah N, Suryavansihi, Marathe S. Therapeutic potential of yoga practices in modifying cardiovascular risk profile in middle aged men and women. J Assoc Phys India 2002;50:633–639.Suche in Google Scholar
65. Spicuzza L, Gabutti A, Porta C, Montano N, Bernardi L. Yoga and chemoreflex response to hypoxia and hypercapnia. Lancet 2000:356:1495–6.10.1016/S0140-6736(00)02881-6Suche in Google Scholar
66. Bhattacharya S, Pandey US, Verma NS. Improvement in oxidative status with yogic breathing in young healthy males. Indian J Physiol Pharmacol 2002;46:349–54.Suche in Google Scholar
67. Carlson LE, Speca M, Patel KD, Goodey E. Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress and levels of cortisol, dehydroepiandrosterone sulfate (DHEAS) and melatonin in breast and prostate cancer outpatients. Psychoneuroendocrinology 2004;29:448–74.10.1016/S0306-4530(03)00054-4Suche in Google Scholar
68. Galantino ML, Greene L, Archetto B, Baumgartner M, Hassall P, Murphy JK, et al. A qualitative exploration of the impact of yoga on breast cancer survivors with aromatase inhibitor-associated arthralgias. Explore 2012:8: 40–7.10.1016/j.explore.2011.10.002Suche in Google Scholar PubMed
69. Gopal KS, Bhatnagar OP, Subramanian N, Nishith SD. Effect of yogasanas and pranayamas on blood pressure, pulse rate and some respiratory functions. Indian J Physiol Pharmacol 1973;17:273–6.Suche in Google Scholar
70. Kamei T, Toriumi Y, Kimura H, Ohno S, Kumano H, Kimura K. Decrease in serum cortisol during yoga exercise is correlated with alpha wave activation. Percept Mot Skills 2000;90:1027–32.10.2466/pms.2000.90.3.1027Suche in Google Scholar PubMed
71. Khanam AA, Sachdeva U, Guleria R, Deepak KK. Study of pulmonary and autonomic functions of asthma patients after yoga training. Indian J Physiol Pharmacol 1996;40:318–24.Suche in Google Scholar
72. Kraftsow G. Yoga for wellness. New York: Penguin Compass Publishers, 1999.Suche in Google Scholar
73. Malhotra V, Singh S, Singh K, Gupta P, Sharma S, Madhu S, et al. Study of yoga asanas in assessment of pulmonary function in NIDDM patients. Indian J Physiol Pharmacol 2002;46:313–20.Suche in Google Scholar
74. Raub J. Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review. J Altern Complement Med 2002;8:797–812.10.1089/10755530260511810Suche in Google Scholar PubMed
75. Sahajpal P, Ralte R. Impact of induced yogic relaxation training (IYRT) on stress-level, self-concept and quality of sleep among minority group individuals. J Indian Psychol 2000;18:66–73.Suche in Google Scholar
76. Saper RB, Sherman KJ, Cullum-Dugan D, Davis RB, Phillips RS, Culpepper L. Yoga for chronic low back pain in a predominantly minority population: a pilot randomized controlled trial. Altern Ther Health Med 2009;15:18–27.10.1016/j.explore.2009.03.047Suche in Google Scholar
77. Singh S, Malhotra V, Singh KP, Sharma SB, Madhu SV, Tandon OP. A preliminary report on the role of yoga asanas on oxidative stress in non-insulin dependent diabetes. Indian J Clin Biochem 2001;16:216–20.10.1007/BF02864866Suche in Google Scholar PubMed PubMed Central
78. Telles S, Desiraju T. Oxygen consumption during pranayamic type of very slow-rate breathing. Indian J Med Research 1991;94:357–63.Suche in Google Scholar
79. Tran MD, Holly RG, Lashbrook J, Amsterdam EA. Effects of Hatha Yoga practice on the health-related aspects of physical fitness. Prev Cardiol 2001;4:165–70.10.1111/j.1520-037X.2001.00542.xSuche in Google Scholar
80. Udupa KN, Singh RH, Settiwar RM. Physiological and biochemical studies on the effect of yogic and certain other exercises. Indian J Med Res 1975;63:620–4.Suche in Google Scholar
81. Ankad RB, Herur A, Patil S, Shashikala GV, Chinagudi S. Effect of short-term pranayama and meditation on cardiovascular functions in healthy individuals. Heart Views 2011;12:58–62.10.4103/1995-705X.86016Suche in Google Scholar PubMed PubMed Central
82. Bhavanani AB, Sanjay Z, Madanmohan. Immediate effect of sukha pranayama on cardiovascular variables in patients of hypertension. Int J Yoga Therap 2011:21:73–76.10.17761/ijyt.21.1.y007g51341634172Suche in Google Scholar
83. Jerath R, Edry JW, Barnes VA, Jerath V. Physiology of long pranayamic breathing: neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Med Hypothesis 2006;67:566–71.10.1016/j.mehy.2006.02.042Suche in Google Scholar PubMed
84. Kuntsevich V, Bushell WC, Theise ND. Mechanisms of yogic practices in health, aging and disease. Mt Sinai J Med 2010;77:559–69.10.1002/msj.20214Suche in Google Scholar PubMed
85. Pramanik T, Sharma HO, Mishra S, Mishra A, Prajapati R, Singh S. Immediate effect of slow pace bhastrika pranayama on blood pressure and heart rate. J Altern Comp Med 2009;15:293–5.10.1089/acm.2008.0440Suche in Google Scholar PubMed
86. Posadzki P, Parekh S, Glass N. Yoga and Qigong in the psychological prevention of mental health disorders: a conceptual synthesis. Chin J Integr Med 2010;16:80–6.10.1007/s11655-009-9002-2Suche in Google Scholar PubMed
87. Donesky-Cuenco D, Nguyen HQ, Paul S, Carrieri-Kohlman V. Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study. J Altern Complement Med 2009;15:225–34.10.1089/acm.2008.0389Suche in Google Scholar PubMed PubMed Central
88. de Godoy DV, Bringhenti RL, Severa A, de Gasperi R, Poli L. Yoga versus aerobic activity: effects on spirometry results and maximal inspiratory pressure. J Bras Pneumol 2006;32:130–5.10.1590/S1806-37132006000200008Suche in Google Scholar
89. Pullen PR, Nagamia SH, Mehta PJ, Thompson WR, Bernadot D, Hammond R, et al. Effects of yoga on inflammation and exercise capacity in patients with chronic heart failure. J Cardiac Fail 2008;14:407–13.10.1016/j.cardfail.2007.12.007Suche in Google Scholar PubMed
90. Sharma V. Yoga for Respiratory Challenges. Paper presented at the Second IAYT Symposium on Yoga Therapy and Research (SYTAR), March 6–9, 2008, Los Angeles, California.Suche in Google Scholar
91. Sherman KJ, Cherkin DC, Erro J, et al. Comparing yoga, exercise and a self-care book for chronic low back pain: a randomized controlled trial. Ann Intern Med 2005;143:849–56.10.7326/0003-4819-143-12-200512200-00003Suche in Google Scholar PubMed
92. Melville GW, Chang D, Colaguiri B, Marshall PW, Cheema BS. Fifteen minutes of chair-based yoga postures or guided meditation performed in the office can elicit a relaxation response. Evid Based Complem Altern Med 2012: Article ID 501896. Doi.10.1155/2012/501986.10.1155/2012/501986Suche in Google Scholar PubMed PubMed Central
93. Campbell DE, Moore KA. Yoga as a preventative and treatment for depression, anxiety and stress. Int J Yoga Ther 2004;14:53–8.10.17761/ijyt.14.1.t7427823p2478255Suche in Google Scholar
94. Phillips KM, Jim HS, Donovan KA, Pinder-Schenck MC, Jacobsen PB. Characteristics and correlates of sleep disturbances in cancer patients. Support Care Cancer 2012;20:357–65.10.1007/s00520-011-1106-zSuche in Google Scholar PubMed
95. Khattab K, Khattab AA, Ortak J, Richardt G, Bonnemeier H. Iyengar yoga increases cardiac parasympathetic nervous modulation among healthy yoga practitioners. Evid Based Complement Alternat Med 2007;4:511–7.10.1093/ecam/nem087Suche in Google Scholar PubMed PubMed Central
96. Bijlani RL, Vampati RP, Yadav RK, Ray RB, Gupta V, Sharma R, et al. A brief but comprehensive life style education program based on yoga reduces risk factors for cardiovascular disease and diabetes mellitus. J Altern Complement Med 2005;11:267–74.10.1089/acm.2005.11.267Suche in Google Scholar PubMed
97. Chodzinski J. The effect of rhythmic breathing on blood pressure in hypertensive adults. J Undergrad Res 2000; Available at http://ufdc.ufl.edu/UF00091523/00031Suche in Google Scholar
98. Pal GK, Velkumary S, Madanmohan. Effect of short-term practice of breathing exercises on autonomic functions in normal human volunteers. Indian J Med Res 2004;120:115–21.Suche in Google Scholar
99. Jayasinghe SR. Yoga in cardiac health (a review). Eur J Cardiovasc Prev Rehabil 2004;11:369–75.10.1097/01.hjr.0000206329.26038.ccSuche in Google Scholar PubMed
100. Sarang PS, Telles S. Oxygen consumption and respiration during and after two yoga relaxation techniques. Appl Psychophysiol Biofeedback 2006;31:143–53.10.1007/s10484-006-9012-8Suche in Google Scholar PubMed
101. Chanavirut R, Khaidjapho K, Jaree P, Pongnaratorn P. Yoga exercise increases chest wall expansion and lung volumes in young healthy Thais. Thai J Physiol Sci 2006;19:1–7.Suche in Google Scholar
102. Halvorson C. Stretching to breathe: can yoga help your asthma? Asthma Mag 2002;7:27–9.10.1067/mas.2002.124806Suche in Google Scholar
103. Abelson JL, Khan S, Giardino N. HPA axis, respiration and the airways in stress – a review in search of intersections. Biol Psychol 2010;84:57–65.10.1016/j.biopsycho.2010.01.021Suche in Google Scholar PubMed
104. Carson JW, Carson KM, Porter LS, Keefe FJ, Shaw H, Miller JM. Yoga for women with metastatic breast cancer: results from a pilot study. J Pain Symptom Manage 2007;33:331–41.10.1016/j.jpainsymman.2006.08.009Suche in Google Scholar
105. Carson JW, Carson KM, Porter LS, Keefe FJ, Seewaldt VL. Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. Support Care Cancer 2009;17:1301–9.10.1007/s00520-009-0587-5Suche in Google Scholar
106. Chandwani KD, Thornton B, Perkins GH, Arun B, Raghuram NV, Nagendra HR, et al. Yoga improves quality of life and benefit finding in women undergoing radiotherapy for breast cancer. J Soc Integr Oncol 2010;8:43–55.Suche in Google Scholar
107. Raghavendra RM, Nagarathna R, Nagendra HR, Gopinath KS, Srinath BS, Ravi BD, et al. Effects of an integrated yoga therapy programme on chemotherapy-induced nausea and emesis in breast cancer patients. Eur J Cancer Care (Engl) 2007;16:462–74.10.1111/j.1365-2354.2006.00739.xSuche in Google Scholar
108. Speed-Andrews AE, Stevinson C, Belanger LJ, Mirus JJ, Courneya KS. Pilot evaluation of an Iyengar yoga program for breast cancer survivors. Cancer Nurs 2010;33:369–81.10.1097/NCC.0b013e3181cfb55aSuche in Google Scholar
109. Bower JE, Woolery A, Sternlieb B, Garet D. Yoga for cancer patients and survivors. Cancer Control 2005;12:165–71.10.1177/107327480501200304Suche in Google Scholar
110. Joseph CD. Psychological supportive therapy for cancer patients. Indian J Cancer 1983;20:268–70.Suche in Google Scholar
111. Streeter CC, Jensen JE, Perlmutter RM, Cabral HJ, Tian H, Terhune DB, et al. Yoga asana sessions increase brain GABA levels: a pilot study. J Altern Complement Med 2007;13:419–26.10.1089/acm.2007.6338Suche in Google Scholar
112. Stuck M, Meyer K, Rigotti T, Bauer K, Sack U. Evaluation of a yoga-based stress management training for teachers: effects on immunoglobulin A secretion and subjective relaxation. J Medit Medit Res 2003;3:59–68.Suche in Google Scholar
113. National Cancer Institute. Surveillance epidemiology and end results. Cancer statistics review 1975–2008. Accessed August 2, 2011. Available at http://seer.cancer.gov/Suche in Google Scholar
114. Fouladbakhsh JM, Stommel M. Comparative analysis of CAM use in the U.S. cancer and noncancer populations. J Complement Integr Med 2008;5:1–25.10.2202/1553-3840.1140Suche in Google Scholar
115. Fouladbakhsh JM, Stommel M. Using the behavioral model for complementary and alternative medicine: the CAM health-care model. J Complement Integr Med 2007;4:1–21.10.2202/1553-3840.1035Suche in Google Scholar
116. Andersen RM. Behavioral models of families’ use of health services. Research Series No.15. Chicago: University, Center for Administration Studies; 1968.Suche in Google Scholar
117. Andersen RM. Revisiting the Behavioral Model and access to medical care: Does it matter? J Health Soc Behav 1995;36:1–10.10.2307/2137284Suche in Google Scholar
118. Fouladbakhsh JM, Davis JA, Yarandi H. Development and testing of a Viniyoga protocol for non-small cell lung cancer patients. Proceedings of the 1st International Symposium of Yoga Therapy Research. J Yoga Ther, Suppl. Sept 2010.Suche in Google Scholar
119. Fouladbakhsh JM, Davis JE, Yarandi H. Effects of a standardized yoga intervention on mood and salivary cortisol levels of stage I-IIIa non-small cell lung cancer patients. Proceedings of the 8th International Conference of the Society of Integrative Oncology, Cleveland, OH, Nov 2011.Suche in Google Scholar
120. Stommel M, Wills CE. Clinical research: concepts and principles for advanced practice nurses. Philadelphia: Lippincott, Williams & Wilkins; 2004.Suche in Google Scholar
121. Shadish WR, Cook TD, Campbell DT. Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin; 2002.Suche in Google Scholar
122. Winer BJ, Brown DR, Michels KM. Statistical principles in experimental design, 3rd ed. McGraw Hill, 1991.Suche in Google Scholar
123. Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika 1986;73:13–22.10.1093/biomet/73.1.13Suche in Google Scholar
124. Fouladbakhsh JM, Stommel M. Gender, symptom experience, and use of complementary and alternative medicine among cancer survivors in the U.S. cancer population. Oncol Nurs Forum 2010;37:E7–E15.10.1188/10.ONF.E7-E15Suche in Google Scholar
125. Cappo BM, Holmes DS. The utility of prolonged respiratory exhalation for reducing physiological and psychological arousal in non-threatening and threatening situations. J Psychosom Res 1984;28:265–73.10.1016/0022-3999(84)90048-5Suche in Google Scholar
126. Madanmohan, Udupa K, Bhavanani AB, Vijayalakshmi P, Surendiran A. Effect of slow and fast pranayams on reaction time and cardiorespiratory variables. Indian J Physiol Pharmacol 2005:49:313–8.Suche in Google Scholar
127. Saxena T, Saxena M. The effect of various breathing exercises (pranayama) in patients with bronchial asthma of mild to moderate severity. Int J Yoga 2009;2:22–5.10.4103/0973-6131.53838Suche in Google Scholar PubMed PubMed Central
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Artikel in diesem Heft
- Masthead
- Masthead
- Phytochemistry & Product Quality
- Chemical and pharmacological standardization of Ashwagandhadi lehyam: an ayurvedic formulation
- Phytochemical screening and toxicity studies on the methanol extract of the seeds of moringa oleifera
- First report of fingerprinting dried herbal products using a subtractive diversity array
- Preclinical Studies
- Antidiabetic and antihypertensive effect of Virgin Argan Oil in model of neonatal streptozotocin-induced diabetic and l-nitroarginine methylester (l-NAME) hypertensive rats
- Hypoglycemic activity of the Anisopus mannii N. E. Br. methanolic leaf extract in normal and alloxan-induced diabetic mice
- Aloe vera gel protects liver from oxidative stress-induced damage in experimental rat model
- Hepatoprotective activity of Calotropis gigantea flowers against carbon-tetrachloride-induced liver damage in mice
- In vivo and in vitro estrogenic activity of extracts from Erythrina poeppigiana (Fabaceae)
- Liposomal-formulated curcumin [Lipocurc™] targeting HDAC (Histone Deacetylase) prevents apoptosis and improves motor deficits in Park 7 (DJ-1)-knockout rat model of Parkinson’s disease: implications for epigenetics-based nanotechnology-driven drug platform
- Antimalarial potential of China 30 and Chelidonium 30 in combination therapy against lethal rodent malaria parasite: Plasmodium berghei
- Structure elucidation and inhibitory effects on human platelet aggregation of chlorogenic acid from Wrightia tinctoria
- Cytotoxic effects of crocin on MOLT-4 human leukemia cells
- Synergistic cytotoxicity of red beetroot (Beta vulgaris L.) extract with doxorubicin in human pancreatic, breast and prostate cancer cell lines
- Tea toxicity and cholinesterase inhibition of Huilliche herbal medicine
- Iatrogenic venous thrombosis secondary to supplemental medicine toxicity
- Clinical Studies
- Decreasing cardiovascular risk factors in obese individuals using a combination of PGX® meal replacements and PGX® granules in a 12-week clinical weight modification program
- The use of an anti-inflammatory supplement in patients with chronic kidney disease
- Impact of relaxation training according to the Yoga In Daily Life® system on anxiety after breast cancer surgery
- Positive impact of Tai Chi Chuan participation on biopsychosocial quality of life compared to exercise and sedentary controls: a cross-sectional survey
- Using a standardized Viniyoga protocol for lung cancer survivors: a pilot study examining effects on breathing ease
- Research utilization and evidence-based practice among Saskatchewan massage therapists
- Laser acupuncture in treatment of childhood bronchial asthma
- Case Reports
- Developing an in-patient acupuncture treatment in a pediatric hospital
- Reviews & Perspectives
- Is yoga an effective treatment in the management of patients with chronic low back pain compared with other care modalities – a systematic review
- Omega-3 fatty acid for the treatment and remission of Crohn’s disease
- Any role for probiotics in the therapy or prevention of autoimmune diseases? Up-to-date review
- Hericium erinaceus: an edible mushroom with medicinal values
- Are conduits superconductor-like and supported by tetrahedra structure of hyaluronic matrix in living systems? New perspectives
Artikel in diesem Heft
- Masthead
- Masthead
- Phytochemistry & Product Quality
- Chemical and pharmacological standardization of Ashwagandhadi lehyam: an ayurvedic formulation
- Phytochemical screening and toxicity studies on the methanol extract of the seeds of moringa oleifera
- First report of fingerprinting dried herbal products using a subtractive diversity array
- Preclinical Studies
- Antidiabetic and antihypertensive effect of Virgin Argan Oil in model of neonatal streptozotocin-induced diabetic and l-nitroarginine methylester (l-NAME) hypertensive rats
- Hypoglycemic activity of the Anisopus mannii N. E. Br. methanolic leaf extract in normal and alloxan-induced diabetic mice
- Aloe vera gel protects liver from oxidative stress-induced damage in experimental rat model
- Hepatoprotective activity of Calotropis gigantea flowers against carbon-tetrachloride-induced liver damage in mice
- In vivo and in vitro estrogenic activity of extracts from Erythrina poeppigiana (Fabaceae)
- Liposomal-formulated curcumin [Lipocurc™] targeting HDAC (Histone Deacetylase) prevents apoptosis and improves motor deficits in Park 7 (DJ-1)-knockout rat model of Parkinson’s disease: implications for epigenetics-based nanotechnology-driven drug platform
- Antimalarial potential of China 30 and Chelidonium 30 in combination therapy against lethal rodent malaria parasite: Plasmodium berghei
- Structure elucidation and inhibitory effects on human platelet aggregation of chlorogenic acid from Wrightia tinctoria
- Cytotoxic effects of crocin on MOLT-4 human leukemia cells
- Synergistic cytotoxicity of red beetroot (Beta vulgaris L.) extract with doxorubicin in human pancreatic, breast and prostate cancer cell lines
- Tea toxicity and cholinesterase inhibition of Huilliche herbal medicine
- Iatrogenic venous thrombosis secondary to supplemental medicine toxicity
- Clinical Studies
- Decreasing cardiovascular risk factors in obese individuals using a combination of PGX® meal replacements and PGX® granules in a 12-week clinical weight modification program
- The use of an anti-inflammatory supplement in patients with chronic kidney disease
- Impact of relaxation training according to the Yoga In Daily Life® system on anxiety after breast cancer surgery
- Positive impact of Tai Chi Chuan participation on biopsychosocial quality of life compared to exercise and sedentary controls: a cross-sectional survey
- Using a standardized Viniyoga protocol for lung cancer survivors: a pilot study examining effects on breathing ease
- Research utilization and evidence-based practice among Saskatchewan massage therapists
- Laser acupuncture in treatment of childhood bronchial asthma
- Case Reports
- Developing an in-patient acupuncture treatment in a pediatric hospital
- Reviews & Perspectives
- Is yoga an effective treatment in the management of patients with chronic low back pain compared with other care modalities – a systematic review
- Omega-3 fatty acid for the treatment and remission of Crohn’s disease
- Any role for probiotics in the therapy or prevention of autoimmune diseases? Up-to-date review
- Hericium erinaceus: an edible mushroom with medicinal values
- Are conduits superconductor-like and supported by tetrahedra structure of hyaluronic matrix in living systems? New perspectives