Key result
The addition of yoga to conventional therapy significantly reduced body weight, BMI, waist circumference, and improved lipid and glycemic profiles compared to conventional therapy alone in post-myocardial infarction patients.
Why the study?
CAD is a major cause of morbidity and mortality, with diverse psychological responses following myocardial infarction, which yoga has been reported to decrease.
Does yoga improve cardiovascular risk factors in post-myocardial infarction patients?
RCT (n=200)
Randomized
No
Does yoga improve cardiovascular risk factors in post-myocardial infarction patients?
Answers are grounded in this paper and cite their sources.
Yoga as an adjunct to conventional treatment significantly improves multiple cardiovascular risk factors and depression scores in post-myocardial infarction patients.
Introduction: The prevalence of coronary artery disease (CAD) has progressively -increased in India and is the major cause of morbidity and mortality burden in the world. Several strategies are available to reduce morbidity and mortality, including the interventional approach (eg, early revascularization with PCI and stenting) and the pharmacologic approach (eg, thrombolytic and anticoagulant therapies) and yoga 1,2 The various psychological responses to experiencing myocardial infarction are anxiety reactions, depression , agoraphobia , exhaustion, hostility , sadness , anger , disgust and social withdrawal. 3 Yoga has reported to decrease these incidences. Methodology: The study included 200 patients diagnosed as MI who were divided into two groups 100 cases of control group subjected to conventional treatment and lifestyle counseling while 100 cases in test group were treated with yoga in addition to conventional treatment and lifestyle modification. The primary outcome included change in risk factors from baseline to end of study. Secondary outcome included change in Depression score and MACE at the end of the study. Result -After 24 weeks of intervention, the difference among yoga and control group was found to be significant for following parameters- weight, BMI, waist circumference, post prandial blood sugar, HBA1c, HDL cholesterol, triglyceride, total cholesterol and depression score. A significant difference was not seen for mean CIMT. Conclusion: Yoga may be a cost-effective technique to target multiple risk factors of myocardial infarction. It can be recommended along with conventional treatment for prevention and improvement of outcome in MI patients
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Prasad et al. (2020) conducted an RCT in Myocardial Infarction (n=200). Yoga (Pranayam, Shavasan, Transcendental meditation) vs. Conventional treatment and lifestyle counseling was evaluated on Change in body weight from baseline (kg) (p=<0.001). The addition of yoga to conventional therapy significantly reduced body weight, BMI, waist circumference, and improved lipid and glycemic profiles compared to conventional therapy alone in post-myocardial infarction patients.
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