|
|
|
| DISCUSSION |
This is a randomized, controlled, prospective study in
normal adults comparing the efficacy of yoga with a
control intervention of PE of eight weeks in 174 normal
adults on changes in their personality (guna) and General
health as assessed by VPI and GHQ. The results showed
that there was an increase in Sattva scores (P < 0.001) in
both Y and PE groups and a decrease in Rajas (P = 0.002)
and tamas (P = 0.01) scores in the PE group. The scores for
Tamas decreased significantly in seniors of both the groups
(females in Y and males in PE) (paired samples t test).
The increase in Sattva scores was higher in the Y group
|
|
(effect size 0.61) than in the PE group (effect size 0.45)
(paired samples t test). The decrease in the Rajas scores
was significantly higher in the PE than in the Y (P=0.005)
(independent samples t-test) groups and this was seen
in juniors and males. The GHQ revealed a significant
improvement on all four domains and the overall health in
both groups after the intervention (P ≤ 0.001) (Wilcoxons
signed rank test). It can be seen from the GHQ scores that
PE was more effective in reducing somatic symptoms
(P = 0.018) (Mann Whitney test), severe depression (effect
size for Y = 1.46, PE = 1.60) and anxiety and insomnia
(effect size for Y = 0.98, PE = 1.93).
A similar study by Dasa[32] conducted by the use of
mahamantra in a three-armed, randomized prospective,
controlled study on 62 volunteers showed that the
mahamantra group had increased Sattva and decreased
Tamas with no significant change in Rajas scores on the VPI
questionnaire after a month of chanting of mahamantra,
20 minutes daily for four weeks. In the present study,
apart from an increase in Sattva and decrease in Tamas, there is a significant decrease in Rajas which was not
observed after Mahamantra. This difference could be
because of the inclusion of Asanas and Pranayama to
the Meditation technique in the integrated yoga program
used in the present study as compared to the mahamantra
which is mainly a form of meditation. In their study, Dasa
et al. also showed a significant reduction in stress, anxiety
and depression after mahamantra as measured by State
Trait Anxiety Inventory (STAI) comparable to the results
of GHQ in this study.
The behavior of a human being is an expression of
a combination of different gunas. Tamas (meaning
darkness) is the grossest aspect of our personality
characterized by excessive sleep, innocence, laziness,
depression, procrastination, a feeling of helplessness,
impulsivity, anger and arrogance (packed up with vital
energy). When we reduce Tamas through mastery over
the mind, we become dynamic, sensitive and sharp to
move towards Rajas (the shining one) characterized by
intense activity, ambitiousness, competitiveness, high
|
|
sense of self importance, desire for sense gratification,
little interest in spiritual elevation, dissatisfaction
with ones position, envy of others and a materialistic
cleverness.[33] With further growth and mastery, one moves
into Sattvaa dominance which includes the qualities of
truthfulness, stability, discipline, sense of control, sharp
intelligence, preference for vegetarianism, truthfulness,
gravity, dutifulness, detachment, respect for superiors
and staunch determination[21] and stability in the face of
adversity and also conscious action. Thus, we can see
that although both Rajas and Tamas have both positive
and negative qualities, they are the manifestation of a
violent state of mind in which a person lacks mastery
over upsurges of emotions and impulsive behaviour.[33]
Most of the qualities of Sattva which are manifestation
of a calm state of mind are achievable by different
yoga techniques (physical postures, pranayama and/or meditation) meant for mastery over the mind-body
complex.[34] Several earlier studies have independently
corroborated these notions. It has been shown that self
esteem as well as the sense of control and determination
improved after meditation.[35] Reduction in crime rate
after transcendental meditation (TM) supported the
effect of a calm state of mind on social health.[36] These
positive effects also show up as better perception and
memory as well as better motor performance (dexterity
and coordination tests).[37] Better academic performance
has also been documented.[38]
Although in this study, Yoga has shown a better effect
on the Sattva guna than PE with a better effect size, the
main difference between Y and PE practices seems to
be the effect on rajas guna. The reduction in this guna
was significantly higher after PE than after Y (this group
difference was in males and juniors). The scores for Tamas
also decreased significantly in seniors of both groups
(females in Y and males in PE groups) with the effect
size being higher in the PE than in the Y groups. Thus,
significantly greater reductions in Rajas and Tamas were
worthy of note with PE than with Y. This positive effect
of PE in reducing Rajas and Tamas adds to the fund of
knowledge about several psycho-physiological benefits
of PE. Hence, it appears that physical practices are more
effective in reducing the limitations of Rajas and Tamas
such as lack of mastery over upsurges of emotions and
impulsive behavior, while yoga improves the softer
qualities of Sattva. The mechanism of how physical
exercises may reduce Rajas and tamas and how yoga may
increase Sattva needs to be investigated by further studies.
Thus, we may conclude that both physical activity (to
reduce Rajas and Tamas) and Yoga (to improve Sattva)
may be recommended for the harmonious promotion of
personality.
The GHQ showed significant differences within groups
in all domains in both groups. There was a significant
difference in SS between the Y and PE groups (Mann
Whitney Test).
Observations by Atlantis et al. on the efficacy of physical
exercise practised for eight weeks in a population of
Australian employees showed that the intervention
significantly improved the Quality of Life as compared to a
waiting list control group (measured by SF-36). They have
shown an improvement of 12.8% in physical functioning,
9.90% in general health, 44.50% in vitality and 15.90% in
mental health scores.[29] The significantly better reduction
in SS in the Yoga group in our study may be due to deeper
rest and relaxation obtained in Yoga.
The results of the study seem to point out clear differences
between Y and PE on VPI whereas differences between Y
and PE are not found in most domains of GHQ (except SS).
Hence, although GHQ is a good measure of the various
aspects of health and disease, VPI seems to be a better
measure to differentiate the effects of Y and PE.
In summary, this randomized, prospective, single-blind,
comparative study has shown the efficacy of both Y and
PE in improving all components of general health. While
physical exercise has reduced Rajas and Tamas, the yogic
practice has increased Sattva. Hence, yoga which is more
traditionally practised in India and cost-effective, can be
recommended with additional benefits of promotion of
the Sattva guna.
The strength of our design is a PE intervention matched
with the integrated Y module. The study population was
taken from different parts of Bangalore from different
socioeconomic classes of the city. The improvement
observed in both groups after eight weeks of intervention
in all variables in both groups not only provides hitherto
undemonstrated evidence of the efficacy of physical
activity in a normal South Indian adult population but
also shows that yoga could be an equally effective tool.
This study also brings out the subtle differences in
the efficacy of the two interventions (Y or PE). It also
points out the utility of the VPI as a tool for measuring
the subtle dimensions of guna described in traditional
texts of yoga that can measure the steps of growth of
an individual.
|
|
|
You do not have permission to sell or distribute or reproduce
Research @ SVYASA Papers text or any portion of the text in any form (printed, electronic or otherwise). To do so is a violation of copyright law
|
|
|
Research
Contributions of
SVYASA
(2 Volumes)
PRINT EDITION
US $ 33.00 Write to svyasa@svyasa.org |
|