| Yoga in Perception and Performance |
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METHODS
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Subjects
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Two hundred and twenty-six subjects who consented to
participate in the study, were randomly allocated into two
groups of equal size. The final data was available on 173
subjects. Inclusion criteria were (a) healthy individuals
of both sexes and between the ages of 18 and 71 years,
and (b) ability to read and write English because the
participant had to fill up the questionnaire available in the
English language. Exclusion criteria were (a) individuals
with diseases such as diabetes, cancer, hypertension,
anxiety, depression etc., (b) substance abuse, and (c) active
nicotine abuse.
Source of subjects: Normal adult volunteers who
consented to participate in the study were recruited from
different locations in Bangalore.Ethical clearance: Signed informed consent was obtained
from all the subjects and also from the institutional heads
where the classes were conducted. The institutional
ethical committee of the parent institution had cleared
the project proposal.
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Design
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This was a prospective randomized control design to
compare the efficacy of yoga (Y) with physical exercise
(PE) as a control intervention in normal healthy volunteers.
Motivational lectures were arranged in public centers such
as colleges, health clubs, Rotary clubs, Lions clubs and
apartment complexes. The classes were planned in five
different centers in the city of Bangalore.
After reading the instructions in the informed consent
form about the design of the study, these subjects agreed
to be in the allotted group. The experimental group was
given Y practices and the control group was given PE for
one hour daily on an empty stomach (6 to 7 a.m.). The
classes were conducted six days a week for eight weeks
and attendance was maintained by the teachers. Trained
experts in either Y or PE conducted parallel sessions for
the two groups in different rooms of the same building.
It was ensured that there was no interaction between the
subjects. The tests were administered on the first and last
day of the study before starting the classes, by arranging
the subjects to sit in a quiet hall, free from distractions
and influences from each other, with supervisors moving
around to clarify any doubts.
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Randomization
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The subjects selected for the study were randomly allotted
into two groups by using five different random number
tables (different tables for each center) generated from the
random number generator program.[21]
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The answered questionnaires were coded and kept away
for future scoring. A psychologist who was not involved
in the subject allocation or supervision of the classes,
scored the questionnaires which were decoded only after
the scoring of all answer sheets was completed.
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The Verbal Aggressiveness Scale (VAS)VAS [Table 1] is
an interpersonal model and measure. The VAS developed
by Infante and Wigley contains 20 items scored on a
5-point linear rating format with reverse scoring on ten out
of 20 items (questions: 1, 3, 5, 8, 10, 12, 14, 15, 17, 20). The
scores can range from 20 to 100. The VAS gives a single
overall score that describes the disposition of an individual
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towards low, moderate, or high verbal aggressiveness.
Scores from 2046 suggest low verbal aggressiveness,
4773 suggest moderate verbal aggressiveness and 74100
suggest high verbal aggressiveness.
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Validity: This scale is stable across time. The reported
test-retest reliability is 0.82 for a four week period. Further,
cross-culture reliability has been supported in a number
of studies.[7]
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Table 2 shows the list of practices used for the two
groups. The integrated yoga module was selected from
the integrated set of yoga practices used in earlier studies
on yoga for positive health.[22] The module was developed
based on ancient Yoga texts[23] to bring about a total
development at the physical, mental, emotional, social,
and spiritual levels.[24] The techniques included i) physical
practices (Kriyas, asanas, healthy yoga diet), ii) breathing
practices with body movements and Pranayama, iii)
meditation, iv) devotional sessions, v) lectures on yoga,
vi) stress management based on yogic philosophy, and vii)
lifestyle change through notional corrections for blissful
awareness under all circumstances (action in relaxation).
Qualified yoga teachers taught yoga.
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The set of physical exercises chosen for this study consisted
of standard practices[25] to provide mild to moderate
exercises designed by experts in physical education and
taught by trained physical education teachers. This group
also had interactive lectures on healthy lifestyle including diet habits and stress management based on modern
medical knowledge. The daily sessions began with short
talks of five minutes on lifestyle and health covering the
topics of (a) healthy diet (six talks) such as classification of
foods, energy-yielding foods, role of animal fat and relation
to cholesterol, vegetarian vs nonvegetarian diet, value of
fiber etc., (b) value of exercise and health (six sessions)
explaining different type of exercises, effects on muscles,
joints, the value of regular sport activity etc, (c) bad effects
of smoking (four talks), alcohol and other chemical abuse
(two sessions), (d) effects of mental stress on health and
the role of physical exercise in management of stress.
This was followed by practice of the physical exercises
for 45 minutes with enough rest in between. The sessions
ended with ten minutes of self-relaxation (without guided
instructions) in the supine position.
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The scoring of the questionnaires was carried out as per
the instructions in the manual and under the guidance
of a psychologist. They were decoded after the scoring of
both pre- and post- data
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Data was analyzed using SPSS version 10.0. A sample
size of 164 was calculated based on previous studies,[26]
which showed an effect size of 0.8, with a power of 0.8
and alpha set to 0.05. This calculation was done using G
power.[27] The size of the sample actually recruited was
226 while only data on 173/226 subjects were available
for analysis.
The statistical tests used were paired samples t-test for
pre-post comparison and ANCOVA for change score
comparison of the two groups. Interaction between males and females in their change scores in yoga and control
groups was checked by Repeated Measures ANOVA
(RMANOVA). As the study population had a wide age
range, analysis was also carried out by considering the
median age of 25 years as the value for grouping them
as juniors (age ≤ 25 years) and seniors (age > 25 years).
The interaction between these two groups in their change
scores were also checked by RMANOVA.
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