Universität zu Köln

Moeckel, Luis (2019). Potential benefits of yoga in patients with heart failure: A meta-analysis of controlled trials. Eur. J. Integr. Med., 31. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1876-3839

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Abstract

Introduction: Heart failure (HF) is characterized by breathlessness and reduced exercise tolerance. In addition to drug treatment, guidelines recommend exercise training for HF patients. Since yoga combines breathing and physical exercises and apparently shows positive cardiovascular effects in healthy volunteers, the aim of this meta-analysis was to identify potential benefits of yoga in HF patients. Methods: A systematic literature search in Pubmed and Cochrane Central Register of Controlled Trials was performed. Outcome measures in this meta-analysis were changes in maximum oxygen uptake (VO2 peak), blood pressure, high sensitive C reactive protein (hs-CRP), 6-minutes walking distance (6-MWD), and quality of life (QoL). Results: Five studies with 206 patients were included into the meta-analysis. Yoga therapy resulted in a significantly stronger decrease of hs-CRP compared to control with a mean difference (MD) of -0.39 mg/L [95% CI: -0.54, -0.24; n = 89]. In addition, oxygen uptake (VO2 peak) was statistically significantly increased in the yoga group compared to control group (MD: 3.95 mL/kg/min [95% CI: 2.14, 5.77; n = 59]). The other outcomes, reduction in blood pressure, improvement in 6-MWD and QoL, did not show any statistically significant differences between yoga and control group. Conclusion: In patients with heart failure, yoga indicated a positive effect and could be considered as complementary approach to drug treatment. However, larger randomized controlled trials with longer follow up periods and standardized endpoints are needed to provide definite conclusions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Moeckel, Luis UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-131749
DOI:	10.1016/j.eujim.2019.100948
Journal or Publication Title:	Eur. J. Integr. Med.
Volume:	31
Date:	2019
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1876-3839
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language C-REACTIVE PROTEIN; QUALITY-OF-LIFE; CARDIOVASCULAR-DISEASE; EXERCISE CAPACITY; BLOOD-PRESSURE; QUESTIONNAIRE; INFLAMMATION; RELIABILITY; REDUCTION Multiple languages Integrative & Complementary Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13174