Yoga-based exercise improves health-related quality of life and mental well-being in older people: a systematic review of randomised controlled trials

Alice Tulloch, Hannah Bombell, Catherine Dean, Anne Tiedemann

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: health-related quality of life (HRQOL) and mental well-being are associated with healthy ageing. Physical activity positively impacts both HRQOL and mental well-being. Yoga is a physical activity that can be modified to suits the needs of older people and is growing in popularity. We conducted a systematic review with meta-analysis to determine the impact of yoga-based exercise on HRQOL and mental well-being in people aged 60+. Methods: searches were conducted for relevant trials in the following electronic databases; MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, Allied and Complementary Medicine Database, PsycINFO and the Physiotherapy Evidence Database (PEDro) from inception to January 2017. Trials that evaluated the effect of physical yoga on HRQOL and/or on mental well-being in people aged 60+ years were included. Data on HRQOL and mental wellbeing were extracted. Standardised mean differences and 95% confidence intervals (CI) were calculated using random effects models. Methodological quality of trials was assessed using the PEDro scale. Results: twelve trials of high methodological quality (mean PEDro score 6.1), totalling 752 participants, were identified and provided data for the meta-analysis. Yoga produced a medium effect on HRQOL (Hedges' g = 0.51, 95% CI 0.25-0.76, 12 trials) and a small effect on mental well-being (Hedges' g = 0.38, 95% CI 0.15-0.62, 12 trials). Conclusion: yoga interventions resulted in small to moderate improvements in both HRQOL and mental well-being in people aged 60+ years. Further, research is needed to determine the optimal dose of yoga to maximise health impact. PROSPERO registration number: (CRD42016052458).

LanguageEnglish
Pages536-544
Number of pages9
JournalAge and Ageing
Volume47
Issue number4
DOIs
Publication statusPublished - Jul 2018

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Yoga
Randomized Controlled Trials
Quality of Life
Databases
Confidence Intervals
Meta-Analysis
Complementary Therapies
MEDLINE
Health
Research

Keywords

  • Exercise
  • Health-related quality of life
  • Mental well-being
  • Older people
  • Systematic review
  • Yoga

Cite this

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title = "Yoga-based exercise improves health-related quality of life and mental well-being in older people: a systematic review of randomised controlled trials",
abstract = "Objective: health-related quality of life (HRQOL) and mental well-being are associated with healthy ageing. Physical activity positively impacts both HRQOL and mental well-being. Yoga is a physical activity that can be modified to suits the needs of older people and is growing in popularity. We conducted a systematic review with meta-analysis to determine the impact of yoga-based exercise on HRQOL and mental well-being in people aged 60+. Methods: searches were conducted for relevant trials in the following electronic databases; MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, Allied and Complementary Medicine Database, PsycINFO and the Physiotherapy Evidence Database (PEDro) from inception to January 2017. Trials that evaluated the effect of physical yoga on HRQOL and/or on mental well-being in people aged 60+ years were included. Data on HRQOL and mental wellbeing were extracted. Standardised mean differences and 95{\%} confidence intervals (CI) were calculated using random effects models. Methodological quality of trials was assessed using the PEDro scale. Results: twelve trials of high methodological quality (mean PEDro score 6.1), totalling 752 participants, were identified and provided data for the meta-analysis. Yoga produced a medium effect on HRQOL (Hedges' g = 0.51, 95{\%} CI 0.25-0.76, 12 trials) and a small effect on mental well-being (Hedges' g = 0.38, 95{\%} CI 0.15-0.62, 12 trials). Conclusion: yoga interventions resulted in small to moderate improvements in both HRQOL and mental well-being in people aged 60+ years. Further, research is needed to determine the optimal dose of yoga to maximise health impact. PROSPERO registration number: (CRD42016052458).",
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Yoga-based exercise improves health-related quality of life and mental well-being in older people : a systematic review of randomised controlled trials. / Tulloch, Alice; Bombell, Hannah; Dean, Catherine; Tiedemann, Anne.

In: Age and Ageing, Vol. 47, No. 4, 07.2018, p. 536-544.

Research output: Contribution to journalArticleResearchpeer-review

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