Abstract
Objectives
The purpose of this study was to investigate the effect of 16 weeks of Bikram yoga
on perceived stress, self-efficacy and health related quality of life (HRQoL) in sedentary,
stressed adults.
Design
16 week, parallel-arm, randomised controlled trial with flexible dosing.
Methods
Physically inactive, stressed adults (37.2 ± 10.8 years) were randomised to Bikram yoga (three to five classes per week) or control
(no treatment) group for 16 weeks. Outcome measures, collected via self-report, included
perceived stress, general self-efficacy, and HRQoL. Outcomes were assessed at baseline,
midpoint and completion.
Results
Individuals were randomised to the experimental (n = 29) or control group (n = 34). Average attendance in the experimental group was 27 ± 18 classes. Repeated measure analyses of variance (intention-to-treat) demonstrated
significantly improved perceived stress (p = 0.003, partial η2 = 0.109), general self-efficacy (p = 0.034, partial η2 = 0.056), and the general health (p = 0.034, partial η2 = 0.058) and energy/fatigue (p = 0.019, partial η2 = 0.066) domains of HRQoL in the experimental group versus the control group. Attendance
was significantly associated with reductions in perceived stress, and an increase
in several domains of HRQoL.
Conclusions
16 weeks of Bikram yoga significantly improved perceived stress, general self-efficacy
and HRQoL in sedentary, stressed adults. Future research should consider ways to optimise
adherence, and should investigate effects of Bikram yoga intervention in other populations
at risk for stress-related illness.
Trial registration
Australia New Zealand Clinical Trials Registry ACTRN12616000867493. Registered 04
July 2016. URL: http://www.anzctr.org.au/ACTRN12616000867493.aspx.
Keywords
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References
- The role of stress and the hypothalamic-pituitary-adrenal axis in the pathogenesis of the metabolic syndrome: neuro-endocrine and target tissue-related causes.Int J Obes Relat Metab Disord. 2000; 24: S50-S55
- The findings of the Australian Psychological Society Stress and Wellbeing in Australia Survey 2015.Australian Psychological Society, 2015
- The effects of stress on physical activity and exercise.Sports Med. 2014; 44: 81-121
- The effect of work stress on job burnout among teachers: the mediating role of self-efficacy.Soc Indic Res. 2015; 122: 701-708
- The behavioral determinants of exercise: implications for physical activity interventions.Annu Rev Nutr. 2000; 20: 21-44
- Stress and depression in students: the mediating role of stress management self-efficacy.Nurs Res. 2012; 61: 13-21
- Relationship of stress management skill to psychological distress and quality of life in adults with cancer.Psychooncology. 2010; 19: 102-109
- Perceived stress and quality of life among doctor of pharmacy students.Am J Pharm Educ. 2008; 72: 1-8
- Bikram yoga.Harper Collins, New York2007
- The effects of Bikram yoga on health: critical review and clinical trial recommendations.eCAM. 2015; 2015
- Heated hatha yoga to target cortisol reactivity to stress and affective eating in women at risk for obesity-related illnesses: a randomized controlled trial.J Consult Clin Psychol. 2016; 84: 558-564
- Impact of hot yoga on arterial stiffness and quality of life in normal and overweight/obese adults.J Phys Act Health. 2016; 13: 1360-1363
- A systematic review of randomised control trials on the effects of yoga on stress measures and mood.J Psychiatr Res. 2015; 68: 270-282
- Sweat therapy theory, practice, and efficacy.J Exp Educ. 2009; 32: 121-136
- The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories.Behav Res Ther. 1995; 33: 335-343
- Perceived stress in a probability sample of the United States.J Health Soc Behav. 1988; 24: 385-396
- Assessment of perceived general self-efficacy on the Internet: data collection in cyberspace.Anxiety Stress Coping. 1999; 12: 145-161
- Validating the SF-36 health survey questionnaire: new outcome measure for primary care.BMJ. 1992; 305: 160
- Stress-induced obesity and the emotional nervous system.Trends Endocrinol Metab. 2010; 21: 159-165
- Effects of a prenatal yoga programme on the discomforts of pregnancy and maternal childbirth self-efficacy in Taiwan.Midwifery. 2010; 26: e31-e36
- Mediators of yoga and stretching for chronic low back pain.eCAM. 2013; 2013
- The psychology of exercise: integrating theory and practice.Holcomb Hathaway, Publishers, Inc, Arizona2003
- Depression and cancer survivorship: importance of coping self-efficacy in post-treatment survivors.Psychooncology. 2013; 22: 987-994
- The effects of yoga on psychosocial variables and exercise adherence: a randomized, controlled pilot study.Altern Ther Health Med. 2012; 18: 50-59
- Hot, sweaty, and satisfied: effects of Bikram yoga on psychological well-being.J Behav Health. 2014; 3: 71-76
- Effects of a 12-week hatha yoga intervention on cardiorespiratory endurance, muscular strength and endurance, and flexibility in Hong Kong Chinese adults: a controlled clinical trial.eCAM. 2015; 2015
- Effect of yoga on arrhythmia burden, anxiety, depression, and quality of life in paroxysmal atrial fibrillation: the YOGA My Heart Study.J Am Coll Cardiol. 2013; 61: 1177-1182
- The SF36 Version 2: critical analyses of population weights, scoring algorithms and population norms.Qual Life Res. 2007; 16: 661-673
- The pervasive problem with placebos in psychology: why active control groups are not sufficient to rule out placebo effects.Perspect Psychol Sci. 2013; 8: 445-454
Article info
Publication history
Published online: August 22, 2017
Accepted:
August 13,
2017
Received in revised form:
July 23,
2017
Received:
February 4,
2017
Identification
Copyright
© 2017 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.