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FACT
Focus on Alternative and Complementary Therapies

Yoga therapy for coronary heart disease: a systematic review

Hutchinson SC, Ernst E
Complementary Medicine, Peninsula Medical School, Universities of Exeter and Plymouth, 25 Victoria Park Road, Exeter, EX2 4NT, UK

Objective

Yoga is a holistic practice that is said to engage all aspects of our being. The aims of this review are to assess the efficacy of yoga therapy in decreasing coronary heart disease risk factors and disease severity in those with known coronary heart disease.

Methods

Literature searches were performed using the following databases: Medline, Embase, Pubmed, Amed, Cinahl, Ciscom and the Cochrane Library (all from their inception to May 2002). Experts in the field were contacted for identification of hard to find or unpublished trials. Only randomised controlled trials of yoga in people with known risk factors or coronary heart disease were included. Studies measuring only laboratory outcomes were excluded. All articles were read by two independent reviewers. Data were extracted in a predefined, standardised fashion. The methodological quality of the trials was evaluated by a modified Jadad score.

Results

Six trials met the inclusion/exclusion criteria. Five out of six favoured yoga over placebo.

Conclusion

Yoga practised as a holistic discipline is beneficial for the prevention and treatment of coronary heart disease.

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