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Yoga And Cardiovascular Health Trial

Not Applicable
Completed
Conditions
Cardiovascular Disease
Interventions
Other: Yoga
Registration Number
NCT01597960
Lead Sponsor
Imperial College London
Brief Summary

The benefits of alternative therapeutic approaches, such as yoga, are poorly understood and this is particularly true of the beneficial effects on cardiovascular disease (CVD) risk. It is hoped that a better understanding of the value of this therapy will provide a sound scientific basis for including yoga in mainstream clinical practice. The investigators propose to study a group of 80 participants (40 Indian Asians and 40 Europeans) recruited from a cardiac rehabilitation programme in West London post-angioplasty as treatment for an acute coronary syndrome. Those who agree will undergo a series of baseline and follow-up measurements. 20 Indian Asians and 20 Europeans will be randomized to the yoga intervention plus their standard cardiac rehabilitation programme (usual care), and the remaining 20 Indian Asians and 20 Europeans will be randomized to usual care alone. Baseline and follow-up measurements will be performed on all participants. In order to determine the acute effects of yoga the group randomised to the yoga intervention will also undergo a series of acute tests before and after their first yoga session.

Detailed Description

The benefits of alternative therapeutic approaches, such as yoga, are poorly understood and this is particularly true of the beneficial effects on cardiovascular disease (CVD) risk. It is hoped that a better understanding of the value of this therapy will provide a sound scientific basis for including yoga in mainstream clinical practice. The investigators propose to study a group of 80 participants (40 Indian Asians and 40 Europeans) recruited from a cardiac rehabilitation programme in West London post-angioplasty as treatment for an acute coronary syndrome. Those who agree will undergo a series of baseline and follow-up measurements. 20 Indian Asians and 20 Europeans will be randomized to the yoga intervention plus their standard cardiac rehabilitation programme (usual care), and the remaining 20 Indian Asians and 20 Europeans will be randomized to usual care alone. Baseline and follow-up measurements will be performed on all participants; these include: Demographic \& health questionnaire, Lifestyle questionnaires focusing on diet and exercise, Fasting bloods sampling (for cardiovascular risk factors and markers), Saliva sampling (x 5 samples for salivary cortisol and alpha-amylase), Anthropometrics - height, weight and waist and hip circumference, Bioimpedence - measurement of total body fat, 3D and Doppler echocardiography, Carotid IMT, Resting brachial blood pressure, Central blood pressure (tonometery at the radial artery), Pulse Wave Velocity, 12 lead ECG, Cardiopulmonary exercise testing, Combined 24hr BP \& ECG monitor, Accelerometer (3 days). In order to determine the acute effects of yoga the group randomised to the yoga intervention will also undergo a series of acute tests before and after their first yoga session. These include: Exercise capacity, Saliva sampling (x 5 samples for salivary cortisol and alpha-amylase) and combined 24hr BP \& ECG monitor.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • Aged 35-80 years.
  • Male or female.
  • European or Indian Asian descent.
  • Able to understand English or Punjabi.
  • Referred to a cardiac rehabilitation programme in West London post-angioplasty as treatment for an acute coronary syndrome.
Exclusion Criteria
  • Adults under 35 years or above 80 years.
  • Adults aged 35-80 years who are not competent to give consent.
  • Co-morbid disease or mobility limitations that would preclude participation in cardiac rehabilitation and our investigations.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Yoga 12 week programmeYogaUsual care (standard cardiac rehabilitation programme) plus yoga intervention.
Primary Outcome Measures
NameTimeMethod
Cardiopulmonary functionWeek 0 (pre intervention) and week 12 (post intervention)

To perform a mechanistic study that determines the acute and chronic effects of yoga on cardiopulmonary function, autonomic function, blood pressure and heart rate.

Secondary Outcome Measures
NameTimeMethod
Stress hormonesWeek 0 (pre intervention), week 1 (pre & post 1st yoga class), and week 12 (post intervention)

Stress hormones will be measured at baseline, at the beginning and end of the first yoga class, and immediately after the 12 week intervention.

Glucose and lipidsWeek 0 (pre intervention) and week 12 (post intervention)

Glucose and lipids will be measured at baseline and immediately after the 12 week intervention.

Blood pressureWeek 0 (pre intervention), week 1 (pre & post 1st yoga class), and week 12 (post intervention)

Blood pressure will be measured at baseline, at the beginning and end of the first yoga class, and immediately after the 12 week intervention.

Heart rate and heart rate variabilityWeek 0 (pre intervention), week 1 (pre & post 1st yoga class), and week 12 (post intervention)

Heart rate and heart rate variability will be measured at baseline, at the beginning and end of the first yoga class, and immediately after the 12 week intervention.

Body fatWeek 0 (pre intervention) and week 12 (post intervention)

Body fat will be measured at baseline and immediately after the 12 week intervention.

Exercise capacityWeek 0 (pre intervention), week 1 (pre & post 1st yoga class), and week 12 (post intervention)

Exercise capacity will be measured at baseline, at the beginning and end of the first yoga class, and immediately after the 12 week intervention.

Trial Locations

Locations (1)

International Centre for Circulatory Health

🇬🇧

London, United Kingdom

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