Effects of yoga on anxiety, pain, inflammatory and stress biomarkers in patients undergoing cardiac surgery: A systematic review and meta-analysis
Author: Ramesh Chandrababu1, Jyothi Ramesh2, Nalini Sirala Jagadeesh3, Ping Guo4, Gajjela Govardhan Reddy5, Mark Hayter6
Affiliation:
1 Department of Medical Surgical Nursing, Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, 600116, India. Electronic address: ramesh.c@sriramachandra.edu.in.
2 Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, 600116, India. Electronic address: jyothi.k@sriramachandra.edu.in.
3 Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education and Research, Porur, Chennai, 600116, India. Electronic address: sjnalini@sriramachandra.edu.in.
4 School of Nursing and Midwifery, Institute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom. Electronic address: p.guo@bham.ac.uk.
5 Division of Yoga, Centre for Integrative Medicine and Research, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India. Electronic address: govardhan.reddy@manipal.edu.
6 Department of Nursing, Manchester Metropolitan University, All Saints Building, Manchester, M15 6BH, United Kingdom. Electronic address: m.hayter@mmu.ac.uk.
Conference/Journal: Complement Ther Clin Pract
Date published: 2023 Sep 9
Other:
Volume ID: 53 , Pages: 101798 , Special Notes: doi: 10.1016/j.ctcp.2023.101798. , Word Count: 244
Background:
The most common surgical method of managing coronary artery disease is coronary artery bypass grafting (CABG). Stress, anxiety, and pain are commonly identified postoperative symptoms and are closely correlated to patient recovery.
Objective:
The purpose of this review was to investigate the effects of yoga interventions on anxiety, pain, inflammatory and stress biomarkers in CABG surgery patients.
Methods:
and analysis: The databases PUBMED, The Cochrane CENTRAL, EMBASE, CINAHL, Scopus, and Web of Science were comprehensively searched from the inception to December 2022. The quantitative research studies that evaluated the effects of yoga on anxiety, pain, inflammatory and stress biomarkers in CABG patients were included. This systematic review and meta-analysis followed the Cochrane guidelines and is reported using the PRISMA checklist. The RevMan 5.4 software was used for the meta-analysis.
Results:
Seventeen studies met the inclusion criteria, representing 1227 patients with a mean age of 58 years. All studies have reported that yoga interventions significantly reduced anxiety, pain, inflammatory and stress biomarkers in the experimental group compared to the control group. According to the GRADE criteria, moderate quality of evidence was found on effects of yoga intervention in CABG surgery patients.
Conclusion:
Yoga has been shown to benefit patients undergoing CABG surgery. It can be used as an adjunctive intervention. However, more rigorous randomized controlled trials are required to generate high-quality evidence for yoga interventions.
Registration:
PROSPERO CRD42020175833.
Keywords: Anxiety; Cardiac surgical procedures; Inflammatory markers; Pain; Postoperative care; Quality of life; Stress biomarkers; Yoga.
PMID: 37708834 DOI: 10.1016/j.ctcp.2023.101798
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