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Adapted Yoga for Inactive Older Adults

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ClinicalTrials.gov Identifier: NCT02663726
Recruitment Status : Completed
First Posted : January 26, 2016
Last Update Posted : September 21, 2016
Sponsor:
Collaborators:
Yorkshire Yoga & Therapy Centre
The British Wheel of Yoga
Big Lottery Fund - Awards for All
Information provided by (Responsible Party):
Garry Tew, Northumbria University

Brief Summary:
There is evidence that yoga has beneficial effects on several aspects of physical and mental health. However, few studies have explored the acceptability and health effects of yoga in older adults. This preliminary study will explore the effects of a 10-week yoga intervention on physical function and quality of life in older adults. Data collected in this study will be used to inform the design of a subsequent adequately-powered randomised controlled trial.

Condition or disease Intervention/treatment Phase
The Study Will Recruit Adults Aged 60 Years or Older Other: Yoga Behavioral: Written advice Not Applicable

Detailed Description:
Older adults (i.e. aged ≥60 years) who are physically inactive are at increased risk of falls, functional limitations, disability, and mental health problems. Encouragingly, there is evidence that various physical activity interventions can elicit meaningful improvements in physical function and health-related quality of life in older people. Effective programmes have included aerobic exercise, progressive resistance training and Tai Chi. Yoga is an alternative approach to improving fitness and health outcomes in older adults. The benefits of yoga may be greater than those of exercise alone because yoga offers a combination of physical exercise with mental focus, and participants are taught good posture, self-awareness, and self-care along with relaxation. Indeed, a recent systematic review and meta-analysis that included 16 studies (n=649) concluded that yoga may provide greater improvements in physical functioning and self-reported health status than conventional physical activity interventions in elderly people. However, the previous studies had limitations, including small sample sizes, a single yoga teacher delivering the programme, and short-term follow-up. Furthermore, none of the included studies had been conducted in the United Kingdom. Many different schools of hatha yoga exist in the West, such as Iyengar, Sivananda, Viniyoga, Bikram (Hot Yoga), and it is likely that some of these forms are more acceptable and effective than others in elderly people, many of whom present with multiple morbidities. Gentle Years Yoga© is a yoga programme which was developed in North Yorkshire, England by the British Wheel of Yoga 'Approved Centre' Yorkshire Yoga in 2009 to cater specifically for the needs of older people with age-related conditions such as osteoarthritis, arthroplasty, dementia, sensory impairment. To date, only anecdotal evidence exists regarding the acceptability, feasibility and effectiveness of this programme; therefore, further research is warranted. Here, we are proposing to conduct a two-arm, parallel-group, pilot randomised controlled trial in physically inactive adults aged ≥60 years, the aims of which are to: (i) inform the design of, and assess the feasibility of conducting, a definitive randomised controlled trial, and; (ii) explore the acceptability, safety and potential benefits of the Gentle Years Yoga© programme in this specific population.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 52 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: A Pilot Randomised Controlled Trial Investigating the Effects of a 10-week Yoga Intervention on Physical Function and Health-related Quality of Life in Physically-inactive Older Adults
Study Start Date : February 2016
Actual Primary Completion Date : July 2016
Actual Study Completion Date : July 2016

Arm Intervention/treatment
Experimental: Yoga intervention group
10 weekly 75-min sessions of specialised yoga plus written advice about physical activity for older adults
Other: Yoga
10 weekly 75-min sessions of specialised yoga

Behavioral: Written advice
Written advice about physical activity

Active Comparator: Waiting list control group
Usual care plus written advice about physical activity for older adults
Behavioral: Written advice
Written advice about physical activity




Primary Outcome Measures :
  1. Short Performance Physical Battery [ Time Frame: 3 months ]

Secondary Outcome Measures :
  1. EQ-5D-5L [ Time Frame: 3 months ]
  2. Warwick-Edinburgh Mental Well-being Scale [ Time Frame: 3 months ]
  3. Back scratch test of upper-body flexibility [ Time Frame: 3 months ]
  4. Chair sit-and-reach test of lower-body flexibility [ Time Frame: 3 months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   60 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

Age ≥60 years Able to provide written informed consent and complete the study questionnaires Able to travel to a study centre for assessment visits and yoga sessions

Exclusion Criteria:

Absolute contraindications to exercise testing and training as defined by the American College of Sports Medicine Planned major surgery within 3 months of the proposed baseline assessment date Current participation in >90 min/week of purposeful exercise, such as jogging or swimming Participation in another clinical trial for with concurrent participation is deemed inappropriate


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02663726


Locations
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United Kingdom
Yorkshire Yoga & Therapy Centre
Knaresborough, North Yorkshire, United Kingdom, HG5 0TG
Sponsors and Collaborators
Northumbria University
Yorkshire Yoga & Therapy Centre
The British Wheel of Yoga
Big Lottery Fund - Awards for All
Investigators
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Principal Investigator: Garry A Tew, PhD Northumbria University
Publications:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Garry Tew, Reader in Exercise and Health Sciences, Northumbria University
ClinicalTrials.gov Identifier: NCT02663726    
Other Study ID Numbers: HLSGT180116
First Posted: January 26, 2016    Key Record Dates
Last Update Posted: September 21, 2016
Last Verified: September 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Keywords provided by Garry Tew, Northumbria University:
Physically inactive
Older adults