Clinical trial NCT02663726: Adapted Yoga for Inactive Older Adults
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 type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: The Study Will Recruit Adults Aged 60 Years or Older
Keywords: Physically inactive
Older adults
Lead sponsor: Northumbria University
Sponsor class: OTHER
Collaborators: name: Yorkshire Yoga & Therapy Centre
name: The British Wheel of Yoga
name: Big Lottery Fund - Awards for All
First posted: 2016-01-26
Enrollment: 52
Sex: ALL
Minimum age (years): 60
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.

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.

Eligibility 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

Primary outcomes:
measure: Short Performance Physical Battery
timeFrame: 3 months
Secondary outcomes:
measure: EQ-5D-5L
timeFrame: 3 months
measure: Warwick-Edinburgh Mental Well-being Scale
timeFrame: 3 months
measure: Back scratch test of upper-body flexibility
timeFrame: 3 months
measure: Chair sit-and-reach test of lower-body flexibility
timeFrame: 3 months
Other outcomes:
Locations:
city: Knaresborough
country: United Kingdom
facility: Yorkshire Yoga & Therapy Centre
state: North Yorkshire
Study officials:
affiliation: Northumbria University
name: Garry A Tew, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Patel NK, Newstead AH, Ferrer RL. The effects of yoga on physical functioning and health related quality of life in older adults: a systematic review and meta-analysis. J Altern Complement Med. 2012 Oct;18(10):902-17. doi: 10.1089/acm.2011.0473. Epub 2012 Aug 21.
citation: Youkhana S, Dean CM, Wolff M, Sherrington C, Tiedemann A. Yoga-based exercise improves balance and mobility in people aged 60 and over: a systematic review and meta-analysis. Age Ageing. 2016 Jan;45(1):21-9. doi: 10.1093/ageing/afv175. Epub 2015 Dec 25.
citation: Tew GA, Howsam J, Hardy M, Bissell L. Adapted yoga to improve physical function and health-related quality of life in physically-inactive older adults: a randomised controlled pilot trial. BMC Geriatr. 2017 Jun 23;17(1):131. doi: 10.1186/s12877-017-0520-6.