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Clinical Trial
. 2014 Nov 15;14:445.
doi: 10.1186/1472-6882-14-445.

An Explorative Study of Metabolic Responses to Mental Stress and Yoga Practices in Yoga Practitioners, Non-Yoga Practitioners and Individuals With Metabolic Syndrome

Free PMC article
Clinical Trial

An Explorative Study of Metabolic Responses to Mental Stress and Yoga Practices in Yoga Practitioners, Non-Yoga Practitioners and Individuals With Metabolic Syndrome

Anupama Tyagi et al. BMC Complement Altern Med. .
Free PMC article


Background: Stress places a metabolic burden on homeostasis and is linked to heightened sympathetic activity, increased energy expenditure and pathology. The yogic state is a hypometabolic state that corresponds with mind-body coherence and reduced stress. This study aimed to investigate metabolic responses to stress and different yoga practices in regular yoga practitioners (YP), non-yoga practitioners (NY) and metabolic syndrome patients (MS).

Methods: YP (n = 16), NY (n = 15) and MS (n = 15) subjects underwent an experimental protocol that comprised of different 5-minute interventions including mental arithmetic stress test (MAST), alternate nostril breathing (ANB), Kapabhati breathing (KB) and meditation (Med) interspersed with 5 minutes of quiet resting (neutral condition (NC)). During the intervention periods continuous body weight adjusted oxygen consumption (VO2ml/min/kg) was measured using open circuit indirect calorimetry with a canopy hood.

Results: This is the first study to report oxygen consumption (OC) in yoga practitioners during and after MAST and the first to report both within and between different populations. The results were analysed with SPSS 16 using 3X9 mixed factorial ANOVAs. The single between-subject factor was group (YP, NY and MS), the single within-subject factor was made up of the nine intervention phases (NC1, MAST, NC2, ANB, NC3, KB, NC4, Med, NC5). The results demonstrated that the regular YP group had significantly less OC and greater variability in their OC across all phases compared to the MS group (p = .003) and NY group (p = .01). All groups significantly raised their OC during the mental arithmetic stress, however the MS group had a significantly blunted post-stress recovery whereas the YP group rapidly recovered back to baseline levels with post stress recovery being greater than either the NY group or MS group.

Conclusions: Yoga practitioners have greater metabolic variability compared to non-yoga practitioners and metabolic syndrome patients with reduced oxygen requirements during resting conditions and more rapid post-stress recovery. OC in metabolic syndrome patients displays significantly blunted post-stress recovery demonstrating reduced metabolic resilience. Our results support the findings of previous randomised trials that suggest regular yoga practice may mitigate against the effects of metabolic syndrome.

Clinical trial number: ACTRN12614001075673; Date of Registration: 07/10/2014.


Figure 1
Figure 1
Experimental sequences.
Figure 2
Figure 2
Pattern of change in VO2ml/min/Kg for 3 groups across the nine experimental phases.

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    1. Selye H. The stress of life. New York: McGraw-Hill; 1956.
    1. Vaccarino V, Bremner JD. Stress response and the metabolic syndrome. Cardiology. 2005;11(Part 2):1.
    1. Das SK, Saltzman E, McCrory MA, Hsu LK, Shikora SA, Dolnikowski G, Kehayias JJ, Roberts SB. Energy expenditure is very high in extremely obese women. J Nutr. 2004;134(6):1412–1416. - PubMed
    1. Chandola T, Brunner E, Marmot M. Chronic stress at work and the metabolic syndrome: prospective study. BMJ. 2006;332(7540):521–525. doi: 10.1136/bmj.38693.435301.80. - DOI - PMC - PubMed
    1. Chen E, Strunk RC, Trethewey A, Schreier HM, Maharaj N, Miller GE. Resilience in low-socioeconomic-status children with asthma: adaptations to stress. J Allergy Clin Immunol. 2011;128(5):970–976. doi: 10.1016/j.jaci.2011.06.040. - DOI - PMC - PubMed
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