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    Online yoga in myeloproliferative neoplasm patients: results of a randomized pilot trial to inform future research

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    Author
    Huberty, Jennifer
    Eckert, Ryan
    Dueck, Amylou
    Kosiorek, Heidi
    Larkey, Linda
    Gowin, Krisstina
    Mesa, Ruben
    Affiliation
    Univ Arizona
    Issue Date
    2019-06-07
    Keywords
    Cancer
    Complementary
    Mindfulness
    Neoplasm
    Physical activity
    
    Metadata
    Show full item record
    Publisher
    BMC
    Citation
    Huberty, J., Eckert, R., Dueck, A., Kosiorek, H., Larkey, L., Gowin, K., & Mesa, R. (2019). Online yoga in myeloproliferative neoplasm patients: results of a randomized pilot trial to inform future research. BMC complementary and alternative medicine, 19(1), 121.
    Journal
    BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE
    Rights
    Copyright © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background Myelo proliferative neoplasm (MPN) patients suffer from significant symptoms, inflammation and reduced quality of life. Yoga improves these outcomes in other cancers, but this hasn't been demonstrated in MPNs. The purpose of this study was to: (1) explore the limited efficacy (does the program show promise of success) of a 12-week online yoga intervention among MPN patients on symptom burden and quality of life and (2) determine feasibility (practicality: to what extent a measure can be carried out) of remotely collecting inflammatory biomarkers. Methods Patients were recruited nationally and randomized to online yoga (60min/week of yoga) or wait-list control (asked to maintain normal activity). Weekly yoga minutes were collected with Clicky (online web analytics tool) and self-report. Those in online yoga completed a blood draw at baseline and week 12 to assess inflammation (interleukin-6, tumor necrosis factor-alpha [TNF-]). All participants completed questionnaires assessing depression, anxiety, fatigue, pain, sleep disturbance, sexual function, total symptom burden, global health, and quality of life at baseline, week seven, 12, and 16. Change from baseline at each time point was computed by group and effect sizes were calculated. Pre-post intervention change in inflammation for the yoga group was compared by t-test. Results Sixty-two MPN patients enrolled and 48 completed the intervention (online yoga=27; control group=21). Yoga participation averaged 40.8min/week via Clicky and 56.1min/week via self-report. Small/moderate effect sizes were generated from the yoga intervention for sleep disturbance (d=-0.26 to -0.61), pain intensity (d=-0.34 to -0.51), anxiety (d=-0.27 to -0.37), and depression (d=-0.53 to -0.78). A total of 92.6 and 70.4% of online yoga participants completed the blood draw at baseline and week 12, respectively, and there was a decrease in TNF- from baseline to week 12 (-1.31.5pg/ml). Conclusions Online yoga demonstrated small effects on sleep, pain, and anxiety as well as a moderate effect on depression. Remote blood draw procedures are feasible and the effect size of the intervention on TNF- was large. Future fully powered randomized controlled trials are needed to test for efficacy. Trial registration This trial was retrospectively registered with clinicaltrials.gov (ID: NCT03503838) on 4/19/2018.
    Note
    Open access journal
    ISSN
    1472-6882
    PubMed ID
    31174535
    DOI
    10.1186/s12906-019-2530-8
    Version
    Final published version
    Sponsors
    philanthropically derived MPN research funds
    ae974a485f413a2113503eed53cd6c53
    10.1186/s12906-019-2530-8
    Scopus Count
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    UA Faculty Publications

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