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Yoga (asana-based mind–body practice)
Yoga programmes combining physical postures, breath regulation, and meditation have been tested in randomised trials for anxiety and mood; pooled effects are modest to heterogeneous and differ by comparator (no treatment vs active control).
Scope
Yoga (asana-based) means postural yoga curricula evaluated in randomised trials—session length, style (Hatha, Iyengar, integrated), and home practice minutes are within-protocol variation like Tai chi dose schedules.
Evidence anchors (PubMed)
- Depression in DSM-classified mental disorders (physically active yoga MA): Brinsley et al. 2021 (Br J Sports Med; PMID 32423912;
brinsley-2021-yoga-depressive-symptoms-mental-disorders-meta-bjsm) — ≥50% asana-focused yoga vs waitlist / TAU / attention controls; pooled SMD ~−0.41 on depressive symptom scales across meta-analysed RCTs (p < 0.001) with session frequency meta-regression signal—disorder-mixed population; not interchangeable with Cramer anxiety-only pool. - Anxiety MA: Cramer et al. 2018 (Depress Anxiety; PMID 29697885;
cramer-2018-yoga-anxiety-meta-depress-anxiety) — 8 RCTs (n = 319); anxiety SMD −0.43 (95% CI −0.74 to −0.11) vs no treatment; SMD −0.86 vs active comparators (wide CI; P = 0.02); small depression signal vs no treatment (SMD −0.35).
Distinct protocols
- Mindfulness meditation (
meditation-practice) — attention-dominant curricula without the same physical loading dose. - Tai chi & Qigong (
tai-chi-qigong) — choreographed martial movement families with separate pooled hypertension literature. - Progressive muscle relaxation (
progressive-muscle-relaxation) — tense–release somatic cycles.
Evidence hygiene
Active comparator arms in yoga trials include diverse therapies—negative SMD here does not automatically mean “yoga beats everything,” read forest plots.
Evidence
- Yoga for anxiety: A systematic review and meta-analysis of randomized controlled trials.
- A systematic review and meta-analysis of yoga for low back pain
- Effects of Meditative Movements on Major Depressive Disorder: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Effect of Yoga and Walking on Glycemic Control for the Management of Type 2 Diabetes: A Systematic Review and Meta-analysis
- Effects of yoga on depressive symptoms in people with mental disorders: a systematic review and meta-analysis
- Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials
- Yoga-based interventions may reduce anxiety symptoms in anxiety disorders and depression symptoms in depressive disorders: a systematic review with meta-analysis and meta-regression
- Mind- and Body-Based Interventions Improve Glycemic Control in Patients with Type 2 Diabetes: A Systematic Review and Meta-Analysis