|Year : 2020 | Volume
| Issue : 4 | Page : 143-146
Yoga: A nonpharmacological approach against current pandemic of Coronavirus Disease-19
Ankur Kumar Tanwar, Sujata Rajan
Department of Kriya Sharir (Physiology), Ayurvedic and Unani Tibbia College, Delhi, India
|Date of Submission||15-Aug-2020|
|Date of Decision||26-Sep-2020|
|Date of Acceptance||28-Sep-2020|
|Date of Web Publication||28-Dec-2020|
Ankur Kumar Tanwar
Department of Kriya Sharir (Physiology), Ayurvedic and Unani Tibbia College, Delhi
Source of Support: None, Conflict of Interest: None
Introduction: In this current era of the pandemic, when the Covid-19 pandemic rapidly spread across the world, the population at a large scale suffered from fear, worry, and certain concern regarding himself/herself as well as for their families especially adults and children. A significant level of stress also developed in health care providers. Many people all over the world are suffering from loneliness, anxiety, and disturbed mental health issues during lockdown, quarantines, and isolation. Mental health is one of the important factors for overall health. No vaccination or treatment available for COVID-19 till today. The only approach is the preventive and promotive approach. Psychological issues also hamper our physical health and level of immunity. Objective: In this study, an attempt has been made to critically review the role of yoga against the current pandemic. Data Source and Review Methods: References are searched from various authoritative texts and worldwide accepted scientific databases concerning the effect of yoga in the different body systems, immune system as well as on mental health. Result: The psychophysical approach which helps in reducing the mental issue maintains mental health and reduces stress as well as boosts our immunity against communicable diseases like COVID-19 is Yoga. Discussion: Yoga is cost-effective, may be practiced as a self-care treatment against physical and mental health issues, enhance self-efficacy and self-confidence. Yoga may be effective as a supportive adjunct in some medical conditions. Conclusion: This review summarizes the effects of yoga interventions against the current pandemic as well as helps to understand the preventive and health promotive aspect of yoga on various components of mental and physical health.
Keywords: Mental health, pandemic, stress, Yoga
|How to cite this article:|
Tanwar AK, Rajan S. Yoga: A nonpharmacological approach against current pandemic of Coronavirus Disease-19. J Ayurveda 2020;14:143-6
| Introduction|| |
Since its origin in December 2019 in the Hubei province of China, the novel coronavirus disease-19 (COVID-19) is spreading at a high rate of transmission both locally and internationally., Within months, the disease caused by the coronavirus was considered a public health emergency by the World Health Organization and was declared a pandemic by March 2020. Now, this infectious disease spreads in 216 countries throughout the world, with approximately 2.04 crore infectious cases and more than 7.43 lakh death worldwide.
WHO and public health authorities across the world are working to combat the COVID-19 outbreak. However, this time of crisis is generating a vicious cycle of stress throughout the population. Peoples are experiencing fear, worry, and stress concerning the COVID-19 pandemic because this pandemic is a real threat to anyone's life.
Along with the fear of infecting with coronavirus in a pandemic, people are suffering from new stress called lockdown stress in support of lockdown and other measures or efforts by the health authority to slow down the spread and as preventive aspect. Working from home, unemployment issues, homeschooling, and less contact with family members and love ones also hamper people's mental health.
The main psychological impact of COVID-19 is an increased level of stress and anxiety. Quarantine and isolation affect people's behaviors and activities. Level of loneliness, depression, addiction, suicidal behaviors, and temper enhanced during the pandemic.
People need proper psychiatric treatment and intervention which enhances their mental health and immunity too. Every disorder has both physical and mental aspects, also called to harm mental health. The patient suffered from COVID 19 also suffered from a certain level of stress due to isolation and fear of death. This stress starts a vicious cycle and decreases immunity which again hampers physical health and increases the viral load and then enhances the severity of the disease.
| How to Combat Psychological Issues during a Pandemic?|| |
Yoga, as a therapeutic intervention, has given the advantage to the various psychophysiological benefits. Yoga is the therapeutic approach that includes antayoga as well as bahiryoga. Bahiryoga in the form of asana (physical exercise) and pranayama (breathing exercise) enhances the physical health by increasing the patient's physical flexibility, coordination, and strength, while antayoga in a form of meditation may calm the mind and enhances the sattva guna to develop greater awareness and diminish anxiety and overall enhances the quality of life. Yoga also reduces stress, blood pressure, cause improvements in resilience, mood, and metabolic regulation.
The development of yoga today is quite fast is spreading all over the world. The international day of yoga is celebrated every year on 21 June, which showed the importance of yoga in the current era of disease. The number of people who do yoga regularly in the world is more than 50 million people worldwide and keeps on increasing every day. It is a self-care intervention and easy to practice and having wonderful effects on the physical, mental, and spiritual aspects of health. Yoga is a spiritual therapy originated in India because it integrates the mind, body, and soul. The technique of yoga consists of Yama and Nyama, Asana, Pranayama, Pratyahara, Dharana, Dhyana, and Samadhi. All these techniques cause the integration of a holistic approach to health.
| Effect of Yoga on Different Body Systems|| |
- Yoga effects on the hypo-pituitary–pancreatic axis and sympathetic nervous system.
- Pranayama showed a significant effect on pulmonary functions in patients of asthma and enhances the quality of life.
- Yoga may increase the utilization and metabolism of glucose in peripheral tissues, liver, and adipose tissues., Yoga can lead to an improvement in insulin sensitivity and some asana by direct stimulation of the pancreas can rejuvenate its capacity to produce insulin. The practice of yoga leads to an improved neuroendocrine axis.
- Yoga can lead to improved lipid levels.,
- Yoga improves strength and musculoskeletal coordination. It involves the coordinated action of muscles which brings increased steadiness, strength, stamina, flexibility, endurance, anaerobic power, and better neuromuscular coordination.
- Yoga asana strengthens the bones and prevents age-related weakening, thus helping in the prevention of osteoporosis.
- Yoga reported a reduction in urinary excretion of adrenaline, noradrenaline, dopamine, cortisol, and aldosterone, thus showed an effect on stress hormones and reduced stress significantly.
- Yoga decreases the serum testosterone and luteinizing hormone levels indicating optimal changes in reproductive hormones.
- Yoga practiced by pregnant women increased birth weight and low chance of preterm labor.
- Studies showed that meditation can increase plasma melatonin levels resulting which are responsible for an improved sense of well-being as well as health-promoting effects.
- Yoga significantly decreased oxygen consumption, heart rate, and diastolic blood pressure., It is effective in the treatment of hypertension.
| Effect of Yoga on the Immune System|| |
The study conducted by Gede Juanamasta and Ketut Andika Priastana showed that the longer or more frequent the duration and intensity of yoga are done will enhance the immunity system gradually. Yoga gives a good effect on the number of red and white blood cells. Previous studies conducted showed that yoga practicing for 3 weeks decreased the level of neutrophils and platelets.,,, The level of lymphocytes increased after yoga practicing showed that yoga improves immunity. Research also showed yoga practicing improved the level of hemoglobin and antioxidant superoxide dismutase. The minimum intensity and duration of yoga required for improving immunity are at least once every day for 4 weeks.
| Effect of Yoga on Mental Health|| |
A large number of studies show that yoga-practicing can significantly decrease basal anxiety scores. A study conducted by Khalsa et al. showed that 2 months of yoga and meditation techniques can reduce performance anxiety and reduced mood disturbance in young professional musicians. Javnbakht et al. reported that participation in a 2-month yoga program leads to a significant reduction in perceived levels of anxiety in women who suffered from anxiety disorders. Kozasa et al. reported a significant reduction in scores on anxiety, depression, and tension after a month practice of yoga program. The previous study showed that study participants who participated in a 5-week yoga course demonstrated significant decreases in self-reported symptoms of depression and trait anxiety. Yoga practice resulted in significant improvements in perceived stress, state and trait anxiety, subjective well-being, and vigor, and decrease in salivary cortisol, fatigue, and depression. So overall, the Yoga practice also showed marked improvement in the quality of life, a sense of well being, relaxation, improved level of concentration, enhance self-confidence, improved efficiency, and efficacy, maintenance of the good relationship, increased attentiveness, and lowered irritability levels. All previous studies suggest that even short-term yoga programs can lead to a reduction in stress and anxiety in individuals. Yoga especially reduced stress hormones like serum cortisol and DHEA.
Yoga practicing also helps us to focus on the problem, process the required information, arrive at the logical conclusion, make decisions, and then execute the task.
| Conclusion|| |
Yoga is a holistic practice that strengthens our body physically, mentally, and spiritually. As a result, the body's defense mechanism against pathogens like bacteria and viruses also improves through Yoga. Asana (physical exercise) works on all body systems such as the cardiovascular system, respiratory system, nervous system, and thyroid system and improves their functions. All systems when function properly and the integration of all health systems result in improved immunity. As this pandemic hampers the respiratory system, pranayama (breathing exercise) improves the lung capacity and pulmonary functions, improves oxygen supply to all cells and tissues, helps to increases breathing time, and finally increases immunity and gives longevity to life.
Yoga is a nonpharmacological approach against various communicable and noncommunicable diseases. It is a body-mind medicine and preventive, promotive, and therapeutic approach. It reduces stress levels through antayoga as well as maintains autonomic response against stress.
This review summarized that Yoga has an effective role in reducing stress, anxiety, and depression. It can be used as therapeutic and preventive against COVID-19 by maintaining physical and mental health. It is a holistic approach against any pandemic.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al
. Early transmission dynamics in wuhan, china, of novel coronavirus-infected pneumonia. N Engl J Med 2020;382:1199-207.
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al
. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med 2020;382:727-33.
Statement on the Second Meeting of the International Health Regulations (2005) Emergency Committee Regarding the Outbreak of Novel Coronavirus (2019-nCoV) [press release]. Geneva, Switzerland: WHO; 2020.
World Health Organisation. WHO Coronavirus Disease (COVID-19) Dashboard. Geneva: WHO; 2020 [10:23am CEST]. Available from: https://covid19.who.int/
. [Last accessed on 2020 Aug 12].
Dubey S, Biswas P, Ghosh R, Chatterjee S, Dubey MJ, Chatterjee S, et al
. Psychosocial impact of COVID-19. Diabetes Metab Syndr 2020;14:779-88.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al
. The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet 2020;395:912-20.
Kirkwood G, Rampes H, Tuffrey V, Richardson J, Pilkington K. Yoga for anxiety: A systematic review of the research evidence. Br J Sports Med 2005;39:884-91.
Yang K. A review of yoga programs for four leading risk factors of chronic diseases. Evid Based Complement Alternat Med 2007;4:487-91.
Cramer H, Lauche R, Dobos G. Characteristics of randomized controlled trials of yoga: A bibliometric analysis. BMC Complement Altern Med 2014;14:328.
Balaji PA, Varne SR, Ali SS. Physiological effects of yogic practices and transcendental meditation in health and disease. N Am J Med Sci 2012;4:442-8.
Erdoğan Yüce G, Taşcı S. Effect of pranayama breathing technique on asthma control, pulmonary function, and quality of life: A single-blind, randomized, controlled trial. Complement Ther Clin Pract 2020;38:101081.
Chimkode SM, Kumaran SD, Kanhere VV, Shivanna R. Effect of yoga on blood glucose levels in patients with type 2 diabetes mellitus. J Clin Diagn Res 2015;9:CC01-3.
Jayawardena R, Ranasinghe P, Chathuranga T, Atapattu PM, Misra A. The benefits of yoga practice compared to physical exercise in the management of type 2 Diabetes Mellitus: A systematic review and meta-analysis. Diabetes Metab Syndr 2018;12:795-805.
Mahapure HH, Shete SU, Bera TK. Effect of yogic exercise on super oxide dismutase levels in diabetics. Int J Yoga 2008;1:21-6.
] [Full text]
Delmonte MM. Biochemical indices associated with meditation practice: A literature review. Neurosci Biobehav Rev 1985;9:557-61.
Shantakumari N, Sequeira S, El deeb R. Effects of a yoga intervention on lipid profiles of diabetes patients with dyslipidemia. Indian Heart J 2013;65:127-31.
Polsgrove MJ, Eggleston BM, Lockyer RJ. Impact of 10-weeks of yoga practice on flexibility and balance of college athletes. Int J Yoga 2016;9:27-34.
] [Full text]
Motorwala ZS, Kolke S, Panchal PY, Bedekar NS, Sancheti PK, Shyam A. Effects of Yogasanas on osteoporosis in postmenopausal women. Int J Yoga 2016;9:44-8.
] [Full text]
Schmidt T, Wijga A, Von Zur Mühlen A, Brabant G, Wagner TO. Changes in cardiovascular risk factors and hormones during a comprehensive residential three month kriya yoga training and vegetarian nutrition. Acta Physiol Scand Suppl 1997;640:158-62.
Sengupta P, Chaudhuri P, Bhattacharya K. Male reproductive health and yoga. Int J Yoga 2013;6:87-95.
] [Full text]
Narendran S, Nagarathna R, Narendran V, Gunasheela S, Nagendra HR. Efficacy of yoga on pregnancy outcome. J Altern Complement Med 2005;11:237-44.
Tooley GA, Armstrong SM, Norman TR, Sali A. Acute increases in night-time plasma melatonin levels following a period of meditation. Biol Psychol 2000;53:69-78.
Bhavanani A, Ramanathan M. Immediate cardiovascular effects of savitri pranayama in sitting and supine positions in female volunteers. Yoga Mimamsa 2012;44:101-12.
Madanmohan RU, Balavittal V, Gitananda TD. Cardiorespiratory changes during savitri pranayama and shavasan. Yoga Rev 1983;3:25-34.
Bhavanani AB, Madanmohan , Sanjay Z. Immediate effect of chandra nadi pranayama (left unilateral forced nostril breathing) on cardiovascular parameters in hypertensive patients. Int J Yoga 2012;5:108-11.
] [Full text]
Juanamasta I, Priastana I, editors. Yoga affect to System Immune: A Systematic Review. Proceeding ICON 3, International Conference on Nursing; 2017.
Agnihotri S, Kant S, Kumar S, Mishra RK, Mishra SK. Impact of yoga on biochemical profile of asthmatics: A randomized controlled study. Int J Yoga 2014;7:17-21.
] [Full text]
Sharma KK, Thirumaleshwara PH, Udayakumara K, Savitha B. A study on the effect of yoga therapy on anaemia in women. European Scientific Journal 2014;10(21).
Subramanian S, Elango T, Malligarjunan H, Kochupillai V, Dayalan H. Role of sudarshan kriya and pranayam on lipid profile and blood cell parameters during exam stress: A randomized controlled trial. Int J Yoga 2012;5:21-7.
] [Full text]
Chandwani KD, Perkins G, Nagendra HR, Raghuram NV, Spelman A, Nagarathna R, et al
. Randomized, controlled trial of yoga in women with breast cancer undergoing radiotherapy. J Clin Oncol 2014;32:1058-65.
Khalsa SB, Shorter SM, Cope S, Wyshak G, Sklar E. Yoga ameliorates performance anxiety and mood disturbance in young professional musicians. Appl Psychophysiol Biofeedback 2009;34:279-89.
Javnbakht M, Hejazi Kenari R, Ghasemi M. Effects of yoga on depression and anxiety of women. Complement Ther Clin Pract 2009;15:102-4.
Kozasa EH, Santos RF, Rueda AD, Benedito-Silva AA, De Ornellas FL, Leite JR. Evaluation of Siddha Samadhi Yoga for anxiety and depression symptoms: A preliminary study. Psychol Rep 2008;103:271-4.
Woolery A, Myers H, Sternlieb B, Zeltzer L. A yoga intervention for young adults with elevated symptoms of depression. Altern Ther Health Med 2004;10:60-3.
Woodyard C. Exploring the therapeutic effects of yoga and its ability to increase quality of life. Int J Yoga 2011;4:49-54.
] [Full text]
Arora S, Bhattacharjee J. Modulation of immune responses in stress by Yoga. Int J Yoga 2008;1:45-55.
] [Full text]