{"title":"昆达里尼瑜伽的循证临床有效性：跨多种健康状况的随机对照试验的系统回顾。","authors":"Sharmistha Roy, Ashis Kumar Biswas, Manoj Sharma","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Kundalini Yoga (KY) integrates breathwork, meditation, dynamic movement, and chanting, and has gained recognition as a therapeutic intervention. Despite promising results from individual randomized controlled trials (RCTs), to our knowledge, no systematic review has exclusively synthesized RCT evidence on KY across health domains.</p><p><strong>Objective: </strong>To critically assess the clinical effectiveness and safety of KY interventions across diverse cognitive, psychological, emotional, sleep-related, and physical health outcomes.</p><p><strong>Methods: </strong>PRISMA-guided systematic review of RCTs evaluating KY was conducted from January 2015 to December 2024. Databases included MEDLINE (PubMed), Scopus, CENTRAL (Cochrane Library), Embase, PsycINFO, and CINAHL. Risk of bias was independently assessed using the Joanna Briggs Institute Critical Appraisal Checklist.</p><p><strong>Setting: </strong>Studies were conducted worldwide, across multiple sites.</p><p><strong>Participants: </strong>Approximately 1370 participants ranging from healthy adults to those diagnosed with conditions such as Mild Cognitive Impairment (MCI), Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), insomnia, chronic pain, and post-treatment Lyme disease syndrome. No serious adverse events were reported.</p><p><strong>Intervention: </strong>KY protocols (pranayama, asana/kriya, meditation, chanting) delivered in person, online, or hybrid formats; duration 6 weeks-12 months (most 8-12 weeks) with practice from once weekly to daily.</p><p><strong>Outcome measures: </strong>Pre-specified validated measures assessed cognitive function, psychological symptoms (e.g., anxiety, depression), sleep quality, emotional regulation, and physical health outcomes (e.g., hippocampal metrics, absenteeism, blood pressure).</p><p><strong>Results: </strong>This systematic review included 15 studies, among which 13 demonstrated a low risk of bias. The findings suggest that KY significantly improves memory, executive functioning, and hippocampal structure, reduces symptoms of anxiety, PTSD, OCD, and depression, enhances sleep quality and emotional regulation, and modestly improves fatigue, blood pressure, and functional outcomes.</p><p><strong>Conclusion: </strong>KY appears safe and shows benefits for a wide range of cognitive, psychological, and physical health conditions. However, larger, standardized RCTs with active comparators, biomarkers, and longer follow-up are needed.</p><p><strong>Keywords: </strong>Kundalini Yoga, randomized controlled trials, cognitive function, mental health, sleep, PTSD, hypertension, complementary therapy, mind-body intervention.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evidence-Based Clinical Effectiveness of Kundalini Yoga: Systematic Review of RCTs Across Multiple Health Conditions.\",\"authors\":\"Sharmistha Roy, Ashis Kumar Biswas, Manoj Sharma\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Kundalini Yoga (KY) integrates breathwork, meditation, dynamic movement, and chanting, and has gained recognition as a therapeutic intervention. Despite promising results from individual randomized controlled trials (RCTs), to our knowledge, no systematic review has exclusively synthesized RCT evidence on KY across health domains.</p><p><strong>Objective: </strong>To critically assess the clinical effectiveness and safety of KY interventions across diverse cognitive, psychological, emotional, sleep-related, and physical health outcomes.</p><p><strong>Methods: </strong>PRISMA-guided systematic review of RCTs evaluating KY was conducted from January 2015 to December 2024. Databases included MEDLINE (PubMed), Scopus, CENTRAL (Cochrane Library), Embase, PsycINFO, and CINAHL. Risk of bias was independently assessed using the Joanna Briggs Institute Critical Appraisal Checklist.</p><p><strong>Setting: </strong>Studies were conducted worldwide, across multiple sites.</p><p><strong>Participants: </strong>Approximately 1370 participants ranging from healthy adults to those diagnosed with conditions such as Mild Cognitive Impairment (MCI), Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), insomnia, chronic pain, and post-treatment Lyme disease syndrome. No serious adverse events were reported.</p><p><strong>Intervention: </strong>KY protocols (pranayama, asana/kriya, meditation, chanting) delivered in person, online, or hybrid formats; duration 6 weeks-12 months (most 8-12 weeks) with practice from once weekly to daily.</p><p><strong>Outcome measures: </strong>Pre-specified validated measures assessed cognitive function, psychological symptoms (e.g., anxiety, depression), sleep quality, emotional regulation, and physical health outcomes (e.g., hippocampal metrics, absenteeism, blood pressure).</p><p><strong>Results: </strong>This systematic review included 15 studies, among which 13 demonstrated a low risk of bias. The findings suggest that KY significantly improves memory, executive functioning, and hippocampal structure, reduces symptoms of anxiety, PTSD, OCD, and depression, enhances sleep quality and emotional regulation, and modestly improves fatigue, blood pressure, and functional outcomes.</p><p><strong>Conclusion: </strong>KY appears safe and shows benefits for a wide range of cognitive, psychological, and physical health conditions. However, larger, standardized RCTs with active comparators, biomarkers, and longer follow-up are needed.</p><p><strong>Keywords: </strong>Kundalini Yoga, randomized controlled trials, cognitive function, mental health, sleep, PTSD, hypertension, complementary therapy, mind-body intervention.</p>\",\"PeriodicalId\":7571,\"journal\":{\"name\":\"Alternative therapies in health and medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alternative therapies in health and medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Evidence-Based Clinical Effectiveness of Kundalini Yoga: Systematic Review of RCTs Across Multiple Health Conditions.
Background: Kundalini Yoga (KY) integrates breathwork, meditation, dynamic movement, and chanting, and has gained recognition as a therapeutic intervention. Despite promising results from individual randomized controlled trials (RCTs), to our knowledge, no systematic review has exclusively synthesized RCT evidence on KY across health domains.
Objective: To critically assess the clinical effectiveness and safety of KY interventions across diverse cognitive, psychological, emotional, sleep-related, and physical health outcomes.
Methods: PRISMA-guided systematic review of RCTs evaluating KY was conducted from January 2015 to December 2024. Databases included MEDLINE (PubMed), Scopus, CENTRAL (Cochrane Library), Embase, PsycINFO, and CINAHL. Risk of bias was independently assessed using the Joanna Briggs Institute Critical Appraisal Checklist.
Setting: Studies were conducted worldwide, across multiple sites.
Participants: Approximately 1370 participants ranging from healthy adults to those diagnosed with conditions such as Mild Cognitive Impairment (MCI), Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), insomnia, chronic pain, and post-treatment Lyme disease syndrome. No serious adverse events were reported.
Intervention: KY protocols (pranayama, asana/kriya, meditation, chanting) delivered in person, online, or hybrid formats; duration 6 weeks-12 months (most 8-12 weeks) with practice from once weekly to daily.
Results: This systematic review included 15 studies, among which 13 demonstrated a low risk of bias. The findings suggest that KY significantly improves memory, executive functioning, and hippocampal structure, reduces symptoms of anxiety, PTSD, OCD, and depression, enhances sleep quality and emotional regulation, and modestly improves fatigue, blood pressure, and functional outcomes.
Conclusion: KY appears safe and shows benefits for a wide range of cognitive, psychological, and physical health conditions. However, larger, standardized RCTs with active comparators, biomarkers, and longer follow-up are needed.
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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