The Effects of a Yoga Program in Heart Failure Patients (YOGA)
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Purpose
The proposed research will investigate the clinical outcomes associated with a modified yoga training program in patients with heart failure (HF). HF patients (15-20) will participate in a modified yoga program during an 8 week period, two times per week with instruction for home practice. Baseline measures and follow-up will be taken after 8 weeks. The underlying hypothesis to be tested is that yoga-induced improvements in nervous system and skeletal muscle function will yield positive effects on clinical outcomes, functional ability, and health-related quality of life in patients with HF.
The effect of combined yoga and breathing training on the natural history of HF and its potential to decrease negative clinical outcomes and improve symptoms is unknown. The relevance of this research is related to the important information it will provide to clinicians caring for patients with HF and will be the basis for pilot data for future NIH funding applications.
| Condition | Intervention |
|---|---|
|
Heart Failure |
Behavioral: Yoga Classes Behavioral: Yoga classes |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Clinical Outcomes Associated With a Modified Yoga Program in Heart Failure |
- Improvement in heart rate variability [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- Health-related quality of life [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
- muscle strength [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]
| Enrollment: | 20 |
| Study Start Date: | November 2008 |
| Study Completion Date: | December 2009 |
| Primary Completion Date: | May 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Yoga group
Patients with heart failure
|
Behavioral: Yoga Classes
8 weeks of yoga training that occurs 2 times per week. The patients will also perform yoga breathing at home 3 times per week.
Other Name: breathing
Behavioral: Yoga classes
Heart failure patients will undergo 8 weeks of yoga training 2 times per week and perform yoga breathing at home 3 times per week
Other Name: pranyama
|
Detailed Description:
The proposed research project is a pilot study designed to delineate the clinical outcomes associated with a modified yoga program in a population of adults with ventricular dysfunction and clinical heart failure (HF). The researchers hypothesize that patients in a modified yoga training program will have a significant improvement in clinical outcomes, functional ability, and health-related quality of life (HRQOL). The researchers propose to evaluate 15-20 subjects with chronic HF and New York Heart Association Functional Class (NYHA) II-III and obtain baseline physiological, functional, and HRQOL measurements. After obtaining baseline measurements, patients will participate in a modified yoga program with instruction for home practice for 8 weeks. Baseline measurements include: Vital signs, oxygen saturation, heart rate variability, exercise distance, muscular strength and flexibility determination, and various indices of HRQOL. At the conclusion of 8 weeks of yoga training the same measurements will be obtained.
In a group of chronic HF patients, the specific aims are the following:
- To develop a safe and feasible yoga program;
- To determine whether clinical outcomes (vital signs, oxygen saturation, heart rate variability), functional ability (exercise distance, muscular strength and flexibility determination), and HRQOL are positively affected by a modified yoga program.
Eligibility| Ages Eligible for Study: | 30 Years to 75 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- NYHA class I-III
- normal sinus rhythm
- able to walk
- ability to read or understand English
- age 30-75
Exclusion Criteria:
- cognitive impairment
- inability to consent
- 100% paced with pacemaker
- hospitalization within 3 months
- MI or recurrent angina within 6 months
- severe stenotic valve disease
- history of sudden cardiac death
- history of uncontrolled ventricular tachyarrhythmias
- pulmonary hypertension
- FEV1 less than 1 liter by spirometry
- orthopedic impediments to yoga
- medication noncompliance
Contacts and Locations| United States, California | |
| UCSF Osher Center and UCSF Cardiology Faculty Practice | |
| San Francisco, California, United States, 94143 | |
| Principal Investigator: | Jill Howie-Esquivel, PhD | University of California, San Francisco |
More Information
No publications provided
| Responsible Party: | Jill Howie-Esquivel PhD, University of California, San Francisco |
| ClinicalTrials.gov Identifier: | NCT00794027 History of Changes |
| Other Study ID Numbers: | H40997-33062-01 |
| Study First Received: | November 11, 2008 |
| Last Updated: | January 7, 2010 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by University of California, San Francisco:
|
heart failure yoga quality of life |
Additional relevant MeSH terms:
|
Heart Failure Heart Diseases Cardiovascular Diseases |
ClinicalTrials.gov processed this record on June 17, 2013