Evaluating the Efficacy of Sudarshan Kriya Yoga in Health Care: A Systematic Review of Randomized Controlled Trials
DOI:
https://doi.org/10.48165/IRJAY.2024.70704Keywords:
Mental health, Physiological health, Randomized controlled trials, Sudarshan Kriya Yoga, Systematic reviewAbstract
Background: Sudarshan Kriya Yoga (SKY) is an advanced yogic breathing technique developed by the Art of Living Foundation. Given its widespread use in diverse therapeutic settings, a systematic review of randomized controlled trials (RCTs) was conducted to assess its efficacy in health care. Methods: This review followed the PRISMA guidelines and used the PECO framework. We searched databases such as the Web of Science, Cochrane Library, PubMed, and Scopus from the year 2000 to 2023 using a combination of MeSH phrases and free-text keywords. The inclusion criteria were restricted to RCTs involving any demographic, with SKY as the primary intervention. The risk of bias was assessed using the Cochrane Collaboration’s Risk of Bias 2.0 tool. Results: We included 15 RCTs and synthesized the results using quantitative analysis and qualitative narrative synthesis. The findings demonstrate significant improvements in psychological well-being, especially in stress reduction and emotional regulation across different populations. In addition, SKY also showed potential in managing symptoms of post-traumatic stress disorder and physiological markers such as blood pressure and heart rate variability. Conclusion: SKY effectively improves mental health and physiological parameters, highlighting its potential utility as a non-invasive therapeutic option. Despite its benefits, the studies varied in methodological rigor, indicating the need for further high-quality research to solidify these findings. Yoga, an ancient practice originating from India, has evolved over thousands of years into a popular holistic discipline that unifies body, mind, and spirit.[1] Initially focused on spiritual development and tranquillity, yoga is now globally recognized for enhancing physical flexibility, mental clarity, stress reduction, and overall well-being. As yoga has integrated into Western culture, a variety of styles have emerged, each emphasizing different elements such as physical postures (asanas), meditation (dhyana), and breath control (pranayama). Among these, Sudarshan Kriya Yoga (SKY), developed by the Art of Living Foundation, stands out for its unique use of rhythmic breathing
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References
Feuerstein G. The Yoga Tradition: Its History, Literature, Philosophy and Practice. United States: SCB Distributors; 2012.
Vaga A, Akarte NR. Sudarshan Kriya A novel breathing technique. Int J Anat Physiol Biochem 2017;4:7-14.
Bhaskar L, Kharya C, Deepak KK, Kochupillai V. Assessment of cardiac autonomic tone following long Sudarshan Kriya Yoga in art of living practitioners. J Altern Complement Med 2017;23:705-12.
Toschi-Dias E, Tobaldini E, Solbiati M, Costantino G, Sanlorenzo R, Doria S, et al. Sudarshan Kriya Yoga improves cardiac autonomic control in patients with anxiety-depression disorders. J Affect Disord 2017;214:74-80.
Art of Living. Home Page; 2024. Available from: https://www. artofliving.org/home-page-new [Last accessed on 2024 Apr 02]. 6. Sharma H, Sen S, Singh A, Bhardwaj N, Kochupillai V, Singh N.
Sudarshan Kriya practitioners exhibit better antioxidant status and lower blood lactate levels. Biol Psychol 2003;63:281-91. 7. Sulekha S, Thennarasu K, Vedamurthachar A, Raju T, Kutty B. Evaluation of sleep architecture in practitioners of Vipassana and Sudarshana Kriya Yoga. Sleep Biol Rhythms 2006;4:207-14. 8. Agte V, Chiplonkar A. Sudarshan kriya yoga for improving antioxidant status and reducing anxiety in adults. Altern Complement Ther 2008;14:96-100.
Crocetti E. Systematic reviews with meta-analysis. Emerg Adulthood 2015;4:3-18.
Smith V, Devane D, Begley CM, Clarke M. Methodology in conducting a systematic review of systematic reviews of healthcare interventions. BMC Med Res Methodol 2011;11:15.
Harris PE, Cooper KL, Relton C, Thomas KJ. Prevalence of complementary and alternative medicine (CAM) use by the general population: A systematic review and update. Int J Clin Pract 2012;66:924-39.
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ 2021;372:n71.
Sterne JA, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: A revised tool for assessing risk of bias in randomised trials. BMJ 2019;366:l4898.
Balshem H, Helfand M, Schünemann HJ, Oxman AD, Kunz R, Brozek J, et al. GRADE guidelines: 3. Rating the quality of evidence. J Clin Epidemiol 2011;64:401-6.
Agte VV, Jahagirdar MU, Tarwadi KV. The effects of Sudarshan Kriya Yoga on some physiological and biochemical parameters in mild hypertensive patients. Indian J Physiol Pharmacol 2011;55:183-7.
Bayley PJ, Schulz-Heik RJ, Tang JS, Mathersul DC, Avery T, Wong M, et al. Randomised clinical non-inferiority trial of breathing based meditation and cognitive processing therapy for symptoms of post-traumatic stress disorder in military veterans. BMJ Open 2022;12:e056609.
Chaudhari KS, Chaudhari SS, Rankhambe HB, Kochupillai V, Tiwari RR. Effect of Sudarshan Kriya Yoga (SKY) on daytime and situational sleep propensity in novice practitioners: A prospective cohort study. J Complement Integr Med 2020;18:585-92.
Goldstein MR, Lewin RK, Allen JJ. Improvements in well-being and cardiac metrics of stress following a yogic breathing workshop: Randomized controlled trial with active comparison. J Am Coll Health 2022;70:918-28.
Gupta SJ, Pradhan B, Bhanushali D, Nitin Limaye RN. Positive psychological changes at high altitude shown by the low landers after the yoga intervention-Sudarshan Kriya Yoga (SKY). Ann Neurosci 2023;30:20-5.
Janakiramaiah N, Gangadhar BN, Murthy PJ, Harish MG, Subbakrishna DK, Vedamurthachar A. Antidepressant efficacy of Sudarshan Kriya Yoga (SKY) in melancholia: A randomized
comparison with electroconvulsive therapy (ECT) and imipramine. J Affect Disord 2000;57:255-29.
Kjellgren A, Bood SA, Axelsson K, Norlander T, Saatcioglu F. Wellness through a comprehensive yogic breathing program - A controlled pilot trial. BMC Complement Altern Med 2007;7:43.
Korkmaz A, Bernhardsen GP, Cirit B, Koprucu Suzer G, Kayan H, Biçmen H, et al. Sudarshan Kriya Yoga breathing and a meditation program for burnout among physicians: A randomized clinical trial. JAMA Netw Open 2024;7:e2353978.
Mathersul DC, Dixit K, Schulz-Heik RJ, Avery TJ, Zeitzer JM, Bayley PJ. Emotion dysregulation and heart rate variability improve in US veterans undergoing treatment for posttraumatic stress disorder: Secondary exploratory analyses from a randomised controlled trial. BMC Psychiatry 2022;22:268.
Mawar N, Katendra T, Bagul R, Bembalkar S, Vedamurthachar A, Tripathy S, et al. Sudarshan Kriya Yoga improves quality of life in healthy people living with HIV (PLHIV): Results from an open label randomized clinical trial. Indian J Med Res 2015;141:90-9.
Qu S, Olafsrud SM, Meza-Zepeda LA, Saatcioglu F. Rapid gene expression changes in peripheral blood lymphocytes upon practice of a comprehensive yoga program. PLoS One 2013;8:e61910.
Seppälä EM, Nitschk, JB, Tudorascu DL, Hayes A, Goldstein MR, Nguyen DT, et al. Breathing-based meditation decreases posttraumatic stress disorder symptoms in U.S. military veterans: A randomized controlled longitudinal study. J Trauma Stress 2014;27:
-405.
Sharma A, Barrett MS, Cucchiara AJ, Gooneratne NS, Thase ME. A Breathing-based meditation intervention for patients with major depressive disorder following inadequate response to antidepressants: A randomized pilot study. J Clin Psychiatry 2017;78:e59-63.
Sureka P, Govil S, Dash D, Dash C, Kumar M, Singhal V. Effect of Sudarshan Kriya on male prisoners with non psychotic psychiatric disorders: A randomized control trial. Asian J Psychiatr 2014;12:43-9.
Swain D, Nanda P, Das H. Impact of yoga intervention on menopausal symptoms-specific quality of life and changes in hormonal level among menopausal women. J Obstet Gynaecol Res 2021;47:3669-76.
Chhabra D, Kharya C, PremKrishanan A, Singh P, Bhagat OL, Deepak KK, et al. Long Sudarshan Kriya Yoga enhances cardiovascular and respiratory synchronization: An observational study. J Ayurveda Integr Med 2024;15:100867.
Veerabhadrappa SG, Baljoshi VS, Khanapure S, Herur A, Patil S, Ankad RB, et al. Effect of yogic bellows on cardiovascular autonomic reactivity. J Cardiovasc Dis Res 2011;2:223-7.
Brown RP, Gerbarg PL. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: Part I-neurophysiologic model. J Altern Complement Med 2005;11:189-201.
Castro PB, Kowdley HG, Joyner RL, Kowdley GC. Sudarshan Kriya yoga and its effects on sleep: A systematic review of a breathing technique for sleep improvement. J Appl Conscious Stud 2024;12:52-7.
Kumawat J, Perrotta C, Codd M, Wall PD. Effectiveness of a meditation technique Sudarshan kriya yoga (sky) on depression and anxiety: A systematic review and meta-analysis. Popul Med 2023;5:A1327.
Zope S, Zope RA, Biri GA, Zope CS. Sudarshan kriya yoga: A breath of hope during covid-19 pandemic. Int J Yoga 2021;14:18.
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