Evidence map›Paper›PMID 37594042›Full record

Trial reportIntegrative cancer therapies

Effects of an 18-Week Integrated Yoga Program on Cardiac Autonomic Function in Breast Cancer Patients Undergoing Adjuvant Chemotherapy: A Randomized Controlled Trial.

Ganagarajan Inbaraj, Kaviraja Udupa, Rao Mohan Raghavendra, Amritanshu Ram, Shekar Patil, Jamuna Rajeswaran, Krishna K Nandakumar, Spoorthi Belur, Krishnamurthy Arjun, Ramajayam Govindaraj and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Integrative cancer therapies. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Ganagarajan InbarajNational Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Kaviraja UdupaNational Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.ORCID 0000-0001-6906-5193
Rao Mohan RaghavendraCentral Council for Research in Yoga & Naturopathy, New Delhi, India.
Amritanshu RamHealthCare Global, Bangalore, Karnataka, India.
Shekar PatilHealthCare Global, Bangalore, Karnataka, India.
Jamuna RajeswaranNational Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Krishna K NandakumarHealthCare Global, Bangalore, Karnataka, India.
Spoorthi BelurHealthCare Global, Bangalore, Karnataka, India.
Krishnamurthy ArjunDayananda Sagar University, Bangalore, Karnataka, India.
Ramajayam GovindarajNational Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.
Sapna K BayariHealthCare Global, Bangalore, Karnataka, India.
Talakad N SathyaprabhaNational Institute of Mental Health and Neurosciences, Bangalore, Karnataka, India.ORCID 0000-0001-9865-0586
Healthcare Global Enterprises · INNational Institute of Mental Health and Neurosciences · INCentral Council for Research in Yoga & Naturopathy · INDayananda Sagar University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiotoxicity is a commonly observed adverse effect seen in breast cancer (BC) patients undergoing chemotherapy with attributes toward cardiac autonomic dysfunction (CAD). Yoga, a mind-body system of medicine that has been shown to improve cardiac autonomic nervous system (ANS) activity in various health conditions, could be an effective adjuvant approach in addressing CAD.

objectiveThis study aims to investigate the protective effects of Integrated Yoga Therapy (IYT) on ANS functioning, assessed using Heart rate variability (HRV) in breast cancer patients undergoing chemotherapy.

methodsA total of 68 (stage I-III) BC patients were randomly assigned into 2 groups: Treatment as Usual group (TAU) and TAU with Yoga Therapy group (TAUYT). All patients underwent anthracycline-based adjuvant chemotherapy for a total of 6 cycles with 21 days/cycle. During chemotherapy, the TAUYT group received IYT 5 days a week for 18 weeks, compared with usual care alone in the TAU group. Resting heart rate (RHR) and HRV, measured in both the time and frequency domains, were used to assess the cardiac ANS function of each patient before and after 6 cycles of chemotherapy.

resultsA total of 30 subjects in the TAU group and 29 subjects in the TAUYT group were included in the analysis. At baseline (before chemotherapy), there were no significant differences between the TAU and TAUYT groups in terms of RHR and HRV indices. However, after chemotherapy, patients in the TAU group had a significantly higher average RHR (

conclusionThe study showed the protective effects of yoga therapy on CAD in patients receiving anthracycline-based chemotherapy for BC, proposing yoga as a potential adjuvant intervention in improving cardiac health and preventing cardiovascular-related morbidities.

trial registrationThis trial is registered with the Clinical Trials Registry-India (CTRI) database (CTRI/2020/10/028446; October 16, 2020).

Indexed as

Breast NeoplasmsYogaAnthracyclinesAntibiotics, AntineoplasticFemaleHeartHeart DiseasesHeart RateHumansMeditationAnthracyclinesAntibiotics, Antineoplasticautonomic dysfunctionbreast cancerchemotherapyheart rate variabilityresting heart rateyoga

Identifiers

PMID37594042
PMCPMC10467170
OpenAlexW4385968840

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.