EJPC：瑜伽或为心血管疾病及代谢综合征的潜在疗法

  近年来，心血管疾病(CVD)和代谢综合征已经成为美国乃至全世界人民面对的主要公共健康卫生问题。

  近日，一项发表于国际杂志《欧洲预防心脏病学杂志》(European Journal of Preventive Cardiology)上，题为“The effectiveness of yoga in modifying risk factors for cardiovascular disease and metabolic syndrome： A systematic review and meta-analysis of randomized controlled trials.”的研究论文中，来自哈佛大学公共卫生学院的研究人员指出，一种较为受欢迎的身心练习——瑜伽或许可以有效改善个体的心脏代谢健康。

  在这篇综述文章中，研究者对大量与瑜伽相关的研究进行回顾性分析总结表示，瑜伽或许是治疗心血管疾病(CVD)和代谢综合征的潜在有效疗法，而在一些早前发表的综述文章中也有研究人员提出经常做瑜伽对个体的心血管疾病预防具有正向有益的作用。

  研究者最后表示，经常做瑜伽或许有益于机体愈合，以及改善个体因健康负担而导致的生理性结果。（转化医学网360zhyx.com）
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转化医学网推荐的原文阅读：

The effectiveness of yoga in modifying risk factors for cardiovascular disease and metabolic syndrome: A systematic review and meta-analysis of randomized controlled trials
European Journal of Preventive Cardiology doi: 10.1177/2047487314562741
Paula Chu1,2  Rinske A Gotink3,4  Gloria Y Yeh5  Sue J Goldie2,6   MG Myriam Hunink2,3,4,6
Background Yoga, a popular mind-body practice, may produce changes in cardiovascular disease (CVD) and metabolic syndrome risk factors.
Design This was a systematic review and random-effects meta-analysis of randomized controlled trials (RCTs).
Methods Electronic searches of MEDLINE, EMBASE, CINAHL, PsycINFO, and The Cochrane Central Register of Controlled Trials were performed for systematic reviews and RCTs through December 2013. Studies were included if they were English, peer-reviewed, focused on asana-based yoga in adults, and reported relevant outcomes. Two reviewers independently selected articles and assessed quality using Cochrane’s Risk of Bias tool.
Results Out of 1404 records, 37 RCTs were included in the systematic review and 32 in the meta-analysis. Compared to non-exercise controls, yoga showed significant improvement for body mass index (−0.77 kg/m2 (95% confidence interval −1.09 to −0.44)), systolic blood pressure (−5.21 mmHg (−8.01 to −2.42)), low-density lipoprotein cholesterol (−12.14 mg/dl (−21.80 to −2.48)), and high-density lipoprotein cholesterol (3.20 mg/dl (1.86 to 4.54)). Significant changes were seen in body weight (−2.32 kg (−4.33 to −0.37)), diastolic blood pressure (−4.98 mmHg (−7.17 to −2.80)), total cholesterol (−18.48 mg/dl (−29.16 to −7.80)), triglycerides (−25.89 mg/dl (−36.19 to −15.60), and heart rate (−5.27 beats/min (−9.55 to −1.00)), but not fasting blood glucose (−5.91 mg/dl (−16.32 to 4.50)) nor glycosylated hemoglobin (−0.06% Hb (−0.24 to 0.11)). No significant difference was found between yoga and exercise. One study found an impact on smoking abstinence.
Conclusions There is promising evidence of yoga on improving cardio-metabolic health. Findings are limited by small trial sample sizes, heterogeneity, and moderate quality of RCTs.