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Cited by 28Inflammatory Bowel DiseaseMindfulness and Compassion InterventionsComplementary and Alternative Medicine Studies

Yoga as adjunct therapy for adolescents with inflammatory bowel disease: A pilot clinical trial

Arruda, Jenna M., Bogetz, Alyssa L., Vellanki, Srisindu, Wren, Anava, Yeh, Ann Ming·2018·Complementary Therapies in Medicine
DOI 10.1016/j.ctim.2018.09.007
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Abstract

Objectives To determine whether utilizing yoga as an adjunctive therapy to the medical standard of care for adolescents with inflammatory bowel disease (IBD) is: (1) feasible and acceptable, (2) effective in reducing disease severity, intestinal inflammation and improving wellness.Design Prospective, non-randomized, 8-week pilot study for adolescents with a diagnosis of IBD. Feasibility and acceptability of the intervention were assessed weekly and post-intervention via surveys and a focus group (week 8). Disease severity, intestinal inflammation, and wellness measures were assessed at baseline and post-intervention (week 8).Intervention Over the 8-week study period, patients were assigned three 60-minute, in-person yoga classes at weeks 1, 3 and 8, and three 30-minute, online yoga videos per week.Main outcome measures Primary outcome measures were feasibility and acceptability. Secondary outcome measures assessed preliminary clinical efficacy by examining pre- and post-intervention change in disease severity (PUCAI), intestinal inflammation (fecal calprotectin), and six wellness measures (PROMIS-37).Results Nine adolescents with IBD participated. Eight participated in one or more yoga videos per week and all nine attended at least two in-person yoga classes. Focus group themes revealed that the intervention was well liked, with all participants reporting reduced stress, improved emotional self-awareness, and increased ability to identify and manage the physical symptoms of IBD. Participants had difficulty, however, completing the yoga videos due to time limitations and competing priorities. We lacked power to detect any statistically significant changes in PUCAI, calprotectin, or any of the six PROMIS-37 domains.Conclusions A combination of in-person instructor led yoga with video-based yoga is a feasible and acceptable adjunct therapy for adolescents with IBD. Participants reported reduced stress and improved ability to identify and manage physical symptoms. A larger, randomized controlled trial is necessary to determine if the yoga protocol results in clinically and statistically significant improvements in inflammatory biomarkers and patient reported outcomes.

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Authors
Arruda, J. M., Bogetz, A. L., Vellanki, S., Wren, A., & Yeh, A. M.
Affiliations
  • Stanford University (US)
  • Stanford Medicine (US)
Corresponding author
Arruda, Jenna M.
ORCID
Venue
Complementary Therapies in Medicine
Publisher
Elsevier BV
Published
2018-12
Volume
41
Pages
99-104
ISSN
0965-2299 (ISSN-L)
DOI
10.1016/j.ctim.2018.09.007
OpenAlex
W2891530547
Cited by
28
References
30
Citations by year
2026: 3 · 2025: 2 · 2024: 2 · 2023: 6 · 2022: 4 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 1
FWCI
1.69
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Complementary Therapies in Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Complementary and alternative medicine › Complementary and Alternative Medicine Studies
Keywords
yoga, inflammatory bowel disease, adolescents, adjunctive therapy, feasibility and acceptability, disease severity, intestinal inflammation, fecal calprotectin, wellness, stress reduction, patient-reported outcomes
MeSH terms
Self-Management, Adolescent, Combined Modality Therapy, Female, Humans, Male, Pilot Projects, Prospective Studies, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Yoga, Inflammatory Bowel Diseases, Focus Groups, Meditation

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