All Studies · Cardiovascular · Wolff (2016)

Wolff (2016)

High · RCT · Clinical-Grade RCT · n = 191
Quality Index (Adjusted QI) 0.933
0 Low < 0.56 Moderate 0.56–0.77 High ≥ 0.78 1
Study Details
ConditionHypertension (primary care)
Clinical domainCardiovascular
PopulationHypertensive adults in primary care
Sample sizen = 191
Country / SettingSweden - primary care practices
Protocol clusterMediYoga
Duration12 weeks, 15 min 2x/day
Control typeUsual Care
ComparatorUsual care
Outcomes & Effect Sizes
Primary outcomeCardiovascular (BP/HRV)
Scales usedBP monitoring; SF-36; adherence tracking
Key resultBP not significantly decreased vs usual care; QOL improved
Effect sizeQOL improved; BP non-significant vs usual care (pragmatic trial)
Retention85% (127/150 continued)
SafetyNo serious adverse events; well-tolerated in primary care
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Methodological Summary

Randomized; large sample; pragmatic primary-care setting

KY Protocol Components

Home-Based Kundalini Yoga for Hypertension: Multi-Centre RCT DESIGN: Multi-centre RCT; yoga (n=96) vs. usual care (n=95). POPULATION: N=191 primary care patients with diagnosed hypertension (mean age 64.7, SD=8.4, 52% women). INTERVENTION: Short home-based Kundalini yoga programme, 15 min twice daily for 12 weeks. ADHERENCE: 75/96 (78%) yoga participants practiced at least 9/12 weeks per yoga calendars. OUTCOMES: Standardized BP, QoL, stress (PSS), anxiety and depression (HAD). RESULTS: Both groups showed significant BP reductions. Yoga group showed significantly greater improvements in self-rated QoL and self-rated stress (p<0.05), anxiety, and depression vs. control. NOTE: This is the main multi-centre trial from the Wolff hypertension series. Same protocol as Wolff 2013 pilot but in larger, multi-centre design. Specific exercises not enumerated in paper.

Quality Item Scores — 1 fail · 2 partial · 3 pass · ★ critical
★A1
3
A2
3
★B1
3
★B2
3
B3
3
B4
3
★B5
3
B6
3
★B7
2
★B8
2
B9
3
★C1
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C2
2
C3
3
JP1
3
Critical fails0
Raw QI0.933
SAF1
Adjusted QI0.933
Final ratingHigh