Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2022

Open Access 01-12-2022 | Mood Disorders | Review

A narrative review on yoga: a potential intervention for augmenting immunomodulation and mental health in COVID-19

Authors: Indranill Basu-Ray, Kashinath Metri, Dibbendhu Khanra, Rishab Revankar, Kavitha M. Chinnaiyan, Nagaratna Raghuram, Mahesh Chandra Mishra, Bhushan Patwardhan, Manjunath Sharma, Ishwar V. Basavaraddi, Akshay Anand, Shrinath Reddy, K. K. Deepak, Marian Levy, Sue Theus, Glenn N. Levine, Holger Cramer, Gregory L. Fricchione, Nagendra R. Hongasandra

Published in: BMC Complementary Medicine and Therapies | Issue 1/2022

Login to get access

Abstract

Background

The ongoing novel coronavirus disease 2019 (COVID-19) pandemic has a significant mortality rate of 3–5%. The principal causes of multiorgan failure and death are cytokine release syndrome and immune dysfunction. Stress, anxiety, and depression has been aggravated by the pandemic and its resultant restrictions in day-to-day life which may contribute to immune dysregulation. Thus, immunity strengthening and the prevention of cytokine release syndrome are important for preventing and minimizing mortality in COVID-19 patients. However, despite a few specific remedies that now exist for the SARS-CoV-2virus, the principal modes of prevention include vaccination, masking, and holistic healing methods, such as yoga. Currently, extensive research is being conducted to better understand the neuroendocrinoimmunological mechanisms by which yoga alleviates stress and inflammation. This review article explores the anti-inflammatory and immune-modulating potentials of yoga, along with its role in reducing risk for immune dysfunction and impaired mental health.

Methods

We conducted this narrative review from published literature in MEDLINE, EMBASE, COCHRANE databases. Screening was performed for titles and abstracts by two independent review authors; potentially eligible citations were retrieved for full-text review. References of included articles and articles of major non-indexed peer reviewed journals were searched for relevance by two independent review authors. A third review author checked the excluded records. All disagreements were resolved through discussion amongst review authors or through adjudication by a fourth review author. Abstracts, editorials, conference proceedings and clinical trial registrations were excluded.

Observations

Yoga is a nonpharmacological, cost-effective, and safe intervention associated with several health benefits. Originating in ancient India, this vast discipline consists of postures (asanas), breathing techniques (pranayama), meditation (dhyana/dharana), and relaxation. Studies have demonstrated yoga’s ability to bolster innate immunity and to inhibit cytokine release syndrome. As an intervention, yoga has been shown to improve mental health, as it alleviates anxiety, depression, and stress and enhances mindfulness, self-control, and self-regulation. Yoga has been correlated with numerous cardioprotective effects, which also may play a role in COVID-19 by preventing lung and cardiac injury.

Conclusion and relevance

This review paves the path for further research on yoga as a potential intervention for enhancing innate immunity and mental health and thus its role in prevention and adjunctive treatment in COVID-19.
Literature
1.
go back to reference Basu-Ray I, Almaddah N, Adeboye A, Soos MP. Cardiac manifestations of coronavirus (COVID-19). In: StatPearls. Treasure Island FL: StatPearls Publishing LLC; 2020. Basu-Ray I, Almaddah N, Adeboye A, Soos MP. Cardiac manifestations of coronavirus (COVID-19). In: StatPearls. Treasure Island FL: StatPearls Publishing LLC; 2020.
2.
go back to reference Basu-Ray I, Metri K. Yoga as a potential intervention for preventing cardiac complications in COVID-19: augmenting immuno-modulation and bolstering mental health in the the principles and practice of yoga in cardiovascular medicine. Rd: Basu-Ray I & Mehta D Springer Nature, Chapter:29. 2022. Basu-Ray I, Metri K. Yoga as a potential intervention for preventing cardiac complications in COVID-19: augmenting immuno-modulation and bolstering mental health in the the principles and practice of yoga in cardiovascular medicine. Rd: Basu-Ray I & Mehta D Springer Nature, Chapter:29. 2022.
3.
go back to reference Basu-Ray I. Yoga In Covid-19 Pandemic: Protective Envelope or Mere Ritual?. Science India. 2021. Basu-Ray I. Yoga In Covid-19 Pandemic: Protective Envelope or Mere Ritual?. Science India. 2021.
7.
go back to reference Innes KE, Selfe TK. Yoga for adults with type 2 diabetes: a systematic review of controlled trials. J Diabetes Res. 2016;2016:6979370.CrossRef Innes KE, Selfe TK. Yoga for adults with type 2 diabetes: a systematic review of controlled trials. J Diabetes Res. 2016;2016:6979370.CrossRef
9.
go back to reference Prinster T. Yoga for Cancer: a guide to managing side effects, boosting immunity, and improving recovery for Cancer survivors. Rochester VT: Healing Arts Press; 2014. p. 324. Prinster T. Yoga for Cancer: a guide to managing side effects, boosting immunity, and improving recovery for Cancer survivors. Rochester VT: Healing Arts Press; 2014. p. 324.
27.
go back to reference Locke S, Hurst M, Heisel J, Kraus L, Williams M. The influence of stress and other psychosocial factors on human immunity. Paper presented at the 36th Annual Meeting of the Psychosomatic Society, Dallas TX. 1979. Locke S, Hurst M, Heisel J, Kraus L, Williams M. The influence of stress and other psychosocial factors on human immunity. Paper presented at the 36th Annual Meeting of the Psychosomatic Society, Dallas TX. 1979.
37.
go back to reference Wang Q, Xu R, Volkow ND. Increased risk of COVID-19 infection and mortality in people with mental disorders: analysis from electronic health records in the United States. Wang Q, Xu R, Volkow ND. Increased risk of COVID-19 infection and mortality in people with mental disorders: analysis from electronic health records in the United States.
52.
go back to reference Cook-Cottone CP. Mindfulness and yoga for self-regulation: a primer for mental health professionals. New York: Springer Publishing Company; 2015. p. 322.CrossRef Cook-Cottone CP. Mindfulness and yoga for self-regulation: a primer for mental health professionals. New York: Springer Publishing Company; 2015. p. 322.CrossRef
65.
go back to reference Michalsen A, Grossman P, Acil A, Langhorst J, Lüdtke R, Esch T, et al. Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program. Med Sci Monit. 2005;11:CR555–61.PubMed Michalsen A, Grossman P, Acil A, Langhorst J, Lüdtke R, Esch T, et al. Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program. Med Sci Monit. 2005;11:CR555–61.PubMed
85.
go back to reference Santaella DF, Lorenzi-Filho G, Rodrigues MR, Tinucci T, Malinauskas AP, Mion-Júnior D, et al. Yoga relaxation (savasana) decreases cardiac sympathovagal balance in hypertensive patients. MedicalExpress. 2014;1:233–8. Santaella DF, Lorenzi-Filho G, Rodrigues MR, Tinucci T, Malinauskas AP, Mion-Júnior D, et al. Yoga relaxation (savasana) decreases cardiac sympathovagal balance in hypertensive patients. MedicalExpress. 2014;1:233–8.
88.
go back to reference Rajak C, Verma R, Singh P, Singh A, Shiralkar M. Effect of yoga on serum adrenaline, serum cortisol levels and cardiovascular parameters in hyper-reactors to cold pressor test in young healthy volunteers. Eur J of Pharm Med Res. 2016;3:496–502. Rajak C, Verma R, Singh P, Singh A, Shiralkar M. Effect of yoga on serum adrenaline, serum cortisol levels and cardiovascular parameters in hyper-reactors to cold pressor test in young healthy volunteers. Eur J of Pharm Med Res. 2016;3:496–502.
Metadata
Title
A narrative review on yoga: a potential intervention for augmenting immunomodulation and mental health in COVID-19
Authors
Indranill Basu-Ray
Kashinath Metri
Dibbendhu Khanra
Rishab Revankar
Kavitha M. Chinnaiyan
Nagaratna Raghuram
Mahesh Chandra Mishra
Bhushan Patwardhan
Manjunath Sharma
Ishwar V. Basavaraddi
Akshay Anand
Shrinath Reddy
K. K. Deepak
Marian Levy
Sue Theus
Glenn N. Levine
Holger Cramer
Gregory L. Fricchione
Nagendra R. Hongasandra
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2022
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-022-03666-2

Other articles of this Issue 1/2022

BMC Complementary Medicine and Therapies 1/2022 Go to the issue