The impact of yoga on stress, metabolic parameters, and cognition of Indian adolescents: Cluster randomized controlled trial

Background: This project aimed to assess the impact of yoga on stress, metabolic parameters and cognition (at-tention & concentration) in adolescents, aged 13-15 years from public and private schools in two cities (Chennai and New Delhi) in India. Methods: The study recruited 2000 adolescents from 24 schools in a cluster randomized controlled trial design. The yoga group participants underwent 17 yoga sessions, which included: pranayama, basic asanas, meditation and relaxation exercises. Yoga sessions, were held in the school premises once a week. A total of five awareness talks on healthy lifestyle were delivered once a month to the education group. ADOlescence Stress Scale (ADOSS), salivary cortisol, metabolic and clinical parameters and Letter Cancellation Test (LCT) score were measured at baseline and post-intervention (5-6 months).Results: The yoga group showed statistically significant differences in the mean ADOSS score, metabolic param-eters, salivary cortisol, and LCT scores compared to the education group. In the intention- to-treat analysis, a significant reduction [5.11, 95% CI (4.78, 5.36), p = 0.001] in ADOSS score was seen in the yoga group compared to education.Conclusion: Implementation of a 17-week standardized yoga program at the school level significantly decreased stress, improved attention and concentration, metabolic and clinical parameters in Indian adolescents. Trial registration: Clinical Trials Registry, India (CTRI/2017/08/009203).

Automated summary

This study aimed to evaluate the impact of yoga on stress, metabolic parameters, and cognition (attention & concentration) in Indian adolescents aged 13-15 years. A cluster randomized controlled trial involving 2000 adolescents from 24 schools was conducted, with the yoga group undergoing 17 yoga sessions and the education group receiving awareness talks on healthy lifestyle. The results showed that the yoga group exhibited significant improvements in stress levels, metabolic parameters, salivary cortisol levels, and attention scores compared to the education group.