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Effect of yoga and meditation on serum cortisol level in first-year medical students

Kislay Kumar, Vinay Pratap Singh, Devesh Kumar, A. B. Asthana, Divya Mishra

International Journal of Research in Medical Sciences April 25, 2018 DOI: 10.18203/2320-6012.ijrms20181762 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Non-randomized controlled trial Peer reviewed
Sample size 55
Population First-year medical students with high stress levels due to academic burden
Intervention Yoga
Duration 1 hour/day for 12 weeks
Measures morning serum cortisol
Topics Meditation
Citations 5
Key findings Morning serum cortisol decreased 4.8% in medical students who practiced yoga for one hour daily for 12 weeks (572.18 to 544.98, statistically significant), while cortisol increased 3.4% in the control group (558.89 to 577.26, not statistically significant). The authors conclude that yoga significantly reduces stress and anxiety in medical students.

Abstract

Background: Yoga is a traditional technique to conserve and purify body, mind and soul. It is a mind-body bridge which involves relaxation, meditation and a set of physical exercises performed in association with breathing. In this new era of evolution, most of the population are depressed or in stress, irrespective of their age and gender.Methods: This study is performed on 1st yr. medical students whose stress level is in higher side due to academic burden. An 55 medical students were selected as participants through counseling and were divided into yoga group (n= 27) and control group (n=28). Their morning serum cortisol level was assessed, and yoga group were instructed to practice yoga (1hr/day for 12 weeks) under supervision of yoga instructor. No such instruction was given to control group.Results: Serum cortisol level is the marker of stress and inflammation. Higher cortisol level means high stress level. Yoga and meditation is documented to reduce stress level in regular practitioners. Statistical analysis has shown decrease in morning serum cortisol level (572.18±168.03 to 544.98±139.89, 4.8% decrease, P value ˂0.05, significant) in yoga group after study. Control group have shown marked increase in cortisol level (558.89±162.69 to 577.26±254.5, 3.4% increase, P value = 0.74, not significant) after three months of study.Conclusions: This study concludes that practicing Yoga has a significant effect on the reduction of stress and anxiety level in medical students.

Comparable studies

Other non-randomized and open-label trials on meditation, most cited first.

Study Year Design Participants
Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients 2003 Pre-post intervention study n = 59
Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample 2010 Pre-post intervention study
Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students 2003 Prospective nonrandomized cohort-controlled study n = 302
Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls 2011 Controlled trial with wait-list control group n = 60
The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents 2011 Within-group waitlist controlled trial n = 22

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