{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:04:32Z","timestamp":1790935472801,"version":"4.1.0"},"reference-count":59,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:00:00Z","timestamp":1772668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Zuoying Branch of Kaohsiung Armed Forces General Hospital","award":["ZYAFGH_D_114032"],"award-info":[{"award-number":["ZYAFGH_D_114032"]}]},{"DOI":"10.13039\/100022871","name":"National Defense Medical Center","doi-asserted-by":"crossref","award":["MND-MAB-C09-114038"],"award-info":[{"award-number":["MND-MAB-C09-114038"]}],"id":[{"id":"10.13039\/100022871","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100022871","name":"National Defense Medical Center","doi-asserted-by":"crossref","award":["MND-MAB-D-114246"],"award-info":[{"award-number":["MND-MAB-D-114246"]}],"id":[{"id":"10.13039\/100022871","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Integrative and Complementary Medicine"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Health care workers (HCWs) faced unprecedented stress, anxiety, and burnout during the COVID-19 pandemic. Yoga, a mind\u2013body practice combining physical postures, breathing, and meditation, has demonstrated benefits for mental and physical resilience. This systematic review evaluated the effectiveness of yoga interventions in addressing mental health challenges and promoting overall well-being among HCWs during the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This review adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Comprehensive searches of PubMed, EMBASE, and Cochrane CENTRAL were conducted up to November 2024 using terms including \u201cyoga,\u201d \u201cCOVID-19,\u201d and \u201chealth care workers.\u201d Eligible studies involved HCWs receiving yoga interventions compared with nonyoga controls. Outcomes included stress, anxiety, depression, sleep quality, and physiological parameters. Randomized controlled trials, cohort studies, and observational studies were included. Quality assessment was performed using the Cochrane Risk of Bias Tool (RoB 1.0). Certainty of evidence assessment was conducted with Grading of Recommendations Assessment, Development and Evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 134 studies identified, 11 met the inclusion criteria. Participants included HCWs from India, Turkey, and the United States, with intervention durations ranging from 2 to 12 weeks. Yoga consistently reduced stress, anxiety, and depression, with improvements in sleep quality and quality of life. Physiological benefits included enhanced autonomic function and reduced levels of inflammatory markers. App-based and tailored yoga protocols showed potential for scalability and accessibility. The overall quality of the included studies was moderate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Yoga interventions demonstrated significant benefits in mitigating mental health challenges and enhancing overall well-being in HCWs during the COVID-19 pandemic. These findings underscore the value of yoga as a holistic support for HCWs in high-stress environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27683605261419365","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T10:55:03Z","timestamp":1773226503000},"page":"559-572","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of Yoga Intervention for Health Care Workers During the COVID-19 Pandemic: A Systematic Review"],"prefix":"10.1177","volume":"32","author":[{"given":"I-Jung","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan."},{"name":"Medical Planning and Management Office, Zuoying Armed Forces General Hospital, Kaohsiung, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan-Sheng","family":"Tzeng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Zuoying Armed Forces General Hospital, Kaohsiung, Taiwan."},{"name":"Division of Plastic Surgery, Department of Surgery, Tri-Service General Hospital National Defense Medical University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu-Yu","family":"Wu","sequence":"additional","affiliation":[{"name":"Graduate Institute of Aerospace and Undersea Medicine, College of Biomedical Sciences, National Defense Medical University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fong-Ching","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctim.2021.102704"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijoy.ijoy_218_23"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/165410"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/5448671"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/1348-9585.12243"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/0972-6748.328830"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2022.04.015"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2023.104863"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-021-01626-4"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-014-0579-0"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.998588"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39489.470347.AD"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2010.07.015"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-230061"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.4103\/indianjpsychiatry.indianjpsychiatry_120_24"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2022.101637"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijoy.ijoy_127_23"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.983165"},{"issue":"2023","key":"e_1_3_3_21_2","article-title":"Efficacy of yoga nidra on depression, anxiety, and insomnia in frontline COVID-19 healthcare workers: A pilot randomized controlled trial","volume":"33","author":"Gunjiganvi M","year":"2023","unstructured":"Gunjiganvi M, , Rai S, , Awale R, et al. Efficacy of yoga nidra on depression, anxiety, and insomnia in frontline COVID-19 healthcare workers: A pilot randomized controlled trial. Int J Yoga Therap, 2023; 33(2023):Article 3.","journal-title":"Int J Yoga Therap"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.670227"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.5606\/tftrd.2023.11605"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijop.13131"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaim.2022.100586"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctcp.2022.101601"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18168312"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-20194-5"},{"issue":"3","key":"e_1_3_3_29_2","first-page":"e23402","article-title":"The relationship between sleep quality and quality of life among patients with asthma","volume":"14","author":"Malek F","year":"2022","unstructured":"Malek F, , Khalil Sayah S, , Kia NS, , Ghods E. The relationship between sleep quality and quality of life among patients with asthma. Cureus, 2022; 14(3):e23402.","journal-title":"Cureus"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/0020764020942800"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1185\/03007990903167415"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200412000-00006"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.01.032"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.17573"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjebm-2020-111407"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/PR9.0000000000000655"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.psych.52.1.397"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1218340"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-071203"},{"issue":"1","key":"e_1_3_3_40_2","first-page":"29","article-title":"The use of yoga and mindfulness-based interventions to reduce stress and burnout in healthcare workers: An umbrella review","volume":"29","author":"Di Mario S","year":"2023","unstructured":"Di Mario S, , Cocchiara RA, , La Torre G. The use of yoga and mindfulness-based interventions to reduce stress and burnout in healthcare workers: An umbrella review. Altern Ther Health Med, 2023; 29(1):29\u201335.","journal-title":"Altern Ther Health Med"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm8030284"},{"key":"e_1_3_3_42_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18168855"},{"key":"e_1_3_3_43_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9041037"},{"key":"e_1_3_3_44_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-024-11437-7"},{"issue":"8","key":"e_1_3_3_45_2","first-page":"e43081","article-title":"Effect of structured yoga program on stress and well-being among frontline healthcare workers during COVID-19 pandemic","volume":"15","author":"Misra P","year":"2023","unstructured":"Misra P, , Mandal S, , Sharma G, et al. Effect of structured yoga program on stress and well-being among frontline healthcare workers during COVID-19 pandemic. Cureus, 2023; 15(8):e43081.","journal-title":"Cureus"},{"key":"e_1_3_3_46_2","doi-asserted-by":"publisher","DOI":"10.1177\/00207640211006742"},{"key":"e_1_3_3_47_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12202020"},{"issue":"4","key":"e_1_3_3_48_2","first-page":"1614","article-title":"Effects of different intervention methods on psychological anxiety, stress, and fatigue among healthcare workers during COVID-19 pandemic: A systematic review and meta-analysis","volume":"28","author":"Zhou XQ","year":"2024","unstructured":"Zhou XQ, , Han YF, , Xu MX. Effects of different intervention methods on psychological anxiety, stress, and fatigue among healthcare workers during COVID-19 pandemic: A systematic review and meta-analysis. Eur Rev Med Pharmacol Sci, 2024; 28(4):1614\u20131623.","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"e_1_3_3_49_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-060804"},{"issue":"10","key":"e_1_3_3_50_2","first-page":"620","article-title":"Depression and anxiety disorders: Benefits of exercise, yoga, and meditation","volume":"99","author":"Saeed SA","year":"2019","unstructured":"Saeed SA, , Cunningham K, , Bloch RM. Depression and anxiety disorders: Benefits of exercise, yoga, and meditation. Am Fam Physician, 2019; 99(10):620\u2013627.","journal-title":"Am Fam Physician"},{"key":"e_1_3_3_51_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00432-022-04167-y"},{"key":"e_1_3_3_52_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpcardiol.2023.102032"},{"key":"e_1_3_3_53_2","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10061027"},{"key":"e_1_3_3_54_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijoy.ijoy_195_24"},{"key":"e_1_3_3_55_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-024-02574-5"},{"key":"e_1_3_3_56_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6131.183712"},{"key":"e_1_3_3_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2015.07.013"},{"key":"e_1_3_3_58_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnint.2020.00034"},{"issue":"4","key":"e_1_3_3_59_2","first-page":"e57541","article-title":"Effectiveness of yoga in modulating markers of immunity and inflammation: A systematic review and meta-analysis","volume":"16","author":"Mishra B","year":"2024","unstructured":"Mishra B, , Agarwal A, , George JA, et al. Effectiveness of yoga in modulating markers of immunity and inflammation: A systematic review and meta-analysis. Cureus, 2024; 16(4):e57541.","journal-title":"Cureus"},{"key":"e_1_3_3_60_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijoy.ijoy_59_22"}],"container-title":["Journal of Integrative and Complementary Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/27683605261419365","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/27683605261419365","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/27683605261419365","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T10:47:03Z","timestamp":1784026023000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/27683605261419365"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,5]]},"references-count":59,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7,1]]}},"alternative-id":["10.1177\/27683605261419365"],"URL":"https:\/\/doi.org\/10.1177\/27683605261419365","relation":{},"ISSN":["2768-3605","2768-3613"],"issn-type":[{"value":"2768-3605","type":"print"},{"value":"2768-3613","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,5]]}}}