{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T22:11:39Z","timestamp":1771539099812,"version":"3.50.1"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Foundation for Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>In today\u2019s military landscape, optimizing performance and bolstering physical health and mental resilience are critical objectives. Introducing a 12-week Ashtanga Vinyasa Yoga Supta Method (AVYSM) to the training protocol of military trained Airforce pilots, we aim to assesses the feasibility and impact of the method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and equipment<\/jats:title><jats:p>Borg Scale assesses the intensity level of physical activity during the intervention. Flight simulator data gauges operational performance responses. Postural control responses are measured using a force platform, stress responses are monitored via heart monitor, and handgrip dynamometry will measure strength. Respiratory capacity is assessed using a spirometer, body composition is evaluated using impedance balance, and aviation-related questionnaires are administered before and after the intervention period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a randomized controlled trial, the totality of pilots from the \u201cMasters in Military Aeronautics: aviator pilot specialist\u201d course at the Portuguese Air Force Academy (PAA) were randomly assigned to the yoga intervention or the waiting list control groups, with participants providing written informed consent. The control group followed protocolized course classes for 12\u2009weeks, while the intervention group integrated two weekly one-hour yoga sessions into their course.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The PAA has approved the implementation of this intervention protocol at Airbase 11 in Beja, highlighting its significance for the organization\u2019s policy makers. We hypothesize that this method will enhance operational performance and, subsequently, elevate flight safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This research\u2019s potential extends beyond the PAA, as it can be adapted for use in Airforce departments of other nations and various military contexts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical trial registration<\/jats:title><jats:p>\u00c9vora University research ethics committee\u2014approval number 21050. Study registered on <jats:ext-link>ClinicalTrials.gov<\/jats:ext-link> under identifier NCT05821270, registered on April 19, 2023.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1334880","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T04:53:18Z","timestamp":1714539198000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["The effect of Ashtanga-Vinyasa Yoga method on air force pilots\u2019 operational performance"],"prefix":"10.3389","volume":"12","author":[{"given":"Sara","family":"Santos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filipe","family":"Melo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orlando","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Alberto","family":"Parraca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,5,1]]},"reference":[{"key":"ref1","first-page":"312","article-title":"Pilot performance of the anti-G straining maneuver: respiratory demands and breathing system effects","volume":"68","author":"Whitley","year":"1997","journal-title":"Aviat Space Environ Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1136\/bmjmilitary-2020-001417","article-title":"Determining the psychophysiological responses of military aircrew when exposed to acute disorientation stimuli. 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affective technologies","volume":"20","author":"Alfaras","year":"2020","journal-title":"Sensors (Basel)"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1016\/j.psyneuen.2018.05.004","article-title":"Association between changes in heart rate variability during the anticipation of a stressful situation and the stress-induced cortisol response","volume":"94","author":"Pulopulos","year":"2018","journal-title":"Psychoneuroendocrinology"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"104592","DOI":"10.1016\/j.compbiomed.2021.104592","article-title":"Real-time assessment of global and regional lung ventilation in the anti-gravity straining maneuver using electrical impedance tomography","volume":"135","author":"Yang","year":"2021","journal-title":"Comput Biol Med"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/j.medengphy.2008.08.003","article-title":"Test-retest reliability of Centre of foot pressure measures to assess 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findings of the SF-36\u00ae and SF-12\u00ae health surveys across electronic modes compared to paper administration","volume":"27","author":"White","year":"2018","journal-title":"Qual Life Res"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1177\/1073191107313003","article-title":"Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples","volume":"15","author":"Baer","year":"2008","journal-title":"Assessment"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"101785","DOI":"10.1016\/j.cpr.2019.101785","article-title":"The relationship between trait mindfulness and affective symptoms: a meta-analysis of the five facet mindfulness questionnaire (FFMQ)","volume":"74","author":"Carpenter","year":"2019","journal-title":"Clin Psychol Rev"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1177\/0031512518813231","article-title":"Multidimensional assessment of interoceptive awareness: psychometric properties of the Portuguese version","volume":"126","author":"Machorrinho","year":"2019","journal-title":"Percept Mot Skills"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1207\/s15327108ijap1501_2","article-title":"Measurement of hazardous attitudes among pilots","volume":"15","author":"Hunter","year":"2005","journal-title":"Int J Aviat Psychol"},{"key":"ref28","article-title":"OM Magazine","year":"","journal-title":"Anatomy articles"},{"key":"ref29","article-title":"The jamovi project","volume-title":"jamovi (Version 2.3)","year":"2022"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"718","DOI":"10.3357\/AMHP.4468.2016","article-title":"Sustained military operations and cognitive performance","volume":"87","author":"Vrijkotte","year":"2016","journal-title":"Aerosp Med Hum Perform"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"613","DOI":"10.3357\/AMHP.5323.2019","article-title":"AGSM proficiency and depression are 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