The Association Between Yoga Use, Physical Function, and Employment in Adults With Rheumatoid Arthritis.
Heather M Greysen, Oi Saeng Hong, Patricia Katz
PMID 30747775WHAT IT FOUND
Adults with rheumatoid arthritis who practiced yoga were more likely to work full-time and had better self-reported physical function than those who did not.
Once age and education were taken into account, pain, fatigue, depression and sleep did not differ. These are associations, not proof.
Key findings
01After controlling for age and education, the yoga group had better physical function than the non-yoga group.
02Full-time employment was reported by 21 of the 42 yoga group members, 16 of 35 practitioners, and 5 of 7 participants, compared with 70 of 329 non-yoga respondents.
03The lower pain score in the yoga group was not significant once age and education were taken into account, and fatigue, depression and sleep did not differ.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
This is a cross-sectional survey, so it cannot show that yoga caused better function or employment; employed or more functional people may be more likely to do yoga. The yoga groups were younger and had more education than the non-yoga group, and after age and education were taken into account, pain and HAQ disability differences were no longer significant. The sample came from private Northern California rheumatology clinics, was mostly white and highly educated, and may reflect a healthy survivor effect. Yoga exposure was self-reported and varied in style, duration, frequency and location; the paper did not test a prescribed programme or measure dose. The paper's description of PROMIS physical function score direction is inconsistent between the methods and results sections. Respondents who did not answer the yoga question were older than the yoga group, so missing data may limit interpretation.
Declared interests
No funding or conflict-of-interest declaration is provided in the supplied text. The study was conducted with oversight from the UCSF institutional review board.
The easy way to misread this
Do not tell a patient that yoga will improve rheumatoid arthritis function or employment. This is a cross-sectional survey, and differences in pain and HAQ disability disappeared after age and education were taken into account, so the findings may reflect who does yoga rather than yoga's effect.