Introduction: Phase angle (PA), a parameter that is obtained from body composition analysis, is an indicator of cellular health status. A lower PA in cancer patients can lead to a decrease in functional status and quality of life (QoL) and increased mortality. Studies have shown that physical activity increases PA. In this study, we aimed to examine the effects of Hatha yoga on PA, body composition, and QoL in patients with breast cancer. Methods: Thirty-one patients were randomized into the yoga (group 1, n = 15) and the control group (group 2, n = 16). Hatha yoga was practiced twice a week for 10 weeks in the intervention group. The PA of the patients was assessed using a body analysis instrument, and QoL was evaluated with an EORTC QLQ questionnaire both before treatment and at week 10. Results: Group 1 had significant improvements in the posttreatment EORTC QLQ functional and global scores (p < 0.05). In group 2, a significant improvement was observed in the EORTC QLQ symptom subscale (p = 0.035). PA values did not show any improvements in both groups (p > 0.05). Comparison of the 2 groups revealed no differences. Conclusion: Yoga may have beneficial effects on QoL in patients with breast cancer but does not have a significant effect on PA. There is a need for further studies to make a definitive statement.

1.
Siegel
RL
,
Miller
KD
,
Jemal
A
.
Cancer statistics, 2018
.
CA Cancer J Clin
.
2018
Jan
;
68
(
1
):
7
30
.
[PubMed]
0007-9235
2.
Wayne
PM
,
Lee
MS
,
Novakowski
J
,
Osypiuk
K
,
Ligibel
J
,
Carlson
LE
, et al
Tai Chi and Qigong for cancer-related symptoms and quality of life: a systematic review and meta-analysis
.
J Cancer Surviv
.
2018
Apr
;
12
(
2
):
256
67
.
[PubMed]
1932-2259
3.
Lee
K
,
Sami
N
,
Sweeney
FC
,
Dieli-Conwright
CM
.
Body Composition with Dual-Energy X-Ray Absorptiometry and Bioelectrical Impedance Analysis in Breast Cancer Survivors
.
Nutr Clin Pract
.
2019
Jun
;
34
(
3
):
421
7
.
[PubMed]
0884-5336
4.
Kamarajah
SK
,
Bundred
J
,
Tan
BH
.
Body composition assessment and sarcopenia in patients with gastric cancer: a systematic review and meta-analysis
.
Gastric Cancer
.
2019
Jan
;
22
(
1
):
10
22
.
[PubMed]
1436-3291
5.
Fosbøl
,
Zerahn
B
.
Contemporary methods of body composition measurement
.
Clin Physiol Funct Imaging
.
2015
Mar
;
35
(
2
):
81
97
.
[PubMed]
1475-0961
6.
Zhang
G
,
Huo
X
,
Wu
C
,
Zhang
C
,
Duan
Z
.
A bioelectrical impedance phase angle measuring system for assessment of nutritional status
.
Biomed Mater Eng
.
2014
;
24
(
6
):
3657
64
.
[PubMed]
0959-2989
7.
Norman
K
,
Stobäus
N
,
Zocher
D
,
Bosy-Westphal
A
,
Szramek
A
,
Scheufele
R
, et al
Cutoff percentiles of bioelectrical phase angle predict functionality, quality of life, and mortality in patients with cancer
.
Am J Clin Nutr
.
2010
Sep
;
92
(
3
):
612
9
.
[PubMed]
0002-9165
8.
Bosy-Westphal
A
,
Danielzik
S
,
Dörhöfer
RP
,
Later
W
,
Wiese
S
,
Müller
MJ
.
Phase angle from bioelectrical impedance analysis: population reference values by age, sex, and body mass index
.
JPEN J Parenter Enteral Nutr
.
2006
Jul-Aug
;
30
(
4
):
309
16
.
[PubMed]
0148-6071
9.
Dittmar
M
.
Reliability and variability of bioimpedance measures in normal adults: effects of age, gender, and body mass
.
Am J Phys Anthropol
.
2003
Dec
;
122
(
4
):
361
70
.
[PubMed]
0002-9483
10.
Gupta
D
,
Lis
CG
,
Dahlk
SL
,
King
J
,
Vashi
PG
,
Grutsch
JF
, et al
The relationship between bioelectrical impedance phase angle and subjective global assessment in advanced colorectal cancer
.
Nutr J
.
2008
Jun
;
7
(
1
):
19
.
[PubMed]
1475-2891
11.
Gupta
D
,
Lis
CG
,
Dahlk
SL
,
Vashi
PG
,
Grutsch
JF
,
Lammersfeld
CA
.
Bioelectrical impedance phase angle as a prognostic indicator in advanced pancreatic cancer
.
Br J Nutr
.
2004
Dec
;
92
(
6
):
957
62
.
[PubMed]
0007-1145
12.
Gupta
D
,
Lammersfeld
CA
,
Vashi
PG
,
King
J
,
Dahlk
SL
,
Grutsch
JF
, et al
Bioelectrical impedance phase angle as a prognostic indicator in breast cancer
.
BMC Cancer
.
2008
Aug
;
8
(
1
):
249
.
[PubMed]
1471-2407
13.
Fong
DYT
,
Ho
JWC
,
Hui
BPH
,
Lee
AM
,
Macfarlane
DJ
,
Leung
SSK
, et al
Physical activity for cancer survivors: meta-analysis of randomised controlled trials.
BMJ.
2012
;344(jan30 5):e70-e.
14.
Culos-Reed
SN
,
Mackenzie
MJ
,
Sohl
SJ
,
Jesse
MT
,
Zahavich
AN
,
Danhauer
SC
.
Yoga & cancer interventions: a review of the clinical significance of patient reported outcomes for cancer survivors
.
Evid Based Complement Alternat Med
.
2012
;
2012
:
642576
.
[PubMed]
1741-427X
15.
Cramer
H
,
Lange
S
,
Klose
P
,
Paul
A
,
Dobos
G
.
Yoga for breast cancer patients and survivors: a systematic review and meta-analysis
.
BMC Cancer
.
2012
Sep
;
12
(
1
):
412
.
[PubMed]
1471-2407
16.
Bower
JE
,
Garet
D
,
Sternlieb
B
,
Ganz
PA
,
Irwin
MR
,
Olmstead
R
, et al
Yoga for persistent fatigue in breast cancer survivors: a randomized controlled trial
.
Cancer
.
2012
Aug
;
118
(
15
):
3766
75
.
[PubMed]
0008-543X
17.
Jebb
SA
,
Cole
TJ
,
Doman
D
,
Murgatroyd
PR
,
Prentice
AM
.
Evaluation of the novel Tanita body-fat analyser to measure body composition by comparison with a four-compartment model
.
Br J Nutr
.
2000
Feb
;
83
(
2
):
115
22
.
[PubMed]
0007-1145
18.
Selberg
O
,
Selberg
D
.
Norms and correlates of bioimpedance phase angle in healthy human subjects, hospitalized patients, and patients with liver cirrhosis
.
Eur J Appl Physiol
.
2002
Apr
;
86
(
6
):
509
16
.
[PubMed]
1439-6319
19.
Kushner
RF
.
Bioelectrical impedance analysis: a review of principles and applications
.
J Am Coll Nutr
.
1992
Apr
;
11
(
2
):
199
209
.
[PubMed]
0731-5724
20.
Aaronson
NK
,
Ahmedzai
S
,
Bergman
B
,
Bullinger
M
,
Cull
A
,
Duez
NJ
, et al
The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology
.
J Natl Cancer Inst
.
1993
Mar
;
85
(
5
):
365
76
.
[PubMed]
0027-8874
21.
Deltombe
T
,
Jamart
J
,
Recloux
S
,
Legrand
C
,
Vandenbroeck
N
,
Theys
S
, et al
Reliability and limits of agreement of circumferential, water displacement, and optoelectronic volumetry in the measurement of upper limb lymphedema
.
Lymphology
.
2007
Mar
;
40
(
1
):
26
34
.
[PubMed]
0024-7766
22.
Raub
JA
.
Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review
.
J Altern Complement Med
.
2002
Dec
;
8
(
6
):
797
812
.
[PubMed]
1075-5535
23.
Cramer
H
,
Ward
L
,
Saper
R
,
Fishbein
D
,
Dobos
G
,
Lauche
R
.
The safety of yoga: a systematic review and meta-analysis of randomized controlled trials
.
Am J Epidemiol
.
2015
Aug
;
182
(
4
):
281
93
.
[PubMed]
0002-9262
24.
Norman
K
,
Stobäus
N
,
Pirlich
M
,
Bosy-Westphal
A
.
Bioelectrical phase angle and impedance vector analysis—clinical relevance and applicability of impedance parameters
.
Clin Nutr
.
2012
Dec
;
31
(
6
):
854
61
.
[PubMed]
0261-5614
25.
Mala
L
,
Maly
T
,
Zahalka
F
,
Bunc
V
,
Kaplan
A
,
Jebavy
R
, et al
Body composition of elite female players in five different sports games
.
J Hum Kinet
.
2015
Apr
;
45
(
1
):
207
15
.
[PubMed]
1640-5544
26.
Koury
JC
,
Trugo N
MF
,
Torres
AG
.
Phase angle and bioelectrical impedance vectors in adolescent and adult male athletes
.
Int J Sports Physiol Perform
.
2014
Sep
;
9
(
5
):
798
804
.
[PubMed]
1555-0265
27.
Souza
MF
,
Tomeleri
CM
,
Ribeiro
AS
,
Schoenfeld
BJ
,
Silva
AM
,
Sardinha
LB
, et al
Effect of resistance training on phase angle in older women: A randomized controlled trial
.
Scand J Med Sci Sports
.
2017
Nov
;
27
(
11
):
1308
16
.
[PubMed]
0905-7188
28.
Ribeiro
AS
,
Avelar
A
,
Dos Santos
L
,
Silva
AM
,
Gobbo
LA
,
Schoenfeld
BJ
, et al
Hypertrophy-type Resistance Training Improves Phase Angle in Young Adult Men and Women
.
Int J Sports Med
.
2017
Jan
;
38
(
1
):
35
40
.
[PubMed]
1439-3964
29.
Dos Santos
L
,
Cyrino
ES
,
Antunes
M
,
Santos
DA
,
Sardinha
LB
.
Changes in phase angle and body composition induced by resistance training in older women
.
Eur J Clin Nutr
.
2016
Dec
;
70
(
12
):
1408
13
.
[PubMed]
0954-3007
30.
Barbosa
CD
,
Costa
JG
,
Giolo
JS
,
Rossato
LT
,
Nahas
PC
,
Mariano
IM
, et al
Isoflavone supplementation plus combined aerobic and resistance exercise do not change phase angle values in postmenopausal women: A randomized placebo-controlled clinical trial
.
Exp Gerontol
.
2019
Mar
;
117
:
31
7
.
[PubMed]
0531-5565
31.
Tran
MD
,
Holly
RG
,
Lashbrook
J
,
Amsterdam
EA
.
Effects of Hatha Yoga Practice on the Health-Related Aspects of Physical Fitness
.
Prev Cardiol
.
2001
;
4
(
4
):
165
70
.
[PubMed]
1520-037X
32.
Madhavi
S
,
Raju
PS
,
Reddy
MV
,
Annapurna
N
,
Sahay
BK
,
Kumari
DG
, et al
Effect of yogic exercises on lean body mass
.
J Assoc Physicians India
.
1985
Jul
;
33
(
7
):
465
6
.
[PubMed]
0004-5772
33.
Prasad
K
,
Sunita
M
,
Raju
PS
,
Reddy
MV
,
Sahay
B
,
Murthy
K
.
IMPACT OF PRANAYAMA AND YOGA ON LIPID PROFILE IN NORMAL HEALTHY VOLUNTEERS
.
J Exerc Physiol Online
.
2006
;
9
(
1
).1097-9751
34.
Büssing
A
,
Edelhäuser
F
,
Weisskircher
A
,
Fouladbakhsh
JM
,
Heusser
P
.
Inner Correspondence and Peacefulness with Practices among Participants in Eurythmy Therapy and Yoga: A Validation Study
.
Evid Based Complement Alternat Med
.
2011
;
2011
:
1
9
.
[PubMed]
1741-427X
35.
Cramer
H
,
Lauche
R
,
Haller
H
,
Langhorst
J
,
Dobos
G
,
Berger
B
.
“I’m more in balance”: a qualitative study of yoga for patients with chronic neck pain
.
J Altern Complement Med
.
2013
Jun
;
19
(
6
):
536
42
.
[PubMed]
1075-5535
36.
Gharote
ML
,
Ganguly
SK
.
Effects of a nine-week yogic training programme on some aspects of physical fitness of physically conditioned young males
.
Indian J Med Sci
.
1979
Oct
;
33
(
10
):
258
63
.
[PubMed]
0019-5359
37.
Rietman
JS
,
Dijkstra
PU
,
Debreczeni
R
,
Geertzen
JH
,
Robinson
DP
,
De Vries
J
.
Impairments, disabilities and health related quality of life after treatment for breast cancer: a follow-up study 2.7 years after surgery
.
Disabil Rehabil
.
2004
Jan
;
26
(
2
):
78
84
.
[PubMed]
0963-8288
38.
Beaulac
SM
,
McNair
LA
,
Scott
TE
,
LaMorte
WW
,
Kavanah
MT
.
Lymphedema and quality of life in survivors of early-stage breast cancer
.
Arch Surg
.
2002
Nov
;
137
(
11
):
1253
7
.
[PubMed]
0004-0010
39.
Eyigor
S
,
Kanyilmaz
S
.
Exercise in patients coping with breast cancer: an overview
.
World J Clin Oncol
.
2014
Aug
;
5
(
3
):
406
11
.
[PubMed]
2218-4333
40.
Schmidt
ME
,
Wiskemann
J
,
Armbrust
P
,
Schneeweiss
A
,
Ulrich
CM
,
Steindorf
K
.
Effects of resistance exercise on fatigue and quality of life in breast cancer patients undergoing adjuvant chemotherapy: A randomized controlled trial
.
Int J Cancer
.
2015
Jul
;
137
(
2
):
471
80
.
[PubMed]
0020-7136
41.
Zhang
X
,
Li
Y
,
Liu
D
.
Effects of exercise on the quality of life in breast cancer patients: a systematic review of randomized controlled trials
.
Support Care Cancer
.
2019
Jan
;
27
(
1
):
9
21
.
[PubMed]
0941-4355
42.
Greenlee
H
,
Balneaves
LG
,
Carlson
LE
,
Cohen
M
,
Deng
G
,
Hershman
D
, et al;
Society for Integrative Oncology
.
Clinical practice guidelines on the use of integrative therapies as supportive care in patients treated for breast cancer
.
J Natl Cancer Inst Monogr
.
2014
Nov
;
2014
(
50
):
346
58
.
[PubMed]
1052-6773
43.
Yagli
NV
,
Ulger
O
.
The effects of yoga on the quality of life and depression in elderly breast cancer patients
.
Complement Ther Clin Pract
.
2015
Feb
;
21
(
1
):
7
10
.
[PubMed]
1744-3881
44.
Moadel
AB
,
Shah
C
,
Wylie-Rosett
J
,
Harris
MS
,
Patel
SR
,
Hall
CB
, et al
Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: effects on quality of life
.
J Clin Oncol
.
2007
Oct
;
25
(
28
):
4387
95
.
[PubMed]
0732-183X
45.
Cramer
H
,
Lauche
R
,
Klose
P
,
Lange
S
,
Langhorst
J
,
Dobos
GJ
.
Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer
.
Cochrane Database Syst Rev
.
2017
Jan
;
1
:
CD010802
.
[PubMed]
1469-493X
46.
Eyigor
S
,
Uslu
R
,
Apaydın
S
,
Caramat
I
,
Yesil
H
.
Can yoga have any effect on shoulder and arm pain and quality of life in patients with breast cancer? A randomized, controlled, single-blind trial
.
Complement Ther Clin Pract
.
2018
Aug
;
32
:
40
5
.
[PubMed]
1744-3881
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.