• Users Online: 559
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 

 Table of Contents  
Year : 2021  |  Volume : 11  |  Issue : 4  |  Page : 3-12

Psychophysiological effects of yoga on stress management among medical and allied health professional students during COVID-19 pandemic: A narrative review

1 Faculty of Medical Sciences, The University of the West Indies-Cave Hill Campus, Barbados
2 Faculty of Medical Sciences, The University of the West Indies-St. Augustine Campus, Trinidad and Tobago
3 School of Medicine, American University of Integrative Sciences, Bridgetown, Barbados

Date of Submission02-Mar-2021
Date of Decision26-Mar-2021
Date of Acceptance13-Apr-2021
Date of Web Publication16-Oct-2021

Correspondence Address:
Bidyadhar Sa
Centre for Medical Sciences Education, Faculty of Medical Sciences, The University of the West Indies, St. Augustine Campus
Trinidad and Tobago
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aihb.aihb_28_21

Rights and Permissions

The impact of coronavirus disease 2019 (COVID-19) pandemic has raised health concerns worldwide. Medical and allied health professional schools are seeking ways to alleviate stress and improve the quality of life among students. The effects of yoga have proven to be successful against stress. The review aimed to examine the psychophysiological effects of yoga on stress management among medical and allied health professional students during COVID-19 pandemic. The authors reviewed existing literature and official documents, which mostly focussed on the effect of yoga among medical and health professional students. Mental stress among these students is known to be higher than that of the general population. Sudden changes due to the pandemic are likely to have a significant impact on these students. Uncertainties concerning teaching, learning and assessment generate stress and anxiety, and social distancing further contributes to loneliness. Yoga has gained recognition not only in improving mental health and quality of life, but it also helps in improving respiratory and immune health. Although many published studies examined the psychophysiological effects of yoga among health professional students; only a few medical and allied health professional schools have incorporated yoga into an integrated curriculum for a holistic approach. In response to the COVID-19 crisis, the use of yoga for stress reduction and immune modulation should be considered as a complement to other treatments. There is a need to integrate yoga into medical and health science curricula to prepare physically fit and mentally sound prospective healthcare professionals.

Keywords: Medical, psychological, stress, students, yoga

How to cite this article:
Sarkar S, Sa B, Singh K, Gaur U, Bharatha A, Victor V, Rahman S, Azim Majumder MA. Psychophysiological effects of yoga on stress management among medical and allied health professional students during COVID-19 pandemic: A narrative review. Adv Hum Biol 2021;11:3-12

How to cite this URL:
Sarkar S, Sa B, Singh K, Gaur U, Bharatha A, Victor V, Rahman S, Azim Majumder MA. Psychophysiological effects of yoga on stress management among medical and allied health professional students during COVID-19 pandemic: A narrative review. Adv Hum Biol [serial online] 2021 [cited 2022 Aug 15];11:3-12. Available from: https://www.aihbonline.com/text.asp?2021/11/4/3/328394

  Introduction Top

The pandemic of coronavirus disease 2019 (COVID-19) is posing a threat to health, affecting all aspects of life, in general, and psychological well-being, in particular.[1] Large-scale observational studies published to date indicate that symptoms of anxiety, depression and self-reported stress are common psychological reactions to the COVID-19 pandemic among the general community and vulnerable populations such as frontline health-care workers.[2],[3],[4],[5],[6] Another vulnerable population who has been significantly impacted is medical and allied health professional students. As a result of the pandemic, an educational emergency was declared resulting in interrupted learning, shifts in delivery of learning to online mode, cancelled examinations and deprived hands-on practical and clinical training. More importantly, students' professional trajectory was put at stake.[5],[6],[7],[8],[9],[10]

The pandemic presents a number of stressors for students. Uncertainties concerning teaching, learning and assessment generate stress and anxiety, and social distancing further contributes to loneliness.[11],[12] Medical and allied health professional schools are seeking ways to reduce stress and improve the quality of life among students, not only during the current pandemic but also in the post-COVID-19 period. Numerous studies suggest that yoga has gained prominence in improving mental health and quality of life and in the treatment of many psychiatric and psychosomatic disorders.[1],[13],[14],[15] Yoga has been practiced for several 1000 years as an immortal cultural outcome of Indus Sarasvati Valley civilisation in South Asia's north-western regions dating back to 2700 B.C.[16] It has gained popularity in western countries over the past few decades.[17] Techniques in yoga strengthen the body while healing mental and emotional issues. The eight branches of yoga can be broadly narrowed into four types: karma yoga, where we use the body; bhakti yoga, whereby the emotions are used; gyana yoga, in which the mind and intellects are used; and kriya yoga, in which the energy is used.[16] Hatha yoga, a popular practice of yoga, especially in the western world, integrates all three practices, which includes asanas (gentle stretching postures), pranayama (exercises of breath control) and kriyas (purification techniques).[17] Similarly, mindfulness yoga is a combination of Buddhist mindfulness practices and hatha yoga.[18] Various clinical researches on yoga propose and recommend neurophysiological, psychological and immunological mechanisms for effective stress reduction.[19]

Further, scientific research has established that the physiological, psychological and biochemical effects of yoga are anti-stress in nature.[20],[21] The practice of yoga and meditations can be very effective to not only reduce stress among medical and health professional students during the current pandemic and post-COVID-19 period but to also improve respiratory and immune health. This makes for a better quality of life.[2],[22],[23] Through the techniques of meditation, asanas and pranayama, yoga yields a positive effect in managing stress and enhancing academic performance.[24],[25] Prominent medical institutes such as Harvard Medical School have already recommended yoga, meditation and controlled breathing for its students to address anxiety issues related to the novel coronavirus.[26] The United Nations published yoga and meditation as wellness tips to combat COVID-19 on their website.[21] Integrating yoga with medical and health professional curriculums has yielded positive results.[27],[28] To ensure students' physical and mental well-being, it is now imperative to adopt the antiquity of yoga's holistic approach with the multi-dimensional benefits in medical and health professional schools around the world during and after the COVID-19 pandemic. The review aimed to examine the psychophysiological effects of yoga on stress management among medical and allied health professional students during the COVID-19 pandemic.

  Methods Top

We searched and reviewed literature that focussed on stress among medical and allied health professional students due to the COVID-19 pandemic and the role of yoga intervention to alleviate mental stress and anxiety. PubMed, Scopus and Google Scholar were searched using specific keywords, e.g., COVID-19 pandemic, yoga, mental stress, anxiety, medical and allied health students. Original studies, reviews, editorials, commentaries, perspectives and short communications on the COVID-19 pandemic were reviewed. Information from websites of national and international professional associations and organisations was extracted. Reference lists from retrieved articles and reports were examined manually for relevant information.

  Psychophysiological Effects of Yoga on Stress Management Top

Stress can be defined as a state of threatened homoeostasis or disharmony caused by intrinsic or extrinsic stressors, which is counteracted by a series of physiological and behavioural responses to support the optimal homoeostasis.[29],[30] The essential components of the stress system are the autonomic nervous system (ANS) and hypothalamic–pituitary–adrenal (HPA) axis, which are involved in mobilising a successful adaptive response against a stressful status [Figure 1]. Hyper- or hypo-activation of the stress system in relation to chronic and potent stress can significantly disturb the body's equilibrium, leading to allostasis, with a range of clinical conditions, including anxiety, depression, cognitive impairment and heart diseases.[30]
Figure 1: Psychophysiological effects of yoga on stress management.

Click here to view

Reviews also reported that yoga intervention reduced stress significantly.[1],[13],[14],[15],[31] Yoga intervention reduces stress by altering neurophysiological (reducing sympathetic activation and enhancing vagal activity, leading to decreased cortisol and HPA axis activation)[32] and neuroendocrinological activity,[33] positive psychological self-awareness, compassion and mindfulness adjustment[34] and improved immunological mechanisms (reduced interleukin 6, proinflammatory nuclear factor kappa light chain enhancer of activated B cells and increased activity of antiviral interferon regulatory factor) [Figure 1].[35] However, only a few studies have reported on the plasma catecholamine levels.[32],[33] Since majority of these effects are mostly observed as a brief and temporary phenomenon, more meticulous efforts and observations are needed in the future.

  Stress among Medical/Allied Health Professional Students: Role of Yoga Top

Students enrolled in medical and allied health professional programmes have high levels of mental stress and a poor quality of life.[13],[36],[37],[38],[39],[40],[41],[42] Heavy workload and pressure to perform better leads to stress, depression and burnout.[43] A higher level of stress leads to 'sympathetic overdrive'. Mental, physical and spiritual health are consequently compromised, deteriorating the overall quality of life as a result of a pandemic.[7] Stress and depression can have multiple adverse effects if left untreated. These can lead to chronic conditions such as increased risk of respiratory infection and adverse effects on the immune and cardiovascular system. As a consequence, poor quality of life together with poor academic performance can lead to suicidal tendencies, ultimately negatively affecting overall physical health.[14],[36]

The effect of yoga on stress, depression and anxiety has been widely studied among medical, nursing and other health professional students. It was concluded that yoga has been effective in reducing stress and improving the psychological well-being of healthcare professionals (HCPs) and students. Scientific evidence strongly indicates that yoga has promotive, preventive as well as curative potential and has become widely accepted as a non-pharmacotherapeutic and safe modality for stress management and improving health.[7],[40],[44],[45],[46] Regular yoga practice improves various physiological and psychological functions of the body.[44] Therefore, it can positively influence mental health and improve overall well-being.[45],[46],[47] It reduces perceived stress and anxiety, lowers levels of stress markers as well as cultivates positive emotions, empathy, compassion and self-regulation. Further, it lowers levels of work-related stress, enhances functionality and improves self-care behaviour in medical students and HCPs.[48],[49] Further, McConville et al.,[50] in their meta-analysis, reported that mindfulness-based interventions reduce stress, anxiety and depression and enhance mindfulness, mood, self-efficacy and empathy in health professional students. They also felt that these inventions can easily be adapted and integrated into the curricula.[50] Another systematic review reported that mindfulness-based interventions were helpful/useful to reduce stress and mentally prepare medical and allied health professionals for their future careers.[43] Although some indirect evidence is showing an increase in mindfulness capacity, functional neuroimaging studies show no direct evidence, indicating an association between brain and behavioural improvement following mindfulness training.[51] Review reports suggest that yoga practices were effective in the management of stress among healthcare workers and that yogic intervention has helped combat the various occupational hazards associated with the dental profession and has a positive effect on reducing psychological stress.[40],[52] To evaluate the effect of yoga on the psychological function of students, many studies recommended that yoga could be implemented in the early part of related academic medical curricula.[41],[42],[45],[46] Strategies for stress prevention and management should be implemented to improve students' professional performance, ensure proper patient care and prevent drop-out. There is a need for more evidence-based research with the highest methodological quality, including larger samples and adequate control interventions in the field of yoga and its psychophysiological effects on students' health and academic performance. [Table 1] shows the positive effect of yoga on stress management of medical and other health professional students.[45],[46],[47],[53],[54],[55],[56],[57],[58],[59],[60]
Table 1: Studies showing effects of yoga in stress management of medical and allied health professional students

Click here to view

  Yoga and Stress Management: Integration in Medical and Health Professional Curricula Top

Yoga is now valued and recognised as an integrated science in global health sectors, especially in medical education. In 2014, the General Assembly of the United Nations proclaimed June 21 the 'International Day of Yoga' to raise awareness of global mental health.[61] Yoga deserves a prominent place in the curriculum of all health professional education.[62] Incorporating yoga in health sciences education will help future professionals to take a positive healthcare approach and disperse this positivity to their patients and communities.[63] In India, the land where yoga originated, the Ministry of AYUSH (Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy) integrated yoga in health professional education as an ancient healing wisdom with modern scientific medicine. To implement this, various universities in India developed integrated curricula with all the medical and health professional sciences to build a holistic integration with positive outcomes.[27],[49],[62] Yoga has been successfully integrated into nursing, MBBS and BDS curriculum in different forms such as extra/co-curricular activities, lecture series and practical sessions. It impacted positively on students' overall well-being.[27],[49],[62]

Other medical schools around the world also took similar initiatives. There are recommendations to integrate mindfulness curriculum into formal undergraduate medical education.[28],[47] The University of Pennsylvania's Perelman School of Medicine, USA, has introduced yoganatomy in an effort to integrate student wellness into the curriculum which taught stress management.[63] Ankamreddy et al., 2019 reported on students' positive opinion regarding yoga intervention and recommended the practice be included in the curriculum.[64] A study in New York on the effect of 6 weeks of yoga and meditation on medical students showed a significant reduction in perceived stress and an improvement in the sense of well-being.[65]

Now, the use of complementary and alternative medicine approaches, commonly referred to as integrative medicine (I.M.), include topics such as meditation, mindfulness, yoga, aromatherapy and animal-assisted therapy.[66] The Academic Consortium for I.M. and Health in the USA acknowledged the need for education and training of medical students in various I.M. modalities and whole-health approaches. Mayo Clinic in Rochester, Minnesota, USA, a member of the Academic Consortium for I.M. and Health, developed a mandatory 4-year medical school curriculum in I.M. which is taught by I.M. professionals and physicians.[67]

A mandatory short IM curriculum, developed and implemented in Mayo Clinic School of Medicine, USA, was found to improve students' knowledge of I.M. and personal health practices.[68] In India, yoga was introduced in the MBBS (Mahatma Gandhi Medical College), Nursing (Kasturba Gandhi Nursing College) and BDS (Indira Gandhi Institute of Dental Sciences) curricula with the support of the Centre for Yoga Therapy, Education and Research, Pondicherry. The majority of the students (>80%) rated the yoga lectures as excellent and reported that 'yoga sessions had helped them to adjust better to college life and also that the stress management techniques enhanced their ability to do well in curricular and extracurricular activities'.[27] Based on the evidence mentioned above, it is the time to integrate yoga education in the health sciences curricula to reap maximum benefits, especially during and post-COVID-19 pandemic period.

  Yoga Practices for Medical/Health Professional Students during and Post-Coronavirus Disease 2019 Top

The COVID-19 pandemic disproportionately affected the mental health of a wide range of communities.[69] A June 2020 survey from the Centers for Disease Control and Prevention of 5412 US adults found that 40.9% of the respondents reported 'at least one adverse mental or behavioural health condition', including depression, anxiety, post-traumatic stress and substance abuse, with rates that were 3–4 times higher than the rates 1 year earlier.[70] Remarkably, 10.7% of the respondents reported to have seriously considered suicide in the last 30 days.[70] Moreover, sudden interpersonal loss associated with COVID-19, along with severe social disruption, can easily overwhelm the ways individuals and families cope with bereavement.

Undoubtedly, the COVID-19 pandemic lockdown and academic cessation in the academic process added an extra burden on the prevailing mental health issues. A survey on the COVID-19 pandemic conducted among the 30,725 undergraduate students and 15,346 graduate and professional students at nine USA public research universities revealed that the majority (67%) of students screened positive for major depressive disorder; half of them (32%) screened positive for generalised anxiety disorder. Disorder rates were more pronounced among students of low-income status.[71]

Inevitably, the medical professional students and HCPs are the first responders to render the COVID-19 pandemic control and preventive strategies. In general, they undergo behavioural, affective and cognitive changes that demand adaptation during the disruptive environmental outbreak and its progression.[72] Therefore, restoring healthy psychology and mind set and keeping high levels of motivation in HCPs for optimum functioning are the important health imperatives.[72] During these challenging times, extreme physical and mental fatigue due to insufficient resources and the handling of death can cause moral injury and post-traumatic stress disorder in health workers. The role of yoga and meditation becomes indispensable at this point.[73],[74],[75]

During the COVID-19 pandemic, various studies were conducted worldwide to assess the psychological stress among medical and health professional students. Many institutes conducted online cross-sectional surveys among students, nurses and allied HCPs [Table 2].
Table 2: Psychological stress reported due to coronavirus disease-19 pandemic among medical and allied health professional students, physicians, nurses and other healthcare workers

Click here to view

They all concluded that COVID-19 had significant impact on medical students academic, health and mental well-being.[5],[6],[76],[77],[78],[79] A very high level of anxiety and depression was reported among nursing and allied HCP students and workers.[5],[6],[76],[77],[78],[79],[80],[81],[82],[83],[84],[85]

Several studies demonstrated that yoga reduces sympathetic response due to stress,[86],[87] while also improving mental well-being, mindfulness, positivity, self-awareness, coping mechanisms and decreasing secondary traumatic stress.[88],[89],[90] The United Nations published yoga and meditation on wellness tips to combat against COVID-19 on their website.[21] Other prominent health institutions have developed free online yoga classes with movement and mindfulness breaks for frontline healthcare workers amid chaos at work, which include 'Inner Engineering Online', 'Down dog App', 'Yoga 2.0 studio', 'I love Namaste', 'Meditation in Medicine', 'Headspace' and 'Sweat yoga'.[91],[92],[93],[94],[95],[96],[97]

A combined study by the Massachusetts Institute of Technology, the University of California-San Diego the Chopra Library for Integrative Studies and Harvard University, concluded that 'certain practices of meditation, yoga asana (postures) and pranayama (breathing) might be effective adjunctive means of treating and preventing SARS-CoV-2 infection'.[22] Yoga tools developed for well-being, mental clarity and emotional stability, along with physical flexibility during COVID-19, are being incorporated and tested by the National Study of Undergraduate Students at Rutgers University.[98] The Practice of Inner Engineering Online offered by the Isha Research Centre, USA, during COVID-19 resulted in an over 50% reduction in stress for compliant participants at the Harvard Medical School.[99] It led to a significant increase in energy, joy, mindfulness and work engagement at Rutgers University, USA.[100] Now is therefore the appropriate time to incorporate both theoretical and practical components of yoga into the medical and allied health curricula to improve the quality life of the students.[101] Now, more than ever HCPs also need yoga and meditation practices to relieve stress.

  Conclusion and Recommendations Top

The global COVID-19 pandemic impacted every sphere of human life, including medical and allied health professional students. It has been documented that, if left untreated, exposure to stressors is associated with multiple serious adverse effects and poor academic performance. Empirical evidence supports yoga as a complementary strategy for stress management and improved well-being. Medical and HCP students have experienced reduced stress, anxiety, depression, immune modulation, improved well-being, self-esteem, compassion and self-awareness after practicing yoga.

In response to the COVID-19 crisis, the use of yoga for stress reduction and immune modulation should be considered as the basis for its complementary role in treatments. There is also a need to integrate yoga into the medical and health science curricula to prepare physically fit and mentally sound prospective Health Care Professionals (HCPs). Several medical and health professional universities that integrated yoga into their curricula observed an overall positive impact. More empirical studies are required to analyse the effectiveness of yoga-based curricula on the health and well-being of medical and health professional students.


We extend our gratitude to Mrs. Stella Williams, Former Lecturer in Health Communication, Centre for Medical Sciences Education, Faculty of Medical Sciences, The University of the West Indies, St Augustine Campus, Trinidad and Tobago, for her assistance in reviewing this manuscript for English language and grammar.

Financial support and sponsorship


Conflicts of interest

Dr. MAAM and Prof. BS are in the Editorial Board of Advances in Human Biology. The other authors report no conflicts of interest in this work.

  References Top

Sukumaran S, Asokan D, Sukesh N, Vijayan V. Using pranayama or yoga breathing to mitigate stress and anxiety during the COVID-19 pandemic. J Yoga Phys Ther Rehabil 2020;5:1076.  Back to cited text no. 1
Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr 2020;52:102066.  Back to cited text no. 2
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020; 6;17:1729.  Back to cited text no. 3
Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit 2020;26:e923549.  Back to cited text no. 4
Li Y, Wang Y, Jiang J, Valdimarsdóttir UA, Fall K, Fang F, et al. Psychological distress among health professional students during the COVID-19 outbreak. Psychol Med 2020;11:1-3.  Back to cited text no. 5
Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun 2020;88:916-9.  Back to cited text no. 6
Saddik B, Hussein A, Sharif-Askari FS, Kheder W, Temsah MH, Koutaich RA, et al. Increased levels of anxiety among medical and non-medical university students during the COVID-19 pandemic in the United Arab Emirates. Risk Manag Healthc Policy 2020;13:2395-406.  Back to cited text no. 7
Komer L. COVID-19 amongst the pandemic of medical student mental health. Int J Med Stud 2020;8:56-7.  Back to cited text no. 8
O'Byrne L, Gavin B, McNicholas F. Medical students and COVID-19: The need for pandemic preparedness. J Med Ethics 2020;46:623-6.  Back to cited text no. 9
Schlesselman LS, Cain J, DiVall M. Improving and restoring the well-being and resilience of pharmacy students during a pandemic. Am J Pharm Educ 2020;84:ajpe8144.  Back to cited text no. 10
Loades ME, Chatburn E, Higson-Sweeney N, Reynolds S, Shafran R, Brigden A, et al. Rapid systematic review: The impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. J Am Acad Child Adolesc Psychiatry 2020;59:1218-39.e3.  Back to cited text no. 11
Araújo FJ, de Lima LS, Cidade PI, Nobre CB, Neto ML. Impact of sars-Cov-2 and its reverberation in global higher education and mental health. Psychiatry Res 2020;288:112977.  Back to cited text no. 12
Fares J, Al Tabosh H, Saadeddin Z, El Mouhayyar C, Aridi H. Stress, burnout and coping strategies in preclinical medical students. N Am J Med Sci 2016;8:75-81.  Back to cited text no. 13
Shohani M, Badfar G, Nasirkandy MP, Kaikhavani S, Rahmati S, Modmeli Y, et al. The effect of yoga on stress, anxiety, and depression in women. Int J Prev Med 2018;9:21.  Back to cited text no. 14
Mohanty S, Sharma P, Sharma G. Yoga for infirmity in geriatric population amidst COVID-19 pandemic: Comment on “age and ageism in COVID-19: Elderly mental health-care vulnerabilities and needs”. Asian J Psychiatr 2020;53:102199.  Back to cited text no. 15
MEA: Statements: In Focus Articles. Available from: https://www.mea.gov.in/in-focus-article.htm?25096% 2FYoga+Its+Origin+History+and+Development. [Last accessed on 2020 Oct 31].  Back to cited text no. 16
Balaji PA, Varne SR, Ali SS. Physiological effects of yogic practices and transcendental meditation in health and disease. N Am J Med Sci 2012;4:442-8.  Back to cited text no. 17
Boccio FJ. Mindfulness Yoga: The Awakened Union of Breath, Body and Mind. Wisdom Publications, Inc., Somerville, MA, United States; 1993.  Back to cited text no. 18
Riley KE, Park CL. How does yoga reduce stress? A systematic review of mechanisms of change and guide to future inquiry. Health Psychol Rev 2015;9:379-96.  Back to cited text no. 19
Woodyard C. Exploring the therapeutic effects of yoga and its ability to increase quality of life. Int J Yoga 2011;4:49-54.  Back to cited text no. 20
[PUBMED]  [Full text]  
Coronavirus Disease (COVID-19) Wellness Tips. Available from: https://www.un.org/en/coronavirus/wellness. [Last accessed on 2020 Oct 31].  Back to cited text no. 21
Bushell W, Castle R, Williams MA, Brouwer KC, Tanzi RE, Chopra D, et al. Meditation and yoga practices as potential adjunctive treatment of SARS-CoV-2 infection and COVID-19: A brief overview of key subjects. J Altern Complement Med 2020;26:547-56.  Back to cited text no. 22
Nagarathna R, Nagendra HR, Majumdar V. A perspective on yoga as a preventive strategy for coronavirus disease 2019. Int J Yoga 2020;13:89-98.  Back to cited text no. 23
  [Full text]  
Milada K. Positive influence of yoga exercises for the adolescents. Med Mind Adolesci 1994; 8:2.  Back to cited text no. 24
Kauts A, Sharma N. Effect of yoga on academic performance in relation to stress. Int J Yoga 2009;2:39-43.  Back to cited text no. 25
[PUBMED]  [Full text]  
PTI. Harvard Medical School Recommends Yoga to Deal with COVID-19 Anxiety. The Week. Available from: https://www.theweek.in/news/world/2020/03/16/harvard-medical--school-recommends-yoga-to-deal-with-covid-19-anxiety.html?fbclid=IwAR2_WOWJmCD2GJ1kLVHIPzI C35QuHd26OoTLV4lLk1K-G4Z1G-4OMa0_WAg. [Last. [Last accessed on 2020 Oct 29].  Back to cited text no. 26
Bhavanani A. Integrating yoga in health professional education: The SBV experience. J Educ Tech Health Sci 2017;4.42-6.  Back to cited text no. 27
Wolfe U, Moran A. Integrating brain science into health studies: An interdisciplinary course in contemplative neuroscience and yoga. J Undergrad Neurosci Educ 2017;16:A77-82.  Back to cited text no. 28
Tsigos C, Kyrou I, Kassi E, Chrousos GP. Stress: Endocrine physiology and pathophysiology. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dhatariya K,et al., editors. Endotext. South Dartmouth, MA: MDText.com, Inc.; 2020.  Back to cited text no. 29
Kyrou I, Tsigos C. Stress mechanisms and metabolic complications. Horm Metab Res 2007;39:430-8.  Back to cited text no. 30
Li AW, Goldsmith CA. The effects of yoga on anxiety and stress. Altern Med Rev 2012;17:21-35.  Back to cited text no. 31
Bagga OP, Gandhi A. A comparative study of the effect of Transcendental Meditation (T.M.) and Shavasana practice on cardiovascular system. Indian Heart J 1983;35:39-45.  Back to cited text no. 32
Kiecolt-Glaser JK, Christian L, Preston H, Houts CR, Malarkey WB, Emery CF, et al. Stress, inflammation, and yoga practice. Psychosom Med 2010;72:113-21.  Back to cited text no. 33
Gard T, Brach N, Holzel BK, Noggle JJ, Conboy LA, Lazar SW. Effects of a yoga-based intervention for young adults on quality of life and perceived stress: The potential mediating roles of mindfulness and self-compassion. J Posit Psychol 2012;7:165-75.  Back to cited text no. 34
Yadav RK, Magan D, Mehta N, Sharma R, Mahapatra SC. Efficacy of a short-term yoga-based lifestyle intervention in reducing stress and inflammation: Preliminary results. J Altern Complement Med 2012;18:662-7.  Back to cited text no. 35
Noor HS, Maisharah SG, Hafzan MH. Perceived stress level assessment among final year pharmacy students during pharmacy based clerkship. Intern J Pharm Teach Pract 2010;1:20-3.  Back to cited text no. 36
Hirsch JD, Do AH, Hollenbach KA, Manoguerra AS, Adler DS. Students' health-related quality of life across the preclinical pharmacy curriculum. Am J Pharm Educ 2009;73:147.  Back to cited text no. 37
Maynor LM, Carbonara G. Perceived stress, academic selfconcept, and coping strategies of pharmacy. Int J Stud Pharm Educ Pract 2012;9:1-9.  Back to cited text no. 38
Hamaideh SH, Hamdan-Mansour AM. Psychological, cognitive, and personal variables that predict college academic achievement among health sciences students. Nurse Educ Today 2014;34:703-8.  Back to cited text no. 39
Nishat R, Bhuyan L, Nezam S, Singh S, Jaiswal MM, Singh R. The precedence and viability of yoga in the lives of D3-dental students, dental practitioners, and dental patients. J Family Med Prim Care 2019;8:3808-13.  Back to cited text no. 40
[PUBMED]  [Full text]  
Basudan S, Binanzan N, Alhassan A. Depression, anxiety and stress in dental students. Int J Med Educ 2017;8:179-86.  Back to cited text no. 41
Shankarapillai R, Nair MA, George R. The effect of yoga in stress reduction for dental students performing their first periodontal surgery: A randomized controlled study. Int J Yoga 2012;5:48-51.  Back to cited text no. 42
[PUBMED]  [Full text]  
O'Driscoll M, Byrne S, Mc Gillicuddy A, Lambert S, Sahm LJ. The effects of mindfulness-based interventions for health and social care undergraduate students – A systematic review of the literature. Psychol Health Med 2017;22:851-65.  Back to cited text no. 43
Selvamurthy W, Nayar HS, Joseph NT, Joseph S. Physiological effects of yogic practice. Nimhans J 1983;1:71-80.  Back to cited text no. 44
Mathad MD, Pradhan B, Sasidharan RK. Effect of yoga on psychological functioning of nursing students: A randomized wait list control trial. J Clin Diagn Res 2017;11:C01-5.  Back to cited text no. 45
Bansal R, Gupta M, Agarwal B, Sharma S. Impact of short term yoga intervention on mental well being of medical students posted in community medicine: A pilot study. Indian J Community Med 2013;38:105-8.  Back to cited text no. 46
[PUBMED]  [Full text]  
MacLean H, Braschi E, Archibald D, Sanchez-Campos M, Jebanesan D, Koszycki D, et al. A pilot study of a longitudinal mindfulness curriculum in undergraduate medical education. Can Med Educ J 2020;11:e5-18.  Back to cited text no. 47
Gaiswinkler L, Unterrainer HF. The relationship between yoga involvement, mindfulness and psychological well-being. Complement Ther Med 2016;26:123-7.  Back to cited text no. 48
Saoji AA. Yoga: A strategy to cope up stress and enhance wellbeing among medical students. N Am J Med Sci 2016;8:200-2.  Back to cited text no. 49
McConville J, McAleer R, Hahne A. Mindfulness training for health profession students-the effect of mindfulness training on psychological well-being, learning and clinical performance of health professional students: A systematic review of randomized and non-randomized controlled trials. Explore (NY) 2017;13:26-45.  Back to cited text no. 50
Tang YY, Tang R, Gross JJ. Promoting psychological well-being through an evidence-based mindfulness training program. Front Hum Neurosci 2019;13:237.  Back to cited text no. 51
Cocchiara RA, Peruzzo M, Mannocci A, Ottolenghi L, Villari P, Polimeni A, et al. The use of yoga to manage stress and burnout in healthcare workers: A systematic review. J Clin Med 2019;8:824.  Back to cited text no. 52
Klawonn A, Kernan D, Lynskey J. A 5-week seminar on the biopsychosocial-spiritual model of self-care improves anxiety, self-compassion, mindfulness, depression, and stress in graduate healthcare students. Int J Yoga Therap 2019;29:81-9.  Back to cited text no. 53
Miyoshi Y. Restorative yoga for occupational stress among Japanese female nurses working night shift: Randomized crossover trial. J Occup Health 2019;61:508-16.  Back to cited text no. 54
Solhaug I, De Vibe M, Friborg O, Sørlie T, Tyssen R, Bjørndal A, et al. Long-term mental health effects of mindfulness training: A 4-year follow-up study. Mindfulness 2019;10:1661-72.  Back to cited text no. 55
Braun SE, Deeb G, Carrico C, Kinser PA. Brief yoga intervention for dental and dental hygiene students: A feasibility and acceptability study. J Evid Based Integr Med 2019;24:2515690X19855303.  Back to cited text no. 56
Verweij H, van Ravesteijn H, van Hooff ML, Lagro-Janssen AL, Speckens AE. Mindfulness-based stress reduction for residents: A randomized controlled trial. J Gen Intern Med 2018;33:429-36.  Back to cited text no. 57
Kim SD. Effects of yogic exercises on life stress and blood glucose levels in nursing students. J Phys Ther Sci 2014;26:2003-6.  Back to cited text no. 58
Sharma VK, Trakroo M, Subramaniam V, Rajajeyakumar M, Bhavanani AB, Sahai A. Effect of fast and slow pranayama on perceived stress and cardiovascular parameters in young health-care students. Int J Yoga 2013;6:104-10.  Back to cited text no. 59
[PUBMED]  [Full text]  
Gopal A, Mondal S, Gandhi A, Arora S, Bhattacharjee J. Effect of integrated yoga practices on immune responses in examination stress-A preliminary study. Int J Yoga 2011;4:26-32.  Back to cited text no. 60
[PUBMED]  [Full text]  
Why Yoga Should Be A Part of The International Healthcare System. Available from: https://themindedinstitute.com/yoga-in-healthcare/yoga-healthcare-around-the-world. [Last accessed on 2020 Oct 14].  Back to cited text no. 61
Deshpande A, Chari S. Impact of short yoga intervention on health science students' perceptions about yoga. South East Asia J Med Educ 2016;10:83-6.  Back to cited text no. 62
Ao B. Philadelphia Medical Schools Try Alternative Therapies to Help Students Cope with Stressful Profession. Available from: https://www.inquirer.com/health/ doctor-suicide-medical-school-mental-health-20191118.html. [Last accessed on 2020 Nov 19].  Back to cited text no. 63
Ankamreddy S, Nallapu SS, Sai TS. Knowledge, attitude and practices regarding yoga among medical students in Andhra Pradesh. Int J Yoga Allied Sci 2019;8:34-41.  Back to cited text no. 64
Prasad L, Varrey A, Sisti G. Medical students' stress levels and sense of well being after six weeks of yoga and meditation. Evid Based Complement Alternat Med 2016;2016:9251849.  Back to cited text no. 65
VA Research on Complementary and Integrative Health Retrieved. Available from: https://www.research.va.gov/topics/cih.cfm. [Last accessed on 2020 Oct 14].  Back to cited text no. 66
Cutshall SM, Khalsa TK, Chon TY, Vitek SM, Clark SD, Blomberg DL, et al. Curricular development and implementation of a longitudinal integrative medicine education experience for trainees and health-care professionals at an academic medical center. Glob Adv Health Med 2019;8:2164956119837489.  Back to cited text no. 67
Mahapatra S, Bhagra A, Fekadu B, Li Z, Bauer BA, Wahner-Roedler DL. Incorporation of integrative medicine education into undergraduate medical education: A longitudinal study. J Integr Med 2017;15:442-9.  Back to cited text no. 68
Simon NM, Saxe GN, Marmar CR. Mental health disorders related to COVID-19-related deaths. JAMA 2020;324:1493-4.  Back to cited text no. 69
Czeisler MÉ, Lane RI, Petrosky E, Wiley JF, Christensen A, Njai R, et al. Mental health, substance use, and suicidal ideation during the COVID-19 pandemic-United States, June 24-30, 2020. MMWR Morb Mortal Wkly Rep 2020;69:1049-57.  Back to cited text no. 70
Chirikov I, Soria KM, Horgos B, Jones-White D. Undergraduate and Graduate Students' Mental Health during the COVID-19 Pandemic. UC Berkeley SERU Consortium Reports; 2020. Available from: https://escholarship.org/uc/item/80k5d5hw. [Last accessed on 2020 Oct 29].  Back to cited text no. 71
Lateef F. Face to face with coronavirus disease 19: Maintaining motivation, psychological safety, and wellness. J Emerg Trauma Shock 2020;13:116-23.  Back to cited text no. 72
  [Full text]  
Truog RD, Mitchell C, Daley GQ. The toughest triage-Allocating ventilators in a pandemic. N Engl J Med 2020;382:1973-5.  Back to cited text no. 73
Leasca S. Why Healthcare Professionals Need Yoga Now More Than Ever: Exploring Asana, Meditation, and Breath Work Just May be Exactly What the Doctor Ordered to Relieve Stress. Available from: https://www.yogajournal.com/lifestyle/covid-19-healthcare-workers-and-yoga. [Last accessed on 2020 Sep 15].  Back to cited text no. 74
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: A cross-sectional study. Med Educ 2005;39:594-604.  Back to cited text no. 75
Nakhostin-Ansari A, Sherafati A, Aghajani F, Khonji MS, Aghajani R, Shahmansouri N. Depression and anxiety among Iranian medical students during COVID-19 pandemic. Iran J Psychiatry 2020;15:228-35.  Back to cited text no. 76
Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: A national survey. BMC Med Educ 2020;20:206.  Back to cited text no. 77
Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020;287:112934.  Back to cited text no. 78
Hong J, Jung I, Park M, Kim K, Yeo S, Lee J, et al. The Attitudes of Medical Students for Their Roles and Social Accountability in the COVID-19 Pandemic Era. PsyArXiv. Available from: https://doi.org/10.31234/osf.io/478ef. [Last accessed on 2020 Oct 29].  Back to cited text no. 79
Karki P, Katwal GB, Chandra A, Chandra A. Prevalence and measurement of anxiety and depression in nurses during Covid pandemic in Nepal. Res Sq. 2020;V1:1-10. Available from: https://doi. org/10.21203/rs. 3.rs-34462/v1. [Last accessed on 2020 Sep 15].  Back to cited text no. 80
Sandesh R, Shahid W, Dev K, Mandhan N, Shankar P, Shaikh A, et al. Impact of COVID-19 on the mental health of healthcare professionals in Pakistan. Cureus 2020;12:e8974.  Back to cited text no. 81
Wu W, Zhang Y, Wang P, Zhang L, Wang G, Lei G, et al. Psychological stress of medical staffs during outbreak of COVID-19 and adjustment strategy. J Med Virol 2020;92:1962-70.  Back to cited text no. 82
Tan BY, Chew NW, Lee GK, Jing M, Goh Y, Yeo LL, et al. Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Ann Intern Med 2020;173:317-20.  Back to cited text no. 83
Kannampallil TG, Goss CW, Evanoff BA, Strickland JR, McAlister RP, Duncan J. Exposure to COVID-19 patients increases physician trainee stress and burnout. PLoS One 2020;15:e0237301.  Back to cited text no. 84
Wilson W, Raj JP, Rao S, Ghiya M, Nedungalaparambil NM, Mundra H, et al. Prevalence and predictors of stress, anxiety, and depression among healthcare workers managing COVID-19 pandemic in India: A nationwide observational study. Indian J Psychol Med 2020;42:353-8.  Back to cited text no. 85
Brown RP, Gerbarg PL. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: Part I-neurophysiologic model. J Altern Complement Med 2005;11:189-201.  Back to cited text no. 86
Vijayalakshmi P, Madanmohan, Bhavanani AB, Patil A, Babu K. Modulation of stress induced by isometric handgrip test in hypertensive patients following yogic relaxation training. Indian J Physiol Pharmacol 2004;48:59-64.  Back to cited text no. 87
Riley KE, Park CL, Wilson A, Sabo A, Antoni MH, Braun TD, et al. Improving physical and mental health in frontline mental health care providers: Yoga-based stress management versus cognitive behavioral stress management. J Workplace Behav Health 2017;32:26-48.  Back to cited text no. 88
Gilbert DD, Waltz J. Mindfulness and health behaviors. Mindfulness 2010;1:227-34.  Back to cited text no. 89
Brisbon NM, Lowery GA. Mindfulness and levels of stress: a comparison of beginner and advanced hatha yoga practitioners. J Relig Health 2011;50:931-41.  Back to cited text no. 90
Isha Foundation. Isha Yoga. Available from: http://www.ishayoga.org/. [Last accessed on 2020 Oct 29].  Back to cited text no. 91
Isha Foundation. Inner Engineering. Available from: https://www.innerengineering.com/offerings-for-healthcare-providers. [Last accessed on 2020 Oct 29].  Back to cited text no. 92
International Long-term Care Policy Network. Free Online Yoga and Exercise Applications during COVID-19 (Down Dog). Available from: https://ltccovid.org/2020/04/09/free-online-yoga-and-exercise-applications-during-covid-19-down-dog/. [Last accessed on 2020 Oct 29].  Back to cited text no. 93
Namaste. Available from: https://ilovenamaste.com/. [Last accessed on 2020 Oct 29].  Back to cited text no. 94
Meditation in Medicine. Available from: https://www.meditationinmedicine.com/. [Last accessed on 2020 Oct 29].  Back to cited text no. 95
Headspace. Available from: https://www.headspace.com/. [Last accessed on 2020 Oct 29].  Back to cited text no. 96
Sweatyoga. Available from: https://www.sweatyoga.com/. [Last accessed on 2020 Oct 31].  Back to cited text no. 97
Tools for Wellbeing COVID-19 National Study of Undergraduate Students. Available from: https://smlrrutgers.edu/content/tools-wellbeing-covid-19-national-study-undergraduate-students. [Last accessed on 2020 Oct 31].  Back to cited text no. 98
A Research Study by Harvard Medical School and Isha Foundation. Inner Engineering Online Intervention for S2Tech. Available from: https://www.innerengineering.com/research. [Last accessed on 2020 Oct 29].  Back to cited text no. 99
Inner Engineering Online Intervention for a Fortune 500 Company A Summary of the Pilot Research Study by Rutgers University Prepared by Isha Foundation. Available from: https://www.innerengineering.com/research. [Last accessed on 2020 Oct 29].  Back to cited text no. 100
Pradhan AK. Implementing yoga as an integrated part of medical curriculum. J Biomed Sci 2016;3:1-2.  Back to cited text no. 101


  [Figure 1]

  [Table 1], [Table 2]

This article has been cited by
1 Yoga and meditation, an essential tool to alleviate stress and enhance immunity to emerging infections: A perspective on the effect of COVID-19 pandemic on students
Nibedita Dalpati, Subhashree Jena, Shikha Jain, Pranita P. Sarangi
Brain, Behavior, & Immunity - Health. 2022; 20: 100420
[Pubmed] | [DOI]
2 Introspective Meditation before Seeking Pleasurable Activities as a Stress Reduction Tool among College Students: A Multi-Theory Model-Based Pilot Study
Manoj Sharma, Amar Kanekar, Kavita Batra, Traci Hayes, Ram Lakhan
Healthcare. 2022; 10(4): 614
[Pubmed] | [DOI]


Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Access Statistics
Email Alert *
Add to My List *
* Registration required (free)

  In this article
Stress among Med...
Yoga and Stress ...
Yoga Practices f...
Conclusion and R...
Article Figures
Article Tables

 Article Access Statistics
    PDF Downloaded524    
    Comments [Add]    
    Cited by others 2    

Recommend this journal