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. 2025 Nov 26;11:149. doi: 10.1186/s40798-025-00943-5

Table 3.

Linear Mixed-Effect model analyses for the secondary outcomes

Outcomes Time Point Yoga Vs Breathing exercise and relaxation Yoga Vs Control Breathing exercise and relaxation Vs Control Overall P
Yoga (n= 142) Breathing exercise and relaxation (n= 142) Control (n= 140) Estimate for Difference 95% CI P Hedge’s g Estimate for Difference 95% CI P Hedge’s g Estimate for Difference 95% CI P
Mean (SD) Mean (SD) Mean (SD)
Arm symptoms Baseline 20.21 (18.11) 20.71 (18.23) 21.02 (18.04) 0.97
Immediate post-intervention 20.91 (16.29) 21.84 (16.53) 18.60 (17.29) -0.93 -5.61, 3.74 1.00 -0.06 -2.31 -7.11, 2.50 0.75 0.14 -3.24 -8.08, 1.60 0.33
3-month 18.49 (15.34) 18.03 (15.78) 19.23 (16.45) 0.46 -3.97, 4.89 1.00 0.03 0.75 -3.80, 5.30 1.00 -0.05 1.21 -3.40, 5.82 1.00
6-month 17.60 (15.46) 18.31 (15.80) 19.07 (15.99) -0.71 -5.16, 3.74 1.00 -0.05 1.47 -3.03, 5.97 1.00 -0.09 0.76 -3.78, 5.31 1.00
12-month 15.46 (15.31) 15.29 (15.65) 16.49 (15.87) 0.18 -4.24, 4.59 1.00 0.01 1.03 -3.43, 5.49 1.00 -0.07 1.21 -3.30, 5.72 1.00
Breast symptoms Baseline 17.90 (15.93) 19.67 (16.04) 18.98 (15.88) 0.70
Immediate post-intervention 18.15 (13.99) 17.83 (14.20) 15.44 (14.96) 0.32 -3.70, 4.33 1.00 0.02 -2.71 -6.85, 1.44 0.35 0.19 -2.39 -6.56, 1.78 0.51
3-month 15.02 (12.77) 14.60 (13.17) 12.97 (13.82) 0.42 -3.28, 4.11 1.00 0.03 -2.05 -5.85, 1.76 0.59 0.15 -1.63 -5.49, 2.23 0.93
6-month 12.67 (12.13) 12.30 (12.42) 12.37 (12.58) 0.38 -3.12, 3.88 1.00 0.03 -0.30 -3.83, 3.24 1.00 0.02 0.08 -3.50, 3.66 1.00
12-month 11.23 (13.20) 11.27 (13.51) 11.26 (13.74) -0.04 -3.85, 3.77 1.00 0.00 0.03 -3.82, 3.89 1.00 0.00 -0.01 -3.91, 3.89 1.00
Emotional functioning Baseline 78.58 (19.50) 79.59 (19.63) 79.17 (19.43) 0.79
Immediate post-intervention 80.27 (18.18) 78.58 (18.42) 80.88 (19.10) 1.69 -3.52, 6.91 1.00 0.09 0.61 -4.72, 5.94 1.00 -0.03 2.30 -3.06, 7.67 0.91
3-month 80.60 (17.68) 81.25 (18.12) 83.20 (18.75) -0.65 -5.75, 4.46 1.00 -0.04 2.60 -2.61, 7.81 0.70 -0.14 1.95 -3.32, 7.23 1.00
6-month 82.67 (17.25) 84.29 (17.58) 84.92 (17.72) -1.63 -6.59, 3.34 1.00 -0.09 2.25 -2.75, 7.26 0.84 -0.13 0.63 -4.42, 5.68 1.00
12-month 84.09 (18.79) 84.80 (19.17) 84.00 (19.40) -0.70 -6.12, 4.71 1.00 -0.04 -0.10 -5.56, 5.37 1.00 0.01 -0.80 -6.32, 4.71 1.00
Role functioning Baseline 85.01 (19.75) 84.35 (19.89) 86.15 (19.68) 0.30
Immediate post-intervention 86.22 (16.84) 86.32 (17.11) 89.10 (18.06) -0.10 -4.94, 4.74 1.00 -0.01 2.88 -2.11, 7.88 0.50 -0.16 2.78 -2.25, 7.81 0.56
3-month 88.47 (16.09) 89.70 (16.61) 92.28 (17.50) -1.23 -5.89, 3.44 1.00 -0.07 3.81 -1.00, 8.62 0.17 -0.23 2.59 -2.30, 7.47 0.61
6-month 89.58 (16.52) 89.51 (16.91) 91.57 (17.18) 0.07 -4.69, 4.84 1.00 0.00 1.99 -2.83, 6.81 0.97 -0.12 2.06 -2.82, 6.94 0.93
12-month 92.95 (15.61) 92.44 (15.98) 92.81 (16.26) 0.52 -3.99, 5.02 1.00 0.03 -0.15 -4.71, 4.42 1.00 0.01 0.37 -4.24, 4.99 1.00
Physical functioning Baseline 85.59 (13.76) 84.31 (13.86) 86.49 (13.71) 0.42
Immediate post-intervention 86.21 (12.36) 86.17 (12.54) 88.29 (13.09) 0.05 -3.50, 3.59 1.00 0.00 2.07 -1.57, 5.71 0.52 -0.16 2.12 -1.55, 5.78 0.50
3-month 87.69 (10.86) 90.91 (11.14) 90.29 (11.55) -3.22 -6.36, -0.09 0.04 -0.29 2.60 -0.61, 5.81 0.16 -0.23 -0.62 -3.87, 2.63 1.00
6-month 89.70 (11.30) 88.20 (11.54) 90.37 (11.65) 1.50 -1.76, 4.75 0.81 0.13 0.68 -2.61, 3.96 1.00 -0.06 2.17 -1.14, 5.49 0.35
12-month 90.36 (12.33) 89.49 (12.60) 90.32 (12.78) 0.87 -2.68, 4.42 1.00 0.07 -0.04 -3.63, 3.55 1.00 0.00 0.83 -2.80, 4.45 1.00
Social functioning Baseline 82.33 (21.21) 81.97 (21.35) 84.01 (21.13) 0.09
Immediate post-intervention 81.20 (19.65) 82.19 (19.95) 88.35 (20.98) -0.99 -6.63, 4.65 1.00 -0.05 7.14 1.33, 12.96 0.01 -0.35 6.16 0.30, 12.01 0.04
3-month 86.67 (17.14) 90.84 (17.66) 93.60 (18.47) -4.17 -9.13, 0.79 0.13 -0.24 6.93 1.83, 12.03 <0.001 -0.39 2.76 -2.41, 7.93 0.60
6-month 90.26 (17.05) 90.31 (17.45) 91.28 (17.68) -0.05 -4.97, 4.87 1.00 0.00 1.03 -3.94, 6.00 1.00 -0.06 0.98 -4.05, 6.00 1.00
12-month 91.35 (17.37) 90.39 (17.78) 91.66 (18.04) 0.95 -4.06, 5.96 1.00 0.05 0.32 -4.75, 5.39 1.00 -0.02 1.27 -3.85, 6.39 1.00
Cognitive functioning Baseline 80.09 (18.60) 78.69 (18.72) 80.07 (18.53) 0.92
Immediate post-intervention 78.34 (18.94) 78.54 (19.17) 78.61 (19.84) -0.20 -5.63, 5.22 1.00 -0.01 0.27 -5.27, 5.81 1.00 -0.01 0.07 -5.50, 5.65 1.00
3-month 80.81 (19.03) 82.50 (19.52) 84.55 (20.22) -1.69 -7.18, 3.80 1.00 -0.09 3.74 -1.87, 9.35 0.33 -0.19 2.05 -3.63, 7.72 1.00
6-month 82.29 (19.20) 82.31 (19.61) 83.23 (19.81) -0.03 -5.55, 5.50 1.00 0.00 0.94 -4.63, 6.51 1.00 -0.05 0.91 -4.71, 6.54 1.00
12-month 84.99 (19.08) 82.25 (19.48) 81.63 (19.72) 2.75 -2.74, 8.24 0.69 0.14 -3.37 -8.91, 2.18 0.44 0.17 -0.62 -6.22, 4.98 1.00
Mental fatigue Baseline 4.62 (3.91) 4.42 (3.93) 4.69 (3.89) 0.84
Immediate post-intervention 5.00 (3.80) 5.11 (3.85) 4.15 (3.99) -0.11 -1.20, 0.99 1.00 -0.03 -0.85 -1.97, 0.26 0.20 0.22 -0.96 -2.08, 0.17 0.12
3-month 4.71 (3.73) 4.09 (3.81) 4.22 (3.95) 0.61 -0.46, 1.69 0.52 0.16 -0.48 -1.58, 0.62 0.88 0.12 0.13 -0.98, 1.24 1.00
6-month 3.95 (3.87) 4.50 (3.94) 3.90 (3.99) -0.55 -1.67, 0.56 0.70 -0.14 -0.04 -1.17, 1.08 1.00 0.01 -0.60 -1.73, 0.54 0.62
12-month 3.82 (3.99) 4.06 (4.08) 4.20 (4.12) -0.24 -1.39, 0.91 1.00 -0.06 0.38 -0.78, 1.54 1.00 -0.09 0.14 -1.03, 1.31 1.00
Physical fatigue Baseline 10.61 (7.82) 10.12 (7.88) 10.14 (7.79) 0.62
Immediate post-intervention 9.49 (7.19) 9.92 (7.28) 7.77 (7.58) -0.44 -2.49, 1.63 1.00 -0.06 -1.72 -3.83, 0.40 0.16 0.23 -2.15 -4.28, -0.02 0.05
3-month 8.18 (6.72) 6.81 (6.90) 6.99 (7.17) 1.37 -0.57, 3.31 0.27 0.20 -1.19 -3.18, 0.80 0.46 0.17 0.18 -1.83, 2.19 1.00
6-month 7.40 (7.15) 7.60 (7.30) 7.41 (7.38) -0.20 -2.26, 1.86 1.00 -0.03 0.01 -2.07, 2.09 1.00 0.00 -0.19 -2.29, 1.91 1.00
12-month 7.53 (7.25) 6.97 (7.40) 7.58 (7.49) 0.56 -1.53, 2.64 1.00 0.08 0.05 -2.05, 2.16 1.00 -0.01 0.61 -1.52, 2.74 1.00
Anxiety Baseline 4.11 (3.52) 4.12 (3.54) 4.38 (3.50) 0.99
Immediate post-intervention 4.47 (3.57) 4.52 (3.61) 4.07 (3.73) -0.05 -1.07, 0.98 1.00 -0.01 -0.40 -1.45, 0.64 1.00 0.11 -0.45 -1.50, 0.60 0.91
3-month 3.54 (3.59) 3.62 (3.67) 3.91 (3.79) -0.08 -1.11, 0.95 1.00 -0.02 0.37 -0.69, 1.42 1.00 -0.10 0.29 -0.78, 1.36 1.00
6-month 3.39 (3.62) 3.64 (3.69) 3.35 (3.73) -0.25 -1.29, 0.79 1.00 -0.07 -0.05 -1.10, 1.00 1.00 0.01 -0.30 -1.36, 0.76 1.00
12-month 3.54 (3.60) 3.21 (3.68) 3.58 (3.72) 0.33 -0.71, 1.37 1.00 0.09 0.04 -1.01, 1.08 1.00 -0.01 0.37 -0.69, 1.43 1.00
Depression Baseline 4.04 (3.30) 3.78 (3.31) 4.00 (3.28) 0.60
Immediate post-intervention 3.93 (3.35) 3.99 (3.40) 3.27 (3.50) -0.06 -1.02, 0.90 1.00 -0.02 -0.65 -1.63, 0.32 0.33 0.19 -0.72 -1.70, 0.27 0.24
3-month 3.39 (3.37) 3.08 (3.44) 3.08 (3.56) 0.31 -0.67, 1.28 1.00 0.09 -0.31 -1.30, 0.68 1.00 0.09 -0.01 -1.01, 0.99 1.00
6-month 3.18 (3.40) 2.91 (3.47) 2.96 (3.49) 0.26 -0.71, 1.24 1.00 0.08 -0.22 -1.21, 0.76 1.00 0.06 0.04 -0.95, 1.04 1.00
12-month 3.24 (3.37) 2.75 (3.44) 2.89 (3.49) 0.49 -0.48, 1.46 0.68 0.14 -0.35 -1.33, 0.63 1.00 0.10 0.14 -0.85, 1.13 1.00
Sleep quality Baseline 7.84 (3.57) 7.82 (3.60) 7.73 (3.57) 0.59
Immediate post-intervention 7.38 (3.62) 7.21 (3.67) 7.64 (3.77) 0.17 -0.87, 1.21 1.00 0.05 0.26 -0.79, 1.32 1.00 -0.07 0.43 -0.63, 1.49 0.99
3-month 7.27 (3.65) 6.76 (3.73) 7.37 (3.83) 0.51 -0.54, 1.56 0.73 0.14 0.10 -0.97, 1.17 1.00 -0.03 0.61 -0.47, 1.69 0.53
6-month 7.28 (3.67) 6.67 (3.75) 6.57 (3.77) 0.60 -0.45, 1.66 0.52 0.16 -0.70 -1.76, 0.36 0.34 0.19 -0.10 -1.17, 0.98 1.00
12-month 7.17 (3.66) 6.64 (3.73) 6.99 (3.76) 0.53 -0.52, 1.58 0.68 0.14 -0.18 -1.24, 0.88 1.00 0.05 0.36 -0.72, 1.43 1.00
Pain intensity Baseline 36.10 (21.56) 36.38 (21.35) 33.74 (21.52) 0.52
Immediate post-intervention 32.73 (21.49) 34.28 (21.96) 32.89 (23.48) -1.56 -7.74, 4.63 1.00 -0.07 0.16 -6.26, 6.59 1.00 -0.01 -1.39 -7.88, 5.10 1.00
3-month 28.63 (22.55) 31.57 (23.05) 32.58 (24.99) -2.94 -9.43, 3.55 0.83 -0.13 3.95 -2.85, 10.74 0.49 -0.17 1.01 -5.86, 7.87 1.00
6-month 30.29 (22.71) 33.94 (23.42) 33.09 (25.14) -3.64 -10.21, 2.92 0.55 -0.16 2.79 -4.05, 9.64 0.98 -0.12 -0.85 -7.79, 6.09 1.00
12-month 31.94 (23.14) 34.08 (23.88) 31.16 (25.47) -2.14 -8.83, 4.55 1.00 -0.09 -0.79 -7.74, 6.16 1.00 0.03 -2.93 -9.98, 4.12 0.96
Pain disability Baseline 31.08 (24.76) 32.23 (24.51) 33.12 (24.72) 0.84
Immediate post-intervention 29.17 (24.67) 26.61 (25.22) 27.25 (26.97) 2.57 -4.53, 9.67 1.00 0.10 -1.92 -9.30, 5.46 1.00 0.07 0.65 -6.81, 8.10 1.00
3-month 22.86 (25.89) 23.03 (26.48) 25.20 (28.73) -0.17 -7.62, 7.28 1.00 -0.01 2.34 -5.47, 10.15 1.00 -0.09 2.17 -5.72, 10.06 1.00
6-month 23.38 (26.10) 27.06 (26.91) 27.50 (28.93) -3.68 -11.22, 3.87 0.73 -0.14 4.12 -3.75, 11.99 0.63 -0.15 0.44 -7.54, 8.42 1.00
12-month 22.97 (26.61) 24.31 (27.47) 22.67 (29.33) -1.34 -9.03, 6.36 1.00 -0.05 -0.31 -8.30, 7.69 1.00 0.01 -1.64 -9.76, 6.47 1.00