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. 2026 May 20;18(5):e109256. doi: 10.7759/cureus.109256

Table 5. Outcome data from included studies.

BAI: Beck anxiety inventory, BPQ: body perception questionnaire, DASS-21: depression, anxiety and stress scale-21, DBP: diastolic blood pressure, EFI: exercise-induced feeling inventory, HRV: heart rate variability, IHG: isometric handgrip, PA: physical activity, PHQ-9: patient health questionnaire-9, PSQI: Pittsburgh sleep quality index, PSS: perceived stress scale, RMSSD: root mean square of successive differences, SBP: systolic blood pressure, SD: standard deviation, SDNN: standard deviation of NN intervals, SQS: sleep quality scale

Study (author, year) Outcome domain Specific measure Baseline Post-intervention Significance/notes
Gerbarg et al. (2023) [18] Psychological EFI tranquility - ↑ p = 0.005
BPQ supradiaphragmatic reactivity - ↓ p = 0.04
SQS (sleep) - Trend ↑ p = 0.06
PHQ-9 (depression) - Trend ↓ p = 0.078
Muthe et al. (2025) [19] Psychological (case) PSS-10 (stress) 24.6 ± 4.2 17.2 ± 3.8 p < 0.001
BAI (anxiety) 23.1 ± 5.0 15.6 ± 4.2 p < 0.001
Psychological (comparison) PSS-10 (stress) 23.9 ± 4.5 23.2 ± 4.6 p > 0.05
BAI (anxiety) 22.8 ± 5.3 22.1 ± 5.1 p > 0.05
Smitha (2016) [20] Physiological Heart rate Decreased - p < 0.05
DBP Decreased - p < 0.05
Galvanic skin resistance Increased - p < 0.05
HRV (SDNN, RMSSD) Increased - p < 0.05
Psychological PSS (stress) Decreased - p < 0.05
Other Auditory threshold (both ears) Decreased - p < 0.05
Manzoor et al. (2025) [21] Psychological DASS-21 stress (yoga) 34.66 ± 6.21 20.23 ± 5.84 p < 0.001 vs. control
DASS-21 stress (PA control) 28.71 (SD NR) 25.02 (SD NR) -
PSQI sleep (yoga) 4.77 ± 1.05 4.37 ± 0.98 p = 0.08 (within)
PSQI sleep (PA control) 3.96 (SD NR) 3.00 (SD NR) p = 0.012 (between, PA superior)
Nagendrappa et al. (2025) [22] Psychological PSS (stress) 21.62 ± 5.34 14.85 ± 4.60 p < 0.001
Other Auditory threshold (R) 7.51 ± 4.08 dB 5.17 ± 3.22 dB p < 0.001
Auditory threshold (L) 9.23 ± 7.48 dB 5.70 ± 3.82 dB p < 0.001
Sudhir et al. (2015) [23] Psychological PSS (stress) 21.90 ± 6.08 16.37 ± 5.18 p < 0.001
Other Overall relaxation % 58.30 ± 11.46 62.90 ± 8.51 p < 0.005
Dhanvijay et al. (2018) [24] Psychological PSS (stress) Median: 19 Median: 14 p < 0.001
Physiological Heart rate 76.88 bpm 72.67 bpm p < 0.001
SBP 114.2 mmHg 109.93 mmHg p < 0.001
DBP 75.60 mmHg 71.43 mmHg p < 0.001
DBP response to IHG 19.73 mmHg 16.67 mmHg p < 0.001