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the United States are associated with chronic disease.4 Health- related to BMI, which supports the association between mind-
promotion strategies that empower people to improve their ful eating and weight management further.
self-care and, in turn, optimize health outcomes are vital. Additional research investigated the effects of beginner
Self-regulatory abilities can enable an individual to adopt yoga classes on a population of previously physically inactive
health behaviors that enhance health outcomes. Buddhist monks adults.13 After 10 weeks of beginner yoga classes twice per
are recognized for using meditative techniques that involve di- week, the subjects reported increases in physical exercise, im-
recting mental focus.5 Shapiro and Walsh6 suggest that medita- provements in eating patterns, and enhanced self-care and self-
tion is a kind of mental training that fosters mental control, and awareness as a result of their yoga experience. Data analysis
that this ability may be applied to optimize health. in that study also showed significant increases in general well-
being. The yoga participants reported feeling happy, upbeat
and enthusiastic on an exercise-induced feeling inventory, and
Meditation Methods qualitative data indicated that these feeling states supported
the subjects’ adherence to exercise.13
These researchers also suggest that there are two medita-
tion methods, one that cultivates concentration abilities and
one that fosters awareness.6 Concentration may be practiced Study Rationale
by focusing attention on a single item, such as a focal point;
for example, the air movement in and out of the nostrils with Emerging literature suggests that effective instruction in
breathing. Awareness enables a broader sense of the medita- mindfulness meditation can occur during a yoga class and that
tor’s current state, noting sensations and possibly feelings as these techniques may enhance self-care12–14; however, mind-
they arise from moment to moment. fulness meditation techniques have not been studied as ad-
Mindfulness is a similar concept that refers to the ability to juncts to exercise sessions including group cardiorespiratory
be aware or connected to the self in the current state, while activity (aerobic exercises). In a position paper on the promo-
involving a perspective framed by acceptance and nonjudg- tion and maintenance of cardiorespiratory fitness, the ACSM
ment.7 Mindfulness meditation approaches have been histori- recommends at least 150 minutes of cardiorespiratory activity
cally used during yoga practice for pain-management in indi- weekly for optimal health.1
viduals who are ill,8 in women who are in labor,9 and in ath- Garber et al.1 stated: “Moderate-intensity exercise and ex-
letes, for whom extreme physical performance is the norm. ercise that is enjoyable can enhance affective responses to
Psychoregulative techniques,10 such as relaxation and im- exercise and may improve exercise adherence.” If mindful-
agery, are used in athletics to optimize both performance and ness meditation techniques can be taught effectively during a
recovery. Research suggests that the more accomplished an sustained bout of aerobic activity, it is possible that this may
athlete is, the more likely he or she is to perform psychoregu- lead to improvements in self-care while also meeting one of
lative techniques, such as muscle-relaxation techniques, deep the ACSM’s key recommendations for disease prevention and
breathing, meditation, and use of imagery.11 Although com- optimal health.
petitive athletes may include psychoregulative techniques in For the current study, it was hypothesized that mindful-
their weekly routines, and yoga participants include mindful- ness meditation techniques could be taught effectively while
ness meditation during their practices, research has not inves- subjects participated in 30-minute beginner yoga classes and
tigated the use of these techniques in nonathletes during group 30-minute indoor cycling classes. It was also hypothesized
exercise sessions that include a cardiorespiratory component. that such participation could contribute to positive exercise-
Yoga is a physical-exercise movement pattern that includes induced feeling states, regardless of the very different move-
mindfulness meditation techniques, such as breath awareness, ment patterns and intensities involved in these activities. Fi-
visualization, and body scanning. In essence, yoga enables nally, building on previous research that has suggested a re-
practice of mindfulness meditation or psychoregulative tech- lationship between mindfulness and general well-being,13,15
niques, while participating in a physical activity. Bryan, et al.12 and mindfulness and mindful eating,12,16 the current authors
found some evidence that yoga participation is associated with hypothesized that significant improvements would be noted in
adoption and maintenance of health-enhancing behaviors. A the areas of general well-being and mindful eating.
group of 89 individuals with a weekly yoga practice reported
participating in an average of 239 minutes of physical activity
each week aside from yoga, and reported consuming an aver- Materials and Methods
age of 5½ servings of fruits and vegetables daily. Bryan et al.
also found enhanced health outcomes, with 70% of the yoga Design and Setting
participants having a body mass index (BMI) in the desirable The research for the current study was conducted at Saint
range. The yoga participants in that study scored high on a Peter’s University in the Recreation for Life Center (RLC)
mindful eating assessment; mindful eating suggests an abil- with the participants drawn from Saint Peter’s students, fac-
ity to be more aware of feelings and patterns associated with ulty members, and staff members and from individuals in the
eating.12 In addition, the mindful eating score was inversely surrounding community. Following Saint Peter’s institutional
review board approval, the researchers recruited adult partici- door cycling room. The cycling was taught by the primary in-
pants through e-mail and campus flyers. After volunteers were vestigator. Mindfulness-based readings were given at the start
screened for inclusion, they were assigned randomly to either and the conclusion of each cycling session (see Mindfulness
the intervention or the control group. The intervention group Readings Used in Yoga and Cycling). The moderate-level cy-
participated in either 4 weeks or 8 weeks of twice weekly, hour- cling sessions included 30 minutes of continuous cycling.
long exercise sessions based on the participants’ summertime The participants were encouraged to work at their own paces
availability. The first 30 minutes of the intervention were spent while they also checked their heart rates periodically and assessed
in a beginner yoga class and the last 30 minutes were spent in their perceived exertion. These self-monitoring practices are cus-
a moderate-intensity indoor cycling class. The researchers col- tomary in a group cycling class. This self-monitoring of exercise
lected data from the control group and the intervention group intensity was also included to encourage the participants to be-
at baseline and at post-test. Data were also collected from the come more “mindful” and thus “aware” of their bodies’ responses
intervention group after each 30-minute class. to cardiorespiratory activity. Mindfulness meditation techniques
used throughout the cycling sessions included visualization, focal
Participants points, counting, and breath awareness. Participants again record-
Flyers were posted and e-mails were sent to solicit adults ed their exercise-induced feeling responses in their numerically
between ages 18 and 70 who were interested in mindfulness coded notebooks at the end of the cycling.
research involving beginner yoga and cycling. Potential par-
ticipants were screened by the research team using a Physical Data Collection and Instruments Used
Activity Readiness Questionnaire (PAR-Q).17 Exclusion cri- Each day that the subjects in the intervention group exer-
teria for participants included: (1) pregnancy; (2) answering cised, their acute responses to exercise after each bout of activ-
“yes” to any question on the PAR-Q; and (3) reporting a mus- ity were recorded in the notebooks. The responses in the note-
culoskeletal condition that limited physical activity substan- books were measured by the Exercise Induced Feeling Inven-
tially. Every individual signed an informed consent document, tory (EFI). The EFI is a 12-item scale with a four-factor model
completed the PAR-Q, and, when cleared for participation, that shows sensitivity to exercise manipulations. The factors
completed all baseline measures. Each document was affixed are: (1) Positive engagement; (2) Revitalization; (3) Tranquil-
with a confidential numerical code and all data collection was ity; and (4) Physical exhaustion. The perceptions are recorded
coded to protect participant anonymity. with a 5-item scale using the following ratings: Do Not Feel;
Feel Slightly; Feel Moderately; Feel Strongly; and Feel Very
Yoga Intervention Strongly. The EFI was designed to focus on states associated
The beginner yoga classes were given in a group exercise with physical activity and has high internal consistency, facto-
room for 30 minutes. This was followed immediately by rial validity, and concurrent validity.18,19
30-minute cycling classes in the indoor cycling room (both Additional data were collected from the control group at
rooms are located in Saint Peter’s RLC). The beginner yoga baseline and at the end of the 8-week research period. There
classes were taught by the primary investigator (Dr. Bryan) were two time-lengths for the intervention group: one that last-
in a standard reproducible progression that had been used and ed 4 weeks and one that lasted 8 weeks. This was dependent on
cited in previous research.13 participants’ availability during the summer months.
However, the class was modified for the current research Data were recorded at baseline and at the post-tests of the re-
to fit a 30-minute format. A mindfulness-based reading was spective intervention lengths. The baseline and post-test mea-
given before and at the close of each yoga class (see Mindful- surements included the Five Facet Mindfulness Questionnaire
ness Readings Used in Yoga and Cycling). Following the yoga (FFMQ), the Mindful Eating Questionnaire (MEQ), and the
session, participants recorded their exercise-induced feeling General Well-Being Schedule (GWBS).
states in their numerically coded notebooks. Yoga participants The FFMQ is currently the most widely studied mindful-
started in a supine position, progressed to postures in a seated ness questionnaire.20 Data suggest that the FFMQ is robust
position, moved to postures in a standing position, and then for testing various populations and has strong construct valid-
ended the class on the floor in a seated position. While partici- ity. The five facets of this mindfulness questionnaire include:
pating in the yoga postures, mindfulness meditation techniques Non-judging; Describing; Non-reacting; Acting with aware-
were used, including a body scan, visualization, and breath ness; and Observing.
awareness. The yoga postures used throughout the study were The MEQ is a 28-item questionnaire that assesses an indi-
derived from a master list of postures (Table 1); once again, vidual’s awareness of sensations, emotions, motivations, and
these postures were utilized in previous yoga research.13 responses to eating (also referred to as “feeding”). Responses
are gathered with 4-point scale ranging from never/rarely to
Cycling Intervention usually/always. The MEQ has good internal consistency reli-
The indoor cycling sessions were conducted in the RLC cy- ability with a Cronbach’s a at 0.64.16
cling room equipped with Matrix “Live Strong” series indoor The GWBS was designed by the National Center for Health
cycles. Following the yoga class in the RLC group exercise Statistics, and includes six subscales covering the four constructs
room, the participants walked down a short hallway to the in- of energy level, satisfaction, freedom from worry, and self-con-
trol. A high score on the GWBS indicates an absence of negative included 14 men and 31 women. The ethnic percentages were:
feelings and the existence of positive feelings. The GWBS has 44% Caucasian; 13% African American; 13% Hispanic; 11%
both high test–retest reliability and high internal consistency.21 Asian; 4.5% Dominican; 4.5% Puerto Rican; and 10% other.
More than 60% of the participants had at least an associate’s
degree, while 38% had a graduate degree. Participant ages
Results ranged from 19 to 67.
Figure 1. Five-Facet Mindfulness Questionnaire data pre- and post-test. Figure 2. Mindfulness Eating Questionnaire data pre- and post-test.
nificant differences between the 4-week and 8-week inter- group’s mindfulness scores decreasing (Fig. 2). The GWBS
vention groups’ outcome variables, so their data were ana- data revealed significant within-group improvements in the
lyzed together. intervention group from pretest to post-test (P < 0 .048; Fig.
The FFMQ analysis revealed a significant within–sub- 3). The overall mean for each feeling response in the exercise-
jects increase in mindfulness in the intervention group induced feeling inventory was calculated for both yoga and
(P < 0.048), while no changes occurred in the control group cycling (Table 3).
(Fig 1). Among the five facets of the mindfulness ques- In both yoga and cycling, the participants reported “feeling
tionnaire, within-subjects significant improvements were moderately” refreshed, enthusiastic, energetic, happy, revived,
found in the facets of Observe (P < 0.008) and Non-judge calm, and upbeat. The facets of positive engagement and revi-
(P < 0.035). There was a significant between-subjects cross- talization for yoga and cycling were virtually the same. During
over effect in mindful eating (P < 0.029), with the interven- yoga, participants “did not feel” fatigued or tired, while, in
tion group’s mindfulness scores increasing and the control cycling, they “felt slightly” fatigued and tired. During yoga,
the participants “felt strongly” that they were peaceful and re-
laxed, while in cycling, they “felt moderately” peaceful and
relaxed. As one might anticipate, the facets corresponding to
physical exhaustion were heightened in cycling compared to
yoga, while, conversely, those associated with tranquility were
greater in yoga.
Discussion
Use of mindfulness-based interventions is growing among
health care professionals, with myriad applications in men-
tal health, pain management, stress management, and dis-
ease recovery. Currently, in the United States, we are facing
an epidemic of obesity and overweight, which is associated
with poor health behaviors such as physical inactivity and
poor diet. Mindfulness may be a mechanism for change
toward enhancing health-behavior management by pro-
ducing improvements in self-awareness, non-judgment,
and self-care.
The current authors’ research has demonstrated that prac- Figure 3. General Well Being Schedule data pre- and post-test.
ticing mindfulness meditation techniques while participating
in physical activity, including cardiorespiratory endurance, via MEQ testing. Mindful eating has been linked to optimal
promotes positive acute feeling states. Previous literature sug- BMI and adequate intake of fruits and vegetables in previ-
gests that positive acute feeling responses are associated with ous research.12
adherence to exercise.13,22 Currently 69% of the U.S. population > age 20 is obese and/
This study also noted an overall improvement in mind- or overweight.23 Improving exercise adherence and eating be-
fulness, as shown in the composite score on the FFMQ. haviors is essential for combating obesity and overweight. A
However, the particular facets of mindfulness that produced mindfulness-based intervention may improve an individual’s
these improvements were Observe and Non-judge, suggest- ability to become more self-aware or “mindful,” and, in doing
ing that the participants became more connected inwardly so, may influence that person’s health-related behaviors.
and developed a sense of acceptance of their current states There is a lack of health equity in the United States, re-
of being. In addition, the mindfulness practices influenced sulting in health disparities among various segments of the
the awareness of eating behaviors positively, as revealed population.24 The majority of participants in this study were
First Class: Before Cycling Psychologists have discovered that the experience of being
thankful or appreciative of someone or something is one of
Physical training is seen as important for strength, for disease pre- the best ways to increase happiness. One research study found
vention, for optimal energy and ultimately to increase our chances that 90% of people who expressed gratitude were more joy-
for long lives. There are also skills and activities that help us train our ful as a result. Take a moment now to focus in on someone or
emotion; they are similar to physical training in that they are achiev- something for which you are exceedingly thankful—hold that
able through practice. Today we will make our bodies busy while thought in your mind’s eye and rest your heart in a place of
using various mindful techniques in an effort to direct our attention gratitude.
and awareness.
Third Class: Before Cycling
First Class: After Cycling
Once we begin to practice focusing through mindful awareness,
Our bodies have been perfectly formed to provide us with a we can develop more conscious control of what we pay attention
home for our hearts, minds, and spirits. We drive our physical to. This is because we grow stronger neural pathways in our brains.
selves to work hard, serve others, and keep pace with the lives Neuroscientists have identified critical areas of the brain (in the
we are living. Often, in doing so, we neglect our bodies’ basic
needs—for examples healthy food, physical activity, peace, and prefrontal cortex) that enable us to concentrate, evaluate informa-
rest—because we are too preoccupied with our surroundings to tion, and make decisions. Mindful exercises that include focusing
pay attention to our physical cues. As we become more con- can strengthen these neural pathways.d
nected to our physical selves, we will begin to understand that
our minds and our bodies are intricately entwined—whenever Third Class: After Cycling
our minds or our bodies sustain neglect, we are doing consider-
able harm. “One of the mind’s favorite activities is to wander into the past
and into the future and lose itself in thinking. Some of its thoughts
are pleasant. Others are painful and anxiety producing. In either
Second Class: Before Yoga case, thinking itself exerts a strong pull, blighting our awareness
In mindfulness practice, the focus of our attention allows for an in the present moment. Let’s recognize the pull our mind[s have]
openness to what is, while also allowing us to be curious about what- on our emotions and allow the mind[s] to be open and quiet as a
ever comes up without needing to assess or react to the information.b means of gathering peace and generating calm.”c
Cognitive Therapy for Depression: A New Approach to Preventive Relapse. New York: Guilford Press, 2002; cKabat-Zin J. Letting Everything Become Your Teacher. New York: Bantam
Dell, 2009; dHawn G. 10 Mindful Minutes. New York: Penguin Group, 2011; eKabat-Zinn J. Arriving at Your Own Door. New York: Hyperion, 2005; fArcher S. Keep a healthy heart for a
fit brain. Fitness J 2013;10:9.
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New Jersey. Genevieve Pinto Zipp, PT, EdD, is a professor in the Depart-
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