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Individuals Aged 60 and OverNCT07451756

Effects of Pranayama Breathing Technique on Stress Level, Sleep Quality, and Quality of Life Among Older Adults

A study testing Pranayama group in people with Individuals Aged 60 and Over and Individuals Who Are Physically and Mentally Suitable to Practice Pranayama Breathing Technique, run by Namik Kemal University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Aging is associated with progressive tissue deterioration resulting from a continuous decline in the ability to renew homeostatic cell regeneration and replace cells lost during tissue damage. Biological aging arises from the accumulation of molecular and cellular damage over time. Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
What is being tested?
Pranayama group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
74 participants
Where
1 siteTurkey (Türkiye)
Study dates
3 Nov 2023to 10 Sep 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Being 60 years of age or older
  • Individuals who are physically and mentally suitable to practice Pranayama breathing technique
  • Individuals without a malignant disease of the respiratory system (such as bronchial and lung cancer)
  • Individuals without a pathological condition affecting their level of consciousness and concentration
  • Those who voluntarily agree to participate in the research
  • Individuals who do not have communication problems and who cooperate in the practices required by the study

Who cannot join

  • Individuals with advanced cardiovascular disease or uncontrolled hypertension
  • Individuals who are physically and cognitively unsuitable for practicing Pranayama breathing techniques
  • Individuals with malignant respiratory system diseases (such as bronchial and lung cancer)
  • Individuals with pathological conditions affecting consciousness and concentration (dementia, Alzheimer's, or other serious cognitive impairments)
  • Individuals who did not regularly participate in Pranayama breathing techniques during the study period
  • Individuals who developed a serious health problem during the research period

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Nursing home

    Tekirdağ

Other trials in Turkey (Türkiye)

About this study

Aging is associated with progressive tissue deterioration resulting from a continuous decline in the ability to renew homeostatic cell regeneration and replace cells lost during tissue damage. Biological aging arises from the accumulation of molecular and cellular damage over time. This condition leads to a gradual decline in physical and cognitive capacity, causing an increase in morbidity and mortality rates. These non-linear and inconsistent changes are linked more to lifestyle than to chronological age. Rather than biological changes, the fact that aging is often associated with other life transitions such as retirement, the death of friends and partners, and a decline in living standards indicates that the diversity observed in old age is not random.

In the aging process where individuals face various physical, mental, and social changes; problems such as stress, sleep issues, and reduced quality of life are among the commonly encountered situations that negatively affect the life satisfaction and quality of life of elderly individuals. Alongside modern medicine, the use of traditional and complementary practices has been reported to have positive effects on the health of elderly individuals.

This study was planned as a randomized controlled trial to examine the effects of the pranayama breathing technique applied to elderly individuals on stress levels, sleep, and quality of life.

Read the detailed description

With age, problems such as chronic stress and sleep disorders increase, and quality of life decreases. High stress levels negatively affect the overall quality of life of elderly individuals. Factors such as chronic illnesses, economic difficulties, loneliness, and dependency can increase stress levels in the elderly. This situation leads to physical and psychological health problems, thereby reducing quality of life. On the other hand, stress management is more successful in individuals with a good quality of life. Social support networks, a good standard of living, and a healthy environment can mitigate the effects of stress.

Stress directly affects sleep quality. Specifically, an increase in stress hormones can cause difficulties in falling asleep and maintaining sleep. This can lead to common sleep disorders such as insomnia in elderly individuals. Poor-quality sleep reduces stress tolerance. Insufficient and irregular sleep can weaken individuals' coping skills with stress and intensify the stress cycle. Good sleep quality supports physical recovery, strengthens mental functions, and enhances overall quality of life. Sleep disorders, on the other hand, lead to physical discomfort and psychological problems, negatively affecting quality of life.

Pranayama, a breath exercise technique of Indian origin that aims to balance the mind and body, is translated as 'breath science, breath control, voluntary respiration'. In Sanskrit, it consists of the words 'prana' meaning 'life force, vital energy, vitality' and 'yama' meaning 'to control'. According to yoga, an ancient way of life in Indian science, when an individual learns to control the life force, they can also gain control over the body, mind, and emotions. There are studies reporting that pranayama breathing exercises applied to elderly individuals have positive effects on stress levels, sleep, and quality of life.

Dependent Variables: Scores obtained from the Perceived Stress Scale (PSS), Pittsburgh Sleep Quality Index (PSQI), WHO Quality of Life Module for Older Adults (WHOQOL-OLD), and WHO-8 Quality of Life (WHO-8 EUROHIS) scales.

Independent Variables: Participants' descriptive characteristics such as age, gender, height, weight, marital status, educational status, social security status, socioeconomic status, presence of chronic disease, use of assistive devices, frequency of meeting with family and friends, and length of stay in the nursing home.

This research was conducted in two different nursing homes affiliated with the Family and Social Services Directorate of a province.

The research population consisted of a total of 156 elderly individuals in the two nursing homes. In the study conducted by Erdoğan Yüce in 2019, an effect size of 1.03 was calculated, with a margin of error of 0.05 and a power of 95%, resulting in n=26 elderly individuals from each group. Ninety elderly individuals who met the study criteria and volunteered were randomly assigned to groups of 45 Pranayama and 45 Control using Randomizer.org.

Due to situations such as withdrawal from the study, death, or transfer to another institution, the study was completed with a total of 74 individuals: 34 in the pranayama group and 40 in the control group.

Being tested
Pranayama group
Keywords
Pranayama breathing technique, Older adults, Nursing home, Perceived stress, Sleep quality, Guality of life
Medical subject headings
Lung Neoplasms, Sleep Initiation and Maintenance Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pranayama groupBehavioural

    Also called Intervention Group

    The pranayama group received Ujjayi, Nadi Shodhana, and Sama Vritti pranayama techniques, administered face-to-face by the researcher in groups of 6-7 participants for 15-20 minutes before lunch over 8 weeks. The control group did not receive any intervention. Data were collected from both groups at weeks 0, 4th, and 8th using the Perceived Stress Scale (PSS), Pittsburgh Sleep Quality Index (PSQI), World Health Organization Quality of Life Module for the Elderly (WHOQOL-OLD) and WHO-8 EUROHIS Quality of Life Scale.

Study groups in NCT07451756
Study groupRoleWhat they receive
Elderly individuals who do not receive interventionNo interventionControl group
The Effects of Pranayama Breathing Technique Applied to the ElderlyActive comparatorThe pranayama group received Ujjayi, Nadi Shodhana, and Sama Vritti pranayama techniques, administered face-to-face by the researcher in groups of 6-7 participants for 15-20 minutes before lunch over 8 weeks.
Receives: Behavioral: Pranayama group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sociodemographic and Aging-Related Characteristics Data Form

    This form, collected from all participants during the initial interview, includes questions about age, gender, height, weight, marital status, education level, social security status, socioeconomic status, presence of chronic diseases, use of assistive devices, contact with family and friends, and length of stay in a nursing home. It was developed by the researchers through a literature review.

    Measured: 0. Week

Secondary outcomes (4)
  1. Perceived Stress Scale-PSS

    The PSS, in its original form, consists of 14 items. In addition, shorter versions with 10 and 4 items are also commonly used in the literature. The scale, which operates using a Likert-type rating system, measures individuals' perception of stress in specific situations. A higher score on the scale indicates that the individual perceives a higher level of stress.

    Measured: 0., 4. and 8. weeks

  2. Pittsburgh Sleep Quality Index (PSQI)

    The Pittsburgh Sleep Quality Index (PSQI) is a self-reported measurement tool developed by Buysse et al. in 1989 to assess individuals' sleep quality. This index aims to evaluate individuals' sleep patterns and quality over the past month.

    Measured: 0.,4. and 8. weeks

  3. World Health Organization Quality of Life Module for Older People (WHOQOL-OLD)

    Developed in 2005, following the WHOQOL methodology developed by the World Health Organization, the WHOQOL-OLD module is designed to measure the quality of life of older individuals, taking into account their specific needs. The scale consists of 24 items and is composed of six sub-dimensions under the headings of Sensory Abilities, Autonomy, Satisfaction with Past, Present and Future Activities, Social Participation, Death and Dying, and Intimacy.

    Measured: 0., 4. and 8. weeks

  4. World Health Organization Quality of Life Scale (WHO-8 EUROHIS)

    The WHO-8 EUROHIS is an eight-item scale developed to quickly and effectively measure individuals' overall quality of life. These items are chosen to represent the four core areas of the WHOQOL-BREF (physical health, psychological well-being, social relationships, and environmental conditions). Each item on the scale is answered using a 5-point Likert scale, with higher scores reflecting a better quality of life.

    Measured: 0., 4. and 8. weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Mar 2026
  2. Study start3 Nov 2023
  3. Primary completion10 Apr 2024
  4. Study completion10 Sep 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Comparison of respiratory technique applied to the intervention group with that applied to the control group in elderly individuals.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
74 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07451756
Sponsor's protocol ID
TNKU-HSAARSLAN-1
Status last verified
Feb 2026
First submitted
24 Feb 2026
Last updated
5 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Urvashi Bhattacharya AD. Efficacy of advanced allied interventions for dyspnoea, exercise capacity, and quality of life among the geriatric population: A Literature Review. Journal of Clinical and Diagnostic Research. 2024;18:YE05-YE8. Doi: 10.7860/JCDR/2024/68354.19276.

  • Mandlik GV, Siopis G, Nguyen B, Ding D, Edwards KM. Effect of a single session of yoga and meditation on stress reactivity: A systematic review. Stress Health. 2024 Jun;40(3):e3324. doi: 10.1002/smi.3324. Epub 2023 Oct 11.

    PubMed 37822096
  • Nalbant G, Hassanein ZM, Lewis S, Chattopadhyay K. Content, Structure, and Delivery Characteristics of Yoga Interventions for Managing Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Front Public Health. 2022 Mar 28;10:846231. doi: 10.3389/fpubh.2022.846231. eCollection 2022.

    PubMed 35419342
  • Taneja MK. Presbycusis. Indian Journal of Otology. 2021;27:121-3. doi: 10.4103/indianjotol.indianjotol_165_21.

  • Campanelli S, Tort ABL, Lobao-Soares B. Pranayamas and Their Neurophysiological Effects. Int J Yoga. 2020 Sep-Dec;13(3):183-192. doi: 10.4103/ijoy.IJOY_91_19. Epub 2020 Sep 13.

    PubMed 33343147
  • Ilter SM, Ovayolu O. Pranayama and Nursing. Holist Nurs Pract. 2021 Jan-Feb 01;35(1):29-33. doi: 10.1097/HNP.0000000000000421.

    PubMed 33492877
  • Muhammad T, Lee S, Pai M, Mandal B. Association between sleep quality, sleep duration, and physical frailty among adults aged 50 years and older in India. BMC Public Health. 2024 Nov 11;24(1):3120. doi: 10.1186/s12889-024-20606-6.

    PubMed 39529114
  • Wang Z, Zeng Z. Association between personality characteristics and sleep quality among Chinese middle-aged and older adults: evidence from China family panel studies. BMC Public Health. 2023 Dec 5;23(1):2427. doi: 10.1186/s12889-023-17352-6.

    PubMed 38053067
  • Zhang D, Ruan H, Gao MG, Chen F, Li S. Stressful life events and subjectively rated sleep quality among older adults in China: the roles of positive and negative attitudes towards ageing. Ageing & Society. 2022:1-19. doi: 10.1017/S0144686X22001222.

  • Demir OB, Şimşek ÇK, Çekmece Ç, Şen PN, Genç SG, Keskin C, et al. The effect of online mat pilates exercises on quality of life, depression, and sleep quality in female university students during the COVID-19 pandemic. Istanbul Gelisim University Journal of Health Sciences. 2023:625-35. doi:10.38079/igusabder.1031574.

  • Duman İ, Ceyhan Ö, Taşcı S. Use of aromatherapy in elderly individuals. Mersin University Faculty of Medicine Lokman Hekim Journal of Medical History and Folkloric Medicine. 2024;14(3):441-9. doi: 10.31020/mutftd.1510870.

  • WHO. Ageing and health 2024 [Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.

  • Kwon Y. YAP/TAZ as Molecular Targets in Skeletal Muscle Atrophy and Osteoporosis. Aging Dis. 2024 Mar 6;16(1):299-320. doi: 10.14336/AD.2024.0306.

    PubMed 38502585

Questions about this trial

What is this clinical trial studying?

A study testing Pranayama group in people with Individuals Aged 60 and Over and Individuals Who Are Physically and Mentally Suitable to Practice Pranayama Breathing Technique, run by Namik Kemal University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 5 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sociodemographic and Aging-Related Characteristics Data Form (time frame: 0. Week). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07451756, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Mar 2026.

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