Background: This meta-analysis planned to assess the impact of yoga and mindfulness practice in reducing stress and anxiety to improve athletes' sports performance.

Methods: Several databases were electronically searched for eligible articles till September 2022. Participants aged 18-45 yrs, male and female, and recreational athletes from different sports were included. Athletes' stress, competitive anxiety, and sports performance were measured. The mean difference or standardized mean difference with a 95% confidence interval was calculated in RevMan software 5.4. The fixed effect model was applied to test the statistical significance difference and heterogeneity (p < 0.05). The GRADE pro evidence was also created to assess the quality of evidence.

Results: Results were analyzed with pooled data from fifteen articles. Forest plots showed an overall significant effect of yoga and mindfulness on Mindfulness [Z = 4.13 (p < 0.0001)] [(I = 48%), MD -2.6, (95% CI, -3.85, -1.37)] and flow state [Z = 9.49 (p < 0.00001)] [(I = 85%), SMD 3.13, (95% CI, 2.48, 3.77)]. The insignificant effects were noted on attention and awareness [Z = 1.51 (p = 0.13)] [(I = 25%), SMD -0.26, (95% CI, -0.60, 0.80)], and action and acceptance [Z = 0.43 (p = 0.67)] [(I = 0%), MD 0.20, (95% CI, -0.69, 1.08)]. We also observed a significant effect for the comparison of stress [Z = 6.56 (p < 0.00001)] [(I = 76%), SMD -0.74, (95% CI, -0.97, 0.52)] and an insignificant effect for comparing anxiety [Z = 1.62 (p = 0.11)] [(I = 14%), SMD -0.31, (95% CI, -0.69, 0.07)].

Conclusion: The findings of this meta-analysis provides valuable insights to the beneficial or complementary effects of yoga and mindfulness on athletes' psychological health and sports performance.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277591PMC
http://dx.doi.org/10.1016/j.jaim.2023.100725DOI Listing

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