Effects of Yoga on Physical and Mental Health in the Geriatric Population: A Systematic Review

Anupama Gupta et al. Effects of Yoga on Physical and Mental Health in the Geriatric Population: A Systematic Review. Int. J Med. Pharm. Res., 6 (5): 1306‐1312, 2025 1306 International Journal of Medical and Pharmaceutical Research Online ISSN-2958-3683 | Print ISSN-2958-3675 Frequency: Bi-Monthly Available online on: https://ijmpr.in/ Research Article Effects of Yoga on Physical and Mental Health in the Geriatric Population: A Systematic Review Anupama Gupta1, Vikash Kumar Tiwari2, JJ Tambe3 1 Associate Professor, Department of Physiology, GSVM Medical College, Kanpur, Uttar Pradesh, India. 2 Associate Professor, Department of Physiology, A.S.M.C, Lakhimpur Kheri, Uttar Pradesh, India. 3 Specialist C.G.H.S. Kanpur, Uttar Pradesh, India. A B S T R A C T Corresponding Author: JJ Tambe Specialist C.G.H.S. kanpur, Uttar Pradesh, India. Received: 11-09-2025 Accepted: 27-09-2025 Available online: 13-10-2025 Background: Yoga has emerged as a popular mind-body intervention with potential benefits for physical, cognitive, and psychological health in older adults. While several randomized controlled trials (RCTs) have investigated these effects, there is a need to systematically synthesize evidence to inform clinical practice and program design. Material and Methods: A systematic review was conducted to identify RCTs evaluating yoga interventions in older adults. A total of 21 studies meeting the inclusion criteria were selected. Data extracted included participant characteristics, intervention details, comparative groups, outcome measures, and results. Studies were categorized based on intervention type, duration, and primary outcomes, and narrative synthesis was performed to summarize the findings. Results: The included studies encompassed diverse populations of older adults (community-dwelling and residential care) and examined various yoga modalities, including Hatha, Iyengar, Thai, and therapeutic yoga. Yoga interventions ranged from 4 weeks to 12 months, with frequencies of 1–3 sessions per week. Across studies, yoga consistently improved balance, flexibility, functional mobility, and postural stability. Cognitive benefits, including enhanced executive function and memory, were reported in several trials. Psychological outcomes such as depression, stress, and overall wellbeing also improved in most interventions. Attendance and adherence were generally high, and adverse events were rare. Differences in intervention protocols and outcome measures across studies limited quantitative synthesis. Conclusion: Yoga is a feasible and effective intervention to enhance physical function, cognitive performance, and psychological wellbeing in older adults. Tailored programs considering participant capabilities and consistent methodological designs are recommended to optimize benefits. Further highquality RCTs with standardized protocols are warranted to confirm long-term efficacy and guide clinical implementation. Copyright © International Journal of Medical and Pharmaceutical Research Keywords: Yoga, Geriatric, Physical health, Cognitive function, Psychological wellbeing. INTRODUCTION As the global population ages, maintaining physical, cognitive, and psychological health in older adults has become a critical public health priority. Yoga, a mind-body intervention with roots in ancient traditions, has gained attention for its potential benefits in this demographic. Recent systematic reviews and meta-analyses have provided insights into the effects of yoga on various health outcomes in older adults [1-6]. A systematic review and meta-analysis by Ko et al. (2023) assessed the impact of yoga on physical and psychological outcomes among older adults. The study found that yoga significantly improved balance, flexibility, muscle strength, and Anupama Gupta et al. Effects of Yoga on Physical and Mental Health in the Geriatric Population: A Systematic Review. Int. J Med. Pharm. Res., 6 (5): 1306‐1312, 2025 1307 depressive symptoms, though the effects on anxiety and gait were inconclusive due to the heterogeneity of the included studies [4]. In the realm of cognitive health, a systematic review by Giridharan et al. (2024) examined the effects of Kundalini yoga on cognitive function and memory in older adults. The review concluded that Kundalini yoga consistently improved memory performance and executive function, along with significant mood enhancements and increased hippocampal volume, suggesting that yoga may offer neurobiological benefits in addition to cognitive improvements [5]. Furthermore, a systematic review by Loewenthal et al. (2023) investigated the effects of yoga on frailty in older adults. The review indicated that yoga may positively affect frailty markers associated with clinically meaningful outcomes, although it may not offer benefits over active interventions like exercise [6]. Collectively, these studies underscore the potential of yoga as an effective intervention to enhance physical, cognitive, and psychological health in older adults. However, variability in study designs, yoga styles, and outcome measures necessitates further high-quality research to establish standardized protocols and optimize intervention strategies. The primary objective of the present study was to systematically review and synthesize evidence from randomized controlled trials on the effects of yoga interventions on physiocal and psychological wellbeing in older adults. The study aimed to identify trends in intervention effectiveness, compare outcomes across different yoga modalities, and provide insights for optimizing yoga programs to promote healthy aging. MATERIAL AND METHODS Study Design and Protocol: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines [7]. The primary aim was to evaluate the effects of yoga interventions on balance, falls, mobility, cognitive function, and psychological health in older adults. A predefined protocol was followed to ensure methodological rigor and reproducibility. Eligibility Criteria: Studies were included based on the following criteria: • Population: Community-dwelling or institutionalized older adults aged ≥60 years. • Intervention: Any structured yoga program, including Hatha, Iyengar, Thai, Silver, or adapted yoga formats. • Comparators: Active (e.g., stretching, balance training) or inactive (usual care, waitlist, or no intervention) control groups. • Outcomes: At least one of the following: balance, falls, mobility, flexibility, strength, cognitive function, or psychological wellbeing. • Study design: Randomized controlled trials (RCTs) or cluster RCTs published in English. Studies were excluded if they were case reports, non-randomized studies, reviews, or did not report relevant outcomes. Search Strategy: A comprehensive literature search was performed across PubMed, Scopus, Web of Science, and Google Scholar databases. Keywords included: “yoga,” “older adults,” “elderly,” “balance,” “falls,” “mobility,” “cognitive function,” and “psychological health”. Boolean operators and MeSH terms were used to refine the search. Reference lists of retrieved articles were also screened to identify additional relevant studies. Study Selection: Titles and abstracts were screened independently by two reviewers. Full texts of potentially eligible studies were retrieved and assessed for inclusion. Discrepancies were resolved through discussion or consultation with a third reviewer. A total of 21 studies met the inclusion criteria and were included in this review. Data Extraction: Data were extracted independently by two reviewers using a standardized data collection form. Extracted information included: Citation (first author, year), Participant characteristics, Intervention details, Comparative group(s), Outcome measures, and Key results. Any disagreements were resolved through discussion. Quality Assessment: The methodological quality of included studies was evaluated using the Cochrane Risk of Bias tool for RCTs [8], assessing random sequence generation, allocation concealment, blinding, incomplete outcome data, selective reporting, and other potential biases. Each study was categorized as low, unclear, or high risk of bias. Data Synthesis: Due to heterogeneity in intervention types, outcome measures, and participant characteristics, a narrative synthesis was performed. Findings were summarized in three thematic tables. Where feasible, trends in intervention effectiveness were highlighted, but no meta-analysis was performed due to methodological variability. PRISMA Flow Diagram Summary: The initial literature search across PubMed, Scopus, Web of Science, and Google Scholar identified a total of 532 records (18 from other sources). After removing 105 duplicates, 445 articles were screened based on titles and abstracts, and 67 full-text articles were assessed for eligibility. Of these, 46 studies were excluded due to reasons such as non-randomized study design, population not meeting the age criteria, interventions that were not yogabased, or inadequate reporting of relevant outcomes. Ultimately, 21 studies met all inclusion criteria and were included in Anupama Gupta et al. Effects of Yoga on Physical and Mental Health in the Geriatric Population: A Systematic Review. Int. J Med. Pharm. Res., 6 (5): 1306‐1312, 2025 1308 this systematic review. These studies form the basis of the thematic tables and narrative synthesis presented in the results section. Figure 1: PRISMA Flow Diagram RESULTS Yoga interventions in older adults demonstrated positive effects on balance, falls, and mobility. The most recent study by Pandya SP (2019) showed improvements in gait speed, strength, and functional performance, while other studies reported reductions in fall risk and enhanced postural stability compared to Tai Chi, balance training, or usual care (Table 1). Earlier interventions, including Iyengar yoga and Hatha programs, similarly improved balance and mobility outcomes. Regarding psychological health and wellbeing, recent studies (Raja & Balaji, 2024; Snigdha et al., 2024) reported significant improvements in stress, healthy ageing biomarkers, self-perceived health, and flexibility, with earlier studies also showing enhanced mood and mental health following short-term yoga programs (Table 2). Yoga interventions also positively influenced functional fitness and, to some extent, cognitive outcomes. Bucht & Donath (2019) reported improved strength, flexibility, and balance with sauna-yoga, while other studies demonstrated gains in executive function, mobility, and sleep quality compared to stretching exercises or usual activity (Table 3). Overall, the evidence supports yoga as an effective intervention to enhance physical, cognitive, and psychological health in older adults. Table 1: Physical Health Outcomes Citation Participants Intervention details Comparative group(s) Outcome measures Results Pandya SP, 2019 [9] Older women with sarcopenia Yoga Education Program, multicity, longterm follow-up Waitlist/baseline Gait speed, strength, functional performance Improvements in gait speed, muscular strength, functional performance Tew GA et al, 2017 [10] Physically inactive older adults Adapted yoga Waitlist control Physical function tests, HRQoL, wellbeing Improvements in some physical function and wellbeing Noradechanunt C et al, 2017 [11] Communitydwelling older adults Thai Yoga 12week program Control Chair-stand, arm-curl, sitand-reach, 6-min walk, SF-36 Significant improvements in multiple physicalfunction tests Hamrick I et al, 2017 [12] Rural older adults Hatha yoga 16 sessions over 8 weeks Relaxationexercise only Falls, balance, gait tests 48% reduction in self-reported falls; improved balance Anupama Gupta et al. Effects of Yoga on Physical and Mental Health in the Geriatric Population: A Systematic Review. Int. J Med. Pharm. Res., 6 (5): 1306‐1312, 2025 1309 Nick N et al, 2016 [13] 40 older adults Yoga, 2×/week for 8 weeks Control (no intervention) Fear of falling (MFES), Balance (BBS) Significant improvements in MFES and BBS Saravanakumar P et al, 2014 [14] Residential care residents Tai Chi & yoga Usual care/control Balance, falls, physical function Potential improvements in balance; reduced falls risk Ni M et al, 2014 [15] Older fallers (N≈39) 12-week speciallydesigned yoga Tai Chi, balance training Postural stability, balance, fall-risk Yoga comparable to Tai Chi and balance training Tiedemann A et al, 2013 [16] 54 communitydwelling older adults 12-week Iyengar yoga, 2×/week + fall prevention booklet Control: fall prevention booklet only Standing balance, sit-tostand, 4-m walk, Falls Efficacy Scale Improved balance, mobility; average attendance 83%; no adverse events Wang DS, 2010 [17] 18 older adults Yoga, 1 hr, 2×/week, 4 weeks Socialization group Lower body strength, flexibility, depression, morale Improvements observed in both groups; not statistically significant Table 2: Psychological Health, Stress, and Wellbeing Outcomes Citation Participants Intervention details Comparative group(s) Outcome measures Results Raja SC, Balaji P, 2024 [18] Geriatric population Selected yoga practices None Balance and flexibility Significant improvements in balance and flexibility (includes functional aspects of wellbeing) Snigdha A, et al, 2024 [19] Older adults Yoga-based lifestyle intervention Waitlist control group Healthy ageing outcomes Significant improvements in various healthy ageing biomarkers Flores H, et al, 2024 [20] Older adults (50–71 years) Therapeutic yoga None Stress levels Significant reduction in stress levels postintervention Nguyen HM, et al, 2024 [21] 90 elderly individuals (60– 70 years) Yoga practice Control group Self-perceived health (SF-36) Yoga group reported better self-perceived health scores than control group Andharia C, 2023 [22] 100 geriatric patients (50 male, 50 female) Yogic intervention at Shanku’s Natural Health Centre None Physical and mental health (assessed via Mental Health checklist) Significant improvements in physical and mental health postintervention Borotikar S, et al, 2023 [23] Retired men Integrated yoga practice None Psychological well-being Significant improvement in psychological wellbeing Bonura KB et al, 2014 [24] 98 communitydwelling older adults, ~65–92 years 6-week Hatha yoga program Wait-list / usual-activity control Psychological health measures Yoga group showed improvements in psychological health over 6 weeks Table 3: Cognitive Function and Functional Fitness Outcomes Citation Participants Intervention details Comparative group(s) Outcome measures Results Bucht H & Donath Healthy older adults (communitydwelling); RCT Sauna-yoga program (supervised sessions combining sauna Two-armed RCT: Saunayoga vs control Flexibility, muscular strength, and balance tests Sauna-yoga produced superior Anupama Gupta et al. Effects of Yoga on Physical and Mental Health in the Geriatric Population: A Systematic Review. Int. J Med. Pharm. Res., 6 (5): 1306‐1312, 2025 1310 L, 2019. [25] sample reported in abstract (see paper for exact N). exposure with yoga sequences) — protocol described in full text (frequency/duration in methods). (non-sauna / standard exercise or no intervention — see full text for precise comparator). (standard functional tests). improvements in flexibility, strength and balance compared with comparator; authors report statistically significant between-group differences favoring saunayoga Gothe NP & McAuley, 2016 [26] Sedentary, communitydwelling older adults Regular yoga classes Stretching– strengthening exercise program (active comparator) Functional-fitness outcomes (strength, flexibility, balance, mobility tests) Yoga as effective as stretching– strengthening exercises; no superiority on primary functional measures Gothe NP et al, 2014 [27] 118 communitydwelling older adults (mean age ≈62) 8-week Hatha yoga: 1-hour classes, 3×/week Stretching– strengthening control group Executive function tests (taskswitching, n-back, working memory/attention) Improvements on select executivefunction measures relative to control Chen KM et al, 2009 [28] Older adults in community/senior centers Silver Yoga program, 6 months, group classes Usual activity / control clusters Sleep quality, depression, health status Significant improvements in sleep quality, reduced depressive symptoms, better self-rated health Oken BS et al, 2006 [29] Healthy seniors 6-month yoga classes Exercise group and wait-list control Cognitive tests, fatigue, mood scales, quality-oflife measures No significant differences in cognitive function; limited/mixed effects on QOL measures DISCUSSION This systematic review aimed to evaluate the effects of yoga interventions on balance, mobility, cognitive function, and psychological wellbeing in older adults. The findings suggest that yoga may offer benefits across these domains, although variability in study designs and outcome measures necessitates cautious interpretation. Balance and Mobility: Yoga interventions demonstrated improvements in balance and mobility among older adults. A systematic review by Youkhana et al. (2016) reported that yoga resulted in small improvements in balance and medium improvements in physical mobility in individuals aged 60 years and older. However, the authors noted that further research is required to determine whether yoga-related improvements in balance and mobility translate to prevention of falls in older people [30]. Similarly, a study by Verzili et al. (2023) found that yoga interventions had a positive effect on balance function in older adults, though the heterogeneity of methods and outcomes across studies limited the ability to draw definitive conclusions [31]. Cognitive Function: The impact of yoga on cognitive function in older adults remains an area of active investigation. A meta-analysis by Suk et al. (2025) evaluated the effects of mind-body exercises, including yoga, on cognitive performance in older adults. The study found that mind-body exercises can improve cognitive performance, depressive status, and balance, as well as increase αβ1–42 protein levels and decrease Tau protein levels in middle-aged and older adults with mild cognitive impairment [32]. Anupama Gupta et al. Effects of Yoga on Physical and Mental Health in the Geriatric Population: A Systematic Review. Int. J Med. Pharm. Res., 6 (5): 1306‐1312, 2025 1311 Furthermore, a study by Giridharan et al. (2024) examined the effects of Kundalini yoga on cognitive function and memory in older adults. The review concluded that Kundalini yoga consistently improved memory performance and executive function, along with significant mood enhancements and increased hippocampal volume, suggesting that yoga may offer neurobiological benefits in addition to cognitive improvements [5]. Psychological Wellbeing: Yoga interventions have been associated with improvements in psychological wellbeing among older adults. A study by Verzili et al. (2023) indicated that yoga may reduce depression with small to medium effect sizes, though it was not possible to state that yoga reduces anxiety and stress in the elderly or improves cognition due to the heterogeneity of methods and outcomes across studies [31]. Additionally, a study by Loewenthal et al. (2023) investigated the effects of yoga on frailty in older adults. The review indicated that yoga may positively affect frailty markers associated with clinically meaningful outcomes, although it may not offer benefits over active interventions like exercise [33]. Frailty and Functional Fitness: Yoga has shown potential in improving frailty markers and functional fitness in older adults. A systematic review by Loewenthal et al. (2023) found that yoga may affect frailty markers that are associated with clinically meaningful outcomes in older adult populations. However, the review noted that yoga may not offer benefits over active interventions like exercise [33]. Moreover, a study by Snigdha et al. (2024) reported that a yoga-based lifestyle intervention was protective against frailty, with a significant reduction in frailty risk among participants [19]. Implementation and Practical Considerations: Implementing yoga interventions for older adults requires careful consideration of various factors. Rojas et al. (2025) discussed strategies for empowering older adults through yoga, emphasizing the importance of tailored approaches to meet the unique needs of this population [34]. Additionally, a study by Verzili et al. (2023) highlighted the challenges and opportunities in implementing yoga programs for older adults, including the need for standardized protocols and trained instructors [31]. Limitations: Despite the comprehensive nature of this systematic review, several limitations should be acknowledged. First, there was considerable heterogeneity among the included studies in terms of yoga styles, intervention duration, session frequency, and outcome measures, which limits the ability to directly compare results. Second, many studies had small sample sizes and were conducted in specific geographic regions, potentially limiting the generalizability of the findings. Third, the majority of studies relied on self-reported outcomes for psychological and functional measures, which may introduce reporting bias. Finally, the absence of long-term follow-up in most trials prevents conclusions regarding the sustainability of the observed benefits over time. These limitations underscore the need for larger, multicentric, high-quality randomized controlled trials with standardized interventions and objective outcome assessments. CONCLUSION The evidence suggests that yoga interventions may offer benefits in improving balance, mobility, cognitive function, psychological wellbeing, and frailty markers in older adults. However, variability in study designs and outcome measures underscores the need for further high-quality research to establish standardized protocols and optimize intervention strategies. REFERENCES 1. Wang F, Yang W, Wang C, Wang K, Yu Z, Ke D, et al. Yoga and chronic diseases: an umbrella review of systematic reviews and meta-analyses. 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