At some point between the first and fifth century CE, the Hindu sage Patañjali began to codify the ancient, meditative traditions practiced throughout India. He recorded techniques nearly as old as Indian civilization itself in 196 manuals called the Yoga Sutras. These texts defined yoga as the ‘yoking’ or restraining of the mind from focusing on external objects in efforts to reach a state of pure consciousness. Over time, yoga came to incorporate physical elements from gymnastics and wrestling. Today, there are a multitude of approaches to modern yoga – though most still maintain the three core elements of Patañjali’s practice: physical postures, breathing exercises, and spiritual contemplation. Yoga’s supporters say this blend of physical and mental exercise has a unique set of advantages for our health. Yoga is widely believed to improve strength and flexibility, boost heart and lung function, and enhance psychological well-being. But what does the science actually say about the modern benefits of this ancient tradition? Despite attempts by many researchers, yoga has proven a tough subject to study. Its unique combination of activities makes it difficult to determine which component is producing a specific health benefit. Additionally, yoga studies are often made up of small sample sizes that lack diversity, and the heavy reliance on self-reporting makes results subjective. However, there are some health benefits that have more robust scientific support than others. Let’s start with flexibility and strength. Contorting your body into yoga’s physical postures stretches multiple muscle groups. In the short term, stretching can change the water content of these muscles, ligaments, and tendons to make them more elastic. Over time, regular stretching stimulates stem cells that then differentiate into more elastic collagen and muscle tissue. Frequent stretching also reduces the body’s natural reflex to constrict muscles, improving your pain tolerance for feats of flexibility. Researchers haven’t found that any one form of yoga improves flexibility more than another, so the impact of specific postures is unclear. Additionally, yoga hasn’t proved superior to other low-impact exercise when it comes to improving fitness and flexibility in healthy populations. However, the practice has been shown to be an especially powerful therapeutic tool. In studies involving patients with a variety of musculo-skeletal disorders, yoga was more helpful at reducing pain and improving mobility than other forms of low-impact exercise. Adding yoga to an existing exercise routine can improve strength and flexibility for hard to treat conditions like chronic lower back pain, rheumatoid arthritis, and osteoporosis. Yoga’s mix of physical exercise and regimented breathing has proven similarly therapeutic for lung health. Lung diseases like chronic bronchitis, emphysema, and asthma shrink the passageways that carry oxygen, while weakening the membrane that brings oxygen into the blood. But breathing exercises like those found in yoga relax the muscles constricting those passageways and improve oxygen diffusion. Increasing the blood’s oxygen content is especially helpful for those with weak heart muscles who have difficulty pumping enough oxygen throughout the body. And for those with healthy hearts, this practice can lower blood pressure and reduce risk factors for cardiovascular disease. Yoga’s most widely celebrated benefit may be the most difficult to prove: its psychological effects. Despite the longstanding association between yoga and psychological wellbeing, there’s little conclusive evidence on how the practice affects mental health. One of the biggest claims is that yoga improves symptoms of depression and anxiety disorders. However, since diagnosis of these conditions varies widely in origin and severity, it’s difficult to quantify yoga’s impact. There is evidence to suggest yoga can help reduce the symptoms of stress, but no more than meditation or relaxation. Research on the effects of yoga is still evolving. In the future, we’ll need larger studies, incorporating diverse participants, which can measure yoga’s impact on heart attacks, cancer rates, cognitive function and more. But for now, we should primarily practice yoga as a way to exercise, reflect, and relax. So if you miss your class, don’t tie yourself into knots about it.