1 765 164 EFFECT OF THE INTEGRATED APPROACH OF YOGA THERAPY ON PLATELET COUNT AND URIC ACID IN PREGNANCY: A MULTICENTER STRATIFIED RANDOMIZED SINGLE-BLIND STUDY. BACKGROUND: YOGA IMPROVES MATERNAL AND FETAL OUTCOMES IN PREGNANCY. PLATELET COUNT AND URIC ACID (UA) ARE VALUABLE SCREENING MEASURES IN HIGH-RISK PREGNANCY. AIM: TO EXAMINE THE EFFECT OF YOGA ON PLATELET COUNTS AND SERUM UA IN HIGH-RISK PREGNANCY. MATERIALS AND METHODS: THIS STRATIFIED RANDOMIZED CONTROLLED TRIAL, CONDUCTED BY S-VYASA UNIVERSITY AT ST. JOHN'S MEDICAL COLLEGE HOSPITAL AND GUNASHEELA MATERNITY HOSPITAL, RECRUITED 68 WOMEN WITH HIGH-RISK PREGNANCY (30 YOGA AND 38 CONTROLS) IN THE TWELFTH WEEK OF PREGNANCY. THE INCLUSION CRITERIA WERE: BAD OBSTETRICS HISTORY, TWIN PREGNANCIES, MATERNAL AGE < 20 OR > 35 YEARS, OBESITY (BMI > 30), AND GENETIC HISTORY OF PREGNANCY COMPLICATIONS. THOSE WITH NORMAL PREGNANCY, ANEMIA (< 10 GRAMS%DL), H/O CLOTTING DISORDERS; RENAL, HEPATIC OR HEART DISEASE; SEIZURE DISORDER; OR STRUCTURAL ABNORMALITIES IN THE PELVIS, WERE EXCLUDED. THE YOGA GROUP PRACTICED SIMPLE MEDITATIVE YOGA (THREE DAYS / WEEK FOR THREE MONTHS). RESULTS: AT BASELINE, ALL WOMEN HAD NORMAL PLATELET COUNTS (> 150X10(9)/L) WITH A DECREASE AS PREGNANCY ADVANCED. UA (NORMAL AT BASELINE) INCREASED IN BOTH GROUPS. NO ONE DEVELOPED ABNORMAL THROMBOCYTOPENIA OR HYPERURICEMIA. HEALTHY REDUCTION IN PLATELET COUNT (TWELFTH TO TWENTIETH WEEK) OCCURRED IN A HIGHER (P < 0.001, CHI(2) TEST) NUMBER OF WOMEN IN THE YOGA GROUP THAN THE CONTROL GROUP. A SIMILAR TREND WAS FOUND IN URIC ACID. SIGNIFICANTLY LESSER NUMBER OF WOMEN IN THE YOGA GROUP (N = 3) DEVELOPED PREGNANCY-INDUCED HYPERTENSION (PIH) / PRE-ECLAMPSIA (PE) THAN THOSE IN THE CONTROL GROUP (N = 12), WITH ABSOLUTE RISK REDUCTION (ARR) BY 21%. CONCLUSION: ANTENATAL INTEGRATED YOGA FROM THE TWELFTH WEEK IS SAFE AND EFFECTIVE IN PROMOTING A HEALTHY PROGRESSION OF PLATELETS AND URIC ACID IN WOMEN WITH HIGH-RISK PREGNANCY, POINTING TO HEALTHY HEMODILUTION AND BETTER PHYSIOLOGICAL ADAPTATION. 2013 2 1003 36 EFFECTS OF MATERNITY YOGA ON THE AUTONOMIC NERVOUS SYSTEM DURING PREGNANCY. AIM: TO ELUCIDATE THE CHANGES IN THE DAILY VARIATION SEEN IN THE AUTONOMIC NERVOUS SYSTEM DURING PREGNANCY BROUGHT ABOUT BY MATERNITY YOGA AND TO EVALUATE HOW MATERNAL YOGA AFFECTS STRESS AND SLEEP. METHODS: A PROSPECTIVE, LONGITUDINAL STUDY WAS CONDUCTED BETWEEN JANUARY 2013 AND DECEMBER 2014. PREGNANT WOMEN WHO WERE ATTENDING MATERNITY YOGA CLASSES AT PALMORE HOSPITAL BETWEEN 20 AND 23 WEEKS' GESTATION WERE ENROLLED AS THE YOGA GROUP, AND A MATCHED CONTROL GROUP WAS ALSO ENROLLED. STUDY PARTICIPANTS COMPLETED QUESTIONNAIRES, INCLUDING A PERCEIVED STRESS SCALE AND SLEEP LOGS, DURING THEIR SECOND AND THIRD TRIMESTERS. HEART RATE VARIABILITY AND SALIVARY ALPHA-AMYLASE LEVELS WERE EVALUATED AS STRESS INDICES AT 20-23 WEEKS' GESTATION, 28-31 WEEKS' GESTATION AND 36-40 WEEKS' GESTATION. RESULTS: A TOTAL OF 38 WOMEN WERE IN THE YOGA GROUP, WITH 53 IN THE CONTROL GROUP. AT 28-31 WEEKS' GESTATION, HEART RATE VARIABILITY DURING NIGHT AND LATE-NIGHT PERIODS WAS SIGNIFICANTLY HIGHER IN THE YOGA GROUP THAN IN THE CONTROL GROUP. AT 36-40 WEEKS' GESTATION, VARIABILITY BETWEEN THE MORNING, AFTERNOON AND LATE NIGHT WAS SIGNIFICANTLY HIGHER IN THE YOGA GROUP. SALIVARY ALPHA-AMYLASE LEVELS DECREASED SIGNIFICANTLY IMMEDIATELY AFTER PRACTICING YOGA DURING ALL EVALUATION PERIODS IN THE YOGA GROUP. NIGHT-TIME SLEEP DURATION WAS SIGNIFICANTLY LONGER IN THE YOGA GROUP. CONCLUSION: OUR RESULTS SUGGEST THAT PRACTICING YOGA ACTIVATES THE PARASYMPATHETIC NERVOUS SYSTEM DURING THE THIRD TRIMESTER OF PREGNANCY, CONSOLIDATING SLEEP DURING THE NIGHT AND DECREASING ALPHA-AMYLASE LEVELS, WHICH INDICATES REDUCED STRESS. 2018 3 713 39 EFFECT OF INTEGRATED YOGA ON ANXIETY, DEPRESSION & WELL BEING IN NORMAL PREGNANCY. OBJECTIVE: TO STUDY THE EFFECT OF INTEGRATED YOGA ON PREGNANCY EXPERIENCE, ANXIETY, AND DEPRESSION IN NORMAL PREGNANCY. METHODS: THIS PROSPECTIVE RANDOMIZED CONTROL STUDY RECRUITED 96 WOMEN IN 20TH WEEK OF NORMAL PREGNANCY. YOGA GROUP (N = 51) PRACTICED INTEGRATED YOGA AND CONTROL GROUP (N = 45) DID STANDARD ANTENATAL EXERCISES, ONE HOUR DAILY, FROM 20TH TO 36TH WEEK OF GESTATION. MANN-WHITNEY AND WILCOXON'S TESTS WERE USED FOR STATISTICAL ANALYSIS. RESULTS: THERE WAS SIGNIFICANT DIFFERENCE BETWEEN GROUPS (MANN-WHITNEY P < 0.001) IN ALL VARIABLES. THERE WERE SIGNIFICANT CHANGES WITHIN GROUPS (WILCOXON'S P < 0.001) IN BOTH GROUPS. PREGNANCY RELATED EXPERIENCE (PEQ) REDUCED IN YOGA BY 26.86%, STATE (STAI I) ANXIETY (DECREASED 15.65% IN YOGA, INCREASED 13.76% IN CONTROL), TRAIT (STAI II) ANXIETY (DECREASED 8.97% IN YOGA, INCREASED 5.02% IN CONTROL) AND DEPRESSION (HADS) (DECREASED 30.67% IN YOGA, INCREASED 3.57% IN CONTROL). CONCLUSION: YOGA REDUCES ANXIETY, DEPRESSION AND PREGNANCY RELATED UNCOMFORTABLE EXPERIENCES. 2013 4 735 36 EFFECT OF POSTPARTUM YOGA ON BREASTFEEDING SELF-EFFICACY AND MATERNAL ATTACHMENT IN PRIMIPAROUS MOTHERS. OBJECTIVE: THIS STUDY WAS CONDUCTED TO DETERMINE THE EFFECT OF YOGA PRACTICE ON THE BREASTFEEDING SELF-EFFICACY AND MATERNAL ATTACHMENT OF PRIMIPAROUS MOTHERS IN THE POSTPARTUM PERIOD. METHODS: THIS STUDY WAS PERFORMED IN A QUASI-EXPERIMENTAL MODEL WITH PRETEST AND POSTTEST CONTROL GROUPS. THE DOMAIN OF THE STUDY WAS FORMED WITH WOMEN WITH 20-40-DAY-OLD BABIES ENROLLED IN TWO FAMILY HEALTH CENTERS. ONE HUNDRED AND TWENTY-FOUR WOMEN PARTICIPATED IN THE STUDY. THE INDIVIDUAL IDENTIFICATION FORM, BREASTFEEDING SELF-EFFICACY SCALE, AND MATERNAL ATTACHMENT SCALE WERE COMPLETED BY THE EXPERIMENTAL AND CONTROL GROUPS. THE EXPERIMENTAL GROUP ENGAGED IN 60 MINUTES OF POSTPARTUM YOGA PRACTICE 2 DAYS A WEEK FOR 8 WEEKS IN THE COMPANY OF THE RESEARCHER. RESULTS: AFTER YOGA PRACTICE, THERE WAS A STATISTICALLY SIGNIFICANT INCREASE IN THE BREASTFEEDING SELF-EFFICACY AND IMPROVEMENT IN THE MATERNAL ATTACHMENT OF THE EXPERIMENTAL GROUP (P < 0.05). THE CORRESPONDING INCREASE AND IMPROVEMENT OF THE MOTHERS IN THE CONTROL GROUP WERE LESS THAN THOSE OF THE MOTHERS IN THE EXPERIMENTAL GROUP (P < 0.05). CONCLUSION: THIS STUDY FINDS THAT IT IS BENEFICIAL FOR BOTH THE MOTHER'S AND THE BABY'S PHYSICAL AND PSYCHOLOGICAL HEALTH FOR HEALTH PROFESSIONALS TO TEACH MOTHERS TO PRACTICE YOGA, WHICH POSITIVELY AFFECTS BREASTFEEDING AND MATERNAL ATTACHMENT IN THE POSTPARTUM PERIOD. 2022 5 1046 44 EFFECTS OF YOGA ON ANXIETY AND DEPRESSION FOR HIGH RISK MOTHERS ON HOSPITAL BEDREST. BACKGROUND: AND PURPOSE: IN RECENT YEARS, YOGA PRACTITIONERS HAVE JOINED FORCES WITH MEDICAL PROGRAMS TO APPROACH PATIENTS' WELL-BEING HOLISTICALLY. THIS STUDY IS A RANDOMIZED CONTROLLED TRIAL TO ASSESS THE EFFECTS OF A SPECIALIZED ADAPTED YOGA PROGRAM ON ANXIETY AND DEPRESSION FOR HIGH-RISK EXPECTANT MOTHERS ON BEDREST IN A HOSPITAL SETTING. MATERIALS AND METHODS: SEVENTY-NINE PREGNANT SUBJECTS ON PHYSICIAN ORDERED HOSPITALIZED BEDREST WERE RANDOMIZED INTO TWO GROUPS: RECEIVING BIWEEKLY YOGA SESSIONS (INTERVENTION GROUP) OR RECEIVING NO YOGA (CONTROL GROUP). DATA COLLECTION TOOL WAS THE HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS) TO ASSESS OUTCOMES AFTER DELIVERY. RESULTS: YOGA, EVEN AS LITTLE AS THREE SESSIONS, SHOWED SIGNIFICANT IMPACT IN REDUCING ANXIETY AND DEPRESSION HIGH-RISK PREGNANT WOMEN ON HOSPITALIZED BEDREST. PERCEIVED ANXIETY AND DEPRESSION OVERALL SCORES WERE LOWER IN THE INTERVENTION GROUP THAN IN THE CONTROL GROUP (P < 0.001). CONCLUSION: RESULTS DEMONSTRATED THAT YOGA IS AN EFFECTIVE INTERVENTION TO DECREASE ANXIETY AND DEPRESSION IN HIGH-RISK ANTEPARTUM WOMEN ON HOSPITALIZED BEDREST. 2020 6 1793 31 PRENATAL YOGA EXERCISE IMPROVES SLEEP QUALITY IN THE THIRD TRIMESTER OF PREGNANT WOMEN. OBJECTIVE: THIS STUDY AIMS TO DETERMINE THE EFFECT OF PRENATAL YOGA EXERCISES ON SLEEP QUALITY IN THIRD-TRIMESTER PREGNANT WOMEN. METHODS: IT WAS A QUASI-EXPERIMENTAL (NONEQUIVALENT CONTROL GROUP DESIGN). THE STUDY WAS CONDUCTED AT THE MA'RANG COMMUNITY HEALTH CENTER IN PANGKAJENE AND KEPULAUAN DISTRICT FROM JANUARY TO MARCH 2020. THE SAMPLE IN THIS STUDY WAS 60 PREGNANT WOMEN WITH GESTATIONAL AGE 28 WEEKS DIVIDED INTO TWO GROUPS, NAMELY 30 CONTROL GROUPS, NAMELY PREGNANT WOMEN WHO VISITED ROUTINE ANTENATAL CHECK-UPS AS USUAL, AND 30 PEOPLE IN THE INTERVENTION GROUP WERE GIVEN PRENATAL YOGA EXERCISES FOUR TIMES IN TWO WEEKS SELECTED BASED ON PURPOSIVE SAMPLING TECHNIQUES. DATA ANALYSIS USING THE WILCOXON TEST (P<0.05). RESULTS: STATISTICAL TEST RESULTS SHOWED THAT IN THE CONTROL GROUP (P-VALUE 0.001<0.05) AND INTERVENTION (P-VALUE 0.001<0.05), THERE WERE SIGNIFICANT DIFFERENCES IN SLEEP QUALITY BEFORE AND AFTER THE INTERVENTION WAS GIVEN. CONCLUSION: PRENATAL YOGA EXERCISES IMPROVE THE SLEEP QUALITY OF THIRD-TRIMESTER PREGNANT WOMEN. 2021 7 1135 35 EFFICACY OF YOGA ON PHYSIOLOGICAL AND PSYCHOLOGICAL DISCOMFORTS AND DELIVERY OUTCOMES IN CHINESE PRIMIPARAS. BACKGROUD AND PURPOSE: ALMOST EVERY WOMAN EXPERIENCES DISCOMFORTS DURING PREGNANCY. THIS STUDY AIMED TO EVALUATE THE EFFICACY OF YOGA ON PHYSIOLOGICAL AND PSYCHOLOGICAL DISCOMFORTS AND DELIVERY OUTCOMES IN CHINESE PRIMIPARAS. MATERIALS AND METHODS: A RANDOMIZED CONTROLLED TRIAL WAS CONDUCTED. PARTICIPANTS IN THE CONTROL GROUP (N = 32) RECEIVED ROUTINE PRENATAL CARE, WHEREAS PARTICIPANTS IN THE INTERVENTION GROUP (N = 32) RECEIVED ROUTINE PRENATAL CARE AND YOGA EXERCISE THREE TIMES A WEEK FOR 12 WEEKS. OUTCOMES EVALUATED INCLUDED PHYSIOLOGICAL DISCOMFORTS, PRENATAL DEPRESSION, ANXIETY, CHILDBIRTH SELF-EFFICACY AND DELIVERY OUTCOMES. INTENTION-TO-TREAT ANALYSIS WAS CONDUCTED. RESULTS: YOGA DECREASED THE SYMPTOMS OF PHYSIOLOGICAL DISCOMFORTS DURING PREGNANCY (F = 6.966, P = 0.010), PROMOTED CHILDBIRTH SELF-EFFICACY (F = 11.900, P = 0.001), INCREASED THE RATE OF VAGINAL DELIVERY (CHI(2) = 4.267, P = 0.039), AND SHORTENED THE LENGTH OF THE FIRST (T = -2.612, P = 0.012), SECOND (Z = -3.313, P = 0.001) AND THIRD STAGES OF LABOR (Z = -3.137, P = 0.002). CONCLUSION: YOGA OFFERS BENEFICIAL EFFECTS ON PHYSIOLOGICAL DISCOMFORTS, CHILDBIRTH SELF-EFFICACY AND DELIVERY OUTCOMES IN CHINESE PRIMIPARAS. 2021 8 2319 45 TREATING THE CLIMACTERIC SYMPTOMS IN INDIAN WOMEN WITH AN INTEGRATED APPROACH TO YOGA THERAPY: A RANDOMIZED CONTROL STUDY. OBJECTIVE: TO STUDY THE EFFECT OF YOGA ON THE CLIMACTERIC SYMPTOMS, PERCEIVED STRESS, AND PERSONALITY IN PERIMENOPAUSAL WOMEN. DESIGN: ONE HUNDRED TWENTY PARTICIPANTS (AGES 40-55 Y) WERE RANDOMLY DIVIDED INTO TWO STUDY ARMS, IE, YOGA AND CONTROL. THE YOGA GROUP PRACTICED AN INTEGRATED APPROACH TO YOGA THERAPY COMPRISING SURYA NAMASKARA (SUN SALUTATION) WITH 12 POSTURES, PRANAYAMA (BREATHING PRACTICES), AND AVARTAN DHYAN (CYCLIC MEDITATION), WHEREAS THE CONTROL GROUP PRACTICED A SET OF SIMPLE PHYSICAL EXERCISES UNDER SUPERVISION OF TRAINED TEACHERS FOR 8 WEEKS (1 H DAILY, 5 DAYS PER WEEK). THE ASSESSMENTS WERE MADE BY GREENE CLIMACTERIC SCALE, PERCEIVED STRESS SCALE, AND EYSENCK'S PERSONALITY INVENTORY BEFORE AND AFTER THE INTERVENTION. RESULTS: OF THE THREE FACTORS OF THE GREENE CLIMACTERIC SCALE, THE MANN-WHITNEY TEST SHOWED A SIGNIFICANT DIFFERENCE BETWEEN GROUPS (P < 0.05) IN THE VASOMOTOR SYMPTOMS, A MARGINALLY SIGNIFICANT DIFFERENCE (P = 0.06) IN PSYCHOLOGICAL FACTORS BUT NOT IN THE SOMATIC COMPONENT. EFFECT SIZES WERE HIGHER IN THE YOGA GROUP FOR ALL FACTORS. THERE WAS A SIGNIFICANTLY GREATER DEGREE OF DECREASE IN PERCEIVED STRESS SCALE SCORES (P < 0.001, INDEPENDENT SAMPLES T TEST) IN THE YOGA GROUP COMPARED WITH CONTROLS (BETWEEN-GROUP ANALYSIS) WITH A HIGHER EFFECT SIZE IN THE YOGA GROUP (1.10) THAN THE CONTROL (0.27). ON THE EYSENCK'S PERSONALITY INVENTORY, THE DECREASE IN NEUROTICISM WAS GREATER (P < 0.05) IN THE YOGA GROUP (EFFECT SIZE = 0.43) THAN THE CONTROL GROUP (EFFECT SIZE = 0.21) WITH NO CHANGE IN EXTROVERSION IN EITHER THE YOGA OR CONTROL GROUP. CONCLUSIONS: EIGHT WEEKS OF AN INTEGRATED APPROACH TO YOGA THERAPY DECREASES CLIMACTERIC SYMPTOMS, PERCEIVED STRESS, AND NEUROTICISM IN PERIMENOPAUSAL WOMEN BETTER THAN PHYSICAL EXERCISE. 2008 9 819 37 EFFECT OF YOGA ON DEPRESSION IN HYPOTHYROIDISM: A PILOT STUDY. BACKGROUND: THE PREVALENCE OF HYPOTHYROIDISM AMONG INDIAN WOMEN IS 15.8%. DEPRESSION IS FREQUENTLY REPORTED IN HYPOTHYROIDISM. YOGA IS AN EFFECTIVE INTERVENTION FOR DEPRESSION. HOWEVER, THE INFLUENCE OF YOGA ON DEPRESSION IN PATIENTS WITH HYPOTHYROIDISM HAS NOT BEEN STUDIED. AIM: THE PRESENT STUDY INVESTIGATED THE EFFECT OF A 3-MONTH INTEGRATED YOGA INTERVENTION (3-IY) ON DEPRESSION, LIPID INDICES, AND SERUM THYROID-STIMULATING HORMONE (STSH) LEVELS AMONG FEMALE PATIENTS HAVING HYPOTHYROIDISM, AND MILD-TO-MODERATE DEPRESSION. METHOD: THE PRESENT SINGLE-ARM PRE-POST DESIGN STUDY WAS CONDUCTED IN THIRTY-EIGHT WOMEN (AVERAGE AGE 34.2 +/- 4.7 YEARS). PARTICIPANTS RECEIVED A 3-IY COMPRISING ASANAS, PRANAYAMA, AND RELAXATION TECHNIQUES FOR 60 MIN DAILY (5 DAYS A WEEK). DEPRESSION, STSH, LIPID PROFILE INDICES, BODY MASS INDEX (BMI), FATIGUE, ANXIETY, AND STRESS WERE ASSESSED AT BASELINE AND AFTER 12 WEEKS. THYROID MEDICATION WAS KEPT CONSTANT DURING THE STUDY PERIOD. DATA WERE ANALYSED USING R STUDIO SOFTWARE. RESULT: A SIGNIFICANT (P < 0.05) REDUCTION IN DEPRESSION (58%), STSH (37%), BMI (6%), FATIGUE (64%), ANXIETY (57%), LIPID PROFILE INDICES (HLD INCREASED SIGNIFICANTY), AND STRESS (55%) LEVELS WAS OBSERVED AFTER 3 MONTHS, COMPARED WITH THE CORRESPONDING BASELINE LEVELS. CONCLUSION: THE 3-IY IS USEFUL FOR REDUCING DEPRESSION, DYSLIPIDEMIA, AND STSH IN WOMEN WITH HYPOTHYROIDISM AND DEPRESSION. FURTHER STUDIES WITH A LARGER SAMPLE SIZE AND A ROBUST RESEARCH DESIGN USING OBJECTIVE VARIABLES MUST BE CONDUCTED TO STRENGTHEN THE STUDY FINDINGS. 2021 10 1361 41 IMMEDIATE STRESS REDUCTION EFFECTS OF YOGA DURING PREGNANCY: ONE GROUP PRE-POST TEST. BACKGROUND: EXCESSIVE STRESS DURING PREGNANCY MAY CAUSE MENTAL DISORDERS IN PREGNANT WOMEN AND INHIBIT FETAL GROWTH. YOGA MAY ALLEVIATE STRESS DURING PREGNANCY. AIM: TO VERIFY THE IMMEDIATE EFFECTS OF YOGA ON STRESS RESPONSE DURING PREGNANCY. METHODS: ONE GROUP PRE-POST TEST WAS CONDUCTED AT A HOSPITAL IN JAPAN. WE RECRUITED 60 HEALTHY PRIMIPARAS WITHOUT COMPLICATIONS AND ASKED THEM TO ATTEND YOGA CLASSES TWICE A MONTH AND TO PRACTICE YOGA AT THEIR HOMES USING DVD 3 TIMES A WEEK FROM 20 GESTATIONAL WEEKS UNTIL CHILDBIRTH. SALIVARY CORTISOL AND ALPHA-AMYLASE CONCENTRATION WERE MEASURED BEFORE AND AFTER YOGA CLASSES AT TIME 1 (27-32 GESTATIONAL WEEKS) AND TIME 2 (34-37 GESTATIONAL WEEKS). SUBJECTIVE MOOD WAS ASSESSED USING THE PROFILE OF MOOD STATES. SALIVA VALUES AND MOOD SCORES BEFORE AND AFTER EACH YOGA CLASS WERE COMPARED USING PAIRED T-TEST AND WILCOXON RANK-SUM TEST, RESPECTIVELY. FINDINGS: WE ANALYZED 44 AND 35 WOMEN AT TIME 1 AND TIME 2, RESPECTIVELY. THE MEAN SALIVARY CORTISOL CONCENTRATION DECLINED SIGNIFICANTLY AFTER EACH YOGA CLASS [TIME 1: 0.36-0.26MUG/DL (P<0.001), TIME 2: 0.32-0.26MUG/DL (P=0.001)]. THE MEAN SALIVARY ALPHA-AMYLASE CONCENTRATION ALSO DECREASED SIGNIFICANTLY FOLLOWING EACH CLASS [TIME 1: 72.2-50.8KU/L (P=0.001), TIME 2: 70.6-52.7KU/L (P=0.006)]. THE SCORES FOR NEGATIVE DIMENSIONS OF MOOD (TRAIT-ANXIETY, DEPRESSION, ANGER-HOSTILITY, FATIGUE, AND CONFUSION) DECREASED SIGNIFICANTLY. THE SCORES OF VIGOR FOR A POSITIVE DIMENSION OF MOOD SIGNIFICANTLY INCREASED. CONCLUSION: THIS STUDY INDICATED THE IMMEDIATE STRESS REDUCTION EFFECTS OF YOGA DURING PREGNANCY. 2016 11 2331 48 TWELVE WEEKS OF YOGA OR NUTRITIONAL ADVICE FOR CENTRALLY OBESE ADULT FEMALES. BACKGROUND: CENTRAL OBESITY IS ASSOCIATED WITH A HIGHER RISK OF DISEASE. PREVIOUSLY YOGA REDUCED THE BMI AND WAIST CIRCUMFERENCE (WC) IN PERSONS WITH OBESITY. ADDITIONAL ANTHROPOMETRIC MEASURES AND INDICES PREDICT THE RISK OF DEVELOPING DISEASES ASSOCIATED WITH CENTRAL OBESITY. HENCE THE PRESENT STUDY AIMED TO ASSESS THE EFFECTS OF 12 WEEKS OF YOGA OR NUTRITIONAL ADVICE ON THESE MEASURES. THE SECONDARY AIM WAS TO DETERMINE THE CHANGES IN QUALITY OF LIFE (QOL) GIVEN THE IMPORTANCE OF PSYCHOLOGICAL FACTORS IN OBESITY. MATERIAL AND METHODS: TWENTY-SIX ADULT FEMALES WITH CENTRAL OBESITY IN A YOGA GROUP (YOG) WERE COMPARED WITH 26 ADULT FEMALES IN A NUTRITIONAL ADVICE GROUP (NAG). YOGA WAS PRACTICED FOR 75 MIN/DAY, 3 DAYS/WEEK AND INCLUDED POSTURES, BREATHING PRACTICES AND GUIDED RELAXATION. THE NAG HAD ONE 45 MIN PRESENTATION/WEEK ON NUTRITION. ASSESSMENTS WERE AT BASELINE AND 12 WEEKS. DATA WERE ANALYZED WITH REPEATED MEASURES ANOVA AND POST-HOC COMPARISONS. AGE-WISE COMPARISONS WERE WITH T-TESTS. RESULTS: AT BASELINE AND 12 WEEKS NAG HAD HIGHER TRIGLYCERIDES AND VLDL THAN YOG. OTHER COMPARISONS ARE WITHIN THE TWO GROUPS. AFTER 12 WEEKS NAG SHOWED A SIGNIFICANT DECREASE IN WC, HIP CIRCUMFERENCE (HC), ABDOMINAL VOLUME INDEX (AVI), BODY ROUNDNESS INDEX (BRI), A SIGNIFICANT INCREASE IN TOTAL CHOLESTEROL AND LDL CHOLESTEROL. YOG HAD A SIGNIFICANT DECREASE IN WC, SAGITTAL ABDOMINAL DIAMETER, HC, BMI, WC/HC, A BODY SHAPE INDEX, CONICITY INDEX, AVI, BRI, HDL CHOLESTEROL, AND IMPROVED QOL. WITH AGE-WISE ANALYSES, IN THE 30-45 YEARS AGE RANGE THE YOG SHOWED MOST OF THE CHANGES MENTIONED ABOVE WHEREAS NAG SHOWED NO CHANGES. IN CONTRAST FOR THE 46-59 YEARS AGE RANGE MOST OF THE CHANGES IN THE TWO GROUPS WERE COMPARABLE. CONCLUSIONS: YOGA AND NUTRITIONAL ADVICE WITH A DIET PLAN CAN REDUCE ANTHROPOMETRIC MEASURES ASSOCIATED WITH DISEASES RELATED TO CENTRAL OBESITY, WITH MORE CHANGES IN THE YOG. THIS WAS GREATER FOR THE 30-45 YEAR AGE RANGE, WHERE THE NAG SHOWED NO CHANGE; WHILE CHANGES WERE COMPARABLE FOR THE TWO GROUPS IN THE 46-59 YEAR AGE RANGE. HENCE YOGA MAY BE ESPECIALLY USEFUL FOR ADULT FEMALES WITH CENTRAL OBESITY BETWEEN 30 AND 45 YEARS OF AGE. TRIAL REGISTRATION: (CTRI/2018/05/014077). 2018 12 1381 40 IMPACT OF NATUROPATHY, YOGA, AND DIETARY INTERVENTIONS AS ADJUVANT CHEMOTHERAPY IN THE MANAGEMENT OF STAGE II AND III ADENOCARCINOMA OF THE COLON. INTRODUCTION: NATUROPATHY, YOGA AND DIETARY INTERVENTIONS ARE KNOWN TO IMPROVE THE QUALITY OF LIFE IN CANCER PATIENTS. WE AIM TO EVALUATE THE EFFECT OF NATUROPATHY INTERVENTIONS ALONG WITH ADJUVANT CHEMOTHERAPY IN PATIENTS WHO UNDERWENT SURGERY FOR ADENOCARCINOMA OF THE COLON. METHODS: A TOTAL OF 116 ADULT PATIENTS WERE RANDOMISED IN TO ONE OF THE TWO GROUPS; THE EXPERIMENTAL GROUP RECEIVED NATUROPATHY, YOGA AND DIETARY INTERVENTIONS AND THE CONTROL GROUP RECEIVED PSYCHO-SOCIAL COUNSELLING IN ADDITION TO STANDARD CHEMOTHERAPY. HAEMATOLOGICAL, BIOCHEMICAL AND PSYCHOLOGICAL EVALUATIONS WERE PERFORMED AT SET INTERVALS DURING A TOTAL PERIOD OF EIGHTEEN MONTHS STARTING FROM THE FIRST CYCLE OF ADJUVANT CHEMOTHERAPY. RESULTS: RESULTS SHOWED THAT THE OVERALL HEMOGLOBIN (P < 0.0001) AND CARCINOEMBRYONIC ANTIGEN (CEA) (P = 0.0038) LEVELS WERE STATISTICALLY SIGNIFICANT IN PATIENTS ON THE EXPERIMENTAL ARM. THE REST OF THE LABORATORY PARAMETERS, VIZ. TOTAL LEUKOCYTE COUNT, PLATELET COUNTS, AND SERUM CREATININE LEVELS, FOR OVERALL DATA WAS NOT STATISTICALLY SIGNIFICANT IN BOTH THE GROUPS. PSYCHOLOGICAL ATTRIBUTES SUCH AS ANXIETY, DEPRESSION, SYMPTOM SEVERITY, AND FUNCTIONAL LIVING INDEX: CANCER (FLIC) WERE FOUND TO BE STATISTICALLY SIGNIFICANT (P < 0.0001) IN THE EXPERIMENTAL SUBJECTS AS COMPARED WITH THOSE IN THE CONTROL. ON THE WHOLE, MEN BENEFITED MORE THAN WOMEN FROM THE STUDY INTERVENTIONS. CONCLUSIONS: WE CONCLUDE THAT YOGA AND NATUROPATHY INTERVENTIONS IN ADDITION TO CHEMOTHERAPY SHOW IMPROVEMENT IN OVERALL FUNCTIONAL LIFE INDEX ALONG WITH IMPROVEMENT IN HAEMOGLOBIN IN PATIENTS WITH STAGES II AND III ADENOCARCINOMA OF COLON. 2020 13 412 33 BLOOD PRESSURE EFFECTS OF YOGA, ALONE OR IN COMBINATION WITH LIFESTYLE MEASURES: RESULTS OF THE LIFESTYLE MODIFICATION AND BLOOD PRESSURE STUDY (LIMBS). THE AUTHORS CONDUCTED A STUDY TO ASSESS THE EFFECTS OF YOGA ON BLOOD PRESSURE (BP). PATIENTS WERE RANDOMIZED TO YOGA (BLOOD PRESSURE EDUCATION PROGRAM [BPEP]), OR A COMBINED PROGRAM (COMBO). AMBULATORY BP WAS MEASURED AT BASELINE AND AT 12 AND 24 WEEKS. DATA ARE PRESENTED FOR ALL ENROLLED PATIENTS (N=137) AND FOR COMPLETERS ONLY (N=90). SYSTOLIC BP (SBP) AND DIASTOLIC BP (DBP) WERE SIGNIFICANTLY DECREASED WITHIN ALL GROUPS AT 12 AND 24 WEEKS (P<.001) FOR ENROLLED PATIENTS AND COMPLETERS. SBP WAS SIGNIFICANTLY REDUCED IN THE YOGA AND COMBO GROUPS AS COMPARED WITH THE BPEP GROUP AT 12 WEEKS IN ALL ENROLLED AND COMPLETERS. SBP DIFFERENCES WERE NO LONGER SIGNIFICANT AT 24 WEEKS BETWEEN GROUPS IN ALL ENROLLED PATIENTS; HOWEVER, THERE WAS A GREATER REDUCTION IN SBP AT 24 WEEKS IN COMPLETERS FAVORING BPEP OVER YOGA. NO DIFFERENCES IN DBP BETWEEN GROUPS OR IN BP BETWEEN THE YOGA AND COMBO GROUPS WERE PRESENT. THE AUTHORS DID NOT OBSERVE AN ADDITIVE BENEFIT FROM COMBINING YOGA WITH BPEP MEASURES. REASONS FOR THIS ARE UNCLEAR AT THIS TIME. BP LOWERING WITH YOGA, HOWEVER, WAS SIMILAR TO THAT ACHIEVED WITH LIFESTYLE MEASURES. 2016 14 930 34 EFFECTIVENESS OF YOGA PROGRAM IN THE MANAGEMENT OF DIABETES USING COMMUNITY HEALTH WORKERS IN THE URBAN SLUMS OF BANGALORE CITY: A NON-RANDOMIZED CONTROLLED TRIAL. TRIAL DESIGN: NONRANDOMIZED CONTROLLED TRIAL. METHODS: NONRANDOMIZED CONTROLLED TRIAL. THIS WAS AN INTERVENTIONAL STUDY THAT WAS CONDUCTED IN 4 SLUMS OF BENGALURU. OF THE 256 DIABETES PARTICIPANTS, ONLY 109 PEOPLE AGREED TO PARTICIPATE IN THE PROGRAM. OF 109 PEOPLE, 52 PEOPLE AGREED TO PARTICIPATE IN THE INTERVENTION (AGREED TO LEARN AND PRACTICE YOGA) WHILE THE REMAINING 57 PEOPLE WERE ASSIGNED TO NONINTERVENTION GROUP. RANDOMIZATION AND BLINDING COULD NOT BE DONE. OBJECTIVE AND OUTCOME: THE STUDY WAS CONDUCTED WITH OBJECTIVE OF ASSESSING THE EFFECTIVENESS OF YOGA, PRANAYAMA, AND SUDARSHAN KRIYA IN THE COMMUNITY-BASED MANAGEMENT OF DIABETES MELLITUS. THE PRIMARY OUTCOME VARIABLE WAS HB1AC AND SECONDARY OUTCOME VARIABLES WERE SYSTOLIC BLOOD PRESSURE (SBP), DIASTOLIC BLOOD PRESSURE (DBP), ADHERENCE TO MEDICATION, AND CHANGES IN LIFESTYLE. RESULTS: THE STUDY WAS CONDUCTED FOR 40 DAYS. COMMUNITY HEALTH WORKERS MADE A TOTAL OF 6 VISITS DURING THE STUDY. ALL THE 109 PARTICIPANTS WERE AVAILABLE FOR WEEKLY FOLLOW-UP. THERE WERE NO DROP OUTS AMONG THE STUDY POPULATION. STATISTICALLY SIGNIFICANT CHANGE WAS SEEN IN THE CONSUMPTION OF VEGETABLE (CHI(2) = 15.326, P < 0.005), FRUITS (CHI(2) = 16.207, P < 0.005), SALTY FOOD (CHI(2) = 14.823, P < 0.005), BAKERY FOOD (CHI(2) = 10.429, P < 0.005) AND FRIED FOOD (CHI(2) = 15.470, P < 0.005), ADHERENCE TO METFORMIN (CHI(2) = 41.780, P < 0.005) AND OTHER MEDICATION(CHI(2) = 21.871, P < 0.005) AND PROPORTION OF PATIENTS WITH DBP UNDER CONTROL (CHI(2) = 9.396, P < 0.005) AND PROPORTION OF PEOPLE WITH GLUCOSE RANDOM BLOOD SUGAR UNDER CONTROL (CHI(2) = 29.693, P < 0.005) BETWEEN THE TWO GROUPS FOLLOWING THE INTERVENTION. STATISTICALLY SIGNIFICANT CHANGE WAS ALSO SEEN IN THE PROPORTION OF PEOPLE WITH SBP/DBP OR = 2500 GRAMS WAS SIGNIFICANTLY HIGHER (P < 0.01) IN THE YOGA GROUP. PRETERM LABOR WAS SIGNIFICANTLY LOWER (P < 0.0006) IN THE YOGA GROUP. COMPLICATIONS SUCH AS ISOLATED INTRAUTERINE GROWTH RETARDATION (IUGR) (P < 0.003) AND PREGNANCY-INDUCED HYPERTENSION (PIH) WITH ASSOCIATED IUGR (P < 0.025) WERE ALSO SIGNIFICANTLY LOWER IN THE YOGA GROUP. THERE WERE NO SIGNIFICANT ADVERSE EFFECTS NOTED IN THE YOGA GROUP. CONCLUSIONS: AN INTEGRATED APPROACH TO YOGA DURING PREGNANCY IS SAFE. IT IMPROVES BIRTH WEIGHT, DECREASES PRETERM LABOR, AND DECREASES IUGR EITHER IN ISOLATION OR ASSOCIATED WITH PIH, WITH NO INCREASED COMPLICATIONS. 2005 17 2116 36 THE EFFECT OF YOGA ON UTERINE ARTERY DOPPLER INDICES, MATERNAL AND FETAL COMPLICATIONS IN PREGNANT WOMEN: A QUASI-EXPERIMENTAL STUDY. BACKGROUND: TODAY, THE EFFECT OF YOGA HAS BEEN EXAMINED ON VARIOUS PHYSICAL AND PSYCHOLOGICAL DIMENSIONS OF PREGNANT WOMEN. HOWEVER, THERE ARE STILL SPARSE STUDIES ON THE EFFECT OF YOGA ON THE UTERINE ARTERY INDICES AS WELL AS MATERNAL AND FETAL COMPLICATIONS. OBJECTIVE: THE AIM WAS TO DETERMINE THE EFFECT OF YOGA ON UTERINE ARTERY DOPPLER INDICES, MATERNAL AND FETAL COMPLICATIONS. MATERIALS AND METHODS: THIS QUASI-EXPERIENTIAL STUDY WAS CONDUCTED, ON 100 PREGNANT WOMEN. THE PARTICIPANTS WERE ASSIGNED TO YOGA AND CONTROL GROUPS. IN THE YOGA GROUP, THE PARTICIPANTS EXERCISED YOGA FOR 1 H. ON THE OTHER HAND, THE CONTROL GROUP RECEIVED ROUTINE CARE. RESULTS: THE RESULTS SHOWED THAT IN THE YOGA GROUP, THE FUNCTIONAL INDICES OF THE UTERINE ARTERY (S/D, PI, RI, AND DN) IMPROVED MORE SIGNIFICANTLY COMPARED TO THE CONTROL (P = 0.01). THE RESULTS ALSO SHOWED THAT IN THE YOGA GROUP, MATERNAL COMPLICATIONS (DIABETES AND PREECLAMPSIA), AS WELL AS FETAL COMPLICATIONS (SAG, IUGR), WERE SIGNIFICANTLY LOWER COMPARED TO THE CONTROL (P = 0.01). CONCLUSION: THIS STUDY REVEALED THE POSITIVE EFFECTS OF YOGA ON IMPROVING FETAL DEVELOPMENT INDICES AND REDUCING MATERNAL AND FETAL COMPLICATIONS FOLLOWING PREGNANCY. IT CAN BE USED AS A COMPLEMENTARY THERAPY ALONGSIDE OTHER TREATMENTS FOR MOTHERS. 2021 18 1081 39 EFFECTS OF YOGA ON SEXUAL FUNCTION IN WOMEN WITH METABOLIC SYNDROME: A RANDOMIZED CONTROLLED TRIAL. INTRODUCTION: FEMALE SEXUAL DYSFUNCTION IS AN IMPORTANT PUBLIC HEALTH ISSUE; IT HAS A HIGH GLOBAL PREVALENCE, BUT NO EFFECTIVE AND SAFE TREATMENT OPTIONS. THE PREVALENCE OF SEXUAL DYSFUNCTION IS HIGHER IN WOMEN WITH METABOLIC SYNDROME THAN IN THE GENERAL POPULATION. AIM: THE AIM OF THIS STUDY WAS TO INVESTIGATE THE EFFICACY OF YOGA AS A TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME. METHODS: IN THIS RANDOMIZED, CONTROLLED STUDY, 41 WOMEN WITH METABOLIC SYNDROME (AGE 30-60 YEARS) WERE ASSIGNED TO A 12-WEEK YOGA EXERCISE GROUP (N=20) OR A WAIT-LISTED CONTROL GROUP (N=21). MAIN OUTCOME MEASURES: PRIMARY END POINTS WERE CHANGES IN TOTAL AND INDIVIDUAL DOMAIN SCORES ON THE FEMALE SEXUAL FUNCTION INDEX. RESULTS: THE 12-WEEK YOGA INTERVENTION RESULTED IN SIGNIFICANT IMPROVEMENT IN AROUSAL (0.74+/-1.18 VS. 0.16+/-0.82, RESPECTIVELY; P=0.042) AND LUBRICATION (0.72+/-1.12 VS. 0.06+/-0.87, RESPECTIVELY; P=0.008) COMPARED WITH THE CONTROL GROUP. SYSTOLIC BLOOD PRESSURE SHOWED SIGNIFICANTLY GREATER IMPROVEMENT IN THE YOGA GROUP THAN IN THE CONTROL GROUP AT THE 12-WEEK FOLLOW UP (-3.5+/-13.7 VS. 2.0+/-14.7, RESPECTIVELY; P=0.040). CONCLUSION: THESE FINDINGS SUGGEST THAT YOGA MAY BE AN EFFECTIVE TREATMENT FOR SEXUAL DYSFUNCTION IN WOMEN WITH METABOLIC SYNDROME AS WELL AS FOR METABOLIC RISK FACTORS. 2013 19 1092 41 EFFECTS OF YOGA ON UTERO-FETAL-PLACENTAL CIRCULATION IN HIGH-RISK PREGNANCY: A RANDOMIZED CONTROLLED TRIAL. INTRODUCTION. IMPAIRED PLACENTATION AND INADEQUATE TROPHOBLAST INVASION HAVE BEEN ASSOCIATED WITH THE ETIOLOGY OF MANY PREGNANCY COMPLICATIONS AND HAVE BEEN CORRELATED WITH THE FIRST TRIMESTER UTERINE ARTERY RESISTANCE. PREVIOUS STUDIES HAVE SHOWN THE BENEFITS OF YOGA IN IMPROVING PREGNANCY OUTCOMES AND THOSE OF YOGIC VISUALIZATION IN REVITALIZING THE HUMAN TISSUES. METHODS. 59 HIGH-RISK PREGNANT WOMEN WERE RANDOMIZED INTO YOGA (N = 27) AND CONTROL (N = 32) GROUPS. THE YOGA GROUP RECEIVED STANDARD CARE PLUS YOGA SESSIONS (1 HOUR/DAY, 3 TIMES/WEEK), FROM 12TH TO 28TH WEEK OF GESTATION. THE CONTROL GROUP RECEIVED STANDARD CARE PLUS CONVENTIONAL ANTENATAL EXERCISES (WALKING). MEASUREMENTS WERE ASSESSED AT 12TH, 20TH, AND 28TH WEEKS OF GESTATION. RESULTS. RM-ANOVA SHOWED SIGNIFICANTLY HIGHER VALUES IN THE YOGA GROUP (28TH WEEK) FOR BIPARIETAL DIAMETER (P = 0.001), HEAD CIRCUMFERENCE (P = 0.002), FEMUR LENGTH (P = 0.005), AND ESTIMATED FETAL WEIGHT (P = 0.019). THE RESISTANCE INDEX IN THE RIGHT UTERINE ARTERY (P = 0.01), UMBILICAL ARTERY (P = 0.011), AND FETAL MIDDLE CEREBRAL ARTERY (P = 0.048) SHOWED SIGNIFICANTLY LOWER IMPEDANCE IN THE YOGA GROUP. CONCLUSION. THE RESULTS OF THIS FIRST RANDOMIZED STUDY OF YOGA IN HIGH-RISK PREGNANCY SUGGEST THAT GUIDED YOGIC PRACTICES AND VISUALIZATION CAN IMPROVE THE INTRAUTERINE FETAL GROWTH AND THE UTERO-FETAL-PLACENTAL CIRCULATION. 2015 20 1458 27 INFLUENCE OF YOGA ON BLOOD COAGULATION. YOGA IS KNOWN TO INDUCE BENEFICIAL EFFECTS ON PHYSIOLOGICAL, BIOCHEMICAL AND MENTAL FUNCTIONS IN MAN. ITS EFFECTS ON BLOOD COAGULATION ARE NOT KNOWN. A STUDY WAS CONDUCTED IN SEVEN PREVIOUSLY UNTRAINED MALE ADULTS WHO UNDERWENT A COMBINATION OF YOGIC EXERCISES, DAILY FOR ONE HOUR, OVER A PERIOD OF FOUR MONTHS. PARAMETERS OF BLOOD COAGULATION WERE ESTIMATED BEFORE AND AFTER THE END OF YOGA TRAINING. THE FOLLOWING CHANGES WERE OBSERVED: FIBRINOLYTIC ACTIVITY INCREASED SIGNIFICANTLY WITH A CONCOMITANT FALL IN FIBRINOGEN; ACTIVATED PARTIAL THROMBOPLASTIN TIME AND PLATELET AGGREGATION TIME WERE PROLONGED; BLOOD AND PLASMA PLATELETS SHOWED A RISE; AND BOTH HAEMOGLOBIN AND HEAMATOCRIT WERE RAISED AT THE END OF THE TRAINING. THESE FINDINGS SUGGEST THAT YOGA INDUCES A STATE OF BLOOD HYPOCOAGULABILITY. THE IMPACT OF YOGA ON PREVENTION OF CARDIOVASCULAR AND THROMBOTIC DISORDERS IS OBVIOUS. 1984