1 2726 113 YOGA NIDRA PRACTICE SHOWS IMPROVEMENT IN SLEEP IN PATIENTS WITH CHRONIC INSOMNIA: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND YOGA NIDRA IS PRACTISED BY SAGES FOR SLEEP. THE PRACTICE IS SIMPLE TO USE AND HAS BEEN CLEARLY LAID OUT, BUT ITS ROLE IN THE TREATMENT OF CHRONIC INSOMNIA HAS NOT BEEN WELL STUDIED. METHODS IN THIS RANDOMIZED PARALLEL-DESIGN STUDY CONDUCTED DURING 2012-16, WE ENROLLED 41 PATIENTS WITH CHRONIC INSOMNIA TO RECEIVE CONVENTIONAL INTERVENTION OF COGNITIVE BEHAVIOURAL THERAPY FOR INSOMNIA (N=20) OR YOGA NIDRA (N=21). OUTCOME MEASURES WERE BOTH SUBJECTIVE USING A SLEEP DIARY AND OBJECTIVE USING POLYSOMNOGRAPHY (PSG). SALIVARY CORTISOL LEVELS WERE ALSO MEASURED. PSG WAS DONE BEFORE THE INTERVENTION IN ALL PATIENTS AND REPEATED ONLY IN THOSE WHO VOLUNTEERED FOR THE SAME. RESULTS BOTH INTERVENTIONS SHOWED AN IMPROVEMENT IN SUBJECTIVE TOTAL SLEEP TIME (TST), SLEEP EFFICIENCY, WAKE AFTER SLEEP ONSET, REDUCTION IN TOTAL WAKE DURATION AND ENHANCEMENT IN SUBJECTIVE SLEEP QUALITY. OBJECTIVELY, BOTH THE INTERVENTIONS IMPROVED TST AND TOTAL WAKE DURATION AND INCREASED N1% OF TST. YOGA NIDRA SHOWED MARKED IMPROVEMENT IN N2% AND N3% IN TST. SALIVARY CORTISOL REDUCED STATISTICALLY SIGNIFICANTLY AFTER YOGA NIDRA (P=0.041). CONCLUSION IMPROVEMENT OF N3 SLEEP, TOTAL WAKE DURATION AND SUBJECTIVE SLEEP QUALITY OCCURRED FOLLOWING YOGA NIDRA PRACTICE. YOGA NIDRA PRACTICE CAN BE USED FOR TREATMENT OF CHRONIC INSOMNIA AFTER SUPERVISED PRACTICE SESSIONS. 2021 2 2321 46 TREATMENT OF CHRONIC INSOMNIA WITH YOGA: A PRELIMINARY STUDY WITH SLEEP-WAKE DIARIES. THERE IS GOOD EVIDENCE FOR COGNITIVE AND PHYSIOLOGICAL AROUSAL IN CHRONIC INSOMNIA. ACCORDINGLY, CLINICAL TRIAL STUDIES OF INSOMNIA TREATMENTS AIMED AT REDUCING AROUSAL, INCLUDING RELAXATION AND MEDITATION, HAVE REPORTED POSITIVE RESULTS. YOGA IS A MULTICOMPONENT PRACTICE THAT IS ALSO KNOWN TO BE EFFECTIVE IN REDUCING AROUSAL, ALTHOUGH IT HAS NOT BEEN WELL EVALUATED AS A TREATMENT FOR INSOMNIA. IN THIS PRELIMINARY STUDY, A SIMPLE DAILY YOGA TREATMENT WAS EVALUATED IN A CHRONIC INSOMNIA POPULATION CONSISTING OF SLEEP-ONSET AND/OR SLEEP-MAINTENANCE INSOMNIA AND PRIMARY OR SECONDARY INSOMNIA. PARTICIPANTS MAINTAINED SLEEP-WAKE DIARIES DURING A PRETREATMENT 2-WEEK BASELINE AND A SUBSEQUENT 8-WEEK INTERVENTION, IN WHICH THEY PRACTICED THE TREATMENT ON THEIR OWN FOLLOWING A SINGLE IN-PERSON TRAINING SESSION WITH SUBSEQUENT BRIEF IN-PERSON AND TELEPHONE FOLLOW-UPS. SLEEP EFFICIENCY (SE), TOTAL SLEEP TIME (TST), TOTAL WAKE TIME (TWT), SLEEP ONSET LATENCY (SOL), WAKE TIME AFTER SLEEP ONSET (WASO), NUMBER OF AWAKENINGS, AND SLEEP QUALITY MEASURES WERE DERIVED FROM SLEEP-WAKE DIARY ENTRIES AND WERE AVERAGED IN 2-WEEK INTERVALS. FOR 20 PARTICIPANTS COMPLETING THE PROTOCOL, STATISTICALLY SIGNIFICANT IMPROVEMENTS WERE OBSERVED IN SE, TST, TWT, SOL, AND WASO AT END-TREATMENT AS COMPARED WITH PRETREATMENT VALUES. 2004 3 2521 42 YOGA DECREASES INSOMNIA IN POSTMENOPAUSAL WOMEN: A RANDOMIZED CLINICAL TRIAL. OBJECTIVE: THE PRACTICE OF YOGA HAS BEEN PROVEN TO HAVE POSITIVE EFFECTS ON REDUCING INSOMNIA. STUDIES HAVE ALSO SHOWN ITS EFFECTS ON REDUCING CLIMACTERIC SYMPTOMS. TO DATE, HOWEVER, NO STUDIES THAT EVALUATE THE EFFECTS OF YOGA ON POSTMENOPAUSAL WOMEN WITH A DIAGNOSIS OF INSOMNIA IN A RANDOMIZED CLINICAL TRIAL HAVE BEEN CONDUCTED. THE AIM OF THIS STUDY WAS TO EVALUATE THE EFFECT OF YOGA PRACTICE ON THE PHYSICAL AND MENTAL HEALTH AND CLIMACTERIC SYMPTOMS OF POSTMENOPAUSAL WOMEN WITH A DIAGNOSIS OF INSOMNIA. METHODS: POSTMENOPAUSAL WOMEN NOT UNDERGOING HORMONE THERAPY, WHO WERE 50 TO 65 YEARS OLD, WHO HAD AN APNEA-HYPOPNEA INDEX LESS THAN 15, AND WHO HAD A DIAGNOSIS OF INSOMNIA WERE RANDOMLY ASSIGNED TO ONE OF THREE GROUPS, AS FOLLOWS: CONTROL, PASSIVE STRETCHING, AND YOGA. QUESTIONNAIRES WERE ADMINISTERED BEFORE AND 4 MONTHS AFTER THE INTERVENTION TO EVALUATE QUALITY OF LIFE, ANXIETY AND DEPRESSION SYMPTOMS, CLIMACTERIC SYMPTOMS, INSOMNIA SEVERITY, DAYTIME SLEEPINESS, AND STRESS. THE VOLUNTEERS ALSO UNDERWENT POLYSOMNOGRAPHY. THE STUDY LASTED 4 MONTHS. RESULTS: THERE WERE 44 VOLUNTEERS AT THE END OF THE STUDY. WHEN COMPARED WITH THE CONTROL GROUP, THE YOGA GROUP HAD SIGNIFICANTLY LOWER POSTTREATMENT SCORES FOR CLIMACTERIC SYMPTOMS AND INSOMNIA SEVERITY AND HIGHER SCORES FOR QUALITY OF LIFE AND RESISTANCE PHASE OF STRESS. THE REDUCTION IN INSOMNIA SEVERITY IN THE YOGA GROUP WAS SIGNIFICANTLY HIGHER THAN THAT IN THE CONTROL AND PASSIVE-STRETCHING GROUPS. CONCLUSIONS: THIS STUDY SHOWED THAT A SPECIFIC SEQUENCE OF YOGA MIGHT BE EFFECTIVE IN REDUCING INSOMNIA AND MENOPAUSAL SYMPTOMS AS WELL AS IMPROVING QUALITY OF LIFE IN POSTMENOPAUSAL WOMEN WITH INSOMNIA. 2012 4 2031 47 TAILORED INDIVIDUAL YOGA PRACTICE IMPROVES SLEEP QUALITY, FATIGUE, ANXIETY, AND DEPRESSION IN CHRONIC INSOMNIA DISORDER. BACKGROUND: CHRONIC INSOMNIA DISORDER (CI) IS A PREVALENT SLEEP DISORDER THAT CAN LEAD TO DISTURBED DAYTIME FUNCTIONING AND IS CLOSELY ASSOCIATED WITH ANXIETY AND DEPRESSION. FIRST-CHOICE TREATMENT IS COGNITIVE BEHAVIORAL THERAPY (CBT-I). OTHER MIND-BODY INTERVENTIONS, SUCH AS TAI-CHI AND YOGA, HAVE DEMONSTRATED SUBJECTIVE IMPROVEMENTS IN SLEEP QUALITY. THE PURPOSE OF THIS STUDY WAS TO ASSESS THE EFFICACY OF YOGA FOR IMPROVEMENT OF SUBJECTIVE AND OBJECTIVE SLEEP QUALITY AS WELL AS MEASURES OF ANXIETY, DEPRESSION, SLEEPINESS, AND FATIGUE IN PATIENTS WITH CI. METHODS: ADULTS WITH CI WERE PROSPECTIVELY INCLUDED IN THIS SINGLE GROUP PRE-POST STUDY. BASELINE ASSESSMENTS INCLUDED HOME POLYSOMNOGRAPHY (PSG), 7-DAY ACTIGRAPHY, AND QUESTIONNAIRES (PITTSBURGH SLEEP QUALITY INDEX QUESTIONNAIRE (PSQI), HOSPITAL ANXIETY DEPRESSION SCALE (HADS), EPWORTH SLEEPINESS SCALE (ESS), PICHOT FATIGUE SCALE (PS)). PATIENTS PRACTICED VINIYOGA, AN INDIVIDUALISED YOGA PRACTICE WITH DAILY SELF-ADMINISTERED EXERCISES, FOR 14 WEEKS. ASSESSMENTS WERE REPEATED AT THE END OF YOGA PRACTICE. RESULTS: TWENTY-ONE PATIENTS COMPLETED THE STUDY. OBJECTIVE SLEEP MEASUREMENTS REVEALED NO CHANGE IN PSG PARAMETERS AFTER YOGA PRACTICE, BUT A DECREASE IN AROUSALS ON ACTIGRAPHY (P < 0.001). SUBJECTIVE SYMPTOMS IMPROVED FOR ALL QUESTIONNAIRES (PSQI, P < 0.001; HAD-A, P = 0.020, HAD-D, P = 0.001, ESS, P = 0.041, PS, P = 0.010). IN UNIVARIATE CORRELATIONS, DECREASE IN PSQI WAS ASSOCIATED WITH INCREASE IN SLEEP STAGE N3 (P < 0.001) ON PSG. CONCLUSIONS: WE HAVE DEMONSTRATED A POSITIVE IMPACT OF INDIVIDUALIZED YOGA PRACTICE ON SUBJECTIVE PARAMETERS RELATED TO SLEEP AND DAYTIME SYMPTOMS IN CI, RESULTING IN FEWER AROUSALS ON ACTIGRAPHY. YOGA COULD BE PROPOSED AS A POTENTIALLY USEFUL ALTERNATIVE TO CBT-I IN CI, AS IT IS EASY TO PRACTICE AUTONOMOUSLY OVER THE LONG-TERM. HOWEVER, GIVEN THE DESIGN OF THE PRESENT STUDY, FUTURE PROSPECTIVE CONTROLLED STUDIES SHOULD FIRST CONFIRM OUR RESULTS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT03314441 , DATE OF REGISTRATION: 19/10/2017. 2022 5 2119 32 THE EFFECT OF YOGA THERAPY ON SELECTED PSYCHOLOGICAL VARIABLES AMONG MALE PATIENTS WITH INSOMNIA. BACKGROUND: AN ESTIMATED 30-50% OF THE GENERAL POPULATION IS AFFECTED BY INSOMNIA AND 10% HAVE CHRONIC INSOMNIA. YOGA THERAPY IS BENEFICIAL IN SUCH DISORDERS AND IT HAS FEWER SIDE EFFECTS. AIM: THE AIM OF THIS STUDY WAS TO FIND OUT THE EFFECT OF YOGA THERAPY ON SELECTED PSYCHOLOGICAL VARIABLES AMONG MEN WITH INSOMNIA. METHODS: FORTY MALES WITH INSOMNIA WERE DIVIDED RANDOMLY INTO 2 GROUPS (THE EXPERIMENTAL AND THE CONTROL GROUPS). THE EXPERIMENTAL GROUP RECEIVED EIGHT WEEKS OF YOGA THERAPY, WHILE THE CONTROL GROUP DID NOT RECEIVE ANY THERAPY. THE PRE AND POST TREATMENT STRESS AND THE SELF CONFIDENCE SCORES WERE TAKEN. RESULTS: THERE WAS A SIGNIFICANT IMPROVEMENT IN THE STRESS SCORES AND THE SELF CONFIDENCE SCORES IN THE EXPERIMENTAL GROUP. THERE WERE NEITHER ANY SIDE EFFECTS NOR ANY DROP OUTS. CONCLUSION: WE CONCLUDE THAT YOGA IS AN EFFECTIVE TREATMENT OPTION FOR THE PATIENTS WITH INSOMNIA. THERE ARE NO MAJOR SIDE EFFECTS. 2013 6 1041 39 EFFECTS OF YOGA INTERVENTION ON SLEEP AND QUALITY-OF-LIFE IN ELDERLY: A RANDOMIZED CONTROLLED TRIAL. CONTEXT: YOGA AS A LIFE-STYLE PRACTICE HAS DEMONSTRATED BENEFICIAL EFFECTS. THE ROLE OF YOGA IN THE ELDERLY FOR SUCH BENEFITS MERITS INVESTIGATION. AIMS: THE AIM OF THIS STUDY IS TO EXAMINE THE EFFECTS OF YOGA INTERVENTION ON QUALITY-OF-LIFE (QOL) AND SLEEP QUALITY IN THE ELDERLY LIVING IN OLD AGE HOMES. SETTINGS AND DESIGN: SINGLE BLIND CONTROLLED STUDY WITH BLOCK RANDOMIZATION OF ELDERLY HOMES. MATERIALS AND METHODS: A TOTAL OF 120 SUBJECTS FROM NINE ELDERLY HOMES WERE RANDOMIZED IN TO YOGA GROUP (N=62) AND WAITLIST GROUP (N=58). SUBJECTS IN THE YOGA GROUP WERE GIVEN YOGA INTERVENTION DAILY FOR 1 MONTH AND WEEKLY UNTIL 3 MONTHS AND WERE ENCOURAGED TO PRACTICE YOGA WITHOUT SUPERVISION UNTIL FOR 6 MONTHS. SUBJECTS IN WAITLIST GROUP RECEIVED NO INTERVENTION DURING THIS PERIOD. SUBJECTS WERE EVALUATED WITH WORLD HEALTH ORGANIZATION QUALITY OF LIFE (WHOQOL)-BREF FOR MEASURING QOL AND PITTSBURGH SLEEP QUALITY INDEX FOR SLEEP QUALITY IN THE BASELINE AND AFTER 6 MONTHS. STATISTICAL ANALYSIS: INDEPENDENT T-TEST AND REPEATED MEASURES ANALYSIS OF COVARIANCE RESPECTIVELY WAS USED TO MEASURE THE DIFFERENCE IN OUTCOME MEASURES BETWEEN THE TWO GROUPS AT BASELINE AND AFTER THE STUDY PERIOD. RESULTS: SUBJECTS IN THE YOGA GROUP HAD SIGNIFICANTLY HIGHER NUMBER OF YEARS OF FORMAL EDUCATION. SUBJECTS IN THE YOGA GROUP HAD SIGNIFICANT IMPROVEMENT IN ALL THE DOMAINS OF QOL AND TOTAL SLEEP QUALITY AFTER CONTROLLING FOR THE EFFECT OF BASELINE DIFFERENCE IN EDUCATION BETWEEN THE TWO GROUPS. CONCLUSION: YOGA INTERVENTION APPEARS TO IMPROVE THE QOL AND SLEEP QUALITY OF ELDERLY LIVING IN OLD AGE HOMES. THERE IS A NEED FOR FURTHER STUDIES OVERCOMING THE LIMITATIONS IN THIS STUDY TO CONFIRM THE BENEFITS OF YOGA FOR ELDERLY IN QOL AND SLEEP QUALITY. 2013 7 1380 31 IMPACT OF LONG TERM YOGA PRACTICE ON SLEEP QUALITY AND QUALITY OF LIFE IN THE ELDERLY. BACKGROUND: SLEEP DISTURBANCES AND DECLINE IN THE PHYSICAL FUNCTIONALITY ARE COMMON CONDITIONS ASSOCIATED WITH AGING. PHARMACOLOGICAL TREATMENT OF SLEEP DISTURBANCES CAN BE ASSOCIATED WITH VARIOUS ADVERSE EFFECTS. SHORT TERM TRIALS OF YOGA ON SLEEP HAVE SHOWN BENEFICIAL EFFECTS. OBJECTIVES: TO EVALUATE THE EFFECT OF LONG-TERM YOGA EXERCISES ON SLEEP QUALITY AND QUALITY OF LIFE (QOL) IN THE ELDERLY. MATERIALS AND METHODS: THIS WAS A CROSS-SECTIONAL STUDY IN WHICH DATA WERE COLLECTED FROM ELDERLY PEOPLE AGED 60 YEARS OR MORE LIVING IN NAGPUR CITY. WE EMPLOYED TWO TYPES OF SURVEY QUESTIONNAIRES: PITTSBURGH SLEEP QUALITY INDEX (PSQI) AND QOL LEIDEN-PADUA (LEIPAD) QUESTIONNAIRE. A TOTAL OF 65 ELDERLY MEN AND WOMEN WHO SIGNED AN INFORMED CONSENT AND COMPLETED QUESTIONNAIRES WERE INCLUDED IN THE STUDY. SLEEP QUALITY SCORE PSQI AND QOL (LEIPAD QUESTIONNAIRE) SCORE OF THE STUDY GROUP WERE EVALUATED AND COMPARED WITH THE CONTROL GROUP USING MANN-WHITNEY U TEST. RESULTS: TOTAL PSQI SCORE IN YOGA GROUP WAS LOWER THAN THAT OF THE CONTROL GROUP. ALSO VARIOUS QOL SCORES OF THE YOGA GROUPS WERE HIGHER THAN THE CONTROL GROUP. CONCLUSION: ADDITION OF REGULAR YOGA EXERCISES IN THE DAILY ROUTINE OF ELDERLY PEOPLE CAN HELP TO ACHIEVE GOOD SLEEP QUALITY AS WELL AS IMPROVE THE QOL. 2013 8 1823 35 PSYCHO-BIOLOGICAL CHANGES WITH ADD ON YOGA NIDRA IN PATIENTS WITH MENSTRUAL DISORDERS: A RANDOMIZED CLINICAL TRIAL. INTRODUCTION: MENSTRUAL DISORDERS ARE COMMON PROBLEMS AMONG WOMEN IN THE REPRODUCTIVE AGE GROUP. YUGA INTERVENTIONS MAY DECREASE THE PHYSICAL AND PSYCHOLOGICAL PROBLEMS RELATED TO MENSTRUAL DISORDERS. THE PRESENT STUDY WAS AIMED TO ASSESS THE EFFECT OF YOGA NIDRA ON PSYCHOLOGICAL PROBLEMS IN PATIENTS WITH MENSTRUAL DISORDERS. METHODS: A TOTAL NUMBER OF 100 WOMEN RECRUITED FROM THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY AND WERE THEN RANDOMLY ALLOCATED INTO TWO GROUPS: A) INTERVENTION RECEIVED YOGIC INTERVENTION AND MEDICATION FOR 6 MONTH, AND B) CONTROL GROUP RECEIVED NO YOGIC INTERVENTION AND THEY ONLY RECEIVED PRESCRIBED MEDICATION). PSYCHOLOGICAL GENERAL WELL-BEING INDEX (PGWBI) AND HORMONAL PROFILE WERE ASSESSED AT THE TIME OF BEFORE AND AFTER SIX MONTHS ON BOTH GROUPS. RESULTS: THE MEAN SCORE OF ANXIETY, DEPRESSION, POSITIVE WELL-BEING, GENERAL HEALTH, AND VITALITY SCORES, AS WELL AS HORMONAL LEVELS, IN POSTTEST WERE SIGNIFICANTLY DIFFERENT IN INTERVENTION GROUP AS COMPARED WITH PRETEST. BUT THERE WAS NO SIGNIFICANT DIFFERENCE IN CONTROL GROUP. CONCLUSION: YOGA NIDRA CAN BE A SUCCESSFUL THERAPY TO OVERCOME THE PSYCHIATRIC MORBIDITY ASSOCIATED WITH MENSTRUAL IRREGULARITIES. THEREFORE, YOGIC RELAXATION TRAINING (YOGA NIDRA) COULD BE PRESCRIBED AS AN ADJUNCT TO CONVENTIONAL DRUG THERAPY FOR MENSTRUAL DYSFUNCTION. 2016 9 764 37 EFFECT OF THE INFORMATION SUPPORT METHOD COMBINED WITH YOGA EXERCISE ON THE DEPRESSION, ANXIETY, AND SLEEP QUALITY OF MENOPAUSAL WOMEN. BACKGROUND: MENOPAUSE IS A SPECIAL STAGE IN A WOMAN'S LIFE, BUT NO SAFE CLINICAL TREATMENT EXISTS AGAINST MENOPAUSAL SYMPTOMS. TO ANALYZE THE EFFECT OF THE INFORMATION SUPPORT METHOD COMBINED WITH YOGA EXERCISE ON THE DEPRESSION, ANXIETY, AND SLEEP QUALITY OF MENOPAUSAL WOMEN. SUBJECTS AND METHODS: FROM JUNE 2019 TO DECEMBER 2019, MENOPAUSAL WOMEN WHO WERE NEWLY RECRUITED IN THREE YOGA CLUBS IN THREE CITIES IN EAST CHINA WERE SELECTED AS THE PARTICIPANTS BY CONVENIENCE SAMPLING. A TOTAL OF 52 WOMEN WERE IN THE EXPERIMENT GROUP AND 54 WERE IN THE CONTROL GROUP. IN 24 WEEKS, THE EXPERIMENT GROUP ENGAGED IN YOGA EXERCISE FOR 60 MINUTES EACH TIME, THREE TIMES A WEEK. THEY GROUP WAS GIVEN PROFESSIONAL POSITIVE PSYCHOLOGICAL INFORMATION SUPPORT AT THE SAME TIME. THE KUPPERMAN MENOPAUSAL SYMPTOM DISTRESS SCALE, SELF-RATING DEPRESSION SCALE (SDS), SELF-RATING ANXIETY SCALE (SAS), AND PITTSBURGH SLEEP QUALITY INDEX (PSQI) WERE USED BEFORE THE EXPERIMENT, THREE MONTHS INTO THE EXPERIMENT, AND SIX MONTHS INTO THE EXPERIMENT TO MONITOR THE INTERVENTION EFFECT ON THE PARTICIPANTS. RESULTS: AFTER THE INTERVENTION, THE SYMPTOMS OF DISTRESS AMONG MENOPAUSAL WOMEN IN THE EXPERIMENT GROUP AND THE KUPPERMAN SCORE OF THE EXPERIMENT GROUP REDUCED SIGNIFICANTLY. REPEATED MEASURES OF ANALYSIS OF VARIANCE WERE CONDUCTED IN THE TWO GROUPS (P<0.001). AFTER THE INTERVENTION, THE DEPRESSION SCORE OF THE EXPERIMENT GROUP DECREASED SIGNIFICANTLY. A SIGNIFICANT DIFFERENCE WAS FOUND BETWEEN THE TWO GROUPS IN REPEATED MEASURES ANALYSIS OF VARIANCE IN THE SDS SCORE (P<0.001). AFTER THE INTERVENTION, THE ANXIETY SCORE OF THE EXPERIMENT GROUP REDUCED SIGNIFICANTLY, AND REPEATED MEASURES OF ANALYSIS OF VARIANCE IN THE SAS SCORE WERE CONDUCTED IN THE TWO GROUPS (P<0.001). AFTER THE INTERVENTION, THE SLEEP QUALITY OF THE EXPERIMENT GROUP IMPROVED, AND REPEATED MEASURES OF ANALYSIS OF VARIANCE IN SLEEP QUALITY WERE CONDUCTED IN THE TWO GROUPS (P<0.001). CONCLUSIONS: THE INFORMATION SUPPORT METHOD COMBINED WITH YOGA EXERCISE CAN ALLEVIATE THE DEPRESSION AND ANXIETY OF MENOPAUSAL WOMEN, IMPROVE THEIR SLEEP QUALITY, AND REDUCE THEIR SYMPTOMS OF MENOPAUSAL DISTRESS. 2020 10 1457 32 INFLUENCE OF YOGA AND AYURVEDA ON SELF-RATED SLEEP IN A GERIATRIC POPULATION. BACKGROUND AND OBJECTIVE: SLEEP IN OLDER PERSONS IS CHARACTERIZED BY DECREASED ABILITY TO STAY ASLEEP, RESULTING IN FRAGMENTED SLEEP AND REDUCED DAYTIME ALERTNESS. PHARMACOLOGICAL TREATMENT OF INSOMNIA IN OLDER PERSONS IS ASSOCIATED WITH HAZARDOUS SIDE EFFECTS. HENCE, THE PRESENT STUDY WAS DESIGNED TO COMPARE THE EFFECTS OF YOGA AND AYURVEDA ON THE SELF RATED SLEEP IN A GERIATRIC POPULATION. METHODS: OF THE 120 RESIDENTS FROM A HOME FOR THE AGED, 69 WERE STRATIFIED BASED ON AGE (FIVE YEAR INTERVALS) AND RANDOMLY ALLOCATED TO THREE GROUPS I.E., YOGA (PHYSICAL POSTURES, RELAXATION TECHNIQUES, VOLUNTARILY REGULATED BREATHING AND LECTURES ON YOGA PHILOSOPHY), AYURVEDA (A HERBAL PREPARATION), AND WAIT-LIST CONTROL (NO INTERVENTION). THE GROUPS WERE EVALUATED FOR SELF-ASSESSMENT OF SLEEP OVER A ONE WEEK PERIOD AT BASELINE, AND AFTER THREE AND SIX MONTHS OF THE RESPECTIVE INTERVENTIONS. RESULTS: THE YOGA GROUP SHOWED A SIGNIFICANT DECREASE IN THE TIME TAKEN TO FALL ASLEEP (APPROXIMATE GROUP AVERAGE DECREASE: 10 MIN, P<0.05), AN INCREASE IN THE TOTAL NUMBER OF HOURS SLEPT (APPROXIMATE GROUP AVERAGE INCREASE: 60 MIN, P< 0.05) AND IN THE FEELING OF BEING RESTED IN THE MORNING BASED ON A RATING SCALE (P<0.05) AFTER SIX MONTHS. THE OTHER GROUPS SHOWED NO SIGNIFICANT CHANGE. INTERPRETATION AND CONCLUSION: YOGA PRACTICE IMPROVED DIFFERENT ASPECTS OF SLEEP IN A GERIATRIC POPULATION. 2005 11 1585 33 MEDICAL YOGA FOR PATIENTS WITH STRESS-RELATED SYMPTOMS AND DIAGNOSES IN PRIMARY HEALTH CARE: A RANDOMIZED CONTROLLED TRIAL. AN INCREASING NUMBER OF PATIENTS ARE SUFFERING FROM STRESS-RELATED SYMPTOMS AND DIAGNOSES. THE PURPOSE OF THIS STUDY WAS TO EVALUATE THE MEDICAL YOGA TREATMENT IN PATIENTS WITH STRESS-RELATED SYMPTOMS AND DIAGNOSES IN PRIMARY HEALTH CARE. A RANDOMIZED CONTROLLED STUDY WAS PERFORMED AT A PRIMARY HEALTH CARE CENTRE IN SWEDEN FROM MARCH TO JUNE, 2011. PATIENTS WERE RANDOMLY ALLOCATED TO A CONTROL GROUP RECEIVING STANDARD CARE OR A YOGA GROUP TREATED WITH MEDICAL YOGA FOR 1 HOUR, ONCE A WEEK, OVER A 12-WEEK PERIOD IN ADDITION TO THE STANDARD CARE. A TOTAL OF 37 MEN AND WOMEN, MEAN AGE OF 53 +/- 12 YEARS WERE INCLUDED. GENERAL STRESS LEVEL (MEASURED USING PERCEIVED STRESS SCALE (PSS)), BURNOUT (SHIROM-MELAMED BURNOUT QUESTIONNAIRE (SMBQ)), ANXIETY AND DEPRESSION (HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS)), INSOMNIA SEVERITY (INSOMNIA SEVERITY INDEX (ISI)), PAIN (VISUAL ANALOGUE SCALE (VAS)), AND OVERALL HEALTH STATUS (EURO QUALITY OF LIFE VAS (EQ-VAS)) WERE MEASURED BEFORE AND AFTER 12 WEEKS. PATIENTS ASSIGNED TO THE YOGA GROUP SHOWED SIGNIFICANTLY GREATER IMPROVEMENTS ON MEASURES OF GENERAL STRESS LEVEL (P < 0.000), ANXIETY (P < 0.019), AND OVERALL HEALTH STATUS (P < 0.018) COMPARED TO CONTROLS. TREATMENT WITH MEDICAL YOGA IS EFFECTIVE IN REDUCING LEVELS OF STRESS AND ANXIETY IN PATIENTS WITH STRESS-RELATED SYMPTOMS IN PRIMARY HEALTH CARE. 2013 12 1020 39 EFFECTS OF YOGA AND AEROBIC EXERCISE ON ACTIGRAPHIC SLEEP PARAMETERS IN MENOPAUSAL WOMEN WITH HOT FLASHES. STUDY OBJECTIVES: TO DETERMINE EFFECTS OF YOGA AND AEROBIC EXERCISE COMPARED WITH USUAL ACTIVITY ON OBJECTIVE ASSESSMENTS OF SLEEP IN MIDLIFE WOMEN. METHODS: SECONDARY ANALYSES OF A RANDOMIZED CONTROLLED TRIAL IN THE MENOPAUSE STRATEGIES: FINDING LASTING ANSWERS FOR SYMPTOMS AND HEALTH (MSFLASH) NETWORK CONDUCTED AMONG 186 LATE TRANSITION AND POSTMENOPAUSAL WOMEN AGED 40-62 Y WITH HOT FLASHES. WOMEN WERE RANDOMIZED TO 12 W OF YOGA, SUPERVISED AEROBIC EXERCISE, OR USUAL ACTIVITY. THE MEAN AND COEFFICIENT OF VARIATION (CV) OF CHANGE IN ACTIGRAPH SLEEP MEASURES FROM EACH INTERVENTION GROUP WERE COMPARED TO THE USUAL ACTIVITY GROUP USING LINEAR REGRESSION MODELS. RESULTS: BASELINE VALUES OF THE PRIMARY SLEEP MEASURES FOR THE ENTIRE SAMPLE WERE MEAN TOTAL SLEEP TIME (TST) = 407.5 +/- 56.7 MIN; MEAN WAKE AFTER SLEEP ONSET (WASO) = 54.6 +/- 21.8 MIN; MEAN CV FOR WASO = 37.7 +/- 18.7 AND MEAN CV FOR NUMBER OF LONG AWAKENINGS > 5 MIN = 81.5 +/- 46.9. CHANGES IN THE ACTIGRAPHIC SLEEP OUTCOMES FROM BASELINE TO WEEKS 11-12 WERE SMALL, AND NONE DIFFERED BETWEEN GROUPS. IN AN EXPLORATORY ANALYSIS, WOMEN WITH BASELINE PITTSBURGH SLEEP QUALITY INDEX HIGHER THAN 8 HAD SIGNIFICANTLY REDUCED TST-CV FOLLOWING YOGA COMPARED WITH USUAL ACTIVITY. CONCLUSIONS: THIS STUDY ADDS TO THE CURRENTLY SCANT LITERATURE ON OBJECTIVE SLEEP OUTCOMES FROM YOGA AND AEROBIC EXERCISE INTERVENTIONS FOR THIS POPULATION. ALTHOUGH SMALL EFFECTS ON SELF-REPORTED SLEEP QUALITY WERE PREVIOUSLY REPORTED, THE INTERVENTIONS HAD NO STATISTICALLY SIGNIFICANT EFFECTS ON ACTIGRAPH MEASURES, EXCEPT FOR POTENTIALLY IMPROVED SLEEP STABILITY WITH YOGA IN WOMEN WITH POOR SELF-REPORTED SLEEP QUALITY. 2017 13 1939 39 ROLE OF YOGA THERAPY IN IMPROVING DIGESTIVE HEALTH AND QUALITY OF SLEEP IN AN ELDERLY POPULATION: A RANDOMIZED CONTROLLED TRIAL. INTRODUCTION: CONSTIPATION AND SLEEP DISTURBANCES COMMONLY AFFECT ELDERLY POPULATION RESULTS IN COMPROMISED PHYSICAL AND MENTAL HEALTH. MIND-BODY INTERVENTIONS LIKE YOGA NOT ONLY ADDRESS THE MENTAL AND PHYSICAL HEALTH BUT ALSO PROMOTE HEALTHY AGEING. THIS STUDY EVALUATES THE EFFECT OF 3 MONTHS YOGA INTERVENTION ON THE SLEEP AND CONSTIPATION RELATED QUALITY OF LIFE (QOL) AMONG THE ELDERLY. MATERIALS AND METHODS: NINETY SIX PARTICIPANTS AGED BETWEEN 60 AND 75 WHO DID NOT HAD ANY HISTORY OF YOGA PRACTICE FOR PAST 1 YEAR AND HAVING A ZUBROD SCORE OF 0-2 WERE RANDOMIZED IN TO YOGA (N = 48) OR WAITLISTED CONTROL (N = 48). THE YOGA GROUP RECEIVED YOGA INTERVENTIONS AT A FREQUENCY OF 3 SESSIONS PER WEEK FOR 3 MONTHS. PITTSBURG SLEEP QUALITY INDEX (PSQI) AND PATIENT ASSESSMENT OF CONSTIPATION QOL (PAC-QOL) WERE USED TO ASSESS THE IMPROVEMENT. INTENTION TO TREAT ANALYSIS METHOD WAS USED TO INCLUDE THE DROP-OUT PARTICIPANTS. RESULTS: EIGHTY ONE PARTICIPANTS (YOGA = 48, WAITLISTED CONTROL = 33) COMPLETED THE STUDY. WILCOXON'S SIGN RANK TEST HAS SHOWN THAT THE YOGA GROUP HAD STATISTICALLY SIGNIFICANT CHANGES IN MOST OF THE PARAMETERS IN PSQI AND PAC-QOL (P