1 2116 98 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 2 2169 39 THE EFFECTS OF YOGA IN PREVENTION OF PREGNANCY COMPLICATIONS IN HIGH-RISK PREGNANCIES: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVE: WHILE PREVIOUS STUDIES HAVE SHOWN THE POTENTIAL EFFECTS OF YOGA IN NORMAL PREGNANCIES, THIS RANDOMIZED CONTROLLED TRIAL INVESTIGATED THE EFFECTS OF YOGA IN PREVENTION OF PREGNANCY COMPLICATIONS IN HIGH-RISK PREGNANCIES FOR THE FIRST TIME. METHODS: 68 HIGH-RISK PREGNANT WOMEN WERE RECRUITED FROM TWO MATERNITY HOSPITALS IN BENGALURU, INDIA AND WERE RANDOMIZED INTO YOGA AND CONTROL GROUPS. THE YOGA GROUP (N=30) RECEIVED STANDARD CARE PLUS ONE-HOUR YOGA SESSIONS, THREE TIMES A WEEK, FROM THE 12TH TO THE 28TH WEEK OF GESTATION. THE CONTROL GROUP (N=38) RECEIVED STANDARD CARE PLUS CONVENTIONAL ANTENATAL EXERCISES (WALKING) DURING THE SAME PERIOD. RESULTS: SIGNIFICANTLY FEWER PREGNANCY INDUCED HYPERTENSION (PIH), PREECLAMPSIA, GESTATIONAL DIABETES (GDM) AND INTRAUTERINE GROWTH RESTRICTION (IUGR) CASES WERE OBSERVED IN THE YOGA GROUP (P=0.018, 0.042, 0.049, 0.05 RESPECTIVELY). SIGNIFICANTLY FEWER SMALL FOR GESTATIONAL AGE (SGA) BABIES AND NEWBORNS WITH LOW APGAR SCORES (P=0.006) WERE BORN IN THE YOGA GROUP (P=0.033). CONCLUSION: THIS FIRST RANDOMIZED STUDY OF YOGA IN HIGH-RISK PREGNANCY HAS SHOWN THAT YOGA CAN POTENTIALLY BE AN EFFECTIVE THERAPY IN REDUCING HYPERTENSIVE RELATED COMPLICATIONS OF PREGNANCY AND IMPROVING FETAL OUTCOMES. ADDITIONAL DATA IS NEEDED TO CONFIRM THESE RESULTS AND BETTER EXPLAIN THE MECHANISM OF ACTION OF YOGA IN THIS IMPORTANT AREA. 2012 3 94 25 A NARRATIVE REVIEW ON ROLE OF YOGA AS AN ADJUVANT IN THE MANAGEMENT OF RISK FACTOR, DISEASE PROGRESSION AND THE COMPLICATIONS OF TYPE 2 DIABETES MELLITUS. TYPE 2 DIABETES MELLITUS (T2DM) IS ONE OF THE MAJOR HEALTH PROBLEMS IN THE WORLD AS WELL AS IN INDIA THAT GREATLY AFFECTS THE HEALTH CARE SECTOR AND ECONOMY. USE OF DRUGS HAS ITS OWN DRAWBACKS AND IN RECENT DAYS THE USE OF NON-MEDICAL MEASURES WERE REPORTED NOT ONLY TO MANAGE T2DM, BUT ALSO TO PREVENT ITS COMPLICATIONS. THROUGH THERE ARE VARIOUS REVIEW ARTICLES THAT ARE DEALING WITH THE EFFECT OF YOGA ON RISK PROFILES, MANAGEMENT ALONG WITH THE MECHANISMS OF ACTION OF YOGA IN T2DM SEPARATELY, THERE IS A LACK OF COMPREHENSIVE REVIEW ON THE EFFECT OF YOGA IN COMBINATION WITH ALL THE ABOVE MENTIONED INCLUDING THE EFFECT OF YOGA IN THE MANAGEMENT OF T2DM COMPLICATIONS. HENCE, WE PERFORMED A NARRATIVE REVIEW IN MEDLINE/PUBMED USING KEYWORD "YOGA AND DIABETES". ALL THE RELEVANT ARTICLES PUBLISHED TILL 08TH NOVEMBER 2016 WERE INCLUDED. BASED ON THE AVAILABLE LITERATURE, IT COULD BE CONCLUDED THAT YOGA PLAYS A VITAL ROLE AS AN ADJUVANT IN THE MANAGEMENT OF RISK FACTORS, DISEASE PROGRESSION AND THE COMPLICATIONS OF THE T2DM. FURTHER STUDIES ARE WARRANTED USING STANDARD RESEARCH DESIGNS AND VARIABLES TO FIND OUT THE VARIOUS MECHANISMS OF EFFECTS OF YOGA IN DETAIL. 2017 4 183 28 A RANDOMIZED CONTROLLED TRIAL ON THE EFFICACY OF INTEGRATED YOGA ON PREGNANCY OUTCOME. PHYSIOLOGICAL AND BIOCHEMICAL CHANGES OCCUR IN PREGNANCY TO NURTURE THE DEVELOPING FETUS. PREGNANCY-RELATED EXPERIENCE IS UNIQUE TO EVERY WOMAN. PREGNANCY SYMPTOMS AND COMPLICATIONS CAN RANGE FROM MILD TO SEVERE. MANY WOMEN CAN LOWER THEIR RISK BY PERFORMING DIFFERENT THERAPIES. IN THIS CONTEXT, THE PRESENT STUDY TARGETS TO EVALUATE THE EFFICACY OF INTEGRATED YOGA CONSISTING OF (ASANAS AND PRANAYAMA) ON PREGNANCY TO REDUCE THE RISK OF COMPLICATIONS. THIS STUDY IS A PROSPECTIVE RANDOMIZED CONTROLLED SINGLE-BLINDED TRIAL WITH PARALLEL ARMS: THE INTERVENTION ARM RECEIVED SPECIFIC INTEGRATED YOGA THERAPY; THE CONTROL ARM RECEIVED ROUTINE STANDARD CARE FROM 18 TO 22 WEEKS OF GESTATION UNTIL DELIVERY. THE INCIDENCE OF PREECLAMPSIA AND PRETERM DELIVERY WAS LOWER IN THE INTERVENTION ARM. WOMEN IN THE INTERVENTION ARM DELIVERED AT HIGHER GESTATIONAL AGE. APGAR SCORES AND BIRTH WEIGHTS OF NEONATES WERE SIGNIFICANTLY HIGHER IN THE INTERVENTION ARM. THE FINDINGS SUGGEST THAT YOGA IS A SAFE AND EFFECTIVE INTERVENTION DURING PREGNANCY TO REDUCE OR PREVENT PREGNANCY-RELATED COMPLICATIONS. HOWEVER, FURTHER RANDOMIZED CONTROLLED TRIALS ARE NEEDED TO PROVIDE FIRMER EVIDENCE REGARDING THE UTILITY AND VALIDITY OF YOGA INTERVENTION DURING PREGNANCY. 2021 5 1928 29 ROLE OF YOGA IN DIABETES. THE SCIENCE OF YOGA IS AN ANCIENT ONE. IT IS A RICH HERITAGE OF OUR CULTURE. SEVERAL OLDER BOOKS MAKE A MENTION OF THE USEFULNESS OF YOGA IN THE TREATMENT OF CERTAIN DISEASES AND PRESERVATION OF HEALTH IN NORMAL INDIVIDUALS. THE EFFECT OF YOGIC PRACTICES ON THE MANAGEMENT OF DIABETES HAS NOT BEEN INVESTIGATED WELL. WE CARRIED OUT WELL DESIGNED STUDIES IN NORMAL INDIVIDUALS AND THOSE WITH DIABETES TO ASSESS THE ROLE OF YOGIC PRACTICES ON GLYCAEMIC CONTROL, INSULIN KINETICS, BODY COMPOSITION EXERCISE TOLERANCE AND VARIOUS CO-MORBIDITIES LIKE HYPERTENSION AND DYSLIPIDEMIA. THESE STUDIES WERE BOTH SHORT TERM AND LONG-TERM. THESE STUDIES HAVE CONFIRMED THE USEFUL ROLE OF YOGA IN THE CONTROL OF DIABETES MELLITUS. FASTING AND POSTPRANDIAL BLOOD GLUCOSE LEVELS CAME DOWN SIGNIFICANTLY. GOOD GLYCAEMIC STATUS CAN BE MAINTAINED FOR LONG PERIODS OF TIME. THERE WAS A LOWERING OF DRUG REQUIREMENT AND THE INCIDENCE OF ACUTE COMPLICATIONS LIKE INFECTION AND KETOSIS WAS SIGNIFICANTLY REDUCED. THERE WERE SIGNIFICANT CHANGES IN THE INSULIN KINETICS AND THOSE OF COUNTER-REGULATORY HORMONES LIKE CORTISOL. THERE WAS A DECREASE IN FREE FATTY ACIDS. THERE WAS AN INCREASE IN LEAN BODY MASS AND DECREASE IN BODY FAT PERCENTAGE. THE NUMBER OF INSULIN RECEPTORS WAS ALSO INCREASED. THERE WAS AN IMPROVEMENT IN INSULIN SENSITIVITY AND DECLINE IN INSULIN RESISTANCE. ALL THESE SUGGEST THAT YOGIC PRACTICES HAVE A ROLE EVEN IN THE PREVENTION OF DIABETES. THERE IS A BENEFICIAL EFFECT ON THE CO-MORBID CONDITIONS LIKE HYPERTENSION AND DYSLIPIDEMIA. 2007 6 662 31 EFFECT OF 3-MONTH YOGA ON OXIDATIVE STRESS IN TYPE 2 DIABETES WITH OR WITHOUT COMPLICATIONS: A CONTROLLED CLINICAL TRIAL. OBJECTIVE: TO ASSESS THE EFFECT OF YOGA ON ANTHROPOMETRY, BLOOD PRESSURE, GLYCEMIC CONTROL, AND OXIDATIVE STRESS IN TYPE 2 DIABETIC PATIENTS ON STANDARD CARE IN COMPARISON WITH STANDARD CARE ALONE. RESEARCH DESIGN AND METHODS: THE STUDY INVOLVED 123 PATIENTS STRATIFIED ACCORDING TO GROUPS WITH MICROVASCULAR COMPLICATIONS, MACROVASCULAR COMPLICATIONS, AND PERIPHERAL NEUROPATHY AND WITHOUT COMPLICATIONS AND ASSIGNED TO RECEIVE EITHER STANDARD CARE OR STANDARD CARE ALONG WITH ADDITIONAL YOGA FOR 3 MONTHS. RESULTS: IN COMPARISON WITH STANDARD CARE ALONE, YOGA RESULTED IN SIGNIFICANT REDUCTION IN BMI, GLYCEMIC CONTROL, AND MALONDIALDEHYDE AND INCREASE IN GLUTATHIONE AND VITAMIN C. THERE WERE NO DIFFERENCES IN WAIST CIRCUMFERENCE, WAIST-TO-HIP RATIO, BLOOD PRESSURE, VITAMIN E, OR SUPEROXIDE DISMUTASE IN THE YOGA GROUP AT FOLLOW-UP. CONCLUSIONS: YOGA CAN BE USED AS AN EFFECTIVE THERAPY IN REDUCING OXIDATIVE STRESS IN TYPE 2 DIABETES. YOGA IN ADDITION TO STANDARD CARE HELPS REDUCE BMI AND IMPROVE GLYCEMIC CONTROL IN TYPE 2 DIABETIC PATIENTS. 2011 7 2298 17 THERAPEUTIC ROLE OF YOGA IN TYPE 2 DIABETES. YOGA ORIGINATED IN INDIA MORE THAN 5,000 YEARS AGO AND IS A MEANS OF BALANCING AND HARMONIZING THE BODY, MIND, AND EMOTIONS. YOGA PRACTICE IS USEFUL IN THE MANAGEMENT OF VARIOUS LIFESTYLE DISEASES, INCLUDING TYPE 2 DIABETES. PSYCHO-NEURO-ENDOCRINE AND IMMUNE MECHANISMS ARE INVOLVED IN THE BENEFICIAL EFFECTS OF YOGA ON DIABETES. INCORPORATION OF YOGA PRACTICE IN DAILY LIFE HELPS TO ATTAIN GLYCAEMIC CONTROL AND REDUCES THE RISK OF COMPLICATIONS IN PEOPLE WITH DIABETES. IN THIS REVIEW, WE BRIEFLY DESCRIBE THE ROLE OF VARIOUS YOGA PRACTICES IN THE MANAGEMENT OF DIABETES BASED ON EVIDENCE FROM VARIOUS CLINICAL STUDIES. 2018 8 1453 23 INFLUENCE OF PRANAYAMAS AND YOGA-ASANAS ON SERUM INSULIN, BLOOD GLUCOSE AND LIPID PROFILE IN TYPE 2 DIABETES. A DISTINGUISHABLE FEATURE OF TYPE 2 DIABETES BESIDES HYPERGLYCEMIA AND DERANGED LIPID PROFILE IS AN IMPAIRED INSULIN SECRETION, PERIPHERAL INSULIN RESISTANCE AND OBESITY WHICH HAS BECOME A MAJOR HEALTH CONCERN WORLDWIDE. INDIA WITH AN ESTIMATED 31MILLION DIABETICS IN 2000 AND 79MLLIONS BY THE YR 2030 HAS THE HIGHEST NUMBER OF TYPE 2 DIABETICS IN THE WORLD. IN THIS STUDY, WE AIMED TO SEE IF YOGA-ASANAS AND PRANAYAMAS HAVE ANY INFLUENCE IN MODIFYING CERTAIN BIOCHEMICAL PARAMETERS. SIXTY PATIENTS OF UNCOMPLICATED TYPE 2 DIABETES (AGE 35-60 YRS OF 1-10 YRS DURATION) WERE DIVIDED INTO TWO GROUPS: GROUP 1 (N=30): PERFORMED YOGA ALONG WITH THE CONVENTIONAL HYPOGLYCEMIC MEDICINES AND GROUP 2 (N=30): PATIENTS WHO ONLY RECEIVED CONVENTIONAL MEDICINES. DURATION OF THE STUDY WAS 45 DAYS. BASAL RECORDINGS OF BLOOD GLUCOSE (FASTING AND POST-PRANDIAL), LIPID PROFILE AND SERUM INSULIN WERE TAKEN AT THE TIME OF RECRUITMENT AND THE SECOND READING AFTER FORTY FIVE DAYS. RESULTS SHOWED A SIGNIFICANT IMPROVEMENT IN ALL THE BIOCHEMICAL PARAMETERS IN GROUP 1 WHILE GROUP 2 SHOWED SIGNIFICANT IMPROVEMENT IN ONLY FEW PARAMETERS, THUS SUGGESTING A BENEFICIAL EFFECT OF YOGA REGIMEN ON THESE PARAMETERS IN DIABETIC PATIENTS. 2008 9 1136 36 EFFICACY OF YOGA ON PREGNANCY OUTCOME. OBJECTIVE: TO STUDY THE EFFICACY OF YOGA ON PREGNANCY OUTCOMES. DESIGN AND SETTING: THREE HUNDRED THIRTY FIVE (335) WOMEN ATTENDING THE ANTENATAL CLINIC AT GUNASHEELA SURGICAL AND MATERNITY HOSPITAL IN BANGALORE, INDIA, WERE ENROLLED BETWEEN 18 AND 20 WEEKS OF PREGNANCY IN A PROSPECTIVE, MATCHED, OBSERVATIONAL STUDY; 169 WOMEN IN THE YOGA GROUP AND 166 WOMEN IN THE CONTROL GROUP. METHODS: WOMEN WERE MATCHED FOR AGE, PARITY, BODY WEIGHT, AND DOPPLER VELOCIMETRY SCORES OF UMBILICAL AND UTERINE ARTERIES. YOGA PRACTICES, INCLUDING PHYSICAL POSTURES, BREATHING, AND MEDITATION WERE PRACTICED BY THE YOGA GROUP ONE HOUR DAILY, FROM THE DATE OF ENTRY INTO THE STUDY UNTIL DELIVERY. THE CONTROL GROUP WALKED 30 MINUTES TWICE A DAY (STANDARD OBSTETRIC ADVICE) DURING THE STUDY PERIOD. COMPLIANCE IN BOTH GROUPS WAS ENSURED BY FREQUENT TELEPHONE CALLS AND STRICT MAINTENANCE OF AN ACTIVITY DIARY. MAIN OUTCOMES: BIRTH WEIGHT AND GESTATIONAL AGE AT DELIVERY WERE PRIMARY OUTCOMES. RESULTS: THE NUMBER OF BABIES WITH BIRTH WEIGHT > 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 10 77 19 A HOLISTIC ANTENATAL MODEL BASED ON YOGA, AYURVEDA, AND VEDIC GUIDELINES. THE PREVALENCE OF PREGNANCY COMPLICATIONS ARE ON THE RISE GLOBALLY WITH SEVERE CONSEQUENCES. ACCORDING TO THE WORLD HEALTH ORGANIZATION (WHO, 2009), EVERY MINUTE, AT LEAST ONE WOMAN DIES AND 20 ARE AFFECTED BY THE COMPLICATIONS RELATED TO PREGNANCY OR CHILDBIRTH. WHILE THE ROOT CAUSE OF PREGNANCY COMPLICATIONS IS UNCLEAR, IT LIKELY HAS PHYSICAL, PSYCHOLOGICAL, SOCIAL, AND SPIRITUAL ASPECTS. THE VEDAS ARE A RICH SOURCE OF ANTENATAL HEALTH CARE GUIDELINES IN ALL THESE ASPECTS. THE PRIMARY OBJECTIVE OF THE AUTHORS WAS TO COMPILE THE SCRIPTURAL AND SCIENTIFIC EVIDENCE FOR A HOLISTIC ANTENATAL MODEL OF YOGA WITH EMPHASIS ON SOCIOCULTURAL INDIAN PRACTICES. 2015 11 959 28 EFFECTS OF A YOGA INTERVENTION ON LIPID PROFILES OF DIABETES PATIENTS WITH DYSLIPIDEMIA. OBJECTIVE: THE PRESENT STUDY WAS CONDUCTED TO ASSESS THE EFFECTIVENESS OF YOGA IN THE MANAGEMENT OF DYSLIPIDEMIA IN PATIENTS OF TYPE 2 DIABETES MELLITUS. METHODS: THIS RANDOMIZED PARALLEL STUDY WAS CARRIED OUT IN MEDICAL COLLEGE TRIVANDRUM, KERALA, INDIA. HUNDRED TYPE 2 DIABETICS WITH DYSLIPIDEMIA WERE RANDOMIZED INTO CONTROL AND YOGA GROUPS. THE CONTROL GROUP WAS PRESCRIBED ORAL HYPOGLYCEMIC DRUGS. THE YOGA GROUP PRACTICED YOGA DAILY FOR 1 H DURATION ALONG WITH ORAL HYPOGLYCEMIC DRUGS FOR 3 MONTHS. THE LIPID PROFILES OF BOTH THE GROUPS WERE COMPARED AT THE START AND AT THE END OF 3 MONTHS. RESULTS: AFTER INTERVENTION WITH YOGA FOR A PERIOD OF 3 MONTHS THE STUDY GROUP SHOWED A DECREASE IN TOTAL CHOLESTEROL, TRIGLYCERIDES AND LDL, WITH AN IMPROVEMENT IN HDL. CONCLUSION: YOGA, BEING A LIFESTYLE INCORPORATING EXERCISE AND STRESS MANAGEMENT TRAINING, TARGETS THE ELEVATED LIPID LEVELS IN PATIENTS WITH DIABETES THROUGH INTEGRATED APPROACHES. 2013 12 103 28 A PILOT CROSS-SECTIONAL SURVEY ON AWARENESS AND PRACTICE REGARDING TYPE 2 DIABETES MELLITUS AND ITS MANAGEMENT WITH YOGA. DIABETES MELLITUS IS A METABOLIC DISORDER OF MULTIPLE ETIOLOGY, CHARACTERIZED BY CHRONIC HYPERGLYCAEMIA WITH DISTURBANCE OF CARBOHYDRATE, FAT, AND PROTEIN METABOLISM RESULTING FROM DEFECT IN INSULIN SECRETION, INSULIN ACTION OR BOTH. IMPROPER LIFESTYLE CONTRIBUTES TO THE INCREASING NUMBER OF PEOPLE AFFECTED WITH TYPE 2 DIABETES MELLITUS (T2DM). SYSTEMATIC REVIEWS ON THE MANAGEMENT OF T2DM IN ADULTS THROUGH YOGA REPORTED SIGNIFICANT IMPROVEMENTS IN MULTIPLE MODIFIABLE INDICES OF DIABETES MELLITUS MANAGEMENT INCLUDING GLYCEMIC CONTROL, LIPID LEVELS, AND BODY COMPOSITION. AWARENESS LEVELS OF A CONDITION AMONG THE POPULATION PLAY A CRITICAL ROLE IN BEHAVIOUR CHANGE. HOWEVER, STUDIES RELATED TO ASSESSING THE AWARENESS AND PRACTICE OF YOGA FOR MANAGING DISEASES ARE LIMITED. HENCE, THIS STUDY WAS FORMULATED WITH THE OBJECTIVE OF ASSESSING THE AWARENESS LEVEL AND EXTENT OF KNOWLEDGE ABOUT DIABETES MELLITUS AND ITS MANAGEMENT THROUGH YOGA. A CROSS-SECTIONAL SURVEY WITH A SAMPLE SIZE OF 317 WAS CONDUCTED USING A STRUCTURED QUESTIONNAIRE AT 5 DISTRICTS IN TAMIL NADU AND KERALA. 95% OF THE STUDY POPULATION WERE AWARE OF DIABETES MELLITUS WHILE 61.2% RESPONDED THAT DIABETES CAN BE PREVENTED BY REGULAR EXERCISE AND HEALTHY DIET. 62.4% PEOPLE PERCEIVED THAT YOGA PRACTICES CAN PREVENT DIABETES MELLITUS AND 59% MENTIONED THAT REGULAR YOGA PRACTICE CAN HELP IN CONTROLLING DIABETES AND PREVENT FURTHER COMPLICATIONS. ONLY 13% REPORTED TO PRACTICE YOGA REGULARLY AT LEAST THREE DAYS A WEEK. IDENTIFYING A QUALIFIED YOGA TRAINER WAS REPORTED TO BE A LIMITING FACTOR FOR REGULAR YOGA PRACTICE. THE STUDY SUGGESTED THAT THERE IS A NEED TO INCREASE THE ACCESS TO QUALIFIED YOGA PROFESSIONALS AT COMMUNITY LEVEL. FURTHER LARGE SCALE STUDIES WITH RANDOM SAMPLING METHOD TO ASSESS THE AWARENESS LEVEL AND PRACTICE OF YOGA IN DIFFERENT SETTINGS IS INDICATED. 2020 13 1767 33 POTENTIAL BENEFITS OF YOGA IN PREGNANCY-RELATED COMPLICATIONS DURING THE COVID-19 PANDEMIC AND IMPLICATIONS FOR WORKING WOMEN. BACKGROUND: PREGNANCY IS A VULNERABLE PERIOD OF GROWTH AND ENRICHMENT ALONG WITH MANY PHYSIOLOGICAL AND PSYCHOLOGICAL CHALLENGES. THESE CHANGES CAN LEAD TO COMPLICATIONS IF COMPOUNDED BY EXTERNAL STRESS AND ANXIETY. COVID-19 HAS EMERGED AS A CHIEF STRESSOR AMONG THE GENERAL POPULATION AND IS A SERIOUS THREAT AMONG VULNERABLE POPULATIONS. THEREFORE, THERE IS A NEED FOR STRESS MANAGEMENT TOOLS, SUCH AS YOGA AND PHYSICAL EXERCISES, BOTH AT HOME AND AT WORK. THESE CAN BE ADOPTED DURING THE PANDEMIC WITH PROPER MAINTENANCE OF SOCIAL DISTANCING. OBJECTIVE: TO EVALUATE AND COMPILE LITERATURE THAT HAS REPORTED THE HEALTH OUTCOMES OF YOGA INTERVENTION ON PREGNANCY AT THE WORKPLACE AND ANALYZES BOTH THE RESTRICTIONS AS WELL AS ADVANTAGES OF ITS BENEFICIAL EFFECTS IN COMPARISON TO PHYSICAL EXERCISES. METHODOLOGY: A COMPREHENSIVE LITERATURE REVIEW WAS CONDUCTED UTILIZING PUBMED AND GOOGLE SCHOLAR. THE KEYWORDS USED FOR THE SEARCH INCLUDE "YOGA", "WORK", "COMPLICATIONS", "PHYSICAL EXERCISE", "DRUGS" AND "COVID" INDIFFERENT PERMUTATIONS AND COMBINATIONS WITH "PREGNANCY". WE COMPILED THE LITERATURE WITH RESPECT TO PREGNANCY COMPLICATIONS AND THE EFFECTS OF DRUGS, PHYSICAL ACTIVITY AND YOGA FOR PREVENTING THESE COMPLICATIONS. RESULTS: WE NOTED THAT PREGNANCY-RELATED COMPLICATIONS ARE BECOMING MORE PREVALENT BECAUSE OF A SEDENTARY LIFESTYLE, RESTRICTED PHYSICAL ACTIVITY AND GROWING STRESS. IN SUCH SITUATIONS, A HOME OR WORKPLACE YOGA PROTOCOL CAN COMBINE BOTH EXERCISE AND MINDFULNESS-BASED ALLEVIATION OF ANXIETY FOR BOTH WORKING AND NON-WORKING WOMEN. CONCLUSION: YOGA CAN BE EFFECTIVE FOR COMBATING STRESS AND ANXIETY BESIDES BOOSTING IMMUNITY IN PREGNANT WORKING WOMEN CONFRONTED WITH THE COVID-19 PANDEMIC. 2020 14 1092 40 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 15 2145 28 THE EFFECTS OF MINDFULNESS EATING AND YOGA EXERCISE ON BLOOD SUGAR LEVELS OF PREGNANT WOMEN WITH GESTATIONAL DIABETES MELLITUS. AIM: THIS RANDOMIZED CONTROLLED TRIAL WAS CARRIED OUT TO INVESTIGATE THE EFFECT OF MINDFULNESS EATING AND YOGA EXERCISE ON BLOOD SUGAR LEVELS AMONG PREGNANT THAI WOMEN WITH GDM. BACKGROUND: INTERVENTIONS PROMOTING ACHIEVEMENT OF GOOD GLYCEMIC CONTROL RESULT IN DESIRED PREGNANCY OUTCOMES. LITTLE IS KNOWN ABOUT THE HEALTH BENEFITS OF MINDFULNESS EATING AND YOGA EXERCISE ON BLOOD SUGAR LEVELS AMONG PREGNANT WITH GDM. METHODS: A RANDOMIZED CONTROLLED TRIAL WAS CARRIED OUT. MAIN OUTCOME MEASURES WERE CAPILLARY FASTING PLASMA GLUCOSE, 2-H POSTPRANDIAL BLOOD GLUCOSE, AND HEMOGLOBIN A1C. RESULTS: THE INTERVENTION GROUP SHOWED SIGNIFICANTLY REDUCED FASTING PLASMA GLUCOSE, 2-H POSTPRANDIAL BLOOD GLUCOSE, AND GLYCOSYLATED HEMOGLOBIN (HBA1C) IN THE INTERVENTION GROUP (P<0.05). CONCLUSIONS: MINDFULNESS EATING AND YOGA EXERCISE HAD HEALTH BENEFITS ON GLYCEMIC CONTROL IN PREGNANT WOMEN WITH GDM. IT SHOULD BE RECOMMENDED IN CLINICAL AND COMMUNITY HEALTH SERVICES. 2014 16 876 41 EFFECT OF YOGA THERAPY ON REACTION TIME, BIOCHEMICAL PARAMETERS AND WELLNESS SCORE OF PERI AND POST-MENOPAUSAL DIABETIC PATIENTS. BACKGROUND: YOGIC PRACTICES MAY AID IN THE PREVENTION AND MANAGEMENT OF DIABETES MELLITUS (DM) AND REDUCE CARDIOVASCULAR COMPLICATIONS IN THE POPULATION. THE PRESENT STUDY HAS BEEN UNDERTAKEN TO EVALUATE THE EFFECT OF YOGA THERAPY ON REACTION TIME, BIOCHEMICAL PARAMETERS AND WELLNESS SCORE OF PERI AND POST-MENOPAUSAL DIABETIC PATIENTS. MATERIALS AND METHODS: 15 PERI AND POST-MENOPAUSAL PATIENTS RECEIVING STANDARD MEDICAL TREATMENT FOR TYPE 2 DM WERE RECRUITED AND REACTION TIME AND BIOCHEMICAL INVESTIGATIONS WERE DONE BEFORE AND AFTER A COMPREHENSIVE YOGA THERAPY PROGRAM COMPRISING OF THREE TIMES A WEEK SESSIONS FOR SIX WEEKS. A POST-INTERVENTION, RETROSPECTIVE WELLNESS QUESTIONNAIRE COMPILED BY ACYTER WAS USED TO EVALUATE THE COMPARATIVE FEELINGS OF THE PATIENTS AFTER THE THERAPY PROGRAM. RESULTS: YOGA TRAINING REDUCED AUDITORY REACTION TIME (ART) FROM RIGHT AS WELL AS LEFT HAND, THE DECREASE BEING STATISTICALLY SIGNIFICANT (P<0.05) FOR ART FROM THE RIGHT HAND. THERE WAS A SIGNIFICANT (P<0.01) DECREASE IN FASTING AND POSTPRANDIAL BLOOD GLUCOSE LEVELS AS WELL AS LOW DENSITY LIPOPROTEIN. THE DECREASE IN TOTAL CHOLESTEROL, TRIGLYCERIDES, AND VERY LOW DENSITY LIPOPROTEIN AND INCREASE IN HIGH DENSITY LIPOPROTEIN WAS ALSO STATISTICALLY SIGNIFICANT (P<0.05). ALL THE LIPID RATIOS SHOWED DESIRABLE IMPROVEMENT WITH A DECREASE (P<0.01) OF TC/HDL AND LDL/HDL RATIOS AND INCREASE (P<0.05) IN THE HDL/LDL RATIO. DISCUSSION OR CONCLUSION: SHORTENING OF RT IMPLIES AN IMPROVEMENT IN THE INFORMATION PROCESSING AND REFLEXES AND IS THE FIRST SUCH REPORT IN DIABETIC PATIENTS. THIS HAS CLINICAL SIGNIFICANCE AND IS WORTH FURTHER EXPLORATION WITH WIDER, WELL CONTROLLED, RANDOMIZED STUDIES IN THE DIABETIC POPULATION. CHANGES IN BLOOD GLUCOSE LEVELS MAY BE DUE TO IMPROVED INSULIN SENSITIVITY, DECLINE IN INSULIN RESISTANCE AND INCREASED SENSITIVITY OF THE PANCREATIC B CELLS TO GLUCOSE SIGNALS. YOGA IMPROVED THE 'HEART FRIENDLY' STATUS OF LIPID PROFILE IN OUR SUBJECTS AND AS OUR PARTICIPANTS WERE PERI AND POST-MENOPAUSAL, THE DECREASE IN CARDIOVASCULAR RISK PROFILE IS OF GREATER SIGNIFICANCE. A COMPREHENSIVE YOGA THERAPY PROGRAM HAS THE POTENTIAL TO ENHANCE THE BENEFICIAL EFFECTS OF STANDARD MEDICAL MANAGEMENT OF DIABETES MELLITUS AND CAN BE USED AS AN EFFECTIVE COMPLEMENTARY OR INTEGRATIVE THERAPY PROGRAM. 2012 17 2486 23 YOGA AS AN INTEGRATIVE APPROACH FOR PREVENTION AND TREATMENT OF ORAL CANCER. DESPITE TREMENDOUS ADVANCEMENTS IN MEDICINE, THE NUMBER OF ORAL CANCER CASES CONTINUES TO INCREASE, AND THE NEED FOR INTEGRATING ALTERNATE MEDICINE OR ADOPTING AN INTEGRATIVE APPROACH HAS BECOME A COMPELLING COST-EFFECTIVE REQUIREMENT FOR THE MANAGEMENT AND TREATMENT OF DISEASES. CONVENTIONAL TREATMENT OF ORAL CANCER INVOLVES SURGERY FOLLOWED BY RADIOTHERAPY WITH OR WITHOUT CHEMOTHERAPY WHICH CAUSES SEVERAL COMPLICATIONS INCLUDING POOR QUALITY OF LIFE AND HIGH CHANCES OF RECURRENCE OF CANCER. ORAL CANCER IS OFTEN LINKED WITH OBESITY WHICH IS MAJOR RISK FACTORS IN OTHER CANCERS. APART FROM OBESITY, ORAL CANCER IS THOUGHT TO HAVE AN INVERSE RELATION WITH NEURODEGENERATIVE DISORDERS PRESUMABLY BECAUSE CELL DEATH DECREASES IN THE FORMER CASE AND INCREASES IN THE LATTER. ANCIENT MIND-BODY TECHNIQUES SUCH AS YOGA HAVE NOT BEEN ADEQUATELY TESTED AS A TOOL TO SYNERGIZE THE CELLULAR EQUILIBRIUM PERTAINING TO THE TREATMENT OF ORAL CANCER. NERVE GROWTH FACTOR (NGF), TUMOR NECROSIS FACTOR-ALPHA (TNF-ALPHA), AND INTERLEUKIN-6 (IL-6) ARE AMONG THE EARLY EXPERIMENTAL CELLULAR BIOMARKERS THAT MAY BE USED TO PROBE THE MODULATION OF ORAL CANCER, OBESITY, AND NEURODEGENERATIVE DISORDERS. YOGA HAS BEEN REPORTED TO INFLUENCE THESE MOLECULES IN HEALTHY INDIVIDUALS BUT WHETHER THEIR EXPRESSION CAN BE ALTERED IN PATIENTS OF ORAL CANCER BY YOGA INTERVENTION IS THE SUBJECT OF THIS RESEARCH BEING DISCUSSED IN THIS REVIEW ARTICLE. THEREFORE, THE PRESENT ARTICLE NOT ONLY REVIEWS THE CURRENT STATUS OF RESEARCH STUDIES IN ORAL CANCER, OBESITY, AND NEURODEGENERATIVE DISORDERS BUT ALSO HOW THESE ARE LINKED TO EACH OTHER AND WHY THE INVESTIGATIONS OF THE PUTATIVE NGF PATHWAY, INVOLVING TNF-ALPHA AND IL-6, COULD PROVIDE USEFUL CLUES TO UNDERSTAND THE MOLECULAR EFFECTS BROUGHT ABOUT BY YOGA INTERVENTION IN SUCH PATIENTS. 2018 18 1303 28 HATHA YOGA PRACTICE FOR TYPE 2 DIABETES MELLITUS PATIENTS: A PILOT STUDY. OBJECTIVE: THIS STUDY WAS CONDUCTED TO EXAMINE THE IMPACT OF HATHA YOGA ON GLYCEMIC CONTROL, PSYCHOLOGICAL AND PHYSIOLOGICAL STRESS, AND SELF-CARE FOR INDIVIDUALS WITH TYPE 2 DIABETES MELLITUS (T2DM). METHODS: TEN SEDENTARY INDIVIDUALS WITH T2DM WHO WERE NON-INSULIN DEPENDENT, FREE OF DIABETES-RELATED COMPLICATIONS, AND HAD NO PREVIOUS YOGA EXPERIENCE COMPLETED THERAPEUTIC YOGA CLASSES FOR 6 WEEKS, 3 TIMES PER WEEK . GLYCEMIC CONTROL MEASURES INCLUDED FASTING BLOOD GLUCOSE, GLYCATED HEMOGLOBIN, AND FASTING INSULIN. THE STATE-TRAIT ANXIETY INVENTORY, PERCEIVED STRESS SCALE, AND SALIVARY CORTISOL WERE USED TO ASSESS LEVELS OF STRESS, AND THE SUMMARY OF DIABETES SELF-CARE ACTIVITIES QUESTIONNAIRE WAS USED TO ASSESS REGIMEN ADHERENCE. RESULTS: NO SIGNIFICANT CHANGES IN GLUCOSE CONTROL OR PHYSIOLOGICAL STRESS WERE FOUND; HOWEVER, SIGNIFICANT CHANGES IN PERCEIVED STRESS, STATE ANXIETY, AND SELF-CARE BEHAVIORS WERE DETECTED. CONCLUSIONS: PRELIMINARY FINDINGS SUPPORT FURTHER INVESTIGATION OF THE BENEFITS OF HATHA YOGA AS A COMPLEMENTARY THERAPY FOR THOSE WITH T2DM. 2013 19 691 35 EFFECT OF COMMUNITY-BASED STRUCTURED YOGA PROGRAM ON HBA1C LEVEL AMONG TYPE 2 DIABETES MELLITUS PATIENTS: AN INTERVENTIONAL STUDY. CONTEXT: IN VIEW OF THE RISING BURDEN OF TYPE 2 DIABETES MELLITUS (DM) CASES IN INDIA, THERE IS AN URGENT NEED FOR AN EFFECTIVE, LOW-COST, SUSTAINABLE INTERVENTION CONTROLLING DIABETES THUS PREVENTING COMPLICATIONS. AIMS: THIS STUDY AIMED TO ASSESS THE EFFECT OF STRUCTURED YOGA PROGRAMS ON DIABETES. SUBJECTS AND METHODS: THIS WAS A COMMUNITY-BASED INTERVENTIONAL STUDY THAT WAS CONDUCTED IN AN URBAN RESETTLEMENT COLONY OF DELHI, INDIA. KNOWN DIABETES PATIENTS WITH GLYCATED HEMOGLOBIN (HB1AC) >/=6.5% WERE ENROLLED FROM 12 RANDOMLY SELECTED BLOCKS OF THE COMMUNITY WITH A SAMPLE SIZE OF 192 IN EACH INTERVENTION AND WAIT-LISTED CONTROL ARM. THE INTERVENTION WAS STRUCTURED YOGA OF 50 MIN DAILY, 2 CONSECUTIVE WEEKS IN A NEARBY PARK AND HEALTH CENTER FOLLOWED BY TWICE A WEEK HOME PRACTICE UP TO THE 3(RD) MONTH. THE PRIMARY OUTCOME MEASURE WAS HBA1C% AND SECONDARY OUTCOME MEASURES WERE LIPID PROFILE AND FASTING BLOOD GLUCOSE. STATISTICAL ANALYSIS USED: APER-PROTOCOL ANALYSIS WAS DONE. MEAN, STANDARD DEVIATION (SD), AND 95% CONFIDENCE INTERVAL WERE ESTIMATED. THE LEVEL OF SIGNIFICANCE WAS CONSIDERED FOR 0.05. RESULTS: THERE WAS A SIGNIFICANT DECREASE OF HB1AC (0.5%, SD = 1.5, P = 0.02), TOTAL CHOLESTEROL (11.7 MG/DL, SD = 40.5, P < 0.01), AND LOW-DENSITY LIPOPROTEIN (3.2 MG/DL, SD = 37.4, P < 0.01) FROM BASELINE TO END LINE IN THE INTERVENTION GROUP. THESE CHANGES IN INTERVENTION GROUP WERE ALSO SIGNIFICANTLY DIFFERENT FROM THE CHANGE IN THE WAIT-LISTED CONTROL GROUP. THE OTHER VARIABLES DID NOT CHANGE SIGNIFICANTLY. CONCLUSIONS: IT REVEALED THAT STRUCTURED YOGA PROGRAM IMPROVED GLYCEMIC OUTCOME AND LIPID PROFILE OF INDIVIDUALS IN A COMMUNITY-BASED SETTING. YOGA CAN BE A FEASIBLE STRATEGY TO CONTROL HYPERGLYCEMIA, LIPID LEVELS, AND CAN HELP BETTER CONTROL TYPE 2 DM. 2021 20 2899 43 [EFFECTS OF PRENATAL YOGA: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS]. OBJECTIVES: WHILE SEVERAL STUDIES ON THE PREVENTIVE AND THERAPEUTIC EFFECTS OF PRENATAL YOGA (MATERNITY YOGA) HAVE BEEN REPORTED IN RECENT YEARS, THERE HAS BEEN NO SYSTEMATIC REVIEW ON THE EFFECTS OF PRENATAL YOGA BASED ON RANDOMIZED CONTROLLED TRIALS (RCT). THE PURPOSE OF THIS STUDY, THEREFORE, WAS TO SYSTEMATICALLY REVIEW THE LITERATURE TO CLARIFY THE EFFECTS OF PRENATAL YOGA IN RCT FOCUSING ON THE CONTENTS OF THE INTERVENTION, THE INTERVENTION MEANS, AND THE FREQUENCY OF PRACTICE. METHODS: THE LITERATURE SEARCH WAS PERFORMED USING THE ELECTRONIC DATABASE, PUBMED. THE INCLUSION CRITERIA WERE RCT, PREGNANT WOMEN, AND YOGA INTERVENTION. RESULTS: IN TOTAL, 54 CITATIONS WERE FOUND; OF THESE, EIGHT STUDIES (10 REPORTS) WERE INCLUDED IN THE FINAL ANALYSIS. IN FOUR STUDIES ON HEALTHY PREGNANT WOMEN, SIGNIFICANT IMPROVEMENT IN PAIN AND PLEASURE AT DELIVERY, DURATION OF DELIVERY, PERCEIVED STRESS LEVELS DURING PREGNANCY, ANXIETY LEVELS, DEPRESSION, PREGNANCY-RELATED EXPERIENCES, QUALITY OF LIFE, AND INTERPERSONAL RELATIONSHIPS WERE COMPARED TO THOSE IN THE CONTROL GROUP. IN TWO STUDIES ON DEPRESSED PREGNANT WOMEN, ONE REPORTED THAT DEPRESSION, ANXIETY LEVELS, ANGER LEVELS, LEG PAIN, AND BACK PAIN SIGNIFICANTLY IMPROVED WITH YOGA, WHILE THE OTHER FOUND NO DIFFERENCES FROM THE CONTROL GROUP. IN ONE STUDY OF HIGH-RISK PREGNANT WOMEN WITH MORBIDITY FACTORS SUCH AS OBESITY OR ADVANCED AGE, YOGA RESULTED IN SIGNIFICANTLY FEWER CASES OF PREGNANCY-INDUCED HYPERTENSION, GESTATIONAL DIABETES, AND INTRAUTERINE GROWTH RESTRICTION, AS WELL AS A DECREASE IN PERCEIVED STRESS LEVELS. IN ONE STUDY ON PREGNANT WOMEN WITH PELVIC PAIN, THE MEDIAN PAIN SCORE WAS LOWER IN THE YOGA GROUP. REGARDING THE CONTENTS OF THE INTERVENTION, WHILE THE TWO STUDIES FOR DEPRESSED PREGNANT WOMEN ONLY INCLUDED PHYSICAL POSTURES, THE REMAINING SIX STUDIES ALSO INCLUDED BREATHING TECHNIQUE AND MEDITATION. INTERVENTIONS WERE PERFORMED USING LECTURES BY INSTRUCTORS ALONE OR TOGETHER WITH SELF-TEACHING. THE FREQUENCY OF THE INTERVENTION VARIED WITHIN EACH STUDY. CONCLUSION: THE FINDINGS SUGGEST THAT PRENATAL YOGA MAY HELP REDUCE PELVIC PAIN. IT MAY ALSO IMPROVE MENTAL CONDITION (STRESS, DEPRESSION, ANXIETY, ETC.), PHYSICAL CONDITION (PAIN AND PLEASURE AT THE DELIVERY, ETC.), AND PERINATAL OUTCOMES (OBSTETRICAL COMPLICATIONS, DELIVERY TIME, ETC.). HOWEVER, FURTHER STUDIES ARE NEEDED. THE CONTENTS OF THE INTERVENTION, THE INTERVENTION MEANS, AND THE FREQUENCY VARIED WITH EACH STUDY. THUS, IT IS NECESSARY TO FURTHER EXAMINE THE CONTENT OF EFFECTIVE INTERVENTIONS, INTERVENTION MEANS, AND FREQUENCY THAT SUIT PARTICIPANT'S CHARACTERISTICS AND EACH OUTCOME. FURTHER RESEARCH IN THIS FIELD, PARTICULARLY RANDOMIZED CONTROLLED TRIALS, IS MERITED. 2015