1 2725 121 YOGA NIDRA AS A COMPLEMENTARY TREATMENT OF ANXIETY AND DEPRESSIVE SYMPTOMS IN PATIENTS WITH MENSTRUAL DISORDER. BACKGROUND: EMOTIONAL INSECURITY, STRESS, DEPRESSIVE OR/AND ANXIETY SYMPTOMS ARE COMMON WITH VARIABLE SEVERITY AMONG PATIENTS WITH MENSTRUAL DISORDER. YOGIC RELAXATION THERAPY (YOGA NIDRA) LEADS TO CONSCIOUS AND SUBCONSCIOUS RECOGNITION OF THESE UNDERLYING PSYCHOLOGICAL FACTORS AND HELPS RELEASING OF SUPPRESSED CONFLICTS. OBJECTIVE: TO EVALUATE THE EFFECT OF YOGA NIDRA ON ANXIETY AND DEPRESSIVE SYMPTOMS IN PATIENTS WITH MENSTRUAL DISORDERS. MATERIALS AND METHODS: SUBJECTS WERE RECRUITED FROM THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, C.S.M. MEDICAL UNIVERSITY (ERSTWHILE KGMU), LUCKNOW UTTAR PRADESH, INDIA. THE SUBJECTS WERE RANDOMLY DIVIDED IN TO TWO GROUPS: INTERVENTION GROUP (WITH YOGIC INTERVENTION) AND CONTROL GROUP (WITHOUT YOGIC INTERVENTION). ASSESSMENTS OF ALL SUBJECTS WERE CARRIED OUT BY ADMINISTERING HAMILTON ANXIETY SCALE (HAM-A) AND HAMILTON RATING SCALE FOR DEPRESSION (HAM-D) AT BASELINE AND AFTER SIX MONTHS. RESULTS: THE MEAN AGE WITH S.D OF THE INTERVENTION GROUP WAS 27.67 +/- 7.85 YEARS, AND FOR CONTROL GROUP WAS 26.58 +/- 6.87 YEARS (AMONG COMPLETED INTERVENTION GROUP NN = 65 AND CONTROL GROUP NN = 61). THERE WAS SIGNIFICANT REDUCTION OF SCORES IN HAM-A (P<0.003) AND HAM-D (P<0.02) RESPECTIVELY IN SUBJECTS WITH MILD TO MODERATE ANXIETY AND DEPRESSIVE SYMPTOMS AFTER SIX MONTHS OF YOGA THERAPY (YOGA NIDRA) IN INTERVENTION GROUP IN COMPARISON TO CONTROL GROUP. CONCLUSION: THE PATIENTS WITH MILD TO MODERATE ANXIETY AND DEPRESSIVE SYMPTOMS IMPROVE SIGNIFICANTLY WITH 'YOGA NIDRA' INTERVENTION. THERE IS NO SIGNIFICANT IMPROVEMENT IN THE PATIENTS WITH SEVERE ANXIETY AND DEPRESSIVE SYMPTOMS. 2012 2 1977 64 SIX-MONTH TRIAL OF YOGA NIDRA IN MENSTRUAL DISORDER PATIENTS: EFFECTS ON SOMATOFORM SYMPTOMS. BACKGROUND: YOGA NIDRA IS A SUCCESSFUL THERAPY FOR BOTH RECENT AND LONG-STANDING PSYCHOLOGICAL DISTURBANCES OF ALL KINDS ESPECIALLY DEPRESSION AND HIGH ANXIETY LEVEL AND NEUROTIC PATTERNS. OBJECTIVE: THE PURPOSE OF THE PRESENT WORK, THEREFORE, WAS TO CONDUCT A PRELIMINARY RANDOMIZED STUDY OF YOGA NIDRA AS A TREATMENT IN THE PATIENTS OF MENSTRUAL DISORDERS WITH SOMATOFORM SYMPTOMS. MATERIALS AND METHODS: PATIENTS WERE RECRUITED FROM DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, CSM MEDICAL UNIVERSITY (ERSTWHILE KGMU) LUCKNOW, UTTAR PRADESH, INDIA. ONE HUNDRED AND FIFTY FEMALE PATIENTS WITH MENSTRUAL DISORDERS WERE RANDOMLY DIVIDED IN TO TWO GROUPS 1- INTERVENTION GROUP: 75 SUBJECTS (YOGA NIDRA INTERVENTION AND MEDICATION) 2- CONTROL GROUP: 75 SUBJECTS (WITHOUT YOGA NIDRA INTERVENTION ONLY MEDICATION). SCHEDULE FOR CLINICAL ASSESSMENT IN NEUROPSYCHIATRY TOOL WAS USED. RESULTS: THERE WAS SIGNIFICANT IMPROVEMENT IN PAIN SYMPTOMS (P<0.006), GASTROINTESTINAL SYMPTOMS (P<0.04), CARDIOVASCULAR SYMPTOMS (P<0.02) AND UROGENITAL SYMPTOMS (P<0.005) AFTER 6 MONTHS OF YOGA NIDRA THERAPY IN INTERVENTION GROUP IN COMPARISON TO CONTROL GROUP. CONCLUSION: YOGA NIDRA APPEARS TO BE A PROMISING INTERVENTION FOR PSYCHOSOMATIC PROBLEMS. IT IS COST-EFFECTIVE AND EASY TO IMPLEMENT. THE RESULTS INDICATE THAT SOMATOFORM SYMPTOMS IN PATIENTS WITH MENSTRUAL DISORDER CAN BE DECREASED BY LEARNING AND APPLYING A PROGRAM BASED ON YOGIC INTERVENTION (YOGA NIDRA). 2011 3 1400 62 IMPACT OF YOGA NIDRA ON PSYCHOLOGICAL GENERAL WELLBEING IN PATIENTS WITH MENSTRUAL IRREGULARITIES: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: YOGIC RELAXATION THERAPY (YOGA NIDRA) HAS BEEN EFFECTIVELY PRESCRIBED IN CONJUNCTION WITH OTHER MEDICAL AND YOGIC PROCEDURES IN THE MANAGEMENT OF SEVERE PSYCHOSOMATIC DISEASES, INCLUDING CANCER, BRONCHIAL ASTHMA, COLITIS, PEPTIC ULCER AND MENSTRUAL IRREGULARITIES. AIM OF THE STUDY: TO ASSESS THE IMPACT OF YOGA NIDRA ON PSYCHOLOGICAL PROBLEMS IN PATIENTS WITH MENSTRUAL DISORDERS. MATERIALS AND METHODS: PATIENTS WERE RECRUITED FROM THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, C.S.M. MEDICAL UNIVERSITY (ERSTWHILE KGMU), LUCKNOW, UTTAR PRADESH, INDIA. A TOTAL OF 150 FEMALE SUBJECTS WERE RANDOMLY DIVIDED INTO TWO GROUPS: 1) GROUP OF 75 SUBJECTS (WITH YOGIC INTERVENTION) AND 2) A CONTROL GROUP OF 75 SUBJECTS (WITHOUT YOGIC INTERVENTION). ASSESSMENT OF PSYCHOLOGICAL GENERAL WELLBEING (TOOL) WAS USED FOR ALL THE SUBJECTS ASSESSMENT OF PSYCHOLOGICAL GENERAL WELL BEING (TOOL) WAS USED FOR ALL THE SUBJECTS (CASES AND CONTROLS). THIS ASSESSMENT WAS DONE TWICE FIRST TIME IN THE BEGINNING (BASELINE) AND THEN AFTER SIX MONTHS. RESULTS: ANXIETY DECREASED SIGNIFICANTLY (P<0.003) AND DEPRESSION DECREASED SIGNIFICANTLY (P<0.01) IN THE YOGA GROUP. POSITIVE WELLBEING AND GENERAL HEALTH IMPROVED SIGNIFICANTLY (P<0.02), AND VITALITY IMPROVED SIGNIFICANTLY (P<0.01) AFTER SIX MONTHS OF YOGA THERAPY (YOGA NIDRA) IN THE YOGA GROUP COMPARED WITH THE CONTROL GROUP. CONCLUSION: THE CURRENT FINDINGS SUGGEST THAT PATIENTS WITH MENSTRUAL IRREGULARITIES HAVING PSYCHOLOGICAL PROBLEMS IMPROVED SIGNIFICANTLY IN THE AREAS OF THEIR WELLBEING, ANXIETY AND DEPRESSION BY LEARNING AND APPLYING A PROGRAM BASED ON YOGIC INTERVENTION (YOGA NIDRA). 2011 4 1399 46 IMPACT OF YOGA NIDRA ON MENSTRUAL ABNORMALITIES IN FEMALES OF REPRODUCTIVE AGE. OBJECTIVES: THE AIM OF THIS STUDY WAS TO OBSERVE THE EFFECT OF YOGA NIDRA PRACTICE ON HORMONE LEVELS IN PATIENTS WHO HAD MENSTRUAL IRREGULARITIES. DESIGN: THE STUDY WAS A RANDOMIZED CONTROLLED TRIAL. SETTINGS/LOCATION: THE STUDY WAS CONDUCTED IN THE DEPARTMENT OF OBSTETRICS AND GYNECOLOGY AT CHHATRAPATI SAHUJI MAHARAJ MEDICAL UNIVERSITY, UTTAR PRADESH, LUCKNOW, INDIA. SUBJECTS WERE DIVIDED RANDOMLY INTO 2 GROUPS-AN INTERVENTION AND A CONTROL GROUP, WITH 75 SUBJECTS IN EACH GROUP. OF THESE SUBJECTS, 126 COMPLETED THE STUDY PROTOCOL. SUBJECTS: THIS STUDY INVOLVED 150 SUBJECTS WITH MENSTRUAL IRREGULARITIES; 126 OF WHOM COMPLETED THE PROTOCOL. INTERVENTIONS: THE INTERVENTION WAS THE PRACTICE OF YOGA NIDRA. THE YOGIC INTERVENTION DURATION WAS 35-40 MINUTES/DAY, FIVE TIMES/WEEK FOR 6 MONTHS. AN ESTIMATION OF HORMONAL PROFILE WAS DONE FOR BOTH GROUPS AT BASELINE AND AFTER 6 MONTHS. RESULTS: THYROID-STIMULATING HORMONE (P<0.002), FOLLICLE-STIMULATING HORMONE (P<0.02), LUTEINIZING HORMONE (P<0.001), AND PROLACTIN (P<0.02) WERE DECREASED SIGNIFICANTLY IN THE INTERVENTION GROUP, COMPARED WITH THE CONTROL GROUP. CONCLUSIONS: THE PRESENT STUDY DEMONSTRATED THE EFFICACY OF YOGA NIDRA ON HORMONE PROFILES IN PATIENTS WITH MENSTRUAL IRREGULARITIES. YOGA NIDRA PRACTICE WAS HELPFUL IN PATIENTS WITH HORMONE IMBALANCES, SUCH AS DYSMENORRHEA, OLIGOMENORRHEA, MENORRHAGIA, METRORRHAGIA, AND HYPOMENORRHEA. 2013 5 1080 33 EFFECTS OF YOGA ON QUALITY OF SLEEP OF WOMEN WITH PREMENSTRUAL SYNDROME. OBJECTIVE: WOMEN WITH PREMENSTRUAL SYNDROME (PMS) COMMONLY COMPLAIN OF SLEEP DISTURBANCES, SPECIFICALLY IN THE LUTEAL PHASE OF THE MENSTRUAL CYCLE. THEREFORE, THE EFFECTS OF YOGA ON QUALITY OF SLEEP OF WOMEN EXPERIENCING PMS WAS INVESTIGATED. MATERIAL AND METHODS: WOMEN (AGED 20-45 Y) MONITORED FOR PMS, WHO WERE REFERRED TO THE PRIVATE OBSTETRICS AND GYNECOLOGY CLINICS IN TABRIZ, IRAN, WERE REFERRED TO THE PRIVATE OBSTETRICS AND GYNECOLOGY CLINICS IN TABRIZ, IRAN. AFTERWARD, 62 WOMEN, WERE SELECTED AND DIVIDED INTO 2 GROUPS, RANDOMLY: 31 SUBJECTS IN YOGA THE YOGA GROUP AND 31 IN THE CONTROL GROUP. SUBJECTS IN YOGA PERFORMED FOR 10 WK IN 3 SESSIONS, WITH EACH SESSION LASTING 60 MIN. SUBJECTS IN THE CONTROL GROUP DID NOT PERFORM ANY YOGA. SUBJECTS COMPLETED A DEMOGRAPHIC QUESTIONNAIRE AND THE PITTSBURGH SLEEP QUALITY INDEX QUESTIONNAIRE BEFORE AND AFTER YOGA IN BOTH GROUPS. RESULTS: AFTER YOGA INTERVENTION, SUBJECTS SIGNIFICANTLY EXPRESSED IMPROVEMENT IN SLEEPING (P < .05). BASED ON THE MANN-WHITNEY U TEST, A SIGNIFICANT DIFFERENCE WAS OBSERVED IN THE SUBDOMAINS OF BOTH GROUPS ON QUALITY OF SLEEP (P < .01), SLEEP LATENCY (P < .01), AND SLEEP EFFICIENCY (P < .05). CONCLUSION: YOGA REDUCED THE DISTURBANCES OF SLEEP IN THE SUBJECTS WITH PMS, WHICH SUBSEQUENTLY IMPROVED THE EFFICIENCY OF THEIR SLEEP. THEREFORE, WE CONCLUDE THAT YOGA CAN BE PRESCRIBED FOR IMPROVING SLEEP DISTURBANCES IN WOMEN WITH PMS AND MEDICAL THERAPY WILL PROBABLY BE NEEDED IN SEVERE SITUATIONS. 2019 6 800 46 EFFECT OF YOGA NIDRA ON PHYSIOLOGICAL VARIABLES IN PATIENTS OF MENSTRUAL DISTURBANCES OF REPRODUCTIVE AGE GROUP. AIM OF THIS STUDY WAS TO SEE ANY EFFECT ON AUTONOMIC FUNCTIONS IN MENSTRUAL DISTURBANCES PATIENTS AFTER YOGA NIDRA PRACTICE. THE SUBJECTS FOR THE STUDY WERE 150 FEMALES WITH MENSTRUAL IRREGULARITIES, 28.08 +/- 7.43 YEARS OF MEAN AGE, REFERRED FROM DEPARTMENT OF OBSTETRICS AND GYNECOLOGY CSMMU, UP, LUCKNOW. SUBJECTS WERE DIVIDED RANDOMLY IN TO TWO GROUPS' INTERVENTION AND IN CONTROL GROUPS -SEVENTY FIVE (75) IN EACH GROUP. OUT OF THESE, ONE HUNDRED TWENTY SIX (126) COMPLETED THE STUDY PROTOCOL. THE YOGIC INTERVENTION CONSISTED OF 35-40 MINUTES/DAY, FIVE DAYS IN A WEEK TILL SIX MONTHS. AN AUTONOMIC FUNCTION TESTING WAS DONE IN BOTH THE GROUPS AT ZERO TIME AND AFTER SIX MONTHS. A SIGNIFICANT POSITIVE EFFECT WAS OBSERVED WHEN YOGA THERAPY WAS USED AS AN ADJUNCT IN THE PATIENTS OF MENSTRUAL DISTURBANCES. THERE WERE SIGNIFICANT IMPROVEMENTS IN THE BLOOD PRESSURE, POSTURAL HYPOTENSION AND SUSTAINED HAND GRIP, HEART RATE EXPIRATION INSPIRATION RATIO AND 30:15 BEAT RATIOS OF THE SUBJECTS AFTER YOGIC PRACTICE. 2012 7 2737 37 YOGA POSITIVELY AFFECTED DEPRESSION AND BLOOD PRESSURE IN WOMEN WITH PREMENSTRUAL SYNDROME IN A RANDOMIZED CONTROLLED CLINICAL TRIAL. WOMEN WITH PREMENSTRUAL SYNDROME (PMS) OFTEN COMPLAIN ABOUT DEPRESSION WHEN THEIR MENSTRUAL CYCLE BEGINS. THIS STUDY INVESTIGATED THE EFFECTS OF YOGA ON WOMEN WITH PMS SUFFERING FROM DEPRESSION DURING MENSTRUAL CYCLE. METHODS: THIS RANDOMIZED CONTROLLED CLINICAL TRIAL WAS CONDUCTED FROM APRIL TO OCTOBER 2015 IN TABRIZ, IRAN. ALL SUBJECTS (20-45 YEARS OLD), WHO WERE FREQUENTLY REFERRED TO THE PRIVATE OBSTETRICS AND GYNECOLOGY CLINICS, WERE INITIALLY MONITORED FOR PMS AND DEPRESSION. SUBJECTS COMPLETED THE DEMOGRAPHIC AND BECK DEPRESSION INVENTORY-II (BDI-II) QUESTIONNAIRES BEFORE AND AFTER INTERVENTION. IN ADDITION, SUBJECTS WERE MONITORED FOR ELIGIBLE AND INELIGIBLE CRITERIA. IN THIS STUDY 62 SUBJECTS WERE RANDOMLY SELECTED FOR THE YOGA GROUP AND CONTROL GROUPS. SUBJECTS PRACTICED YOGA OVER TWO MONTHS IN THREE SESSIONS, THE DURATION OF EACH SESSION WAS 60MIN. RESULTS: THE GENERAL SCORE OF THE DEPRESSION AFTER YOGA INTERVENTION WAS STATISTICALLY SIGNIFICANT COMPARED TO THE CONTROL GROUP (P<0.036) AND YOGA GROUP BEFORE INTERVENTION (P<0.001). THE DIASTOLIC PRESSURE DECREASED SIGNIFICANTLY AFTER YOGA INTERVENTION (P<0.029). YOGA DECREASED THE STATE OF DEPRESSION AND DIASTOLIC PRESSURE OF THE SUBJECTS WITH PMS COMPLAINING FROM DEPRESSION. CONCLUSION: WE CONCLUDE THAT YOGA HAS STRONG EFFECTS ON DEPRESSION SYMPTOMS AND BLOOD PRESSURE, THEREFORE IT CAN BE USED AS A COMPLEMENTARY OR ALTERNATIVE REMEDY FOR PMS PATIENTS. 2019 8 2552 36 YOGA FOR CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY AND FALL RISK: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY (CIPN) IS A COMMON, DEBILITATING SIDE EFFECT THAT WORSENS QUALITY OF LIFE AND INCREASES THE RISK OF FALLS IN CANCER SURVIVORS. EVIDENCE OF YOGA'S SAFETY AND EFFICACY IN TREATING CIPN IS LACKING. METHODS: IN A RANDOMIZED CONTROLLED STUDY, WE ASSIGNED BREAST AND GYNECOLOGICAL CANCER SURVIVORS WITH PERSISTENT MODERATE-TO-SEVERE CIPN PAIN, NUMBNESS, OR TINGLING WITH A SCORE OF 4 OR GREATER (0-10 NUMERIC RATING SCALE [NRS]) FOR AT LEAST 3 MONTHS AFTER CHEMOTHERAPY TO 8 WEEKS OF USUAL CARE OR YOGA FOCUSED ON BREATHWORK AND MUSCULOSKELETAL CONDITIONING. PRIMARY ENDPOINT WAS TREATMENT ARM DIFFERENCES FOR NRS, AND SECONDARY ENDPOINTS WERE FUNCTIONAL ASSESSMENT OF CANCER THERAPY/GYNECOLOGIC ONCOLOGY GROUP-NEUROTOXICITY SUBSCALE (FACT/GOG-NTX), AND FUNCTIONAL REACH TEST AFTER WEEK 8. WE TESTED TREATMENT ARM DIFFERENCES FOR EACH OUTCOME MEASURE USING LINEAR MIXED MODELS WITH TREATMENT-BY-TIME INTERACTIONS. ALL STATISTICAL TESTS WERE TWO-SIDED. RESULTS: WE RANDOMLY ASSIGNED 41 PARTICIPANTS INTO YOGA (N = 21) OR USUAL CARE (N = 20). AT WEEK 8, MEAN NRS PAIN DECREASED BY 1.95 POINTS (95% CONFIDENCE INTERVAL [CI] = -3.20 TO -0.70) IN YOGA VS 0.65 (95% CI = -1.81 TO 0.51) IN USUAL CARE (P = .14). FACT/GOG-NTX IMPROVED BY 4.25 (95% CI = 2.29 TO 6.20) IN YOGA VS 1.36 (95% CI = -0.47 TO 3.19) IN USUAL CARE (P = .035). FUNCTIONAL REACH, AN OBJECTIVE FUNCTIONAL MEASURE PREDICTING THE RISK OF FALLS, IMPROVED BY 7.14 CM (95% CI = 3.68 TO 10.59) IN YOGA AND DECREASED BY 1.65 CM (95% CI = -5.00 TO 1.72) IN USUAL CARE (P = .001). FOUR GRADE 1 ADVERSE EVENTS WERE OBSERVED IN THE YOGA ARM. CONCLUSION: AMONG BREAST AND GYNECOLOGICAL CANCER SURVIVORS WITH MODERATE-TO-SEVERE CIPN, YOGA WAS SAFE AND SHOWED PROMISING EFFICACY IN IMPROVING CIPN SYMPTOMS. 2020 9 1823 51 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 10 963 26 EFFECTS OF A YOGA PROGRAM ON MENSTRUAL CRAMPS AND MENSTRUAL DISTRESS IN UNDERGRADUATE STUDENTS WITH PRIMARY DYSMENORRHEA: A SINGLE-BLIND, RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: TO INVESTIGATE THE EFFECTS OF A YOGA PROGRAM ON MENSTRUAL CRAMPS AND MENSTRUAL DISTRESS IN UNDERGRADUATE STUDENTS WITH PRIMARY DYSMENORRHEA. DESIGN: SINGLE-BLIND, RANDOMIZED CONTROLLED TRIAL. PARTICIPANTS: 40 RANDOMLY SELECTED UNDERGRADUATE NURSING STUDENTS, WITH 20 EACH ASSIGNED TO AN EXERCISE OR A CONTROL GROUP. INTERVENTION: THE PARTICIPANTS ENGAGED IN A YOGA PROGRAM FOR 60 MINUTES ONCE A WEEK FOR 12 WEEKS. THE PROGRAM CONSISTED OF PHYSICAL EXERCISE COMBINED WITH RELAXATION AND MEDITATION. OUTCOME MEASURES: MENSTRUAL CRAMPS AND MENSTRUAL DISTRESS LEVELS WERE MEASURED BY USING THE VISUAL ANALOGUE SCALE FOR PAIN AND THE MENSTRUAL DISTRESS QUESTIONNAIRE, RESPECTIVELY. DATA WERE ANALYZED BY USING THE KOLMOGOROV-SMIRNOV AND SHAPIRO-WILK NORMALITY TESTS, T-TEST, CHI-SQUARE TEST, LOGISTIC REGRESSION ANALYSIS, AND MULTIVARIATE ANALYSIS OF VARIANCE (SPSS PROGRAM). RESULTS: MENSTRUAL PAIN INTENSITY (GROUP DIFFERENCE, -0.94; 95% CONFIDENCE INTERVAL [CI], -1.47 TO -0.42; P = 0.001) AND MENSTRUAL DISTRESS (GROUP DIFFERENCE, -1.13; 95% CI, -1.43 TO -0.82; P < 0.0001) SCORES DECREASED SIGNIFICANTLY IN THE EXPERIMENTAL GROUP COMPARED WITH THE CONTROL GROUP. CONCLUSIONS: THESE FINDINGS INDICATE THAT YOGA INTERVENTIONS MAY REDUCE MENSTRUAL CRAMPS AND MENSTRUAL DISTRESS IN FEMALE UNDERGRADUATE STUDENTS WITH PRIMARY DYSMENORRHEA. 2016 11 2557 36 YOGA FOR CHRONIC CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY PAIN: A PILOT, RANDOMIZED CONTROLLED TRIAL. PURPOSE: TO DETERMINE THE FEASIBILITY OF IMPLEMENTING A YOGA INTERVENTION FOR CANCER SURVIVORS WITH CHRONIC CIPN PAIN, AS WELL AS THE IMPACT OF THE INTERVENTION ON PATIENT-REPORTED OUTCOMES. METHODS: CANCER SURVIVORS WITH CHRONIC CIPN PAIN WERE RECRUITED FROM THE BREAST, GASTROINTESTINAL, AND GYNECOLOGICAL ONCOLOGY CENTERS AT DANA-FARBER CANCER INSTITUTE. PARTICIPANTS WERE RANDOMIZED (2:1) TO RECEIVE AN 8-WEEK YOGA INTERVENTION OR USUAL CARE. AFTER 21/50 OF PARTICIPANTS WERE ENROLLED, THE COVID-19 PANDEMIC REQUIRED THE YOGA INTERVENTION TO BE DELIVERED VIRTUALLY (I.E., ZOOM). PRE- AND POST-INTERVENTION, PARTICIPANTS SELF-REPORTED CIPN AND CO-OCCURRING SYMPTOM SEVERITY. ADHERENCE TO THE INTERVENTION WAS DEFINED AS PRACTICING >/= 12 YOGA SESSIONS OVER THE 8-WEEK INTERVENTION PERIOD. CHANGES IN PATIENT-REPORTED OUTCOMES BETWEEN GROUPS WERE COMPARED USING WILCOXON'S RANK-SUM TESTS. RESULTS: PARTICIPANTS (N = 28 YOGA, N = 16 CONTROL) WERE MAINLY FEMALE (96%) AND DIAGNOSED WITH STAGE III/IV DISEASE (66%). OVERALL, 19/28 (67.8%) OF YOGA GROUP PARTICIPANTS WERE ADHERENT TO THE YOGA PROTOCOL. YOGA GROUP PARTICIPANTS EXPERIENCED SIGNIFICANT WITHIN-GROUP IMPROVEMENTS IN ALL PATIENT-REPORTED OUTCOMES, INCLUDING WORST CIPN PAIN (MEDIAN CHANGE = - 1.7, P < 0.0001) AND SENSORY CIPN (MEDIAN CHANGE = - 14.8, P < 0.0001), BUT ONLY IMPROVEMENTS IN FATIGUE (P = 0.05) AND DEPRESSION (P = 0.04) WERE SIGNIFICANT COMPARED TO THE CONTROL. THERE WERE NO DIFFERENCES (P > 0.05) IN CHANGES IN PATIENT-REPORTED OUTCOMES BETWEEN IN-PERSON (N = 6) OR VIRTUAL (N = 15) YOGA GROUP PARTICIPANTS. CONCLUSIONS: YOGA IS A FEASIBLE NON-PHARMACOLOGICAL MODALITY FOR CANCER SURVIVORS WITH CIPN, BUT MORE INFORMATION IS NEEDED REGARDING ITS IMPACT ON CIPN AND OTHER SYMPTOMS. TRIAL REGISTRATION: CLINICALTRIALS.GOV IDENTIFIER: NCT03824860 IMPLICATIONS FOR CANCER SURVIVORS: ONCOLOGY CLINICIANS MAY CONSIDER REFERRING CANCER SURVIVORS TO YOGA FOR CHRONIC CIPN PAIN, BUT YOGA CANNOT BE CURRENTLY RECOMMENDED AS AN EFFICACIOUS TREATMENT. 2021 12 1883 52 REDUCING PSYCHOLOGICAL DISTRESS AND OBESITY THROUGH YOGA PRACTICE. BACKGROUND: YOGA PRACTICE HAS BEEN EFFECTIVELY PRESCRIBED IN CONJUNCTION WITH OTHER MEDICAL AND YOGIC PROCEDURES IN THE MANAGEMENT OF SEVERE PSYCHOSOMATIC DISEASES, INCLUDING CANCER, BRONCHIAL ASTHMA, COLITIS, PEPTIC AND ULCER. IT IMPROVES STRENGTH AND FLEXIBILITY, AND MAY HELP CONTROL PHYSIOLOGICAL VARIABLES SUCH AS BLOOD PRESSURE, LIPIDS, RESPIRATION, HEART RATE, AND METABOLIC RATE TO IMPROVE OVERALL EXERCISE CAPACITY. AIM OF THE STUDY: THE AIM OF THIS STUDY IS TO EVALUATE THE EFFECTS OF YOGIC PRACTICE ON ANXIETY/DEPRESSION ASSOCIATED WITH OBESITY. MATERIALS AND METHODS: PATIENTS WERE RECRUITED FROM THE DEPARTMENT OF PHYSIOLOGY, C.S.M. MEDICAL UNIVERSITY (ERSTWHILE KGMU), LUCKNOW, UTTAR PRADESH, INDIA. A TOTAL OF 272 SUBJECTS WERE DIVIDED INTO TWO GROUPS: 1) GROUP OF 205 SUBJECTS (WITH YOGIC PRACTICE) AND 2) A CONTROL GROUP OF 67 SUBJECTS (WITH AEROBIC EXERCISE). ASSESSMENT OF ANXIETY AND DEPRESSION WERE DONE BY HAMILTON RATING SCALE. RESULT: THIS STUDY SUPPORTS YOGA AS AN EFFECTIVE TOOL WITH NO DIET RESTRICTION TO IMPROVE ANXIETY AND DEPRESSION SYMPTOMS AS WELL AS OBESITY IN OBESE SUBJECTS CONCLUSION: INCORPORATING YOGIC ASANA IN THE TREATMENT PROTOCOL OF PATIENTS SUFFERING FROM ANXIETY AND DEPRESSION MAY PROVE BENEFICIAL IN THE LONG RUN. 2013 13 2549 40 YOGA FOR CANCER SURVIVORS WITH CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY: HEALTH-RELATED QUALITY OF LIFE OUTCOMES. BACKGROUND: YOGA IS A MEDITATIVE MOVEMENT THERAPY FOCUSED ON MIND-BODY AWARENESS. THE IMPACT OF YOGA ON HEALTH-RELATED QUALITY OF LIFE (HRQOL) OUTCOMES IN PATIENTS WITH CHEMOTHERAPY-INDUCED PERIPHERAL NEUROPATHY (CIPN) IS UNCLEAR. METHODS: WE CONDUCTED A PILOT RANDOMIZED WAIT-LIST CONTROLLED TRIAL OF 8 WEEKS OF YOGA (N = 21) VERSUS WAIT-LIST CONTROL (N = 20) FOR CIPN IN 41 BREAST AND GYNECOLOGICAL CANCER SURVIVORS WITH PERSISTENT MODERATE TO SEVERE CIPN. HRQOL ENDPOINTS WERE HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS), BRIEF FATIGUE INVENTORY (BFI), AND INSOMNIA SEVERITY INDEX (ISI). THE TREATMENT EXPECTANCY SCALE (TES) WAS ADMINISTERED AT BASELINE. WE ESTIMATED MEAN CHANGES AND 95% CONFIDENCE INTERVALS (CIS) FROM BASELINE TO WEEKS 8 AND 12 AND COMPARED ARMS USING CONSTRAINED LINEAR MIXED MODELS. RESULTS: AT WEEK 8, HADS ANXIETY SCORES DECREASED -1.61 (-2.75, -0.46) IN THE YOGA ARM AND -0.32 (-1.38, 0.75) POINTS IN THE WAIT-LIST CONTROL ARM (P = 0.099). AT WEEK 12, HADS ANXIETY SCORES DECREASED -1.42 (-2.57, -0.28) IN YOGA COMPARED TO AN INCREASE OF 0.46 (-0.60, 1.53) IN WAIT-LIST CONTROL (P = 0.017). THERE WERE NO SIGNIFICANT DIFFERENCES IN HADS DEPRESSION, BFI, OR ISI SCORES BETWEEN YOGA AND WAIT-LIST CONTROL. BASELINE TES WAS SIGNIFICANTLY HIGHER IN YOGA THAN IN WAIT-LIST CONTROL (14.9 VS. 12.7, P = 0.019). TES WAS NOT ASSOCIATED WITH HADS ANXIETY REDUCTION AND HADS ANXIETY REDUCTION WAS NOT ASSOCIATED WITH CIPN PAIN REDUCTION. CONCLUSIONS: YOGA MAY REDUCE ANXIETY IN PATIENTS WITH CIPN. FUTURE STUDIES ARE NEEDED TO CONFIRM THESE FINDINGS. CLINICAL TRIAL REGISTRATION NUMBER: CLINICALTRIALS.GOV IDENTIFIER: NCT03292328. 2021 14 278 35 ADDRESSING OBSTETRICS AND GYNECOLOGY TRAINEE BURNOUT USING A YOGA-BASED WELLNESS INITIATIVE DURING DEDICATED EDUCATION TIME. OBJECTIVE: TO ESTIMATE THE FEASIBILITY OF IMPLEMENTING A YOGA-BASED WELLNESS PROGRAM DURING TRAINING AND ITS INFLUENCE ON BURNOUT, DEPRESSION, ANXIETY, STRESS, AND MINDFULNESS AMONG OBSTETRICS AND GYNECOLOGY TRAINEES. METHODS: WE CONDUCTED A DEPARTMENTAL QUALITY IMPROVEMENT INITIATIVE CONSISTING OF WEEKLY 1-HOUR YOGA CLASSES CONDUCTED DURING PROTECTED EDUCATION TIME AND NUTRITION AND PHYSICAL CHALLENGES FOR 24 OBSTETRICS AND GYNECOLOGY RESIDENTS AND FIVE MATERNAL-FETAL MEDICINE FELLOWS. PARTICIPANTS RECEIVED A FREE WRIST-WORN FITNESS TRACKER DEVICE TO RECORD THEIR ACTIVITY. PREPROGRAM AND POSTPROGRAM DATA COLLECTION INCLUDED RESULTS FROM VALIDATED SCALES ON BURNOUT, MINDFULNESS, DEPRESSION AND ANXIETY, BLOOD PRESSURE, HEART RATE, AND WEIGHT. WILCOXON SIGNED RANK TESTS WERE USED FOR ANALYSIS. A P-VALUE <.05 WAS CONSIDERED SIGNIFICANT. RESULTS: OVER AN 8-WEEK PERIOD, 90% (N=26) OF PARTICIPANTS ATTENDED AT LEAST ONE YOGA CLASS AND 68% ATTENDED AT LEAST 50% OF THE CLASSES. NO PARTICIPANT COMPLETED ALL SESSIONS. EIGHTY PERCENT (N=20) ENGAGED IN AT LEAST ONE NUTRITION CHALLENGE AND 60% (N=15) IN AT LEAST ONE PHYSICAL CHALLENGE. AFTER THE PROGRAM, A SIGNIFICANT REDUCTION IN THE DEPERSONALIZATION COMPONENT OF BURNOUT (P=.04), ANXIETY (P=.02), AND SYSTOLIC (PREPROGRAM: 122, POSTPROGRAM: 116 MM HG; P=.01) AND DIASTOLIC BLOOD PRESSURE (PREPROGRAM: 82, POSTPROGRAM: 76 MM HG; P=.01) OCCURRED. THOSE PARTICIPANTS WHO ATTENDED MORE THAN 50% OF YOGA CLASSES DEMONSTRATED A SIGNIFICANT REDUCTION IN SYSTOLIC AND DIASTOLIC BLOOD PRESSURE COMPARED WITH LESS-FREQUENT ATTENDEES (P=.02 AND .04, RESPECTIVELY). A POSTPROGRAM SURVEY REVEALED FEELINGS OF INCREASED CAMARADERIE, APPRECIATION, MOTIVATION, AND OVERALL TRAINING EXPERIENCE. DISCUSSION: IMPLEMENTING A WELLNESS PROGRAM CONSISTING OF WEEKLY YOGA CLASSES IS FEASIBLE AND MAY BE BENEFICIAL. A WELLNESS INITIATIVE THAT EMPHASIZES ACTIVE PARTICIPATION DURING EDUCATION TIME WITH THE AUTONOMY TO IMPLEMENT DAILY WELLNESS ACTIVITIES MAY REDUCE BURNOUT AND IMPROVE WELL-BEING. 2019 15 1978 32 SLEEP AMONG OBSTETRICS AND GYNECOLOGY TRAINEES: RESULTS FROM A YOGA-BASED WELLNESS INITIATIVE. OBJECTIVE: THIS STUDY AIMED TO DETERMINE THE FEASIBILITY OF USING A WRIST-BASED FITNESS TRACKING DEVICE TO ASSESS SLEEP AMONG OBSTETRICS AND GYNECOLOGY (OBGYN) TRAINEES WHO ENGAGED IN A YOGA-BASED WELLNESS PROGRAM. WE ALSO SOUGHT TO EVALUATE THE EFFECTS OF YOGA ON SLEEP. STUDY DESIGN: A QUALITY IMPROVEMENT INITIATIVE CONSISTING OF AN 8-WEEK WELLNESS PROGRAM OF WEEKLY YOGA CLASSES, NUTRITION, AND PHYSICAL CHALLENGES WAS IMPLEMENTED FOR OBGYN RESIDENTS AND MATERNAL-FETAL MEDICINE FELLOWS. THE POLAR A370 FITNESS TRACKER DEVICE WAS PROVIDED AND SYNCED TO THE POLAR FLOW FOR COACH PROGRAM FOR INCLUSION. DATA OBTAINED INCLUDED TOTAL AND RESTFUL SLEEP FROM EACH NIGHT THE DEVICE WERE WORN. PRE- AND POST-ASSESSMENT OF THE PITTSBURG SLEEP QUALITY INDEX (PSQI) WERE COMPARED. LINEAR MIXED MODELS WERE USED TO ESTIMATE AND TEST THE EFFECT OF YOGA ON SLEEP WHILE CONTROLLING FOR ON-CALL SHIFTS. RESULTS: OF THE 15 PARTICIPANTS WHO SYNCED THEIR DEVICE, 13 (87%) WERE INCLUDED FOR ANALYSIS. SLEEP DATA FROM 572 NIGHTS WERE ANALYZED. THE MEAN (SD) TOTAL SLEEP WAS 434.28 (110.03) MINUTES OVER THE 8 WEEKS. A MINIMUM OF 7 HOURS (420 MINUTES) OF TOTAL SLEEP OCCURRED 59.3% OF THE TIME. AFTER CONTROLLING FOR FRIDAY OR SATURDAY NIGHT ON-CALL, THOSE WHO ATTENDED YOGA CLASS HAD A SIGNIFICANTLY GREATER TOTAL SLEEP (YOGA: 425.14 MINUTES [41.89], NO YOGA: 357.33 [43.04] MINUTES; P = 0.04). THERE WAS NO SIGNIFICANT CHANGE IN THE MEAN GLOBAL PSQI SCORE AFTER THE PROGRAM (PRE: 5.0 [1.6], POST: 5.1 [2.5], P = 0.35). CONCLUSION: WEARABLE FITNESS MONITORS PROVIDE INSIGHT INTO SLEEP PATTERNS DISPLAYED DURING TRAINING AND CAN SERVE AS A TOOL TO IDENTIFY THOSE WHO ARE SLEEP DEPRIVED AND ASSIST IN THE EVALUATION OF TRAINEE WELLNESS. TRAINING PROGRAMS ARE ENCOURAGED TO PROVIDE ACCESS TO YOGA AND MINDFULNESS INTERVENTIONS TO IMPROVE SLEEP AND POSSIBLY CLINICAL PERFORMANCE. KEY POINTS: . YOGA IMPROVES TRAINEE SLEEP BY APPROXIMATELY 60 MINUTES.. . TOTAL AND RESTFUL SLEEP ARE REDUCED DURING NIGHT FLOAT ROTATION.. . TRAINEES OBTAINED 7 HOURS OF SLEEP APPROXIMATELY 60% OF THE TIME.. 2021 16 267 36 ACUTE FETAL BEHAVIORAL RESPONSE TO PRENATAL YOGA: A SINGLE, BLINDED, RANDOMIZED CONTROLLED TRIAL (TRY YOGA). BACKGROUND: IN 2012, YOGA WAS PRACTICED BY 20 MILLION AMERICANS, OF WHOM 82% WERE WOMEN. A RECENT LITERATURE REVIEW ON PRENATAL YOGA NOTED A REDUCTION IN SOME PREGNANCY COMPLICATIONS (IE, PRETERM BIRTH, LUMBAR PAIN, AND GROWTH RESTRICTION) IN THOSE WHO PRACTICED YOGA; TO DATE, THERE IS NO EVIDENCE ON FETAL RESPONSE AFTER YOGA. OBJECTIVES: WE AIMED TO CHARACTERIZE THE ACUTE CHANGES IN MATERNAL AND FETAL RESPONSE TO PRENATAL YOGA EXERCISES USING COMMON STANDARDIZED TESTS TO ASSESS THE WELL-BEING OF THE MATERNAL-FETAL UNIT. STUDY DESIGN: WE CONDUCTED A SINGLE, BLINDED, RANDOMIZED CONTROLLED TRIAL. UNCOMPLICATED PREGNANCIES BETWEEN 28 0/7 AND 36 6/7 WEEKS WITH A NONANOMALOUS SINGLETON FETUS OF WOMEN WHO DID NOT SMOKE, USE NARCOTICS, OR HAVE PRIOR EXPERIENCE WITH YOGA WERE INCLUDED. A COMPUTER-GENERATED SIMPLE RANDOMIZATION SEQUENCE WITH A 1:1 ALLOCATION RATIO WAS USED TO RANDOMIZE PARTICIPANTS INTO THE YOGA OR CONTROL GROUP. WOMEN IN THE YOGA GROUP PARTICIPATED IN A 1-TIME, 1 HOUR YOGA CLASS WITH A CERTIFIED INSTRUCTOR WHO TAUGHT A PREDETERMINED YOGA SEQUENCE. IN THE CONTROL GROUP, EACH PARTICIPANT ATTENDED A 1-TIME, 1 HOUR POWERPOINT PRESENTATION BY AN OBSTETRICIAN ON AMERICAN CONGRESS OF OBSTETRICIANS AND GYNECOLOGISTS RECOMMENDATIONS FOR EXERCISE, NUTRITION, AND OBESITY IN PREGNANCY. ALL PARTICIPANTS UNDERWENT PRE- AND POSTINTERVENTION TESTING, WHICH CONSISTED OF UMBILICAL AND UTERINE ARTERY DOPPLER ULTRASOUND, NONSTRESS TESTING, A BIOPHYSICAL PROFILE, MATERNAL BLOOD PRESSURE, AND MATERNAL HEART RATE. A BOARD-CERTIFIED MATERNAL-FETAL MEDICINE SPECIALIST, AT A DIFFERENT TERTIARY CENTER, INTERPRETED ALL NONSTRESS TESTS AND BIOPHYSICAL PROFILE DATA AND WAS BLINDED TO GROUP ASSIGNMENT AND PRE- OR POSTINTERVENTION TESTING. THE PRIMARY OUTCOME WAS A CHANGE IN UMBILICAL ARTERY DOPPLER SYSTOLIC TO DIASTOLIC RATIO. SAMPLE SIZE CALCULATIONS INDICATED 19 WOMEN PER GROUP WOULD BE SUFFICIENT TO DETECT THIS DIFFERENCE IN DOPPLER INDICES (ALPHA, 0.05; POWER, 80%). DATA WERE ANALYZED USING A REPEATED-MEASURES ANALYSIS OF VARIANCE, A CHI(2), AND A FISHER EXACT TEST. A VALUE OF P < .05 WAS CONSIDERED SIGNIFICANT. RESULTS: OF THE 52 WOMEN RANDOMIZED, 46 (88%) COMPLETED THE STUDY. THERE WAS NO CLINICALLY SIGNIFICANT CHANGE IN UMBILICAL ARTERY SYSTOLIC TO DIASTOLIC RATIO (P = .34), PULSATILITY INDEX (P = .53), OR RESISTANCE INDEX (P = .66) BETWEEN THE 2 GROUPS BEFORE AND AFTER THE INTERVENTION. FETAL AND MATERNAL HEART RATE, MATERNAL BLOOD PRESSURE, AND UTERINE ARTERY DOPPLERS REMAINED UNCHANGED OVER TIME. WHEN UMBILICAL ARTERY INDICES WERE INDIVIDUALLY COMPARED WITH GESTATIONAL AGE REFERENCES, THERE WAS NO DIFFERENCE BETWEEN THOSE WHO IMPROVED OR WORSENED BETWEEN THE GROUPS. CONCLUSION: THERE WAS NO SIGNIFICANT CHANGE IN FETAL BLOOD FLOW ACUTELY AFTER PERFORMING YOGA FOR THE FIRST TIME IN PREGNANCY. YOGA CAN BE RECOMMENDED FOR LOW-RISK WOMEN TO BEGIN DURING PREGNANCY. 2016 17 2303 38 TO COMPARE THE EFFECTS OF AEROBIC EXERCISE AND YOGA ON PREMENSTRUAL SYNDROME. BACKGROUND: EIGHTY PERCENT OF WOMEN DURING THEIR REPRODUCTIVE AGE EXPERIENCE SOME SYMPTOMS ATTRIBUTED TO PREMENSTRUAL PHASE OF THE MENSTRUAL CYCLE. PREMENSTRUAL SYNDROME (PMS) IS CHARACTERIZED BY EMOTIONAL, BEHAVIORAL, AND PHYSICAL SYMPTOMS THAT OCCUR DURING LATE LUTEAL PHASE OF MENSTRUAL CYCLE AND ARE RELIEVED AFTER THE ONSET OF MENSTRUATION. AEROBIC EXERCISE AND YOGA ARE ONE OF THE WAYS TO REDUCE THESE SYMPTOMS. THE AIM OF THIS STUDY WAS TO COMPARE THE EFFECTS OF AEROBIC EXERCISE AND YOGA ON PMS. MATERIALS AND METHODS: A TOTAL OF 72 PARTICIPANTS OF PMS, REFERRED FOR PHYSIOTHERAPY TREATMENT (MEAN AGE 28 YEARS), WERE ENROLLED AND ALLOCATED INTO TWO GROUPS (GROUP A AND B) BY SIMPLE COMPUTERIZED RANDOMIZATION. PATIENTS IN GROUP A RECEIVED AEROBIC EXERCISE AND IN GROUP B RECEIVED YOGA MOVEMENTS FOR 40 MIN, 3 TIMES A WEEK FOR 1 MONTH. THE PAIN INTENSITY (VISUAL ANALOG SCALE) AND PMS SCALE WERE MEASURED BEFORE, AT THE END OF 15 DAYS, AND 1 MONTH OF TREATMENT PROGRAM. RESULTS: DATA WERE ANALYZED BY PAIRED T-TEST, UNPAIRED T-TEST, AND ONE-WAY ANOVA; AND THE RESULTS SHOWED THAT BOTH AEROBIC EXERCISE AND YOGA MOVEMENTS SIGNIFICANTLY REDUCED PAIN INTENSITY AND PMS SYMPTOMS. SIGNIFICANT REDUCTION IN PMS SYMPTOMS WAS FOUND IN PATIENTS TREATED WITH YOGA COMPARED TO AEROBIC EXERCISE; HOWEVER, NO SIGNIFICANT DIFFERENCE WAS FOUND IN PAIN INTENSITY BETWEEN THESE TWO GROUPS (P > 0.05). CONCLUSION: IT IS CONCLUDED THAT BOTH AEROBIC EXERCISE AND YOGA MOVEMENTS ARE EFFECTIVE IN TREATING PMS; HOWEVER, YOGA IS MORE EFFECTIVE IN RELIEVING THE SYMPTOMS OF PMS THAN AEROBIC EXERCISE. 2019 18 1237 34 FEASIBILITY OF A BRIEF YOGA INTERVENTION FOR IMPROVING ACUTE PAIN AND DISTRESS POST GYNECOLOGIC SURGERY. BACKGROUND: WOMEN UNDERGOING SURGICAL PROCEDURES FOR SUSPECTED GYNECOLOGIC MALIGNANCIES FREQUENTLY EXPERIENCE PAIN AND PSYCHOLOGICAL DISTRESS RELATED TO SURGERY. YOGA MAY REDUCE THESE NEGATIVE SURGICAL OUTCOMES. THE PRIMARY OBJECTIVE OF THIS PILOT STUDY WAS TO ASSESS THE FEASIBILITY OF EVALUATING A PERIOPERATIVE BRIEF YOGA SKILLS TRAINING (YST) IN THIS POPULATION. SECONDARY OBJECTIVES WERE TO (1) ASSESS THE IMMEDIATE EFFECTS OF THE YST ON PAIN AND PSYCHOLOGICAL DISTRESS; AND (2) PROVIDE PRELIMINARY DATA FOR FUTURE STUDIES. METHOD: ADULT WOMEN SCHEDULED TO UNDERGO AN EXPLORATORY LAPAROTOMY FOR A SUSPECTED GYNECOLOGIC MALIGNANCY WERE RECRUITED TO THIS ONE-ARM FEASIBILITY STUDY. EACH WOMAN RECEIVED THE YST, WHICH CONSISTED OF THREE 15-MINUTE SESSIONS, ONE BEFORE AND TWO AFTER SURGERY. THE FOLLOWING CONSTRUCTS WERE ASSESSED: FEASIBILITY (RATES OF ACCRUAL, INTERVENTION ADHERENCE, MEASURE COMPLETION, RETENTION, AND LEVEL OF SATISFACTION), IMMEDIATE EFFECTS OF THE YST (VISUAL ANALOGUE SCALE RATINGS OF PAIN AND DISTRESS IMMEDIATELY BEFORE AND AFTER EACH SESSION), AND DESCRIPTIVE STATISTICS FOR MEASURES TO BE USED IN FUTURE STUDIES. RESULTS: OF THE 33 ELIGIBLE WOMEN, 18 WERE APPROACHED AND 10 AGREED TO PARTICIPATE (MEAN AGE = 54.7 YEARS; 90% WHITE). TWO WOMEN DISCONTINUED THE STUDY PRIOR TO STARTING THE YST SESSIONS. OF THE EIGHT PARTICIPANTS WHO RECEIVED THE YST, FIVE COMPLETED THE PRE-SURGERY SESSION (63%) AND SEVEN COMPLETED (88%) BOTH POST-SURGICAL SESSIONS; ONE WOMAN WITHDREW AFTER ONE YST SESSION. PARTICIPANTS REPORTED HIGH SATISFACTION WITH THE YST. ACUTE PAIN AND DISTRESS DECREASED FROM BEFORE TO IMMEDIATELY AFTER THE YST SESSION WITH MODERATE TO LARGE EFFECTS: PAIN, D'S = -0.67 TO -0.95; DISTRESS, D'S = -0.66 TO -1.08. CONCLUSIONS: THIS STUDY DEMONSTRATED REASONABLE INDICATORS OF FEASIBILITY. IN ADDITION, PATIENTS SHOWED SHORT-TERM REDUCTIONS IN PAIN AND DISTRESS. NEXT STEPS INCLUDE ATTENTION TO IMPROVING STAFF AVAILABILITY AND INTERVENTION IMPLEMENTATION IN ORDER TO FEASIBLY EVALUATE THE PERIOPERATIVE YST, WHICH SHOWS PROMISE FOR REDUCING POSTOPERATIVE PAIN AND DISTRESS. 2016 19 2464 41 YOGA AS A THERAPEUTIC INTERVENTION IN THE MANAGEMENT OF DYSFUNCTIONAL UTERINE BLEEDING: A CONTROLLED PILOT STUDY. BACKGROUND: DYSFUNCTIONAL UTERINE BLEEDING (DUB) IS ONE OF THE MOST COMMON GYNECOLOGICAL DISORDERS ENCOUNTERED IN WOMEN DURING THE REPRODUCTIVE AGE. YOGA THERAPY HAS SHOWN PROMISING BENEFITS IN SEVERAL GYNECOLOGICAL DISORDERS. METHODS: THIRTY WOMEN BETWEEN THE AGES OF 20 AND 40 YEARS WITH PRIMARY DUB WERE RANDOMLY ASSIGNED TO A YOGA (N = 15) AND A WAITLIST CONTROL GROUP (N = 15). PARTICIPANTS IN THE YOGA GROUP RECEIVED A 3-MONTH YOGA MODULE AND WERE ASSESSED FOR HEMOGLOBIN VALUES, ENDOMETRIAL THICKNESS (ET), PICTORIAL BLOOD LOSS ASSESSMENT CHART (PBAC), STATE-TRAIT ANXIETY INVENTORY, PERCEIVED STRESS SCALE, AND PITTSBURGH SLEEP QUALITY INDEX (PSQI) BEFORE AND AFTER A 3-MONTH FOLLOW-UP PERIOD. RESULTS: AT THE END OF 3 MONTHS OF INTERVENTION, THE YOGA GROUP, UNLIKE THE CONTROL GROUP, REPORTED A SIGNIFICANT REDUCTION IN THE ANXIETY SCORES (P < 0.05) AND PERCEIVED STRESS (P < 0.05). THE PSQI SCORES INDICATED A REDUCTION IN SLEEP DISTURBANCES (P < 0.001) AND THE NEED FOR SLEEP MEDICATIONS (P < 0.01) AND HIGHER GLOBAL SCORES (P < 0.001). HOWEVER, THERE WERE NO CHANGES IN PBAC AND ET IN BOTH THE GROUPS. CONCLUSION: THE RESULTS INDICATE THAT YOGA THERAPY POSITIVELY IMPACTS THE OUTCOME OF DUB BY REDUCING THE PERCEIVED STRESS AND STATE ANXIETY AND IMPROVING THE QUALITY OF SLEEP. THIS WARRANTS LARGER CLINICAL TRIALS TO VALIDATE THE FINDINGS OF THIS PILOT STUDY. 2018 20 329 35 ANXIOLYTIC EFFECTS OF A YOGA PROGRAM IN EARLY BREAST CANCER PATIENTS UNDERGOING CONVENTIONAL TREATMENT: A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THIS STUDY COMPARES THE ANXIOLYTIC EFFECTS OF A YOGA PROGRAM AND SUPPORTIVE THERAPY IN BREAST CANCER OUTPATIENTS UNDERGOING CONVENTIONAL TREATMENT AT A CANCER CENTRE. METHODS: NINETY-EIGHT STAGE II AND III BREAST CANCER OUTPATIENTS WERE RANDOMLY ASSIGNED TO RECEIVE YOGA (N=45) OR BRIEF SUPPORTIVE THERAPY (N=53) PRIOR TO THEIR PRIMARY TREATMENT I.E., SURGERY. ONLY THOSE SUBJECTS WHO RECEIVED SURGERY FOLLOWED BY ADJUVANT RADIOTHERAPY AND SIX CYCLES OF CHEMOTHERAPY WERE CHOSEN FOR ANALYSIS FOLLOWING INTERVENTION (YOGA, N=18, CONTROL, N=20). INTERVENTION CONSISTED OF YOGA SESSIONS LASTING 60MIN DAILY WHILE THE CONTROL GROUP WAS IMPARTED SUPPORTIVE THERAPY DURING THEIR HOSPITAL VISITS AS A PART OF ROUTINE CARE. ASSESSMENTS INCLUDED SPEILBERGER'S STATE TRAIT ANXIETY INVENTORY AND SYMPTOM CHECKLIST. ASSESSMENTS WERE DONE AT BASELINE, AFTER SURGERY, BEFORE, DURING, AND AFTER RADIOTHERAPY AND CHEMOTHERAPY. RESULTS: A GLM-REPEATED MEASURES ANOVA SHOWED OVERALL DECREASE IN BOTH SELF-REPORTED STATE ANXIETY (P<0.001) AND TRAIT ANXIETY (P=0.005) IN YOGA GROUP AS COMPARED TO CONTROLS. THERE WAS A POSITIVE CORRELATION BETWEEN ANXIETY STATES AND TRAITS WITH SYMPTOM SEVERITY AND DISTRESS DURING CONVENTIONAL TREATMENT INTERVALS. CONCLUSION: THE RESULTS SUGGEST THAT YOGA CAN BE USED FOR MANAGING TREATMENT-RELATED SYMPTOMS AND ANXIETY IN BREAST CANCER OUTPATIENTS. 2009