1 701 105 EFFECT OF HOLISTIC YOGA PROGRAM ON ANXIETY SYMPTOMS IN ADOLESCENT GIRLS WITH POLYCYSTIC OVARIAN SYNDROME: A RANDOMIZED CONTROL TRIAL. CONTEXT: YOGA TECHNIQUES PRACTICED FOR VARYING DURATIONS HAVE BEEN SHOWN TO REDUCE STATE ANXIETY. THIS WAS NEVER ASSESSED IN ADOLESCENTS WITH POLYCYSTIC OVARIAN SYNDROME (PCOS). AIMS: TO COMPARE THE EFFECT OF A HOLISTIC YOGA PROGRAM WITH THE CONVENTIONAL EXERCISE PROGRAM ON ANXIETY LEVEL IN ADOLESCENTS WITH PCOS. SETTINGS AND DESIGN: NINETY ADOLESCENT (15-18 YEARS) GIRLS FROM A RESIDENTIAL COLLEGE IN ANDHRA PRADESH, WHO SATISFIED THE ROTTERDAM CRITERIA, WERE RANDOMIZED INTO TWO GROUPS. MATERIALS AND METHODS: ANXIETY LEVELS WERE ASSESSED AT INCLUSION AND AFTER 12 WEEKS OF INTERVENTION WHEREIN YOGA GROUP PRACTICED A HOLISTIC YOGA MODULE WHILE THE CONTROL GROUP PRACTICED A MATCHING SET OF PHYSICAL EXERCISES (1 H/DAY, FOR 12 WEEKS). STATISTICAL ANALYSIS USED: MANN-WHITNEY U TEST WAS USED TO COMPARE DIFFERENCE SCORES (DELTA CHANGE) BETWEEN THE TWO GROUPS RESULTS: CHANGES IN STATE ANXIETY AFTER THE INTERVENTION WERE NONSIGNIFICANTLY DIFFERENT BETWEEN THE TWO GROUPS (P=0.243), WHILE CHANGES AFTER THE INTERVENTION WERE SIGNIFICANTLY DIFFERENT BETWEEN THE TWO GROUPS (P=0.002) FOR TRAIT ANXIETY. CONCLUSIONS: TWELVE WEEKS OF A HOLISTIC YOGA PROGRAM IN ADOLESCENTS WITH PCOS IS SIGNIFICANTLY BETTER THAN PHYSICAL EXERCISE PROGRAM IN REDUCING ANXIETY SYMPTOMS. 2012 2 684 42 EFFECT OF AN INTEGRATED APPROACH OF YOGA THERAPY ON QUALITY OF LIFE IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROL STUDY. AIM: THIS STUDY WAS DESIGNED TO EVALUATE THE EFFICACY OF ADDITION OF INTEGRATED YOGA THERAPY TO THERAPEUTIC EXERCISES IN OSTEOARTHRITIS (OA) OF KNEE JOINTS. MATERIALS AND METHODS: THIS WAS A PROSPECTIVE RANDOMIZED ACTIVE CONTROL TRIAL. A TOTAL OF T PARTICIPANTS WITH OA OF KNEE JOINTS BETWEEN 35 AND 80 YEARS (YOGA, 59.56 +/- 9.54 AND CONTROL, 59.42 +/- 10.66) FROM THE OUTPATIENT DEPARTMENT OF DR. JOHN'S ORTHOPEDIC CENTER, BENGALURU, WERE RANDOMLY ASSIGNED TO RECEIVE YOGA OR PHYSIOTHERAPY EXERCISES AFTER TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT OF THE AFFECTED KNEE JOINTS. BOTH GROUPS PRACTICED SUPERVISED INTERVENTION (40 MIN PER DAY) FOR 2 WEEKS (6 DAYS PER WEEK) WITH FOLLOWUP FOR 3 MONTHS. THE MODULE OF INTEGRATED YOGA CONSISTED OF SHITHILIKARANAVYAYAMA (LOOSENING AND STRENGTHENING), ASANAS, RELAXATION TECHNIQUES, PRANAYAMA, MEDITATION AND DIDACTIC LECTURES ON YAMA, NIYAMA, JNANA YOGA, BHAKTI YOGA, AND KARMA YOGA FOR A HEALTHY LIFESTYLE CHANGE. THE CONTROL GROUP ALSO HAD SUPERVISED PHYSIOTHERAPY EXERCISES. A TOTAL OF 118 (YOGA) AND 117 (CONTROL) WERE AVAILABLE FOR FINAL ANALYSIS. RESULTS: SIGNIFICANT DIFFERENCES WERE OBSERVED WITHIN (P < 0.001, WILCOXON'S) AND BETWEEN GROUPS (P < 0.001, MANN-WHITNEY U-TEST) ON ALL DOMAINS OF THE SHORT FORM-36 (P < 0.004), WITH BETTER RESULTS IN THE YOGA GROUP THAN IN THE CONTROL GROUP, BOTH AT 15(TH) DAY AND 90(TH) DAY. CONCLUSION: AN INTEGRATED APPROACH OF YOGA THERAPY IS BETTER THAN THERAPEUTIC EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN IMPROVING KNEE DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH OA KNEES. 2011 3 818 43 EFFECT OF YOGA ON COGNITIVE FUNCTIONS IN CLIMACTERIC SYNDROME: A RANDOMISED CONTROL STUDY. OBJECTIVE: TO ASSESS THE EFFICACY OF AN INTEGRATED APPROACH OF YOGA THERAPY (IAYT) ON COGNITIVE ABILITIES IN CLIMACTERIC SYNDROME. DESIGN: A RANDOMISED CONTROL STUDY WHEREIN THE PARTICIPANTS WERE DIVIDED INTO EXPERIMENTAL AND CONTROL GROUPS. SETTINGS: FOURTEEN CENTRES OF SWAMI VIVEKANANDA YOGA RESEARCH FOUNDATION, BANGALORE, INDIA. SAMPLE: ONE HUNDRED AND EIGHT PERIMENOPAUSAL WOMEN BETWEEN 40 AND 55 YEARS WITH FOLLICLE-STIMULATING HORMONE LEVEL EQUAL TO OR GREATER THAN 15 MIU/ML. ONE HUNDRED AND TWENTY PERIMENOPAUSAL WOMEN WERE RANDOMLY ALLOTTED INTO THE YOGA AND THE CONTROL GROUPS. METHODS: THE YOGA GROUP PRACTISED A MODULE COMPRISING BREATHING PRACTICES, SUN SALUTATION AND CYCLIC MEDITATION, WHEREAS THE CONTROL GROUP PRACTISED A SET OF SIMPLE PHYSICAL EXERCISES, UNDER SUPERVISION (1 HOUR/DAY, 5 DAYS/WEEK FOR 8 WEEKS). MAIN OUTCOME MEASURES: ASSESSMENTS WERE MADE BY VASOMOTOR SYMPTOM CHECKLIST, SIX-LETTER CANCELLATION TEST (SLCT) FOR ATTENTION AND CONCENTRATION AND PUNIT GOVIL INTELLIGENCE MEMORY SCALE (PGIMS) WITH TEN SUBTESTS. RESULTS: THE WILCOXON TEST SHOWED SIGNIFICANT (P < 0.001) REDUCTION IN HOT FLUSHES, NIGHT SWEATS AND SLEEP DISTURBANCE IN YOGA GROUP, WITH A TREND OF SIGNIFICANT DIFFERENCE BETWEEN GROUPS AT P = 0.06 ON MANN-WHITNEY TEST IN NIGHT SWEATS. THERE WAS NO CHANGE WITHIN OR BETWEEN GROUPS IN THE CONTROL GROUP. THE SLCT SCORE AND THE PGIMS SHOWED SIGNIFICANT IMPROVEMENT IN EIGHT OF TEN SUBTESTS IN THE YOGA GROUP AND SIX OF TEN SUBTESTS IN THE CONTROL GROUP. THE YOGA GROUP PERFORMED SIGNIFICANTLY BETTER (P < 0.001) WITH HIGHER EFFECT SIZES IN SLCT AND SEVEN TESTS OF PGIMS COMPARED WITH THE CONTROL GROUP. CONCLUSIONS: INTEGRATED APPROACH OF YOGA THERAPY CAN IMPROVE HOT FLUSHES AND NIGHT SWEATS. IT ALSO CAN IMPROVE COGNITIVE FUNCTIONS SUCH AS REMOTE MEMORY, MENTAL BALANCE, ATTENTION AND CONCENTRATION, DELAYED AND IMMEDIATE RECALL, VERBAL RETENTION AND RECOGNITION TESTS. 2008 4 2507 42 YOGA BASED CARDIAC REHABILITATION AFTER CORONARY ARTERY BYPASS SURGERY: ONE-YEAR RESULTS ON LVEF, LIPID PROFILE AND PSYCHOLOGICAL STATES--A RANDOMIZED CONTROLLED STUDY. OBJECTIVE: TO COMPARE THE LONG TERM EFFECTS OF YOGA BASED CARDIAC REHABILITATION PROGRAM WITH ONLY PHYSIOTHERAPY BASED PROGRAM AS AN ADD-ON TO CONVENTIONAL REHABILITATION AFTER CORONARY ARTERY BYPASS GRAFTING (CABG) ON RISK FACTORS. METHODS: IN THIS SINGLE BLIND PROSPECTIVE RANDOMIZED PARALLEL TWO ARMED ACTIVE CONTROL STUDY, 1026 PATIENTS POSTED FOR CABG AT NARAYANA HRUDAYALAYA INSTITUTE OF CARDIAC SCIENCES, BENGALURU (INDIA) WERE SCREENED. OF THESE, 250 MALE PARTICIPANTS (35-65 YEARS) WHO SATISFIED THE SELECTION CRITERIA AND CONSENTED WERE RANDOMIZED INTO TWO GROUPS. WITHIN AND BETWEEN GROUP COMPARISONS WERE DONE AT THREE POINTS OF FOLLOW UP (I.E. 6TH WEEK, 6TH MONTH, AND 12TH MONTH) BY USING WILCOXON'S SIGNED RANKS TEST AND MANN WHITNEY U TEST RESPECTIVELY. RESULTS: YOGA GROUP HAD SIGNIFICANTLY (P = 0.001, MANN WHITNEY) BETTER IMPROVEMENT IN LVEF THAN CONTROL GROUP IN THOSE WITH ABNORMAL BASELINE EF (<53%) AFTER 1 YEAR. THERE WAS A BETTER REDUCTION IN BMI IN THE YOGA GROUP (P = 0.038, BETWEEN GROUPS) IN THOSE WITH HIGH BASELINE BMI (>/=23) AFTER 12 MONTHS. YOGA GROUP SHOWED SIGNIFICANT (P = 0.008, WILCOXON'S) REDUCTION IN BLOOD GLUCOSE AT ONE YEAR IN THOSE WITH HIGH BASELINE FBS >/=110 MG/DL. THERE WAS SIGNIFICANTLY BETTER IMPROVEMENT IN YOGA THAN THE CONTROL GROUP IN HDL (P = 0.003), LDL (P = 0.01) AND VLDL (P = 0.03) IN THOSE WITH ABNORMAL BASELINE VALUES. THERE WAS SIGNIFICANTLY BETTER IMPROVEMENT (P = 0.02, BETWEEN GROUPS) IN POSITIVE AFFECT IN YOGA GROUP. WITHIN YOGA GROUP, THERE WAS SIGNIFICANT DECREASE IN PERCEIVED STRESS (P = 0.001), ANXIETY (P = 0.001), DEPRESSION (P = 0.001), AND NEGATIVE AFFECT (P = 0.03) WHILE IN THE CONTROL GROUP THERE WAS REDUCTION (P = 0.003) ONLY IN SCORES ON ANXIETY. CONCLUSION: ADDITION OF YOGA BASED RELAXATION TO CONVENTIONAL POST-CABG CARDIAC REHABILITATION HELPS IN BETTER MANAGEMENT OF RISK FACTORS IN THOSE WITH ABNORMAL BASELINE VALUES AND MAY HELP IN PREVENTING RECURRENCE. 2014 5 971 37 EFFECTS OF AN INTEGRATED APPROACH OF HATHA YOGA THERAPY ON FUNCTIONAL DISABILITY, PAIN, AND FLEXIBILITY IN OSTEOARTHRITIS OF THE KNEE JOINT: A RANDOMIZED CONTROLLED STUDY. OBJECTIVES: THE STUDY OBJECTIVES WERE TO EVALUATE THE EFFICACY OF INTEGRATING HATHA YOGA THERAPY WITH THERAPEUTIC EXERCISES FOR OSTEOARTHRITIS (OA) OF THE KNEE JOINTS. DESIGN: THIS WAS A PROSPECTIVE, RANDOMIZED, ACTIVE CONTROLLED TRIAL. TWO HUNDRED AND FIFTY (250) PARTICIPANTS WHO HAD OA KNEES AND WHO WERE BETWEEN 35 AND 80 YEARS (YOGA 59.56+/-9.54) AND (CONTROL 59.42+/-10.66) FROM THE OUTPATIENT DEPARTMENT OF EBNEZAR ORTHOPEDIC CENTER, BENGALURU, WERE RANDOMLY ASSIGNED TO RECEIVE HATHA YOGA THERAPY OR THERAPEUTIC EXERCISES AFTER TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT (20 MINUTES PER DAY). BOTH OF THE GROUPS PRACTICED SUPERVISED INTERVENTIONS (40 MINUTES PER DAY) FOR 3 MONTHS. ONE HUNDRED AND EIGHTEEN (118) (YOGA) AND 117 (CONTROL) SUBJECTS WERE AVAILABLE FOR THE FINAL ANALYSIS. RESULTS: THERE WERE SIGNIFICANT DIFFERENCES WITHIN (WILCOXON'S, P<0.001) AND BETWEEN THE GROUPS (MANN-WHITNEY U, P<0.001) ON ALL THE VARIABLES, WITH BETTER IMPROVEMENTS IN THE YOGA THAN THE CONTROL GROUPS. WALKING PAIN IN THE YOGA (37.3%, 64.9%) AND CONTROL (24.9%, 42%), KNEE DISABILITY IN THE YOGA (59.7%, 83%) AND CONTROL (32.7%, 53.6%), RANGE OF KNEE FLEXION IN YOGA (12.7%, 26.5% RIGHT, 13.5%, 28% LEFT) AND CONTROL (6.9%, 13.3% RIGHT, 5.6%, 11.5% LEFT), JOINT TENDERNESS IN YOGA (52.3%, 86.1%) AND CONTROL (28%, 57.1%), SWELLING IN YOGA (55.4%, 85.9%) AND CONTROL (32.1%, 60%), CREPITUS IN YOGA (44.0%, 79.9%) AND CONTROL (27.0%, 47.8%) AND WALKING TIME IN YOGA (26.6%, 52.8%) AND CONTROL (9.3%, 21.6%), ALL IMPROVED MORE IN THE YOGA THAN THE CONTROL GROUPS ON THE 15TH AND 90TH DAY, RESPECTIVELY. CONCLUSIONS: AN INTEGRATED APPROACH OF HATHA YOGA THERAPY IS BETTER THAN THERAPEUTIC EXERCISES AS AN ADJUNCT TO TRANSCUTANEOUS ELECTRICAL STIMULATION AND ULTRASOUND TREATMENT IN IMPROVING WALKING PAIN, RANGE OF KNEE FLEXION, WALKING TIME, TENDERNESS, SWELLING, CREPITUS, AND KNEE DISABILITY IN PATIENTS WITH OA KNEES. 2012 6 679 50 EFFECT OF A YOGA PROGRAM ON GLUCOSE METABOLISM AND BLOOD LIPID LEVELS IN ADOLESCENT GIRLS WITH POLYCYSTIC OVARY SYNDROME. OBJECTIVE: TO ASSESS THE EFFICACY OF YOGA THERAPY ON GLUCOSE METABOLISM AND BLOOD LIPID VALUES IN ADOLESCENT GIRLS WITH POLYCYSTIC OVARY SYNDROME (PCOS). METHODS: A PROSPECTIVE, RANDOMIZED, INTERVENTIONAL CONTROLLED TRIAL RECRUITED 90 ADOLESCENTS AGED BETWEEN 15 AND 18 YEARS WHO MET THE ROTTERDAM CRITERIA FOR PCOS. A YOGA GROUP PRACTICED SURYANAMASKARA, ASANAS, PRANAYAMA, AND MEDITATION 1 HOUR PER DAY EACH DAY FOR 12 WEEKS WHILE ANOTHER GROUP PRACTICED CONVENTIONAL PHYSICAL EXERCISES. THE MANN-WHITNEY U TEST WAS USED TO COMPARE SCORE CHANGES BETWEEN THE 2 GROUPS. RESULTS: THE CHANGES IN FASTING INSULIN, FASTING BLOOD GLUCOSE, AND HOMEOSTASIS MODEL ASSESSMENT OF INSULIN RESISTANCE WERE SIGNIFICANTLY DIFFERENT IN THE 2 GROUPS (P<0.05). EXCEPT FOR HIGH-DENSITY LIPOPROTEIN CHOLESTEROL, THE CHANGES IN BLOOD LIPID VALUES WERE ALSO SIGNIFICANTLY DIFFERENT (P<0.05). THE CHANGES IN BODY MASS INDEX, WAIST CIRCUMFERENCE, HIP CIRCUMFERENCE, AND WAIST-TO-HIP RATIO, HOWEVER, WERE NOT SIGNIFICANTLY DIFFERENT (P>0.05). CONCLUSION: YOGA WAS FOUND TO BE MORE EFFECTIVE THAN CONVENTIONAL PHYSICAL EXERCISES IN IMPROVING GLUCOSE, LIPID, AND INSULIN VALUES, INCLUDING INSULIN RESISTANCE VALUES, IN ADOLESCENT GIRLS WITH PCOS INDEPENDENT OF ANTHROPOMETRIC CHANGES. CENTRAL TRIAL REGISTRY OF INDIA NO.: REFCTRI-2008 000291. 2012 7 1080 28 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 8 713 33 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 9 849 39 EFFECT OF YOGA ON SERUM HOMOCYSTEINE AND NITRIC OXIDE LEVELS IN ADOLESCENT WOMEN WITH AND WITHOUT DYSMENORRHEA. BACKGROUND: THE PURPOSE OF THE PRESENT STUDY IS TO EXPLORE THE EFFECT OF YOGA ON THE SERUM LEVELS OF HOMOCYSTEINE AND NITRIC OXIDE (NO) IN A COHORT OF WOMEN WITH PRIMARY DYSMENORRHEA AND NORMAL HEALTHY CONTROLS. METHODS: A PROSPECTIVE CONTROLLED TRIAL WAS CONDUCTED IN 35 WOMEN WITH PRIMARY DYSMENORRHEA AND 35 HEALTHY CONTROLS IN A COMMUNITY-BASED STUDY. SHORT-FORM MENSTRUAL DISTRESS QUESTIONNAIRES (MDQS) WERE ADMINISTERED TO ASSESS THE MENSTRUAL SYMPTOMS. ALL PARTICIPANTS WERE PROVIDED YOGA INTERVENTION, TWICE A WEEK AT 30 MINUTES/SESSION, CONSECUTIVELY FOR 8 WEEKS. BLOOD SAMPLES WERE DRAWN FROM EACH WOMAN ON THE THIRD DAY OF THE MENSTRUAL CYCLE. ASSESSMENTS OF MDQS AND BLOOD SAMPLES FOR THE DETERMINATION OF HOMOCYSTEINE AND NO CONCENTRATIONS WERE PERFORMED AT BASELINE AND WITHIN THE FIRST 3 DAYS OF THEIR NEXT MENSES AFTER COMPLETION OF YOGA INTERVENTION. RESULTS: A TOTAL OF 30 WOMEN FROM THE DYSMENORRHEAL GROUP AND 30 FROM THE CONTROL GROUP COMPLETED THE STUDY. HOMOCYSTEINE LEVELS WERE HIGHER IN THOSE WITH DYSMENORRHEA WHEN COMPARED WITH HEALTHY CONTROLS BEFORE YOGA INTERVENTION (MANN-WHITNEY U TEST, P<0.05); HOWEVER, NO STATISTICALLY SIGNIFICANT DIFFERENCES WERE FOUND BETWEEN THE TWO GROUPS AFTER 8 WEEKS OF YOGA TRAINING (P<0.05). THE CONCENTRATIONS OF HOMOCYSTEINE IN BOTH THE DYSMENORRHEAL AND CONTROL GROUPS AFTER 8 WEEKS DECREASED BY 51.37% AND 46.46%, RESPECTIVELY (P<0.001). THERE WERE NO STATISTICALLY SIGNIFICANT DIFFERENCES IN NO LEVELS BETWEEN THE TWO GROUPS AT BASELINE AND AFTER INTERVENTION. THE TOTAL SCORES ON THE MDQS DECREASED SIGNIFICANTLY AFTER YOGA INTERVENTION IN THE DYSMENORRHEAL GROUP (P<0.05). CONCLUSIONS: YOGA INTERVENTION WAS FOUND TO BE ASSOCIATED WITH REDUCTIONS IN SEVERITY OF DYSMENORRHEA AND MAY BE EFFECTIVE IN LOWERING SERUM HOMOCYSTEINE LEVELS AFTER AN INTERVENTION PERIOD OF 8 WEEKS. THESE OBSERVATIONS SUGGEST THAT YOGA MAY HAVE THERAPEUTIC EFFECTS IN WOMEN BY RESTORING ENDOTHELIAL FUNCTION. 2013 10 163 45 A RANDOMIZED CONTROL TRIAL OF THE EFFECT OF YOGA ON GUNAS (PERSONALITY) AND HEALTH IN NORMAL HEALTHY VOLUNTEERS. OBJECTIVE: TO STUDY THE EFFICACY OF YOGA ON GUNA (YOGIC PERSONALITY MEASURE) AND GENERAL HEALTH IN NORMAL ADULTS. METHODS: OF THE 1228 PERSONS WHO ATTENDED INTRODUCTORY LECTURES, 226 SUBJECTS AGED 18-71 YEARS, OF BOTH SEXES, WHO SATISFIED THE INCLUSION AND EXCLUSION CRITERIA AND WHO CONSENTED TO PARTICIPATE IN THE STUDY WERE RANDOMLY ALLOCATED INTO TWO GROUPS. THE YOGA(Y) GROUP PRACTISED AN INTEGRATED YOGA MODULE THAT INCLUDED ASANAS, PRANAYAMA, MEDITATION, NOTIONAL CORRECTION AND DEVOTIONAL SESSIONS. THE CONTROL GROUP PRACTISED MILD TO MODERATE PHYSICAL EXERCISES (PE). BOTH GROUPS HAD SUPERVISED PRACTICE SESSIONS (BY TRAINED EXPERTS) FOR ONE HOUR DAILY, SIX DAYS A WEEK FOR EIGHT WEEKS. GUNA (YOGIC PERSONALITY) WAS ASSESSED BEFORE AND AFTER EIGHT WEEKS USING THE SELF-ADMINISTERED VEDIC PERSONALITY INVENTORY (VPI) WHICH ASSESSES SATTVA (GENTLE AND CONTROLLED), RAJAS (VIOLENT AND UNCONTROLLED) AND TAMAS (DULL AND UNCONTROLLED). THE GENERAL HEALTH STATUS (TOTAL HEALTH), WHICH INCLUDES FOUR DOMAINS NAMELY SOMATIC SYMPTOMS (SS), ANXIETY AND INSOMNIA (AI), SOCIAL DYSFUNCTION (SF) AND SEVERE DEPRESSION (SP), WAS ASSESSED USING A GENERAL HEALTH QUESTIONNAIRE (GHQ). RESULTS: BASELINE SCORES FOR ALL THE DOMAINS FOR BOTH THE GROUPS DID NOT DIFFER SIGNIFICANTLY (P > 0.05, INDEPENDENT SAMPLES T TEST). SATTVA SHOWED A SIGNIFICANT DIFFERENCE WITHIN THE GROUPS AND THE EFFECT SIZE WAS MORE IN THE Y THAN IN THE PE GROUP. RAJAS SHOWED A SIGNIFICANT DECREASE WITHIN AND BETWEEN THE GROUPS WITH A HIGHER EFFECT SIZE IN THE PE GROUP. TAMAS SHOWED SIGNIFICANT REDUCTION WITHIN THE PE GROUP ONLY. THE GHQ REVEALED THAT THERE WAS SIGNIFICANT DECREASE IN SS, AI, SF AND SP IN BOTH Y AND PE GROUPS (WILCOXCON SINGED RANK T TEST). SS SHOWED A SIGNIFICANT DIFFERENCE BETWEEN THE GROUPS (MANN WHITNEY U TEST). CONCLUSIONS: THERE WAS AN IMPROVEMENT IN SATTVA IN BOTH THE YOGA AND CONTROL GROUPS WITH A TREND OF HIGHER EFFECT SIZE IN YOGA; RAJAS REDUCED IN BOTH BUT SIGNIFICANTLY BETTER IN PE THAN IN YOGA AND TAMAS REDUCED IN PE. THE GENERAL HEALTH STATUS IMPROVED IN BOTH THE YOGA AND CONTROL GROUPS. 2008 11 809 50 EFFECT OF YOGA ON AUTONOMIC FUNCTIONS AND PSYCHOLOGICAL STATUS DURING BOTH PHASES OF MENSTRUAL CYCLE IN YOUNG HEALTHY FEMALES. CONTEXT: PREMENSTRUAL STRESS AFFECTS 75% OF WOMEN OF CHILDBEARING AGE AND YOGA HAS BEEN FOUND TO BE BENEFICIAL IN MANY PSYCHO-SOMATIC DISORDERS. AIMS: TO INVESTIGATE THE EFFECT OF INTEGRATED YOGA ON AUTONOMIC PARAMETERS AND PSYCHOLOGICAL WELL-BEING DURING BOTH PRE AND POST PHASES OF MENSTRUAL CYCLE IN HEALTHY YOUNG FEMALE SUBJECTS. SETTINGS AND DESIGN: PRESENT STUDY IS A RANDOMIZED CONTROL TRIAL AND WAS CONDUCTED IN THE DEPARTMENT OF PHYSIOLOGY, LADY HARDINGE MEDICAL COLLEGE, NEW DELHI, INDIA. MATERIAL AND METHODS: FIFTY APPARENTLY HEALTHY FEMALES IN THE AGE GROUP OF 18-20 YEARS WERE RANDOMIZED INTO TWO GROUPS: GROUP I (N=25) CONSISTED OF SUBJECTS WHO PRACTICED YOGA 35-40 MINUTES PER DAY, SIX TIMES PER WEEK FOR THE DURATION OF THREE MENSTRUAL CYCLES. TRAINING WAS GIVEN BY QUALIFIED YOGA INSTRUCTOR. GROUP II (N=25) SUBJECTS ACTED AS CONTROLS. FOLLOWING PARAMETERS WERE RECORDED AT THE BEGINNING AND AFTER COMPLETION OF THREE MENSTRUAL CYCLES IN ALL THE SUBJECTS: HEIGHT, WEIGHT (BW), RESTING HEART RATE (HR), RESTING SYSTOLIC (SBP) AND DIASTOLIC BLOOD PRESSURE (DBP), PARASYMPATHETIC REACTIVITY TESTS INCLUDING EXPIRATION-INSPIRATION RATIO (E: I RATIO) AND 30:15 RATIO, SYMPATHETIC REACTIVITY TESTS INCLUDING BP CHANGES DUE TO ISOMETRIC HAND GRIP (IHG) EXERCISE, AND COLD PRESSOR TEST (CPT). ASSESSMENT OF PSYCHOLOGICAL STATUS WAS DONE BY ADMINISTERING DIPAS (DEFENSE INSTITUTE OF PHYSIOLOGY AND ALLIED SCIENCES) INVENTORIES OF ANGER SELF REPORT SCALE, TRAIT ANXIETY, SENSE OF WELL-BEING AND DEPRESSION SCALE. STATISTICAL ANALYSIS: INTRA-GROUP COMPARISON OF PHYSIOLOGICAL PARAMETERS WAS DONE BY USING PAIRED 'T' TEST, WHEREAS INTRA-GROUP COMPARISON OF NON-PARAMETERIC DATA SUCH AS SCORES OF ANXIETY, DEPRESSION, ANGER AND SENSE OF WELL-BEING WAS DONE BY WILCOXON SIGNED-RANK TEST. INTER-GROUP COMPARISON OF PARAMETERS WAS DONE BY STUDENTS 'T' TEST FOR PARAMETRIC TESTS AND MANN-WHITNEY 'U' TEST FOR NON-PARAMETERIC TESTS. RESULTS: THERE WAS SIGNIFICANTLY HIGHER BW, RESTING SBP, DBP, SYMPATHETIC ACTIVITY AND BLUNTING OF PARASYMPATHETIC REACTIVITY AND ALSO, SIGNIFICANTLY HIGHER SCORES OF ANGER, DEPRESSION, ANXIETY AND DECREASED SCORE OF WELL-BEING IN PREMENSTRUAL PHASE AS COMPARED TO POSTMENSTRUAL PHASE IN BOTH THE GROUPS IN INITIAL CYCLE. THERE WAS SIGNIFICANTLY HIGHER PERCENTAGE DECREASE IN BW, HR, SBP & DBP IN YOGA GROUP AS COMPARED TO CONTROL GROUP IN BOTH THE PHASES FROM INITIAL TO SECOND AND ONWARDS BETWEEN SECOND AND THIRD MENSTRUAL CYCLE. ALSO, DECREASE IN ANGER, DEPRESSION AND ANXIETY AND INCREASE IN WELL-BEING SCORE WAS SIGNIFICANT IN YOGA GROUP AS COMPARED TO CONTROL GROUP FROM INITIAL TO SECOND AND THIRD CYCLE IN PREMENSTRUAL PHASE WHILE THE CHANGE WAS SIGNIFICANT ONLY IN DEPRESSION SCORE IN POSTMENSTRUAL PHASE. CONCLUSION: OUR STUDY SHOWS THAT THERE WAS SIGNIFICANT ALTERATION OF AUTONOMIC FUNCTIONS AND PSYCHOLOGICAL STATUS IN PREMENSTRUAL PHASE WHEN COMPARED WITH POSTMENSTRUAL PHASE IN YOUNG HEALTHY FEMALES. ALSO, REGULAR PRACTICE OF YOGA HAS BENEFICIAL EFFECTS ON BOTH PHASES OF MENSTRUAL CYCLE BY BRINGING PARASYMPATHODOMINANCE AND PSYCHOLOGICAL WELL-BEING PROBABLY BY BALANCING NEURO-ENDOCRINAL AXIS. 2013 12 963 31 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 13 165 43 A RANDOMIZED CONTROL TRIAL OF THE EFFECT OF YOGA ON VERBAL AGGRESSIVENESS IN NORMAL HEALTHY VOLUNTEERS. OBJECTIVE: TO STUDY THE EFFECT OF YOGA ON VERBAL AGGRESSIVENESS IN NORMAL HEALTHY ADULTS. METHODS: OF THE 1228 PERSONS WHO ATTENDED INTRODUCTORY LECTURES, 226 SUBJECTS OF BOTH SEXES WHO SATISFIED THE INCLUSION AND EXCLUSION CRITERIA AND WHO CONSENTED TO PARTICIPATE IN THE STUDY WERE RANDOMLY ALLOCATED INTO TWO GROUPS. THESE 226 SUBJECTS WERE BETWEEN THE AGES OF 17 AND 62 YEARS AND 173/226 COMPLETED THE EIGHT WEEKS OF INTERVENTION. THE YOGA (Y) GROUP PRACTISED AN INTEGRATED YOGA MODULE THAT INCLUDED ASANAS, PRANAYAMA, MEDITATION, NOTIONAL CORRECTION, AND DEVOTIONAL SESSIONS. THE CONTROL GROUP PRACTISED MILD TO MODERATE PHYSICAL EXERCISES (PE). BOTH GROUPS HAD SUPERVISED PRACTICES (BY TRAINED EXPERTS) FOR ONE HOUR DAILY, SIX DAYS A WEEK FOR EIGHT WEEKS. VERBAL AGGRESSIVENESS WAS ASSESSED BEFORE AND AFTER EIGHT WEEKS USING THE SELF-ADMINISTERED VERBAL AGGRESSIVE SCALE. RESULTS: THE BASELINE SCORE OF THE TWO GROUPS DID NOT DIFFER SIGNIFICANTLY (P = 0.66). THERE WAS A SIGNIFICANT DECREASE IN VERBAL AGGRESSIVENESS IN THE YOGA GROUP (P = 0.01 PAIRED SAMPLES T-TEST) WITH A NONSIGNIFICANT INCREASE IN THE PE GROUP. ANCOVA USING PRE- VALUES AS COVARIATES SHOWED A SIGNIFICANT DIFFERENCE BETWEEN THE GROUPS (P = 0.013). RMANOVA FOR INTERACTION BETWEEN THE SEXES OR AGE GROUPS IN CHANGE SCORES WERE NOT SIGNIFICANT. CONCLUSIONS: THIS STUDY HAS DEMONSTRATED THAT AN EIGHT WEEK INTERVENTION OF AN INTEGRATED YOGA MODULE DECREASED VERBAL AGGRESSIVENESS IN THE YOGA GROUP (IN MALES AND THOSE BELOW 25 YEARS OF AGE), WITH A NONSIGNIFICANT INCREASE IN THE PE GROUP. 2008 14 2737 35 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 15 2868 40 YOGA-BASED POSTOPERATIVE CARDIAC REHABILITATION PROGRAM FOR IMPROVING QUALITY OF LIFE AND STRESS LEVELS: FIFTH-YEAR FOLLOW-UP THROUGH A RANDOMIZED CONTROLLED TRIAL. OBJECTIVES: THIS STUDY WAS AIMED TO ASSESS THE EFFICACY OF YOGA-BASED LIFESTYLE PROGRAM (YLSP) IN IMPROVING QUALITY OF LIFE (QOL) AND STRESS LEVELS IN PATIENTS AFTER 5 YEARS OF CORONARY ARTERY BYPASS GRAFT (CABG). METHODOLOGY: THREE HUNDRED PATIENTS POSTED FOR ELECTIVE CABG IN NARAYANA HRUDAYALAYA SUPER SPECIALITY HOSPITAL, BENGALURU, WERE RANDOMIZED INTO TWO GROUPS: YLSP AND CONVENTIONAL LIFESTYLE PROGRAM (CLSP), AND FOLLOW-UP WAS DONE FOR 5 YEARS. INTERVENTION: IN YLSP GROUP, ALL PRACTICES OF INTEGRATIVE APPROACH OF YOGA THERAPY SUCH AS YAMA, NIYAMA, ASANA, PRANAYAMA, AND MEDITATION WERE USED AS AN ADD-ON TO CONVENTIONAL CARDIAC REHABILITATION. THE CONTROL GROUP (CLSP) CONTINUED CONVENTIONAL CARDIAC REHABILITATION ONLY. OUTCOME MEASURES: WORLD HEALTH ORGANIZATION (WHO)-QOL BREF QUESTIONNAIRE, PERCEIVED STRESS SCALE, POSITIVE AND NEGATIVE AFFECT SCALE (PANAS), AND HOSPITAL ANXIETY AND DEPRESSION SCALE (HADS) WERE ASSESSED BEFORE SURGERY AND AT THE END OF THE 5(TH) YEAR AFTER CABG. AS DATA WERE NOT NORMALLY DISTRIBUTED, MANN-WHITNEY U-TEST WAS USED FOR BETWEEN-GROUP COMPARISONS AND WILCOXON'S SIGNED-RANK TEST WAS USED FOR WITHIN-GROUP COMPARISONS. RESULTS: AT THE END OF 5 YEARS, MENTAL HEALTH (P = 0.05), PERCEIVED STRESS (P = 0.01), AND NEGATIVE AFFECT (NA) (P = 0.05) HAVE SHOWN SIGNIFICANT IMPROVEMENTS. WHO-QOL BREF SCORE HAS SHOWN IMPROVEMENTS IN PHYSICAL HEALTH (P = 0.046), ENVIRONMENTAL HEALTH (P = 0.04), PERCEIVED STRESS (P = 0.001), AND NA (P = 0.02) IN YLSP THAN CLSP. POSITIVE AFFECT HAS SIGNIFICANTLY IMPROVED IN CLSP THAN YLSP. OTHER DOMAINS OF WHO-QOL-BREF, PANAS, AND HADS DID NOT REVEAL ANY SIGNIFICANT BETWEEN-GROUP DIFFERENCES. CONCLUSION: ADDITION OF LONG-TERM YLSP TO CONVENTIONAL CARDIAC REHABILITATION BRINGS BETTER IMPROVEMENTS IN QOL AND REDUCTION IN STRESS LEVELS AT THE END OF 5 YEARS AFTER CABG. 2018 16 1524 23 ISOMETRIC YOGA-LIKE MANEUVERS IMPROVE ADOLESCENT IDIOPATHIC SCOLIOSIS-A NONRANDOMIZED CONTROL TRIAL. OBJECTIVE: ASSESS THERAPEUTIC VALUE OF SPECIFIC YOGA POSES FOR THORACIC AND LUMBAR ADOLESCENT IDIOPATHIC SCOLIOSIS (AIS) TAUGHT IN OFFICE OR INTERNET. STUDY DESIGN: NONRANDOMIZED CONTROL TRIAL: FIFTY-SIX ADOLESCENTS (MEAN AGE 14.0 YEARS; MEAN RISSER 3.0) WERE RECRUITED FROM OUR CLINIC; 41 DID THE SIDE-PLANK, THE HALF-MOON AND ELEVATED SIDE PLANK POSES AS APPROPRIATE (TREATMENT GROUP) AND 15 DID NOT (CONTROLS). THIRTY CURVES WERE TREATED IN OFFICE, 30 VIA INTERNET. CURVE CHANGE WAS EVALUATED BY BLINDED SERIAL COBB ANGLES, AND ANALYZED USING MANN-WHITNEY U, PAIRED T-TESTS AND CHI(2). RESULTS: MEAN LUMBAR AND THORACOLUMBAR COBB ANGLE CHANGE WAS -9.2 (95% CI = -11.8, -6.6) IN THE TREATMENT GROUP AND 5.4 (95% CI = 1.7, 9.0) IN CONTROLS. BOTH TREATMENT GROUP IMPROVEMENT AND DETERIORATION IN CONTROLS WERE SIGNIFICANT (TREATMENT GROUP: PAIRED T-TEST T = -7.1, DF = 40, P = .000; CONTROLS: T = 3.2, DF = 12, P = .008). MEAN THORACIC COBB ANGLE CHANGE WAS -7.1 (95% CI = -13.1, -1.2) IN THE TREATMENT GROUP AND 9.3 (95% CI = 4.5, 14.6) IN CONTROLS. BOTH CHANGES WERE SIGNIFICANT (PAIRED T-TEST T = -3.3, DF = 21, P = .022 FOR TREATMENT GROUP; T = 4.5, DF = 5, P = .006 FOR CONTROLS). NINE INTERNET PATIENTS WERE NON-COMPLIANT VS. 6 OFFICE PATIENTS. OFFICE PATIENTS IMPROVED 1.6 DEGREES/MONTH OR 5.5%/MONTH; INTERNET PATIENTS IMPROVED .72 DEGREES/MONTH OR 3.3%/MONTH. CONCLUSION: THESE YOGA POSES SHOW PROMISE FOR REVERSING ADOLESCENT IDIOPATHIC SCOLIOSIS. TELEMEDICINE HAD GREATER NON-COMPLIANCE AND LOWER EFFICACY BUT STILL PRODUCED PATIENT IMPROVEMENT. 2021 17 881 37 EFFECT OF YOGA TRAINING ON INFLAMMATORY CYTOKINES AND C-REACTIVE PROTEIN IN EMPLOYEES OF SMALL-SCALE INDUSTRIES. OBJECTIVE: THE PRESENT STUDY INTENDS TO SEE THE EFFECT OF YOGA PRACTICES ON LIPID PROFILE, INTERLEUKIN (IL)-6, TUMOR NECROSIS FACTOR (TNF)-ALPHA, AND HIGH-SENSITIVITY-C-REACTIVE PROTEIN (HS-CRP) AMONG APPARENTLY HEALTHY ADULTS EXPOSED TO OCCUPATIONAL HAZARDS. MATERIALS AND METHODS: IN THE PRESENT STUDY, 48 PARTICIPANTS AGED 30-58 YEARS (41.5 +/- 5.2) WHO WERE EXPOSED TO OCCUPATIONAL HAZARDS WERE RANDOMIZED INTO TWO GROUPS, THAT IS, EXPERIMENTAL AND WAIT-LIST CONTROL. ALL THE PARTICIPANTS WERE ASSESSED FOR LIPID PROFILE, IL-6, TNF-ALPHA, AND HS-CRP AT THE BASELINE AND AFTER COMPLETION OF 3 MONTHS OF YOGA TRAINING INTERVENTION. THE EXPERIMENTAL GROUP UNDERWENT YOGA TRAINING INTERVENTION FOR 1 H FOR 6 DAYS A WEEK FOR 3 MONTHS, WHEREAS CONTROL GROUP CONTINUED WITH THEIR DAILY ACTIVITIES EXCEPT YOGA TRAINING. DATA ANALYSIS WAS DONE USING STATISTICAL SOFTWARE SPSS VERSION 20.0. DATA WERE ANALYZED USING PAIRED T-TESTS AND INDEPENDENT T-TEST. RESULTS: THE RESULTS OF WITHIN GROUP COMPARISON REVEALED HIGHLY SIGNIFICANT CHANGES IN CHOLESTEROL (P < 0.001), HIGH-DENSITY LIPOPROTEIN (P < 0.001), LOW-DENSITY LIPOPROTEIN (LDL)(P < 0.01), HS-CRP (P < 0.01), IL-6 (P < 0.001), AND TNF-ALPHA (P < 0.001) IN EXPERIMENTAL GROUP. COMPARISON BETWEEN EXPERIMENTAL AND CONTROL GROUP REVEALED SIGNIFICANT CHANGES IN CHOLESTEROL (P < 0.01), LDL (P < 0.05), IL-6 (P < 0.01), TNF-ALPHA (P < 0.01), AND HS-CRP (P < 0.01). CONCLUSION: A YOGA-BASED LIFESTYLE INTERVENTION SEEMS TO BE A HIGHLY PROMISING ALTERNATIVE THERAPY WHICH FAVORABLY ALTERS INFLAMMATORY MARKERS AND METABOLIC RISK FACTORS. 2017 18 777 43 EFFECT OF YOGA AND PHYSIOTHERAPY ON PULMONARY FUNCTIONS IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY - A COMPARATIVE STUDY. CONTEXT: ABNORMAL RESPIRATORY FUNCTION IS KNOWN TO BE DETECTABLE ALMOST AS SOON AS IT CAN BE MEASURED RELIABLY. STUDIES HAVE IDENTIFIED THE EFFECT OF RESPIRATORY MUSCLE TRAINING AS WELL AS BREATHING EXERCISES IN IMPROVING PULMONARY FUNCTIONS IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY (DMD). AIMS: THIS STUDY AIMS TO IDENTIFY THE ADD-ON EFFECT OF YOGA OVER PHYSIOTHERAPY ON PULMONARY FUNCTIONS IN CHILDREN WITH DMD. SETTINGS AND DESIGN: ONE HUNDRED AND TWENTY-FOUR PATIENTS WITH DMD WERE RANDOMIZED TO TWO GROUPS. GROUP I RECEIVED HOME-BASED PHYSIOTHERAPY AND GROUP II RECEIVED PHYSIOTHERAPY ALONG WITH YOGA INTERVENTION. MATERIALS AND METHODS: PULMONARY FUNCTION TEST (PFT) WAS ASSESSED BEFORE THE INTERVENTION (BASELINE DATA) AND AT REGULAR INTERVALS OF 3 MONTHS FOR A PERIOD OF 1 YEAR. STATISTICAL ANALYSIS USED: NORMALITY WAS ASSESSED USING SHAPIRO-WILK NORMALITY TEST. THE BASELINE DATA WERE ANALYZED USING MANN-WHITNEY U-TEST TO IDENTIFY THE HOMOGENEITY. REPEATED MEASURES ANALYSIS OF VARIANCE WAS USED TO ASSESS SIGNIFICANT CHANGES IN STUDY PARAMETERS DURING THE ASSESSMENT OF EVERY 3 MONTHS, BOTH WITHIN AND BETWEEN THE TWO GROUPS OF PATIENTS. RESULTS: A TOTAL OF 88 PARTICIPANTS COMPLETED ALL THE 5 ASSESSMENTS, WITH A MEAN AGE OF 7.9 +/- 1.5 YEARS. PFT PARAMETERS SUCH AS FORCED VITAL CAPACITY (FVC), PEAK EXPIRATORY FLOW RATE, MAXIMUM VOLUNTARY VENTILATION (MVV), AND TIDAL VOLUME DURING MAXIMUM VOLUNTARY VENTILATION (MVT) DEMONSTRATED SIGNIFICANT IMPROVEMENTS IN GROUP I. IN GROUP II, FVC AND MVT SIGNIFICANTLY IMPROVED FROM BASELINE UP TO 1 YEAR, WHEREAS MVV IMPROVED FROM BASELINE UP TO 9 MONTHS. TIDAL VOLUME DID NOT SHOW ANY CHANGES IN BOTH THE GROUPS. CONCLUSIONS: THE FINDINGS SUGGEST THAT INTRODUCTION OF YOGA WITH PHYSIOTHERAPY INTERVENTION AT AN EARLY AGE CAN BE CONSIDERED AS ONE OF THE THERAPEUTIC STRATEGIES IN IMPROVING PULMONARY FUNCTIONS IN PATIENTS WITH DMD. 2021 19 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 20 2088 35 THE EFFECT OF PRACTICING YOGA DURING PREGNANCY ON LABOR STAGES LENGTH, ANXIETY AND PAIN: A RANDOMIZED CONTROLLED TRIAL. BACKGROUND: ANXIETY AND FEAR OF LABOR PAIN HAS LED TO ELEVATED CESAREAN SECTION RATE IN SOME COUNTRIES. THIS STUDY WAS CONDUCTED TO INVESTIGATE THE EFFECT OF YOGA IN PREGNANCY ON ANXIETY, LABOR PAIN AND LENGTH OF LABOR STAGES. METHODS: THIS CLINICAL TRIAL STUDY WAS PERFORMED ON 84 NULLIPAROUS WOMEN WHO WERE AT LEAST 18 YEARS OLD AND WERE RANDOMLY DIVIDED INTO TWO GROUPS OF YOGA AND CONTROL GROUPS. PREGNANCY YOGA PROGRAM CONSISTING OF 6 60-MIN TRAINING SESSIONS WAS STARTED EVERY 2 WEEKS FROM WEEK 26 OF PREGNANCY AND CONTINUED UNTIL 37 WEEKS OF GESTATION. ANXIETY SEVERITY AT MATERNAL ADMISSION TO LABOR WAS MEASURED BY THE SPIELBERGERS STATE-TRAIT ANXIETY INVENTORY, AND LABOR PAIN WAS MEASURED BY VISUAL ANALOGUE SCALE (VAS) AT DILATATION (4-5 CM) AND 2 H AFTER THE FIRST MEASUREMENT. DATA WERE ANALYZED USING CHI-SQUARE AND T-TEST. RESULTS: INTERVENTION GROUP REPORTED LESS PAIN AT DILATATION (4-5 CM) (P=0.001) AND 2 H AFTER THE FIRST MEASUREMENT (P=0.001) THAN THE CONTROL GROUP. STAT ANXIETY WAS ALSO LOWER IN INTERVENTION GROUP THAN THE CONTROL GROUP (P=0.003) AT THE ENTRANCE TO LABOR ROOM. SUBJECTS IN THE CONTROL GROUP REQUIRED MORE INDUCTION COMPARED TO INTERVENTION GROUP (P=0.003). WOMEN IN INTERVENTION GROUP EXPERIENCED SHORTER DURATION OF THE FIRST PHASE OF THE LABOR THAN THE CONTROL GROUP (P=0.002). ALSO, THE TOTAL DURATION OF TWO STAGES OF LABOR WAS SHORTER IN INTERVENTION GROUP THAN THE CONTROL GROUP (P=0.003). CONCLUSIONS: PRACTICING YOGA DURING PREGNANCY MAY REDUCE WOMEN'S ANXIETY DURING LABOR; SHORTEN LABOR STAGES, AND LOWER LABOR PAIN. 2020