1 765 164 EFFECT OF THE INTEGRATED APPROACH OF YOGA THERAPY ON PLATELET COUNT AND URIC ACID IN PREGNANCY: A MULTICENTER STRATIFIED RANDOMIZED SINGLE-BLIND STUDY. BACKGROUND: YOGA IMPROVES MATERNAL AND FETAL OUTCOMES IN PREGNANCY. PLATELET COUNT AND URIC ACID (UA) ARE VALUABLE SCREENING MEASURES IN HIGH-RISK PREGNANCY. AIM: TO EXAMINE THE EFFECT OF YOGA ON PLATELET COUNTS AND SERUM UA IN HIGH-RISK PREGNANCY. MATERIALS AND METHODS: THIS STRATIFIED RANDOMIZED CONTROLLED TRIAL, CONDUCTED BY S-VYASA UNIVERSITY AT ST. JOHN'S MEDICAL COLLEGE HOSPITAL AND GUNASHEELA MATERNITY HOSPITAL, RECRUITED 68 WOMEN WITH HIGH-RISK PREGNANCY (30 YOGA AND 38 CONTROLS) IN THE TWELFTH WEEK OF PREGNANCY. THE INCLUSION CRITERIA WERE: BAD OBSTETRICS HISTORY, TWIN PREGNANCIES, MATERNAL AGE < 20 OR > 35 YEARS, OBESITY (BMI > 30), AND GENETIC HISTORY OF PREGNANCY COMPLICATIONS. THOSE WITH NORMAL PREGNANCY, ANEMIA (< 10 GRAMS%DL), H/O CLOTTING DISORDERS; RENAL, HEPATIC OR HEART DISEASE; SEIZURE DISORDER; OR STRUCTURAL ABNORMALITIES IN THE PELVIS, WERE EXCLUDED. THE YOGA GROUP PRACTICED SIMPLE MEDITATIVE YOGA (THREE DAYS / WEEK FOR THREE MONTHS). RESULTS: AT BASELINE, ALL WOMEN HAD NORMAL PLATELET COUNTS (> 150X10(9)/L) WITH A DECREASE AS PREGNANCY ADVANCED. UA (NORMAL AT BASELINE) INCREASED IN BOTH GROUPS. NO ONE DEVELOPED ABNORMAL THROMBOCYTOPENIA OR HYPERURICEMIA. HEALTHY REDUCTION IN PLATELET COUNT (TWELFTH TO TWENTIETH WEEK) OCCURRED IN A HIGHER (P < 0.001, CHI(2) TEST) NUMBER OF WOMEN IN THE YOGA GROUP THAN THE CONTROL GROUP. A SIMILAR TREND WAS FOUND IN URIC ACID. SIGNIFICANTLY LESSER NUMBER OF WOMEN IN THE YOGA GROUP (N = 3) DEVELOPED PREGNANCY-INDUCED HYPERTENSION (PIH) / PRE-ECLAMPSIA (PE) THAN THOSE IN THE CONTROL GROUP (N = 12), WITH ABSOLUTE RISK REDUCTION (ARR) BY 21%. CONCLUSION: ANTENATAL INTEGRATED YOGA FROM THE TWELFTH WEEK IS SAFE AND EFFECTIVE IN PROMOTING A HEALTHY PROGRESSION OF PLATELETS AND URIC ACID IN WOMEN WITH HIGH-RISK PREGNANCY, POINTING TO HEALTHY HEMODILUTION AND BETTER PHYSIOLOGICAL ADAPTATION. 2013 2 1458 27 INFLUENCE OF YOGA ON BLOOD COAGULATION. YOGA IS KNOWN TO INDUCE BENEFICIAL EFFECTS ON PHYSIOLOGICAL, BIOCHEMICAL AND MENTAL FUNCTIONS IN MAN. ITS EFFECTS ON BLOOD COAGULATION ARE NOT KNOWN. A STUDY WAS CONDUCTED IN SEVEN PREVIOUSLY UNTRAINED MALE ADULTS WHO UNDERWENT A COMBINATION OF YOGIC EXERCISES, DAILY FOR ONE HOUR, OVER A PERIOD OF FOUR MONTHS. PARAMETERS OF BLOOD COAGULATION WERE ESTIMATED BEFORE AND AFTER THE END OF YOGA TRAINING. THE FOLLOWING CHANGES WERE OBSERVED: FIBRINOLYTIC ACTIVITY INCREASED SIGNIFICANTLY WITH A CONCOMITANT FALL IN FIBRINOGEN; ACTIVATED PARTIAL THROMBOPLASTIN TIME AND PLATELET AGGREGATION TIME WERE PROLONGED; BLOOD AND PLASMA PLATELETS SHOWED A RISE; AND BOTH HAEMOGLOBIN AND HEAMATOCRIT WERE RAISED AT THE END OF THE TRAINING. THESE FINDINGS SUGGEST THAT YOGA INDUCES A STATE OF BLOOD HYPOCOAGULABILITY. THE IMPACT OF YOGA ON PREVENTION OF CARDIOVASCULAR AND THROMBOTIC DISORDERS IS OBVIOUS. 1984 3 1134 38 EFFICACY OF YOGA IN PREGNANT WOMEN WITH ABNORMAL DOPPLER STUDY OF UMBILICAL AND UTERINE ARTERIES. TO STUDY THE EFFICACY OF YOGA ON THE OUTCOME OF COMPLICATED PREGNANCY, 121 WOMEN ATTENDING ANTENATAL CLINIC AT GUNASHEELA SURGICAL AND MATERNITY HOSPITAL (GSMH) IN BANGALORE, INDIA, WERE ENROLLED BETWEEN 18-20 WEEKS OF PREGNANCY IN A PROSPECTIVE, MATCHED, OBSERVATIONAL STUDY. SIXTY-EIGHT WOMEN WERE IN THE YOGA GROUP AND 53 WOMEN IN THE CONTROL GROUP. WOMEN WERE MATCHED FOR AGE, GRAVIDA AND DOPPLER VELOCIMETRY SCORES OF UMBILICAL AND UTERINE ARTERIES. YOGA PRACTICES INCLUDING PHYSICAL POSTURES, BREATHING AND MEDITATION WERE PRACTISED BY THE YOGA GROUP, ONE HOUR DAILY, FROM THE DATE OF ENTRY INTO THE STUDY UNTIL DELIVERY. THE CONTROL GROUP WALKED HALF AN HOUR TWICE A DAY DURING THE STUDY PERIOD. COMPLIANCE IN BOTH THE GROUPS WAS ENSURED. IN BABIES THE BIRTH-WEIGHT IS SIGNIFICANTLY HIGHER (P < 0.018) IN THE YOGA GROUP (2.78 +/- 0.52 KG), COMPARED TO THE CONTROL GROUP (2.55 +/- 0.52 KG). OCCURRENCE OF COMPLICATIONS OF PREGNANCY (PREGNANCY-INDUCED HYPERTENSION, INTRAUTERINE GROWTH RETARDATION, PRE-TERM DELIVERY) SHOWS LOWER TRENDS IN YOGA GROUP. 2005 4 1136 55 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 5 1092 41 EFFECTS OF YOGA ON UTERO-FETAL-PLACENTAL CIRCULATION IN HIGH-RISK PREGNANCY: A RANDOMIZED CONTROLLED TRIAL. INTRODUCTION. IMPAIRED PLACENTATION AND INADEQUATE TROPHOBLAST INVASION HAVE BEEN ASSOCIATED WITH THE ETIOLOGY OF MANY PREGNANCY COMPLICATIONS AND HAVE BEEN CORRELATED WITH THE FIRST TRIMESTER UTERINE ARTERY RESISTANCE. PREVIOUS STUDIES HAVE SHOWN THE BENEFITS OF YOGA IN IMPROVING PREGNANCY OUTCOMES AND THOSE OF YOGIC VISUALIZATION IN REVITALIZING THE HUMAN TISSUES. METHODS. 59 HIGH-RISK PREGNANT WOMEN WERE RANDOMIZED INTO YOGA (N = 27) AND CONTROL (N = 32) GROUPS. THE YOGA GROUP RECEIVED STANDARD CARE PLUS YOGA SESSIONS (1 HOUR/DAY, 3 TIMES/WEEK), FROM 12TH TO 28TH WEEK OF GESTATION. THE CONTROL GROUP RECEIVED STANDARD CARE PLUS CONVENTIONAL ANTENATAL EXERCISES (WALKING). MEASUREMENTS WERE ASSESSED AT 12TH, 20TH, AND 28TH WEEKS OF GESTATION. RESULTS. RM-ANOVA SHOWED SIGNIFICANTLY HIGHER VALUES IN THE YOGA GROUP (28TH WEEK) FOR BIPARIETAL DIAMETER (P = 0.001), HEAD CIRCUMFERENCE (P = 0.002), FEMUR LENGTH (P = 0.005), AND ESTIMATED FETAL WEIGHT (P = 0.019). THE RESISTANCE INDEX IN THE RIGHT UTERINE ARTERY (P = 0.01), UMBILICAL ARTERY (P = 0.011), AND FETAL MIDDLE CEREBRAL ARTERY (P = 0.048) SHOWED SIGNIFICANTLY LOWER IMPEDANCE IN THE YOGA GROUP. CONCLUSION. THE RESULTS OF THIS FIRST RANDOMIZED STUDY OF YOGA IN HIGH-RISK PREGNANCY SUGGEST THAT GUIDED YOGIC PRACTICES AND VISUALIZATION CAN IMPROVE THE INTRAUTERINE FETAL GROWTH AND THE UTERO-FETAL-PLACENTAL CIRCULATION. 2015 6 2169 44 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 7 2671 36 YOGA IN PREGNANCY: AN EXAMINATION OF MATERNAL AND FETAL RESPONSES TO 26 YOGA POSTURES. OBJECTIVE: TO EXAMINE THE ACUTE MATERNAL AND FETAL EFFECTS OF YOGA POSTURES AND SUSPECTED CONTRAINDICATED POSTURES IN A PROSPECTIVE COHORT OF HEALTHY PREGNANT WOMEN IN THE THIRD TRIMESTER. METHODS: THIS WAS A PROSPECTIVE STUDY THAT EVALUATED PREGNANT WOMEN BETWEEN 35 0/7 AND 37 6/7 WEEKS OF GESTATION IN A ONE-ON-ONE YOGA SESSION. A BASELINE NONSTRESS TEST, VITAL SIGNS, AND PULSE OXIMETRY WERE PERFORMED. PARTICIPANTS THEN ASSUMED 26 YOGA POSTURES. VITAL SIGNS, PULSE OXIMETRY, TOCOMETRY, AND CONTINUOUS FETAL HEART RATE MONITORING WERE OBTAINED IN EACH POSTURE. POSTSESSION NONSTRESS TEST, VITAL SIGNS, AND PULSE OXIMETRY WERE OBTAINED. PARTICIPANTS WERE CONTACTED 24 HOURS POSTSESSION. RESULTS: TWENTY-FIVE HEALTHY PREGNANT WOMEN WERE EVALUATED. TEN REPORTED REGULAR YOGA PRACTICE, EIGHT WERE FAMILIAR WITH YOGA, AND SEVEN HAD NO YOGA EXPERIENCE. YOGA GROUPS WERE SIMILAR IN AGE, RACE, BODY MASS INDEX, GESTATIONAL AGE, AND PARITY. PRESESSION AND POSTSESSION NONSTRESS TESTS WERE REACTIVE. PRESESSION AND POSTSESSION DATA SHOWED NO CHANGE IN MATERNAL HEART RATE, TEMPERATURE, PULSE OXIMETRY, OR FETAL HEART RATE. DURING THE 26 YOGA POSTURES, VITAL SIGNS, PULSE OXIMETRY, AND UTERINE TOCOMETRY REMAINED NORMAL IN ALL WOMEN AND IN ALL POSTURES. THE FETAL HEART RATE ACROSS ALL 26 POSTURES WAS NORMAL. THERE WERE NO FALLS OR INJURIES DURING THE TOTAL CUMULATIVE 650 POSES. NO PARTICIPANTS REPORTED DECREASED FETAL MOVEMENT, CONTRACTIONS, LEAKAGE OF FLUID, OR VAGINAL BLEEDING IN THE 24-HOUR FOLLOW-UP. CONCLUSION: ALL 26 YOGA POSTURES WERE WELL-TOLERATED WITH NO ACUTE ADVERSE MATERNAL PHYSIOLOGIC OR FETAL HEART RATE CHANGES. LEVEL OF EVIDENCE: III. 2015 8 2116 36 THE EFFECT OF YOGA ON UTERINE ARTERY DOPPLER INDICES, MATERNAL AND FETAL COMPLICATIONS IN PREGNANT WOMEN: A QUASI-EXPERIMENTAL STUDY. BACKGROUND: TODAY, THE EFFECT OF YOGA HAS BEEN EXAMINED ON VARIOUS PHYSICAL AND PSYCHOLOGICAL DIMENSIONS OF PREGNANT WOMEN. HOWEVER, THERE ARE STILL SPARSE STUDIES ON THE EFFECT OF YOGA ON THE UTERINE ARTERY INDICES AS WELL AS MATERNAL AND FETAL COMPLICATIONS. OBJECTIVE: THE AIM WAS TO DETERMINE THE EFFECT OF YOGA ON UTERINE ARTERY DOPPLER INDICES, MATERNAL AND FETAL COMPLICATIONS. MATERIALS AND METHODS: THIS QUASI-EXPERIENTIAL STUDY WAS CONDUCTED, ON 100 PREGNANT WOMEN. THE PARTICIPANTS WERE ASSIGNED TO YOGA AND CONTROL GROUPS. IN THE YOGA GROUP, THE PARTICIPANTS EXERCISED YOGA FOR 1 H. ON THE OTHER HAND, THE CONTROL GROUP RECEIVED ROUTINE CARE. RESULTS: THE RESULTS SHOWED THAT IN THE YOGA GROUP, THE FUNCTIONAL INDICES OF THE UTERINE ARTERY (S/D, PI, RI, AND DN) IMPROVED MORE SIGNIFICANTLY COMPARED TO THE CONTROL (P = 0.01). THE RESULTS ALSO SHOWED THAT IN THE YOGA GROUP, MATERNAL COMPLICATIONS (DIABETES AND PREECLAMPSIA), AS WELL AS FETAL COMPLICATIONS (SAG, IUGR), WERE SIGNIFICANTLY LOWER COMPARED TO THE CONTROL (P = 0.01). CONCLUSION: THIS STUDY REVEALED THE POSITIVE EFFECTS OF YOGA ON IMPROVING FETAL DEVELOPMENT INDICES AND REDUCING MATERNAL AND FETAL COMPLICATIONS FOLLOWING PREGNANCY. IT CAN BE USED AS A COMPLEMENTARY THERAPY ALONGSIDE OTHER TREATMENTS FOR MOTHERS. 2021 9 1003 36 EFFECTS OF MATERNITY YOGA ON THE AUTONOMIC NERVOUS SYSTEM DURING PREGNANCY. AIM: TO ELUCIDATE THE CHANGES IN THE DAILY VARIATION SEEN IN THE AUTONOMIC NERVOUS SYSTEM DURING PREGNANCY BROUGHT ABOUT BY MATERNITY YOGA AND TO EVALUATE HOW MATERNAL YOGA AFFECTS STRESS AND SLEEP. METHODS: A PROSPECTIVE, LONGITUDINAL STUDY WAS CONDUCTED BETWEEN JANUARY 2013 AND DECEMBER 2014. PREGNANT WOMEN WHO WERE ATTENDING MATERNITY YOGA CLASSES AT PALMORE HOSPITAL BETWEEN 20 AND 23 WEEKS' GESTATION WERE ENROLLED AS THE YOGA GROUP, AND A MATCHED CONTROL GROUP WAS ALSO ENROLLED. STUDY PARTICIPANTS COMPLETED QUESTIONNAIRES, INCLUDING A PERCEIVED STRESS SCALE AND SLEEP LOGS, DURING THEIR SECOND AND THIRD TRIMESTERS. HEART RATE VARIABILITY AND SALIVARY ALPHA-AMYLASE LEVELS WERE EVALUATED AS STRESS INDICES AT 20-23 WEEKS' GESTATION, 28-31 WEEKS' GESTATION AND 36-40 WEEKS' GESTATION. RESULTS: A TOTAL OF 38 WOMEN WERE IN THE YOGA GROUP, WITH 53 IN THE CONTROL GROUP. AT 28-31 WEEKS' GESTATION, HEART RATE VARIABILITY DURING NIGHT AND LATE-NIGHT PERIODS WAS SIGNIFICANTLY HIGHER IN THE YOGA GROUP THAN IN THE CONTROL GROUP. AT 36-40 WEEKS' GESTATION, VARIABILITY BETWEEN THE MORNING, AFTERNOON AND LATE NIGHT WAS SIGNIFICANTLY HIGHER IN THE YOGA GROUP. SALIVARY ALPHA-AMYLASE LEVELS DECREASED SIGNIFICANTLY IMMEDIATELY AFTER PRACTICING YOGA DURING ALL EVALUATION PERIODS IN THE YOGA GROUP. NIGHT-TIME SLEEP DURATION WAS SIGNIFICANTLY LONGER IN THE YOGA GROUP. CONCLUSION: OUR RESULTS SUGGEST THAT PRACTICING YOGA ACTIVATES THE PARASYMPATHETIC NERVOUS SYSTEM DURING THE THIRD TRIMESTER OF PREGNANCY, CONSOLIDATING SLEEP DURING THE NIGHT AND DECREASING ALPHA-AMYLASE LEVELS, WHICH INDICATES REDUCED STRESS. 2018 10 775 33 EFFECT OF YOGA AND NATUROPATHY ON LIVER, RENAL AND CARDIORESPIRATORY FUNCTIONS OF A PATIENT WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES: A CASE REPORT. A 39-YEAR-OLD, MARRIED MAN WAS DIAGNOSED WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES IN FEBRUARY 2016. HIS SYMPTOMS AS DESCRIBED BY HIM BEGAN WITH GENERALIZED BODY WEAKNESS, BREATHLESSNESS AND SUDDEN WEIGHT GAIN OF 16KG WITHIN 3 WEEKS. HISTORY OF REGULAR INTAKE OF ALCOHOL SINCE 7 YEARS AND TREMENDOUS FAMILY STRESS WERE PRESENT. PATIENT UNDERWENT CONVENTIONAL MEDICATION FOR 6 MONTHS AND AYURVEDIC MEDICATIONS FOR 4 MONTHS. IN JANUARY 2017, HE VISITED OUR HOSPITAL WITH THE SAME COMPLAINTS AND UNDERWENT INTEGRATED NATUROPATHY AND YOGA THERAPIES (INYTS) FOR 4 WEEKS ALONG WITH AYURVEDA AND CONVENTIONAL MEDICATIONS. THE RESULTS OF THIS STUDY SHOWED A BETTER REDUCTION IN BODY WEIGHT, BODY MASS INDEX, ABDOMINAL GIRTH, SYSTOLIC BLOOD PRESSURE AND DIASTOLIC BLOOD PRESSURE ALONG WITH IMPROVEMENT IN BREATH HOLDING TIME, HEMOGLOBIN LEVEL, LIVER FUNCTION TEST AND RENAL FUNCTION TEST. IT SUGGESTS THAT 4 WEEKS OF INYT WITH AYURVEDA AND CONVENTIONAL MEDICATIONS WAS EFFECTIVE IN PATIENTS WITH HEPATIC CIRRHOSIS WITH PORTAL HYPERTENSION AND ASCITES. FURTHER STUDIES ARE REQUIRED TO WARRANT THESE RESULTS. 2018 11 812 31 EFFECT OF YOGA ON CARDIAC AUTONOMIC DYSFUNCTION AND INSULIN RESISTANCE IN NON-DIABETIC OFFSPRING OF TYPE-2-DIABETES PARENTS: A RANDOMIZED CONTROLLED STUDY. OBJECTIVE: THE PRESENT STUDY WAS AIMED TO DETERMINE THE EFFECT OF YOGA PROGRAM ON CARDIAC AUTONOMIC DYSFUNCTION AND INSULIN RESISTANCE IN NON-DIABETIC OFFSPRING OF DIABETES PARENTS. METHODS: A RANDOMIZED PASSIVE-CONTROLLED STUDY WAS CONDUCTED ON 64 NON-DIABETIC OFFSPRING OF TYPE-2-DIABETES PARENTS (MEAN-AGE:25.17YEARS). YOGA GROUP PARTICIPANTS RECEIVED YOGA TRAINING FOR 8 WEEKS. HEART-RATE VARIABILITY (HRV) INDICES: LOW FREQUENCY (LF), HIGH FREQUENCY (HF) AND LF/HF RATIO; FASTING BLOOD GLUCOSE (FBG), ORAL GLUCOSE TOLERANCE TEST (OGTT) AND INSULIN RESISTANCE (IR) WERE ESTIMATED AT BASELINE AND AFTER 8-WEEKS OF INTERVENTION. RESULTS: WE FOUND A SIGNIFICANT DECREASE IN LF (P=0.005), LF/HF RATIO (P=0.004), IR (P<0.001), OGTT (P=0.003) AND INCREASE IN HF (P=0.022) IN YOGA GROUP PARTICIPANTS. CONTROL GROUP PARTICIPANTS DID NOT SHOW ANY SIGNIFICANT CHANGE IN ANY VARIABLES. CONCLUSIONS: IMPROVEMENT IN CARDIAC AUTONOMIC FUNCTION AND INSULIN RESISTANCE BY YOGA TRAINING IMPLIES THAT YOGA CAN REDUCE THE RISK OF DEVELOPMENT OF DIABETES IN OFFSPRING OF DIABETES PARENTS. 2019 12 449 18 CHANGES IN CARDIOVASCULAR RISK FACTORS AND HORMONES DURING A COMPREHENSIVE RESIDENTIAL THREE MONTH KRIYA YOGA TRAINING AND VEGETARIAN NUTRITION. IN PARTICIPANTS OF A COMPREHENSIVE RESIDENTIAL THREE MONTH YOGA AND MEDIATION TRAINING PROGRAMME LIVING ON A LOW FAT LACTO-VEGETARIAN DIET CHANGES IN CARDIOVASCULAR RISK FACTORS AND HORMONES WERE STUDIED. SUBSTANTIAL RISK FACTOR REDUCTION WAS FOUND. BODY MASS INDEX, TOTAL SERUM AND LDL CHOLESTEROL, FIBRINOGEN, AND BLOOD PRESSURE WERE SIGNIFICANTLY REDUCED ESPECIALLY IN THOSE WITH ELEVATED LEVELS. URINARY EXCRETION OF ADRENALINE, NORADRENALINE, DOPAMINE, ALDOSTERONE, AS WELL AS SERUM TESTOSTERONE AND LUTEINIZING HORMONE LEVELS WERE REDUCED, WHILE CORTISOL EXCRETION INCREASED SIGNIFICANTLY. 1997 13 2153 26 THE EFFECTS OF SUDARSHAN KRIYA YOGA ON SOME PHYSIOLOGICAL AND BIOCHEMICAL PARAMETERS IN MILD HYPERTENSIVE PATIENTS. AN OPEN LABEL INTERVENTION STUDY WAS UNDERTAKEN ON 26 MILD HYPERTENSIVES AND 26 APPARENTLY HEALTHY ADULTS (30-60 Y), FOR THE EFFECT OF SUDARSHAN KRIYA YOGA PRACTICE FOR TWO MONTHS AS COMPLEMENTARY THERAPY. IN THE HYPERTENSIVES, THERE WAS A SIGNIFICANT DECREASE IN DIASTOLIC BLOOD PRESSURE (P < 0.01), SERUM UREA (P < 0.01) AND PLASMA MDA (MALONDIALDEHYDE ADDUCTS) AS OXIDATIVE STRESS MARKER (P < 0.05). OTHER PARAMETERS; VIZ.; PLASMA LEVELS OF CHOLESTEROL, TRIGLYCERIDES, GLUCOSE, DID NOT CHANGE SIGNIFICANTLY (P > 0.1). THE PATTERN OF CHANGE IN MOST OF THE STUDY PARAMETERS WAS SUCH THAT VALUES ABOVE NORMAL RANGE WERE LOWERED BUT VALUES WITHIN NORMAL RANGE WERE UNALTERED. THE ACTION OF YOGA ON DIASTOLIC BLOOD PRESSURE, MALONDIALDEHYDE ADDUCTS AND KIDNEY FUNCTION IN HYPERTENSIVES WAS OF COUNTERACTIVE NATURE AND FELT TO BE DISTINCTLY DIFFERENT THAN THE EFFECT OF DRUGS. 2011 14 2145 32 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 15 1257 37 FETAL AND MATERNAL RESPONSES TO YOGA IN THE THIRD TRIMESTER. OBJECTIVE: THE PRIMARY PURPOSE OF THIS STUDY WAS TO EXAMINE MATERNAL AND FETAL RESPONSES TO A TYPICAL, MODERATE-INTENSITY YOGA SESSION IN HEALTHY PREGNANT WOMEN DURING THE THIRD TRIMESTER USING CONTINUOUS MONITORING.METHODS: THIS PROSPECTIVE OBSERVATIONAL STUDY IN LOW-RISK, PREGNANT WOMEN USED THE MONICA AN24 ABDOMINAL ECG WIRELESS MATERNAL-FETAL MONITOR TO MEASURE FETAL HEART RATE, MATERNAL HEART RATE, AND UTERINE ACTIVITY DURING A PRENATAL YOGA SESSION. SESSIONS INCLUDED 4 TIME PERIODS: (1) 20-MINUTE REST, (2) 50 MINUTES STANDARD PRENATAL YOGA, (3) 10-MINUTE MEDITATION, (4) 20-MINUTE RECOVERY. DATA WERE CONTINUOUSLY RECORDED THROUGHOUT THE ENTIRE SESSION, STORED AT 0.25-SECOND INTERVALS, AND THEN AVERAGED OVER 5-MINUTE INTERVALS. TO EVALUATE CHANGES OVER TIME, OVERALL MEANS FOR THE FOUR TIME PERIODS (REST, YOGA, MEDITATION, RECOVERY) WERE COMPARED USING ONE-WAY ANOVA WITH REPEATED MEASURES. POST-HOC PAIRWISE COMPARISONS (TUKEY'S) WERE USED TO PROBE SIGNIFICANT DIFFERENCES BETWEEN THE FOUR TIME POINTS. STATISTICAL SIGNIFICANCE WAS REACHED AT P < .05.RESULTS: TWENTY PARTICIPANTS WERE ENROLLED; 19 COMPLETED THE YOGA SESSION. MEAN GESTATIONAL AGE WAS 35 WEEKS AND 6 DAYS (RANGE OF 32-0/7 TO 38-6/7) WITH AN AVERAGE PARTICIPANT AGE OF 32 +/- 2.7 YEARS. MATERNAL HEART RATES SIGNIFICANTLY INCREASED DURING THE YOGA PERIOD (102 +/- 11 BPM) COMPARED TO REST (90 +/- 10), MEDITATION (85 +/- 12), AND RECOVERY (88 +/- 10) (P < .01). THE MAXIMUM MATERNAL HEART RATE REACHED DURING THE YOGA SESSION WAS 125 +/- 13 BPM. WHILE FETAL HEART RATES FLUCTUATED SLIGHTLY OVER THE COURSE OF THE YOGA SESSION, THERE WERE NO SIGNIFICANT FETAL HEART RATE DECELERATIONS TO SUGGEST DELETERIOUS FETAL EFFECTS. THERE WERE NO STATISTICALLY SIGNIFICANT DIFFERENCES AMONG RESTING (138 +/- 14 BPM), YOGA (137 +/- 11 BPM), MEDITATION (139 +/- 7 BPM), OR RECOVERY (135 +/- 22 BPM) FETAL HEART RATES (P = .814). UTERINE ACTIVITY WAS SIGNIFICANTLY GREATER DURING THE YOGA PERIOD COMPARED WITH THE OTHER TIME POINTS (P < .001).CONCLUSION: YOGA CAN BE RECOMMENDED FOR LOW-RISK WOMEN DURING PREGNANCY AS NO ADVERSE FETAL OR MATERNAL HEART RATE CHANGES WERE OBSERVED DURING A TYPICAL PRENATAL YOGA SESSION. 2020 16 1030 40 EFFECTS OF YOGA EXERCISE ON SERUM ADIPONECTIN AND METABOLIC SYNDROME FACTORS IN OBESE POSTMENOPAUSAL WOMEN. OBJECTIVE: REGULAR AND CONTINUOUS YOGA EXERCISE IS ONE OF THE MOST IMPORTANT NONPHARMACOLOGICAL METHODS OF IMPROVING SERUM LIPID CONCENTRATIONS, ADIPOSE TISSUE, AND METABOLIC SYNDROME FACTORS. THE PURPOSE OF THIS STUDY WAS TO ANALYZE THE EFFECTS OF YOGA EXERCISE ON SERUM ADIPONECTIN AND METABOLIC SYNDROME FACTORS IN OBESE POSTMENOPAUSAL KOREAN WOMEN. METHODS: SIXTEEN HEALTHY POSTMENOPAUSAL WOMEN AGED 54.50 +/- 2.75 YEARS WITH MORE THAN 36% BODY FAT WERE RANDOMLY ASSIGNED TO EITHER A YOGA EXERCISE GROUP (N = 8) OR TO A "NO EXERCISE" CONTROL GROUP (N = 8). THE VARIABLES OF BODY COMPOSITION, VISCERAL FAT, SERUM ADIPONECTIN, AND METABOLIC SYNDROME FACTORS WERE MEASURED IN ALL THE PARTICIPANTS BEFORE AND AFTER THE 16-WEEK STUDY. RESULTS: BODY WEIGHT, PERCENTAGE OF BODY FAT, LEAN BODY MASS, BODY MASS INDEX, WAIST CIRCUMFERENCE, AND VISCERAL FAT AREA HAD SIGNIFICANTLY DECREASED. HIGH-DENSITY LIPOPROTEIN CHOLESTEROL AND ADIPONECTIN HAD SIGNIFICANTLY INCREASED, BUT TOTAL CHOLESTEROL, TRIGLYCERIDE, LOW-DENSITY LIPOPROTEIN CHOLESTEROL, BLOOD PRESSURE, INSULIN, GLUCOSE, AND HOMOEOSTASIS MODEL ASSESSMENT-INSULIN RESISTANCE HAD SIGNIFICANTLY DECREASED. SERUM ADIPONECTIN CONCENTRATIONS WERE SIGNIFICANTLY CORRELATED WITH WAIST CIRCUMFERENCE, HIGH-DENSITY LIPOPROTEIN CHOLESTEROL, DIASTOLIC BLOOD PRESSURE, AND HOMOEOSTASIS MODEL ASSESSMENT-INSULIN RESISTANCE IN THE POSTYOGA EXERCISE GROUP. CONCLUSIONS: OUR FINDINGS INDICATE THAT YOGA EXERCISE IMPROVES ADIPONECTIN LEVEL, SERUM LIPIDS, AND METABOLIC SYNDROME RISK FACTORS IN OBESE POSTMENOPAUSAL WOMEN. CONSEQUENTLY, YOGA EXERCISE WILL BE EFFECTIVE IN PREVENTING CARDIOVASCULAR DISEASE CAUSED BY OBESITY IN OBESE POSTMENOPAUSAL KOREAN WOMEN. 2012 17 818 46 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 18 2816 36 YOGA TRAINING IMPROVES METABOLIC PARAMETERS IN OBESE BOYS. YOGA HAS BEEN KNOWN TO HAVE STIMULATORY OR INHIBITORY EFFECTS ON THE METABOLIC PARAMETERS AND TO BE UNCOMPLICATED THERAPY FOR OBESITY. THE PURPOSE OF THE PRESENT STUDY WAS TO TEST THE EFFECT OF AN 8-WEEK OF YOGA-ASANA TRAINING ON BODY COMPOSITION, LIPID PROFILE, AND INSULIN RESISTANCE (IR) IN OBESE ADOLESCENT BOYS. TWENTY VOLUNTEERS WITH BODY MASS INDEX (BMI) GREATER THAN THE 95TH PERCENTILE WERE RANDOMLY ASSIGNED TO YOGA (AGE 14.7+/-0.5 YEARS, N=10) AND CONTROL GROUPS (AGE 14.6+/-1.0 YEARS, N=10). THE YOGA GROUP PERFORMED EXERCISES THREE TIMES PER WEEK AT 40~60% OF HEART-RATE RESERVE (HRR) FOR 8 WEEKS. IR WAS DETERMINED WITH THE HOMEOSTASIS MODEL ASSESSMENT OF INSULIN RESISTANCE (HOMA-IR). AFTER YOGA TRAINING, BODY WEIGHT, BMI, FAT MASS (FM), AND BODY FAT % (BF %) WERE SIGNIFICANTLY DECREASED, AND FAT-FREE MASS AND BASAL METABOLIC RATE WERE SIGNIFICANTLY INCREASED THAN BASELINE VALUES. FM AND BF % WERE SIGNIFICANTLY IMPROVED IN THE YOGA GROUP COMPARED WITH THE CONTROL GROUP (P<0.05). TOTAL CHOLESTEROL (TC) WAS SIGNIFICANTLY DECREASED IN THE YOGA GROUP (P<0.01). HDL-CHOLESTEROL WAS DECREASED IN BOTH GROUPS (P<0.05). NO SIGNIFICANT CHANGES WERE OBSERVED BETWEEN OR WITHIN GROUPS FOR TRIGLYCERIDES, LDL-CHOLESTEROL, GLUCOSE, INSULIN, AND HOMA-IR. OUR FINDINGS SHOW THAT AN 8-WEEK OF YOGA TRAINING IMPROVES BODY COMPOSITION AND TC LEVELS IN OBESE ADOLESCENT BOYS, SUGGESTING THAT YOGA TRAINING MAY BE EFFECTIVE IN CONTROLLING SOME METABOLIC SYNDROME FACTORS IN OBESE ADOLESCENT BOYS. 2012 19 1970 28 SHORT TERM HEALTH IMPACT OF A YOGA AND DIET CHANGE PROGRAM ON OBESITY. BACKGROUND: OBESE PERSONS OFTEN FIND PHYSICAL ACTIVITY DIFFICULT. THE EFFECTS OF A YOGA AND DIET CHANGE PROGRAM, EMPHASIZING BREATHING TECHNIQUES PRACTICED WHILE SEATED, WAS ASSESSED IN OBESE PERSONS. MATERIAL/METHODS: A SINGLE GROUP OF 47 PERSONS WERE ASSESSED ON THE FIRST AND LAST DAY OF A YOGA AND DIET CHANGE PROGRAM, WITH 6 DAYS OF THE INTERVENTION BETWEEN ASSESSMENTS. THE ASSESSMENTS WERE: BODY MASS INDEX (BMI), WAIST AND HIP CIRCUMFERENCES, MID-ARM CIRCUMFERENCE, BODY COMPOSITION, HAND GRIP STRENGTH, POSTURAL STABILITY, SERUM LIPID PROFILE AND FASTING SERUM LEPTIN LEVELS. PARTICIPANTS PRACTICED YOGA FOR 5 HOURS EVERY DAY AND HAD A LOW FAT, HIGH FIBER, VEGETARIAN DIET. LAST AND FIRST DAY DATA WERE COMPARED USING A T-TEST FOR PAIRED DATA. RESULTS: FOLLOWING THE 6-DAY RESIDENTIAL PROGRAM, PARTICIPANTS SHOWED A DECREASE IN BMI (1.6 PERCENT), WAIST AND HIP CIRCUMFERENCES, FAT-FREE MASS, TOTAL CHOLESTEROL (7.7 PERCENT DECREASE), HIGH DENSITY LIPOPROTEIN (HDL) CHOLESTEROL (8.7 PERCENT DECREASE), FASTING SERUM LEPTIN LEVELS (44.2 PERCENT DECREASE) AND AN INCREASE IN POSTURAL STABILITY AND HAND GRIP STRENGTH (P<0.05, ALL COMPARISONS). CONCLUSIONS: A 6-DAY YOGA AND DIET CHANGE PROGRAM DECREASED THE BMI AND THE FAT-FREE MASS. TOTAL CHOLESTEROL ALSO DECREASED DUE TO REDUCED HDL LEVELS. THIS SUGGESTS THAT A BRIEF, INTENSIVE YOGA PROGRAM WITH A CHANGE IN DIET CAN POSE CERTAIN RISKS. BENEFITS SEEN WERE BETTER POSTURAL STABILITY, GRIP STRENGTH (THOUGH A 'PRACTICE EFFECT' WAS NOT RULED OUT), REDUCED WAIST AND HIP CIRCUMFERENCES AND A DECREASE IN SERUM LEPTIN LEVELS. 2010 20 1399 39 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