A comparitive study to evaluate the efficacy of selected Yoga techniques in Perimenopausal Women
Abstract
Background: Menarche and menopause are the two major components of women’s reproductive life. Perimenopause is a transition stage from reproductive phase to non reproductive phase, which begins several years before the actual menopause. It demands priority in the Indian scenario due to increase in life expectancy and growing population of menopausal women. During this phase there is imbalance in the hormonal levels which causes both physical and emotional symptoms. Yoga, a potential alternative to hormone therapy, is currently being assessed for its therapeutic value in decreasing stress and other symptoms associated with Perimenopause. Hence this study was undertaken to see the effect of selected yoga techniques in reducing the physical and psychological symptoms in Perimenopause women. Materials & Methods: It was an Open Randomized Comparitive Clinical Trial of 2 groups was adopted with pre-test and post-test design. 25 subjects in each group were selected using the inclusion and diagnostic criteria with selected Yogasanas and Pranayama and selected Pranayama respectively. The subjects were taught with selected Yoga techniques for a week and given printed protocol. They were asked to continue the therapy for 60 days. The criteria assessed were irregular menstruation, hot flushes, night sweats, palpitation, fatigue, weakness, depression, insomnia, irritability, mood swing and anxiety on 0th, 30th, 60th and 90th day. Results: Selected Yogasanas and Pranayama has given statistically significant results in reducing all the physiological and psychological symptoms in Perimenopausal women whereas Selected Pranayama showed statistical significance in symptoms like Hot Flushes, Night Sweats, Palpitation, Fatigue, weakness, Insomnia and Irritability and showed no statistical significance in Irregular Menstruation, Depression and Anxiety. Conclusion: The symptoms were reduced statistically in Selected Yogasanas and Pranayama when compared to Selected Pranayama Group. Thus, Perimenopause condition will be effectively managed with Selected Yogasanas and Pranayama.
Downloads
References
Research on menopause in the 1990s. Report of a WHO Scientific Group. World Health Organisation. WHO Technical Report Series No.866;1996
L Speroff. The Menopause a signal for the future. In:Lobo RA,editor. Treatment of post-menopausal woman: 2nd edition, Philadelphia: Lippincott Williams and Wilkins.1999:1-10.
Meeta, Agarwal N, Digumarti L, Malik S, Shah R, Vaze N. Clinical practice guidelines on menopause: FNx01An executive summary and recommendations. Journal of Mid-life Health. 2013;4(2):77
Dutta D.C. Text book of Gynaecology including conception, 5th edition. New central book agency (p) Ltd; reprint –2009:55 -57
J K Bharatha lakshmi(MSc) - Yoga for woman according to yoga texts a spiritual love-Literary efficacy of 3 different integrated yoga modules on creativity in school children;12 jan 2003.
Hulley S. Randomized Trial of Estrogen Plus Progestin for Secondary Prevention of Coronary Heart Disease in Postmenopausal Women. JAMA. 1998;280(7):605.
Rossouw JE, Anderson GL, Prentice RL et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. Writing Group for the Women's Health Initiative Investigators. JAMA.2002; 288(3):321-33.
Beral V, Banks E, Reeves G, Bull D. Breast cancer and hormone-replacement therapy: the Million Women Study. The Lancet. 2003;362(9392):1330-1331.
Parshad O. Role of yoga in stress management. West Indian Med Journal.2004;53:191–194
Dr Nagarathna,Dr Nagendra– YOGA, Breathing practices , asanas, pranayama, mudras, bhandha & kriyas, meditation. Published by SYASA- Jan 2006
Dr Nagarathna,Dr Nagendra– YOGA, Breathing practices , asanas, pranayama, mudras, bhandha & kriyas, meditation. Published by SYASA- Jan 2006.
Ross A, Thomas S. The Health Benefits of Yoga and Exercise: A Review of Comparison Studies. The Journal of Alternative and Complementary Medicine. 2010;16(1):3-12.
Lee M, Kim J, Ha J, Boddy K, Ernst E. Yoga for menopausal symptoms. Menopause. 2009;16(3):602- 608.
G.E. Hale, C.L. Hitchcock, L.A. Williams, Y.M. Vigna, J.C. Prior: Cyclicity of breast tenderness and night-time vasomotor symptoms in mid-life women: information collected using the Daily Perimenopause Diary. Climacteric;2003;6(2):128-39
Ostrzenski A. Laparoscopic total abdominal hysterectomy in morbidly obese women: a pilot-phase study. Journal of Reproductive Medicine;1999;44:853– 858 . Hence it can be considered as the hall mark of Perimenopause.
Dimeo F, Rumberger B, Keul J. Aerobic exercise as therapy for cancer fatigue. Sports Medicine;1998;30:475-478
Maartens LW, Knottnerus JA, Pop VJ. Menopausal transition and increased depressive symptomatology: a community based prospective study.
Soares CN, Joffe H, Steiner. Menopause and mood. MClin Obstet Gynecol. 2004 Sep; 47(3):576-91.
Dr. Vandana Jain, Dr. Jyotsna Sharma Effect of Yogic Intervention: Pranayama on Anxiety & Depression The International Journal of Indian Psychology, ISSN 2348- 5396 (e)| ISSN: 2349-3429:124-136
Journal of Ayurveda and Integrated Medical Sciences (JAIMS) retains the copyright of the contents of this journal but grant the readers the right to use the contents with terms and conditions under a creative common attribution licenses 4 of Attribution, Share Alike and Non-commercial type (CC BY-NC-SA) that allows copy, distribute, display, and perform the work and make derivative works based on it only for non-commercial purposes.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
