Yoga como terapia complementaria para el Adulto Mayor / Yoga as a complementary therapy for older adult

Introducción: El yoga es una actividad que trata de un ejercicio el cual contiene una intensidad baja a moderada, la cual no se centra exclusivamente en el entrenamiento físico, sino que también en el desarrollo de la mente y el espíritu de uno mismo. El yoga puede obtener un mayor impacto en el equilibrio y en la ganancia de fuerza de la parte superior del cuerpo, además, demuestra mejora en la aptitud cardiorrespiratoria y flexibilidad. Metodología: El enfoque de desarrollo fue de tipo cuantitativo en donde se realizó una revisión sistemática como metodología de búsqueda de información, relacionada al yoga como una terapia complementaria y los beneficios que éste aportaba al bienestar de las personas mayores. Resultados: En cada uno de los ensayos controlados aleatorizados que fueron recabados para fines de esta revisión sistemática. Se destaca la importancia y los beneficios del yoga en la movilidad, fuerza, flexibilidad y espiritualidad de los usuarios que practican esta terapia. Discusión: Los artículos analizados pertenecen a ensayos clínicos o estudios aleatorizados, los cuales permitieron responder de manera efectiva a nuestra pregunta de investigación, la cual consiste en reconocer si el yoga es efectivo para disminuir el riesgo de dependencia funcional y eliminar hábitos que no son saludables para las personas mayores, además de mejorar la calidad de vida actual. Gracias a ello se pudo evidenciar que esta terapia en adultos mayores genera cambios positivos respecto a estado y condición física, la ejecución de esta práctica mejora la calidad de vida en un 80% Conclusión: La yoga como terapia complementaria si entrega beneficios en la calidad de vida de la población adulta mayor, dado que, que hubo una mejora tanto en la movilidad, calidad de vida y autovalencia de los adultos mayores[AU]

Introduction: Yoga is an activity that deals with a low to moderate intensity exercise, which is not exclusively focused on physical training, but also on the development of the mind and spirit itself. Yoga may have a greater impact on balance and upper body strength gains, and have shown improvements in cardiorespiratory fitness and flexibility. Methodology:the development approach was of a quantitative type where a systematic review was carried out as a methodology for searching for information related to yoga as a complementary therapy and the benefits that it brought to the well-being of the elderly. Results:The importance and benefits of yoga on the mobility, strength, flexibility and spirituality of users who practice this therapy are highlighted in each of the randomized controlled trials that were collected for the purposes of this systematic review. Discussion: The articles analyzed belong to clinical trials or randomized studies, which allowed us to effectively answer our research question. The activity of yoga in older adults generates positive changes regarding state and physical condition, the execution of this practice improves the quality of life by 80% Conclusion: Yoga as a complementary therapy delivers benefits in the quality of life of the adult population elderly, it can be said that there was an improvement in mobility, quality of life and self-valence of the elderly[AU]

Introdução: O Yoga é uma atividade que trata de um exercício de intensidade baixa a moderada, que não se foca exclusivamente no treino físico, mas também no desenvolvimento da mente e do espí-rito. A ioga pode ter um impacto maior no equilíbrio e nos ganhos de força da parte superior do corpo e mostrou melhorias na apti-dão cardiorrespiratória e flexibilidade. Metodologia: a abordagem de desenvolvimento foi do tipo quantitativo onde foi realizada uma revisão sistemática como metodologia de busca de informações re-lacionadas ao yoga como terapia complementar e os benefícios que trouxe para o bem-estar dos idosos. Resultados: A importância e os benefícios do yoga na mobilidade, força, flexibilidade e espiri-tualidade dos usuários que praticam esta terapia são destacados em cada um dos ensaios clínicos randomizados que foram coletados para fins desta revisão sistemática. Discussão: Os artigos analisa-dos pertencem a ensaios clínicos ou estudos randomizados, o que nos permitiu responder de forma eficaz à nossa questão de inves-tigação. A atividade de yoga em idosos gera mudanças positivas quanto ao estado e condição física, a execução desta prática mel-hora a qualidade de vida em 80% Conclusão: o yoga como terapia complementar traz benefícios na qualidade de vida da população adulta idosa, pode-se dizer que houve melhora na mobilidade, qualidade de vida e autovalência dos idosos[AU]

Effectiveness of yoga interventions on stress and anxiety levels of school teachers during COVID-19 era in Anand district, Gujarat

Background: During coronavirus outbreak, lockdown was implemented in India and online teaching was adopted as new teaching method. This shifting in teaching pattern may increase the burden on mental health of school teachers and cause various mental health issues. Therefore, this study was done to assess stress and anxiety levels of teachers and impact of yoga intervention on them. Methods: An interventional study was conducted with teachers of five English medium schools. Pre-test was done for the assessment of stress and anxiety by using Perceived Stress Scale (PSS) and Generalized Anxiety Disorder 7 (GAD-7) scale respectively. Yoga intervention was done virtually once a week for three months. Participants were asked to practice the yoga daily on their own. After three months, post-test was done using similar questionnaire. Results: A total of 136 teachers were enrolled in this study. On pre-test, moderate perceived stress was observed in 95 (69.9%) participants. 38 (27.9%) participants were having mild anxiety symptoms and 74 (54.5%) participants were having no anxiety symptoms. Pre PSS mean score was 17.28 (SD=5.90) and Post PSS mean score was 13.29 (SD=4.30). Pre GAD-7 mean score was 4.88 (SD=4.28) and Post GAD-7 mean score was 4.24 (SD=3.13). There were highly significant mean differences between pre-post comparison of PSS and GAD-7 (p<0.001). Conclusions: The study showed significant level of stress and anxiety among teachers. Yoga intervention of three months was effective in reducing stress and anxiety levels in teachers.

Influence of yoga on pain, lower extremity kinetics, kinematics and function in patients with knee osteoarthritis

Background: Knee osteoarthritis (OA), is one of the leading cause of disability that causes significant reduction in function and strength with an increase in pain. The present study evaluates effects of Yoga with Physiotherapy exercises on pain, kinetics, kinematics and function in patients with knee osteoarthritis. Methods: A randomized controlled trial was conducted for evaluating the effect of Yoga on pain, lower limb kinetics, kinematics and function in patients with knee osteoarthritis over a period of 6 weeks. A total of 50 participants volunteered for the study. The participants were randomly allocated into Control group (n=25) and Intervention group (n=25). The participants of control group performed conventional exercises. The participants of intervention group performed conventional exercises along with Yoga. Results: Findings from present study reported significant improvement in muscle flexibility of Rectus Femoris (p<0.05) and Tensor Fascia Lata (p<0.05) in the interventional group as compared to the control group. There was a significant improvement in knee flexion range of motion(p<0.05) in the interventional group compared to the control group. Lower extremity muscle strength evaluation demonstrated a significant improvement(p<0.05) in muscle strength of hip and knee musculature in the interventional group as compared to the control group. There was a significant reduction in pain scores(p<0.05) for stair climbing in the interventional group as compared to the control group. There was no significant improvement in function pre and post intervention. Conclusions: Findings from present study report yoga practice improves knee flexion range of muscle, muscle strength and flexibility in patients with knee osteoarthritis.

A study of the health benefits of the Yoga Prana Vidya healing camp conducted at YPV Ashram in December 2022

Background: Several YPV Healing Camp programmes in the past have assisted people of all ages in treating and resolving their current health problems and lowering their chance of developing future chronic illnesses, which typically begin early and get worse with age. This paper presents one such camp and its outcomes successfully conducted at the YPV Ashram in December 2022. Methods: An interventional method for evaluating the outcomes of this camp is used. Patients’ data was collected before and after this camp by a team of 6 YPV healers who performed healing services using YPV protocols. The patient sample consisted of 29 adults (20 female and 9 male) from various places in the country who registered their voluntary participation. Results: Measured parameters such as body weight (Wt.), body mass index (BMI), V Fat, waist circumference, blood pressure (both Systolic and diastolic), and O2 saturation showed statistically significant improvements for the group. The patients experienced considerable improvements in their conditions such as pain in various parts of the body, and other physiological, psychological, and mental health issues. Conclusions: The key success aspects of the YPV healing and wellness camps are the teamwork, preparation and scheduling, expertise, competence, and dedication of the healers. The Yoga Prana Vidya method, as a supplementary and alternative medicine, has had such an impact on the healthcare system that those who have sought this therapeutic system have experienced it well. More research is recommended on this topic utilizing suitable techniques and samples.

Understanding motivators and barriers for yoga practice in obese and non-obese individuals

Background: Yoga is a comprehensive lifestyle intervention which has been used for weight management by overweight and obese. Yoga is also used as therapy for various other ailments by both obese and non-obese individuals. However, the motivators and barriers of yoga in obese persons compared to non-obese has not been reported. Methods: The present cross-sectional comparative control trial included 200 participants of both sexes aged between 13 and 80 years. Of these, 102 were obese and 98 were non-obese. Data were analyzed using Chi-square test. Results: The most common motivators for yoga were: reducing symptoms of illness (35% for obese versus 21.73% for non-obese), pain relief, (21% for obese versus 10.86% for non-obese) and lifestyle changes (9% for obese versus 10.86% for non-obese). The most common barriers for yoga were: no time (29.54% for obese versus 42.25% for non-obese), physical incapability of practicing yoga (18.18% for obese versus 16.9% for non-obese) and tiredness (15.9%) for obese and no interest/motivation (15.49%) for non-obese. Conclusions: The motivators to yoga for obese are comparable to non-obese with obese use yoga more frequently for 搑educing symptoms of illness�. Also, the barriers to yoga are comparable to obese with normal weight for 搉o time�.

Yoga as an adjunct therapy in elderly patients of chronic constipation

Background: Constipation being very prevalent and common complaint in elderly people, an effective measure is needed to get the relief along with drugs for constipation used by clinicians. Our aim was to search out the potential applicability and effectiveness of yoga. Methods: 30 elderly patients visiting medicine OPD for chronic constipation were included in study. Yoga group (15) was offered selected yogic practices in addition to drugs and control group drugs only. Patients kept record of drug intake on paper for 2 months of study. Data was obtained by using CAS score and frequency of drug intake. Data were analysed using t test. Results: Baseline CAS scores for the yoga and control groups were 11.92±1.59 and 12.07±1.68 respectively. Post yoga CAS score for the yoga and control groups were 3.50±1.40 and 4.14±1.5 respectively. Frequency of drug intake in yoga and control groups in first month of yoga was 17.57±2.31 and 19.14±2.38 respectively. In 4th month of yoga practice frequency of drug intake in yoga and control groups was 11.07±2.16 and 18.35±2.56, which was highly significant. Conclusions: Selected yoga practices can be used as an adjuvant therapy to treat chronic constipation in case of elderly. They can be effective in decreasing drug requirement in patients of chronic constipation. Yoga practices should be advised for patients of chronic constipation.

Yoga and stress profile for women undergoing infertility treatment: review

Infertility is a silent struggle rising rapidly. Women undergoing treatment for infertility experience tremendous stress not only emotionally but socially also. It has been hypothesized that stress can hamper fertility and studies indicate an effective role of yoga in reducing stress. Hence, the review aims to assess if yoga has an effect on stress levels in infertile women thus improving the clinical outcome. Present review was registered on Prospero prospectively (CRD42022336237). A review was carried out to summarize the interventions assessing role of Yoga in reducing stress among women undergoing infertility treatment. Literature search was performed using a pre-defined search strategy on PubMed, Embase, and CTRI along with a manual search of references during the last decade. A total of 2959 articles via database searching and 202 via manual and citation searching were screened. Only two studies were found relevant meeting the inclusion criteria. Three studies with a similar intervention were retrieved but had different study designs and outcomes. All studies supported the recommendation of yoga as a complementary intervention. The review concluded yoga may have the potential in reducing stress thus improving clinical outcomes and suggests Ayush to conceive and plan large scale RCTs on this area to see the effect on clinical outcome.

O coração no yoga: um estudo hermenêutico sobre a ontologia das upaniṣad's / The heart in yoga: a hermeneutic essay on the ontology of the upaniṣad's

RESUMO O yoga vem passando por um processo de transformações e conformação à racionalidade médico-científica chamado 'medicalização do yoga', com afastamento das reflexões acerca do ser presentes na sua fonte védica. Orientado por uma tradição hermenêutica indiana, este ensaio investigou sentidos para os termos hṛdayam ('coração') e yoga, frente à atual inserção desta última no âmbito da prevenção cardiovascular. Na tradição védica, o coração possui significado distinto do órgão médico: o termo também é utilizado para se referir ao 1) intelecto e ao 2) locus do Eu (ātmā). Entre outros significados, yoga é visto como um artifício cognitivo que visa à discriminação entre o real e o aparente. Nessa tradição, a saúde do coração aponta mais para uma condição existencial - da ignorância do Eu - e seus efeitos (egotismo, aversões, desejos etc.) do que para os fatores de risco cardiovascular explorados nas pesquisas e nos cuidados clínicos. Tal visão poderia servir como prevenção quaternária aos efeitos adversos da introjeção e reificação dos fatores de risco, e aponta para outra direção na compreensão e atuação do yoga nos serviços de saúde, destacando a importância de aprofundar reflexões filosóficas sobre o yoga e outras práticas integrativas e complementares presentes no Sistema Único de Saúde (SUS).

ABSTRACT Yoga has been undergoing a process of transformation and adaptation to medical-scientific rationality, referred to as the 'medicalization of yoga', with a distancing from reflections on being present in its Vedic source. Guided by an Indian hermeneutic tradition, this essay investigated meanings for the terms hṛdayam ('heart') and yoga, in the context of the current integration of the latter into cardiovascular prevention. In the Vedic tradition, the heart holds a distinct meaning from the medical organ; the term is also used to refer to 1) intellect and 2) the locus of the Self (ātmā). Among other meanings, yoga is seen as a cognitive tool aimed at discriminating between the real and the apparent. In this tradition, heart health points more towards an existential condition - ignorance of the Self - and its effects (egotism, aversions, desires, etc.) than towards the cardiovascular risk factors explored in research and clinical care. Such a perspective could serve as quaternary prevention against the adverse effects of the introjection and reification of risk factors, indicating a different direction for understanding and implementing yoga in healthcare services. It underscores the importance of deepening philosophical reflections on yoga and other integrative and complementary practices within the Unified Health System (SUS).

El yoga como terapia alternativa para pacientes con lumbalgia crónica / Yoga as an alternative therapy for patients with chronic low back pain

El dolor lumbar crónico es un problema frecuente que afecta la calidad de vida de muchos pacientes y representa un desafío para los sistemas de salud. Ante la búsqueda de alternativas para aliviar el dolor, el yoga ha surgido como una opción prometedora. A partir de un caso clínico real, el autor de este artículo realiza una búsqueda bibliográfica y sintetiza la mejor evidencia disponible sobre la efectividad del yoga para reducir el dolor en pacientes con lumbalgia crónica.Finalmente, concluye que, si bien podría ser beneficioso, aún persiste incertidumbre y se necesitan más estudios para determinar si este es superior a otros tipos de ejercicio físico centrados en el espalda. (AU)

Chronic low back pain is a common problem that affects the quality of life of many patients and represents a challenge for health systems. In the quest for alternatives to relieve pain, yoga has emerged as a promising option. Based on a real clinical scenario, the author of this article conducts a literature search and synthesizes the best available evidence on the effectiveness of yoga for reducing pain in patients with chronic low back pain. Finally, he concludes that, although it maybe beneficial, uncertainty still persists and more studies are needed to determine whether it is superior to other physical exercises focused on the back. (AU)

Effects Of Physiotherapy On Metabolic Markers And Wellness Score In Post-Menopausal Diabetic Women

Background: Yogic practices are beneficial for overall health and well-being, and they can potentially play a supportive role in the prevention and management of diabetes mellitus (DM) and reduce cardiovascular complications. While it is important to note that yoga should not be considered a standalone treatment for diabetes, it can be a complementary approach incorporated into a comprehensive treatment plan. This study assessed metabolic markers and wellness scores of post-menopausal diabetes patients to compare the benefits of yoga and therapy. Methods: The study recruited 15 female patients aged 36 to 63 who received medical treatment for type 2 DM at AIMSR. The patients were selected using an accidental sampling method. All participants provided informed consent to participate in the study. Among the recruited patients, 11 were post-menopausal for more than a year, and four were peri-menopausal. The study was designed pre- and post-intervention to assess changes in biochemical markers and subjective well-being.Results: The statistical analysis used the student’s t-test for paired samples. Using the paired t-test and accepting p-values less than 0.05 as statistically significant, the study aimed to determine if significant differences in the measured parameters existed before and after the intervention. The study findings suggest that yoga training resulted in decreased FBG significantly (P=0.0035) by 20.62%, PPBG also decreased significantly (P=0.0012) by 14.52%, and HDL increased significantly (P=0.022). There was a significant (P=0.003) decrease of 17.37% in the TC/HDL ratio and a significant (P=0.016) increase of 19.13% in the HDL/LDL ratio.Conclusion: In post-menopausal diabetes, a six-week yoga and physical therapy training program improves lipid profiles and blood sugar levels. Incorporating a comprehensive yoga and physical therapy treatment program into a successful complementary or integrative therapy program may improve the standard medical care for diabetes mellitus.

Bienestar psicológico en un grupo de profesores de hatha yoga / Psychological well-being in a group hatha yoga teachers

Resumen Se busca describir el bienestar psicológico en profesores que enseñan hatha yoga; el estudio corresponde a un diseño fenomenológico. Los participantes fueron 10 profesores, 6 mujeres y 4 varones entre 21 y 58 años con residencia en la ciudad de Lima, Perú, quienes respondieron a una entrevista semiestructurada. La investigación empleó un análisis de contenido y los resultados se alinean a la teoría del bienestar psicológico a partir de la experiencia de instructores de hatha yoga. Los miembros del estudio indican que el hatha yoga los invita a sentir más control sobre sus vidas, que los permite involucrarse más en su trabajo cotidiano y que ayudó a encontrar en ellas y ellos un sentido de la vida. Además, mencionan que el efecto más destacado de su práctica es el alivio del dolor de origen psicosomático, lo que ayuda como complemento a la psicoterapia. Por último, se analizan las implicancias de los hallazgos.

Abstract The research describe the psychological well-being in teachers who instruct hatha yoga and the study corresponds to a phenomenological design. The participants were 10 teachers, 6 women and 4 men between 21 and 58 years of age residing in the city of Lima - Peru, who responded to a semi-structured interview. The investigation used a content analysis and the results are aligned with the theory of psychological well-being based on the experience of the hatha yoga instructors. The members of the study indicate that yoga invites them to feel more control over their lives, that it allows them to become more involved in their daily work and tells that hatha yoga helped them to find meaning in life. Also, they mention that the most outstanding effect of their practice is the confort of pain in psychosomatic origin, which helps as a complement to the psychotherapy. Finally, the implications of the findings are discussed.

Uso de terapias complementarias para la disminución del índice de masa corporal en personas mayores con Diabetes Mellitus tipo 2 / Use of complementary therapies to reduce body mass indexin older people with type 2 Diabetes Mellitus

Las enfermedades cardiovasculares están determinadas por ciertos factores de riesgos, la prevalencia y sinergia de éstos genera un de-terminado riesgo cardiovascular que deteriora la calidad de vida de quienes lo padecen. La realización de actividad física es considerada como una herramienta útil para disminuir uno de los factores de riesgo más importantes, la obesidad, medida mediante el índice de masa corporal. Sin embargo, no todos los seres humanos poseen las mismas características y capacidades físicas, por ende, la realización de ejercicio está restringida a éstas. Es en este sentido que se desarrolla el siguiente informe, el cual contempla una revisión sistemática que enfrenta a dos terapias complementarias: Yoga v/s Tai Chi, buscando la evidencia que permita la recomendación de una de ellas para la disminución de IMC en personas mayores con DM2. Los artículos fueron extraídos desde la plataforma académica PubMed, sometidos a 3 cribados de búsqueda, y criterios de inclusión y exclusión, resultando en la obtención de 4 artículos para el análisis, a partir de esta observación se obtiene que la realización de yoga es beneficiosa para la disminución de el IMC al caso índice. Por ende, se recomienda el uso de la terapia complementaria yoga, puesto que esta favorece la reducción del IMC en pacientes con enfermedades crónicas no transmisibles en comparación a la terapia complementaria Tai Chi[AU]

Cardiovascular diseases are determined by certain risk factors, the prevalence and synergy of which generates a certain cardiovascular risk that deteriorates the quality of life of those who suffer from it. Physical activity is considered a useful tool for reducing one of the most important risk factors, obesity, measured by the body mass index. However, not all human beings have the same physical capacities, therefore, exercise is restricted to them. It is in this sense that the following report is developed, which contemplates a systematic review that confronts two complementary therapies: yoga v/s Tai Chi, looking for the evidence that allows the recommendation of one of them for the decrease of BMI in elderly people with DM2.The articles were extracted from the academic platform PubMed, subjected to 3 search screens, and inclusion and exclusion criteria, resulting in obtaining 4 articles for analysis, from this observation it is obtained that the performance of yoga is beneficial for the decrease of the BMI to the index case. Therefore, the use of yoga complementary therapy is recommended, since it favors the reduction of BMI in patients with chronic noncommunicable diseases compared to Cardiovascular diseases are determined by certain risk factors, the prevalence and synergy of which generates a certain cardiovascular risk that deteriorates the quality of life of those who suffer from it. Physical activity is considered a useful tool for reducing one of the most important risk factors, obesity, measured by the body mass index. However, not all human beings have the same physical capacities, therefore, exercise is restricted to them. It is in this sense that the following report is developed, which contemplates a systematic review that confronts two complementary therapies: yoga v/s Tai Chi, looking for the evidence that allows the recommendation of one of them for the decrease of BMI in elderly people with DM2.The articles were extracted from the academic platform PubMed, subjected to 3 search screens, and inclusion and exclusion criteria, resulting in obtaining 4 articles for analysis, from this observation it is obtained that the performance of yoga is beneficial for the decrease of the BMI to the index case. Therefore, the use of yoga complementary therapy is recommended, since it favors the reduction of BMI in patients with chronic noncommunicable diseases compared to Tai Chi complementary[AU]

As doenças cardiovasculares são determinadas por certos factores de risco, cuja prevalência e sinergia geram um certo risco cardio-vascular que deteriora a qualidade de vida das pessoas que delas sofrem. A atividade física é considerada uma ferramenta útil para reduzir um dos factores de risco mais importantes, a obesidade, medida pelo índice de massa corporal. No entanto, nem todos os seres humanos têm as mesmas características físicas e, por isso, o exercício é restrito a eles. É nesse sentido que se desenvolve o pre-sente relatório, que contempla uma revisão sistemática que con-fronta duas terapias complementares: yoga v/s Tai Chi, buscando as evidências que permitam a recomendação de uma delas para a diminuição do IMC em idosos com DM2. Os artigos foram ex-traídos da plataforma acadêmica Pubmed, submetidos a 3 telas de busca, e critérios de inclusão e exclusão, resultando na obtenção de 4 artigos para análise, a partir desta observação obtém-se que a realização do yoga é benéfica para a redução do IMC para o caso índice. Portanto, recomenda-se a utilização da terapia complemen-tar yoga, uma vez que favorece a redução do IMC em pacientes com doenças crónicas não transmissíveis em comparação com a terapia complementar Tai Chi[AU]

A prospective randomized controlled trial to study the effect of prenatal yoga on maternal weight gain and psychological stress in pregnancy and its association with pregnancy outcomes

Background: Objective of study was to evaluate the effect of prenatal yoga on maternal gestational weight gain (GWG) and psychological stress in pregnancy (PSS) and to evaluate the effect of prenatal yoga on labour outcomes.Methods: Prospective randomized controlled trial conducted at AIIMS, New Delhi between May 2020-December 2021. Sixty women each were recruited in the yoga and control group. Women in the yoga group attended 60 minutes supervised yoga sessions followed by self-sessions. Women in the control group received routine antenatal care along with 30 minutes per day of walking and dietary counselling. The assessment was done for the weight(WT), dietary intake (D) and perceived stress score (PSS) at the time of recruitment (WT1, D1, PSS1), 28 weeks (WT2, D2, PSS2) and 36 weeks (WT3, D3, PSS3) and the results were then compared.Results: At recruitment all the parameters in both groups were comparable. The difference in mean and difference in percentage in terms of gestational weight gain (GWG) at recruitment and at 36 weeks was statistically significant (p-value=0.027). The per cent weight gain in the Yoga group was significantly low (p value=0.048). The control group experienced more amount of stress both at 28 weeks (p-value = 0.021) and 36 weeks (p-value <0.0001). The difference in mean and difference in percentage in terms of PSS1 and PSS2 (p-value=0.011), PSS2 and PSS3 (p-value=0.0001) PSS1 and PSS 3 (p-value=0.0001). Labour outcomes were comparable between both groups.Conclusions: Yoga helps in controlling excessive GWG and helps prevent many adverse feto-maternal outcomes associated with obesity.

A prospective randomized controlled trial to study the effect of prenatal yoga on maternal weight gain and psychological stress in pregnancy and its association with pregnancy outcomes

Background: Objective of study was to evaluate the effect of prenatal yoga on maternal gestational weight gain (GWG) and psychological stress in pregnancy (PSS) and to evaluate the effect of prenatal yoga on labour outcomes.Methods: Prospective randomized controlled trial conducted at AIIMS, New Delhi between May 2020-December 2021. Sixty women each were recruited in the yoga and control group. Women in the yoga group attended 60 minutes supervised yoga sessions followed by self-sessions. Women in the control group received routine antenatal care along with 30 minutes per day of walking and dietary counselling. The assessment was done for the weight(WT), dietary intake (D) and perceived stress score (PSS) at the time of recruitment (WT1, D1, PSS1), 28 weeks (WT2, D2, PSS2) and 36 weeks (WT3, D3, PSS3) and the results were then compared.Results: At recruitment all the parameters in both groups were comparable. The difference in mean and difference in percentage in terms of gestational weight gain (GWG) at recruitment and at 36 weeks was statistically significant (p-value=0.027). The per cent weight gain in the Yoga group was significantly low (p value=0.048). The control group experienced more amount of stress both at 28 weeks (p-value = 0.021) and 36 weeks (p-value <0.0001). The difference in mean and difference in percentage in terms of PSS1 and PSS2 (p-value=0.011), PSS2 and PSS3 (p-value=0.0001) PSS1 and PSS 3 (p-value=0.0001). Labour outcomes were comparable between both groups.Conclusions: Yoga helps in controlling excessive GWG and helps prevent many adverse feto-maternal outcomes associated with obesity.

Perception on effect of AYUSH treatment among patients with selected NCDs at life style diseases clinics from six states of India: Lessons learnt and way forward

Introduction: The AYUSH system of medicine is effective in the case management of non-communicable diseases (NCDs). The Ministry of Health and Family Welfare launched a pilot program in 2016 integrating AYUSH with the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke for community-based screening and management of NCDs. This study was done to assess the effectiveness of AYUSH treatment with Yoga practices in project districts in terms of the adoption of a healthy lifestyle besides relief from NCDs. Material and Methods: The study was conducted in six districts from six states, namely Bhilwara (Rajasthan), Surendranagar (Gujarat), Gaya (Bihar), Darjeeling (West Bengal), Krishna (Andhra Pradesh), and Lakhimpur-Kheri (Uttar Pradesh) with a total sample of 56 lifestyle disease Clinics and 1790 beneficiaries. Results: The results show that 75% of patients were currently doing yoga and 60%–80% of patients experienced various benefits of yoga. These benefits were relief from pain (82%), improvement in appetite (72%), reduction in weakness (72%), and sickness (71%). The study also found that after taking AYUSH treatment, overall 73% of patients reduced dosage of allopathic medicines, 52% had reduced side effects of allopathic medicines, 24% stopped allopathic medicine, and 50% got faster recovery. Conclusion: Low cost and fewer side effects are considered merits of AYUSH medicine that drive its acceptance in the community and could be prioritized under preventive care. The dual form of medicine is the new form emerging option to the existing modern medicine.

Effectiveness of yoga practice on the glycemic status and body mass index in pre-diabetic individuals

Background: Yoga is a healthy lifestyle intervention practice that has claimed beneficial effect in the management of several metabolic syndromes including diabetes mellitus. It has favorable effect on maintaining blood pressure and insulin resistance in pre-diabetic individual. Aim and Objectives: The aim of the study was to assess the effect of yoga practice on the blood glucose levels and body mass index (BMI) in pre-diabetic individuals. Materials and Methods: Cases attending outpatient department of between age group 21–55 years under pre-diabetic category (n = 128) based on laboratory investigations and BMI were recruited. Participants were divided in to two groups, that is, group 1 (Pre-diabetics with yoga practice) and Group 2 (Pre-diabetics without yoga practice). Participants of Group 1 were advised to attend the yoga sessions for 180 days and blood glucose levels and BMI was assessed. Results: In Group 1, the mean blood glucose level was gradually decreased from the beginning (121.57 mg/dl in Group 1 and 121.98 mg/dl in Group 2) to end of 180 days (89.32 mg/dl in Group 1% 105.65 mg/dl in Group 2). The mean BMI was significantly decreased from the beginning (27.63 in Group 1 and 27.24 in Group 2) to the end of 180 days (21.33 in Group 1 and 24.26 in Group 2) in both study groups. The mean difference of glucose levels and BMI among both study groups was statistically significant (P < 0.05). Conclusion: Yoga practice was significantly reduced the BMI and blood glucose in pre-diabetic participants. However, the rate of decline in the levels of blood glucose and BMI was high in pre-diabetics under yoga practice. Continuous yoga adherence and healthy lifestyle practices can improve.

IMPACT OF SELECTED YOGIC PRACTICES ON MUSCULAR STRENGTH, MUSCULAR ENDURANCE, FLEXIBILITY AND AGILITY OF FEMALE KHO-KHO PLAYERS

The aim of the present study was to investigate the effect of yoga training on muscular strength, muscular endurance, flexibility and agility of female kho-kho players. For this purpose, a sample of forty (N=40) female kho-kho players of age ranging from 14 to 17 years were selected from Laxmi Narayan Inter College, Meja, Prayagraj. Further, the subjects were purposively divided in two groups. First group, designated as experimental group (N1=20) and the second one as control group (N2=20). All the participants were informed about the objectives and methodology of this study and they volunteered to participate in this experimental study. The study was restricted to the variables: muscular strength, muscular endurance, flexibility and agility. The same were measured by using Flexed Arms Hang Test, Sit-Ups Test, Sit and Reach Test and Shuttle Run Test respectively. Experimental group have undergone yoga training for 6 week by following a sequence of selected yogic asanas. Paired sample t-test was applied to study the effects of yoga training on female kho-kho players. The level of significance was set at 0.05. Results revealed significant differences between pre and post-tests of experimental group in respect to Muscular strength (t-6.946*), Muscular endurance (t-9.863*), Flexibility (t-11.052*) and Agility (t-14.068*). However, insignificant differences were observed between pre and post-tests of control group.

An Analytical Review on Health Benefits of Prenatal Yoga for Mother and Foetus

Pregnancy is a physiological condition in which would be mother changes both from inside as well as outside. Yoga in pregnancy can help the women to balance through these physical, mental and emotional challenges. Embracing yoga during pregnancy provides multi dimensional benefits to mother and baby. Yoga calms the mind, revitalizes the energy and prepares the woman physically and mentally for delivery. Various respiratory exercises (Pranayama) and physical postures (Asanas), performed by a pregnant woman under expert supervision, can help in harmonized relaxation and contraction of uterus, increase the strength, flexibility and endurance of muscles needed for childbirth,. They devour low energy and afford greater benefits. Also Yoga-sasanas can minimizes the complication of pregnancy, like pregnancy induced hypertension, intrauterine growth retardation and pre-term delivery. Yoga calms the mind, re-energies and prepares the mother physiologically, mentally and emotionally and for labour. Yoga is also helpful in improving sleep pattern, reduces lower back pain, nausea, headaches and shortness of breath. Simple stretching exercises encourage circulation, help fluid retention, and relieve stress. Yogic exercises can help pregnant women recover faster post-delivery. Different type of postures, mentioned in Ayurvedic and Yogic texts that can be comfortably performed in pregnancy. They consume lower energy and give better benefits. Yoga is useful for a variety of immunological, behavioral and psychosomatic conditions. Various research studies regarding the utility of yoga interventions for pregnancy shows that it is helpful in improving pregnancy and birth outcomes. Numerous clinical studies shows that yoga may produce improvements in stress levels, quality of life, aspects of interpersonal relating, autonomic nervous system functioning, and labour parameters such as comfort, pain, and duration.

Ayurvedic Management of Acute Dissociative Reactions to Stressful Life Events - A Case Study

Mental diseases known as dissociative disorders are characterised by a sense of discontinuity and separation from one's thoughts, memories, environment, activities, and identity. People with dissociative disorders unintentionally and unhealthily flee reality, which makes it difficult for them to carry on with daily activities. Dissociative identity disorder (DID, sometimes known as multiple personality disorder), fugue, "psychogenic" or "functional" amnesia, and depersonalization disorder are examples of dissociative disorders. Other specified dissociative disorder is subcategory of dissociative disorders that describes presentations in which symptoms are typical of a dissociative disorder but do not fully match the diagnostic criteria for any of the illnesses in the diagnostic class of dissociative disorders. In Ayurveda this condition can be considered as Unmada. 34 year female patient hailing from Malappuram, Kerala, brought to Manasanthi OPD of VPSV Ayurveda College, Kottakka,l by husband and relatives complains of lack of desire to live, wants to end her life, loss of sleep, difficulty to walk and doing daily activities since 3 days. She was very much concerned about the behavioural issues and wellbeing of her elder son since 12 years. According to the informant, the patient was having increased tension, repeated talking about her elder son, making loud noises and suicidal thoughts. Also, she had an attempt to suicide. She was treated on an IP level with a combination of Ayurvedic internal medications and Panchakarma procedures. The treatment protocol includes Snehapana, Virecana, Nasya, Shirodhara, and Dhoopana. Satvavajaya methods including Yoga also administered. There were considerable relief from symptoms and HAM D score was reduced from 21 to 6.

Kerala Traditional Ayurvedic Practices in Children for Enhancing Immunity - A Systematic Review

Kerala is rich in its culture for the traditional Ayurveda practices in children from the time of birth onwards. These traditional practices are mainly immune boosters and also enhance overall nourishment and development in children. Commonly used traditional Ayurveda practices are Uramarunnu Prayoga, Prakara Yoga, Abhyanga, Rasanadi churna lepana, Snana etc. for enhancing immunity and providing overall development to children. Uramarunnu is a baby care practice comprising of a group of drugs administered to the child in the form of paste in breast milk, after 28 days till 2 years of age. Prakara Yogas are immunomodulatory recipes and procedures to be adopted right from the day after delivery. Abhyanga provides nourishment, health, protection, emotional well-being and improves skin tone. All these can be used for enhancing immunity and preventing recurrent infections thereby helps in the maintenance of health and prevention of diseases. This mentions the importance of Kerala traditional Ayurvedic practices in the field of primary child health care. So, the present study aims to compile Kerala’s traditional Ayurvedic practices in children, by reviewing regional textbooks like Arogyakalpadruma, Vaidya Tarakam, Parambarya Balachikitsa etc., and also interviewing Ayurveda pediatrician through telephone.