College of Nursing, AIIMS, Bhubaneswar, India.
Department of Physiology, AIIMS, Bhubaneswar, India.
J Obstet Gynaecol Res. 2021 Oct;47(10):3669-3676. doi: 10.1111/jog.14939. Epub 2021 Jul 12.
The menopause transition is experienced by women often involves troublesome symptoms due to changes in the level of reproductive hormones. Non-hormonal therapies are more commonly accepted by women than hormonal therapy for coping with the climacteric symptoms. The aim of the study was to evaluate the effects of yoga practice on menopausal symptoms, specific quality of life, and changes in hormonal levels among menopausal women.
A single-blinded randomized control trial was conducted among 80 participants aged 40 of 50 years and was randomly divided into two study arms, that is, Sudarshan Kriya Yoga (SKY) and brisk walking intervention, to find the effect on the hormonal changes and menopausal quality of life (measured by MENQOL tool). The significant improvements in the outcome measures were measured by using repeated measures analysis of variance and McNemar's test.
Significant improvements in the menopausal-specific quality of life were observed in the domain of vasomotor, psychosocial, and physical symptoms (p < 0.05). The antioxidant enzymes (superoxide dismutase and glutathione peroxidase (GPX) were significantly elevated after 1 year of regular practice of SKY compared to walking intervention (p < 0.05). In contrast, no significant improvement was observed in follicle-stimulating hormone and dehydroepiandrosterone sulfate levels. The women reported no adverse events after SKY practice or brisk walking.
The study concluded that 1 year of SKY practice could be one of the preferred non-hormonal, lifestyle-modifying regimens for improving the overall quality of life in menopausal women.
女性经历更年期过渡时,由于生殖激素水平的变化,常常会出现麻烦的症状。与激素疗法相比,非激素疗法更被女性所接受,以应对更年期症状。本研究旨在评估瑜伽练习对更年期症状、特定生活质量和更年期女性激素水平变化的影响。
对 80 名年龄在 40 至 50 岁的参与者进行了单盲随机对照试验,并将其随机分为 Sudarshan Kriya Yoga(SKY)和快走干预两组,以研究其对激素变化和更年期生活质量(用 MENQOL 工具测量)的影响。采用重复测量方差分析和 McNemar 检验来衡量结果测量的显著改善。
在血管舒缩、心理社会和身体症状方面,更年期特异性生活质量有显著改善(p<0.05)。与快走干预相比,SKY 练习 1 年后抗氧化酶(超氧化物歧化酶和谷胱甘肽过氧化物酶(GPX)显著升高(p<0.05)。相反,促卵泡激素和脱氢表雄酮硫酸酯水平没有显著改善。女性在进行 SKY 练习或快走后没有报告不良反应。
该研究得出结论,1 年的 SKY 练习可能是改善更年期女性整体生活质量的首选非激素、生活方式改变方案之一。