Evaluation of Effect of Yoga on Autonomic Functions and Adrenal Fatigue in Polycystic Ovarian Syndrome

Nathiya, K (2017) Evaluation of Effect of Yoga on Autonomic Functions and Adrenal Fatigue in Polycystic Ovarian Syndrome. Masters thesis, Madras Medical College, Chennai.

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Abstract

BACKGROUND: Polycystic ovarian syndrome is an emerging lifestyle endocrine disorder among the reproductive age group women. Many factors contributing to the development of PCOS are obesity, HPA axis disturbance, Insulin resistance and Hyperandrogenism, genetic factors environmental factors (like stress). Chronic stress indirectly contributes as an additional factor in the development of PCOS. Presence of distressing clinical features like obesity, Hirsutism also contributes to the stress impact in PCOS. It is also observed the presence of autonomic disturbances in PCOS. Presence of stress also alters the autonomic system. Even though many treatment modalities are available for the management of PCOS, Yoga therapy has gained clinical interest in the present day, found to have altered the basic aetiology and helps in the treatment of PCOS as well as prevention of complications of PCOS. Adrenal fatigue is a maladaptive state of adrenal gland (functional hypoadrenia) rather than a pathological damage which is due to the presence of chronic stress. When the person is exposed to stress, adrenals will go through different phases and finally for an exhaustion or fatigue state. AIM OF THE STUDY: To determine the effect of Yoga therapy on autonomic function and adrenal fatigue (salivary cortisol profile), perceived stress, psychological features like anxiety, depression in polycystic ovarian syndrome. MATERIALS & METHODOLOGY: The study included 30 newly diagnosed and a case of PCOS but not under treatment or Yoga or exercise. They were subjected to Yoga therapy (yoga specific for PCOS – designed by Yoga specialist) for 45- 60 mins /day 90 days with a break after every 6days. Before and after yoga therapy autonomic function tests, stress score (Cohen perceived stress scale), Anxiety (becks Anxiety scale), Depression (becks Depression scale), BMI, waist Hip Ratio, salivary cortisol levels (morning 8am, Noon 1pm, Evening 5pm, Midnight 11.30pm – 12Am) were performed. Yoga asana for PCOS: Om chanting Prayer(3-5mins), Surya Namaskar (12-15min) Sakthibandasana series (8-10mins), Titaliasana (1min), Baddhakonasana (1min), Paschimotanasana (1min), Shasankasana(1min), Vakrasana(1min), Bhujangasana (1min), Shalabasana (1min), Cooling Pranayama & Nadishodhana & ujjayi Pranayama,(10min), Hrudaya mudra& Savasana (8-10min). RESULTS: After 90 days of regular Yoga, results were analysed by using Paired T Test in SPSS version 21. Autonomic function tests were improved significantly (shift towards parasympathetic activity was observed) (P<0.001). Significant reduction in BMI, Waist Hip Ratio, Stress levels, Psychological parameters like anxiety and depression were noted. Mean salivary cortisol levels before intervention was at a higher basal level and after the yoga therapy salivary cortisol levels were significantly reduced. As salivary cortisol is the sensitive marker for the prediction of adrenal fatigue, according to the salivary cortisol levels (& stress score also considered) stage of adrenal fatigue was defined. Our study group are categorized under Repeated partial recovery followed by recurring Adrenal Fatigue before the intervention. After Yoga therapy, study population are improving from the state of Repeated partial recovery (pattern 3) and thus preventing from the entry into the final stage of exhaustion or Adrenal fatigue. CONCLUSION: This study concludes that the regular yoga therapy helps in reduction of weight and improves the autonomic function and psychological parameters by improving the calmness of mind and reducing the stress. As the study group were defined in the stage of Repeated partial recovery followed by recurring Adrenal Fatigue because of stress, the novel stress reduction therapy, Yoga may prevent the further complications of stress in PCOS. Hence, yoga as a lifestyle intervention helps in the treatment of PCOS as well as prevention of further progression of the disease. It has the advantage of non-invasiveness, involves no medications and adverse effects.

Item Type: Thesis (Masters)
Additional Information: Reg.No.201415003
Uncontrolled Keywords: Polycystic ovarian syndrome, autonomic functions, adrenal fatigue, Yoga, anxiety, depression, stress, salivary cortisol, waist hip ratio, body mass index.
Subjects: MEDICAL > Physiology
Depositing User: Subramani R
Date Deposited: 18 Jul 2020 18:01
Last Modified: 19 Jul 2020 08:14
URI: http://repository-tnmgrmu.ac.in/id/eprint/12556

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