Yoga decreases insomnia in postmenopausal women: A randomized clinical trial

Departamento de Psicobiologia, Universidade Federal de São Paulo, Sao Paulo, SP, Brazil.
Menopause (New York, N.Y.) (Impact Factor: 3.36). 10/2011; 19(2):186-93. DOI: 10.1097/gme.0b013e318228225f
Source: PubMed


The practice of yoga has been proven to have positive effects on reducing insomnia. Studies have also shown its effects on reducing climacteric symptoms. To date, however, no studies that evaluate the effects of yoga on postmenopausal women with a diagnosis of insomnia in a randomized clinical trial have been conducted. The aim of this study was to evaluate the effect of yoga practice on the physical and mental health and climacteric symptoms of postmenopausal women with a diagnosis of insomnia.
Postmenopausal women not undergoing hormone therapy, who were 50 to 65 years old, who had an apnea-hypopnea index less than 15, and who had a diagnosis of insomnia were randomly assigned to one of three groups, as follows: control, passive stretching, and yoga. Questionnaires were administered before and 4 months after the intervention to evaluate quality of life, anxiety and depression symptoms, climacteric symptoms, insomnia severity, daytime sleepiness, and stress. The volunteers also underwent polysomnography. The study lasted 4 months.
There were 44 volunteers at the end of the study. When compared with the control group, the yoga group had significantly lower posttreatment scores for climacteric symptoms and insomnia severity and higher scores for quality of life and resistance phase of stress. The reduction in insomnia severity in the yoga group was significantly higher than that in the control and passive-stretching groups.
This study showed that a specific sequence of yoga might be effective in reducing insomnia and menopausal symptoms as well as improving quality of life in postmenopausal women with insomnia.

128 Reads
    • "These methods include stress management,[12] physical exercises, relaxation and psychological counseling, education of social skills,[13] Yoga,[14] and laughter therapy.[15] Various methods of complementary medicine enable the nurses to help their patients control their anxiety.[16] "
    [Show abstract] [Hide abstract]
    ABSTRACT: Promotion and provision of individuals' health is one of the bases for development in societies. Students' mental health is very important in each society. Students of medical sciences universities, especially nursing students, are under various stresses in clinical environment, in addition to the stress they experience in theoretical education environment. With regard to the importance of nursing students' general health and considering the various existing strategies to promote general health components, use of complementary treatments is more considered because of their better public acceptance, low costs, and fewer complications. One of the new strategies in this regard is laughter Yoga. The present study was conducted with an aim to define the effect of laughter Yoga on general health among nursing students. This is a quasi-experimental two-group three-step study conducted on 38 male nursing students in the nursing and midwifery school of Isfahan University of Medical Sciences in 2012. In the study group, eight 1 h sessions of laughter Yoga were held (two sessions a week), and in the control group, no intervention was conducted. The data of the present study were collected by Goldberg and Hiller's General Health Questionnaire and analyzed by SPSS version 12. The findings showed a significant difference in the mean scores of general health before and after laughter Yoga intervention in the two groups of study and control. The findings showed that laughter Yoga had a positive effect on students' general health and improved the signs of physical and sleep disorders, lowered anxiety and depression, and promoted their social function. Therefore, laughter Yoga can be used as one of the effective strategies on students' general health.
    Iranian journal of nursing and midwifery research 03/2014; 19(1):36-40.
  • Source
    • "Generally, frequency of interventions was much higher in the Indian studies [44, 46] compared to the studies conducted in North or South America [42, 43, 45]. Yoga was taught by at least 1 certified and experienced yoga teacher in 2 trials [43, 45], while 3 studies did not state qualification of yoga teachers [42, 44, 46]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objectives. To systematically review and meta-analyze the effectiveness of yoga for menopausal symptoms. Methods. Medline, Scopus, the Cochrane Library, and PsycINFO were screened through April 2012. Randomized controlled trials (RCTs) were included if they assessed the effect of yoga on major menopausal symptoms, namely, (1) psychological symptoms, (2) somatic symptoms, (3) vasomotor symptoms, and/or (4) urogenital symptoms. For each outcome, standardized mean differences (SMDs) and 95% confidence intervals (CIs) were calculated. Two authors independently assessed risk of bias using the risk of bias tool recommended by the Cochrane Back Review Group. Results. Five RCTs with 582 participants were included in the qualitative review, and 4 RCTs with 545 participants were included in the meta-analysis. There was moderate evidence for short-term effects on psychological symptoms (SMD = −0.37; 95% CI −0.67 to −0.07; P = 0.02). No evidence was found for total menopausal symptoms, somatic symptoms, vasomotor symptoms, or urogenital symptoms. Yoga was not associated with serious adverse events. Conclusion. This systematic review found moderate evidence for short-term effectiveness of yoga for psychological symptoms in menopausal women. While more rigorous research is needed to underpin these results, yoga can be preliminarily recommended as an additional intervention for women who suffer from psychological complaints associated with menopause.
    Evidence-based Complementary and Alternative Medicine 11/2012; 2012:863905. DOI:10.1155/2012/863905 · 1.88 Impact Factor
  • The Journal of Behavioral Health Services & Research 11/2012; 40(1). DOI:10.1007/s11414-012-9309-8 · 1.37 Impact Factor
Show more