Benefits of Kayakalpa Yoga for PCOS (40% of women in india have PCOS)

{kat note: this is a VERY long article with some “interesting” claims. I’ve highlighted some of the interesting parts in red…so scroll all the way down before your eyes glaze over from the medical lingo}

Background

Polycystic ovarian is a common endocrine disorder affecting nearly 15% of women of reproductive age group. It is often and incidental finding in most cases, with lack of periods, infertility, unwanted facial growth and loss of hair giving signal to many patients for a check up. The principal function of ovary is production of an egg each month for ovulation and production of all hormones necessary for reproduction. The ovary fails to expel the matured eggs in PCOS and a small amount of fluid begins to accumulate inside the immature follicles to form multiple cysts. The cysts once again cause hormonal imbalance. (Anuradha et al).
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New studies have well documented that insulin resistance is an underlying cause of PCOS. There are several mechanisms for the state of insulin resistance leading to hyperinsulinemia.
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In India nearly 40% of women are affected by PCOS. But among them only 60% come to hospitals for treatment, when they recognize that they have got infertility. If treated during early adolescent period it could be easily cured. Clinically the treatment of PCOS is challenging in much more.
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Objective

The aim of the present study is to evaluate the benefits of Kayakalpa yoga in PCOS patients:

“Natural forces within us are the best healers of diseases”.
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Pituitary glands control the Endocrine metabolism of our body. When the other endocrine glands get aggregated, pituitary gland regulates then, by secreting an Anti-hormone. By giving treatment of pituitary gland synchronization of pituitary – ovarian axis is brought out. Thus PCOS could be cured. The Kayakalpa yoga is an intrinsic exercise, done to regulate the endocrine metabolism of our body. Since, PCOS is one of the endocrinal disorder, this yogasana is applicable to patients suffering from PCOS.
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Obesity is one of the causative factors for PCOS patients. Due to this Yogasana our body will be reduced. So in the study, a new approach is analysed to control the obesity factor in PCOS patients.

Kayakalpa yoga is a rejuvenating technique, which maintains the potency of our body and extends the lifespan. It comprises of two parts :
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Toning up of nerves

There is a co-ordination between brain, functions of central nervous system and autonomous nervous system, knowing as “toning”. Disturbances cause non-coordination known as “distonia”. In PCOS patients, there is a distonia in pituitary-ovarian axis. Strengthening the coordination and getting rid of sagging is called toning up of nerves.

Every cell is made up of infinestimal, and tiny particles, each of which keeps rotating it. Due to this self-rotation, a centrifugal force is generated, which is called “Life-force”. On account of this a spreading wave is given rise to and it spreads throughout the body, known a Bio-magnetism. To maintain better polarity amidst the cells we should bring the “Life-force” collected in the Genetic center to the head. There are two important links considered in the study :

Hypothalamic – Pituitary link
Pituitary – Ovary link.

The series of changes that occur originate primarily from Bio-chemcial impulses sent out by a portion of the brain called Hypothalamus. This activates the endocrine gland called Pituitary gland and this stimulates or inhibits as may be necessary, the hormones of the ovary, In PCOS patients, there is an increase in Luteninzing hormone and a decrease in Follicular Stimulating hormone. Since the follicle is not stimulated appropriately it may lead to infertility. The “Recycling of Seminal Back Mechanism” (Kayakalpa Yoga) is similar to the Feed Back mechanism of the Pituitary glands, in synchronizing the hormonal balance. Thus doing this yogasana regulates Luteininzing hormone and Follicular Stimulating hormone. (Rathan Janartham, 1998) .
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Hormones enact as transformers in regulating the levels of energy producing substances (c AMP, Glucose, Calcium, Sodium) in our body. (Perumal, 1998) By doing Kayakalpa Yoga the energy from Life force is channeled up, it triggers the functions of all endocrine glands and nerve plexus, which are helpful in secreting the hormones. (Jaya Lal Mohan)

Thus Kayakalpa Yogasana is helpful in curing PCOS patients.
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Selection Criteria

Ten women, who satisfied the criteria for PCOS by ultrasonography were selected for this study. The criteria were

Clinical features such as menstrual abnormalities, hirsuitism, infertility, obesity.
*Pelvic ultrasonography showing the presence of eight or more peripheral cysts of at least l Omm diameter, with increased stromal echo in one or both ovaries.

Data Collection & Analyses

All women were above 20 years of age. All informed, written consent was obtained from them for inclusion in the study. An abdominal pelvic scan was done in women who refused a vaginal scan. All scans were done in the follicular phase of the cycle in which this could be determined, or at any time in those who were anovulatry.
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Reference Values

Reference values were derived from control subjects with regular menstrual cycles and no evidence of PCOS. These values were adjusted on the basis of Body Mass Index into normal and overweight groups. Hyperinsulinemia and Hyperlipidemia were defined as values greater than the 75th centime for normal women, adjusted for BMI.
Body Mass Index (BMI) & Obesity :
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Group Distribution

The 10 patients were divided into three groups.
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Group-I 10 PCOS Patients, before they were given treatment.
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Group-II 5 PCOS patients, who were made to take Siddha medicine only.
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Group-III 5 PCOS patients, who were made to take Siddha medicine and also exposed Yoga exercise (Kayakalpa Yoga).
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Experts of the SKM trust, taught Kayakalpa Yoga Group III patients. they should do this yogasana slowly without any swift movements.
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The Siddha medicines prescribed were :

Nillakadambu Churanam.
Kumari Legium.
Ashoka Pattai Churanam.

Chandamarutha Chenduram

Agasthiar Kulambu.

Blood Collection
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Before starting the study, the blood was collected from the PCOS patients and the bio-chemical analyses were estimated. After three months of Yoga therapy, blood samples were collected from the PCOS patients, and the bio-chemical estimations were analyzed.
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The Bio-Chemical parameters investigated were :

Serum Insulin level*
Ilipid profile

Results & Discussion

In the present study, serum insulin level and lipid profiles (TGL, Cholesterol, HDL and LDL) were observed in 3 groups such as PCOS patients (Group-1), the patients treated with Siddha medicine (Group-II) and the patients treated with Siddha medicine and Yoga therapy (Group-III).
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A total of 10 women with PCOS were studies. The age, body mass index (BMI), menstrual problems and USG findings of these women are shown in TABLE – 1. Their age ranged from 25-35 years. All the women had a BMI of more than 25, Six women had presented with menstrual abnormalities and four did not. All women except one (BMI-26) had sonographic evidence of PCOS. TABLE-2. shows the body weight of PCOS patients before and after doing Kayakalpa yoga. Serum insulin level :

Table – 3 presents the serum insulin level of PCOS patients (Group-1). High insulin level was observed in PCOS patients as compared to control subjects.
Serum insulin level was found to be decreased in Group-II and Group-III. This was shown in Table-4 and Tables-5. The serum insulin level in PCOS patients taking Siddha medicine was found to be decreased in comparison with PCOS patients (Table-4). But the values were not significant.**
But serum insulin level was found to be significantly decreased in case of PCOS patients treated with both Siddha medicine and Yoga therapy.
Lipid profiles

Tables 6 & 7 depict the triglyceride (TGL) levels of Group II and Group III patients. The TGL level was found to be decreased in both Group II & III patients as compared to that of Group I patients. The data was statistically analysed by employing student’s t-test. the data was not significant.
The similar result was found in cholesterol level also. In Group II & Group III patients, low cholesterol was observed as compared to Group I patients. The values are insignificant. (Table 8 & 9).
The lipoproteins (LDL & HDL) were also observed in Group II and Group III patients. The LDL level was shown in Table 10 & 11. The HDL level was shown in Table 12 & 13. The LDL level was lower in Group II & III, when compared to Group I patients. But in contrast, high HDL level was observed in Group II & III patients in comparison with Group I patients.

Discussion

Hyperinsulinemia and insulin resistance are the feature of PCOS, espeically when women have associated anovulation. (Kiddy et al, 1990). Body Mass Index (BMI) is positively correlated to serum insulin levels. Low Sex binding globulin levels (SHBG) are also positively correlated to hyperinsulinism and Hyperandrogensim (Rozati et al, 1999). The most common cause of insulin resistance and hyperinsulinemia is obesity. (Seibel et al, 1984).

In the present study. high insulin level was observed in PCOS patients as compared to the normal (Table-2). The results are consistent with the observation made by Kiddy, 1955 and Seibel, 1984. Ducluw et al, 2003 reported that low SHBG levels in PCOS patients are intimately associated with BMI suggesting that some signals form the adipose tissue, independent of adiponectin and leptin may regulate liver production of SHBG. patients were defined as being overweight or obese. If the BMI was greater than 25 kg./sq.m (Table I). Numerous studies show that weight loss and exercise decrease androgen levels, improve insulin sensitivity and lead to the resumption of ovulation. Physical exercises have been widely known to induce oxidative metabolism in tissues. (Moorthy 1981 & Winder, 1985) and the oxidative metabolism of the ovary is a stimulant for follicular development, (Zimmerman et al, 1960 abd Nejerbsm 1960), A significant decrease in serum insulin level was observing in PCOS patients after exposure to exercise (Kayakalpa Yoga).

It has been reported that Kayakalpa Yoga helps to remove unwanted fat from our body and also helps to regulate metabolic functions by controlling endocrine secretions. In this study, PCOS patients got good results by doing Kayakalpa exercises. Body weight of Group II PCOS patients.

Sampalo concluded that obesity leads to hyperinsulinemia, which cause both hyperandrogenemia and raised IGF I levels, which augment the ovarian response to gonadotrophins. In this study the patients were obese and had high insulin level. But after doing Kayakalpa exercise there was a decrease in body weight and serum insulin level was controlled which in turn regulates the ovarian pathway in PCOS patients. This observation has been in consonance with the earlier report (Sampalo et al, 1994).

Cousin reported that women with PCOS manifest abnormal Lipid profile. This manifestation coupled with Insulin resistance and obesity palces the patients at high risk for Coronary Heart disease.

After the practice (Kayakalpa Yoga) TG1 level showed a slightly decrease and HDL level showed a slight increment. Other lipid profiles such as cholesterol and LDL levels were decreased in Group III patients as compared to Group I patients. A change in the lipid profile indicates improvement in PCOS patients.

“Treatment depends on a patients Goal”.

Some patients require hormonal contraception. Whereas other benefit from ovulation induction. Interruption of steady state and control of Hirsuitism accomplish simultancously. However for patients desiring pregnancy, effective control of hirsuitism may not be possible.

Weight reduction of obese patients with PCOS may positively affect both menstrual abnormalities and hirsuitism. Because all medications have potential side effects, weight loss should be the first line of treatment.

Rasgon, 2003 concluded that a high prevalence of depression among women with PCOS was found. When interviewed the PCOS patients said that they had depression during menstrual periods. But a change in their mood was seen after they continuously practiced the yogasana’s for three menstrual cycles.

Summary and Conclusion

Polycystic ovary is only a syndrome, not a disease, If detected in early stages (during adolescence) it could be easily cured. The present study was aimed to observe the bio-chemical changes in PCOS patients of reproductive age group undergoing Kayakalpa exercise.
http://www.vethathiri.org/vethathirianscience/benefitsofkayakalpayogaoverPCOSpatients