Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 4 Issue 1

The Effect of Integrated Yoga on Cognitive Functions in Pregnant Women - A Randomised Controlled Trial

Satyapriya Maharana1*, Sanjib Patra2, Raghuram Nagarathna3, Padmalatha Venkataram4 and Hongasandra Ramarao Nagendra5

1Associate Professor, Division of Yoga and Life Sciences, SVYASA, Bengaluru, India
2Associate Professor, Department of Yoga, Central university of Rajasthan, Bandarsindri, Ajmer, Rajasthan, India
3Chief Medical Officer, Arogyadhama, SVYASA, Bengaluru, India
4Consultant Obstetrician and Gynecologist, Rangadurai Hospital and Maiya Multispecialty Hospital, Bengaluru, India
5Chancellor, SVYASA, Bengaluru, India

*Corresponding Author: Satyapriya Maharana, Associate Professor, Division of Yoga and Life Sciences, SVYASA, Bengaluru, India.

Received: October 28, 2021; Published: December 30, 2021

Abstract

Background: Heightened stress and anxiety during pregnancy can be potential causes of many complications, including impairment of higher brain cognitive functions. Since, there are no studies that address this complication holistically and yoga is found to be beneficial in many lifestyles related diseases.

Aim: To investigate the impact of integrated yoga (IY) intervention on cognitive functions and anxiety among pregnant women.

Methods: This was a prospective randomized two armed active control design with supervised practices for both groups. Ninety-six pregnant women (20 to 35 years of age, between 18 and 20weeks of gestation), satisfying the selection criteria were randomized to yoga (50) and control groups (46). Yoga group practiced specific set of integrated yoga and control group, standard antenatal exercises. Pre and post assessments were done at the time of recruitment and at 36th week.

Results: A significant increase in the scores of all variables were observed such as ‘Fluency test’, (phonemic fluency, category fluency and design fluency, indicators of general verbal functioning, p < 0.001), ‘Stroop test’ (Stroop effect, measuring brain’s information processing ability, p < 0.001) and ‘Pregnancy related anxiety questionnaire’ (p < 0.001) in yoga group. Mann Whitney U testsshow that the magnitude of change in yoga group was higher than that observed in control group.

Conclusion: This study showed that integrated antenatal yoga starting from second trimester helps in improving cognitive functions and reducing anxiety, suggestive of a positive impact of yoga in promoting better information processing in prefrontal cortex.

Keywords: Pregnancy; Cognitive Function; Prefrontal Cortex; Anxiety; Integrated Yoga Module

References

  1. Danel I., et al. “Magnitude of maternal morbidity during labour and delivery: United States, 1993–1997”. American Journal of Public Health 93 (2003): 631-634.
  2. Groot RD., et al. “Memory performance, but not information processing speed, may be reduced during early pregnancy”. Journal of Clinical and Experimental Neuropsychology 25 (2003): 482-8
  3. Crawley RA., et al. “Cognition in pregnancy and the first year post‐partum”. Psychology and Psychotherapy 76 (2003): 69-84.
  4. Onyper SV., et al. “Executive functioning and general cognitive ability in pregnant women and matched controls”. Journal of Clinical and Experimental Neuropsychology 32 (2010): 986-995.
  5. Mennes M., et al. “Long-term cognitive sequelae of antenatal maternal anxiety: involvement of the orbitofrontal cortex”. Neuroscience and Biobehavioral Reviews 30 (2006): 1078-1086.
  6. Elfgren CI and Risberg J. “Lateralized frontal blood flow increases during fluency tasks: influence of cognitive strategy”. Neuropsychologia 36 (1998): 505-512.
  7. Robinson H., et al. “Neuroanatomical correlates of executive functions: a neuropsychological approach using the EXAMINER battery”. Journal of the International Neuropsychological Society 20 (2014): 52.
  8. Sarkis RA., et al. “Predictors of decline in verbal fluency after frontal lobe epilepsy surgery”. Epilepsy and Behavior 27 (2013): 326-329.
  9. Kramer J and Kaplan E. “Verbal and design fluency in patients with frontal lobe lesions”. Journal of the International Neuropsychological Society 7 (2001): 586-596.
  10. Robinson G., et al. “The differing roles of the frontal cortex in fluency tests”. Brain 135 (2012): 2202-2014.
  11. Osório CM., et al. “Neuropsychological functioning and brain energetics of drug resistant mesial temporal lobe epilepsy patients”. Epilepsy Research 138 (2017): 26-31.
  12. Stuss DT., et al. “Stroop performance in focal lesion patients: dissociation of processes and frontal lobe lesion location”. Neuropsychologia 39 (2001): 771-786.
  13. Lee DY., et al. “Neural correlates of the stroop test performance in patients with Alzheimer's disease: A FDG-PET study”. Alzheimer's and Dementia: Journal Alzheimer Disease and Associated 4 (2011): S75.
  14. MacDonald AW., et al. “Dissociating the role of the dorsolateral prefrontal and anterior cingulate cortex in cognitive control”. Science 288 (2000): 1835-1838.
  15. Cardwell MS. “Stress: pregnancy considerations”. Obstetrical and Gynecological Survey 68 (2013): 119-129.
  16. Kubo A., et al. “Yoga for heart failure patients: a feasibility pilot study with a multiethnic population”. International Journal of Yoga Therapy 21 (2011): 77-83.
  17. Pandya DP., et al. “Mind-body therapy in the management and prevention of coronary disease”. Comprehensive Therapy 25 (1999): 283-293.
  18. Patra S and Telles S. “Heart rate variability during sleep following the practice of cyclic meditation and supine rest”. Association for Applied Psychophysiology and Biofeedback 35 (2010): 135-140.
  19. Wirshing DA., et al. “The effects of novel antipsychotics on glucose and lipid levels”. The Journal of Clinical Psychiatry (2002): 63.
  20. Michalsen A., et al. “Iyengar yoga for distressed women: a 3-armed randomized controlled trial”. Evidence-Based Complementary and Alternative Medicine (2012).
  21. Hartfiel N., et al. “Yoga for reducing perceived stress and back pain at work”. Occupational Medicine 62 (2012): 606-612.
  22. Shim CS and Lee YS. “Effects of a Yoga-focused Prenatal Program on Stress, Anxiety, Self Confidence and Labour Pain in Pregnant Women with In Vitro Fertilization Treatment”. Journal of Korean Academy of Nursing 42 (2012): 69-76.
  23. Babbar S., et al. “Yoga during pregnancy: a review”. American Journal of Perinatology 29 (2012): 459-464.
  24. Chuntharapat S., et al. “Yoga during pregnancy: effects on maternal comfort, labor pain and birth outcomes”. Complementary Therapies in Clinical Practice 14 (2008): 105-115.
  25. Smith CA., et al. “Acupuncture or acupressure for pain management in labour (Cochrane Review)”. Cochrane Library (2011).
  26. Beddoe AE., et al. “Effects of mindful yoga on sleep in pregnant women: a pilot study”. Biological Research for Nursing 11 (2010): 363-370.
  27. Nagarathna R. “Yoga for a healthy lifestyle”. Gaia Books (1990).
  28. Davies GA., et al. “Joint SOGC/CSEP clinical practice guideline: exercise in pregnancy and the postpartum period”. Canadian Journal of Applied Physiology 28 (2003): 329-341.
  29. Spreen O and Strauss E. “A compendium of neuropsychological tests: Administration, norms, and commentary”. Oxford University Press (1998).
  30. John PJ. “Neuropsychological and spectral EEG correlates of dimensions of schizophrenia”. Unpublished MD thesis submitted to National Institute of Mental Health and Neuroscience, Bangalore, India (1998).
  31. Lezak MD., et al. “Neuropsychological assessment”. Oxford University Press, USA (2004).
  32. Jones-Gotman M and Milner B. “Design fluency: The invention of nonsense drawings after focal cortical lesions”. Neuropsychologia 15 (1977): 653-674.
  33. Verbruggen F and Logan GD. “Response inhibition in the stop-signal paradigm”. Trends in Cognitive Sciences 12 (2008): 418-424.
  34. Rao SL., et al. “Nimhans Neuropsychology battery”. NIMHANS, Bangalore, India 1st edn: (2004).
  35. Huizink AC. “Prenatal stress and its effect on infant development”. Doctoral dissertation Utrecht University. The Netherlands: (2000).
  36. Huizink AC., et al. “Is pregnancy anxiety a distinctive syndrome?”. Early Human Development 79 (2004): 81-91.
  37. Huizink AC., et al. “Stress during pregnancy is associated with developmental outcome in infancy”. Journal of Child Psychology and Psychiatry 44 (2003): 810-818.
  38. Sarang P and Telles S. “Effects of two yoga based relaxation techniques on heart rate variability (HRV)”. International Journal of Stress Management 13 (2006): 460.
  39. Pradhan B and Nagendra HR. “Immediate effect of two yoga-based relaxation techniques on attention in children”. International Journal of Yoga 3 (2010): 67.
  40. Pradhan B and Nagendra HR. “Normative data for the digit–letter substitution task in school children”. International Journal of Yoga 2 (2009): 69-72.
  41. Chattha R., et al. “Effect of yoga on cognitive functions in climacteric syndrome: a randomised control study”. BJOG 115 (2008): 991-1000.
  42. Sharma VK., et al. “Effect of Sahaj Yoga on neuro-cognitive functions in patients suffering from major depression”. Indian Journal of Physiology and Pharmacology 50 (2006): 375-383.
  43. McGaugh JL and Roozendaal B. “Role of adrenal stress hormones in forming lasting memories in the brain”. Current Opinion in Neurobiology 12 (2002): 205-210.
  44. Abercrombie ED., et al. “Differential effect of stress on in vivo dopamine release in striatum, nucleus accumbens, and medial frontal cortex”. Journal of Neurochemistry 52 (1989): 1655-1658.
  45. Steciuk M., et al. “Immobilization-induced glutamate efflux in medial prefrontal cortex: blockade by (+)-Mk-801, a selective NMDA receptor antagonist”. Stress 3 (2000): 195-199.
  46. Patra S and Telles S. “Positive impact of cyclic meditation on subsequent sleep”. Medical Science Monitor 15 (2009): CR375-81.
  47. Sarang P and Telles S. “Effects of two yoga based relaxation techniques on heart rate variability (HRV)”. International Journal of Stress Management 13 (2006): 460.
  48. Patra S and Telles S. “Heart rate variability during sleep following the practice of cyclic meditation and supine rest”. Association for Applied Psychophysiology and Biofeedback 35 (2010): 135-140.
  49. Smith C and Lapp L. “Prolonged increases in both PS and number of REMS following a shuttle avoidance task”. Physiology and Behavior 36 (1986): 1053-1057.
  50. Field T., et al. “Yoga and massage therapy reduce prenatal depression and prematurity”. Journal of Bodywork and Movement Therapies 16 (2012): 204-209.
  51. Duncan LG and Bardacke N. “Mindfulness-based childbirth and parenting education: promoting family mindfulness during the perinatal period”. Journal of Child and Family Studies 19 (2010): 190-202.
  52. Teper R and Inzlicht M. “Meditation, mindfulness and executive control: the importance of emotional acceptance and brain-based performance monitoring”. Social Cognitive and Affective Neuroscience 8 (2013): 85-92.
  53. Satyapriya M., et al. “Effect of integrated yoga on stress and heart rate variability in pregnant women”. International Journal of Gynecology and Obstetrics 104 (2009): 218-222.
  54. Sarang SP and Telles S. “Changes in P300 following two yoga-based relaxation techniques”. International Journal of Neuroscience 116 (2006): 1419-1430.
  55. Sarang SP and Telles S. “Immediate effect of two yoga-based relaxation techniques on performance in a letter-cancellation task”. Perceptual and Motor Skills 105 (2007): 379-385.

Citation

Citation: Satyapriya Maharana., et al. “The Effect of Integrated Yoga on Cognitive Functions in Pregnant Women - A Randomised Controlled Trial". Acta Scientific Women's Health 4.1 (2022): 24-35.

Copyright

Copyright: © 2022 Satyapriya Maharana., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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