title: Effect of yoga therapy on physical and psychological quality of life of perimenopausal women in selected coastal areas of Karnataka, India.
abstract: BACKGROUND
  Perimenopausal period is characterized by a continuous decline in ovarian function due to which women are vulnerable to various physical and psychological symptoms affecting their quality of life. Currently these symptoms are managed by hormone replacement therapy. However, hormonal therapy can cause complications including malignancy which has resulted in search for various alternative therapies to improve the quality of life (QOL). Yoga is one such alternative therapy shown to enhance the QOL at all stages of human life associated with the chronic illness. There are very few scientific studies regarding the effect of yoga on perimenopause and in this study we investigated the effects of yoga therapy on physical and psychological symptoms using the standardized questionnaire.
  
  
  OBJECTIVE
  To study the effect of yoga therapy on physical, psychological, vasomotor and sexual symptoms of perimenopause.
  
  
  METHODS
  It is a prospective non-randomized control study of 216 perimenopausal women with 12 weeks of intervention. The subjects were divided in two groups with either yoga therapy [n = 111] or exercise [n = 105] as the interventional tool. The symptoms control and QOL before and after intervention in both the groups were assessed by using the menopausal QOL questionnaire.
  
  
  RESULTS
  The perimenopausal symptoms in all the four domains were improved by yoga therapy, thus significantly improving the overall QOL compared to the control group.
  
  
  CONCLUSIONS
  This study clearly demonstrates the effectiveness of yoga therapy in managing the distressing perimenopausal symptoms. It is easy, safe, non-expensive alternative therapy helping the well-being of perimenopausal women and must be encouraged in the regular management of perimenopausal symptoms.
authors.affiliation: Department of Yoga, Kasturba Medical College and Hospital, Manipal University, Manipal, Karnataka, India.
authors.forename: Gayathry
authors.initials: G
authors.lastname: Nayak
authors.affiliation: Department of Community Medicine, Kasturba Medical College and Hospital, Manipal University, Manipal, Karnataka, India.
authors.forename: Asha
authors.initials: A
authors.lastname: Kamath
authors.affiliation: Department of Obstetrics and Gynecology, Kasturba Medical College and Hospital, Manipal University, Manipal, Karnataka, India.
authors.forename: Pratap N
authors.initials: PN
authors.lastname: Kumar
authors.affiliation: Department of Biochemistry, Kasturba Medical College and Hospital, Manipal University, Manipal, Karnataka, India.
authors.forename: Anjali
authors.initials: A
authors.lastname: Rao
keywords: MENQOL questionnaire; perimenopausal QOL; yoga therapy