Combined effect of yoga and naturopathy in uncomplicated varicose vein disease – a prospective randomized controlled trial

Background: Though the treatment of uncomplicated varicose vein (UVV) might prevent late complications such as skin change or ulceration, but, there are limited studies available to justify this concept. Yoga and Naturopathy being a proficient tool in managing non communicable diseases including man...

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Main Authors: Shweta Chauhan, Sanjib Patra, Shailendra Pratap Singh, Jitendra D. Lakhani
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Journal of Ayurveda and Integrative Medicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0975947623000347
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author Shweta Chauhan
Sanjib Patra
Shailendra Pratap Singh
Jitendra D. Lakhani
author_facet Shweta Chauhan
Sanjib Patra
Shailendra Pratap Singh
Jitendra D. Lakhani
author_sort Shweta Chauhan
collection DOAJ
description Background: Though the treatment of uncomplicated varicose vein (UVV) might prevent late complications such as skin change or ulceration, but, there are limited studies available to justify this concept. Yoga and Naturopathy being a proficient tool in managing non communicable diseases including many cardiovascular diseases; no attempt was made to study its potential effect in Varicose Vein diseases. Objective: The present study aims to study the combination of Yoga and Naturopathy in uncomplicated varicose vein patients. Materials and methods: 50 UVV participants were prospectively recruited and randomly divided into two groups, Experimental and Active control groups. Both the groups practiced their respective interventions, and follow up was done after 1 and 3 months of active intervention. Finally study was completed with 46 participants (2 dropouts in each groups). The sample size was calculated based on the previous study, considering power as 0.8 and ‘α’ as 0.05, using ‘G’ power software. The variables such as Body weight, BMI, Systolic blood pressure (SBP), Diastolic blood pressure (DBP), Heart rate (HR), high-sensitivity C-reactive protein (hs-CRP), homocysteine (HCy) were recorded before and after the intervention, but Aberdeen Varicose Vein Questionnaire (AVVQ) and Visual analogue heaviness scale (VAHS) were recorded on 60 and 120 days of the follow up in addition to active intervention period. Results: There was a significant decrease in hs-CRP (p < 0.05) in the experimental group as compared to the control group. Body weight, BMI, SBP, HR, hs-CRP, HCy (p < 0.001) and DBP (p < 0.05) significantly decreases following the Combined Yoga and Naturopathy (CYN) intervention for a month in the experimental group. Also, the AVVQ (p < 0.01) and VAHS (p < 0.05) decreases following active intervention and two consecutive follow up. No adverse event was noted during or after the trial. Conclusion: The combined effect of Yoga and Naturopathy reduced blood pressure and inflammatory markers suggestive of potential of recovery in inflammation in the endothelial tissue of the microvascular system in UVV patients. Trial Registry number: CTRI/2018/10/015895; Clinical Trials Registry- India; www.ctri.nic.in.
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spelling doaj.art-2742b01358334afebcdab23e54cd41bc2023-06-28T04:29:03ZengElsevierJournal of Ayurveda and Integrative Medicine0975-94762023-05-01143100718Combined effect of yoga and naturopathy in uncomplicated varicose vein disease – a prospective randomized controlled trialShweta Chauhan0Sanjib Patra1Shailendra Pratap Singh2Jitendra D. Lakhani3Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana Samsthana, Swami Vivekananda Road, Kalluballu Post, Anekal, Jigani, Bangalore 560105, Karnataka, IndiaCentral University of Rajasthan, NH-8, Bandar Sindri, Dist, Ajmer 305817, Rajasthan, India; Corresponding author.Central University of Rajasthan, NH-8, Bandar Sindri, Dist, Ajmer 305817, Rajasthan, IndiaSmt.B.K.Shah Medical Institute and Research Center and Dhiraj Hospital, Piparia, Dist., Vadodara, Gujarat, IndiaBackground: Though the treatment of uncomplicated varicose vein (UVV) might prevent late complications such as skin change or ulceration, but, there are limited studies available to justify this concept. Yoga and Naturopathy being a proficient tool in managing non communicable diseases including many cardiovascular diseases; no attempt was made to study its potential effect in Varicose Vein diseases. Objective: The present study aims to study the combination of Yoga and Naturopathy in uncomplicated varicose vein patients. Materials and methods: 50 UVV participants were prospectively recruited and randomly divided into two groups, Experimental and Active control groups. Both the groups practiced their respective interventions, and follow up was done after 1 and 3 months of active intervention. Finally study was completed with 46 participants (2 dropouts in each groups). The sample size was calculated based on the previous study, considering power as 0.8 and ‘α’ as 0.05, using ‘G’ power software. The variables such as Body weight, BMI, Systolic blood pressure (SBP), Diastolic blood pressure (DBP), Heart rate (HR), high-sensitivity C-reactive protein (hs-CRP), homocysteine (HCy) were recorded before and after the intervention, but Aberdeen Varicose Vein Questionnaire (AVVQ) and Visual analogue heaviness scale (VAHS) were recorded on 60 and 120 days of the follow up in addition to active intervention period. Results: There was a significant decrease in hs-CRP (p < 0.05) in the experimental group as compared to the control group. Body weight, BMI, SBP, HR, hs-CRP, HCy (p < 0.001) and DBP (p < 0.05) significantly decreases following the Combined Yoga and Naturopathy (CYN) intervention for a month in the experimental group. Also, the AVVQ (p < 0.01) and VAHS (p < 0.05) decreases following active intervention and two consecutive follow up. No adverse event was noted during or after the trial. Conclusion: The combined effect of Yoga and Naturopathy reduced blood pressure and inflammatory markers suggestive of potential of recovery in inflammation in the endothelial tissue of the microvascular system in UVV patients. Trial Registry number: CTRI/2018/10/015895; Clinical Trials Registry- India; www.ctri.nic.in.http://www.sciencedirect.com/science/article/pii/S0975947623000347YogaNaturopathyUncomplicated varicose veinhs-CRPHomocysteine
spellingShingle Shweta Chauhan
Sanjib Patra
Shailendra Pratap Singh
Jitendra D. Lakhani
Combined effect of yoga and naturopathy in uncomplicated varicose vein disease – a prospective randomized controlled trial
Journal of Ayurveda and Integrative Medicine
Yoga
Naturopathy
Uncomplicated varicose vein
hs-CRP
Homocysteine
title Combined effect of yoga and naturopathy in uncomplicated varicose vein disease – a prospective randomized controlled trial
title_full Combined effect of yoga and naturopathy in uncomplicated varicose vein disease – a prospective randomized controlled trial
title_fullStr Combined effect of yoga and naturopathy in uncomplicated varicose vein disease – a prospective randomized controlled trial
title_full_unstemmed Combined effect of yoga and naturopathy in uncomplicated varicose vein disease – a prospective randomized controlled trial
title_short Combined effect of yoga and naturopathy in uncomplicated varicose vein disease – a prospective randomized controlled trial
title_sort combined effect of yoga and naturopathy in uncomplicated varicose vein disease a prospective randomized controlled trial
topic Yoga
Naturopathy
Uncomplicated varicose vein
hs-CRP
Homocysteine
url http://www.sciencedirect.com/science/article/pii/S0975947623000347
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