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Article: Effect of pranayama on sympatho-vagal imbalance and cognitive deficit in premenstrual syndrome.

Feula, A Jothi Marie / Yerrabelli, Dhanalakshmi / Pal, Gopal Krushna

Journal of family medicine and primary care

2024 Volume 13, Issue 1, Page(s) 259–264

Abstract: Context: Premenstrual syndrome (PMS) is a prevalent and often neglected condition that affects around 80% of women of reproductive age. In PMS, abnormal fluctuations in gonadal hormones cause altered homeostasis, resulting in sympatho-vagal imbalance ... ...

Abstract	Context: Premenstrual syndrome (PMS) is a prevalent and often neglected condition that affects around 80% of women of reproductive age. In PMS, abnormal fluctuations in gonadal hormones cause altered homeostasis, resulting in sympatho-vagal imbalance and poor cognition. Aim: To compare autonomic function parameters and cognitive performance between PMS and control groups, and to study the effect of pranayama on the above parameters in PMS women. Settings and design: It was a randomized control trial. Materials and methods: We recruited 40 women of reproductive age who fit the inclusion criteria. They were asked to complete the Premenstrual Syndrome Screening Tool (PSST) questionnaire and were categorized as having PMS ( Statistical analysis used: SPSS version 20 was used to analyze the data. For parametric data, the unpaired Results: According to the findings, autonomic function and cognition were considerably affected in the PMS group and improved significantly in the PMS group following pranayama intervention. Conclusion: Pranayama is an effective and safe non-pharmacological method for treating PMS and improving women's quality of life.
Language	English
Publishing date	2024-02-08
Publishing country	India
Document type	Journal Article
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/jfmpc.jfmpc_1104_23
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Inflammation and decreased cardiovagal modulation are linked to stress and depression at 36th week of pregnancy in gestational diabetes mellitus

Manoharan Renugasundari / Gopal Krushna Pal / Latha Chaturvedula / Nivedita Nanda / K. T. Harichandrakumar / Thiyagarajan Durgadevi

Scientific Reports, Vol 13, Iss 1, Pp 1-

2023 Volume 15

Abstract: Abstract Stress and depression have been reported in gestational diabetes mellitus (GDM). Though inflammation and oxidative stress are associated with depression, there are no reports of link of cardiometabolic risks (CMR) to stress and depression in GDM. ...

Abstract	Abstract Stress and depression have been reported in gestational diabetes mellitus (GDM). Though inflammation and oxidative stress are associated with depression, there are no reports of link of cardiometabolic risks (CMR) to stress and depression in GDM. Normal pregnant women (control group, n = 164) and women with GDM (study group, n = 176) at 36th week of gestation were recruited for the study. Blood pressure (BP), body composition, heart rate variability (HRV), glycated hemoglobin (HbA1C), markers of insulin resistance, oxidative stress, inflammation and endothelial dysfunction, were assessed. Perceived stress score (PSS), quality of life (QoL) scale, Indian diabetic risk score (IDRS) and Edinburg postnatal depression score (EPDS) were assessed. Association of potential contributors to PSS and EDPS were assessed by correlation and regression analyses. There was significant increase in PSS, EPDS, IDRS scores, HbA1C, malondialdehyde (MDA) (oxidative stress marker) and high-sensitive C-reactive protein and interleukin-6 (inflammatory markers), and significant decrease in total power (TP) of HRV (marker of cardiovagal modulation), QoL and nitric oxide (endothelial dysfunction marker) in study group compared to control group. Though many cardiometabolic risk parameters were correlated with PSS and EPDS, the significant independent association was observed for TP, HbA1C, MDA and interleukin-6. However, interleukin-6 had maximum contribution to PSS (β = 0.550, p < 0.001) and EPDS (β = 0.393, p < 0.001) as demonstrated by multiple regression analysis. Inflammation, oxidative stress, glycation status and decreased cardiovagal modulation are associated with stress and depression at 36th week of gestation in GDM.
Keywords	Medicine ; R ; Science ; Q
Subject code	571
Language	English
Publishing date	2023-06-01T00:00:00Z
Publisher	Nature Portfolio
Document type	Article ; Online
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Article ; Online: Decreased cognition is associated with altered cardiovascular autonomic functions and decreased baroreflex sensitivity in women with premenstrual syndrome

Jothi Marie Feula / Dhanalakshmi Yerrabelli / Gopal Krushna Pal / Soundirarajan Subhashri

Journal of Mind and Medical Sciences, Vol 9, Iss 1, Pp 181-

2022 Volume 186

Abstract: Premenstrual syndrome (PMS) is a clinical entity of concern in women of reproductive age group with its onset during the late luteal phase of the menstrual cycle that typically resolves within a few days after the onset of menstruation. Female ... ...

Abstract	Premenstrual syndrome (PMS) is a clinical entity of concern in women of reproductive age group with its onset during the late luteal phase of the menstrual cycle that typically resolves within a few days after the onset of menstruation. Female reproductive hormones stimulate the gene promotor region of Gonadal steroids, which are modulators of the hypothalamic-pituitary axis, in association with the autonomic nervous system (ANS), form the stress system, which regulates the homeostatic mechanisms of the body. Disruption of this mechanism can lead to sympathovagal imbalance and cognitive deficits. Objectives: This study was aimed to compare the autonomic functions and cognition between PMS and control group. Methodology: This cross-sectional study was conducted as a pilot study with 20 subjects in each group. Autonomic function test and P300 were recorded. Study participants were also asked to answer Montreal cognitive assessment (MOCA) questionnaire. Results: On comparison of the test results between the two groups, individuals in PMS group were found to have increased sympathetic activity and reduced cognition when compared to the no PMS (control) group. Conclusion: The findings from this study proves a detrimental effect of gonadal steroids on autonomic nervous system and cognition.
Keywords	cognition ; cardiovascular ; autonomic functions ; baroreflex sensitivity ; sympathovagal imbalance ; women ; premenstrual syndrome ; Medicine (General) ; R5-920
Subject code	150
Language	English
Publishing date	2022-04-01T00:00:00Z
Publisher	Ion Motofei, Carol Davila University
Document type	Article ; Online
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Article ; Online: Inflammation and decreased cardiovagal modulation are linked to stress and depression at 36th week of pregnancy in gestational diabetes mellitus.

Renugasundari, Manoharan / Pal, Gopal Krushna / Chaturvedula, Latha / Nanda, Nivedita / Harichandrakumar, K T / Durgadevi, Thiyagarajan

Scientific reports

2023 Volume 13, Issue 1, Page(s) 10348

Abstract: Stress and depression have been reported in gestational diabetes mellitus (GDM). Though inflammation and oxidative stress are associated with depression, there are no reports of link of cardiometabolic risks (CMR) to stress and depression in GDM. Normal ... ...

Abstract	Stress and depression have been reported in gestational diabetes mellitus (GDM). Though inflammation and oxidative stress are associated with depression, there are no reports of link of cardiometabolic risks (CMR) to stress and depression in GDM. Normal pregnant women (control group, n = 164) and women with GDM (study group, n = 176) at 36th week of gestation were recruited for the study. Blood pressure (BP), body composition, heart rate variability (HRV), glycated hemoglobin (HbA1C), markers of insulin resistance, oxidative stress, inflammation and endothelial dysfunction, were assessed. Perceived stress score (PSS), quality of life (QoL) scale, Indian diabetic risk score (IDRS) and Edinburg postnatal depression score (EPDS) were assessed. Association of potential contributors to PSS and EDPS were assessed by correlation and regression analyses. There was significant increase in PSS, EPDS, IDRS scores, HbA1C, malondialdehyde (MDA) (oxidative stress marker) and high-sensitive C-reactive protein and interleukin-6 (inflammatory markers), and significant decrease in total power (TP) of HRV (marker of cardiovagal modulation), QoL and nitric oxide (endothelial dysfunction marker) in study group compared to control group. Though many cardiometabolic risk parameters were correlated with PSS and EPDS, the significant independent association was observed for TP, HbA1C, MDA and interleukin-6. However, interleukin-6 had maximum contribution to PSS (β = 0.550, p < 0.001) and EPDS (β = 0.393, p < 0.001) as demonstrated by multiple regression analysis. Inflammation, oxidative stress, glycation status and decreased cardiovagal modulation are associated with stress and depression at 36th week of gestation in GDM.
MeSH term(s)	Female ; Pregnancy ; Humans ; Diabetes, Gestational ; Quality of Life ; Depression ; Glycated Hemoglobin ; Interleukin-6 ; Inflammation ; Depression, Postpartum ; Cardiovascular Diseases ; Blood Glucose/metabolism
Chemical Substances	Glycated Hemoglobin ; Interleukin-6 ; Blood Glucose
Language	English
Publishing date	2023-06-26
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-023-37387-4
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Article ; Online: Effects of 12 Weeks Practice of Yoga on Heart Rate Variability in Males with Type 2 Diabetes Receiving Oral Antidiabetic Drugs: A Randomized Control Trial.

Danasegaran, Murugesan / Pal, Gopal Krushna / Sahoo, Jayaprakash / Pal, Pravati / Nanda, Nivedita / Renugasundari, Manoharan

Journal of alternative and complementary medicine (New York, N.Y.)

2021 Volume 27, Issue 12, Page(s) 1105–1115

Abstract: Objective: ...

Abstract	Objective:
MeSH term(s)	Diabetes Mellitus, Type 2/drug therapy ; Heart Rate ; Humans ; Hypoglycemic Agents/therapeutic use ; Male ; Vagus Nerve ; Yoga
Chemical Substances	Hypoglycemic Agents
Language	English
Publishing date	2021-09-28
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	1237383-7
ISSN	1557-7708 ; 1075-5535
ISSN (online)	1557-7708
ISSN	1075-5535
DOI	10.1089/acm.2020.0489
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Article ; Online: Attenuation of baroreflex sensitivity and heart rate variability is linked to reduced levels of nitric oxide in pregnant women having risks of developing gestational hypertension.

Karthiga, Kuzhanthaivelu / Pal, Gopal Krushna / Dasari, Papa / Nanda, Nivedita / Velkumary, Subramanian / Chinnakali, Palanivel

Clinical and experimental hypertension (New York, N.Y. : 1993)

2021 Volume 43, Issue 4, Page(s) 356–362

Abstract: Purpose: ...

Abstract	Purpose:
MeSH term(s)	Adult ; Baroreflex/physiology ; Biomarkers/blood ; Blood Pressure ; Body Mass Index ; Body Weight ; Female ; Heart Rate/physiology ; Humans ; Hypertension, Pregnancy-Induced/blood ; Hypertension, Pregnancy-Induced/physiopathology ; Inflammation Mediators/metabolism ; Interleukin-6 ; Lipids/blood ; Male ; Multivariate Analysis ; Nitric Oxide/metabolism ; Oxidative Stress ; Pregnancy ; Regression Analysis ; Risk Factors ; Young Adult
Chemical Substances	Biomarkers ; Inflammation Mediators ; Interleukin-6 ; Lipids ; Nitric Oxide (31C4KY9ESH)
Language	English
Publishing date	2021-02-11
Publishing country	England
Document type	Journal Article
ZDB-ID	604757-9
ISSN	1525-6006 ; 0730-0077
ISSN (online)	1525-6006
ISSN	0730-0077
DOI	10.1080/10641963.2021.1883053
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Article: Link of neurocognitive deficit to impaired cardiovagal modulation in prehypertensives is comparable to newly diagnosed hypertensives in young Indian population.

Pal, Gopal Krushna / Subathra, Thiruchengodu Ammaiyappan / Dhanalakshmi, Yerrabelli / Pal, Pravati / Renugasundari, Manoharan / Nanda, Nivedita

American journal of neurodegenerative disease

2021 Volume 10, Issue 4, Page(s) 38–49

Abstract: Background: Hypertension has been reported to cause impaired cardiovagal modulation and a wide variety of cognitive loss. However, the link cardiovagal modulation to neurocognitive impairment has not been studied yet. The present study has compared the ... ...

Abstract	Background: Hypertension has been reported to cause impaired cardiovagal modulation and a wide variety of cognitive loss. However, the link cardiovagal modulation to neurocognitive impairment has not been studied yet. The present study has compared the link cardiovagal modulation to neurocognitive impairment between prehypertension and newly diagnosed hypertension in young adults. Methods: One hundred forty-seven subjects (42 normotensives, 54 prehypertensives and 51 newly diagnosed hypertensives) aged between 18-44 years were included in this case-control study. The demographic, anthropometric, basal parameters, heart rate variability (HRV), cardiovascular autonomic function tests (CAFTs), event-related potential P300 and biochemical parameters were recorded in all the groups. Association of various parameters with neurocognitive deficit was studied by Pearson correlation analysis and independent contribution of various factors to cognitive deficit was assessed by multiple regression analysis in the study groups. Results: Total power (TP) of HRV, the marker of cardiovagal modulation was reduced in both prehypertensives and hypertensives compared to controls. Among CAFTs, the ΔDBP Conclusion: Prehypertensives had considerable autonomic imbalance, reduced cardiovagal modulation and neurocognitive deficit that were comparable to newly diagnosed hypertensives. Though the causal relationship between cardiovagal modulation and neurocognitive impairment can't be established from the findings of the present study, it appears that neurocognitive deficit might have some possible link to the decreased cardiovagal modulation and metabolic derangements in young prehypertensives and hypertensives.
Language	English
Publishing date	2021-08-15
Publishing country	United States
Document type	Journal Article
ZDB-ID	2695563-5
ISSN	2165-591X
ISSN	2165-591X
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Article ; Online: Effect of honey and insulin treatment on oxidative stress and nerve conduction in an experimental model of diabetic neuropathy Wistar rats.

Allampalli Sirisha / Girwar Singh Gaur / Pravati Pal / Zachariah Bobby / Bharathi Balakumar / Gopal Krushna Pal

PLoS ONE, Vol 16, Iss 1, p e

2021 Volume 0245395

Abstract: Diabetic neuropathy is the most common complication affecting more than 50% of patients with longstanding diabetes. Till date, there are no reports to explain the scientific basis of alternative medicine as an adjunct therapy for treating diabetic ... ...

Abstract	Diabetic neuropathy is the most common complication affecting more than 50% of patients with longstanding diabetes. Till date, there are no reports to explain the scientific basis of alternative medicine as an adjunct therapy for treating diabetic neuropathy. Hence, we studied the effect of honey and insulin treatment on hyperglycemia, dyslipidemia, oxidant and anti-oxidant status and nerve conduction in experimental diabetic neuropathy Wistar rats. In this experimental study, forty healthy male Wistar albino rats of 10-12 weeks age, weighing between 150 to 200g were obtained from our institute central animal house. After acclimatization, the rats were divided into control (n = 8) and experimental (n = 32) groups randomly. In the experimental group, type 2 diabetic neuropathy was induced with high fat and high sugar diet for 8 weeks followed by streptozotocin at a dose of 35 mg/kg body weight. Three days after streptozotocin injection, blood glucose levels of rats were measured from fasting samples to confirm diabetes. After the development of diabetes, rats were given standard rodent chow and allowed four more weeks to remain diabetic and to develop neuropathy. Every second week, nerve conduction study was done to confirm neuropathy. All the diabetic rats of experimental group developed neuropathy after 4 weeks of developing diabetes, which was confirmed by significant reduction in conduction velocity of sensory and motor nerve when compared to non-diabetic control group. After the development of neuropathy, these rats were randomly divided into diabetic neuropathy with no treatment group (n = 8) and three treatment groups (n = 8, each). The rats of treatment group were administered with either honey or insulin or honey+insulin for six weeks. After six-weeks of intervention, there was significant decrease in blood glucose and lipids in honey, insulin and honey+insulin treated neuropathy rats, when compared with no treatment group. Malondialdehyde was reduced and total anti-oxidant status improved in all the ...
Keywords	Medicine ; R ; Science ; Q
Subject code	796
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Public Library of Science (PLoS)
Document type	Article ; Online
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Article: Effects of Three Months of Honey Supplementation on Quality of Life and Neuropathy in Type 2 Diabetic Patients.

Sirisha, Allampalli / Singh Gaur, Girwar / Pal, Pravati / Suryanarayana, Bettadpura Shamanna / Bobby, Zachariah / Pal, Gopal Krushna

Alternative therapies in health and medicine

2021 Volume 27, Issue S1, Page(s) 54–60

Abstract: Context: Diabetic neuropathy, a common debilitating complication of type 2 diabetes, can occur despite adequate treatment. To date, no studies have occurred on the use alternative medicine as an adjunct therapy for treating diabetic neuropathy.: ... ...

Abstract	Context: Diabetic neuropathy, a common debilitating complication of type 2 diabetes, can occur despite adequate treatment. To date, no studies have occurred on the use alternative medicine as an adjunct therapy for treating diabetic neuropathy. Objective: The study assessed the effects of three months of honey supplementation on insulin resistance, lipid profiles, oxidant status, nerve conduction, and QOL in patients with diabetic neuropathy. Methods/design: The research team designed a single-arm, open-label pilot study. Setting: The study took place at the Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER) in Puducherry, India. Participants: The study included 48 patients with diabetic neuropathy at the institute, with a mean age of 58.91 ± 7.976 years. Intervention: Participants took honey for three months at a dose of 0.5 gm/Kg of body weight per day. Outcome measures: Participants completed the Neuropathy Total Symptom Score-6 (NTSS-6) questionnaire and the Norfolk QOL Diabetic Neuropathy (Norfolk QOL-DN) questionnaire at baseline and postintervention. Also, participants' glucose levels, lipid profiles, and biochemical markers were obtained and a nerve conduction study was completed at baseline and postintervention. Results: A significant reduction occurred in the NTSS-6 score (P < .0001) and the Norfolk QOL-DN total score (P < .0001) from baseline to postintervention. Participants' fasting blood glucose (FBG), triglycerides (TG), and total cholesterol (TC) decreased significantly, at P = .0192, P = .0371, and P = .0049, respectively. Their malondialdehyde (MDA), and inflammatory markers interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF-α) also decreased significantly, and MDA showed a significant correlation with neuron specific enolase (NSE). Conclusions: Three months honey supplementation reduced participants' subjective pain scores and symptoms from diabetic neuropathy and improved their QOL. However, the nerve conduction study showed that no significant change had occurred in motor velocity.
MeSH term(s)	Aged ; Diabetes Mellitus, Type 2/therapy ; Dietary Supplements ; Honey ; Humans ; India ; Middle Aged ; Pilot Projects ; Quality of Life
Language	English
Publishing date	2021-03-31
Publishing country	United States
Document type	Clinical Study ; Journal Article
ZDB-ID	1225073-9
ISSN	1078-6791
ISSN	1078-6791
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Article ; Online: Effect of Yoga Therapy on Disease Activity, Inflammatory Markers, and Heart Rate Variability in Patients with Rheumatoid Arthritis.

Ganesan, Selvakumar / Gaur, Girwar Singh / Negi, Vir Singh / Sharma, Vivek Kumar / Pal, Gopal Krushna

Journal of alternative and complementary medicine (New York, N.Y.)

2020 Volume 26, Issue 6, Page(s) 501–507

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Adult ; Arthritis, Rheumatoid/blood ; Arthritis, Rheumatoid/therapy ; Biomarkers/blood ; Female ; Heart Rate ; Humans ; Inflammation/blood ; Male ; Middle Aged ; Yoga
Chemical Substances	Biomarkers
Language	English
Publishing date	2020-04-23
Publishing country	United States
Document type	Journal Article ; Randomized Controlled Trial
ZDB-ID	1237383-7
ISSN	1557-7708 ; 1075-5535
ISSN (online)	1557-7708
ISSN	1075-5535
DOI	10.1089/acm.2019.0228
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