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Effects of prenatal yoga on women’s stress and immune function across pregnancy: A randomized controlled trial
Institution:1. Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, 11490, Taiwan, ROC;2. Department of Nursing, Hsin Sheng Junior College of Medical Care and Management, Taoyuan, 32544, Taiwan, ROC;3. Department of Social Welfare, Hsuan Chuang University, Hsinchu, 30092, Taiwan, ROC;4. School of Nursing, Taipei Medical University, Taipei, 110, Taiwan, ROC;5. School of Nursing, National Defense Medical Center, Taipei, 11490, Taiwan, ROC;6. Department of Mathematics, Tamkang University, New Taipei, 25137, Taiwan, ROC;1. School of Psychology, Ulster University, Northern Ireland, UK;2. Psychology Research Institute, Ulster University, Northern Ireland, UK;1. Department of Obstetrics and Gynecology, Truman Medical Center, Kansas City, MO;2. Department of Bioinformatics, University of Missouri Kansas City, Kansas City, MO;3. Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, VA;4. Department of Obstetrics and Gynecology, University of Texas Health Science Center-Houston, Houston, TX;1. Department of Psychology and Neuroscience, University of Colorado Boulder, Muenzinger D244, 345 UCB, Boulder, CO 80309, USA;2. Department of Psychology, Emory University, 467 PAIS Building, 36 Eagle Row, Atlanta, GA 30322, USA;3. Department of Community and Behavioral Health, Colorado School of Public Health, 13001 E. 17th Place, B119, Building 500, Anschutz Medical Campus, Aurora, CO 80045, USA;4. The Yoga Workshop, 2020 21st Street, Boulder, CO 80302, USA;1. National University Hospital, National University Health System, 119074, Singapore;2. MOH Holdings Pte Ltd, 1 Maritime Square, 099253, Singapore;3. University of Nottingham Medical School, Queen''s Medical Centre, Nottingham NG7 2UH, United Kingdom;4. Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, 539747, Singapore;5. KK Women''s and Children''s Hospital, 100 Bukit Timah Road, 229899, Singapore
Abstract:ObjectiveThe effects of prenatal yoga on biological indicators have not been widely studied. Thus, we compared changes in stress and immunity salivary biomarkers from 16 to 36 weeks’ gestation between women receiving prenatal yoga and those receiving routine prenatal care.DesignFor this longitudinal, prospective, randomized controlled trial, we recruited 94 healthy pregnant women at 16 weeks’ gestation through convenience sampling from a prenatal clinic in Taipei. Participants were randomly assigned to intervention (n = 48) or control (n = 46) groups using Clinstat block randomization.InterventionThe 20-week intervention comprised two weekly 70-min yoga sessions led by a midwife certified as a yoga instructor; the control group received only routine prenatal care.Main outcome measuresIn both groups, participants’ salivary cortisol and immunoglobulin A levels were collected before and after yoga every 4 weeks from 16 to 36 weeks’ gestation.ResultsThe intervention group had lower salivary cortisol (p < 0.001) and higher immunoglobulin A (p < 0.001) levels immediately after yoga than the control group. Specifically, the intervention group had significantly higher long-term salivary immunoglobulin A levels than the control group (p = 0.018), and infants born to women in the intervention group weighed more than those born to the control group (p < 0.001).ConclusionPrenatal yoga significantly reduced pregnant women’s stress and enhanced their immune function. Clinicians should learn the mechanisms of yoga and its effects on pregnant women. Our findings can guide clinicians to help pregnant women alleviate their stress and enhance their immune function.
Keywords:Prenatal yoga  Salivary cortisol  Immunoglobulin A  Stress  Immune function
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