Effect of Shakti Bandha Asana on Continuous Glucose Monitoring Among Patients with Polycystic Ovarian Syndrome(PCOS): A Randomized Controlled Trial

Polycystic Ovarian Syndrome (PCOS) is a common endocrine disorder in reproductive-age women, marked by irregular menstrual cycles, hyperandrogenism, and polycystic ovaries. It is associated with metabolic dysfunction, particularly insulin resistance, hyperinsulinemia, and impaired glucose metabolism. Insulin resistance is central to PCOS pathology, leading to increased androgen production, worsening symptoms like hirsutism, acne, and anovulation. Traditional blood glucose monitoring, including fasting blood glucose (FBG) and hemoglobin A1c (HbA1c), offers limited insights, giving only a snapshot of glucose levels. In PCOS, glucose levels can fluctuate due to hormonal imbalances, stress, and diet. Continuous Glucose Monitoring (CGM) allows real-time glucose tracking, providing a thorough assessment of glycemic patterns and insulin sensitivity. CGM measures Time in Range (TIR), glycemic variability (GV), and mean glucose levels, enabling detailed evaluation of metabolic status. It is effective for assessing lifestyle interventions on glucose regulation in PCOS patients. Yoga is recognized for its benefits on metabolic and hormonal disorders, including PCOS. Shakti Bandha Asanas (Energy Locking Postures) stimulate endocrine glands, improve circulation, and enhance metabolic function. These asanas promote hormonal balance and improve insulin sensitivity. The gentle stretching, controlled breathing, and relaxation techniques in these postures positively influence glucose metabolism and overall metabolic health in PCOS patients. This study aims to evaluate their effects on real-time glucose fluctuations in PCOS patients using CGM. This randomized controlled trial (RCT) investigates whether Shakti Bandha Asanas can improve glycemic control in PCOS patients. CGM data is expected to show increased TIR and reduced blood glucose fluctuations, indicating better metabolic control. Secondary benefits may include improved menstrual regularity, reduced insulin resistance, and enhanced stress management. PCOS is a multifaceted disorder requiring holistic management.