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CTRI Number  CTRI/2024/05/067481 [Registered on: 16/05/2024] Trial Registered Prospectively
Last Modified On: 16/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Enhancing Well-being: Yogas Impact on Heart Health, Cognition, and Stress in Hypothyroid Patients 
Scientific Title of Study   Effect of Yogic Intervention on Heart Rate Variability, Cognition and Stress Parameters in Hypothyroid Patients:A Randomized Controlled Trial. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shyoji Ram Yadav 
Designation  Postgraduate student in Physiology department, University college of medical Sciences, Delhi 
Affiliation  University College of Medical Sciences, Delhi 
Address  Department of Physiology UCMS and GTB Hospital Dilshad garden Dilshad Garden, Delhi- 110095

North East
DELHI
110095
India 
Phone  7375824380  
Fax    
Email  drshyojiramyadav@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manish Gupta 
Designation  Professor 
Affiliation  University College of Medical Sciences, Delhi 
Address  Room No. 118, Department of Physiology UCMS and GTB Hospital Dilshad garden Dilshad Garden, Delhi- 110095

North East
DELHI
110095
India 
Phone  9810571981  
Fax    
Email  manishdrucms@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shyoji Ram Yadav 
Designation  Postgraduate student in Physiology department, University college of medical Sciences, Delhi 
Affiliation  University College of Medical Sciences, Delhi 
Address  Department of Physiology UCMS and GTB Hospital Dilshad garden Dilshad Garden, Delhi- 110095

North East
DELHI
110095
India 
Phone  7375824380  
Fax    
Email  drshyojiramyadav@gmail.com  
 
Source of Monetary or Material Support  
Principal, University college of Medical sciences, Delhi 
 
Primary Sponsor  
Name  UCMS & GTB Hospital 
Address  UCMS & GTB Hospital, Dilshad Garden, Delhi- 110095 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shyoji Ram Yadav  UCMS & GTB Hospital  Room No. 115, Department of Physiology, Dilshad Garden, Delhi 110095
North East
DELHI 
7375824380

drshyojiramyadav@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE – HUMAN RESEARCH (IEC-HR)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E039||Hypothyroidism, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control Group  Participants will be followed up for 12 weeks. Conventional treatment will continue. 
Intervention  Yogic Intervention  Participants will practice Yogic exercises for 12 weeks. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Hypothyroid patients between 20-45 years of age, on conventional treatment for at least three month and having TSH level above 10μIU/ml (normal range: 2.7-4.2μIU/ml). 
 
ExclusionCriteria 
Details  1. Patients with previous history of cardiovascular disease/ any other acute or chronic pain/ endocrinal/ medical/ surgical/ psychiatry illness or any other illness.
2. Pregnant /Lactating women.
3. Patients already performing yoga, any other deep breathing exercises or any relaxation technique.
4. Patients consuming alcohol, drugs, doing smoking or any other substance addiction.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. Changes in HRV.
2. Changes in Cognition score.
3. Changes in Stress parameters.
 
12 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
1. Changes in Cognition score.
2. Changes in Stress parameters.  
12 weeks 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   27/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Study title: EFFECT OF YOGIC INTERVENTION ON HEART RATE VARIABILITY, COGNITION AND STRESS PARAMETERS IN HYPOTHYROID PATIENTS.  

Rationale: Hypothyroid patients had increased risk of coronary heart disease events, heart failure, and cardiovascular mortality among affected adults. Sympathovagal imbalance, cognitive impairment and higher stress have been reported in hypothyroid patients. Exploring the role of yogic intervention in hypothyroid patients on Heart rate variability, cognition and stress reduction can be helpful in the management of these patients.

Aim: To assess the effect of yogic intervention on Heart Rate Variability, Cognition and Stress parameters in Hypothyroid Patients.

OBJECTIVES:

1. To determine the effect of yogic intervention on Heart Rate Variability in hypothyroid patients.

2. To determine the effect of yogic intervention on Cognition through Cognition Self- Assessment Rating Scale (C-SARS) in hypothyroid patients.

3. To determine the effect of yogic intervention on Stress Parameters through Perceived Stress Scale (PSS) in hypothyroid patients.

Study type: Prospective, Interventional Study

Study design: Randomised Controlled Trial study

Time frame: April 2024 to August 2025 

Population /participants: Diagnosed Hypothyroid patients (TSH>10µIU) will be taken from Endocrinal OPD, Centre for Diabetes, Endocrinology & Metabolism, Delhi

Sample size: 30 subjects in two groups (Total=60)

Grouping of Subjects:

Group I- Patients on conventional treatment and yogic intervention

Group II- Patients on conventional treatment only

Even on extensive search we could not find any article where the HRV and other parameters have been studied after yogic intervention in hypothyroid patients. Due to this paucity of literature we could not calculate the sample size, therefore a convenient sample of 30 subjects in group I and 30 subjects in group II will be taken in this study. The total 60 subjects will be randomized among two groups as per computer generated random number technique.

Methods: Hypothyroid patients (TSH>10µIU) included in this study will undergo brief history taking, physical, clinical and anthropometric assessment prior to the participation. After the clinical evaluation is complete, hypothyroid patients who fulfil the inclusion & exclusion criteria and who sign the informed consent will be recruited for the study. Both groups will undergo HRV recording and assessment of cognition using the Cognition Self-Assessment Rating Scale (C-SARS) and Stress using the Perceived Stress Scale (PSS). 

Outcome measures:

•       Changes in HRV parameters.

•       Changes in cognition scores.

•       Changes in stress parameter.

Statistical analysis:

•       Analysis will be done using SPSS 20.0 statistical software.  

•       Between and within the group comparison will be done by unpaired and paired t-test.

•       P value of <0.05 will be considered significant.

 
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