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CTRI Number  CTRI/2025/09/095039 [Registered on: 18/09/2025] Trial Registered Prospectively
Last Modified On: 16/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Nadi-Shodhan Pranayama on Hormonal and Physiological Changes in Postmenopausal Women 
Scientific Title of Study   Investigating The Efficacy Of Alternate Nostril Breathing (Nadi-Shodhan Paranayam) In Hormonal And Physiological Changes In Postmenopausal Women 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anushka 
Designation  PhD Scholar 
Affiliation  Department Of Yoga Sciences Swami Rama Himalayan University 
Address  Department Of Yoga Sciences Swami Rama Himalayan University Jollygrant Dehradun Uttarakhand

Dehradun
UTTARANCHAL
248140
India 
Phone  8650680559  
Fax    
Email  anushkasaini4789@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Saloni Malik 
Designation  Assistant Professor 
Affiliation  Department Of Yoga Sciences Swami Rama Himalayan University 
Address  Department Of Yoga Sciences Swami Rama Himalayan University Jollygrant Dehradun Uttarakhand

Dehradun
UTTARANCHAL
248140
India 
Phone  8650680559  
Fax    
Email  salonimalik5@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anushka  
Designation  PhD Scholar 
Affiliation  Department Of Yoga Sciences Swami Rama Himalayan University  
Address  Department Of Yoga Sciences Swami Rama Himalayan University Jollygrant Dehradun Uttarakhand

Dehradun
UTTARANCHAL
248140
India 
Phone  8650680559  
Fax    
Email  anushkasaini4789@gmail.com  
 
Source of Monetary or Material Support  
Swami Rama Himalayan University 
 
Primary Sponsor  
Name  Anushka 
Address  Swami Rama Himalayan University Jollygrant Dehradun Uttarakhand Pincode-248140 
Type of Sponsor  Other [Self] 
 
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 
Anushka  Swami Rama Himalayan University   Department of Gynecology Swami Rama Himalayan University Jollygrant Dehradun Uttarakhand Pincode-248140
Dehradun
UTTARANCHAL 
8650680559

anushkasaini4789@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
SWAMI RAMA HIMALAYAN UNIVERSITY  Approved 
SWAMI RAMA HIMALAYAN UNIVERSITY  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N951||Menopausal and female climactericstates,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Alternate Nostril Breathing  Five Days In A Week Upto 12 Weeks 
Comparator Agent  Only Follow Up  Pre And Post Data Will Be Collected By Follicle Stimulating Hormone And By Luteinizing Hormone Test 
 
Inclusion Criteria  
Age From  45.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  1. Only Post Menopause women will be included
2. Post Menopause women of age group between 45 to 70 Years
3. Who are willing to provide consent
 
 
ExclusionCriteria 
Details  1. Regular practitioner of Yoga
2. Women with physical disabilities
3. Who has had uterus operation
4. Had a history of Menopausal hormone therapy
5. Undergone any surgery in the past 3 months
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1.FSH (Follicle Stimulating Hormone)
2.LH (Luteinizing Hormone)
 
1.Assessment - Baseline
2. post intervention after 12 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
1.Vasomotor Symptoms (Hot Flushes, Night Sweats, Palpitations),
2.Blood Pressure
3.Body Mass Index
4.Menopausal Rating Scale
 
1.Assessment - Baseline
2.Post intervention after 12 weeks 
 
Target Sample Size   Total Sample Size="128"
Sample Size from India="128" 
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   N/A 
Date of First Enrollment (India)   05/10/2025 
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="4"
Days="7" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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  

Scientific Title:
Investigating the Efficacy of Alternate Nostril Breathing (Nadi-Shodhan Pranayama) in Hormonal and Physiological Changes in Postmenopausal Women: A 12-Week Randomized Controlled Trial

Public Title:
Efficacy of Alternate Nostril Breathing (Nadi-Shodhan Pranayama) on Hormonal and Physiological Changes in Postmenopausal Women

Health Condition / Problem Studied:
Menopausal and female climacteric states (ICD-10: N95.1)

Study Design:
Prospective, randomized controlled trial with block randomization and allocation concealment (SNOSE). Statistician blinded.

Study Population:
Postmenopausal women aged 45–70 years.

  • Inclusion: Women 45–70 years, postmenopausal, consenting.

  • Exclusion: Regular yoga practitioners, history of hormone therapy, uterine surgery, recent surgery (within 3 months), or physical disability.

Sample Size:
128 participants (64 intervention, 64 control).

Setting:
Himalayan Institute of Hospital Trust, Swami Rama Himalayan University, Uttarakhand, India.

Intervention:

  • Experimental group: 12-week structured yoga program (35 minutes/day, 5 days/week), including Nadi-Shodhan pranayama, selected yoga postures, diaphragmatic breathing, bhramari pranayama, relaxation, and guided meditation.

  • Control group: Usual care.

Primary Outcomes:

  • Serum Follicle Stimulating Hormone (FSH)

  • Serum Luteinizing Hormone (LH)

Secondary Outcomes:

  • Vasomotor symptoms (hot flushes, night sweats, palpitations)

  • Blood pressure

  • Body Mass Index (BMI)

  • Menopausal Rating Scale / MENQOL questionnaire

Duration:
12 weeks of intervention with assessments at baseline and 12 weeks.

Analysis Plan:
Data entry in Excel; descriptive statistics for categorical and continuous variables.
Comparisons using chi-square test, Student’s t-test, paired t-test, and repeated measures ANOVA.
Multivariate analysis with logistic regression; Kaplan-Meier and log-rank test for outcome comparisons.

 
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