{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T15:20:36Z","timestamp":1787930436543,"version":"build-2784847793"},"reference-count":52,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T00:00:00Z","timestamp":1607040000000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To identify the adolescent school girls with risk for polycystic ovarian syndrome (PCOS), assess their risk status, and evaluate the impact of lifestyle modifications on PCOS risk reduction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An experimental research was conducted among adolescent girls belonging to two Government run schools in Tiruvallur district of Tamil Nadu state, India, from 6 June to 9 December 2016. A standard risk assessment questionnaire was adopted for risk assessment after making few modifications (Cronbach alpha 0.86). The experimental group received lifestyle modifications (yoga for two months and walking exercise for two months), with no such intervention provided for the control group. The impact of these interventions was assessed in terms of risk minimization and a <jats:italic>P<\/jats:italic> value less than .05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 204 (control\u2014102; experimental\u2014102) girls with statistically insignificant difference in demographic features were studied. During the pretest, 85.2% (n = 87) in the experimental group and 83.3% (n = 85) the controls had \u201cmoderate risk\u201d for PCOS. Girls with \u201chigh risk\u201d level of PCOS were 14.8% (n = 15) and 15.7% (n = 17) in the experimental group and the control group, respectively. In posttest\u20101 (after yoga sessions) risk assessment, 71.6% had \u201cmoderate risk,\u201d 5.9% had \u201chigh risk\u201d in the experimental group, whereas 87.3% had \u201cmoderate risk\u201d and 12.7% had \u201chigh risk\u201d in the control group. In posttest\u20102 (after exercise sessions) risk assessment, 48% had \u201cmoderate risk\u201d and 0% had high risk in the experimental group, whereas 88.2% were \u201cmoderate risk\u201d and 11.8% were \u201chigh risk\u201d in the control group. Repeated measure ANOVA with Greenhouse\u2010Geisser correction showed mean risk reduction score statistically significant between pretest and post\u2010test (33.38\u2009\u00b1\u20097.28 vs 22.75\u2009\u00b1\u200912.09, respectively mean difference is 10.63: <jats:italic>F<\/jats:italic> = 236.12 <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001), suggesting a positive correlation with the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Yoga and exercise were beneficial in minimizing PCOS risk, as reflected in the risk assessment score. More such interventions, covering different schools, could provide larger health benefits.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.212","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T20:00:55Z","timestamp":1607112055000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Impact of yoga and exercises on polycystic ovarian syndrome risk among adolescent schoolgirls in South India"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6357-1105","authenticated-orcid":false,"given":"Valarmathi","family":"Selvaraj","sequence":"first","affiliation":[{"name":"Nursing Meenakshi Academy of Higher Education and Research  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jain","family":"Vanitha","sequence":"additional","affiliation":[{"name":"Meenakshi College of Nursing  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabiola M.","family":"Dhanaraj","sequence":"additional","affiliation":[{"name":"Arulmigu Meenakshi College of Nursing  Kancheepuram India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prema","family":"Sekar","sequence":"additional","affiliation":[{"name":"Annai Veilankanni's College of Nursing  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anitha Rajendra","family":"Babu","sequence":"additional","affiliation":[{"name":"Rajalakshmi College of Nursing  Chennai India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"e_1_2_18_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(15)30642-6"},{"issue":"3","key":"e_1_2_18_3_1","first-page":"1000136","article-title":"Polycystic ovary syndrome: features, diagnostic criteria and treatments","volume":"3","author":"Unfer V","year":"2014","journal-title":"Endocrinol Metab Syndr"},{"key":"e_1_2_18_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0b013e32835a1a03"},{"key":"e_1_2_18_5_1","first-page":"1","article-title":"Epidemiology, diagnosis, and management of polycystic ovary syndrome","volume":"6","author":"Sirmans SM","year":"2014","journal-title":"Clin Epidemiol"},{"key":"e_1_2_18_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-8-41"},{"key":"e_1_2_18_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2265.2006.02587.x"},{"key":"e_1_2_18_8_1","doi-asserted-by":"publisher","DOI":"10.1210\/er.2003-0004"},{"key":"e_1_2_18_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-6131.98223"},{"key":"e_1_2_18_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dei311"},{"key":"e_1_2_18_11_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2013-2385"},{"key":"e_1_2_18_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/13.6.1502"},{"key":"e_1_2_18_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2012.11.018"},{"key":"e_1_2_18_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-2760(02)00612-4"},{"key":"e_1_2_18_15_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2008-0461"},{"key":"e_1_2_18_16_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2011-0039"},{"issue":"1","key":"e_1_2_18_17_1","first-page":"216","article-title":"Management of PCOS: a psychosomatic disorder by yoga practice","volume":"4","author":"Verma A","year":"2015","journal-title":"Int J Innov Res Devel"},{"key":"e_1_2_18_18_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2009-0051"},{"key":"e_1_2_18_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61729-2"},{"key":"e_1_2_18_20_1","first-page":"632","article-title":"Polycystic ovarian syndrome. 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