Impact of a yoga intervention over 6, 12, and 24 months in sedentary climacteric women with metabolic syndrome

ISRCTN ISRCTN86106594
DOI https://doi.org/10.1186/ISRCTN86106594
Submission date
29/10/2025
Registration date
30/10/2025
Last edited
30/10/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Metabolic syndrome is a condition that increases the risk of diabetes and heart disease and is common in women during menopause. Yoga may help improve both physical and emotional health during this period. This study aims to evaluate the effects of a structured Shivam Yoga training program over 6, 12, and 24 months on the prevalence of metabolic syndrome (MetS) and climacteric symptoms in sedentary women.

Who can participate?
Sedentary women aged 40–65 years who meet the diagnostic criteria for metabolic syndrome.

What does the study involve?
Participants are randomly assigned to either a yoga group or a control group. The yoga group attends two 60-minute Shivam Yoga sessions per week, including breathing exercises, physical postures, relaxation, and meditation, for a total duration of 24 months. The control group continues their usual lifestyle without structured exercise. All participants attend follow-up assessments at 6, 12, and 24 months, including interviews, blood tests, and physical measurements.

What are the possible benefits and risks of participating?
Yoga may help reduce blood pressure, blood glucose, and waist circumference and may improve mood and sleep. The intervention is low-impact and generally safe, although mild muscle soreness may occur at the beginning of practice.

Where is the study run from?
The study is conducted at the Federal University of Ouro Preto (UFOP), Minas Gerais, Brazil.

When is the study starting and how long is it expected to run for?
The study started in October 2018 and was completed in 2021.

Who is funding the study?
The study is funded by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES, Finance Code 001), which provided a scholarship for the first author, and by the Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG, BDP 00365-22).

Who is the main contact?
Dr Laura Alves Cota e Souza — Federal University of Ouro Preto (UFOP), Brazil
laura.cota@aluno.ufop.edu.br

Contact information

Dr Laura Cota e Souza
Public, Scientific, Principal investigator

Escola de Farmácia, Campus Universitário Morro do Cruzeiro
Ouro Preto
35.402-163
Brazil

ORCiD logoORCID ID 0000-0001-8625-6995
Email laura.cota@aluno.ufop.edu.br

Study information

Study designSingle-centre interventional non-blinded randomized controlled longitudinal study with simple 1:1 allocation
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Community, University/medical school/dental school
Study typeEfficacy, Prevention, Quality of life, Treatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleLong-term effects of a structured Shivam Yoga intervention on symptoms, metabolic, and anthropometric parameters in sedentary climacteric women
Study acronymSYCLIMET
Study objectivesTo evaluate the long-term effects of regular Shivam Yoga practice on metabolic syndrome prevalence, anthropometric parameters, blood pressure, biochemical markers, and climacteric symptoms in sedentary women aged 40–65 years.
Ethics approval(s)

Approved 15/10/2018, Research Ethics Committee of the Federal University of Ouro Preto (Campus Universitário Morro do Cruzeiro, Rua Cinco, s/n, Centro de Convergência, Ground Floor, PROPPI Block, Room 1, Bauxita District, Ouro Preto, 35402-163, Brazil; -; cep.propp@ufop.edu.br), ref: 95824318.2.0000.5150

Health condition(s) or problem(s) studiedMetabolic syndrome and climacteric symptoms in sedentary middle-aged women.
InterventionParticipants are randomly assigned 1:1 to a yoga intervention or control group. The yoga group attends twice-weekly 60-minute Shivam Yoga sessions (postures, breathing, relaxation, meditation) for 24 months. The control group maintains their usual lifestyle without structured exercise. Assessments occur at 6, 12, and 24 months.

Randomisation was performed using a computer-generated random sequence in Microsoft Excel, with simple randomisation and no restrictions.
Intervention typeBehavioural
Primary outcome measurePrevalence of metabolic syndrome measured using Joint Interim Statement (JIS) diagnostic criteria at baseline, 6, 12, and 24 months.
Secondary outcome measures1. Fasting glucose, triglycerides, and HDL cholesterol measured using enzymatic spectrophotometric assays at baseline, 6, 12, and 24 months
2. Waist circumference measured using a standard tape at the midpoint between the lower rib and iliac crest at baseline, 6, 12, and 24 months
3. Systolic and diastolic blood pressure measured using a digital wrist sphygmomanometer (Bioland® - 3005) at baseline, 6, 12, and 24 months
4. Climacteric symptoms measured using the Kupperman Index questionnaire at baseline, 6, 12, and 24 months
Overall study start date15/10/2018
Completion date30/12/2022

Eligibility

Participant type(s)Healthy volunteer, Patient
Age groupAdult
Lower age limit40 Years
Upper age limit65 Years
SexFemale
Target number of participants102
Total final enrolment57
Key inclusion criteria1. Women aged 40–65 years.
2. Diagnosed with metabolic syndrome according to the Joint Interim Statement (JIS) criteria.
3. Sedentary lifestyle (no regular physical activity in the previous 6 months).
4. Willingness to participate and provide written informed consent.
Key exclusion criteriaWomen reporting significant lifestyle changes, initiation of exercise programs, or new medication use were excluded from the analysis.
Date of first enrolment01/11/2018
Date of final enrolment02/09/2021

Locations

Countries of recruitment

  • Brazil

Study participating centre

Federal University of Ouro Preto (Universidade Federal de Ouro Preto – UFOP)
Campus Universitário Morro do Cruzeiro, Rua Cinco, s/n, prédio do Centro de Convergência, andar térreo, bloco PROPPI, sala 1, Bairro Bauxita
Ouro Preto
35.402-163
Brazil

Sponsor information

Funders

Funder type

Government

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

No information available

Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG)

No information available

Results and Publications

Intention to publish date30/12/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planStudy findings are planned for publication in peer-reviewed journals and dissemination through academic conferences. The main manuscript, titled “Impact of a Yoga Intervention Over 6, 12, and 24 Months in Sedentary Climacteric Women with Metabolic Syndrome,” is currently under final revision for publication. Additional papers exploring hormonal and molecular outcomes are being prepared.
IPD sharing planThe datasets generated and/or analysed during the current study will be available upon reasonable request to the corresponding author (Dr Laura Alves Cota e Souza, laura.cota@aluno.ufop.edu.br) and after approval by the Research Ethics Committee of the Federal University of Ouro Preto.
Only de-identified data will be shared, including anthropometric, biochemical, and questionnaire results. Data will be made available for research purposes only, upon submission of a brief proposal describing the intended use and analysis plan. Participant consent covered the use of anonymized data for secondary analyses. No personal identifiers will be shared.

Editorial Notes

30/10/2025: Trial's existence confirmed by Research Ethics Committee of the Federal University of Ouro Preto.