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 Table of Contents  
ORIGINAL ARTICLE
Year : 2021  |  Volume : 15  |  Issue : 4  |  Page : 276-279

A case-control study to evaluate quality of life w.s.r. to brahmamuhurta jagarana


Department of Swasthavritta and Yoga, NIA, Jaipur, Rajasthan, India

Date of Submission25-Sep-2020
Date of Decision21-Jul-2021
Date of Acceptance22-Jul-2021
Date of Web Publication16-Dec-2021

Correspondence Address:
Punit Chaturvedi
Assistant Professor, Department of Swasthavritta & Yoga, N.I.A., Jaipur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/joa.joa_136_20

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  Abstract 


Introduction: Now a days, the world's population is facing a lot more psychological problems than physical suffering. "Quality of life" refers to a subjective evaluation which is embedded in a cultural, social, and environmental context. There is a strong relationship between brahma muhurta jagarana and healthy life. This concept needs to be elaborated and explained from the Ayurveda point of view as well as justified with modern views for which this study has been planned. Materials and Methods: Six hundred volunteers were divided into two equal groups having 300 volunteers who had been waking up in brahma muhurta and other 300 volunteers who had not been waking up in the brahma muhurta. The World Health Organization quality of life-BREF was analyzed and compared in both groups. Results: Quality of life, satisfy with health, enjoy in life, able to concentrate, enough energy, satisfied with sleep, and negative feeling have significant better result (P < 0.05) in brahma muhurta jagarana groups as compared to non brahma muhurta jagarana group. Conclusion: Brahma muhurta jagarana is an important part of dinacharya to be adopted to improve the quality of life.

Keywords: Brahma muhurta jagarana, early morning rise, quality of life


How to cite this article:
Chaturvedi P, Devi D. A case-control study to evaluate quality of life w.s.r. to brahmamuhurta jagarana. J Ayurveda 2021;15:276-9

How to cite this URL:
Chaturvedi P, Devi D. A case-control study to evaluate quality of life w.s.r. to brahmamuhurta jagarana. J Ayurveda [serial online] 2021 [cited 2022 Jan 27];15:276-9. Available from: http://www.journayu.in/text.asp?2021/15/4/276/332598




  Introduction Top


Today's busy and hasty life, competitiveness, peer pressure during working hours, high expectations, and lust for luxurious life leads to psychological disturbances in life. The concept of quality of life broadly encompasses how an individual measures the "goodness" of multiple aspects of their life. These evaluations include one's emotional reactions to life occurrences, disposition, sense of life fulfillment, and satisfaction with work and personal relationships.

"Quality of life" refers to a subjective evaluation which is embedded in a cultural, social, and environmental context. It is defined as "individual perceptions of their position in life in the context of culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns."[1] This definition of quality of life focuses on respondent's "perceived" quality of life it is not expected to provide a means of measuring in any detailed fashion symptoms, diseases, or conditions but rather the effects of disease and health interventions on quality of life.

Ayurveda, the science of life is not merely a system of medicine, while it is the one and only medical system which gives the way of perfect living with nature. Even before the World Health Organization gave the definition of total health, Ayurveda had clearly indicated that this involves physical, mental, moral, and spiritual well-being. In other words, Ayurveda maintains the balance and harmony between individuals and their environment. For this purpose, various principles have been described and dinacharya is one of those. The principle of dinacharya basically focuses on day-to-day adjustment of the body toward time. It is an ideal daytime routine recommended for health maintenance. Quality of life is reflection of various activities utilized by individual in their daily routine. No doubt dinacharya also plays a vital role in.

Dinacharya is started with brahma muhurta jagarana.[2] It is an important activity because rest of the activities of individual totally depends on it. There are various references found in Vedic literature that waking up before sunrise is absolutely necessary for health maintenance. Ayurveda also supports this concept and said that. A person who is interested in preserving health and longevity should get up early in the morning in brahma muhurta.[3]

Objective

Present research work has been undertaken to evaluate the effect of "brahma muhurta jagarana" on quality of life.


  Materials and Methods Top


Study design

Case-control study.

Study setting

National Institute of Ayurveda, College, Hospital and surrounding area in Jaipur.

Study period

December 2017 to February 2018.

Informed consent

An informed consent to participate in the study has been taken from volunteers.

Ethical clearance

This study was approved by the Institutional Ethical Committee (IEC) of National Institute of Ayurveda, Jaipur letter no. IEC/ACA/2017/103; dated April 28, 2017.

Sample size

A total of 600 volunteers were randomly selected for this study whose vitals are within the normal limits. They were divided into two groups, i.e., 300 volunteers in each group.

Sampling method

Nonprobability convenient sampling method.

Study population

Healthy volunteers of Jaipur city were taken into a study. Two groups of healthy volunteers had been selected, i.e., Control group and case group. Case group includes who have been waking up regularly in brahma muhurta for at least one year before the date of registration. Control group includes who have not been regularly waking up in the brahma muhurta.

Inclusion criteria

  1. Healthy volunteers between the age group of 16 and 70 years
  2. Persons whose vitals are in within the normal limits are considering a healthy volunteer.


Exclusion criteria

  1. Persons who are suffering from major illness or any systemic diseases
  2. Persons who do not want to participate in this study.


Data collection

Data have been collected with personal interview method from respondents using special proforma based on the World Health Organization quality of life-BREF (WHOQOL-BREF) questionnaire.

Statistical analysis

  1. All the results were calculated using software in stat graph pad 3
  2. Wilcoxon test was used as a test of significance.



  Results Top


The WHOQOL-BREF has 26 questionnaires divided into four domains, namely, physical health, psychological health, social relationship, and environmental domain. Out of satisfy with health, enough energy, satisfied with sleep (physical health), quality of life, enjoy in life, able to concentrate, and negative feeling (psychological health) have significant better result (P < 0.05) in brahma muhurta jagarana groups as compare to non brahmas muhurta jagarana group [Table 1].
Table 1: Comparison of quality of life between volunteers of both groups

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  Discussion Top


People who wake up in brahma muhurta have better quality of life. This is possibly due to increase in serotonin hormone in dawn which acts as mood elevator and provides feel-good factor and a sense of satisfaction to the people who wake up in the brahma muhurta. Many diseases along with bad breathe, constipation, and laziness are only due to not getting up early morning. In the whole night due to less pollution, morning atmosphere is clean and refreshing and we get more oxygen that's why by wake up in early morning and morning walk helps to have more oxygen for breathing. Constipation that is root of many diseases, if the fecal matter remains in the intestine for a longer duration then it starts putrefaction and produces foul odor and gases. Through blood, all these toxins get distributed to the whole body and produce diseases. Along these, if the person does not wake up in the early morning and evacuation of fecal matter and urine is not done then it causes "Apana vayu" aggravation then this "Apana vayu" causes many diseases to manifest.[4] This might be the reason that getting up early in the morning prevents many diseases.

Loss of interest and not enjoying in life is Tama prominent symptom, raja dominant period of brahma muhurta helps to decrease tamas, and also serotonin helps in maintaining interest in different activities. So people can enjoy their life much better. It is important to be free from "tama" to be intellectual. Brahma muhurta jagrana reduces "tama" to perform its functions properly this symptom is due to diminished ability to think and plan. Thinking, planning, making decisions, etc., are the raja's activities of the mind and sattva dominance provides better way of thinking and helps in taking the right decision easier.[5],[6] Serotonin production improves thinking and concentration power.[7] Serotonin secretion increases after suppressing the secretion of melatonin during dawn light, which heighten the memory, and boost up concentration power, better sleep.

Natural daylight helps shut off your body's production of melatonin, a hormone produced at night that makes you drowsy. This can help you maintain a normal circadian rhythm, so person more likely to feel tired at bedtime when it's dark outside. Going outside for 15 min at the same time each day, preferably in the morning, gives your body a clear signal that it's no longer night. Since this will enable sunlight to pass unhindered through your eyes to the brain's pineal gland, triggering the gland to stop releasing melatonin. Melatonin production helps in inducing natural sleeping pattern for which it is necessary to awake at brahma muhurta which maintains circadian rhythm so this might be the reason behind better sleep pattern in brahma muhurta jagarna volunteers.[8]


  Conclusion Top


  1. Both Ayurveda and modern science stated that brahma muhurta have an impeccable effect on the overall health of an individual. It is essential to maintain homeostasis of health.
  2. In the survey, it is found that brahma muhurta did not have much effect on the capacity of work, bodily appearance, and opportunities for leisure activities but it has quite remarkable role in sleep, health, mood swing, and energy.
  3. Thus based on the above points, it can be concluded that brahma muhurta has quite significant role to improve quality of life if followed continuously.


Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.





 
  References Top

1.
World Health Organization (1996) WHO- BREF: Introduction, Administration, Scoring and Generic Version of the Assessment. Geneva: WHO; 1996. Available from: http://www.who.int/mental_health/medi a/en/76.pdf. [Last accessed on 2020 Aug 25].  Back to cited text no. 1
    
2.
Ashtang Hriday, Sutrasthana, Dinacharyaadhyaya, 2/1. Available from: http://niimh.nic.in/ebooks/esushruta/?mod=read. [Last Accessed on 2021 Jul 02].  Back to cited text no. 2
    
3.
Gupta KA. Dincharyaadhyaya, Vaidya Yadunandana Upadhyaya Ashtangahridayam. Varanasi: Chaukhamba Prakashan; 2019. p. 21.  Back to cited text no. 3
    
4.
Charak Samhita, Chikitsasthana, Vatavyadhichikitsitam, 28/310. Available from: http://niimh.nic.in/ebooks/esushruta/?mod=read. [Last accessed on 2021 Jul 02].  Back to cited text no. 4
    
5.
Charak Samhita, Sarirasthana, Mahatigarbhavkrantishaariram, 4/36. Available from: http://niimh.nic.in/ebooks/esushruta/?mod=read. [Last accessed on 2021 Jul 02].  Back to cited text no. 5
    
6.
Charak Samhita, Sarirasthana, Mahatigarbhavkrantishaariram, 4/36. Available from: http://niimh.nic.in/ebooks/esushruta/?mod=read. [Last accessed on 2021 Jul 02].  Back to cited text no. 6
    
7.
Sushruta Samhita, Sarirasthana, Garbhavyakaranashariradhyaya, 4/34. Available from: http://niimh.nic.in/ebooks/esushruta/?mod=read. [Last accessed on 2020 Aug 25].  Back to cited text no. 7
    
8.
Gupta R, Shukla OP, Srivastav V, Venktash. A decent science behind BrahmaMuhurta. Int J Ayurvedic Herb Med 2017;7:3009.  Back to cited text no. 8
    



 
 
    Tables

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Abstract
Introduction
Materials and Me...
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