Jyotsna Viveka P, Ambekar Smita, Singla Rajiv, Joshi Ansumali, Dhawan Anju, Kumar Neeta, Deepak K K, Sreenivas V
Department of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.
Indian J Endocrinol Metab. 2013 May;17(3):480-5. doi: 10.4103/2230-8210.111645.
The aim of this study was to observe the effect comprehensive yogic breathing (Sudarshan Kriya Yoga [SKY] and Pranayam) had on cardiac autonomic functions in patients with diabetes.
This is a prospective randomized controlled intervention trial. Cardiac autonomic functions were assessed in 64 diabetics. Patients were randomized into two groups, one group receiving standard therapy for diabetes and the other group receiving standard therapy for diabetes and comprehensive yogic breathing program. Standard therapy included dietary advice, brisk walking for 45 min daily, and administration of oral antidiabetic drugs. Comprehensive yogic breathing program was introduced to the participants through a course of 12 h spread over 3 days. It was an interactive session in which SKY, a rhythmic cyclical breathing, preceded by Pranayam is taught under the guidance of a certified teacher. Cardiac autonomic function tests were done before and after 6 months of intervention.
In the intervention group, after practicing the breathing techniques for 6 months, the improvement in sympathetic functions was statistically significant (P 0.04). The change in sympathetic functions in the standard therapy group was not significant (P 0.75). Parasympathetic functions did not show any significant change in either group. When both parasympathetic and sympathetic cardiac autonomic functions were considered, there was a trend toward improvement in patients following comprehensive yogic breathing program (P 0.06). In the standard therapy group, no change in cardiac autonomic functions was noted (P 0.99).
Cardiac autonomic functions improved in patients with diabetes on standard treatment who followed the comprehensive yogic breathing program compared to patients who were on standard therapy alone.
本研究旨在观察综合瑜伽呼吸法（苏达山克里亚瑜伽[SKY]和调息法）对糖尿病患者心脏自主神经功能的影响。
这是一项前瞻性随机对照干预试验。对64名糖尿病患者的心脏自主神经功能进行评估。患者被随机分为两组，一组接受糖尿病标准治疗，另一组接受糖尿病标准治疗并进行综合瑜伽呼吸法训练。标准治疗包括饮食建议、每天快走45分钟以及口服降糖药治疗。综合瑜伽呼吸法训练通过在3天内进行的为期12小时的课程向参与者传授。这是一个互动环节，在认证教师的指导下，先教授调息法，然后教授有节奏的循环呼吸法SKY。在干预6个月前后进行心脏自主神经功能测试。
在干预组中，练习呼吸技巧6个月后，交感神经功能的改善具有统计学意义（P<0.04）。标准治疗组交感神经功能的变化不显著（P>0.75）。两组副交感神经功能均未显示出任何显著变化。当同时考虑副交感神经和交感神经的心脏自主神经功能时，接受综合瑜伽呼吸法训练的患者有改善趋势（P<0.06）。在标准治疗组中，未观察到心脏自主神经功能的变化（P>0.99）。
与仅接受标准治疗的患者相比，接受标准治疗并进行综合瑜伽呼吸法训练的糖尿病患者心脏自主神经功能得到改善。
