Angadi Praveen, Jagannathan Aarti, Thulasi Arun, Kumar Vinod, Umamaheshwar K, Raghuram Nagarathna
Division of Yoga and Life Sciences, S-VYASA, Bengaluru, Karnataka, India.
Department of Psychiatric Social Work, Psychiatric Rehabilitation Services, NIMHANS, Bengaluru, Karnataka, India.
Int J Yoga. 2017 Jan-Apr;10(1):29-36. doi: 10.4103/0973-6131.186159.
To study the adherence to yoga and its effects on blood glucose parameters in patients with Type 2 Diabetes Mellitus.
A single group longitudinal study over 6 months was conducted at VASK yoga centre, Bangalore. Fasting Blood Sugar, Post Prandial Blood Sugar Levels and Glycosylated Hemoglobin and qualitative in-depth interview of the participants and therapist was conducted at baseline, end of 3 month and end of 6 months; intermediate observations was conducted at the end of every month.
Adherence to yoga in the community in Bangalore is around 50% over 6 months. Participants who completed the yoga programme had significantly lower HbA1c (end of 3 month). At the end of 6 months yoga adherence was significantly negatively correlated with FBS and stress. Further there was a trend towards those who dropped out having higher FBS, controlling for medication intake, stress levels and diet pattern (OR = 1.027, = 0.07). Qualitative data revealed that most of the participants joined and completed the yoga programme to help cure their diabetes. Participants who dropped out from the yoga programme gave reasons of travel, ill-health and increased work-load at office.
Adherence to yoga has an effect on the blood glucose parameters in diabetes. Hence, strategies to motivate participants to undergo 'lifestyle modification practices' including maximizing adherence to yoga should be the focus to experience any beneficial effects of yoga.
研究2型糖尿病患者对瑜伽的依从性及其对血糖参数的影响。
在班加罗尔的VASK瑜伽中心进行了一项为期6个月的单组纵向研究。在基线、3个月末和6个月末测量空腹血糖、餐后血糖水平和糖化血红蛋白,并对参与者和治疗师进行定性深入访谈;每月末进行中间观察。
班加罗尔社区中6个月内对瑜伽的依从率约为50%。完成瑜伽课程的参与者的糖化血红蛋白水平显著降低(3个月末)。在6个月末,瑜伽依从性与空腹血糖和压力显著负相关。此外,在控制药物摄入、压力水平和饮食模式的情况下,退出者的空腹血糖有升高趋势(比值比=1.027,P=0.07)。定性数据显示,大多数参与者参加并完成瑜伽课程是为了帮助治愈他们的糖尿病。退出瑜伽课程的参与者给出的原因是旅行、健康不佳和办公室工作量增加。
坚持瑜伽对糖尿病患者的血糖参数有影响。因此,激励参与者进行“生活方式改变实践”的策略,包括最大限度地提高对瑜伽的依从性,应该成为体验瑜伽任何有益效果的重点。