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瑜伽作为代谢综合征的补充疗法:叙述性综述。

Yoga as a complementary therapy for metabolic syndrome: A narrative review.

机构信息

Department of Botany, Fergusson College, Savitribai Phule Pune University, Pune, Maharashtra 411004, India.

Diabetes Laboratory, Interactive Research School for Health Affairs, Bharati Vidyapeeth, Pune, Maharashtra 411043, India.

出版信息

J Integr Med. 2021 Jan;19(1):6-12. doi: 10.1016/j.joim.2020.09.002. Epub 2020 Sep 5.

DOI:10.1016/j.joim.2020.09.002
PMID:32952098
Abstract

Metabolic syndrome (MS) is associated with a sedentary and stressful lifestyle and affects underactive people disproportionately. Yoga is considered to be a low-impact mind-body stress-relieving exercise, and researchers are increasing their focus on the benefits of yoga for managing metabolic disorders. It is also important for physicians and health care professionals to understand the therapeutic efficacy of yoga intervention, in terms of its type, duration and frequency on various MS risk factors. The present review summarizes the current scientific understanding of the effects of yoga on MS risk factors such as glucose homeostasis markers, lipid profile, adipocytokines and cardiovascular risk factors, and discusses the possible mechanisms of action. MEDLINE, PubMed, Scopus and Cochrane Library were searched from their inception up to December 2019, using the keywords "metabolic syndrome," "diabetes," "cardiovascular diseases," "obesity" and "yoga." The literature summarized in this review have shown mixed effects of yoga on MS risk factors and do not provide robust evidence for its efficacy. More rigorous research and well-designed trials that have a higher standard of methodology and evaluate yoga's long-term impacts on MS are needed. Understanding yoga's biochemical and molecular mechanisms of action on various metabolic pathways is also needed.

摘要

代谢综合征(MS)与久坐不动和压力大的生活方式有关,并且对活动不足的人影响更大。瑜伽被认为是一种低冲击的身心减压运动,研究人员越来越关注瑜伽在管理代谢紊乱方面的益处。了解瑜伽干预对各种 MS 风险因素的类型、持续时间和频率的治疗效果,对医生和医疗保健专业人员来说也很重要。本综述总结了目前对瑜伽对葡萄糖稳态标志物、血脂谱、脂肪细胞因子和心血管风险因素等 MS 风险因素影响的科学认识,并讨论了可能的作用机制。使用“代谢综合征”、“糖尿病”、“心血管疾病”、“肥胖”和“瑜伽”等关键词,从建立到 2019 年 12 月,在 MEDLINE、PubMed、Scopus 和 Cochrane Library 中进行了检索。本综述中总结的文献表明瑜伽对 MS 风险因素的影响不一,并且不能为其疗效提供有力证据。需要进行更严格的研究和精心设计的试验,以提高方法学标准,并评估瑜伽对 MS 的长期影响。了解瑜伽对各种代谢途径的生化和分子作用机制也很重要。

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