Division of Epidemiology and Public Health, University of Nottingham, Nottingham, United Kingdom.
The Nottingham Centre for Evidence-Based Healthcare: A Joanna Briggs Institute Centre of Excellence, Nottingham, United Kingdom.
Front Public Health. 2020 Nov 17;8:548674. doi: 10.3389/fpubh.2020.548674. eCollection 2020.
Many Indians are at high-risk of type-2 diabetes mellitus (T2DM). Yoga is an ancient Indian mind-body discipline, that has been associated with improved glucose levels and can help to prevent T2DM. The study aimed to systematically develop a Yoga program for T2DM prevention (YOGA-DP) among high-risk people in India using a complex intervention development approach. As part of the intervention, we developed a booklet and a high-definition video for participants and a manual for YOGA-DP instructors. A systematic iterative process was followed to develop the intervention and included five steps: (i) a systematic review of the literature to generate a list of Yogic practices that improves blood glucose levels among adults at high-risk of or with T2DM, (ii) validation of identified Yogic practices by Yoga experts, (iii) development of the intervention, (iv) consultation with Yoga, exercise, physical activity, diet, behavior change, and/or diabetes experts about the intervention, and (v) pretest the intervention among Yoga practitioners and lay people (those at risk of T2DM and had not practiced Yoga before) in India. YOGA-DP is a structured lifestyle education and exercise program, provided over a period of 24 weeks. The exercise part is based on Yoga and includes Shithilikarana Vyayama (loosening exercises), Surya Namaskar (sun salutation exercises), Asana (Yogic poses), Pranayama (breathing practices), and Dhyana (meditation) and relaxation practices. Once participants complete the program, they are strongly encouraged to maintain a healthy lifestyle in the long-term. We systematically developed a novel Yoga program for T2DM prevention (YOGA-DP) among high-risk people in India. A multi-center feasibility randomized controlled trial is in progress in India.
许多印度人面临 2 型糖尿病（T2DM）的高风险。瑜伽是一种古老的印度身心修炼方法，与改善血糖水平有关，并有助于预防 T2DM。本研究旨在使用复杂的干预措施开发方法，在印度高风险人群中系统地开发一种用于 T2DM 预防的瑜伽方案（YOGA-DP）。作为干预措施的一部分，我们为参与者开发了一本小册子和高清视频，以及一本 YOGA-DP 指导员手册。采用系统的迭代过程来开发干预措施，包括五个步骤：（i）系统审查文献，生成可改善高风险或患有 T2DM 的成年人血糖水平的瑜伽练习列表，（ii）由瑜伽专家验证确定的瑜伽练习，（iii）制定干预措施，（iv）就干预措施与瑜伽、运动、身体活动、饮食、行为改变和/或糖尿病专家进行协商，以及（v）在印度对瑜伽练习者和非专业人士（有 T2DM 风险且以前未练习过瑜伽的人）进行干预预测试。YOGA-DP 是一种结构化的生活方式教育和锻炼计划，持续 24 周。锻炼部分基于瑜伽，包括 Shithilikarana Vyayama（放松练习）、Surya Namaskar（太阳敬礼练习）、Asana（瑜伽姿势）、Pranayama（呼吸练习）、Dhyana（冥想）和放松练习。一旦参与者完成该计划，强烈鼓励他们长期保持健康的生活方式。我们在印度高风险人群中系统地开发了一种新的 T2DM 预防瑜伽方案（YOGA-DP）。一项多中心可行性随机对照试验正在印度进行。
