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瑜伽在预防和管理 2 型糖尿病中的作用机制:叙事综述。

Mechanism of action of yoga on prevention and management of type 2 diabetes mellitus: Narrative review.

机构信息

Department of Molecular Bioscience, Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana Samsthana (S VYASA), Jigani, Bangalore, India.

Division of Yoga and Humanities, Swami Vivekananda Yoga Anusandhana Samsthana (S VYASA), Jigani, Bangalore, India.

出版信息

J Bodyw Mov Ther. 2022 Jan;29:134-139. doi: 10.1016/j.jbmt.2021.10.003. Epub 2021 Oct 20.

DOI:10.1016/j.jbmt.2021.10.003
PMID:35248261
Abstract

BACKGROUND

Research in India has recognized Type 2 Diabetes Mellitus (t2dm) and prediabetes (pdm) as psychosomatic metabolic endocrine disorders characterized by glycemic disharmony. This review aimed at collating information from published e-papers on mechanism of action (MOA) of yoga therapy(YT) and integrated approach of yoga therapy (IAYT) on pdm and t2dm.

METHOD

Content on YT and the MOA on prevention and management of t2dm were extracted from online sources such as PubMed, Google Scholar, Cochrane library and Library genesis. This review included 58 articles related to prediabetes, t2dm, pre-diabetes to t2dm conversion, mechanism of action of Yoga, Yoga and t2dm, prediabetes and yoga. Articles related to type 1 diabetes, diabetes insipidus and gestational diabetes were excluded.

RESULT

Current scientific review resulted in understanding the different mechanisms involved in rejuvenating effect of Yoga as YT and IAYT in prediabetes and t2dm. However, the various mechanisms by which the interventions work are understood either through a single or combined impact on regaining autonomic balance, vagal modulation, regulation of hormones and thereby attaining glycemic control. Moreover, these mechanisms are the forthcomings of the cross talk between brain, mind and body systems under branches of neurophysiology, neuroendocrinology, psychophysiology, psycho neuroendocrinology and/or neuropsychology.

CONCLUSION

Evidence sought from published research works proclaim YT based life style modification for prevention and management of t2dm. Summing up, the effect is stipulated based on the approach, method of practice, time of the day, belief and dedication of the practitioners.

摘要

背景

印度的研究已经将 2 型糖尿病(T2DM)和前驱糖尿病(PDM)认定为以血糖失调为特征的身心代谢内分泌紊乱。本综述旨在整理已发表的电子论文中有关瑜伽疗法(YT)的作用机制(MOA)和综合瑜伽疗法(IAYT)对 PDM 和 T2DM 的信息。

方法

从 PubMed、Google Scholar、Cochrane 图书馆和 Library Genesis 等在线资源中提取有关 YT 以及 T2DM 预防和管理的 MOA 的内容。本综述包括 58 篇与前驱糖尿病、T2DM、前驱糖尿病向 T2DM 转化、瑜伽作用机制、瑜伽与 T2DM、前驱糖尿病与瑜伽相关的文章。排除了与 1 型糖尿病、尿崩症和妊娠期糖尿病相关的文章。

结果

目前的科学综述使我们了解了瑜伽在前驱糖尿病和 T2DM 中具有恢复活力的作用的不同机制,即 YT 和 IAYT。然而,干预措施发挥作用的各种机制要么是通过单一或综合影响来恢复自主平衡、迷走神经调节、激素调节,从而实现血糖控制,要么是通过神经生理学、神经内分泌学、心理生理学、心理神经内分泌学和/或神经心理学等分支下大脑、思想和身体系统之间的串扰来实现。

结论

从已发表的研究工作中寻求的证据宣称 YT 基于生活方式的改变可用于预防和管理 T2DM。总的来说,效果取决于实践者的方法、练习方法、时间、信仰和奉献精神。

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