Sorout Jitender, Kacker Sudhanshu, Saboo Neha, Kumar Munesh
Department of Physiology, RUHS College of Medical Sciences, Jaipur, Rajasthan, India.
Department of Gastroenterology, RUHS College of Medical Sciences, Jaipur, Rajasthan, India.
J Family Med Prim Care. 2024 Aug;13(8):3017-3025. doi: 10.4103/jfmpc.jfmpc_1845_23. Epub 2024 Jul 26.
A group of related risk factors known as central obesity, elevated blood pressure, impaired fasting glucose, elevated triglycerides (TGs), and low levels of high-density lipoprotein (HDL) are collectively referred to as metabolic syndrome (MetS). A low quality of life (QoL) in terms of health is linked to MetS. This study sought to determine how lifestyle modifications affected the health-related quality of life (HRQoL) of primary care patients with MetS.
In this study, we randomized 300 subjects diagnosed with MetS as per the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) criteria, into control, yoga, and yoga + diet groups according to their intervention which was given for 6 months. Socio-demographic, anthropometric, and physiological and biochemical parameters were collected at baseline, 3 months, and 6 months. The 36-Item Short Form Health Survey (SF-36) was also used to assess HRQoL.
The results of this study indicate that yoga + diet and yoga intervention led to significant decrease in metabolic risk factors, such as waist circumference (WC), systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting blood glucose (FBG), TGs, and increase in HDL at 3 months and 6 months from baseline. SF-36 score also showed increment (from 0 score to 100) at 3 months and 6 months, which indicates improvement in HRQoL.
Dietary changes and yoga are useful strategies for reducing the risk of MetS, which improves QoL in relation to health. Incorporating yoga practices and advocating a balanced diet within primary care systems can significantly benefit individuals with or at risk of MetS.
一组相关的风险因素，即中心性肥胖、血压升高、空腹血糖受损、甘油三酯（TGs）升高和高密度脂蛋白（HDL）水平降低，统称为代谢综合征（MetS）。健康方面的低生活质量（QoL）与代谢综合征相关。本研究旨在确定生活方式的改变如何影响初级保健中患有代谢综合征患者的健康相关生活质量（HRQoL）。
在本研究中，我们根据美国国家胆固醇教育计划成人治疗小组第三次报告（NCEP ATP III）标准，将300名被诊断为患有代谢综合征的受试者，按照他们接受的为期6个月的干预措施，随机分为对照组、瑜伽组和瑜伽+饮食组。在基线、3个月和6个月时收集社会人口统计学、人体测量学以及生理和生化参数。还使用36项简短健康调查问卷（SF-36）来评估健康相关生活质量。
本研究结果表明，瑜伽+饮食和瑜伽干预导致代谢风险因素显著降低，如腰围（WC）、收缩压（SBP）、舒张压（DBP）、空腹血糖（FBG）、甘油三酯（TGs），并且在3个月和6个月时，与基线相比高密度脂蛋白（HDL）增加。SF-36评分在3个月和6个月时也有所增加（从0分增至100分），这表明健康相关生活质量有所改善。
饮食改变和瑜伽是降低代谢综合征风险的有效策略，这会改善与健康相关的生活质量。在初级保健系统中纳入瑜伽练习并倡导均衡饮食，对患有代谢综合征或有代谢综合征风险的个体可带来显著益处。
