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瑜伽与顺势疗法联合干预对糖尿病合并高血压患者血糖指标及自主神经变量的影响:一项双臂观察性研究。

Integrated Yoga and Naturopathy Intervention on Glycemic Profile and Autonomic Variables in Co-Existence of Diabetes Mellitus with Hypertension: A Two-Arm Observational Study.

出版信息

Adv Mind Body Med. 2024;38(4):19-24.

Abstract

BACKGROUND

Diabetes Mellitus coexisting with hypertension has received significant global attention and remains a public health challenge in the past two decades. The states of hyperinsulinemia and insulin resistance have been postulated as causes or consequences of hypertension. Evidence shows that alternative systems of medicine can play a significant role in achieving glycemic control. This study aimed to compare and evaluate the impact of yoga and naturopathy-based lifestyles on patients with diabetes mellitus and diabetes mellitus with hypertension.

METHODS

Sixty subjects were recruited into two groups, group 1 (diabetes mellitus with hypertension) and group 2 (diabetes mellitus) based on the inclusion and exclusion criteria. Both the groups underwent naturopathy and yoga intervention for ten days. The glycemic profile and heart rate variability (HRV) of the patients were assessed at the baseline and 10 days after the intervention.

RESULTS

Study resulted in a significant change in both time domain and frequency domain variables (HRV, FBS, and PPBS) in both group 1 and group 2 (P < .05, for all) but the mean difference was more in group 2 with a significant difference between the two groups, P < .05. The diastolic blood pressure significantly decreased only in group 2, whereas the systolic blood pressure decreased in both groups without any difference between the two groups.

CONCLUSION

The results of the present study show that integrated yoga and naturopathy management significantly help in glycemic control and autonomic functions in both groups.

摘要

背景

糖尿病伴高血压已受到全球的广泛关注,在过去二十年中仍然是一个公共卫生挑战。高胰岛素血症和胰岛素抵抗的状态被认为是高血压的原因或后果。有证据表明,替代医学体系可以在控制血糖方面发挥重要作用。本研究旨在比较和评估瑜伽和顺势疗法为基础的生活方式对糖尿病和糖尿病伴高血压患者的影响。

方法

根据纳入和排除标准,将 60 名患者分为两组,组 1(糖尿病伴高血压)和组 2(糖尿病)。两组均接受 10 天的顺势疗法和瑜伽干预。在干预前和干预后 10 天评估患者的血糖谱和心率变异性(HRV)。

结果

研究结果显示,两组的时间域和频域变量(HRV、FBS 和 PPBS)均有显著变化(P <.05,均),但组 2 的平均差异更大,两组之间存在显著差异(P <.05)。只有组 2 的舒张压显著下降,而两组的收缩压均下降,但两组之间无差异。

结论

本研究结果表明,综合瑜伽和顺势疗法管理可显著改善两组患者的血糖控制和自主神经功能。

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