Effectiveness Of Yoga Versus Exercise on Lipid Profile, BMI, And Blood Pressure Among Patients with Type II Diabetes Mellitus - A Community Based Randomised Control Trial
Keywords:diabetes mellitus, yoga, exercise, lipid profile, randomised control trial
Context/Background: Lifestyle interventions have proven to reduce the incidence of type 2 diabetes mellitus and prevent the complications. Yoga is considered safe, simple to learn, and can be practiced even by ill, obese, elderly, or disabled persons at home. The present study was conducted to assess the effect of one year of yoga therapy on lipid profile, BMI, and blood pressure in subjects with type 2 diabetes mellitus.
Methodology: This randomized controlled trial was conducted in an Urban Health center, Belagavi from July 2018 to December 2019. Around 120 participants diagnosed with type 2 diabetes mellitus were randomized into “Yoga” and “Exercise” groups. Fasting lipid profile, BMI, and blood pressure were examined at baseline, six months, and after one year of intervention.
Results: GEE model analysis showed that there were significant effects of Intervention × Time on Cholesterol (p=0.001), LDL (p=0.006) and VLDL (p=0.000). It was identified that the exercise intervention was found to decrease cholesterol and TG significantly more than the yoga group. Also, there was a significant reduction in BMI in both the exercise and yoga groups at the end of six months and one year (p=0.247).
Conclusions: Yoga can be a complementary therapy for type 2 diabetes, along with medications and exercise.
American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes care. 2014 Jan 1;37(Supplement 1):S81-90. Doi: https://doi.org/10.2337/dc14-S081 PMid:24357215
Violi F, Targher G, Vestri A, Carnevale R, Averna M, Farcomeni A, Lenzi A, Angelico F, Cipollone F, Pastori D. Effect of aspirin on renal disease progression in patients with type 2 diabetes: A multicenter, double-blind, placebo-controlled, randomized trial. The re-naLdisEase progression by aspirin in diabetic pAtients (LEDA) trial. Rationale and study design. American heart journal. 2017 Jul 1;189:120-7. Doi: https://doi.org/10.1016/j.ahj.2017.04.005 PMid:28625368
World Health Organization. Global Report on Diabetes. France: World Health Organization.
InternationalDiabetesFederation.https://idf.org/.Accessedon21 September 2022.
Pradeepa R, Mohan V. Epidemiology of type 2 diabetes in India. Indian J Ophthalmol. 2021 Nov;69(11):2932-2938. doi: 10.4103/ijo.IJO_1627_21. Doi: https://doi.org/10.4103/ijo.IJO_1627_21 PMid:34708726 PMCid:PMC8725109
Fowler MJ. Microvascular and macrovascular complications of diabetes. Clinical diabetes. 2008 Apr 1;26(2):77-82. Doi: https://doi.org/10.2337/diaclin.26.2.77
American Diabetes Association. Standards of Medical Care in Diabetes-2016: Summary of Revisions. Diabetes Care 2016;39 Suppl 1:S4-5. Doi: https://doi.org/10.2337/dc16-S003 PMid:26696680
Ade FA, Ranjit MA, Mary BW. Global Account of Barriers and Facilitators of Physical Activity Among Patients with Diabetes Melli-tus: A Narrative Review of the Literature. Current Diabetes Reviews 2016;12:440-448. Doi: https://doi.org/10.2174/1573399812666160609102956 PMid:27291764
Rankin-Box D. The science of yoga - what research reveals, 2015.
Woodyard C. Exploring the therapeutic effects of yoga and its ability to increase quality of life. Int J Yoga 2011;4:49-54. Doi: https://doi.org/10.4103/0973-6131.85485 PMid:22022122 PMCid:PMC3193654
Garfinkel M, Schumacher HR, Jr. Yoga. Rheum Dis Clin North Am 2000;26:125-132, x. Doi:https://doi.org/10.1016/S0889-857X(05)70126-5
DiBenedetto M, Innes KE, Taylor AG, . Effect of a gentle yogaprogram on gait in the elderly: an exploratory study. Arch Phys Med Re-habil2005;86:1830-1837. Doi: https://doi.org/10.1016/j.apmr.2005.03.011 PMid:16181950
Raub JA. Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review. J Altern Complement Med 2002;8:797-812. Doi: https://doi.org/10.1089/10755530260511810 PMid:12614533
Alexander GK, Taylor AG, Innes KE, "Contextualizing the effects of yoga therapy on diabetes management: a review of the social de-terminants of physical activity" .Fam Community Health 2008;31:228-239. Doi: https://doi.org/10.1097/01.FCH.0000324480.40459.20 PMid:18552604 PMCid:PMC2720829
Thind H, Lantini R, Balletto BL, Donahue ML, Salmoirago-Blotcher E, Bock BC, Scott-Sheldon LA. The effects of yoga among adults with type 2 diabetes: A systematic review and meta-analysis. Preventive medicine. 2017;105:116-26. Doi: https://doi.org/10.1016/j.ypmed.2017.08.017 PMid:28882745 PMCid:PMC5653446
Viswanathan V, Sivakumar S, Sai Prathiba A, Devarajan A, George L, Kumpatla S. Effect of yoga intervention on biochemical, oxidative stress markers, inflammatory markersand sleep quality among subjects with type 2 diabetes in South India: Results from the SATYAM project. Diabetes Res Clin Pract. 2021 Feb;172:108644. Doi: https://doi.org/10.1016/j.diabres.2020.108644 PMid:33359750
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717736/ accessed on 24/09/2022
Majhi, Madan M.; Bhatnagar, Nidhi. Updated B.G Prasad's classification for the year 2021: consideration for new base year 2016. Journal of Family Medicine and Primary Care: November 2021 - Volume 10 - Issue 11 - p 4318-4319. Doi: https://doi.org/10.4103/jfmpc.jfmpc_987_21 PMid:35136812 PMCid:PMC8797132
IDF Diabetes Atlas, Sixth Edition, http://www.idf.org/diabetesatlas/update-2014.
Hamasaki H. Daily physical activity and type 2 diabetes: A review. World J Diabetes 2016;7:243-251. Doi: https://doi.org/10.4239/wjd.v7.i12.243 PMid:27350847 PMCid:PMC4914832
Telles S, Naveen VK, Balakrishna A, Kumar S. Short term health impact of a yoga and diet change program on obesity. Med Sci Monit 2010; 16: 35-40
Sreedevi A, Gopalakrishnan UA, Ramaiyer SK, Kamalamma L. A randomized controlled trial of the effect of yoga and peer support on glycaemic outcomes in women with type 2 diabetes mellitus: a feasibility study. BMC complementary and alternative medicine. 2017 Dec;17(1):1-8. Doi: https://doi.org/10.1186/s12906-017-1574-x PMid:28173786 PMCid:PMC5297169
Dutta D, Bhattacharya S, Sharma M, Khandelwal D, Surana V, Kalra S. Effect of yoga on glycemia and lipid parameters in type-2 diabe-tes: a meta-analysis. Journal of Diabetes & Metabolic Disorders. 2021 Feb 1:1-9. Doi: https://doi.org/10.1007/s40200-021-00751-0 PMid:34178843 PMCid:PMC8212260
Isayeva AS, Vovchenko MM, Galchynska VY. Blood lipids and anthropometric parameters in healthy subjects practicing yoga or re-sistance training in leisure time. What matters: type or intensity of physical activity? Pol MerkurLekarski. 2021 Jun 1;49(291):203-8.
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