Diabetic yoga protocol improves glycemic, anthropometric and lipid levels in high risk individuals for diabetes: a randomized controlled trial from Northern India

Abstract

Purpose To study the effectiveness of diabetic yoga protocol (DYP) against management of cardiovascular risk profile in a high-risk community for diabetes, from Chandigarh, India. Methods The study was a randomized controlled trial, conducted as a sub study of the Pan India trial Niyantrita Madhumeha Bharath (NMB). The cohort was identified through the Indian Diabetes Risk Scoring (IDRS) (≥ 60) and a total of 184 individuals were randomized into intervention (n = 91) and control groups (n = 93). The DYP group underwent the specific DYP training whereas the control group followed their daily regimen. The study outcomes included changes in glycemic and lipid profile. Analysis was done under intent-to-treat principle. Results The 3 months DYP practice showed diverse results showing glycemic and lipid profile of the high risk individuals. Three months of DYP intervention was found to significantly reduce the levels of post-prandial glucose levels (p = 0.035) and LDL-c levels (p = 0.014) and waist circumference (P = 0.001). Conclusion The findings indicate that the DYP intervention could improve the metabolic status of the high-diabetes-risk individuals with respect to their glucose tolerance and lipid levels, partially explained by the reduction in abdominal obesity. The study highlights the potential role of yoga intervention in real time improvement of cardiovascular profile in a high diabetes risk cohort. Trial registration: CTRI, CTRI/2018/03/012804. Registered 01 March 2018—Retrospectively registered, http://www.ctri.nic.in/CTRI/2018/03/012804.

The Effect of Yoga on the Lipid Profile: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

“…Of the 53 included studies, 36 were conducted in India ( 3 , 7 , 12 – 44 ), but two effect sizes were extracted from Rani et al ( 13 ), four effect sizes from Murthy et al ( 25 ), and two effect sizes from P. A et al ( 27 ), as well as six in the United States ( 6 , 45 – 49 ), and three in China ( 2 , 5 , 50 ). Seven studies were conducted on women ( 2 , 19 , 37 , 49 , 51 – 53 ), six on men ( 6 , 16 , 18 , 22 , 31 , 34 ), and the remaining studies were conducted on both genders ( 3 , 5 , 7 , 12 – 15 , 17 – 21 , 23 , 25 – 30 , 32 , 33 , 35 , 37 – 48 , 50 , 54 – 59 ). Included 37 studies had assessed BMI ( 2 , 5 – 7 , 12 , 13 , 15 – 19 , 21 , 22 , 24 , 27 – 31 , 33 , 34 , 36 – 38 , 40 – 43 , 46 – 49 , 52 , 53 , 56 –…”

“…Seven studies were conducted on women ( 2 , 19 , 37 , 49 , 51 – 53 ), six on men ( 6 , 16 , 18 , 22 , 31 , 34 ), and the remaining studies were conducted on both genders ( 3 , 5 , 7 , 12 – 15 , 17 – 21 , 23 , 25 – 30 , 32 , 33 , 35 , 37 – 48 , 50 , 54 – 59 ). Included 37 studies had assessed BMI ( 2 , 5 – 7 , 12 , 13 , 15 – 19 , 21 , 22 , 24 , 27 – 31 , 33 , 34 , 36 – 38 , 40 – 43 , 46 – 49 , 52 , 53 , 56 – 58 ), 48 studies had measured TC ( 2 , 3 , 6 , 7 , 12 – 43 , 45 – 47 , 49 , 52 – 59 ),4 6 studies had determined LDL-C ( 2 , 3 , 6 , 7 , 12 ...…”

Effect of Yoga and Walking on Glycemic Control for the Management of Type 2 Diabetes: A Systematic Review and Meta-analysis

“…Glycemic control was determined by measuring FBG, PPBG, and HbA1c along with fasting insulin level and HOMA-IR. The effect on FBG was studied in nine studies (9 interventions, n = 1199) 3 , 6 , 12 , 13 , 16 , 17 included in the meta-analysis. Forest plots for FBG in Figure 2(I) show that there was a significant reduction in FBG in the yoga group in comparison to the control group.…”

Is Type 2 Diabetes Mellitus a Behavioural Disorder? An Evidence Review for Type 2 Diabetes Mellitus Prevention and Remission through Lifestyle Modification

“…101 , 102 Clinical studies have demonstrated the use of yoga in lowering blood glucose levels and reducing the incidence of T2DM. 103 , 104 Yoga helps in the activation of anti-stress mechanisms along with parasympathetic activation, aiding lipid metabolism, improving glucose tolerance and increasing the sensitivity to insulin, and hence, the overall psychological and metabolic profiles of patients. 105 , 106 The practice of yoga includes various asanas, mudras, meditation, pranayamas and bandhas that can lower blood glucose levels, as well as control and manage various comorbidities associated with T2DM; thus, yoga is a useful method of T2DM management.…”