Effect of a yoga intervention on hypertensive diabetic patients

Shantakumari, Nisha; Sequeira, Sheifa; Eldeeb, Rasha

doi:10.3126/jaim.v1i2.6526

Cited by 15 publications

(28 citation statements)

References 15 publications

(12 reference statements)

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“…The total sample size ranged from 20 to 277. A total of 11 RCTs were carried out in four countries, including the UK, India, Cuba and Iran. Two RCTs were carried out by Gordon et al .…”

Section: Resultsmentioning

confidence: 99%

“…Two RCTs were carried out by Gordon et al . on the same study population, and another two RCTs were carried out by Shantakumari et al ,. also on the same study population.…”

Section: Resultsmentioning

confidence: 99%

“…Another 13 candidate studies were excluded for various reasons (Figure 1). Finally, 12 RCTs were selected for the present meta-analysis [14][15][16][17][18][26][27][28][29][30][31][32] .…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

“…A total of 11 RCTs were carried out in four countries, including the UK 15,27 , India 14,16,[28][29][30][31][32] , Cuba 17,18 and Iran 26 . Two RCTs were carried out by Gordon et al 17,18 on the same study population, and another two RCTs were carried out by Shantakumari et al 16,30 , also on the same study population. Follow-up periods varied from 15 days to 9 months.…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

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Effects of yoga in adults with type 2 diabetes mellitus: A meta‐analysis

Cui

Yan

et al. 2016

J of Diabetes Invest

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Aims/IntroductionA meta‐analysis was carried out to evaluate the efficacy of yoga in adults with type 2 diabetes mellitus.Materials and MethodsThe PubMed, EMBASE and Cochrane databases were searched to obtain eligible randomized controlled trials. The primary outcome was fasting blood glucose, and the secondary outcomes included glycosylated hemoglobin A1c, total cholesterol, high‐density lipoprotein cholesterol, low‐density lipoprotein cholesterol, triglyceride and postprandial blood glucose. Weighted mean differences and 95% confidence intervals (CIs) were calculated. The I 2 statistic represented heterogeneity.ResultsA total of 12 randomized controlled trials with a total of 864 patients met the inclusion criteria. The pooled weighted mean differences were −23.72 mg/dL (95% CI −37.78 to −9.65; P = 0.001; I 2 = 82%) for fasting blood glucose and −0.47% (95% CI −0.87 to −0.07; P = 0.02; I 2 = 82%) for hemoglobin A1c. The weighted mean differences were −17.38 mg/dL (95% CI −27.88 to −6.89; P = 0.001; I 2 = 0%) for postprandial blood glucose, −18.50 mg/dL (95% CI −29.88 to −7.11; P = 0.001; I 2 = 75%) for total cholesterol, 4.30 mg/dL (95% CI 3.25 to 5.36; P < 0.00001; I 2 = 10%) for high‐density lipoprotein cholesterol, −12.95 mg/dL (95% CI −18.84 to −7.06; P < 0.0001; I 2 = 37%) for low‐density lipoprotein cholesterol and −12.57 mg/dL (95% CI −29.91 to 4.76; P = 0.16; I 2 = 48%) for triglycerides.ConclusionsThe available evidence suggests that yoga benefits adult patients with type 2 diabetes mellitus. However, considering the limited methodology and the potential heterogeneity, further studies are necessary to support our findings and investigate the long‐term effects of yoga in type 2 diabetes mellitus patients.

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“…The total sample size ranged from 20 to 277. A total of 11 RCTs were carried out in four countries, including the UK, India, Cuba and Iran. Two RCTs were carried out by Gordon et al .…”

Section: Resultsmentioning

confidence: 99%

“…Two RCTs were carried out by Gordon et al . on the same study population, and another two RCTs were carried out by Shantakumari et al ,. also on the same study population.…”

Section: Resultsmentioning

confidence: 99%

“…Another 13 candidate studies were excluded for various reasons (Figure 1). Finally, 12 RCTs were selected for the present meta-analysis [14][15][16][17][18][26][27][28][29][30][31][32] .…”

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

Section: Search Results and Study Characteristicsmentioning

confidence: 99%

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Effects of yoga in adults with type 2 diabetes mellitus: A meta‐analysis

Cui

Yan

et al. 2016

J of Diabetes Invest

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“…The weighted mean effect sizes ( d + ) are positive for differences that favor the intervention relative to the comparison group. k , number of interventions; CI, confidence interval; Q , homogeneity statistic; I 2 , consistency of the effect sizes. a Outliers were detected for hemoglobin A1c (Beena & Sreekumaran, 2013; Popli et al, 2014; Sharma et al, 2015), fasting blood glucose (Balaji & Thirumaran, 2015; Popli et al, 2014; Sharma et al, 2015; Vaishali et al, 2012), and post-prandial glucose (Sharma et al, 2015), total cholesterol (Agte & Tarwadi, 2004), high-density lipoprotein (Balaji & Thirumaran, 2015; Vaishali et al, 2012), systolic blood pressure (Kumar and Kalidasan, 2014a; Shantakumari et al, 2012), and waist-to-hip ratio (Balaji et al, 2011; Sri et al, 2014). The magnitude and direction of the weighted mean ES that included the outlier(s) was generally consistent with the above outcomes (hemoglobin A1c: d + = 1.06, 95% CI = 0.64, 1.47, k = 21; fasting blood glucose: d + = 0.90, 95% CI = 0.61, 1.19, k = 24; post-prandial glucose: d + = 0.65, 95% CI = 0.31, 0.99, k = 15; total cholesterol: d + = 0.62, 95% CI = 0.38, 0.86, k = 19; high-density lipoprotein: d + = 0.76, 95% CI = 0.42, 1.10, k = 19; waist-to-hip ratio: d + = 0.33, 95% CI = 0.15, 0.51, k = 6).…”

Section: Figmentioning

confidence: 99%

The effects of yoga among adults with type 2 diabetes: A systematic review and meta-analysis

Thind

Lantini

Balletto

et al. 2017

Preventive Medicine

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The purpose of this meta-analysis was to examine the effects of yoga for glycemic control among adults with type 2 diabetes (T2DM). Comprehensive electronic databases searches located 2559 unique studies with relevant key terms. Studies were included if they (1) evaluated a yoga intervention to promote T2DM management, (2) used a comparison group, (3) reported an objective measure of glycemic control at post-intervention, and (4) had follow-up length or post-test of at least 8 weeks from baseline. Independent raters coded participant, design and methodological characteristics and intervention content. Summary effect sizes and 95% confidence intervals (CI) were calculated. Twenty-three studies with 2473 participants (mean age = 53 years; 43% women) met eligibility criteria. Compared with controls, yoga participants were successful in improving their HbA1c (d + = 0.36, 95% CI = 0.16, 0.56; k = 16), FBG (d+ = 0.58, 95% CI = 0.40, 0.76; k = 20), and PPBG (d + = 0.40, 95% CI = 0.23, 0.56; k = 14). Yoga was also associated with significant improvements in lipid profile, blood pressure, body mass index, waist/hip ratio and cortisol levels. Overall, studies satisfied an average of 41% of the methodological quality (MQ) criteria; MQ score was not associated with any outcome (Ps > 0.05). Yoga improved glycemic outcomes and other risk factors for complications in adults with T2DM relative to a control condition. Additional studies with longer follow-ups are needed to determine the long-term efficacy of yoga for adults with T2DM.

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