Effects of Yoga Therapy and Walking Therapy in Reducing Blood Sugar Levels on Diabetes Mellitus Patients in the Community

Abstract

BACKGROUND: The increasing of diabetes mellitus cases in Indonesia may be due to changes in people’s lifestyles, which is lack of exercise. Factors that may contribute to the high prevalence of diabetes mellitus sufferers other than genetics are exacerbated by environmental factors. Exercise interventions have been effective in counterbalancing diabetes complications. Yoga exerts a beneficial effect on insulin kinetics and the resulting lipid profile. Yoga helps redistribute body fat and reduces obesity which may lead to insulin resistance. In addition, other types of physical activity that can be done by diabetes mellitus patients are adequate morning walking while having scenery leisure for 30 min or more. AIM: This study was conducted to determine the effect of yoga therapy and walking therapy on diabetes mellitus patients in the community. METHODS: Quantitative research using randomized control trial, conducted in Gedongan Village, Baki Subdistrict, Sukoharjo Regency, involving 54 samples divided into three groups. Inclusion criteria: Patients with type 2 diabetes mellitus, fasting glucose levels of 126 mg/dl, no complication, and no insulin therapy or diabetes medication. The outcome measured was fasting blood sugar levels. The intervention group performed therapy for 12 weeks with a duration of 3 times a week. RESULTS: The average fasting sugar levels in the yoga group pre (217.00) post (187.72) p (0.001), the walking group averaged pre (209.89) post (193.83) p (0.001), and the control group averaged pre (221.50) post (225.17) p (0.067). CONCLUSION: There was an effect of yoga therapy and walking therapy on reducing fasting glucose levels.

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

“…Three studies were included as a comparison of yoga and walking with the control group. 6 , 12 , 13 These three studies were analyzed in three sub-groups (yoga vs control, walking vs control, and yoga vs walking). A total of 1820 participants (1054 males, 766 females) were included, and the age range of participants was 17–75 years.…”

“…Quantitative outcomes were collected from the included studies 3 , 6 , 12 - 25 for the statistical meta-analysis was performed by using RevMan statistical software (version 5.4.1). In order to pool the measures of treatment effect, a random effects model based on the inverse variance method was used.…”

“… 7 , 8 Scientific research on walking suggests that walking is one of the safest cardiovascular activities that improves glycemic control and insulin sensitivity. 6 , 8 …”

Pelatihan Aktivitas Sosial pada Lansia untuk Mendukung Kemandirian Kesehatan

“…Terapi ini akan memberikan rasa relaks pada tubuh. Peregangan otot terapi yoga dapat menyebabkan otot berkontraksi dan rileks secara teratur, meningkatkan aliran darah (Malini, Putri, & Rahmi, 2019;Yuniartika, Muhlisin, Dian, & Angga, 2021). Exercise dilakukan pada terapi konvensional untuk pergerakan tubuh bagian atas seperti mobilisasi tangan, penguatan otot, reduksi otot tonus, latihan ADL, stabilisasi ataupun perpindahan tubuh lebih efektif dalam meningkatkan ADL daripada menggunakan alat (Kadek, Pari, Fatih, & Marina, 2020) Selain itu dukungan kader dan keluarga dapat meningkatkan kualitas hidup digambarkan dengan memberikan perhatian kepada lansia dalam mengingatkan jadwal kegiatan posyandu lansia, membawa lansia untuk mengikuti senam lansia, mendengarkan pengaduan lansia dan pemberian penghargaan kepada lansia dan motivasi atau dorongan hidup bagi lansia (Yuniartika & Muhammad, 2019).…”

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“…Ketoasidosis diabetik, hiperglikemik hiperosmolar, atau kematian dapat mencakup komplikasi akut. Penyakit jantung, stroke, ginjal kronis penyakit, borok kaki, kerusakan saraf, mata dan kecacatan kognitif adalah komplikasi jangka panjang yang signifikan (Yuniartika et al, 2021).…”