Yoga-based lifestyle treatment and composite treatment goals in Type 2 Diabetes in a rural South Indian setup- a retrospective study

Abstract

This multicentre retrospective study examined the effects of adjunct yoga-treatment in achieving composite cardiovascular goals for type 2 diabetes (T2D), set forth by the American Diabetes Association (ADA) in rural Indian settings. Records were extracted for 146 T2D patients, aged ≥20-70 years, and treated under the "Apollo Total Health Programme" for rural diabetes management, for the period April 2016 to November 2016. The study cohort comprised of two treatment groups (n = 73 each); non-yoga group (standard of care) and yoga group (adjunct yoga-treatment). Propensity score matching was applied between the study groups to define the cohort. Composite cardiovascular scores were based on the combination of individual ADA goals; A1c < 7%, blood pressure (BP) < 140/90 mmHg, stringent BP (<130/80 mmHg) and lipid, LDL-C < 100 mg/dl [risk factor for atherosclerotic cardiovascular disease]. Logistic regression was used to compare between the two treatment groups. Compared to standard of care, adjunct yoga-treatment was found to significantly facilitate the attainment of ADA composite score by 8-fold; A1c, ~2-fold; LDL-C, ~2-fold; BP < 140/90 mmHg and <130/80 mmHg by ~8-and ~6-fold respectively. This study provides the first evidence for significant efficacy of adjunct yoga-treatment for the attainment of favourable treatment goals for T2D in rural Indian settings. Clinical Trial Registration Number: CTRI/2020/02/0232790

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 –…”

Yoga as a holistic approach for stress management in Oral Cancer patients. A prospective study

“…(2020) provided the first evidence for significant efficacy of adjunct yoga-treatment for the attainment of favorable treatment goals for Type 2 Diabetes in rural Indian settings. [ 19 ] Yoga, as a lifestyle intervention has been reported to lead to beneficial health outcomes related to cardiovascular and metabolic disorders including Type 2 Diabetes. Based on its high reported receptivity and cost-effectiveness, Yoga holds a strong potential as a lifestyle management skill in Indian scenario.…”

Effect of Community-Based Structured Yoga Program on Hba1c Level among Type 2 Diabetes Mellitus Patients

“…Yoga, as a lifestyle intervention, has been reported to lead to beneficial health outcomes related to cardiovascular and metabolic disorders including T2-DM. [ 5 6 7 ] Some studies suggest the role of yoga in the management of diabetes and other conditions. [ 8 9 ] The promising benefits of yoga interventions for T2-DM have also been recorded in a recent systematic review.…”

“…[ 7 ] Collectively, findings suggest that yogic practices may promote significant improvements in several indices in T2-DM management, including glycemic control, lipid levels, and body composition and overall quality of life of diabetes patients. [ 5 10 11 12 ]…”