PRACTICE OF YOGA IN PATIENTS WITH DIABETIC PERIPHERAL NEUROPATHY ATTENDING A TERTIARY CARE HOSPITAL IN NORTHERN INDIA: IMPLICATIONS DURING CORONAVIRUS DISEASE-19 PANDEMIC

S. Mor, Karan Singh, S. Wangnoo, T. Bawa, V. Dhikav, Varisha Anjum
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Abstract

Objective: The objective of this study was to determine the prevalence of yoga practice in patients with Diabetic Peripheral Neuropathy (DPN) and to compare its acceptance among patients with chronic diseases other than DPN practicing non-yoga physical activities. Methods: A pre-formed structured questionnaire-based cross-sectional study was conducted with a total of 98 out of 240 patients screened recruited during face to face structured interview, with a diagnosis of DPN. Data on the socio-demographics, age, duration of disease, glycemic controls (hemoglobin A1C [HBA1C] levels), and pain scores, numbness, and physical activity and other comorbid illnesses were collected. Results: A total of 248 pre-diagnosed diabetic patients were screened; 98 study subjects (M: F=66:32) were enrolled with a mean age found to be 55.28 years. As diagnosed clinically and electrophysiologically, the prevalence of peripheral neuropathy was found to be 39.51%. The mean pain score was 3.27. Risk factors for peripheral neuropathy included male sex, advanced age, higher body mass index (%), higher HbA1C (n=67.34%), having a sedentary lifestyle (38.77%), overweight (43, 44.89%), and obesity (21, 21.42%) and <40% belong to the diabetes of duration group of more than 10 years. A total of 16, male: 9 and female: 5 (22.85%) out of 70 subjects were using yoga as physical activity in peripheral neuropathy group and of the control group (non-peripheral neuropathy group), only 8 (25%) out of 25 were doing yoga. The overall proportions were compared using Chi-square, results were non-significant with p=−0.49; Chi-square statistic −0.47. Conclusion: This implies that those with DPN are as likely to accept yoga as a physical activity compared to patients with other chronic illnesses practicing non-yoga physical activities.
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印度北部三级医院糖尿病周围神经病变患者的瑜伽练习:冠状病毒-19大流行期间的影响
目的:本研究的目的是确定糖尿病周围神经病变(DPN)患者瑜伽练习的流行程度,并比较非DPN慢性疾病患者进行非瑜伽体育活动的接受程度。方法:采用预先形成的结构化问卷为基础的横断面研究,在面对面结构化访谈中筛选招募的240例确诊为DPN的患者中,共98例进行研究。收集有关社会人口统计学、年龄、疾病持续时间、血糖控制(血红蛋白A1C [HBA1C]水平)、疼痛评分、麻木、身体活动和其他合并症的数据。结果:共筛查出248例糖尿病前期患者;共纳入98名研究对象(M: F=66:32),平均年龄55.28岁。经临床及电生理诊断,周围神经病变发生率为39.51%。平均疼痛评分为3.27分。周围神经病变的危险因素包括男性、高龄、较高的体重指数(%)、较高的HbA1C (n=67.34%)、久坐的生活方式(38.77%)、超重(43、44.89%)、肥胖(21、21.42%),其中<40%属于病程超过10年的糖尿病组。周围神经病变组70名受试者中有16名(男9名)和5名(女5名)将瑜伽作为体育活动,占22.85%;对照组(非周围神经病变组)25名受试者中只有8名(25%)在做瑜伽。总体比例采用卡方比较,p= - 0.49,结果无统计学意义;卡方统计量为- 0.47。结论:这意味着与其他慢性疾病患者进行非瑜伽运动相比,DPN患者更容易接受瑜伽作为一种体育活动。
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