瑜伽与饮食干预联合方法对代谢综合征患者应激衰减的影响。

Jitender Sorout, Sudhanshu Kacker, Neha Saboo, Munesh Kumar
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摘要

背景:持续暴露于社会心理压力与代谢性疾病的风险增加有关,包括肥胖、心血管疾病(CVD)和2型糖尿病(T2DM)。代谢综合征是由不健康的生活方式造成的,包括久坐不动的生活方式、不健康的饮食以及心理困扰,这些都可能引发这些代谢失调。瑜伽包括各种身心练习,如姿势、呼吸、冥想和放松。研究表明,即使是一次瑜伽练习也能改善认知功能、氧饱和度、压力反射敏感性、交感迷走神经平衡,以及身体从压力刺激中恢复的能力。因此,本研究旨在探讨瑜伽与饮食干预相结合的方法对代谢综合征患者的应激衰减效果。方法:在本研究中,我们根据2009年联合中期声明将200名被诊断为代谢综合征的受试者随机分为对照组和联合(瑜伽+饮食)组,干预时间为6个月。在基线、3个月和6个月时采集人体测量、生理、感知应激评分和生化参数。结果:研究结果表明,从基线开始的3个月和6个月,瑜伽与饮食相结合的方法显著降低了代谢危险因素(腰围、收缩压、舒张压、空腹血糖和甘油三酯),并改善了高密度脂蛋白。在联合(瑜伽+饮食)干预后的3个月和6个月,感知压力得分也显示出大幅下降。结论:瑜伽+饮食联合干预可有效降低代谢综合征和感知应激风险。
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Stress Attenuation Effect of Combined Approach of Yoga and Diet Intervention Among Metabolic Syndrome Patients.

Background: Persistent exposure to psychosocial stress is linked to an increased risk of metabolic disease, including obesity, cardiovascular disease (CVD), and Type-2 diabetes mellitus (T2DM). Metabolic syndrome is driven by an unhealthy lifestyle encompassing a sedentary lifestyle and unhealthy diet as well as psychological distress, which potentially triggers these metabolic derailments. Various mind-body practices, such as postures, breathing, meditation, and relaxation, are included in yoga. Studies suggest that even one yoga session can improve cognitive function, oxygen saturation, baroreflex sensitivity, sympathovagal balance, and the body's ability to recover from stressful stimuli. Therefore, this study aimed to explore the stress attenuation effect of a combined approach of yoga and diet intervention among metabolic syndrome patients.

Methodology: In this study we randomized 200 subjects diagnosed with metabolic syndrome as per the Joint interim statement 2009 into control and combined (yoga+diet) groups according to their intervention which was given for 6 months. Anthropometric, physiological, perceived stress score and biochemical parameters were collected at baseline, 3 months and 6 months.

Results: The study's findings show that, at three and six months from baseline, the combined yoga with diet approach significantly reduced metabolic risk factors (waist circumference, SBP, DBP, fasting blood glucose, and triglycerides) and improved HDL. At three and six months following the combined (yoga+diet) intervention, the perceived stress score also showed a substantial reduction.

Conclusion: Combined (yoga+diet) interventions are effective in lowering the risk of metabolic syndrome and perceived stress.

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