强化综合瑜伽治疗对2型糖尿病患者血脂、身体成分和胰岛素抵抗的影响

YogaMimamsa Pub Date : 2022-07-01 DOI:10.4103/ym.ym_108_22
Ashween Bilagi, Jintu Kurian, Shilpa Bilagi
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引用次数: 0

摘要

背景:无论年龄大小,胰岛素抵抗(IR)是超重和肥胖人群中2型糖尿病(T2DM)发病的主要原因。本研究旨在评估2周强化综合瑜伽疗法(IIYT)对被诊断为具有较高IR的T2DM超重个体的影响,以及包含āsana(姿势)、prāṇāyāma(呼吸练习)、kriyā(内部清洁技术)、冥想、概念矫正、咨询、瑜伽饮食和虔诚课程。术前和术后的测量是IR(HOMA-IR)、空腹血清胰岛素、脂质概况、身体成分和人体测量的稳态模型评估。结果:HOMA-IR(35.69%,p<0.001)、空腹胰岛素(28%,p<001)、空腹血糖(12.3%,p=0.039)、甘油三酯(15.43%,p=0.003,在受试者中观察到体脂百分比(1.8%,p=0.039),瘦质量百分比(0.95%,p=0.045)和水分百分比(0.99%,p=0.04)显著增加。结论:在超重的2型糖尿病患者中,经常服用IIYT可以调节脂质和人体测量,增加瘦体重,从而控制IR。然而,未来的工作可能会证实本研究的发现。
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Intensive integrated yoga therapy on lipid profile, body composition, and insulin resistance among Type 2 diabetes mellitus
Background: Insulin resistance (IR) is a leading cause of the onset of Type 2 diabetes mellitus (T2DM) among overweight and obese individuals irrespective of their age. This study aimed at assessing the impact of 2 weeks of intensive integrated yoga therapy (IIYT) among overweight individuals diagnosed with T2DM identified with higher IR. Methodology: The current single-group longitudinal pre–post study enrolled adults (n = 30) from a residential health-care center, Bengaluru (India), who were subjected to IIYT, comprising practices at physical, emotional, and intellectual levels incorporating āsana (postures), prāṇāyāma (breathing exercise), kriyā (internal cleansing technique), meditation, notional correction, counseling, yogic diet, and devotional sessions. Pre- and postoutcome measures were homeostatic model assessment for IR (HOMA-IR), fasting serum insulin, lipid profile, body composition, and anthropometric measurements. Results: A significant reduction in HOMA-IR (35.69%, p < 0.001), fasting insulin (28%, p < 0.001), fasting glucose (12.3%, p = 0.039), triglycerides (15.43%, p = 0.003), very low-density lipoprotein (15.5%, p = 0.003), body mass index (2.4%, p < 0.001), weight (2.3%, p < 0.001), hip circumference (1.01%, p < 0.001), waist circumference (1.4%, p < 0.001), and body fat percentage (1.8%, p = 0.039) and a significant increase in lean mass percentage (0.95%, p = 0.045) and water percentage (0.99%, p = 0.04) were observed among the subjects. Conclusion: Regular practice of IIYT regulates lipid and anthropometric measures and increases lean body mass, thereby managing IR, among overweight Type 2 diabetes. However, future works might confirm the findings of the present study.
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