Abstract
PurposeTo study the effectiveness of diabetic yoga protocol (DYP) against management of cardiovascular risk profile in a high-risk community for diabetes, from Chandigarh, India.MethodsThe study was a randomized controlled trial, conducted as a sub study of the Pan India trial Niyantrita Madhumeha Bharath (NMB). The cohort was identified through the Indian Diabetes Risk Scoring (IDRS) (≥ 60) and a total of 184 individuals were randomized into intervention (n = 91) and control groups (n = 93). The DYP group underwent the specific DYP training whereas the control group followed their daily regimen. The study outcomes included changes in glycemic and lipid profile. Analysis was done under intent-to-treat principle.ResultsThe 3 months DYP practice showed diverse results showing glycemic and lipid profile of the high risk individuals. Three months of DYP intervention was found to significantly reduce the levels of post-prandial glucose levels (p = 0.035) and LDL-c levels (p = 0.014) and waist circumference (P = 0.001).ConclusionThe findings indicate that the DYP intervention could improve the metabolic status of the high-diabetes-risk individuals with respect to their glucose tolerance and lipid levels, partially explained by the reduction in abdominal obesity. The study highlights the potential role of yoga intervention in real time improvement of cardiovascular profile in a high diabetes risk cohort.Trial registration: CTRI, CTRI/2018/03/012804. Registered 01 March 2018—Retrospectively registered, http://www.ctri.nic.in/CTRI/2018/03/012804.
Highlights
The rise of diabetes in the developing world poses a threat to meager health budgets
We examined the effect of Diabetic Yoga Protocol on baseline and post (3 months) levels of Glycated hemoglobin (HbA1c) and other glycemic (OGTT and fasting blood sugar (FBS)), Lipid (Total cholesterol, triglycerides, High density lipid-cholesterol (HDL-c), Low density lipid-cholesterol (LDL-c), and Very low density lipid-cholesterol (VLDL)-c, CDL/HDL, LDL/HDL) and anthropometric parameters (BMI)
We show the efficacy of diabetic yoga protocol (DYP) in substantial improvement in the waist circumference in a high-risk diabetes population from Chandigarh
Summary
The rise of diabetes in the developing world poses a threat to meager health budgets. Kaur et al Diabetology & Metabolic Syndrome (2021) 13:149. Many argue that such experimental strategies for the possible halting of conversion of prediabetes into diabetes must continue to include pharmacological interventions even though the rates have not been compared [3]. It has been advocated that the realistic prevention of diabetes should identify high-risk subjects with the use of the non-invasive risk scores [4]. Such studies should target subjects with normoglycemia and prevent their progression to poor glycemic status [4]
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