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.
Highlights
Diabetes is the most common endocrinological disorder around the world leading to foot deformities such as infections, ulcers, pain, numbness, and/or dysaesthesia of the extremities [1]
It is believed that it can reduce the risk of diabetes and improve glucose tolerance [10] and enhances insulin sensitivity improves glycemic control [12]
A pre-formed structured questionnaire-based cross-sectional study was conducted screened recruited during face to face structured interview, with a diagnosis of diabetic peripheral neuropathy (DPN)
Summary
Diabetes is the most common endocrinological disorder around the world leading to foot deformities such as infections, ulcers, pain, numbness, and/or dysaesthesia of the extremities [1]. Dietary control and exercise are believed to be established treatment options in patients with Type II diabetes mellitus including other lifestyle disorders [4]. The most proximal behavioral cause of insulin resistance is physical inactivity [11] and it is considered to be one of the biggest public health problems worldwide [7]. It is believed that it can reduce the risk of diabetes and improve glucose tolerance [10] and enhances insulin sensitivity improves glycemic control [12]. It is found that lack of physical activity can increase the risk of diabetes by 3 times [5]. As per the World Health Organization, this situation is of significant concern because people living with noncommunicable diseases are at higher risk of severe coronavirus disease (COVID-19)-related illness and death [13]
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