Yoga Practice for the Management of Type II Diabetes Mellitus in Adults: A systematic review.

Yoga Practice for the Management of Type II Diabetes Mellitus in Adults: A systematic review.
复制标题

DOI:
10.1093/ecam/nen027
复制
发表时间:
2010-12
期刊:
Evidence-based complementary and alternative medicine : eCAM
影响因子:
--
通讯作者:
Al-Shehri B
Al-Shehri B
中科院分区:
其他
文献类型:
--
作者:
Aljasir B;Bryson M;Al-Shehri B

文献摘要

参考文献

被引文献

相似文献

本系统综述利用Ovid检索相关电子数据库和2007年5月底的灰色文献,评估练习瑜伽对II型糖尿病管理的效果。所有比较瑜伽练习与其他类型干预或常规练习或两者兼而有之的随机对照临床试验(rct),无论语言或出版物类型如何,均被纳入。每项研究均由两名独立评审员进行质量评估。采用均数差,以95%置信区间总结各研究结果的效果。由于研究之间的临床差异很大,因此没有对研究进行汇总。采用统计学方法评价发表偏倚。5项363名受试者的试验符合中至高偏倚风险和不同干预特征的纳入标准。研究结果显示,II型糖尿病患者的预后有所改善。这些改善主要是短期或直接的糖尿病结果,并不是所有的结果都具有统计学意义。结果是不确定的,对长期结果也不重要。在所有纳入的研究中均未发现不良反应。练习瑜伽对糖尿病患者有短期的好处。这方面需要进一步的研究。为了评估瑜伽对II型糖尿病的有效性,应该通过大规模随机对照试验来改进试验的质量和其他方法学问题。医生鼓励病人练习瑜伽的明确建议目前还无法达成。
The effect of practicing yoga for the management of type II Diabetes was assessed in this systematic review through searching related electronic databases and the grey literature to the end of May 2007 using Ovid. All randomized controlled clinical trials (RCTs) comparing yoga practice with other type of intervention or with regular practice or both, were included regardless of language or type of publication. Each study was assessed for quality by two independent reviewers. Mean difference was used for summarizing the effect of each study outcomes with 95% confidence intervals. Pooling of the studies did not take place due to the wide clinical variation between the studies. Publication bias was assessed by statistical methods. Five trials with 363 participants met the inclusion criteria with medium to high risk of bias and different intervention characteristics. The studies’ results show improvement in outcomes among patients with diabetes type II. These improvements were mainly among short term or immediate diabetes outcomes and not all were statistically significant. The results were inconclusive and not significant for the long-term outcomes. No adverse effects were reported in any of the included studies. Short-term benefits for patients with diabetes may be achieved from practicing yoga. Further research is needed in this area. Factors like quality of the trials and other methodological issues should be improved by large randomized control trials with allocation concealment to assess the effectiveness of yoga on diabetes type II. A definitive recommendation for physicians to encourage their patients to practice yoga cannot be reached at present.
DOI: 10.1038/oby.2001.141
发表时间: 2001-11-01
期刊: OBESITY RESEARCH
影响因子: --
作者:
Hensrud, DD
通讯作者: Hensrud, DD
DOI: 10.1016/0168-8227(93)90146-v
发表时间: 1993-01-01
影响因子: 5.1
作者:
JAIN, SC;UPPAL, A;TALUKDAR, B
通讯作者: TALUKDAR, B
DOI: 10.1111/j.1532-5415.1998.tb02722.x
发表时间: 1998-07-01
影响因子: 6.3
作者:
DiPietro, L;Seeman, TE;Nadel, ER
通讯作者: Nadel, ER
DOI: 10.1089/acm.2007.0615
发表时间: 2007-12-01
影响因子: 2.6
作者:
Da Silva, Gerson D.;Lorenzi-Filho, Geraldo;Lage, Lais V.
通讯作者: Lage, Lais V.
DOI: 10.1016/s1353-6117(02)00143-9
发表时间: 2003-05-01
期刊: Complementary therapies in nursing & midwifery
影响因子: --
作者:
Dunning, Trisha
通讯作者: Dunning, Trisha