Community based yoga classes for type 2 diabetes: an exploratory randomised controlled trial.
Community based yoga classes for type 2 diabetes: an exploratory randomised controlled trial.
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针对 2 型糖尿病的社区瑜伽课程：一项探索性随机对照试验。
DOI：
10.1186/1472-6963-9-33
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发表时间：
2009-02-19
影响因子：
2.8
通讯作者：
Greenhalgh T
中科院分区：
文献类型：
--
作者：
Skoro-Kondza L;Tai SS;Gadelrab R;Drincevic D;Greenhalgh T
瑜伽是治疗糖尿病的一种流行疗法，但其疗效存在争议。本研究的目的是探讨研究社区瑜伽课程在2型糖尿病患者中的可行性，以期为确定性多中心试验的设计提供信息。研究设计是一项探索性随机对照试验，并进行了深入的过程评估。背景是英国伦敦的两个多民族自治市;一个平均，一个平均社会经济剥夺分数低。课程在体育中心或全科医生手术室举行。参与者是59名未服用胰岛素的2型糖尿病患者，他们是从全科医生名单中招募的，也是由全科医生偶然招募的。干预组接受为期12周的每周两次90分钟的瑜伽课程;对照组是瑜伽课程的等候名单。两组都收到了关于健康生活方式的建议和传单，并鼓励他们锻炼身体。主要结局指标为HbA 1c。次要结局指标包括出勤率、体重、腰围、血脂水平、血压、UKPDS心血管风险评分、糖尿病相关生活质量（ADDQoL）和自我效能。过程措施是参加瑜伽课程，自我报告的频率之间的实践教学会议，和定性数据（与患者和治疗师，人种学观察的瑜伽课程，并分析文件，包括会议记录，通信和锻炼计划）。尽管有广泛的纳入标准，但GP糖尿病登记册上约有三分之二的患者被证明不合格，其余90%的患者拒绝参加。参与者的平均年龄为60 +/- 10岁。瑜伽课的出勤率约为50%。没有人在家里经常做运动。瑜伽老师认为，大多数参与者不适合“标准”瑜伽练习，因为灵活性有限，缺乏基本的健身，共病，缺乏信心。瑜伽组的HbA 1c略有下降，但没有统计学意义，并且在六个月后没有持续，其他结果指标也没有显著变化。瑜伽对2型糖尿病的益处在以前的一些研究中提出，但没有得到证实。可能的解释（除了缺乏疗效外）包括招募挑战;上课的实际和动机障碍;参与练习的身体和动机障碍;瑜伽干预的强度和/或持续时间不足;以及针对个人需求的个性化练习不足。在设计未来试验时，应考虑所有这些因素。国家研究注册（1410）和当前对照试验（ISRCTN 63637211）。
Yoga is a popular therapy for diabetes but its efficacy is contested. The aim of this study was to explore the feasibility of researching community based yoga classes in Type 2 diabetes with a view to informing the design of a definitive, multi-centre trial The study design was an exploratory randomised controlled trial with in-depth process evaluation. The setting was two multi-ethnic boroughs in London, UK; one with average and one with low mean socio-economic deprivation score. Classes were held at a sports centre or GP surgery. Participants were 59 people with Type 2 diabetes not taking insulin, recruited from general practice lists or opportunistically by general practice staff. The intervention group were offered 12 weeks of a twice-weekly 90-minute yoga class; the control group was a waiting list for the yoga classes. Both groups received advice and leaflets on healthy lifestyle and were encouraged to exercise. Primary outcome measure was HbA1c. Secondary outcome measures included attendance, weight, waist circumference, lipid levels, blood pressure, UKPDS cardiovascular risk score, diabetes-related quality of life (ADDQoL), and self-efficacy. Process measures were attendance at yoga sessions, self-reported frequency of practice between taught sessions, and qualitative data (interviews with patients and therapists, ethnographic observation of the yoga classes, and analysis of documents including minutes of meetings, correspondence, and exercise plans). Despite broad inclusion criteria, around two-thirds of the patients on GP diabetic registers proved ineligible, and 90% of the remainder declined to participate. Mean age of participants was 60 +/- 10 years. Attendance at yoga classes was around 50%. Nobody did the exercises regularly at home. Yoga teachers felt that most participants were unsuitable for 'standard' yoga exercises because of limited flexibility, lack of basic fitness, co-morbidity, and lack of confidence. There was a small fall in HbA1c in the yoga group which was not statistically significant and which was not sustained six months later, and no significant change in other outcome measures. The benefits of yoga in type 2 diabetes suggested in some previous studies were not confirmed. Possible explanations (apart from lack of efficacy) include recruitment challenges; practical and motivational barriers to class attendance; physical and motivational barriers to engaging in the exercises; inadequate intensity and/or duration of yoga intervention; and insufficient personalisation of exercises to individual needs. All these factors should be considered when designing future trials. National Research Register (1410) and Current Controlled Trials (ISRCTN63637211).
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影响因子：
4.2
作者：
Anderson, Eileen S.;Wojcik, Janet R.;Williams, David M.
通讯作者：
Williams, David M.
影响因子：
3.5
作者：
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影响因子：
2.3
作者：
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影响因子：
105.7
作者：
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通讯作者：
Riley, T
影响因子：
6.3
作者：
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通讯作者：
Martin, D