Yoga for Adults with Type 2 Diabetes: A Systematic Review of Controlled Trials.
Yoga for Adults with Type 2 Diabetes: A Systematic Review of Controlled Trials.
复制标题
DOI：
10.1155/2016/6979370
复制
发表时间：
2016
影响因子：
4.3
通讯作者：
Selfe TK
中科院分区：
文献类型：
--
作者：
Innes KE;Selfe TK
越来越多的证据表明，瑜伽练习可能有益于2型糖尿病（DM 2）的成年人。在这篇系统性综述中，我们评估了来自前瞻性对照试验的现有证据，这些试验是关于瑜伽项目对DM 2管理相关的特定健康结果的影响。为了识别合格的研究，我们检索了9个数据库，并扫描了相关综述论文和所有识别文章的参考书目。不针对成年糖尿病患者的对照试验，仅包括1型糖尿病患者，持续时间不到两周，或不包括定量结局数据的对照试验被排除在外。使用PEDro量表评价研究质量。来自25项对照试验（13项非随机试验，12项随机试验）的33篇报告结果的论文符合我们的纳入标准（N = 2170例受试者）。总的来说，研究结果表明，瑜伽练习可以促进DM 2管理中几个重要指标的显着改善，包括血糖控制，血脂水平和身体成分。更有限的数据表明，瑜伽还可以降低氧化应激和血压;增强肺和自主神经功能，情绪，睡眠和生活质量;并减少DM 2成人的药物使用。然而，鉴于现有研究的方法局限性，需要进行更多高质量的调查，以确认并进一步阐明瑜伽课程对DM 2人群的潜在益处。
A growing body of evidence suggests yogic practices may benefit adults with type 2 diabetes (DM2). In this systematic review, we evaluate available evidence from prospective controlled trials regarding the effects of yoga-based programs on specific health outcomes pertinent to DM2 management. To identify qualifying studies, we searched nine databases and scanned bibliographies of relevant review papers and all identified articles. Controlled trials that did not target adults with diabetes, included only adults with type 1 diabetes, were under two-week duration, or did not include quantitative outcome data were excluded. Study quality was evaluated using the PEDro scale. Thirty-three papers reporting findings from 25 controlled trials (13 nonrandomized, 12 randomized) met our inclusion criteria (N = 2170 participants). Collectively, findings suggest that yogic practices may promote significant improvements in several indices of importance in DM2 management, including glycemic control, lipid levels, and body composition. More limited data suggest that yoga may also lower oxidative stress and blood pressure; enhance pulmonary and autonomic function, mood, sleep, and quality of life; and reduce medication use in adults with DM2. However, given the methodological limitations of existing studies, additional high-quality investigations are required to confirm and further elucidate the potential benefits of yoga programs in populations with DM2.