Effects of Buddhist walking meditation on glycemic control and vascular function in patients with type 2 diabetes

Effects of Buddhist walking meditation on glycemic control and vascular function in patients with type 2 diabetes
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DOI:
10.1016/j.ctim.2016.03.009
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发表时间:
2016-06-01
影响因子:
3.6
通讯作者:
Suksom, Daroonwan
Suksom, Daroonwan
中科院分区:
医学3区
文献类型:
--
作者:
Gainey, Atikarn;Himathongkam, Thep;Suksom, Daroonwan

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目的:调查并比较佛教步行冥想和传统步行对 2 型糖尿病患者血糖控制和血管功能的影响。方法:23 名 2 型糖尿病患者(50-75 岁)被随机分配至传统步行练习(WE;n = 11)或佛教步行冥想练习(WM;n = 12)。两组均进行了为期 12 周的锻炼计划,其中包括在跑步机上以最大心率 50-70% 的运动强度行走 30 分钟/次,每周 3 次。在 WM 训练计划中,参与者在跑步机上行走,同时专注于脚步,每一步接触地板时发出“Budd”和“Dha”的声音,以练习行走时的正念。结果:12 周后,两组的最大耗氧量增加,空腹血糖水平显着下降(p < 0.05)。仅在 WM 组中观察到 HbA1c 以及收缩压和舒张压显着降低。两个运动组中血流介导的扩张均显着增加(p < 0.05),但仅 WM 组的动脉僵硬度有所改善。仅 WM 组的血液皮质醇水平降低(p < 0.05)。结论:佛教步行冥想练习对 2 型糖尿病患者产生了许多有利的效果,通常优于传统的步行计划。 (C) 2016 Elsevier Ltd. 保留所有权利。
Objective: To investigate and compare the effects of Buddhist walking meditation and traditional walking on glycemic control and vascular function in patients with type 2 diabetes mellitus.Methods: Twenty three patients with type 2 diabetes (50-75 years) were randomly allocated into traditional walking exercise (WE; n = 11) or Buddhism-based walking meditation exercise (WM; n = 12). Both groups performed a 12-week exercise program that consisted of walking on the treadmill at exercise intensity of 50-70% maximum heart rate for 30 min/session, 3 times/week. In the WM training program, the participants performed walking on the treadmill while concentrated on foot stepping by voiced "Budd" and "Dha" with each foot step that contacted the floor to practice mindfulness while walking.Results: After 12 weeks, maximal oxygen consumption increased and fasting blood glucose level decreased significantly in both groups (p < 0.05). Significant decrease in HbA1c and both systolic and diastolic blood pressure were observed only in the WM group. Flow-mediated dilatation increased significantly (p < 0.05) in both exercise groups but arterial stiffness was improved only in the WM group. Blood cortisol level was reduced (p < 0.05) only in the WM group.Conclusion: Buddhist walking meditation exercise produced a multitude of favorable effects, often superior to traditional walking program, in patients with type 2 diabetes. (C) 2016 Elsevier Ltd. All rights reserved.