Yoga as a Complementary Therapy for Adults with Type 2 Diabetes: Design and Rationale of the Healthy, Active, and in Control (HA1C) Study.
Yoga as a Complementary Therapy for Adults with Type 2 Diabetes: Design and Rationale of the Healthy, Active, and in Control (HA1C) Study.
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DOI：
10.17761/2018-00026
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发表时间：
2018-11-01
影响因子：
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通讯作者：
Bock, Beth C
中科院分区：
文献类型：
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作者：
Thind, Herpreet;Fava, Joseph L;Bock, Beth C
糖尿病是美国第七大死亡原因。对于大多数患者来说，单靠药物不足以实现血糖控制;还必须注意多种健康行为，包括饮食，定期体育活动和压力管理。瑜伽是一种专注于放松、冥想和深呼吸的正念练习，可能与2型糖尿病（T2 DM）患者特别相关。瑜伽练习可能会积极影响压力和其他自我护理任务，这将有助于改善血糖控制。健康、活跃和对照（HA 1C）研究旨在检查瑜伽在成人T2 DM患者中的可行性和可接受性。在这项初步随机对照试验中，T2 DM成人患者被随机分配到每周两次的12周艾扬格瑜伽干预组或每周两次的12周传统锻炼计划（例如，步行、固定自行车）。在治疗结束时（12周）以及干预后3个月和6个月进行评估。HA 1C研究将评估可行性和可接受性（例如，出勤率/保持率，对计划的满意度），血糖结果（例如，HbA 1c、空腹血糖、餐后血糖）和生理变化（例如，唾液皮质醇）和行为因素（例如，体力活动、饮食）与T2 DM管理相关。焦点小组在干预结束时进行，以探索参与者对该计划的体验以及他们对瑜伽对糖尿病管理的潜在效用的看法。
Diabetes is the seventh leading cause of death in the United States. For most patients, medication alone is not sufficient to achieve glycemic control; attention must also be paid to multiple healthy behaviors including diet, regular physical activity, and stress management. Yoga, a mindfulness practice with emphasis on relaxation, meditation, and deep breathing, may have special relevance to people with type 2 diabetes mellitus (T2DM). Yoga practice may positively affect stress and other self-care tasks that will contribute to improved glycemic control. The Healthy, Active, and in Control (HA1C) study is designed to examine the feasibility and acceptability of yoga among adult patients with T2DM. In this pilot randomized controlled trial, adults with T2DM were randomly assigned to either a 12-week Iyengar Yoga intervention given twice weekly, or a twice-weekly 12-week program of traditional exercise (e.g., walking, stationary cycling). Assessments are conducted at the end of treatment (12 weeks) and at 3 and 6 months postintervention. The HA1C study will assess feasibility and acceptability (e.g., attendance/retention rates, satisfaction with program), glycemic outcomes (e.g., HbA1c, fasting blood glucose, postprandial blood glucose), and changes in physiological (e.g., salivary cortisol) and behavioral factors (e.g., physical activity, diet) relevant to the management of T2DM. Focus groups are conducted at the end of the intervention to explore participants' experience with the program and their perception of the potential utility of yoga for diabetes management.