Download This Paper
Preprints with The Lancet is part of SSRN´s First Look, a place where journals identify content of interest prior to publication. Authors have opted in at submission to The Lancet family of journals to post their preprints on Preprints with The Lancet. The usual SSRN checks and a Lancet-specific check for appropriateness and transparency have been applied. Preprints available here are not Lancet publications or necessarily under review with a Lancet journal. These preprints are early stage research papers that have not been peer-reviewed. The findings should not be used for clinical or public health decision making and should not be presented to a lay audience without highlighting that they are preliminary and have not been peer-reviewed. For more information on this collaboration, see the comments published in The Lancet about the trial period, and our decision to make this a permanent offering, or visit The Lancet´s FAQ page, and for any feedback please contact preprints@lancet.com.
Effectiveness of Yoga-Based Lifestyle Treatment in Achieving Composite Treatment Goals for Type 2 Diabetes in a Rural Set Up of South India- A Retrospective Study
17 Pages Posted: 18 Mar 2019
More...Abstract
Background and Aim: This retrospective cohort study examined the effects of yoga-treatment in rural Indian settings in achieving composite treatment goals set forth by the American Diabetes Association (ADA) for Type 2 Diabetes.
Research Design and Methods: The study was a multicentre retrospective study. Records of 146 type 2 diabetes patients who received treatment under the "Apollo Total Health Programme" for rural diabetes management between November 2016 to April 2017 were extracted. Treatment based two equal groups (n=73 each) were assigned; non-yoga group with only usual care and experiment group with yoga as an adjunct treatment to the usual care. Comparative efficacy of 6 months of adjunct yoga treatment vs. usual care was evaluated against attainment of defined composite scores.
Findings: Compared to usual care, 6 months adjunct yoga treatment was found to significantly facilitate the attainment of composite score by ~12-fold (OR=12.07, 95% CI= 0.89-163.76), individual treatment goals; A1c<7.0% by ~2-fold (OR=2.29, 95% CI=1.10-4.76); LDL-C<100 mg/dl by ~2-fold (OR=2.09, 95% CI=1.03-4.25); blood pressure<140/90 mmHg by ~6.75-fold (95% CI, 22.49-18.31) and, BMI<23 Kg/m2 by ~11-fold (OR=11.07, 95% CI= 2.02-60.73).
Interpretation: This study provides first-time evidence for significant efficacy of adjunct yoga treatment towards the attainment of composite cardiovascular goals for type 2 diabetes in rural Indian settings. The pronounced significant effect of yoga on body composition deserves special attention based on of challenging aspects of weight-loss in diabetes. The present findings should be tested for sustainability in longer prospective randomized clinical trials.
Funding: Apollo Total Health Programme, India
Declaration of Interest: The authors declare no conflict of interest.
Ethical Approval: The study was approved by the institutional ethics committee.
Suggested Citation: Suggested Citation