Effects of Yoga Therapy and Walking Therapy in Reducing Blood Sugar Levels on Diabetes Mellitus Patients in the Community
Keywords:Blood sugar level, Community, Diabetes mellitus, Walking, Yoga
BACKGROUND: The increasing of diabetes mellitus cases in Indonesia may be due to changes in people’s lifestyles, which is lack of exercise. Factors that may contribute to the high prevalence of diabetes mellitus sufferers other than genetics are exacerbated by environmental factors. Exercise interventions have been effective in counterbalancing diabetes complications. Yoga exerts a beneficial effect on insulin kinetics and the resulting lipid profile. Yoga helps redistribute body fat and reduces obesity which may lead to insulin resistance. In addition, other types of physical activity that can be done by diabetes mellitus patients are adequate morning walking while having scenery leisure for 30 min or more.
AIM: This study was conducted to determine the effect of yoga therapy and walking therapy on diabetes mellitus patients in the community.
METHODS: Quantitative research using randomized control trial, conducted in Gedongan Village, Baki Subdistrict, Sukoharjo Regency, involving 54 samples divided into three groups. Inclusion criteria: Patients with type 2 diabetes mellitus, fasting glucose levels of 126 mg/dl, no complication, and no insulin therapy or diabetes medication. The outcome measured was fasting blood sugar levels. The intervention group performed therapy for 12 weeks with a duration of 3 times a week.
RESULTS: The average fasting sugar levels in the yoga group pre (217.00) post (187.72) p (0.001), the walking group averaged pre (209.89) post (193.83) p (0.001), and the control group averaged pre (221.50) post (225.17) p (0.067).CONCLUSION: There was an effect of yoga therapy and walking therapy on reducing fasting glucose levels.
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International Diabetes Federation. IDF Diabetes Atlas. 9th ed. Brussels, Belgium: International Diabetes Federation; 2019.
Bock BC, Thind H, Fava JL, Dunsiger S, Guthrie KM, Stroud L, et al. Feasibility of yoga as a complementary therapy for patients with Type 2 diabetes: The healthy active and in control (HA1C) study. Complement Ther Med. 2019;42:125-31. https://doi.org/10.1016/j.ctim.2018.09.019 PMid:30670230
McDermott KA, Rao MR, Nagarathna R, Murphy EJ, Burke A, Nagendra RH, et al. A yoga intervention for type 2 diabetes risk reduction: A pilot randomized controlled trial. BMC Complement Altern Med. 2014;14:1-14. https://doi.org/10.1186/1472-6882-14-212 PMid:24980650
Shantakumari N, Sequeira S, El Deeb R. Effects of a yoga intervention on lipid profiles of diabetes patients with dyslipidemia. Indian Heart J. 2013;65(2):127-31. https://doi.org/10.1016/j.ihj.2013.02.010 PMid:23647889
Raveendran AV, Deshpandae A, Joshi SR. Therapeutic role of yoga in Type 2 diabetes. Endocrinol Metab. 2018;33(3):307-17. https://doi.org/10.3803/EnM.2018.33.3.307 PMid:30112866
Sreedevi A, Gopalakrishnan UA, Ramaiyer SK, Kamalamma L. A Randomized controlled trial of the effect of yoga and peer support on glycaemic outcomes in women with type 2 diabetes mellitus: A feasibility study. BMC Complement Altern Med. 2017;17(1):1-8. https://doi.org/10.1186/s12906-017-1574-x PMid:28173786
Lisiswanti R, Novadlu CR. Physical activity in lowering blood glucose levels in Type 2 diabetes mellitus. Majority. 2016;5(3):140-4. https://doi.org/10.15395/mkb.v51n4.1765
Barnes SM, Walter KH, Chard KM. Does a history of mild traumatic brain injury increase suicide risk in veterans with PTSD? Rehabil Psychol. 2012;57(1):18-26. https://doi.org/10.1037/a0027007 PMid:22369114
Ilyas EI. Exercise for diabetes. In: Soegondo S, editor. Integrated Diabetes Mellitus Management for Doctors and Diabetes Educators. Jakarta: Fakultas Ilmu Komputer Universitas Indonesia; 2011.
Kementerian Kesehatan Republik Indonesia. Hari Diabetes Sedunia Tahun 2018 World Diabetes Day 2018. Jakarta, Indonesia: Kementerian Kesehatan Republik Indonesia; 2019.
Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137-49. https://doi.org/10.1016/j. diabres.2013.11.002 PMid:24630390
Kartika P, Livana R. Faktor factors that affect hypertension. J Ilm Permas. 2016;6(4):1-10.
Kim HJ, Jung TS, Jung JH, Kim SK, Lee SM, Kim KY, et al. Improvement of glycemic control after re-emphasis of lifestyle modification in type 2 diabetic patients reluctant to additional medication. Yonsei Med. J. 2013;54(2):345-51. https://doi.org/10.3349/ymj.2013.54.2.345 PMid:23364966
Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report. 2015;79:1-16. PMid:25671660
Innes KE, Selfe TK. Yoga for adults with type 2 diabetes: A systematic review of controlled trials. J Diabetes Res. 2016;2016:10-2. https://doi.org/10.1155/2016/6979370 PMid:26788520
Jayawardena R. The benefits of yoga practice compared to physical exercise in the management of Type 2 diabetes mellitus: A systematic review and metaanalysis. J Chem Inf Model. 2018;53(9):1689-99.
Hengchang H. Evaluation of walking exercise on glycemic control in patients with type 2 diabetes mellitus: A protocol for systematic review and meta-analysis of randomized cross-over controlled trials. Medicine (Baltimore). 2020;99(47):e22735. https://doi.org/10.1097/MD.0000000000022735 PMid:33217794
Venugopal V, Rathi A, Raghuram N. Effect of short-term yoga-based lifestyle intervention on plasma glucose levels in individuals with diabetes and pre-diabetes in the community. Diabetes Metab Syndr Clin Res Rev. 2017;11(2):S597-9. https://doi.org/10.1016/j.dsx.2017.04.010 PMid:28420577
Karstoft K, Clark MA, Jakobsen I, Müller IA, Pedersen BK, Solomon TP, et al. The effects of 2 weeks of interval vs continuous walking training on glycaemic control and whole-body oxidative stress in individuals with Type 2 diabetes: A controlled, randomised, crossover trial. Diabetologia. 2017;60(3):508-17. https://doi.org/10.1007/s00125-016-4170-6 PMid:27942800
Qiu S, Cai X, Sun Z, Zügel M, Steinacker JM, Schumann U. Aerobic interval training and cardiometabolic health in patients with type 2 diabetes: A meta-analysis. Front Physiol. 2017;8:1-11. https://doi.org/10.3389/fphys.2017.00957 PMid:29218018
Jung HY, Lee H, Park J. Comparison of the effects of Korean mindfulness-based stress reduction, walking, and patient education in diabetes mellitus. Nurs Health Sci. 2015;17(4):516-25. https://doi.org/10.1111/nhs.12229 PMid:26275164
You H, Gao T, Cooper TK, Reeves WB, Awad AS. Macrophages directly mediate diabetic renal injury. Am J Physiol Ren Physiol. 2013;305(12):1719-27. https://doi.org/10.1152/ajprenal.00141.2013 PMid:24173355
Brugada J, Blom N, Sarquella-Brugada G, Blomstrom-Lundqvist C, Deanfield J, Janousek J, et al. Pharmacological and non-pharmacological therapy for arrhythmias in the pediatric population: EHRA and AEPC-Arrhythmia Working Group joint consensus statement. Europace. 2013;15(9):1337-82. https://doi.org/10.1093/europace/eut082 PMid:23851511
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