PRACTICE OF YOGA IN PATIENTS WITH DIABETIC PERIPHERAL NEUROPATHY ATTENDING A TERTIARY CARE HOSPITAL IN NORTHERN INDIA: IMPLICATIONS DURING CORONAVIRUS DISEASE-19 PANDEMIC

  • SONIA MOR Department of Pharmacy, Lingaya’s Vidyapeeth, Faridabad and Indraprastha Apollo Hospitals, New Delhi, India.
  • KARAN SINGH Department of Chemistry, Lingaya’s Vidyapeeth, Faridabad, India.
  • SUBHASH KUMAR WANGNOO Consultant Endocrinologist and Diabetologist, Apollo Centre for Obesity, Diabetes and Endocrinology, Indraprastha Apollo Hospitals, New Delhi, India.
  • TARUNIKA BAWA Consultant Endocrinologist and Diabetologist, Apollo Centre for Obesity, Diabetes and Endocrinology, Indraprastha Apollo Hospitals, New Delhi, India.
  • VIKAS DHIKAV Department of Neurology, PGIMER and Dr RML Hospitals, New Delhi, India.
  • VARISHA ANJUM Department of Pharmacy, School of Pharmaceutical Sciences, Lingaya’s Vidyapeeth, Faridabad, India.

Abstract

Objective: The objective of this study was to determine the prevalence of yoga practice in patients with Diabetic Peripheral Neuropathy (DPN) and to compare its acceptance among patients with chronic diseases other than DPN practicing non-yoga physical activities.


Methods: A pre-formed structured questionnaire-based cross-sectional study was conducted with a total of 98 out of 240 patients screened recruited during face to face structured interview, with a diagnosis of DPN. Data on the socio-demographics, age, duration of disease, glycemic controls (hemoglobin A1C [HBA1C] levels), and pain scores, numbness, and physical activity and other comorbid illnesses were collected.


Results: A total of 248 pre-diagnosed diabetic patients were screened; 98 study subjects (M: F=66:32) were enrolled with a mean age found to be 55.28 years. As diagnosed clinically and electrophysiologically, the prevalence of peripheral neuropathy was found to be 39.51%. The mean pain score was 3.27. Risk factors for peripheral neuropathy included male sex, advanced age, higher body mass index (%), higher HbA1C (n=67.34%), having a sedentary lifestyle (38.77%), overweight (43, 44.89%), and obesity (21, 21.42%) and <40% belong to the diabetes of duration group of more than 10 years. A total of 16, male: 9 and female: 5 (22.85%) out of 70 subjects were using yoga as physical activity in peripheral neuropathy group and of the control group (non-peripheral neuropathy group), only 8 (25%) out of 25 were doing yoga. The overall proportions were compared using Chi-square, results were non-significant with p=−0.49; Chi-square statistic −0.47.


Conclusion: This implies that those with DPN are as likely to accept yoga as a physical activity compared to patients with other chronic illnesses practicing non-yoga physical activities.

Keywords: Peripheral neuropathy, Diabetes mellitus, Yoga

References

1. Galantino ML, Tiger R, Brooks J, Jang S, Wilson K. Impact of somatic yoga and meditation on fall risk, function, and quality of life for chemotherapy-induced peripheral neuropathy syndrome in cancer survivors. Integr Cancer Ther 2019;18:1.
2. Roy V, Gupta M, Ghosh RK. Perception, attitude and usage of complementary and alternative medicine among doctors and patients in a tertiary care hospital in India. Indian J Pharmacol 2015;47:137-42.
3. Kumar D, Goel NK, Pandey AK, Sarpal SS. Complementary and alternative medicine use among the cancer patients in Northern India. South Asian J Cancer 2016;5:8-11.
4. Raveendran AV, Deshpandae A, Joshi SR. Therapeutic role of yoga in Type 2 diabetes. Endocrinol Metab (Seoul) 2018;33:307-17.
5. Thangasami S, Chandani A. Emphasis of yoga in the management of diabetes. J Diabetes Metab 2015;6:1-11.
6. Innes KE, Selfe TK. Yoga for adults with Type 2 diabetes: A systematic review of controlled trials. J Diabetes Res 2016;2016:6979370.
7. Blair SN. Physical inactivity: The biggest public health problem of the 21st century. Br J Sports Med 2009;43:1-2.
8. Wu Y, Ding Y, Tanaka Y, Zhang W. Risk factors contributing to Type 2 diabetes and recent advances in the treatment and prevention. Int J Med Sci 2014;11:1185-200.
9. Hemmingsen B, Gimenez-Perez G, Mauricio D, Figuls MR, Metzendorf MI, Richter B. Diet, physical activity or both for prevention or delay of Type 2 diabetes mellitus and its associated complications in people at increased risk of developing Type 2 diabetes mellitus. Cochrane Database Syst Rev 2017;12:CD003054.
10. Yates T, Davies M, Gorely T, Bull F, Khunti K. Effectiveness of a pragmatic education program designed to promote walking activity in individuals with impaired glucose tolerance. Diabetes Care 2009;32:1404-10.
11. LaMonte MJ, Blair SN, Church TS. Physical activity and diabetes prevention. J Appl Physiol (1985) 2005;99:1205-13.
12. Bassuk SS, Manson JA. Epidemiological evidence for the role of physical activity in reducing risk of Type 2 diabetes and cardiovascular disease. J Appl Physiol (1985) 2005;99:1193-204.
13. World Health Organization. COVID-19 Significantly Impacts Health Services for Non-Communicable Diseases; 2020. Available from: https://www.who.int/news-room/detail/01-06-2020-covid-19-significantly-impacts-health-services-for-noncommunicable-diseases.
14. Nagarathna R, Tyagi R, Kaur G, Vendan V, Acharya IN, Anand A, et al. Efficacy of a validated yoga protocol on dyslipidemia in diabetes patients: NMB-2017 India trial. Medicines (Basel) 2019;6:100.
15. Hung ES, Chen SC, Chang FC, Shiao Y, Peng CW, Lai CH. Effects of interactive video game-based exercise on balance in diabetic patients with peripheral neuropathy: An open-level, crossover pilot study. Evid Based Complement Alternat Med 2019;2019:4540709.
16. Cui J, Yan JH, Yan LM, Pan L, Le JJ, Guo YZ. Effects of yoga in adults with Type 2 diabetes mellitus: A meta-analysis. J Diabetes Investig 2017;8:201-9.
17. Aljasir B, Bryson M, Al-shehri B. Yoga practice for the management of Type II diabetes mellitus in adults: A systematic review. Evid Based Complement Alternat Med 2010;7:399-408.
18. Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, et al. Exercise and Type 2 diabetes. Diabetes Care 2010;33:e147-67.
19. Chimkode SM, Kumaran SD, Kanhere VV, Shivanna R. Effect of yoga on blood glucose levels in patients with Type 2 diabetes mellitus. J Clin Diagn Res 2015;9:CC01-3.
20. Cade T, Reeds DN, Mondy KE, Overton T, Grassino J, Tucker S, et al. Yoga lifestyle intervention reduces blood pressure in HIV-infected adults with cardiovascular disease risk factors. HIV Med 2010;11:379-88.
21. Thind H, Guthrie KM, Horowitz S, Conrad M, Bocke BC. I can do almost anything: The experience of adults with Type 2 diabetes with a yoga intervention. Complement Ther Clin Pract 2019;34:116-22.
22. Keerthi GS, Pal P, Pal GK, Sahoo JP, Sridhar MG, Balachander J. Effect of 12 weeks of yoga therapy on quality of life and Indian diabetes risk score in normotensive Indian Young adult prediabetics and diabetics: Randomized control trial. J Clin Diagn Res 2017;11:CC10-4.
23. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: A position statement of the American diabetes association. Diabetes Care 2016;39:2065-79.
24. Schmid AA, van puymbroeck M, Fruhauf CA, Bair MJ, Portz JD. Yoga improves occupational performance, depression, and daily activities for people with chronic pain. Work 2019;63:181-9.
25. Cramer H, Lauche R, Klose P, Lange S, Langhorst J, Dobos GJ. Yoga for improving health-related quality of life, mental health and cancer-related symptoms in women diagnosed with breast cancer. Cochrane Database Syst Rev 2017;1:CD010802.
26. 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.
27. Smith CA, Levett KM, Collins CT, Armour M, Dahlen HG, Suganuma M. Relaxation techniques for pain management in labour. Cochrane Database Syst Rev 2018;3:CD009514.
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MOR, S., SINGH, K., WANGNOO, S. K., BAWA, T., DHIKAV, V., & ANJUM, V. (2021). PRACTICE OF YOGA IN PATIENTS WITH DIABETIC PERIPHERAL NEUROPATHY ATTENDING A TERTIARY CARE HOSPITAL IN NORTHERN INDIA: IMPLICATIONS DURING CORONAVIRUS DISEASE-19 PANDEMIC. Innovare Journal of Ayurvedic Sciences, 9(2), 1-4. https://doi.org/10.22159/ijas.2021.v9i2.40542
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