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Meta-Analysis
. 2023;38(2):113-122.
doi: 10.15605/jafes.038.02.20. Epub 2023 Sep 19.

Effect of Yoga and Walking on Glycemic Control for the Management of Type 2 Diabetes: A Systematic Review and Meta-analysis

Biswajit Dhali  1 , Sridip Chatterjee  1 , Sudip Sundar Das  1 , Mary D Cruz  2
Affiliations
Meta-Analysis

Effect of Yoga and Walking on Glycemic Control for the Management of Type 2 Diabetes: A Systematic Review and Meta-analysis

Biswajit Dhali et al. J ASEAN Fed Endocr Soc. 2023.

Abstract

Background: A daily habit of yogic practice or walking, along with an oral hypoglycemic agent (OHA) could be beneficial for better control of type 2 diabetes mellitus (T2DM). We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to find out the efficiency of yoga or walking on glycemic control in T2DM.

Methodology: The present systematic review and meta-analysis were completed according to the PRISMA guidelines. The risk of bias in included studies was evaluated, by using the revised Cochrane risk-of-bias tool for randomized trials. Meta-analysis was implemented using RevMan software. Forest plots were used to illustrate the study findings and meta-analysis results.

Results: Sixteen studies were included in this systematic review, where 1820 participants were allocated to one of the following interventions: yoga, walking, and without any regular exercise (control group). Participants were between 17-75 years of age. Compared to the control group, the yoga group had a significant reduction in fasting blood glucose (FBG) by 31.98 mg/dL (95% CI = -47.93 to -16.03), postprandial blood glucose (PPBG) by 25.59 mg/dL (95% CI = -44.00 to -7.18], glycosylated hemoglobin (HbAlc) by 0.73% (95% CI = -1.24 to -0.22), fasting insulin by 7.19 μIU/mL (95% CI = -12.10 to -2.28), and homeostatic model assessment for insulin resistance (HOMA-IR) by 3.87 (95% CI = -8.40 to -0.66). Compared to the control group, the walking group had a significant reduction in FBG by 12.37 mg/dL (95% CI = -20.06 to -4.68) and HbA1c by 0.35% (95% CI = -0.70 to -0.01). Compared to the walking group, the yoga group had a significant reduction in FBG by 12.07 mg/dL (95% CI = -24.34 to - 0.20), HbA1c by 0.20% (95% CI = -0.37 to -0.04), fasting insulin by 10.06 μIU/mL (95% CI = -23.84 to 3.71) and HOMA-IR by 5.97 (95% CI = -16.92 to 4.99).

Conclusions: Yoga or walking with OHA has positive effects on glycemic control. For the management of T2DM, yoga has relatively more significant effects on glycemic control than walking.Review registration number: PROSPERO registration number CRD42022310213.

Keywords: glycemic control; insulin resistance; type 2 diabetes; walking; yoga.

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Conflict of interest statement

The authors declared no conflict of interest.

Figures

Figure 1
Figure 1
Flow diagram of the present study prepared as per PRISMA guidelines.
Figure 2
Figure 2
Forest plots presenting the effect of Yoga compared to Control group on (I) Fasting Blood Glucose, (II) Postprandial Blood Glucose, (III) Glycosylated Hemoglobin, (IV) Fasting Insulin and (V) Insulin Resistance.
Figure 3
Figure 3
Forest plots presenting the effect of Walking compared to Control group on (I) Fasting Blood Glucose and (II) Glycosylated Hemoglobin.
Figure 4
Figure 4
Forest plots presenting the effect of Yoga compared to Walking intervention on (I) Fasting Blood Glucose, (II) Glycosylated Hemoglobin, (III) Fasting Insulin and (IV) Insulin Resistance.
See this image and copyright information in PMC

References

    1. Hurtado MD, Vella A. What is type 2 diabetes? Medicine. 2019;47(1): 10–5. 10.1016/j.mpmed.2018.10.010. - DOI
    1. Galicia-Garcia U, Benito-Vicente A, Jebari S, et al. . Pathophysiology of type 2 diabetes mellitus. Int J Mol Sci. 2020;21(17):6275. PMID: . PMCID: . 10.3390/ijms21176275. - DOI - PMC - PubMed
    1. Gowri MM, Rajendran J, Srinivasan AR, Bhavanani AB, Meena R. Impact of an integrated yoga therapy protocol on insulin resistance and glycemic control in patients with type 2 diabetes mellitus. Rambam Maimonides Med J. 2022;13(1):e0005. PMID: . PMCID: . 10.5041/RMMJ.10462. - DOI - PMC - PubMed
    1. Mooventhan A, Nivethitha L. Evidence based effects of yoga practice on various health related problems of elderly people: A review. J Bodyw Mov Ther. 2017;21(4):1028–1032. PMID: . 10.1016/j.jbmt.2017.01.004. - DOI - PubMed
    1. Raveendran AV, Deshpandae A, Joshi SR. Therapeutic role of yoga in type 2 diabetes. Endocrinol Metab (Seoul). 2018;33(3):307–17. PMID: . PMCID: . 10.3803/EnM.2018.33.3.307. - DOI - PMC - PubMed

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