yoga-based intervention

  • 文章类型: Journal Article
    背景:糖尿病自主神经病变(DAN)是糖尿病(DM)的一种普遍但经常被忽视的并发症,影响多个器官,并大幅提高发病率和死亡率的风险。这项研究旨在评估基于瑜伽的干预(YBI)与美国糖尿病协会运动方案(ADAEx。方案)和治疗2型糖尿病自主神经病变的标准护理。
    方法:这项开放标签的探索性临床试验有两个平行的研究组:A组(干预),与标准护理一起接受了YBI,B组,遵守ADAEx。制度与标准护理相结合。共有80名35-60岁的参与者,诊断为2型糖尿病和自主神经病变,被平均分配给两组。数据收集包括神经传导速度(NCV)测试,自主功能测试(AFTs),以及对抑郁和生活质量的评估。
    结果:与ADAEx相比,YBI显示副交感神经张力下降。政权.经过六个月的干预,YBI组的交感神经活动指标(SD2)显示出比ADAEx明显更低的值。政权组,表明有积极的影响(p<0.05),而ADAEx.制度在NCV的某些领域显示出更多的改进(例如,左右腓骨NCV,右和左腓骨F延迟),碱性磷酸酶水平存在显著差异,抑郁评分,和WHO-5健康,均在p<0.05时达到统计学意义。
    结论:研究发现,24周YBI可显著降低糖尿病性神经病变和应激的症状。虽然ADA前。与YBI相比,制度在NCV的特定方面表现出更大的改进,YBI的表现优于ADAEx。加强WHO-5健康和减少抑郁症状的制度。
    BACKGROUND: Diabetic autonomic neuropathy (DAN) is a prevalent yet often overlooked complication of diabetes mellitus (DM), impacting multiple organs and substantially elevating the risk of morbidity and mortality. This study aimed to assess the effectiveness of yoga-based intervention (YBI) compared to the American Diabetes Association exercise regimen (ADA Ex. Regime) and standard care for treating autonomic neuropathy in type 2 DM.
    METHODS: This open-label exploratory clinical trial featured two parallel study arms: Group A (Intervention), which received YBI alongside standard care, and Group B, which adhered to the ADA Ex. Regime in conjunction with standard care. A total of 80 participants aged 35-60, diagnosed with type 2 DM and autonomic neuropathy, were equally allocated to both groups. Data collection included nerve conduction velocity (NCV) tests, autonomic function tests (AFTs), as well as evaluations of depression and quality of life.
    RESULTS: YBI demonstrated a drop in parasympathetic tone compared to the ADA Ex. Regime. Following a six-month intervention, the sympathetic activity indicator (SD2) exhibited a significantly lower value in the YBI group than in the ADA Ex. Regime group, indicating a positive effect (p < 0.05), while the ADA Ex. Regime showed more improvement in certain areas of NCV (e.g., left and right peroneal NCV, right and left peroneal F-latency), notable differences were observed in alkaline phosphatase levels, depression scores, and WHO-5 wellness, all reaching statistical significance at p < 0.05.
    CONCLUSIONS: The study findings observed that a 24-week YBI significantly reduced in symptoms of diabetic neuropathy and stress. Although the ADA Ex. Regime demonstrated greater improvement in specific aspects of NCV compared to YBI, YBI outperformed the ADA Ex. Regime in enhancing WHO-5 wellness and reducing depression symptoms.
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  • 文章类型: Journal Article
    发现基于瑜伽的干预措施对各种心理功能指标具有积极影响,比如感知到的压力,对生活的满意度,积极和消极的情感。此外,这些干预措施改善了身体或相互感受的意识和灵性。
    本研究评估了在匈牙利社区样本中,与被动对照组相比,为期3个月的基于瑜伽的复杂干预措施的效果。最终样本包括44名干预(Mage=47.5,SD==8.76)和29名对照参与者(Mage=47.4,SD=9.47)。在干预前后1周测量上述构建体。
    干预措施降低了参与者的感知压力(p=<0.001,ηp2=0.153)和负面情感(p=0.019,ηp2=0.113),改善灵性(p=0.048,ηp2=0.054)和感知意识的各个方面,如注意(p=<0.001,ηp2=0.169)注意调节(p=<0.001,ηp2=0.211),自我调节(p=0.002,ηp2=0.190)身体倾听(p=0.010,ηp2=0.097),信任(p=0.026,ηp2=0.070),但不影响积极的情感和对生活的满意度。
    为期3个月的基于复杂瑜伽的干预对健康心理功能的许多方面都有积极影响。
    UNASSIGNED: Yoga based interventions were found to have a positive impact on various indicators of psychological functioning, such as perceived stress, satisfaction with life, positive and negative affectivity. Additionally, such interventions improved bodily or interoceptive awareness and spirituality.
    UNASSIGNED: The present study assessed the effects of a 3-month long complex yoga-based intervention compared to a passive control group in a Hungarian community sample. The final sample consisted of 44 intervention (Mage = 47.5, SD = = 8.76) and 29 control participants (Mage = 47.4, SD = 9.47). The aforementioned constructs were measured 1 week before and after the intervention.
    UNASSIGNED: The intervention reduced participants\' perceived stress (p = <0.001, ηp 2 = 0.153) and negative affectivity (p = 0.019, ηp 2 = 0.113), improved spirituality (p = 0.048, ηp 2 = 0.054) and various aspects of interoceptive awareness such as noticing (p = <0.001, ηp 2 = 0.169) attention regulation (p = <0.001, ηp 2 = 0.211), self-regulation (p = 0.002, ηp 2 = 0.190) body listening (p = 0.010, ηp 2 = 0.097), trusting (p = 0.026, ηp 2 = 0.070), but did not impact positive affectivity and satisfaction with life.
    UNASSIGNED: A 3-months long complex yoga-based intervention has a positive impact on many aspects of healthy psychological functioning.
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  • 文章类型: Clinical Trial
    青少年可能难以驾驭,贾夫纳省的冲突后环境,斯里兰卡加重了青少年的现有问题。处理问题,多动症和情绪问题是青少年面临的挑战,特别是在脆弱的,冲突后设置。这项研究是一项非随机对照试验,在4个教育地区进行了6个月。该研究实施了基于瑜伽的干预方案:两种类型的缓慢呼吸5-6分钟,Surya-namaskaram6-8分钟,和正念冥想5-6分钟。对干预组和对照组进行前/后定量评估。与干预组一起进行焦点组。目的是评估。在8年级学童(早期青少年)实施基于瑜伽的干预方案以解决行为问题的有效性。
    使用统计产品和服务解决方案(SPSS21)对两组进行配对t检验和独立t检验。干预组(n=584)[t(584)=11.41,p=0.001]家长对情绪问题的评估降低,总难度评分降低[t(584)=28.12,p=0.001]。教师的评估表明干预组的亲社会得分有所提高[t(584)=-28.5,p=0.001]。干预组学生的自我评估表明情绪问题减少[t(584)=6.4,p=0.001],并减少同行的问题[t(584)=14.4,p=0.001]。对照组(n=499),教师的评估表明情绪问题增加[t(499)=-9.5,p=0.001]和亲社会得分降低[t(499)=13.5,p=0.001]。对照组学生的自我评估表明情绪问题增加[t(499)=-27.1,p=0.001]。测试后得分的比较显示两组之间具有统计学上的显着差异。焦点小组结果表明,学生认为干预对学业成绩有整体积极影响,家庭动态和个人健康。
    这种以瑜伽为基础的干预方案似乎有效地减少了青少年的外化和内化症状。练习Surya-namaskaram,呼吸控制技术和正念冥想显着减少了外化症状(行为问题和多动症)以及内化症状(情绪问题和同伴问题)。建议在斯里兰卡和其他类似的冲突后地区扩大这种干预措施。
    Adolescence can be difficult to navigate and the post-conflict environment in Jaffna Province, Sri Lanka compounds existing issues for adolescents. Conduct problems, hyperactivity along with emotional problems are challenges faced by adolescents, particularly in fragile, post-conflict settings. This study was a non-randomized controlled trial carried out in 4 educational zones over 6 months. The study implemented a yoga-based intervention package: two types of slow breathing for 5-6 min, Surya-namaskaram for 6-8 min, and mindfulness meditation for 5-6 min. Pre/post quantitative assessments were conducted with intervention and control groups. A focus group was conducted with the intervention group. The aim was to evaluate. Effectiveness of implementing a yoga-based intervention package in grade 8 school children (early adolescents) to address behavioural problems.
    Paired t-test and independent t-tests were completed for both arms using statistical product and service solutions (SPSS21). Parents\' assessments of emotional issues reduced for the intervention group (n = 584) [t(584) = 11.41, p = 0.001] along with reduction of the total difficulty score [t(584) = 28.12, p = 0.001]. Teachers\' assessments indicated prosocial scores improved in the intervention group [t(584) = - 28.5, p = 0.001]. Students\' self-assessments in the intervention group indicate a reduction in emotional problems [t(584) = 6.4, p = 0.001], and reduction in problems with peers [t(584) = 14.4, p = 0.001]. Within the control group (n = 499), teachers\' assessments indicated emotional problems increased [t(499) = - 9.5, p = 0.001] and prosocial scores reduced [t(499) = 13.5, p = 0.001]. Students\' self-assessments in the control group indicated emotional problems increased [t(499) = - 27.1, p = 0.001]. A comparison of post-test scores revealed a statistically significant difference between groups. Focus group results indicate students felt the intervention had an overall positive effect on school achievements, family dynamics and individual health.
    This yoga-based intervention package appeared to be effective in reducing both externalizing and internalizing symptoms in adolescents. Practicing Surya-namaskaram, breathing control techniques and mindfulness meditation significantly reduced both externalizing symptoms (conduct problems and hyperactivity) as well as internalizing symptom (emotional problem and peer problems). It is recommended this intervention be scaled up across Sri Lanka and other similar post-conflict regions.
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  • 文章类型: Journal Article
    BACKGROUND: Ageing is an unavoidable facet of life. Yogic practices have been reported to promote healthy aging. Previous studies have used either yoga therapy interventions derived from a particular school of yoga or have tested specific yogic practices like meditation.
    OBJECTIVE: This study reports the development, validation and feasibility of a yoga-based intervention for elderly with or without mild cognitive impairment.
    METHODS: The study was conducted at the Advanced Centre for Yoga, National Institute for Mental Health and Neurosciences, Bangalore. The module was developed, validated, and then pilot-tested on volunteers.
    METHODS: The first part of the study consisted of designing of a yoga module based on traditional and contemporary yogic literature. This yoga module along with the three case vignettes of elderly with cognitive impairment were sent to 10 yoga experts to help develop the intended yoga-based intervention. In the second part, the feasibility of the developed yoga-based intervention was tested.
    RESULTS: Experts (n=10) opined the yoga-based intervention will be useful in improving cognition in elderly, but with some modifications. Frequent supervised yoga sessions, regular follow-ups, addition/deletion/modifications of yoga postures were some of the suggestions. Ten elderly consented and eight completed the pilot testing of the intervention. All of them were able to perform most of the Sukṣmavyayāma, Prāṇāyāma and Nādānusaṇdhāna (meditation) technique without difficulty. Some of the participants (n=3) experienced difficulty in performing postures seated on the ground. Most of the older adults experienced difficulty in remembering and completing entire sequence of yoga-based intervention independently.
    CONCLUSIONS: The yoga based intervention is feasible in the elderly with cognitive impairment. Testing with a larger sample of older adults is warranted.
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