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ORIGINAL ARTICLE
Year : 2016  |  Volume : 5  |  Issue : 3  |  Page : 619-624

Effectiveness of yoga program in the management of diabetes using community health workers in the urban slums of Bangalore city: A non-randomized controlled trial


1 Department of Family Medicine, St Philomena Hospital; Department of Family Medicine, PMU, Art of Living Foundation, Bengaluru, Karnataka, India
2 Department of Community Health, St. John's Medical College, Bengaluru, Karnataka, India
3 Project Management Unit, Art of Living Foundation, Bengaluru, Karnataka, India

Correspondence Address:
Hemavathi Dasappa
No. 171, MCC Apartment, 5th Cross, 2nd Stage, Gruhalakshmi Layout, Kamala Nagar, Bengaluru - 560 079, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2249-4863.197323

Clinical trial registration ref/2016/01/010430

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Trial Design: Nonrandomized controlled trial. Methods: Nonrandomized controlled trial. This was an interventional study that was conducted in 4 slums of Bengaluru . Of the 256 diabetes participants, only 109 people agreed to participate in the program. Of 109 people, 52 people agreed to participate in the intervention (agreed to learn and practice Yoga) while the remaining 57 people were assigned to nonintervention group. Randomization and blinding could not be done. Objective and Outcome: The study was conducted with objective of assessing the effectiveness of Yoga, Pranayama, and Sudarshan Kriya in the community-based management of diabetes mellitus. The primary outcome variable was Hb1Ac and secondary outcome variables were systolic blood pressure (SBP), diastolic blood pressure (DBP), adherence to medication, and changes in lifestyle. Results: The study was conducted for 40 days. Community health workers made a total of 6 visits during the study. All the 109 participants were available for weekly follow-up. There were no drop outs among the study population. Statistically significant change was seen in the consumption of vegetable (c2 = 15.326, P < 0.005), fruits (c2 = 16.207, P < 0.005), salty food (c2 = 14.823, P < 0.005), bakery food (c2 = 10.429, P < 0.005) and fried food (c2 = 15.470, P < 0.005), adherence to metformin (c2 = 41.780, P < 0.005) and other medication(c2 = 21.871, P < 0.005) and proportion of patients with DBP under control (c2 = 9.396, P < 0.005) and proportion of people with glucose random blood sugar under control (c2 = 29.693, P < 0.005) between the two groups following the intervention. Statistically significant change was also seen in the proportion of people with SBP/DBP ≤140/90 (c2 = 10.635, P < 0.005) between the two groups. Conclusion: The Yoga program was successful in improving dietary practices and medication adherence and in increasing the proportion of diabetics and hypertensive patients under control.


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