A Randomized Controlled Trial to Evaluate Changes in Quality of Life after Adopting Yoga Protocol and Brisk Walking in the Patients of Madhumeha with Special Reference to Type 2 Diabetes Mellitus
Author : Dr. Kiran Jha and Dr. Sarvesh Kumar Agrawal
Abstract :
Introduction: Madhumeha (DM) is a chronic disease in which patients take long time/life-long medicines. In Madhumeha (DM) or any other chronic diseases the quality of life (QOL) is hampered due to factors like long duration of therapy, dietary restrictions, co-morbidities and complications of disease. Yoga Practices might be beneficial for such patients. No study has been conducted on the practice of Yoga Protocol for such patients. Yoga Protocol (YP) is combination of Yoga, Asana, Pranayama, Dhyana and Prayer which has potential to improve QOL of patients on its entire Domain which cannot be achieved only with medicines. It may have more effect on QOL in comparison to Brisk Walking (BW), a form of exercise.
Objectives: Primary- To evaluate the difference in QOL among the patients of Madhumeha (Type 2 Diabetes Mellitus) after adopting Yoga Protocol and Brisk walking, Secondary- To evaluate the difference in reduction of FBS, PPBS, HbA1C among the patients of Madhumeha (Type 2 Diabetes Mellitus) after adopting Yoga Protocol and Brisk walking.
Methodology: A screening proforma was used for enrolment of patients. Sample size was 80, 40 in each group. A Case Record Form/Questionnaire was prepared for gathering details. MDQOL Scale, for the assessment of changes in Quality of Life was used. Wilcoxon and Mann Whitney tests were used for Subjective parameter (MDQOL Scale) and Paired and Unpaired t tests were used for Objective parameter (FBS, PPBS, HbA1c).
Results: Group A has shown more percentage improvement in subjective parameter (MDQOL) as compared to Group B, but the difference is not statistically significant. Group A has shown more statistically significant improvement in objective parameter (FBS, PPBS, HbA1c) as compared to Group B.
Conclusion: YP had shown more percentage improvement in subjective parameter (MDQOL) as compared to BW, but the difference was not statistically significant. YP had shown more statistically significant improvement in objective parameter (FBS, PPBS, HbA1c) as compared to BW. Both the therapies are very easy to use, safe and have multiple psychological benefits hence it can be accepted more widely in the society, also it is a low-cost intervention for the control of various lifestyle disorders.
Keywords :
Diabetes Yoga Protocol, Madhumeha, Quality of Life.