Introduction: Diabetes is a chronic illness that requires continuing medical and healthcare and self education and life style modifications. Moreover, the disease manifestations start in the early stages of diabetes and before it gets established as a full blown condition in the pre-stage called prediabetes. Lifestyle interventions such as engagement in muscle-strengthening and conditioning activities (resistance exercise, yoga, stretching, toning) is associated with a lower risk of prediabetes and type 2 diabetes, Yoga constitutes asanas, regulated breathing (pranayama), and awareness of yoga sutras (principles) that govern the mind and preventing progression of prediabetes to type 2 diabetes. This comparative study highlights importance of six month yoga intervention in two groups of prediabetic subjects ,one group which perform yoga asans at home by the help of cd and video recording and other group which perform yoga asans at yoga centers in presence of yoga instructors, and use its as a tool for primary prevention of diabetes.
Methodology: This was a comparative Interventional study conducted at RUHS college of Medical Sciences and Associated Hospital in Jaipur city. The design of study was Prospective Intervention Comparative Study. A total of 202 prediabetic subjects of age group 30 to 50 years were recruited from Jaipuria Hospital. These were divided into two groups Cd and video recording group (Group A, n=101) were divided in control 51 and study group 51 which perform yoga asans by the help of cd and video recording at their home and other( Group B , n=101) divided in control 51 and study group 51 engaged in yoga session at the yoga centers . Protocol of yoga asans were same in both groups.
Results: Yoga intervention resulted in a significant decline in blood glucose ( p< .001) in cd and video recording group and yoga center group, Glycated hemoglobin ( p <.01) in cd and video recording group, lipid profile Cholesterol (p<.01) in cd and video recording group and (p<.001) in yoga center group ,Triglyceride( p<.01) in cd and video recording group and ( p<.001) in yoga center group but HDL ( p value =.2) in cd and video recordin group and ( p value =.86) in yoga center group but statistically non significant relative to the control group.
Conclusion: Six month yoga intervention to be helpful in control of blood glucose and lipid profile in cd and video recording and yoga center groups of prediabetes subjects.
Yoga can be used as effective therapy in improving glycemic parameters i.e blood glucose and glycated haemoglobin and lipid profile. Comparative result showed that yoga beneficial in both the group but it would be better in yoga centers in terms of guidance by yoga instructor ,regularity at particular place and time , motivation from community .
Key words: Prediabetes, yoga, cardiovascular risk
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