The Effect of Yoga on Health-Related Fitness among Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis
Agustiningsih D., Setiawan J., Wibowo R.A., Icanervilia A.V., Nuramalia R., Nurrahma H.A., Oktariani E.
Abstract
Background: There is a need for a type of physical activity that could address the chal-lenging cycle of physical inactivity, impaired health-related fitness, and type 2 diabetes mellitus (T2DM) conditions. Yoga could be one type of exercise to overcome the barriers to adhere to regular physical activity. The current study aimed to systematically review the effect of yoga on health-related fitness, including cardiorespiratory fitness, muscle strength, body composition, balance, and flexibility, among patients with T2DM. Methods: We systematically searched four databases and two registries (Pubmed, Scopus, Cochrane, Embase, WHO-ITCRP, and Clinicaltrials.gov) in September 2021, following a registered protocol on PROSPERO (CRD42022276225). Study inclusion criteria were T2DM patients with or without complication, yoga intervention as a single component or as a complement compared to other kinds of exercise or an inactive control, health-related fitness, and a randomized, controlled trial or quasi-experimental with control group design. The ROBINS-I tool and ROB 2.0 tool were used to assess the risk of bias in the included studies. A vote-counting analysis and meta-analysis computed using random effects’ models were conducted. Results: A total of 10 records from 3 quasi-experimental and 7 randomized, controlled trials with 815 participants in total were included. The meta-analysis favored yoga groups compared to inactive controls in improving muscle strength by 3.42 (95% confidence interval 2.42 to 4.43), repetitions of chair stand test, and improving cardiorespiratory fitness by 6.6% (95% confidence interval 0.4 to 12.8) improvement of baseline forced vital capacity. The quality of evidence for both outcomes was low. Conclusion: Low-quality evidence favored yoga in improving health-related fitness, particularly muscle strength and cardiorespiratory fitness, among patients with T2DM. Funding: All authors in this systematic review received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Confidence interval or p-value? Part 4 of a series on evaluation of scientific publications
Blettner M., Du Prel J.-B., Du Prel J.-B., Hommel G., Rohrig B.
A systematic review and meta-analysis on the effects of yoga on weight-related outcomes
Cramer H., Cramer H., Dobos G., Langhorst J., Lauche R., Lauche R., Lee M.S.
Effects of exercise on the body composition and lipid profile of individuals with obesity: A systematic review and meta-analysis
Kang S.-J., Kim C., Kim H.J., Kim K., Kim K.-B., Shin Y.-A., Yoon S.
Meta-analysis of the effect of yoga practice on physical fitness in the elderly
Shin S.
Physical activity to improve health: Do not forget that the lungs benefit too
Puente-Maestu L., Puente-Maestu L., Puente-Maestu L., Stringer W.W., Stringer W.W.
Isometric training and long-term adaptations: Effects of muscle length, intensity, and intent: A systematic review
Cronin J.B., Cronin J.B., Nelson A.R., Oranchuk D.J., Storey A.G.
Gluteal muscle activation during common yoga poses
Hafenstine R., Hakansson N.A., Hoover J., Lehecka B.J., May A., Mettling A., Stoffregen S., Thomas J.
Reliability and Minimal Clinically Important Differences (MCID) of Forced Vital Capacity: Post-Hoc Analyses from the Scleroderma Lung Studies (SLS-I and II) [abstract]
Clements P.J., Furst D.E., Goldin J., Hyun K., Kafaja S., Roth M., Tashkin D.P., Tseng C.H., Volkmann E.R., Wilhalme H.
Minimum clinically important difference in 30-s sit-to-stand test after pulmonary rehabilitation in subjects with copd
Azzola A., Cherubino F., Chetta A., Crisafulli E., D'andria M., Gregorini C., Schiavone N., Spanevello A., Zampogna E., Zanini A.
A Randomized controlled trial of the effect of yoga and peer support on glycaemic outcomes in women with type 2 diabetes mellitus: A feasibility study
Gopalakrishnan U.A., Kamalamma L., Karimassery Ramaiyer S., Sreedevi A.
Darmawan S., Haskas Y., Thalib A., Sriwahyuni, Kasim J.
Multidisciplinary Science Journal
Castellote-Caballero Y., Aibar-Almazan A., Carcelen-Fraile M.D.C., Ruiz-Ariza B., Hita-Contreras F.
Healthcare Switzerland
Usha Devi B., Chamundeeswari D.
Indian Journal of Traditional Knowledge
Liu X., Yu L., Lv Y., Su H., Han B., Chen Z., Zheng W.
Life
Deng S., Chen S., Yin T., Liu Y.
Frontiers in Sports and Active Living
Stefano G.B., Esch T.
Frontiers in Integrative Neuroscience
Haverkamp A., Sittner W., Knebel F., Haverkamp W.
Herzschrittmachertherapie Und Elektrophysiologie
Pappachan J., Arunagirinathan G., Jeeyavudeen M.S., Li M.
Touchreviews in Endocrinology