1 625 131 DIABETIC YOGA PROTOCOL IMPROVES GLYCEMIC, ANTHROPOMETRIC AND LIPID LEVELS IN HIGH RISK INDIVIDUALS FOR DIABETES: A RANDOMIZED CONTROLLED TRIAL FROM NORTHERN INDIA. PURPOSE: TO STUDY THE EFFECTIVENESS OF DIABETIC YOGA PROTOCOL (DYP) AGAINST MANAGEMENT OF CARDIOVASCULAR RISK PROFILE IN A HIGH-RISK COMMUNITY FOR DIABETES, FROM CHANDIGARH, INDIA. METHODS: THE STUDY WAS A RANDOMIZED CONTROLLED TRIAL, CONDUCTED AS A SUB STUDY OF THE PAN INDIA TRIAL NIYANTRITA MADHUMEHA BHARATH (NMB). THE COHORT WAS IDENTIFIED THROUGH THE INDIAN DIABETES RISK SCORING (IDRS) (>/= 60) AND A TOTAL OF 184 INDIVIDUALS WERE RANDOMIZED INTO INTERVENTION (N = 91) AND CONTROL GROUPS (N = 93). THE DYP GROUP UNDERWENT THE SPECIFIC DYP TRAINING WHEREAS THE CONTROL GROUP FOLLOWED THEIR DAILY REGIMEN. THE STUDY OUTCOMES INCLUDED CHANGES IN GLYCEMIC AND LIPID PROFILE. ANALYSIS WAS DONE UNDER INTENT-TO-TREAT PRINCIPLE. RESULTS: THE 3 MONTHS DYP PRACTICE SHOWED DIVERSE RESULTS SHOWING GLYCEMIC AND LIPID PROFILE OF THE HIGH RISK INDIVIDUALS. THREE MONTHS OF DYP INTERVENTION WAS FOUND TO SIGNIFICANTLY REDUCE THE LEVELS OF POST-PRANDIAL GLUCOSE LEVELS (P = 0.035) AND LDL-C LEVELS (P = 0.014) AND WAIST CIRCUMFERENCE (P = 0.001). CONCLUSION: THE FINDINGS INDICATE THAT THE DYP INTERVENTION COULD IMPROVE THE METABOLIC STATUS OF THE HIGH-DIABETES-RISK INDIVIDUALS WITH RESPECT TO THEIR GLUCOSE TOLERANCE AND LIPID LEVELS, PARTIALLY EXPLAINED BY THE REDUCTION IN ABDOMINAL OBESITY. THE STUDY HIGHLIGHTS THE POTENTIAL ROLE OF YOGA INTERVENTION IN REAL TIME IMPROVEMENT OF CARDIOVASCULAR PROFILE IN A HIGH DIABETES RISK COHORT. TRIAL REGISTRATION: CTRI, CTRI/2018/03/012804. REGISTERED 01 MARCH 2018-RETROSPECTIVELY REGISTERED, HTTP://WWW.CTRI.NIC.IN/ CTRI/2018/03/012804. 2021 2 1296 30 GUINNESS WORLD RECORD ATTEMPT AS A METHOD TO PIVOT THE ROLE OF YOGA IN DIABETES MANAGEMENT. BACKGROUND: ATTEMPTS FOR GUINNESS WORLD RECORD HAVE CONTINUED WORLDWIDE BUT THESE ATTEMPTS WERE RARELY AIMED TO PROMOTE PUBLIC HEALTH. DIABETES IS ONE OF THE RAPIDLY GROWING LIFESTYLE DISORDERS IN INDIA WHICH REQUIRES AWARENESS REINFORCEMENTS AMONG THE LOCAL POPULATION. IN RECENT STUDIES, YOGA HAS PROVED TO BE USEFUL IN LIFESTYLE MODIFICATION AND DIABETES MANAGEMENT. HOWEVER, MOST INDIVIDUALS FROM RURAL AND URBAN LOCALITIES IN THE COUNTRY ARE UNAWARE OF THIS FACT. PURPOSE: THE PURPOSE WAS TO ORGANIZING A NATIONWIDE ATTEMPT UNDER THE NIYANTRIT MADHUMEH BHARAT (NMB) PROGRAMME TO BREAK THE WORLD RECORD TO BE THE LARGEST DIABETES LESSON, TO SPREAD AWARENESS AMONG GENERAL POPULATION. METHODS: PRESENT ARTICLE REPRESENTS THE PERSPECTIVE OF THE CHANDIGARH CHAPTER OF NMB PROGRAMME AND ITS EXPERIENCE IN GUINNESS WORLD RECORD ATTEMPT. DIABETES AWARENESS LESSON WAS ORGANIZED IN THE CITY AS PER THE STANDARDS DEFINED BY THE GUINNESS BOOK AND OUTCOMES OF THE ENTIRE CAMPAIGN WERE ASSESSED AT THE END OF THE CAMPAIGN. RESULT: TOTAL 498 INDIVIDUALS PARTICIPATED IN THE CAMPAIGN. AMONG THEM, 268 PARTICIPANTS WERE QUESTIONED AT THE END OF THE CAMPAIGN ABOUT THE ROLE OF YOGA IN DIABETES. 247 PARTICIPANTS (92%) WERE AGREED THAT DIABETES CAN BE MODIFIED BY YOGA AND 9 PARTICIPANTS (3%) DISAGREED. THE REMAINING 12 PARTICIPANTS (5%) DID NOT GIVE ANY RESPONSE. CONCLUSION: WE NOTICED THAT MOST OF THE PARTICIPANTS BECAME AWARE OF THE ROLE OF YOGA IN DIABETES. 2019 3 374 46 AYURVEDA BODY-MIND CONSTITUTIONAL TYPES AND ROLE OF YOGA INTERVENTION AMONG TYPE 2 DIABETES MELLITUS POPULATION OF CHANDIGARH AND PANCHKULA REGIONS. BACKGROUND: TYPE 2 DIABETES NEEDS A BETTER UNDERSTANDING OF ETIOLOGICAL FACTORS AND MANAGEMENT STRATEGIES BASED ON LIFESTYLE AND CONSTITUTIONAL FACTORS, GIVEN ITS HIGH ASSOCIATION RATE WITH MANY CARDIOVASCULAR, NEUROLOGICAL DISORDERS, AND COVID-19 INFECTION. PURPOSE: THE PRESENT STUDY WAS UNDERTAKEN TO INVESTIGATE THE EFFECT OF DIABETES-SPECIFIC INTEGRATED YOGA LIFESTYLE PROTOCOL (DYP) ON GLYCEMIC CONTROL AND LIPID PROFILES OF DIABETIC ADULTS. ALONG WITH THE DYP INTERVENTION, THE INDIVIDUALS RESIDING IN CHANDIGARH AND PANCHKULA UNION TERRITORIES IN THE NORTHERN PART OF INDIA WERE ASSESSED FOR AYURVEDA-BASED BODY-MIND CONSTITUTIONAL TYPE. AYURVEDA DESCRIBES BODY-MIND CONSTITUTION AS "PRAKRITI," WHICH HAS BEEN DISCUSSED FROM TWO ANGLES, NAMELY PHYSIOLOGICAL AND PSYCHOLOGICAL AS BODY AND MIND ARE CORRELATED. METHODS: CLUSTER SAMPLING OF WAITLIST CONTROL STUDY SUBJECTS WAS USED AS THE SAMPLING METHOD FOR THE STUDY. A TOTAL OF 1,215 REGISTERED SUBJECTS (81 DIABETIC) RESPONDED IN RANDOMLY SELECTED CLUSTERS IN CHANDIGARH AND PANCHKULA. AYURVEDA PHYSICIANS DID AYURVEDA BODY-MIND CONSTITUTIONAL ASSESSMENT CALLED PRAKRITI ASSESSMENT (PHYSIOLOGICAL BODY-MIND CONSTITUTION ASSESSMENT) IN 35 PARTICIPANTS (23 DIABETIC, 12 PREDIABETIC) AS A PART OF THE STUDY. RESULTS: A GROUP OF 50 SUBJECTS WAS RANDOMLY SELECTED FOR YOGA INTERVENTION OUT OF 81 DIABETES MELLITUS ADULTS, AND 31 SUBJECTS WERE ENROLLED AS WAITLIST CONTROLS. A SIGNIFICANT DECREASE IN THE GLYCOSYLATED HEMOGLOBIN LEVELS FROM 8.49 +/- 1.94% TO 7.97 +/- 2.20% IN THE INTERVENTION GROUP WAS NOTICED. THE LIPID PROFILES OF THE DYP INTERVENTION AND CONTROL GROUPS WERE MONITORED. THREE-MONTH FOLLOW-UP RESULTS OF LIPID PROFILE DIAGNOSTIC TESTS IN INTERVENTION AND CONTROL GROUPS SHOWED A SIGNIFICANT DIFFERENCE BETWEEN THE TWO GROUPS (P < 0.05). MOST DIABETIC AND PREDIABETIC INDIVIDUALS WERE FOUND TO HAVE PITTA DOSHA (PITTA CONTROLS ALL HEAT, METABOLISM, AND TRANSFORMATION IN THE MIND AND BODY) AS DOMINANT CONSTITUTION TYPE. CONCLUSION: THE STUDY RESULTS DEMONSTRATED SIGNIFICANT POSITIVE EFFECTS OF YOGA IN DIABETIC INDIVIDUALS. THIS STUDY HAS INDICATED THE EVIDENCE FOR THE SAFETY AND EFFICACY OF THE VALIDATED DYP FOR COMMUNITY-LEVEL INTERVENTIONS TO PREVENT MALADIES LIKE BRAIN DAMAGE AND STROKE. 2020 4 1116 33 EFFICACY OF A VALIDATED YOGA PROTOCOL ON DYSLIPIDEMIA IN DIABETES PATIENTS: NMB-2017 INDIA TRIAL. BACKGROUND: DYSLIPIDEMIA IS CONSIDERED A RISK FACTOR IN TYPE 2 DIABETES MELLITUS (T2DM) RESULTING IN CARDIO-VASCULAR COMPLICATIONS. YOGA PRACTICES HAVE SHOWN PROMISING RESULTS IN ALLEVIATING TYPE 2 DIABETES PATHOLOGY. METHOD: IN THIS STRATIFIED TRIAL ON A YOGA BASED LIFESTYLE PROGRAM IN CASES WITH TYPE 2 DIABETES, IN THE RURAL AND URBAN POPULATION FROM ALL ZONES OF INDIA, A TOTAL OF 17,012 ADULTS (>20 YEARS) OF BOTH GENDERS WERE SCREENED FOR LIPID PROFILE AND SUGAR LEVELS. THOSE WHO SATISFIED THE SELECTION CRITERIA WERE TAUGHT THE DIABETES YOGA PROTOCOL (DYP) FOR THREE MONTHS AND THE DATA WERE ANALYZED. RESULTS: AMONG THOSE WITH DIABETES, 29.1% HAD ELEVATED TOTAL CHOLESTEROL (TC > 200 MG/DL) LEVELS THAT WERE HIGHER IN URBAN (69%) THAN RURAL (31%) DIABETES PATIENTS. THERE WAS A POSITIVE CORRELATION (P = 0.048) BETWEEN HBA1C AND TOTAL CHOLESTEROL LEVELS. DYP INTERVENTION HELPED IN REDUCING TC FROM 232.34 +/- 31.48 MG/DL TO 189.38 +/- 40.23 MG/DL WITH SIGNIFICANT PRE POST DIFFERENCE (P < 0.001). CONVERSION RATE FROM HIGH TC (>200 MG/DL) TO NORMAL TC (<200 MG/DL) WAS OBSERVED IN 60.3% OF CASES WITH TYPE 2 DIABETES MELLITUS (T2DM); FROM HIGH LDL (>130 MG/DL) TO NORMAL LDL (<130 MG/DL) IN 73.7%; FROM HIGH TRIGLYCERIDE (>200 MG/DL) TO NORMAL TRIGLYCERIDE LEVEL (<200 MG/DL) IN 63%; FROM LOW HDL (<45 MG/DL) TO NORMAL HDL (>45 MG/DL) IN 43.7% OF T2DM PATIENTS AFTER THREE MONTHS OF DYP. CONCLUSIONS: A YOGA LIFESTYLE PROGRAM DESIGNED SPECIFICALLY TO MANAGE DIABETES HELPS IN REDUCING THE CO-MORBIDITY OF DYSLIPIDEMIA IN CASES OF PATIENTS WITH T2DM. 2019 5 1703 35 PARTITIONING OF RADIOLOGICAL, STRESS AND BIOCHEMICAL CHANGES IN PRE-DIABETIC WOMEN SUBJECTED TO DIABETIC YOGA PROTOCOL. BACKGROUND: YOGA IS AN ANCIENT SYSTEM OF WELLNESS WITH ASANA AND PRANAYAMA AS ITS MOST POPULAR AND PROPAGATED MODULES FOR MANAGEMENT OF LIFESTYLE DISORDERS. OBJECTIVES: THE AIM OF THE STUDY WAS TO CHARACTERISE THE LIVER ABNORMALITIES, BIOCHEMICAL CHANGES, AND STRESS LEVELS AFTER YOGA INTERVENTION IN PREDIABETIC FEMALES. MATERIALS AND METHODS: 37 FEMALES WERE RANDOMLY DIVIDED INTO YOGA PRACTISING AND NON-PRACTISING CONTROL GROUPS. THE YOGA PRACTISING GROUP PERFORMED DIABETIC YOGA PROTOCOL (DYP) FOR 3 MONTHS. PARAMETERS INCLUDING SIZE OF LIVER, FATTY INFILTRATION, AND GRADE OF SEVERITY WERE MEASURED USING ULTRASONOGRAPHY ALONG WITH BIOCHEMICAL PARAMETERS AND STRESS LEVELS AT BASELINE AND AFTER YOGA PRACTICE. RESULTS: THE GLYCOSYLATED HEMOGLOBIN (HBA1C) AND GLUCOSE LEVELS WERE FOUND SIGNIFICANTLY REDUCED IN PREDIABETIC (P=0.015) WOMEN AFTER PRACTISING DYP, ALTHOUGH CHOLESTEROL LEVELS INCREASED IN MENOPAUSAL WOMEN. NO ESCALATION OF FATTY LIVER WAS NOTED AMONG WOMEN PRACTISING DYP. CONCLUSION: DYP REDUCED THE HBA1C AND STRESS LEVELS AND THEREFORE, COULD BE A COST-EFFECTIVE TOOL FOR PREVENTING PREDIABETES TO DIABETES PROGRESSION. 2019 6 1540 31 KNOWLEDGE, ATTITUDE, AND PRACTICE OF YOGA IN RURAL AND URBAN INDIA, KAPY 2017: A NATIONWIDE CLUSTER SAMPLE SURVEY. : BACKGROUND: TO EXAMINE THE KNOWLEDGE, ATTITUDES, AND PRACTICE GAP OF YOGA ACROSS INDIA BASED ON IMPLICIT PERCEPTIONS. METHODS: THE PRESENT STUDY IS A NATIONWIDE DOOR-TO-DOOR SURVEY CONDUCTED USING A QUESTIONNAIRE/SCREENING FORM. THE DATA WERE COLLECTED FROM A NATIONAL SURVEY CONDUCTED UNDER THE NIYANTRIT MADHUMEH BHARAT (NMB) PROGRAM INITIATED BY THE MINISTRY OF AYURVEDA, YOGA, UNANI, SIDDHA, HOMEOPATHY (AYUSH), GOVERNMENT OF INDIA, FROM ALL MAJOR ZONES OF THE COUNTRY. A TOTAL OF 162,330 PARTICIPANTS WHO JOINED THE NMB PROGRAM WERE RECRUITED IN OUR STUDY. RESULTS: OUT OF THE TOTAL RESPONDENTS TO THE SURVEY, IT WAS OBSERVED THAT 11.8% [13,336/112,735] PRACTICE YOGA, WHICH WAS HIGHEST IN THE NORTH ZONE [4,567/112,735] AND LOWEST IN THE EAST ZONE [971/112,735]. OUT OF 101,643 RESPONDENTS, 94,135 OF THE INDIVIDUALS WHO PARTICIPATED IN THE SURVEY BELIEVED THAT YOGA IMPROVED THEIR LIFESTYLE, AND 90,102/98,518 BELIEVED THAT YOGA PREVENTED DIABETES, REVEALING A HUGE KNOWLEDGE-PRACTICE GAP. CONCLUSIONS: THE SCALE OF THE KNOWLEDGE-PRACTICE GAP COUPLED WITH THE GENERAL ACCEPTABILITY OF YOGA CALLS FOR A CHANGE IN THE CONVENTIONAL HEALTHCARE PROVISIONS BY ITS INTEGRATION WITH MODERN MEDICINE. THE POPULATION-WIDE POSITIVE PERCEPTIONS ABOUT YOGA AS A PREVENTIVE HEALTH TOOL CAN NOT ONLY CATALYZE CONSENSUS DISEASE-SPECIFIC YOGA MODULES BUT ALSO BRIDGE THE KNOWLEDGE-PRACTICE GAP THAT EXISTS BECAUSE OF LIMITED YOGA CENTERS AND PROFESSIONALS. 2020 7 1312 16 HEALTH STATUS OF NURSES AND YOGA. I. BASELINE DATA. IN THIS ONGOING ICMR PROJECT ON "EFFECT OF YOGA ON THE HEALTH OF NURSES", SOME BASELINE DATA ON THE HEALTH OF NURSES OF NEHRU HOSPITAL, P.G.I., CHANDIGARH ARE REPORTED. THIS WAS OBTAINED BEFORE THE START OF YOGA THERAPY IN SELECTED CASES AND COLLECTED WITH THE HELP OF SIX PSYCHOLOGICAL TOOLS. OUT OF A TOTAL OF 501 NURSES, 452 (90.2%) COULD BE CONTACTED AND STUDIED. MEAN AGE WAS 30.43 YEARS AND MEAN YEARS OF SERVICE 9.93 YEARS. MEAN SCORES ON THE PSYCHOLOGICAL TESTS INDICATED POOR HEALTH STATUS OF NURSES, AVERAGE NEUROTICISM, DEPRESSIVE TENDENCIES AND ROLE STRESS. SENSE OF WELL-BEING WAS HIGH IN THEM. THE DATA IS DISCUSSED IN THE LIGHT OF RESEARCHES IN THIS AREA. THIS IS THE FIRST OF A SERIES OF THREE ARTICLES TO BE PUBLISHED IN THE JOURNAL. 1989 8 926 50 EFFECTIVENESS OF YOGA LIFESTYLE ON LIPID METABOLISM IN A VULNERABLE POPULATION-A COMMUNITY BASED MULTICENTER RANDOMIZED CONTROLLED TRIAL. BACKGROUND: DYSLIPIDEMIA POSES A HIGH RISK FOR CARDIOVASCULAR DISEASE AND STROKE IN TYPE 2 DIABETES (T2DM). THERE ARE NO STUDIES ON THE IMPACT OF A VALIDATED INTEGRATED YOGA LIFESTYLE PROTOCOL ON LIPID PROFILES IN A HIGH-RISK DIABETES POPULATION. METHODS: HERE, WE REPORT THE RESULTS OF LIPID PROFILE VALUES OF 11,254 (YOGA 5932 AND CONTROL 5322) ADULTS (20-70 YEARS) OF BOTH GENDERS WITH HIGH RISK (>/=60 ON INDIAN DIABETES RISK SCORE) FOR DIABETES FROM A NATIONWIDE RURAL AND URBAN COMMUNITY-BASED TWO GROUP (YOGA AND CONVENTIONAL MANAGEMENT) CLUSTER RANDOMIZED CONTROLLED TRIAL. THE YOGA GROUP PRACTICED A VALIDATED INTEGRATED YOGA LIFESTYLE PROTOCOL (DYP) IN NINE DAY CAMPS FOLLOWED BY DAILY ONE-HOUR PRACTICE. BIOCHEMICAL PROFILING INCLUDED GLYCATED HEMOGLOBIN AND LIPID PROFILES BEFORE AND AFTER THREE MONTHS. RESULTS: THERE WAS A SIGNIFICANT DIFFERENCE BETWEEN GROUPS (P < 0.001 ANCOVA) WITH IMPROVED SERUM TOTAL CHOLESTEROL, TRIGLYCERIDES, LOW-DENSITY LIPOPROTEIN, AND HIGH-DENSITY LIPOPROTEIN IN THE YOGA GROUP COMPARED TO THE CONTROL GROUP. FURTHER, THE REGULATORY EFFECT OF YOGA WAS NOTED WITH A SIGNIFICANT DECREASE OR INCREASE IN THOSE WITH HIGH OR LOW VALUES OF LIPIDS, RESPECTIVELY, WITH MARGINAL OR NO CHANGE IN THOSE WITHIN THE NORMAL RANGE. CONCLUSION: YOGA LIFESTYLE IMPROVES AND REGULATES (LOWERED IF HIGH, INCREASED IF LOW) THE BLOOD LIPID LEVELS IN BOTH GENDERS OF PREDIABETIC AND DIABETIC INDIVIDUALS IN BOTH RURAL AND URBAN INDIAN COMMUNITIES. 2021 9 903 60 EFFECTIVENESS OF A YOGA-BASED LIFESTYLE PROTOCOL (YLP) IN PREVENTING DIABETES IN A HIGH-RISK INDIAN COHORT: A MULTICENTER CLUSTER-RANDOMIZED CONTROLLED TRIAL (NMB-TRIAL). INTRODUCTION: THOUGH SEVERAL LINES OF EVIDENCE SUPPORT THE UTILITY OF YOGA-BASED INTERVENTIONS IN DIABETES PREVENTION, MOST OF THESE STUDIES HAVE BEEN LIMITED BY METHODOLOGICAL ISSUES, PRIMARILY SAMPLE SIZE INADEQUACY. HENCE, WE TESTED THE EFFECTIVENESS OF YOGA-BASED LIFESTYLE INTERVENTION AGAINST DIABETES RISK REDUCTION IN MULTICENTRE, LARGE COMMUNITY SETTINGS OF INDIA, THROUGH A SINGLE-BLIND CLUSTER-RANDOMIZED CONTROLLED TRIAL, NIYANTRITA MADHUMEHA BHARAT ABHIYAN (NMB). RESEARCH DESIGN AND METHODS: NMB-TRIAL IS A MULTICENTRE CLUSTER-RANDOMIZED TRIAL CONDUCTED IN 80 CLUSTERS [COMPOSED OF RURAL UNITS (VILLAGES) AND URBAN UNITS (CENSUS ENUMERATION BLOCKS)] RANDOMLY ASSIGNED IN A 1:1 RATIO TO INTERVENTION AND CONTROL GROUPS. PARTICIPANTS WERE INDIVIDUALS (AGE, 20-70 YEARS) WITH PREDIABETES (BLOOD HBA1C VALUES IN THE RANGE OF 5.7-6.4%) AND IDRS >/= 60. THE INTERVENTION INCLUDED THE PRACTICE OF YOGA-BASED LIFESTYLE MODIFICATION PROTOCOL (YLP) FOR 9 CONSECUTIVE DAYS, FOLLOWED BY DAILY HOME AND WEEKLY SUPERVISED PRACTICES FOR 3 MONTHS. THE CONTROL CLUSTER RECEIVED STANDARD OF CARE ADVICE FOR DIABETES PREVENTION. STATISTICAL ANALYSES WERE PERFORMED ON AN INTENTION-TO-TREAT BASIS, USING AVAILABLE AND IMPUTED DATASETS. THE PRIMARY OUTCOME WAS THE CONVERSION FROM PREDIABETES TO DIABETES AFTER THE YLP INTERVENTION OF 3 MONTHS (DIAGNOSED BASED UPON HBA1C CUTOFF >6.5%). SECONDARY OUTCOME INCLUDED REGRESSION TO NORMOGLYCEMIA WITH HBA1C <5.7%. RESULTS: A TOTAL OF 3380 (75.96%) PARTICIPANTS WERE FOLLOWED UP AT 3 MONTHS. AT 3 MONTHS POST-INTERVENTION, OVERALL, DIABETES DEVELOPED IN 726 (21.44%) PARTICIPANTS. YLP WAS FOUND TO BE SIGNIFICANTLY EFFECTIVE IN HALTING PROGRESSION TO DIABETES AS COMPARED TO STANDARD OF CARE; ADJUSTED RRR WAS 63.81(95% CI = 56.55-69.85). THE YLP ALSO ACCELERATED REGRESSION TO NORMOGLYCEMIA [ADJUSTED ODDS RATIO (ADJOR) = 1.20 (95% CI, 1.02-1.43)]. IMPORTANTLY, YOUNGER PARTICIPANTS ( 60), MODERATE (IDRS SCORE 30-50), AND LOW (IDRS < 30) DIABETES RISK IN YOUNG ADULTS (<35 YEARS) WAS 10.2%, 33.1%, AND 56.7%, RESPECTIVELY. THOSE WITH HIGH-RISK SCORES WERE HIGHEST (14.4%) IN THE JAMMU ZONE AND LOWEST (4.1%) IN THE CENTRAL ZONE. THE PREVALENCE OF SELF-REPORTED DIABETES WAS 1.8% WITH A SMALL DIFFERENCE BETWEEN MEN (1.7%) AND WOMEN (1.9%), AND THE HIGHEST (8.4%) IN THOSE WITH A PARENTAL HISTORY OF DIABETES. THE SOUTH ZONE HAD THE HIGHEST (2.5%), AND THE NORTH WEST ZONE HAD THE LOWEST (4.4%) PREVALENCE. CONCLUSIONS: INDIAN YOUTH ARE AT HIGH RISK FOR DIABETES, WHICH CALLS FOR AN URGENT ACTION PLAN THROUGH INTENSIVE EFFORTS TO PROMOTE LIFESTYLE BEHAVIOR MODIFICATIONS DURING THE PANDEMICS OF BOTH COMMUNICABLE AND NONCOMMUNICABLE DISEASES. 2020 13 140 35 A PROSPECTIVE STUDY ON TYPE-2 DIABETIC COMPLICATIONS AND EFFICACY OF INTEGRATED YOGA: A PAN INDIA 2017. BACKGROUND: TYPE 2 DIABETES (T2DM) CONTRIBUTES TO HIGH MORTALITY AND MORBIDITY BECAUSE OF ITS MAJOR COMPLICATIONS RELATED TO KIDNEY, HEART, BRAIN, AND EYES. IT ALSO POSES A HIGH RISK FOR MORTALITY BECAUSE OF COVID-19. STUDIES SUGGEST THE POSSIBLE IMPLICATIONS OF YOGA IN DELAYING OR ATTENUATING SUCH COMPLICATIONS. METHODOLOGY: THIS WAS A PAN-INDIA MULTI CENTERED CLUSTER-RANDOMIZED (4 LEVEL) TWO-ARMED TRIAL IN THE RURAL AND URBAN POPULATION OF ALL POPULOUS STATES OF INDIA. DATA WERE OBTAINED USING MOBILE APP IN ALL ADULTS IN THE HOUSEHOLD OF THE SELECTED CLUSTERS. RESULTS: WE REPORT THE DIABETES RELATED COMPLICATIONS IN 16623 ADULTS (48% MALES, 52% FEMALES) FROM 65 DISTRICTS (1 IN 10 DISTRICTS, 2011 CENSUS) OF 29 (OUT OF 35) STATES AND UNION TERRITORIES OF INDIA; MEAN AGE WAS 48.2 +/- 12.46 YEARS. OUT OF THIS 40% LIVED IN RURAL AND 62% IN URBAN LOCATIONS. IN HIGH RISK DIABETES INDIVIDUALS (SCORED >/= 60 POINTS ON INDIAN DIABETES RISK SCORE KEY), 18.0% HAD SELF-REPORTED HISTORY OF (PERIPHERAL NEUROPATHY, 6.1% HAD H/O MAJOR STROKES, 5.5% HAD MINOR STROKES (TRANSIENT ISCHEMIC EPISODES), 18.1% HAD LOWER LIMB CLAUDICATION, 20.5% LEG ULCERS, 4.4% HAD H/O CARDIAC SURGERY, 4.8% ANGIOPLASTY, AND 15.1% HAD DIABETES RETINOPATHY. COMPLICATIONS WERE HIGHER IN RURAL THAN IN URBAN AREAS, HIGHER IN PEOPLE WITH EXTENDED DURATION OF DIABETES. INTEGRATED YOGA MODULE FOR THREE MONTHS (ONE HOUR DAILY) SHOWED SIGNIFICANTLY BETTER REDUCTION IN SYMPTOMS RELATED TO COMPLICATIONS AS COMPARED TO CONTROL GROUP (P < .001). CONCLUSION: THE ALARMING HIGH PREVALENCE OF COMPLICATIONS IN DIABETES POPULATION CALLS FOR URGENT ACTION, WHERE YOGA MAY SHOW THE BENEFITS IN REDUCTION OF SYMPTOMS OF COMPLICATIONS. 2021 14 1581 25 MECHANISM OF ACTION OF YOGA ON PREVENTION AND MANAGEMENT OF TYPE 2 DIABETES MELLITUS: NARRATIVE REVIEW. BACKGROUND: RESEARCH IN INDIA HAS RECOGNIZED TYPE 2 DIABETES MELLITUS (T2DM) AND PREDIABETES (PDM) AS PSYCHOSOMATIC METABOLIC ENDOCRINE DISORDERS CHARACTERIZED BY GLYCEMIC DISHARMONY. THIS REVIEW AIMED AT COLLATING INFORMATION FROM PUBLISHED E-PAPERS ON MECHANISM OF ACTION (MOA) OF YOGA THERAPY(YT) AND INTEGRATED APPROACH OF YOGA THERAPY (IAYT) ON PDM AND T2DM. METHOD: CONTENT ON YT AND THE MOA ON PREVENTION AND MANAGEMENT OF T2DM WERE EXTRACTED FROM ONLINE SOURCES SUCH AS PUBMED, GOOGLE SCHOLAR, COCHRANE LIBRARY AND LIBRARY GENESIS. THIS REVIEW INCLUDED 58 ARTICLES RELATED TO PREDIABETES, T2DM, PRE-DIABETES TO T2DM CONVERSION, MECHANISM OF ACTION OF YOGA, YOGA AND T2DM, PREDIABETES AND YOGA. ARTICLES RELATED TO TYPE 1 DIABETES, DIABETES INSIPIDUS AND GESTATIONAL DIABETES WERE EXCLUDED. RESULT: CURRENT SCIENTIFIC REVIEW RESULTED IN UNDERSTANDING THE DIFFERENT MECHANISMS INVOLVED IN REJUVENATING EFFECT OF YOGA AS YT AND IAYT IN PREDIABETES AND T2DM. HOWEVER, THE VARIOUS MECHANISMS BY WHICH THE INTERVENTIONS WORK ARE UNDERSTOOD EITHER THROUGH A SINGLE OR COMBINED IMPACT ON REGAINING AUTONOMIC BALANCE, VAGAL MODULATION, REGULATION OF HORMONES AND THEREBY ATTAINING GLYCEMIC CONTROL. MOREOVER, THESE MECHANISMS ARE THE FORTHCOMINGS OF THE CROSS TALK BETWEEN BRAIN, MIND AND BODY SYSTEMS UNDER BRANCHES OF NEUROPHYSIOLOGY, NEUROENDOCRINOLOGY, PSYCHOPHYSIOLOGY, PSYCHO NEUROENDOCRINOLOGY AND/OR NEUROPSYCHOLOGY. CONCLUSION: EVIDENCE SOUGHT FROM PUBLISHED RESEARCH WORKS PROCLAIM YT BASED LIFE STYLE MODIFICATION FOR PREVENTION AND MANAGEMENT OF T2DM. SUMMING UP, THE EFFECT IS STIPULATED BASED ON THE APPROACH, METHOD OF PRACTICE, TIME OF THE DAY, BELIEF AND DEDICATION OF THE PRACTITIONERS. 2022 15 624 28 DIABETES MELLITUS TYPE 2 AND YOGA: ELECTRO PHOTONIC IMAGING PERSPECTIVE. BACKGROUND: YOGA IS THE MOST POPULAR FORM OF ALTERNATIVE MEDICINE FOR THE MANAGEMENT OF DIABETES MELLITUS TYPE 2. THE ELECTRO-PHOTONIC IMAGING (EPI) IS ANOTHER CONTRIBUTION FROM ALTERNATIVE MEDICINE IN HEALTH MONITORING. AIM: TO EVALUATE DIABETES FROM EPI PERSPECTIVE. OBJECTIVES: (1) COMPARE VARIOUS EPI PARAMETERS IN NORMAL, PREDIABETIC AND DIABETIC PATIENTS. (2) FIND DIFFERENCE IN CONTROLLED AND UNCONTROLLED DIABETES. (3) STUDY THE EFFECT OF 7 DAYS DIABETES-SPECIFIC YOGA PROGRAM. MATERIALS AND METHODS: FOR THE FIRST OBJECTIVE, THERE WERE 102 PATIENTS (NORMAL 29, PREDIABETIC 13, DIABETIC 60). IN THE SECOND STUDY, THERE WERE 60 PATIENTS (CONTROLLED DIABETES 27, UNCONTROLLED DIABETES 33). THE THIRD STUDY COMPRISED 37 PATIENTS. EPI PARAMETERS WERE RELATED TO GENERAL HEALTH AS WELL TO SPECIFIC ORGANS. RESULTS: IN THE FIRST STUDY, SIGNIFICANT DIFFERENCE WAS OBSERVED BETWEEN (1) DIABETICS AND NORMAL: AVERAGE INTENSITY 5.978, FORM COEFFICIENT 3.590, IMMUNE ORGANS 0.281 ALL P < 0.001; (2) DIABETICS AND PREDIABETICS: AVERAGE INTENSITY 6.676, FORM COEFFICIENT 4.158, IMMUNE ORGANS 5.890 P < 0.032; (3) NORMAL AND PREDIABETES: IMMUNE ORGANS (-6.171 P = 000). IN THE SECOND STUDY, REMARKABLE DIFFERENCE WAS IN THE IMMUNE ORGANS (0.201, P = 0.031). IN THE PRE- AND POST-STUDY, THE MEAN DIFFERENCE WAS: AREA 630.37, FORM COEFFICIENT 1.78, ENTROPY 0.03, LIVER 0.24, PANCREAS 0.17, CORONARY VESSELS 0.11, AND LEFT KIDNEY 29, WITH ALL P < 0.02. CONCLUSION: THERE IS A SIGNIFICANT DIFFERENCE IN EPI PARAMETERS BETWEEN NORMAL, PREDIABETICS AND DIABETICS, THE PROMINENT BEING AVERAGE INTENSITY, FORM COEFFICIENT, AND IMMUNE ORGANS. BETWEEN CONTROLLED AND UNCONTROLLED DIABETES, IMMUNE ORGANS SHOW SIGNIFICANT CHANGE. INTERVENTION OF YOGA RESULTS IN CHANGE IN MOST PARAMETERS. 2017 16 660 39 EFFECT OF 12 WEEKS OF YOGA THERAPY ON QUALITY OF LIFE AND INDIAN DIABETES RISK SCORE IN NORMOTENSIVE INDIAN YOUNG ADULT PREDIABETICS AND DIABETICS: RANDOMIZED CONTROL TRIAL. INTRODUCTION: INDIA HAS BECOME THE EPICENTRE FOR DIABETES, A STRESS-RELATED DISORDER AFFECTING THE WORKING SKILLS AND DAY-TO-DAY LIFESTYLE MANAGEMENT OF YOUNGER POPULATION. MOST OF THE STUDIES HAVE REPORTED THE EFFECT OF YOGA ON IMPROVING QUALITY OF LIFE (QOL) IN DIABETIC PATIENTS WITH OTHER COMORBIDITIES. TILL DATE, NO RANDOMIZED CONTROL TRIAL REPORTS ARE AVAILABLE TO SHOW THE EFFECT OF YOGA THERAPY ON QOL AND INDIAN DIABETES RISK SCORE (IDRS) IN NORMOTENSIVE PREDIABETIC AND DIABETIC YOUNG INDIVIDUALS. AIM: TO DETERMINE THE EFFECT OF 12 WEEKS OF YOGA THERAPY ON QOL AND IDRS AMONG NORMOTENSIVE PREDIABETIC AND DIABETIC YOUNG INDIAN ADULTS. MATERIALS AND METHODS: A RANDOMIZED CONTROL TRIAL WAS CONDUCTED IN ENDOCRINOLOGY OUTPATIENT DEPARTMENT (OPD). NORMOTENSIVE PARTICIPANTS (N=310) AGED 18-45 YEARS WERE DIVIDED INTO HEALTHY CONTROLS (N=62), PREDIABETICS (N=124) AND DIABETICS (N=124). STUDY GROUP SUBJECTS WERE RANDOMLY ASSIGNED TO GROUP II (N=62, PREDIABETES-STANDARD TREATMENT), GROUP III (N=62, PREDIABETES-STANDARD TREATMENT + YOGA THERAPY), GROUP IV (N=62, DIABETES-STANDARD TREATMENT) AND GROUP V (N=62, DIABETES-STANDARD TREATMENT + YOGA THERAPY). FLANAGAN QOL SCALE, IDRS QUESTIONNAIRE, FASTING PLASMA GLUCOSE (FPG) AND INSULIN WERE ASSESSED PRE AND POST 12 WEEKS OF INTERVENTION. STATISTICAL ANALYSIS WAS DONE USING STUDENT'S PAIRED T-TEST AND ONE-WAY ANOVA. RESULTS: PRE-POST INTERVENTION ANALYSIS SHOWED SIGNIFICANT IMPROVEMENT IN QOL SCALE WITH P<0.01 IN GROUP II AND GROUP IV; P<0.001 IN GROUP III AND GROUP V RESPECTIVELY. THERE WAS SIGNIFICANT REDUCTION IN IDRS IN GROUP II (P<0.05); P<0.001 IN GROUP III, GROUP IV AND GROUP V RESPECTIVELY. SIGNIFICANT DIFFERENCE (P<0.001) IN QOL SCALE AND IDRS WERE FOUND WHEN STUDY GROUPS WITH STANDARD TREATMENT ALONG WITH YOGA THERAPY WERE COMPARED TO STANDARD TREATMENT ALONE. CONCLUSION: YOGA THERAPY ALONG WITH STANDARD TREATMENT FOR 12 WEEKS IMPROVED QOL AND ATTENUATED THE DIABETES RISK AMONG INDIAN PREDIABETICS AND DIABETICS COMPARED TO STANDARD TREATMENT ALONE. 2017 17 959 38 EFFECTS OF A YOGA INTERVENTION ON LIPID PROFILES OF DIABETES PATIENTS WITH DYSLIPIDEMIA. OBJECTIVE: THE PRESENT STUDY WAS CONDUCTED TO ASSESS THE EFFECTIVENESS OF YOGA IN THE MANAGEMENT OF DYSLIPIDEMIA IN PATIENTS OF TYPE 2 DIABETES MELLITUS. METHODS: THIS RANDOMIZED PARALLEL STUDY WAS CARRIED OUT IN MEDICAL COLLEGE TRIVANDRUM, KERALA, INDIA. HUNDRED TYPE 2 DIABETICS WITH DYSLIPIDEMIA WERE RANDOMIZED INTO CONTROL AND YOGA GROUPS. THE CONTROL GROUP WAS PRESCRIBED ORAL HYPOGLYCEMIC DRUGS. THE YOGA GROUP PRACTICED YOGA DAILY FOR 1 H DURATION ALONG WITH ORAL HYPOGLYCEMIC DRUGS FOR 3 MONTHS. THE LIPID PROFILES OF BOTH THE GROUPS WERE COMPARED AT THE START AND AT THE END OF 3 MONTHS. RESULTS: AFTER INTERVENTION WITH YOGA FOR A PERIOD OF 3 MONTHS THE STUDY GROUP SHOWED A DECREASE IN TOTAL CHOLESTEROL, TRIGLYCERIDES AND LDL, WITH AN IMPROVEMENT IN HDL. CONCLUSION: YOGA, BEING A LIFESTYLE INCORPORATING EXERCISE AND STRESS MANAGEMENT TRAINING, TARGETS THE ELEVATED LIPID LEVELS IN PATIENTS WITH DIABETES THROUGH INTEGRATED APPROACHES. 2013 18 2145 27 THE EFFECTS OF MINDFULNESS EATING AND YOGA EXERCISE ON BLOOD SUGAR LEVELS OF PREGNANT WOMEN WITH GESTATIONAL DIABETES MELLITUS. AIM: THIS RANDOMIZED CONTROLLED TRIAL WAS CARRIED OUT TO INVESTIGATE THE EFFECT OF MINDFULNESS EATING AND YOGA EXERCISE ON BLOOD SUGAR LEVELS AMONG PREGNANT THAI WOMEN WITH GDM. BACKGROUND: INTERVENTIONS PROMOTING ACHIEVEMENT OF GOOD GLYCEMIC CONTROL RESULT IN DESIRED PREGNANCY OUTCOMES. LITTLE IS KNOWN ABOUT THE HEALTH BENEFITS OF MINDFULNESS EATING AND YOGA EXERCISE ON BLOOD SUGAR LEVELS AMONG PREGNANT WITH GDM. METHODS: A RANDOMIZED CONTROLLED TRIAL WAS CARRIED OUT. MAIN OUTCOME MEASURES WERE CAPILLARY FASTING PLASMA GLUCOSE, 2-H POSTPRANDIAL BLOOD GLUCOSE, AND HEMOGLOBIN A1C. RESULTS: THE INTERVENTION GROUP SHOWED SIGNIFICANTLY REDUCED FASTING PLASMA GLUCOSE, 2-H POSTPRANDIAL BLOOD GLUCOSE, AND GLYCOSYLATED HEMOGLOBIN (HBA1C) IN THE INTERVENTION GROUP (P<0.05). CONCLUSIONS: MINDFULNESS EATING AND YOGA EXERCISE HAD HEALTH BENEFITS ON GLYCEMIC CONTROL IN PREGNANT WOMEN WITH GDM. IT SHOULD BE RECOMMENDED IN CLINICAL AND COMMUNITY HEALTH SERVICES. 2014 19 689 42 EFFECT OF AYURVEDA INTERVENTION, LIFESTYLE MODIFICATION AND YOGA IN PREDIABETIC AND TYPE 2 DIABETES UNDER THE NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE (NPCDCS)-AYUSH INTEGRATION PROJECT. BACKGROUND: TYPE 2 DIABETES IS A LIFESTYLE-RELATED DISORDER THAT AFFECTS AROUND 422 MILLION INDIVIDUALS IN INDIA. INTEGRATION OF AYUSH (AYURVEDA) WITH THE NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE (NPCDCS) WAS CONCEIVED ON PILOT BASIS AT GAYA, BIHAR, TO PROVIDE INTEGRATIVE TREATMENT FOR NON-COMMUNICABLE DISEASE PATIENTS AND TO MANAGE THE BURDEN OF NON-COMMUNICABLE DISEASES IN INDIA. OBJECTIVES: THE OBJECTIVE OF THIS STUDY WAS TO ANALYZE THE EFFECT OF AYURVEDA INTERVENTION, LIFESTYLE MODIFICATION AND YOGA IN THE MANAGEMENT OF TYPE 2 DIABETES UNDER NPCDCS-AYUSH INTEGRATION PROJECT. MATERIALS AND METHODS: A MULTI-CENTRIC, OPEN-LABELED, PROSPECTIVE, COMPARATIVE CLINICAL STUDY WAS CONDUCTED AT 17 COMMUNITY HEALTH CENTERS AND 1 DISTRICT HOSPITAL. POPULATION OVER 30 YEARS OF AGE WAS SCREENED AND PREDIABETIC OR TYPE 2 DIABETIC INDIVIDUALS WERE ENROLLED IN TWO COHORTS, I.E., PRE-DIABETIC (COHORT A) AND TYPE 2 DIABETIC (COHORT B). EACH COHORT WAS FURTHER DIVIDED INTO TWO GROUPS: GROUP A1 WAS ADVISED FOR LIFESTYLE MODIFICATION AND YOGA AND GROUP A2 WAS GIVEN AYURVEDA MEDICATION IN ADDITION TO LIFESTYLE MODIFICATION AND YOGA. SIMILARLY, GROUP B1 WAS ADVISED FOR LIFESTYLE MODIFICATION AND YOGA ALONG WITH ALLOPATHIC MEDICATION AND GROUP B2 WAS GIVEN AYURVEDA MEDICATION, I.E., MAMAJJAKA, AMALAKI AND GUDUCHI POWDER IN ADDITION TO LIFESTYLE MODIFICATION AND YOGA ALONG WITH ALLOPATHIC MEDICATION. TREATMENT WAS GIVEN FOR 6 MONTHS. DATA WERE ANALYZED THROUGH PAIRED T-TEST. RESULTS: A SIGNIFICANT REDUCTION WAS OBSERVED IN FASTING BLOOD SUGAR LEVEL IN GROUPS A2 AND B2 (P = 0.001) AND ALSO IN THE POSTPRANDIAL BLOOD SUGAR LEVEL IN GROUPS A2 AND B2 (P = 0.001). FURTHER, IMPROVEMENT IN SUBJECTIVE SYMPTOMS SUCH AS POLYURIA, POLYDIPSIA, POLYPHAGIA, BLURRED VISION AND WEAKNESS WAS FOUND IN ALL THE GROUPS, WHILE NON-HEALING ULCER DOES NOT SHOW ANY IMPROVEMENT. CONCLUSION: THE STUDY REVEALS THAT AYURVEDA INTERVENTION, I.E., MAMAJJAKA CHURNA (1 G), AMALAKI CHURNA (3 G) AND GUDUCHI CHURNA (3 G) TWO TIMES A DAY EFFECTIVELY CONTROLS BLOOD SUGAR LEVEL IN PRE-DIABETIC AND TYPE 2 DIABETIC PATIENTS AND IMPROVES THE DISEASE MANAGEMENT WITH LIFESTYLE MODIFICATION AND YOGASANA AS WELL AS WITH ALLOPATHIC TREATMENT. 2019 20 895 30 EFFECT OF YOGA-NIDRA ON BLOOD GLUCOSE LEVEL IN DIABETIC PATIENTS. DIABETES IS A METABOLIC DISORDER, WHICH HAS BECOME A MAJOR HEALTH CHALLENGE WORLDWIDE. SOUTH EAST ASIAN COUNTRIES HAVE A HIGHEST BURDEN OF DIABETES. IN INDIA THE PREVALENCE OF DIABETES IS RISING RAPIDLY ESPECIALLY IN THE URBAN POPULATION BECAUSE OF INCREASING OBESITY AND REDUCED PHYSICAL ACTIVITY. AN OBJECTIVE OF THIS STUDY IS TO EVALUATE THE EFFECT OF YOGA-NIDRA ON BLOOD GLUCOSE LEVEL IN DIABETIC PATIENTS. THIS STUDY WAS CONDUCTED ON 41, MIDDLE AGED, TYPE-2 DIABETIC PATIENTS, WHO WERE ON ORAL HYPOGLYCAEMIC. THESE PATIENTS WERE DIVIDED IN TO TWO GROUPS: (A) 20 PATIENTS ON ORAL HYPOGLYCAEMIC WITH YOGA-NIDRA, AND (B) 21 WERE ON ORAL HYPOGLYCAEMIC ALONE. YOGA-NIDRA PRACTICED FOR 30 MINUTES DAILY UP TO 90 DAYS, PARAMETERS WERE RECORDED EVERY. 30TH DAY. RESULTS OF THIS STUDY SHOWED THAT MOST OF THE SYMPTOMS WERE SUBSIDED (P < 0.004, SIGNIFICANT), AND FALL OF MEAN BLOOD GLUCOSE LEVEL WAS SIGNIFICANT AFTER 3-MONTH OF YOGA-NIDRA. THIS FALL WAS 21.3 MG/DL, P < 0.0007, (FROM 159 +/- 12.27 TO 137.7 +/- 23.15,) IN FASTING AND 17.95 MG/DL, P = 0.02, (FROM 255.45 +/- 16.85 TO 237.5 +/- 30.54) IN POST PRANDIAL GLUCOSE LEVEL. RESULTS OF THIS STUDY SUGGEST THAT SUBJECTS ON YOGA-NIDRA WITH DRUG REGIMEN HAD BETTER CONTROL IN THEIR FLUCTUATING BLOOD GLUCOSE AND SYMPTOMS ASSOCIATED WITH DIABETES, COMPARED TO THOSE WERE ON ORAL HYPOGLYCAEMICS ALONE. 2009