Introduction: Obesity is a known risk factor for type 2 diabetes mellitus (T2DM), and weight-loss seems prudential in T2DM risk reduction. In the current study, we evaluated the efficacy of a short-term yoga-based lifestyle intervention in weight-loss, and assessed its impact on interleukin (IL)-6, vitamin D, fasting plasma glucose (FPG), insulin resistance, waist/hip ratio, lipid profile, and blood pressure in overweight/obese subjects vs. apparently healthy normal weight control subjects. Methods: A total of 68 subjects were enrolled in this study, of which 34 were overweight/obese (BMI ≥23 to <35 kg/m2 per Asian cut-off values) and 34 were apparently healthy normal-weight control subjects. The study was conducted in two phases. In Phase I, all the 68 subjects attended a 10 day directly supervised yoga-based lifestyle intervention program, which was hospital-based. End of Phase I was end-of-study for normal weight subjects while overweight/obese subjects entered Phase II, and continued the intervention while home-based till Day 30. Weight-loss and diabetes risk factors were assessed at Baseline, Day 10 (for both the study groups) and Day 30 (for overweight/obese subjects). Results: In overweight/obese subjects, there was a significant reduction from Baseline to Day 10 in weight (73.20±10.00 vs. 72.35±9.78 kg, p=0.0001), BMI (26.49±3.67 vs. 26.26±3.65 kg/m2, p=0.004), waist/hip ratio (0.91±0.10 vs. 0.90±0.09, p=0.043), FPG (p=0.005), and a significant improvement in lipid profile (p<0.05). Also in this group, there was a significant reduction in median fasting insulin (8.50 vs. 8.30 μIU/dL, p=0.049), insulin resistance (HOMA-IR; 2.55 vs. 1.53, p=0.018), and levels of IL-6 (1.16 vs. 1.11 pg/mL, p=0.031). At Day 30, weight-loss was sustained, and systolic blood pressure was also decreased (p=0.017). The correlation analysis showed that IL-6 decreased with a decrease in waist/hip ratio. Also, serum 25-OH-vitamin D increased with a decrease in weight, FPG, and increased with increase in HDL. There were no notable changes in the control group. Conclusions: This short-term lifestyle intervention resulted in a significant weight-loss even in a short duration, as early as 10 days. This reduction in weight resulted in a reduction in diabetes risk factors in overweight/obese subjects.
37th Congress of IUPS (Birmingham, UK) (2013) Proc 37th IUPS, PCB289
Poster Communications: Diabetes risk factors, interleukin-6 and vitamin d are modified by a short-term yoga-based lifestyle intervention in overweight/obese subjects
R. K. Yadav1, R. Netam2, R. Khadgawat3, K. Sarvottam4, R. Yadav5, D. Magan6
1. Physiology, All India Institute of Medical Sciences, New Delhi, India. 2. Physiology, All India Institute of Medical Sciences, New Delhi, India. 3. Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India. 4. Physiology, All India Institute of Medical Sciences, New Delhi, India. 5. Physiology, All India Institute of Medical Sciences, New Delhi, India. 6. Physiology, All India Institute of Medical Sciences, New Delhi, India.
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