瑜伽对 2 型糖尿病患者健康相关体适能的影响：系统评价和荟萃分析。
The Effect of Yoga on Health-Related Fitness among Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis.
机构信息
Department of Physiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.
Department of Physiotherapy, Faculty of Nursing, Universitas Hasanuddin, Makassar 90245, Indonesia.
出版信息
Int J Environ Res Public Health. 2022 Apr 1;19(7):4199. doi: 10.3390/ijerph19074199.
BACKGROUND
There is a need for a type of physical activity that could address the challenging 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.
背景
需要有一种体育活动来打破身体活动不足、健康相关体能下降和 2 型糖尿病（T2DM）等不良状态之间的恶性循环。瑜伽可能是克服坚持常规体育活动障碍的一种运动方式。本研究旨在系统评价瑜伽对 T2DM 患者健康相关体能的影响，包括心肺适能、肌肉力量、身体成分、平衡和柔韧性。
方法
我们于 2021 年 9 月按照 PROSPERO（CRD42022276225）登记的方案，系统检索了 4 个数据库和 2 个注册处（Pubmed、Scopus、Cochrane、Embase、WHO-ITCRP 和 Clinicaltrials.gov）。纳入标准为患有或不患有并发症的 T2DM 患者，瑜伽干预为单一组成部分或作为其他类型运动或非活动对照的补充，健康相关体能，以及随机对照试验或具有对照组设计的准实验。使用 ROBINS-I 工具和 ROB 2.0 工具评估纳入研究的偏倚风险。使用随机效应模型进行投票计数分析和荟萃分析。
结果
共有 3 项准实验和 7 项随机对照试验的 10 项记录，共计 815 名参与者纳入本研究。荟萃分析结果显示，与非活动对照组相比，瑜伽组在改善肌肉力量方面具有优势，优势比为 3.42（95%置信区间为 2.42 至 4.43），在改善椅子站立测试重复次数和改善心肺适能方面具有优势，优势比为 6.6%（95%置信区间为 0.4 至 12.8），基础用力肺活量的改善。这两个结果的证据质量均较低。
结论
低质量证据表明，瑜伽可改善 T2DM 患者的健康相关体能，特别是肌肉力量和心肺适能。
资金
本系统评价的所有作者均未从公共、商业或非营利部门的任何资助机构获得特定的资助。
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