MedPath

Yoga as a Complementary Therapy for Adults With Type 2 Diabetes

Not Applicable
Completed
Conditions
Diabetes Mellitus, Type 2
Interventions
Behavioral: Yoga
Behavioral: Standard Exercise Program
Registration Number
NCT02607566
Lead Sponsor
The Miriam Hospital
Brief Summary

This study will examine the feasibility and acceptability of a twice weekly yoga program for adults with type 2 diabetes. Changes in perceived stress, salivary cortisol, and HbA1c will also be examined.

Detailed Description

The purpose of the current proposal is to test a yoga intervention for adults with T2DM and to gather data on the feasibility and acceptability of yoga compared to a contact control for glycemic control. The investigators will conduct a pilot randomized controlled study with participants randomly assigned to 1) Yoga intervention, or 2) A standard exercise (SE) group program (comparison-control). Focus groups will be conducted with participants at the end of the intervention to identify facilitators and barriers to yoga practice and to examine their perceptions and beliefs about yoga and its relationship to stress and diabetes management. The investigators will explore the effect of yoga on stress (biomarker = salivary cortisol) that may act as a mechanism of action underlying the efficacy of yoga for improved glycemic control. The investigators will also measure HbA1c levels, fasting and postprandial plasma glucose at baseline, end of treatment (12-weeks), 6- and 9-month follow-ups. Study feasibility and acceptability will be assessed using participant recruitment, attendance and retention rates, and compliance with study protocols and satisfaction with the program. Participants will also attend a focus-group discussion of the program at the end of treatment. Results from this study will provide scientific basis for a future larger clinical trial. Yoga, if found to offer advantages for glycemic control, can have potential for high impact on current practices of diabetes management.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • Type 2 diabetes for more than 6 months
  • HbA1c > 6.5
  • Body Mass Index < 42
Exclusion Criteria
  • Serious co-morbid condition (e.g. uncontrolled hypertension, glaucoma, heart failure)
  • Complications of diabetes (e.g. diabetic retinopathy, neuropathy, nephropathy)
  • Serious psychiatric disorder (e.g. psychosis, major depression, panic attacks, suicidality, or substance dependence)
  • Body Mass Index of 42 or greater
  • Pregnancy or planned pregnancy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Iyengar YogaYogaIyengar Yoga Intervention twice weekly for 60 minutes for 12 weeks.
Standard Exercise ProgramStandard Exercise Programprofessionally supervised program of aerobic exercise including use of an indoor walking track, treadmills, stationary bicycles and elliptical machines, held for 60 minutes twice weekly for 12 weeks
Primary Outcome Measures
NameTimeMethod
Acceptability as measured by session attendance12 weeks

Number of sessions attended

Feasibility as measured by study completion6 months

Percent of enrolled subjects completing all assessments

Secondary Outcome Measures
NameTimeMethod
Changes in diabetes-related distress as measured by Diabetes Related Distress SurveyBaseline to Week 12

Percent change in score on the Diabetes Related Distress Survey (Polonsky et al., 1995)

Changes in Salivary Cortisol (ug/dL) between baseline and week 12Baseline to Week 12

Saliva samples collected at baseline and week 12 will be assayed for cortisol levels (ug/dL)

HbA1c6 months

HbA1c levels from blood draws

Diabetes Self-Care12 weeks

Surveys of diabetes related self care activities

Trial Locations

Locations (2)

The Miriam Hospital

🇺🇸

Providence, Rhode Island, United States

The Miriam Hospital- CORO building

🇺🇸

Providence, Rhode Island, United States

© Copyright 2025. All Rights Reserved by MedPath