Systematic Reviews and Meta Analysis
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Tip 2 Diyabet Hastalarında Yoganın Anksiyete ve Depresyon Üzerine Etkisinin Meta Analiz Yöntemi ile İncelenmesi

Year 2024, Volume: 5 Issue: 1, 30 - 39, 30.04.2024

Sevda Uzun Sevgi Demir Çam

https://doi.org/10.53445/batd.1392489

Abstract

Yoga, bireyin kendini tanımasını sağlayan ve zihni eğiten en eski kişisel gelişim metotlarından biridir. Yoga, hipertansiyon, astım, obezite, nöromüsküler hastalıklar ve psikiyatrik hastalıklar gibi çeşitli kronik hastalıkların yönetiminde kullanılmaktadır. Bu çalışma, Tip 2 diyabet hastalarında yoganın anksiyete ve depresyon üzerine etki düzeyini meta analiz yöntemi ile ortaya koymak amacı ile yapılmıştır. Meta analiz niteliğindeki bu çalışma için, Temmuz-Eylül 2023’de PubMed, Web of Scıence, EBSCOhost, Google Akademik ve YÖK Tez Merkezi veri tabanlarında yıl sınırlamasına gidilmeden taramalar yapılmıştır. Analize değerlendirmeler yapıldıktan sonra Tip 2 diyabet hastalarında yoganın anksiyete ve depresyon üzerine etkinliği ile ilgili sonuç bildiren 6 araştırma alınmıştır. Veriler meta-analiz ve öyküsel anlatım yöntem kullanılarak analiz edilmiştir. Meta analizde Tip 2 diyabetli hastalarda yoganın anksiyete ve depresyon üzerinde etkin olduğu belirlenmiştir (SMD: -0,513, %95 CI: alt limit -0,898 üst limit; -0,128; Z= -2,614, p = 0.009, I2= %83,561). Mevcut kanıtlar, yoganın tip 2 diyabetli yetişkin hastalara fayda sağladığını bireylerin ruh sağlığı üzerinde etkin olduğunu göstermektedir. Çalışma sonucunda tip 2 diyabeti olan bireylerde yoganın anksiyete ve depresyon belirtilerini azalttığı belirlenmiştir. Bu çalışmaların bulgularına dayalı olarak yapılan meta-analizde, Tip 2 diyabetli hastalarda yoga yapılan grubun anksiyete ve depresyon puan ortalamalarının istatistiksel olarak anlamlı olduğu ve kontrol grubuna göre daha düşük olduğu bulunmuştur.

Keywords

Diyabet yoga anksiyete meta analiz

Ethical Statement

Çalışma meta analiz türünde olduğu için etik kurul iznine gerek olmamaktadır.

Supporting Institution

YOK

Thanks

-

References

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  • Arslan M., Sözen Ş.B., Şar S. (2016). Dünya’daki Geleneksel Tedavi Sistemlerinden Örnekler: Genel Bir Bakış. Examples of The Traditional Treatment Systems From The World: A General Overview, Lokman Hekim Dergisi, (6)3, 100-105.
  • Bock Bc, Thind H, Fava Jl, Dunsiger S, Guthrie Km, Stroud L, et al. (2019). Feasibility Of Yoga As A Complementary Therapy For Patients With Type 2 Diabetes: The Healthy Active And İn Control (Ha1c) Study. Complement Therapy, 42, 125–31. https://doi.org/10.1016/j.ctim.2018.09.019.
  • Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. West Sussex-UK: John Wiley & Sons Ltd. books.google.com.
  • Bozkaya, D. N. (2022). İnsülin kullanan tip 2 diyabetli bireylerde diyabet belirtileri, öz yönetim ve bakım bağımlılığını etkileyen değişkenler. Hacettepe Üniversitesi / Sağlık Bilimleri Enstitüsü. Yüksek lisans tezi.
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates, Inc. Retrievedfromhttp://books.google.com.tr/
  • Chung, S. M., Moon, J. S., & Chang, M. C. (2021). Prevalence of sarcopenia and its association with diabetes: a meta-analysis of community-dwelling Asian population. Frontiers in medicine, 8, 681232. https://doi.org/10.3389/fmed.2021.681232.
  • Cole, J. B., & Florez, J. C. (2020). Genetics of diabetes mellitus and diabetes complications. Nature Reviews Nephrology, 16(7), 377-390. https://doi.org/10.1038/s41581-020-0278-5.
  • Cui J., Yan J.H., Yan L.M., Pan L., Le J.J., Guo Y.Z., (2017). Effects of Yoga İn Adults with Type 2 Diabetes Mellitus: A meta-analysis. J Diabetes Investig, 8(2), 201–209. doi: 10.1111/jdi.12548.
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  • Froeliger, B. E., Garland, E. L., Modlin, L. A., & McClernon, F. J. (2012). Neurocognitive correlates of the effects of yoga meditation practice on emotion and cognition: a pilot study. Frontiers in Integrative Neuroscience, 6, 48. https://doi.org/10.3389/fnint.2012.00048.
  • Grissom, R. J., & Kim, J. J. (2005). Effect sizes forresearch: A broad practical approach. Lawrence Erlbaum Associates Publishers. psycnet.apa.org.
  • Guo R., Wang Y., Yan H. , Yan J., Yuan F., Xu Z., Liu G., Xu W. (2015). Analysis and Recognition of Traditional Chinese Medicine Pulse Based on the Hilbert-Huang Transform and Random Forest in Patients with Coronary Heart Disease. Evid Based Complement Alternat Med, doi: 10.1155/2015/895749.
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  • İlhan M., Demir B., Yüksel S., Aydın Ç.S., Yıldız R.S., Karaman Ö., Taşan E. (2016). The Use of Complementary Medicine in Patients with Diabetes, North Clin Istanbul, 3(1), 34–38.doi: 10.14744/nci.2016.63825.
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  • Karakoç, Z. Ç. (2019). Kardiyak cerrahi sonrası gelişen sağlık bakımı ile ilişkili enfeksiyonların değerlendirilmesi-tek merkez deneyimi. Dicle Tıp Dergisi, 46(3), 461-469. https://doi.org/10.5798/dicletip.620481.
  • Kaynak İ., Polat Ü. (2017). Diabetes Mellituslu Hastaların Tamamlayıcı ve Alternatif Tedavileri. Kullanma Durumları ve Diyabet Tutumları ile İlişkisi, Genel Tıp Derg, 27(2), 56-64. https://dergipark.org.tr/en/download/article-file/2156657.
  • Köyüstü, S., & Kırık, A. M. (2021). Yogaya Genel Bir Bakış ve Yoga-Sağlık İlişkisi. 21. Yüzyılda Eğitim Ve Toplum. Eğitim Bilimleri Ve Sosyal Araştırmalar Dergisi, 10(28), 123-139. https://dergipark.org.tr/en/pub/egitimvetoplum/issue/62961/955449.
  • Kumar, V., Jagannathan, A., Philip, M., Thulasi, A., Angadi, P., & Raghuram, N. (2016). Role of yoga for patients with type II diabetes mellitus: A systematic review and meta-analysis. Complementary therapies in medicine, 25, 104-112. https://doi.org/10.1016/j.ctim.2016.02.001.
  • Liu, H., Liu, S., Xiong, L., & Luo, B. (2023). Efficacy of Baduanjin for treatment of fatigue: A systematic review and meta-analysis of randomized controlled trials. Medicine, 102(32), e34707. 10.1097/MD.0000000000034707.
  • McDermott, K. A., Rao, M. R., Nagarathna, R., Murphy, E. J., Burke, A., Nagendra, R. H., & Hecht, F. M. (2014). A yoga intervention for type 2 diabetes risk reduction: a pilot randomized controlled trial. BMC complementary and alternative medicine, 14(1), 1-14. http://www.biomedcentral.com/1472-6882/14/212.
  • Moher, D.,Liberati, A., Tetzlaff, J., andAltman, D.G., (2009). PRISMA Group, 2009. Reprint—preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA statement. Physical Therapy, 89, 873-880. https://doi.org/10.7326/0003-4819-151-4-200908180-00135.
  • Özçelik G., Toprak D. (2015). Bitkisel Tedavi Neden Tercih Ediliyor? Why is Phytotherapy Prefer- red?, Ankara Med J, 15(2), 48-58 doı:10.17098/amj.05190. 2015.
  • Özden, A. V., Perçin, A., Karaağaç, A., Atik, B., & Çelik, R. E. (2022). Tamamlayıcı-İntegratif Tıp Yaklaşımlarının Ortak Etki Mekanizması ve Otonom Sinir Sistemi Regülasyonu: Geleneksel Derleme. Geleneksel ve Tamamlayıcı Tıp Dergisi. https://milas.arel.edu.tr/xmlui/handle/20.500.12294/3558.
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  • Poongothai S, Vidyulatha A, Nisha T, Lalasa M, Bhavani Sundari B, Karkuzhali K, et al. (2021). Impact of yoga intervention on physical and mental health of adults with type 2 diabetes: Study design and methodology. J Diabetol, 12, 517‑23. 10.4103/jod.jod_88_21.
  • Popli, U., Subbe, CP., Sunil, K. (2014). Research letter-the role of yoga as a lifestyle modification in treatment of diabetes mellitus: results of a pilot study. Altern Ther Health Med, 20: 24–26. http://www.alternative-therapies.com/openaccess/ATHM_20_6_popli.pdf.
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  • Shiju, R., Thomas, D., Al Arouj, M., Sharma, P., Tuomilehto, J., & Bennakhi, A. (2019). Effect of Sudarshan Kriya Yoga on anxiety, depression, and quality of life in people with type 2 diabetes: A pilot study in Kuwait. Diabetes & Metabolic Syndrome: clinical research & reviews, 13(3), 1995-1999. https://doi.org/10.1016/j.dsx.2019.04.038.
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  • Şahin, A., Dirgar, E., & Olgun, N. (2019). Diyabet yönetiminde kullanılan tamamlayıcı ve alternatif tedaviler. Diyabet, Obezite ve Hipertansiyonda Hemşirelik Forumu, 11(1), 32-6. https://www.tdhd.org/assets/uploads/dergiler/Diyabet_Hems_Forumu_2019_1.pdf#page=32.
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EFFECTIVENESS OF YOGA ON ANXIETY AND DEPRESSION IN PATIENTS WITH TYPE 2 DIABETES: A META-ANALYSIS STUDY

Year 2024, Volume: 5 Issue: 1, 30 - 39, 30.04.2024

Sevda Uzun Sevgi Demir Çam

https://doi.org/10.53445/batd.1392489

Abstract

Yoga is one of the oldest methods of self-development, which trains the mind and provides self-knowledge. Yoga is used in the management of various chronic diseases such as hypertension, asthma, obesity, neuromuscular diseases and psychiatric diseases. This study was conducted to reveal the effect of yoga on anxiety and depression in Type 2 diabetes patients by meta-analysis method. For this meta-analysis study, PubMed, Web of Scıence, EBSCOhost, Google Scholar and YÖK Thesis Center databases were searched in July-September 2023 without any year limitation. After the evaluations were made, 6 studies reporting results on the effectiveness of yoga on anxiety and depression in Type 2 diabetes patients were included in the analysis. Data were analyzed using meta-analysis and narrative method. In the meta-analysis, it was found that yoga was effective on anxiety and depression in patients with Type 2 diabetes (SMD: -0.513, 95% CI: lower limit -0.898 upper limit; -0.128; Z= -2.614, p = 0.009, I2= 83.561%). The available evidence suggests that yoga benefits adult patients with type 2 diabetes and is effective on the mental health of individuals. As a result of the study, it was determined that yoga reduced anxiety and depression symptoms in individuals with type 2 diabetes. In the meta-analysis based on the findings of these studies, it was found that the mean anxiety and depression scores of the yoga group in patients with type 2 diabetes were statistically significant and lower than the control group.

Keywords

yoga meta analysis diabetes mellitus anxiety

References

  • Aljasir, B., Bryson, M., Al-Shehri, B. (2010). Yoga Practice for the Management of Type II Diabetes Mellitus in Adults: A systematic review. Evid Based Complement Alternat Med, 7: 399–408. doi:10.1093/ecam/nen027.
  • Arslan M., Sözen Ş.B., Şar S. (2016). Dünya’daki Geleneksel Tedavi Sistemlerinden Örnekler: Genel Bir Bakış. Examples of The Traditional Treatment Systems From The World: A General Overview, Lokman Hekim Dergisi, (6)3, 100-105.
  • Bock Bc, Thind H, Fava Jl, Dunsiger S, Guthrie Km, Stroud L, et al. (2019). Feasibility Of Yoga As A Complementary Therapy For Patients With Type 2 Diabetes: The Healthy Active And İn Control (Ha1c) Study. Complement Therapy, 42, 125–31. https://doi.org/10.1016/j.ctim.2018.09.019.
  • Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009). Introduction to meta-analysis. West Sussex-UK: John Wiley & Sons Ltd. books.google.com.
  • Bozkaya, D. N. (2022). İnsülin kullanan tip 2 diyabetli bireylerde diyabet belirtileri, öz yönetim ve bakım bağımlılığını etkileyen değişkenler. Hacettepe Üniversitesi / Sağlık Bilimleri Enstitüsü. Yüksek lisans tezi.
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates, Inc. Retrievedfromhttp://books.google.com.tr/
  • Chung, S. M., Moon, J. S., & Chang, M. C. (2021). Prevalence of sarcopenia and its association with diabetes: a meta-analysis of community-dwelling Asian population. Frontiers in medicine, 8, 681232. https://doi.org/10.3389/fmed.2021.681232.
  • Cole, J. B., & Florez, J. C. (2020). Genetics of diabetes mellitus and diabetes complications. Nature Reviews Nephrology, 16(7), 377-390. https://doi.org/10.1038/s41581-020-0278-5.
  • Cui J., Yan J.H., Yan L.M., Pan L., Le J.J., Guo Y.Z., (2017). Effects of Yoga İn Adults with Type 2 Diabetes Mellitus: A meta-analysis. J Diabetes Investig, 8(2), 201–209. doi: 10.1111/jdi.12548.
  • D'Silva, S., Poscablo, C., Habousha, R., Kogan, M., & Kligler, B. (2012). Mind-body medicine therapies for a range of depression severity: a systematic review. Psychosomatics, 53(5), 407-423. https://doi.org/10.1016/j.psym.2012.04.006.
  • Froeliger, B. E., Garland, E. L., Modlin, L. A., & McClernon, F. J. (2012). Neurocognitive correlates of the effects of yoga meditation practice on emotion and cognition: a pilot study. Frontiers in Integrative Neuroscience, 6, 48. https://doi.org/10.3389/fnint.2012.00048.
  • Grissom, R. J., & Kim, J. J. (2005). Effect sizes forresearch: A broad practical approach. Lawrence Erlbaum Associates Publishers. psycnet.apa.org.
  • Guo R., Wang Y., Yan H. , Yan J., Yuan F., Xu Z., Liu G., Xu W. (2015). Analysis and Recognition of Traditional Chinese Medicine Pulse Based on the Hilbert-Huang Transform and Random Forest in Patients with Coronary Heart Disease. Evid Based Complement Alternat Med, doi: 10.1155/2015/895749.
  • Günebakan, Ö. (2021). Sağlıklı kadınlarda telerehabilitasyon yöntemi ile uygulanan yoga eğitiminin menstrual semptomlar, yaşam kalitesi, depresyon-anksiyete düzeyi, vücut farkındalığı ve benlik saygısı üzerine etkisi (Master's thesis, Başkent Üniversitesi Sağlık Bilimleri Enstitüsü).
  • Innes, KE., Selfe, TK. (2016). Yoga for Adults with Type 2 Diabetes: A Systematic Review of Controlled Trials. J. Diabetes Res, 6979370. https://doi.org/10.1155/2016/6979370.
  • İlhan M., Demir B., Yüksel S., Aydın Ç.S., Yıldız R.S., Karaman Ö., Taşan E. (2016). The Use of Complementary Medicine in Patients with Diabetes, North Clin Istanbul, 3(1), 34–38.doi: 10.14744/nci.2016.63825.
  • Jyotsna, VP., Dhawan, A., Sreenivas, V., et al. (2014). Completion report: Effect of Comprehensive Yogic Breathing program on type 2 diabetes: A randomized control trial. Indian J Endocrinol Metab, 18: 582–584. https://doi.org/10.4103%2F2230-8210.137499.
  • Karakoç, Z. Ç. (2019). Kardiyak cerrahi sonrası gelişen sağlık bakımı ile ilişkili enfeksiyonların değerlendirilmesi-tek merkez deneyimi. Dicle Tıp Dergisi, 46(3), 461-469. https://doi.org/10.5798/dicletip.620481.
  • Kaynak İ., Polat Ü. (2017). Diabetes Mellituslu Hastaların Tamamlayıcı ve Alternatif Tedavileri. Kullanma Durumları ve Diyabet Tutumları ile İlişkisi, Genel Tıp Derg, 27(2), 56-64. https://dergipark.org.tr/en/download/article-file/2156657.
  • Köyüstü, S., & Kırık, A. M. (2021). Yogaya Genel Bir Bakış ve Yoga-Sağlık İlişkisi. 21. Yüzyılda Eğitim Ve Toplum. Eğitim Bilimleri Ve Sosyal Araştırmalar Dergisi, 10(28), 123-139. https://dergipark.org.tr/en/pub/egitimvetoplum/issue/62961/955449.
  • Kumar, V., Jagannathan, A., Philip, M., Thulasi, A., Angadi, P., & Raghuram, N. (2016). Role of yoga for patients with type II diabetes mellitus: A systematic review and meta-analysis. Complementary therapies in medicine, 25, 104-112. https://doi.org/10.1016/j.ctim.2016.02.001.
  • Liu, H., Liu, S., Xiong, L., & Luo, B. (2023). Efficacy of Baduanjin for treatment of fatigue: A systematic review and meta-analysis of randomized controlled trials. Medicine, 102(32), e34707. 10.1097/MD.0000000000034707.
  • McDermott, K. A., Rao, M. R., Nagarathna, R., Murphy, E. J., Burke, A., Nagendra, R. H., & Hecht, F. M. (2014). A yoga intervention for type 2 diabetes risk reduction: a pilot randomized controlled trial. BMC complementary and alternative medicine, 14(1), 1-14. http://www.biomedcentral.com/1472-6882/14/212.
  • Moher, D.,Liberati, A., Tetzlaff, J., andAltman, D.G., (2009). PRISMA Group, 2009. Reprint—preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA statement. Physical Therapy, 89, 873-880. https://doi.org/10.7326/0003-4819-151-4-200908180-00135.
  • Özçelik G., Toprak D. (2015). Bitkisel Tedavi Neden Tercih Ediliyor? Why is Phytotherapy Prefer- red?, Ankara Med J, 15(2), 48-58 doı:10.17098/amj.05190. 2015.
  • Özden, A. V., Perçin, A., Karaağaç, A., Atik, B., & Çelik, R. E. (2022). Tamamlayıcı-İntegratif Tıp Yaklaşımlarının Ortak Etki Mekanizması ve Otonom Sinir Sistemi Regülasyonu: Geleneksel Derleme. Geleneksel ve Tamamlayıcı Tıp Dergisi. https://milas.arel.edu.tr/xmlui/handle/20.500.12294/3558.
  • Patel, N. K., Newstead, A. H., & Ferrer, R. L. (2012). The effects of yoga on physical functioning and health related quality of life in older adults: a systematic review and meta-analysis. The journal of alternative and complementary medicine, 18(10), 902-917. https://doi.org/10.1089/acm.2011.0473.
  • Poongothai S, Vidyulatha A, Nisha T, Lalasa M, Bhavani Sundari B, Karkuzhali K, et al. (2021). Impact of yoga intervention on physical and mental health of adults with type 2 diabetes: Study design and methodology. J Diabetol, 12, 517‑23. 10.4103/jod.jod_88_21.
  • Popli, U., Subbe, CP., Sunil, K. (2014). Research letter-the role of yoga as a lifestyle modification in treatment of diabetes mellitus: results of a pilot study. Altern Ther Health Med, 20: 24–26. http://www.alternative-therapies.com/openaccess/ATHM_20_6_popli.pdf.
  • Ruiz-Ariza, B., Hita-Contreras, F., Rodríguez-López, C., Rivas-Campo, Y., Aibar-Almazán, A., Carcelén-Fraile, M. D. C., ... & Afanador-Restrepo, D. F. (2023). Effects of Mind-Body Training as a Mental Health Therapy in Adults with Diabetes Mellitus Type II: A Systematic Review. Journal of Clinical Medicine, 12(3), 853. https://doi.org/10.3390/jcm12030853.
  • Shapiro, D., Cook, I. A., Davydov, D. M., Ottaviani, C., Leuchter, A. F., & Abrams, M. (2007). Yoga as a complementary treatment of depression: effects of traits and moods on treatment outcome. Evidence-based complementary and alternative medicine, 4(4), 493-502. https://doi.org/10.1093/ecam/nel114.
  • Shiju, R., Thomas, D., Al Arouj, M., Sharma, P., Tuomilehto, J., & Bennakhi, A. (2019). Effect of Sudarshan Kriya Yoga on anxiety, depression, and quality of life in people with type 2 diabetes: A pilot study in Kuwait. Diabetes & Metabolic Syndrome: clinical research & reviews, 13(3), 1995-1999. https://doi.org/10.1016/j.dsx.2019.04.038.
  • Singh, V. P., & Khandelwal, B. (2020). Effect of yoga and exercise on glycemic control and psychosocial parameters in type 2 diabetes mellitus: A randomized controlled study. International journal of yoga, 13(2), 144. https://doi.org/10.4103%2Fijoy.IJOY_45_19.
  • Şahin, A., Dirgar, E., & Olgun, N. (2019). Diyabet yönetiminde kullanılan tamamlayıcı ve alternatif tedaviler. Diyabet, Obezite ve Hipertansiyonda Hemşirelik Forumu, 11(1), 32-6. https://www.tdhd.org/assets/uploads/dergiler/Diyabet_Hems_Forumu_2019_1.pdf#page=32.
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There are 40 citations in total.

Details

Primary Language Turkish
Subjects Health Promotion, Health Equity
Journal Section Review Articles
Authors

Sevda Uzun 0000-0002-5954-717X

Sevgi Demir Çam 0000-0002-9728-4294

Publication Date April 30, 2024
Submission Date November 17, 2023
Acceptance Date March 15, 2024
Published in Issue Year 2024 Volume: 5 Issue: 1

Cite

APA Uzun, S., & Demir Çam, S. (2024). Tip 2 Diyabet Hastalarında Yoganın Anksiyete ve Depresyon Üzerine Etkisinin Meta Analiz Yöntemi ile İncelenmesi. Bütünleyici Ve Anadolu Tıbbı Dergisi, 5(1), 30-39. https://doi.org/10.53445/batd.1392489
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Bütünleyici ve Anadolu Tıbbı Dergisi

Journal of Integrative and Anatolian Medicine