article integral
Article pour les cliniciens
Les effets du yoga chez les adultes atteints de diabète de type 2: une revue systématique et méta-analyse.
PMID: 28882745
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Médecine familiale (MF)/Médecine générale (MG)Relevance - 6/7
Intérêt médiatique - 5/7 -
Médecine interne générale - Soins primairesRelevance - 6/7
Intérêt médiatique - 5/7 -
Médecine interne (voir sous-spécialités ci-dessous)Relevance - 4/7
Intérêt médiatique - 4/7 -
- EndocrinologieRelevance - 4/7
Intérêt médiatique - 3/7
Résumé (en anglais)
The purpose of this meta-analysis was to examine the effects of yoga for glycemic control among adults with type 2 diabetes (T2DM). Comprehensive electronic databases searches located 2559 unique studies with relevant key terms. Studies were included if they (1) evaluated a yoga intervention to promote T2DM management, (2) used a comparison group, (3) reported an objective measure of glycemic control at post-intervention, and (4) had follow-up length or post-test of at least 8weeks from baseline. Independent raters coded participant, design and methodological characteristics and intervention content. Summary effect sizes and 95% confidence intervals (CI) were calculated. Twenty-three studies with 2473 participants (mean age=53years; 43% women) met eligibility criteria. Compared with controls, yoga participants were successful in improving their HbA1c (d+=0.36, 95% CI=0.16, 0.56; k=16), FBG (d+=0.58, 95% CI=0.40, 0.76; k=20), and PPBG (d+=0.40, 95% CI=0.23, 0.56; k=14). Yoga was also associated with significant improvements in lipid profile, blood pressure, body mass index, waist/hip ratio and cortisol levels. Overall, studies satisfied an average of 41% of the methodological quality (MQ) criteria; MQ score was not associated with any outcome (Ps >0.05). Yoga improved glycemic outcomes and other risk factors for complications in adults with T2DM relative to a control condition. Additional studies with longer follow-ups are needed to determine the long-term efficacy of yoga for adults with T2DM.
Commentaires cliniques (en anglais)
Family Medicine (FM)/General Practice (GP)
As a component of lifestyle modification for patients with T2DM, yoga might prove beneficial to a certain subgroup of patients according to the current review. However, the quality of the current review and of the original studies included was intermediate-to-poor and the primary outcome reported (effect size) was not directly transferable to clinical practices.


