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Licensed Unlicensed Requires Authentication Published by De Gruyter July 19, 2018

Association between a guided meditation practice, sleep and psychological well-being in type 2 diabetes mellitus patients

Mathew P Varghese, Ragavendrasamy Balakrishnan and Subramanya Pailoor

Abstract

Background

Type 2 diabetes mellitus [T2DM] is one of the leading causes for mortality. This study examined the role of an self-awareness based guided meditation practice, Cyclic Meditation [CM] on perceived stress, anxiety, depression, sleep and quality of life in T2DM patients.

Design

A single arm pre-post design was used for the study.

Setting

The study was conducted in an auditorium for general public diagnosed with T2DM in Ernakulam, Kerala, India.

Subjects

Subjects were 30 T2DM patients, both male and female of age 50.12 ± 11.15 years and BMI 25.14 ± 4.37 Kg/m2 and not having a history of hospitalisation were randomly recruited for the study following advertisements in national dailies.

Intervention

Participants completed a supervised CM programs in the evenings, 5 days a week for 4 weeks, in addition to their regular medication.

Measures

Perceived stress, anxiety and depression were assessed with Perceived Stress Scale, State Anxiety Inventory and Beck’s depression inventory, respectively. Sleep and quality of life were assessed with Pittsburgh Sleep Quality Index and WHO-Quality of Life – BREF respectively.

Analysis

Changes in the outcome measures from baseline to 4 weeks were compared using paired “t” test.

Results

After 4 weeks, the quality of life and sleep scores increased 7.1% [p = 0.001] and 32.7% [p = 0.001], respectively. The perceived stress, anxiety and depression reduced 26.1% [p = 0.001], 16.01% [p = 0.003] and 37.63% [p = 0.006] as compared to their baseline reports. The CM practice also reduced daytime dysfunction.

Conclusions

A guided self-awareness based meditation program was safe and effective in improving depression, anxiety, perceived stress and enhance sleep and quality of life in T2DM patients, which could be helpful in reducing the future complications of T2DM. Mind management is essential along with medical management to achieve better clinical results.

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

[1] Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87:4–14.10.1016/j.diabres.2009.10.007Search in Google Scholar PubMed

[2] Seidell JC. Obesity, insulin resistance and diabetes-a worldwide epidemic. Br J Nutr. 2000;83.10.1017/S000711450000088XSearch in Google Scholar

[3] McEwen BS. Protective and damaging effects of stress mediators. New Eng J Med. 1998;338:171–9.10.1056/NEJM199801153380307Search in Google Scholar PubMed

[4] Bauer ME. Chronic stress and immunosenescence: a review. Neuroimmunomodulation. 2008;15:241–50.10.1159/000156467Search in Google Scholar PubMed

[5] Cannizzo ES, Clement CC, Sahu R, Follo C, Santambrogio L. Oxidative stress, inflamm-aging and immunosenescence. J Proteomics. 2011;74:2313–23.10.1016/j.jprot.2011.06.005Search in Google Scholar PubMed

[6] Duncan BB, Schmidt MI, Pankow JS, Ballantyne CM, Couper D, Vigo A, et al. Low-grade systemic inflammation and the development of type 2 diabetes the atherosclerosis risk in communities study. Diabetes. 2003;52:1799–805.10.2337/diabetes.52.7.1799Search in Google Scholar PubMed

[7] Danesh J, Whincup P, Walker M, Lennon L, Thomson A, Appleby P, et al. Low grade inflammation and coronary heart disease: prospective study and updated meta-analyses. Br Med J. 2000;321:199–204.10.1136/bmj.321.7255.199Search in Google Scholar PubMed PubMed Central

[8] Sela S, Shurtz-Swirski R, Cohen-Mazor M, Mazor R, Chezar J, Shapiro G, et al. Primed peripheral polymorphonuclear leukocyte: a culprit underlying chronic low-grade inflammation and systemic oxidative stress in chronic kidney disease. J Am Soc Nephrol. 2005;16:2431–38.10.1681/ASN.2004110929Search in Google Scholar PubMed

[9] Bastard JP, Maachi M, Lagathu C, Kim MJ, Caron M, Vidal H, et al. Recent advances in the relationship between obesity, inflammation, and insulin resistance. Eur Cytokine Netw. 2006;17:4–12.Search in Google Scholar

[10] Garcia MJ, McNamara PM, Gordon T, Kannell WB. Morbidity and mortality in diabetics in the Framingham population: sixteen year follow-up study. Diabetes. 1974;23:105–11.10.2337/diab.23.2.105Search in Google Scholar PubMed

[11] Stratton IM, Amanda IA, Andrew WN, David RM, Susan EM, Carole AC, et al. Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes (UKPDS 35): prospective observational study. Br Med J. 2000;321:405–12.10.1136/bmj.321.7258.405Search in Google Scholar PubMed PubMed Central

[12] Chinmayanada S. Mandukya Upanishad. Bombay, India: Sachin Publishers; 1984.Search in Google Scholar

[13] Nagendra HR, Nagarathna R. New perspectives in stress management. Bangalore, India: Swami Vivekananda Yoga Prakashana; 1997.Search in Google Scholar

[14] Lutz A, Slagter HA, Dunne JD, Davidson RJ. Attention regulation and monitoring in meditation. Trends Cogn Sci. 2008;12:163–9.10.1016/j.tics.2008.01.005Search in Google Scholar PubMed PubMed Central

[15] Subramanya P, Telles S. A review of the scientific studies on cyclic meditation. Int J Yoga. 2009;2:46.10.4103/0973-6131.60043Search in Google Scholar PubMed PubMed Central

[16] Telles S, Reddy SK, Nagendra HR. Oxygen consumption and respiration following two yoga relaxation techniques. Appl Psychophysiology Biofeedback. 2000;25:221–7.10.1023/A:1026454804927Search in Google Scholar

[17] Subramanya P, Telles S. Changes in midlatency auditory evoked potentials following two yoga-based relaxation techniques. Clin EEG Neurosci. 2009;40:190–5.10.1177/155005940904000312Search in Google Scholar PubMed

[18] Sarang SP, Telles S. Changes in P300 following two yoga-based relaxation techniques. Int J Neurosci. 2006;116:1419–30.10.1080/00207450500514193Search in Google Scholar PubMed

Received: 2015-05-07
Accepted: 2018-05-11
Published Online: 2018-07-19

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