Influence of Yogic Treatment on Quality of Life Outcomes, Glycemic Control, and Risk Factors in Diabetes Mellitus: Randomized Controlled Trial

Background: Suboptimal management of depression in type 2 diabetes mellitus (T2DM) often translates into poor glycemic control, medical complications, and impaired quality of life. Feasibility and effectiveness of collaborative care models of depression in diabetes in low- and middle-income countries (LMICs) remain unexplored. DIAbetes Mellitus ANd Depression (DIAMAND) study, a multicentric single-blind randomized controlled trial (SBRCT) comparing effectiveness of fluoxetine and mindfulness in primary care settings, addresses this gap in scientific literature. Methods: This trial conducted in diverse geographic settings of New Delhi, Bengaluru, and Bhubaneswar will comprise module-based training of primary care providers (PCPs) for screening, diagnosing, and managing depression in diabetes in phase I. Phase II will involve four-arm parallel group RCT on 350 participants with T2DM with comorbid depressive episode randomly allocated to receive fluoxetine, mindfulness therapy, fluoxetine plus mindfulness therapy, or treatment as usual at primary care settings. Interventions would include fluoxetine (up to 60 mg/day) and/or sessions of mindfulness for 16 weeks. Primary outcomes on standardized rating scales include depression scores (Hamilton Depression Rating Scale), treatment adherence (Adherence to Refill and Medication Scale), self-care (Diabetes Self-Management Questionnaire), diabetes-related distress (Diabetes Distress Scale), and glycemic control. Secondary outcomes include quality of life (World Health Organization Quality of Life Brief version [WHO-QOL BREF]) and mindfulness (Five Facets Mindfulness Questionnaire). Discussion: This RCT will investigate the effectiveness of module-based training of PCPs and feasibility of collaborative care model for managing depression in T2DM in primary care settings in LMICs and effectiveness of fluoxetine and/or mindfulness in improving diverse outcomes of T2DM with major depression.

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Economic, clinical, and quality-of-life outcomes associated with olanzapine treatment in mania Results from a randomized controlled trial

Journal of Affective Disorders ◽

10.1016/s0165-0327(01)00310-x ◽

2002 ◽

Vol 69 (1-3) ◽

pp. 109-118 ◽

Cited By ~ 33

Author(s):

M Namjoshi

Keyword(s):

Quality Of Life ◽

Randomized Controlled Trial ◽

Controlled Trial ◽

Life Outcomes ◽

Randomized Controlled ◽

Quality Of Life Outcomes ◽

Olanzapine Treatment

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Randomized Controlled Trial of Yoga for Chronic Poststroke Hemiparesis: Motor Function, Mental Health, and Quality of Life Outcomes

Topics in Stroke Rehabilitation ◽

10.1310/tsr2103-256 ◽

2014 ◽

Vol 21 (3) ◽

pp. 256-271 ◽

Cited By ~ 39

Author(s):

Maarten A. Immink ◽

Susan Hillier ◽

John Petkov

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Randomized Controlled Trial ◽

Motor Function ◽

Controlled Trial ◽

Life Outcomes ◽

Randomized Controlled ◽

Quality Of Life Outcomes

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Interval Walking Improves Glycemic Control and Body Composition After Cancer Treatment: A Randomized Controlled Trial

The Journal of Clinical Endocrinology & Metabolism ◽

10.1210/jc.2019-00590 ◽

2019 ◽

Vol 104 (9) ◽

pp. 3701-3712 ◽

Cited By ~ 1

Author(s):

Jesper F Christensen ◽

Anna Sundberg ◽

Jens Osterkamp ◽

Sarah Thorsen-Streit ◽

Anette B Nielsen ◽

...

Keyword(s):

Quality Of Life ◽

Colorectal Cancer ◽

Randomized Controlled Trial ◽

Body Composition ◽

Glycemic Control ◽

Metabolic Diseases ◽

Controlled Trial ◽

Randomized Controlled ◽

Home Based

Abstract Context Patients with colorectal cancer have increased risk of metabolic diseases including diabetes. Exercise training may counteract metabolic dysregulation, but the impact of exercise training on glycemic control, including postprandial glycemia, has never been explored in patients with colorectal cancer. Objective To examine the effects of home-based interval walking on aerobic and metabolic fitness and quality of life in patients with colorectal cancer. Design Randomized controlled trial. Setting Clinical research center. Participants Thirty-nine sedentary (<150 minutes moderate-intensity exercise per week) patients with stage I to III colorectal cancer who had completed primary treatment. Intervention Home-based interval walking 150 min/wk or usual care for 12 weeks. Main Outcome Measures Changes from baseline to week 12 in maximum oxygen uptake (VO2peak) by cardiopulmonary exercise test, glycemic control by oral glucose tolerance test (OGTT), body composition by dual-energy x-ray absorptiometry scan, blood biochemistry, and quality of life. Results Compared with control, interval walking had no effect on VO2peak [mean between-group difference: −0.32 mL O2 · kg−1 · min−1 (−2.09 to 1.45); P = 0.721] but significantly improved postprandial glycemic control with lower glucose OGTT area under the curve [−126 mM · min (−219 to −33); P = 0.009], 2-hour glucose concentration [−1.1 mM (−2.2 to 0.0); P = 0.056], and improved Matsuda index [1.94 (0.34; 3.54); P = 0.01]. Also, interval walking counteracted an increase in fat mass in the control group [−1.47 kg (−2.74 to −0.19); P = 0.025]. Conclusion A home-based interval-walking program led to substantial improvements in postprandial glycemic control and counteracted fat gain in posttreatment patients with colorectal cancer, possibly providing an effective strategy for prevention of secondary metabolic diseases.

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