scholarly journals Effect of Slow Breathing Exercise on some cardio vascular functions in Type 2 Diabetic Male Patients

2021 ◽  
Vol 16 (1) ◽  
pp. 11-15
Author(s):  
Jenefer Yesmin ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

Background: Slow breathing exercise (SBE) has some useful effects on cardiovascular system. Objectives: To observe the effects of slow breathing exercise on blood pressure in male patients with type 2 diabetes mellitus (DM). Methods: This interventional study was implemented on sixty (60) diagnosed male type 2 diabetes mellitus (T2DM) patients aged 45-55 years with disease history 5-10 years, selected from Out Patients Department (OPD) of Endocrinology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka. The subjects were divided into two groups, control group (n=30) included type 2 DM patients without SBE and study group included patients performing SBE for 3 months(n=30) and they were enrolled bypurposive sampling method. The study group was advised to practice SBE for 30 minutes 2 times daily for 3 months. Heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure(MAP),pulse pressure(PP) and rate pressure product (RPP)were recorded at the start of the study and after 3 months in both group of patients.. Independent sample t test and paired sample t-test were used for statistical analysis and p<0.05 was taken as statistical significance. Results: In this study, the value of mean HR, SBP, DBP, MAP and RPP were significantly (p<0.05) reduced after 3 months of SBE. Again no significant changes observed (p>0.05) after 3 months in the group who did not practice SBE. Conclusion: Cardiovascular functions in T2DM patients was improved after performing slow breathing exercise for 3 months. J Bngladesh Soc Physiol 2021;16(1): 11-15

2017 ◽  
Vol 12 (1) ◽  
pp. 15-20
Author(s):  
Jenefer Yesmin ◽  
Noorzahan Begum ◽  
Sultana Ferdousi

Background: Cardiac autonomic nerve dysfunction has been associated with Type 2 Diabetes Mellitus (T2DM) with reduced Heart Rate Variability (HRV). Regular practice of slow breathing exercise (SBE) improves cardiac autonomic nerve function.Objective: To assess the effects of slow breathing exercise on cardiac autonomic nerve function by analysis of HRV in patients with Type 2 Diabetes Mellitus (T2DM).Methods: This prospective interventional study was carried out in the Department of Physiology, Bangabandhu Sheikh Mujib Medical University in 2015. For this, total 30 male diagnosed T2DM patients from the Out Patient Department of Endocrinology, BSMMU aged 45-55 years with diseases duration of 5-10 years were included in the study group. All the patients underwent slow breathing exercise (SBE -30 mins twice daily) for 3 months along with medical treatment. Mean heart rate (HR), mean R-R interval, standard deviation of the NN intervals (SDNN), Square root of mean squared differences of successive N-N intervals (RMSSD) of HRV parameters were recorded at the beginning of 3 months and also at the end of 3 months of study period. Thirty age, BMI matched healthy subject also included as control. For statistical analysis paired and unpaired sample t-test were done as applicable.Results: In this study, Pre-exercise value of mean HR was significantly higher (p< 0.001) and Pre-exercise values of mean R-R interval, SDNN and RMSSD were significantly lower (p< 0.001) in diabetic patients in comparison to control. After 3 months of performing SBE, post exercise values of all parameters were improved significantly (p< 0.001).Conclusion: The results of this study revealed that SBE has some beneficial effects on cardiac autonomic balance in T2DM patients.Bangladesh Soc Physiol. 2017, June; 12(1): 15-20


2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Amalia Nuril Afifah ◽  
Akhmad Rifa’i

Abstract : Type 2 Diabetes Mellitus, Blood Pressure, Gymnastics Diabetes. Diabetes Mellitus is a chronic metabolic disease or disorder with multiple etiologies is characterized by high blood sugar levels. World Health Organitation (WHO) said Indonesia ranks the seventh in the world as a country with the number of people with diabetes mellitus. More than 50% of patients with type 2 diabetes have hypertension (Sweetman, 2009). Management of diabetes disease that has been known there are three ways, namely arranging food, exercise, and medication. Exercise can cause the growth of new capillary blood vessels so as to reduce the blockage in the blood vessels which means it can lower blood pressure. The Objective of the research is to explain the influence of diabetes mellitus exercise to changes in blood pressure in patients with Type 2 diabetes mellitus in Persadia Hospital Dr. Moewardi Surakarta 2015. This type of research is quasy exsperiment to design one group pre and post test design, and data analysis used is frequency distribution univariate and bivariate test with paired samples t-test. Results of this study had a effect of diabetes mellitus exercise to changes in blood pressure in patients with Type 2 diabetes mellitus in Persadia Hospital Dr. Moewardi Surakarta. This is evidenced by paired sample t-test which obtained p value systole 0.01 and diastole 0.018 (p <0.05).The conclusion of the research there is the influence of diabetes mellitus exercise to changes in blood pressure in patients with Type 2 diabetes mellitus in Persadia Hospital Dr. Moewardi Surakarta.


2018 ◽  
Vol 4 (2) ◽  
pp. 58-62
Author(s):  
Roksana Yeasmin ◽  
MA Muttalib ◽  
Kazi Nazneen Sultana ◽  
Nizamul Hoque Bhuiyan ◽  
Md Jamil Hasan Karami ◽  
...  

Background: Type 2 diabetes mellitus is a chronic disease characterized by relative or absolute deficiency of insulin, resulting in glucose intolerance.Objectives: The present study was planned to see the associations of serum uric acid with positive Rheumatoid factor in type 2 male diabetes mellitus patients. Methodology: This case control study was carried out at the department of Biochemistry at Ibrahim Medical College, Dhaka, Bangladesh. The duration of the study was from June 2015 to June 2016 for a period of one year. In this present study, male patients with type 2 diabetes mellitus were taken as case group and age and sex matched healthy male were taken as control group. Rheumatoid factor was measured from the blood of all case and control group respondents. Others blood para meters were also measured for the correlation with the diabetes mellitus patients.Results: In this present study, 110 male patients presented with type 2 diabetes mellitus were recruited as case and age and sex matched healthy male were recruited as control. More rheumatoid factor positive in type 2 DM male patients with the uric acid range between 6.5 to 9.5 mg/dL. The number of patients was 5 out of total 9 rheumatoid factor positive cases. In this study serum uric acid was significantly correlated with rheumatoid factor in type 2 male diabetic patients. Rheumatoid factor positive cases were taking insulin among 9 and it was statistically significantly associated (p<0.001). Conclusion: In this study serum uric acid is significantly associated with positive rheumatoid factor in type 2 male diabetic patients.Journal of Current and Advance Medical Research 2017;4(2):58-62


2017 ◽  
Author(s):  
Agathi Vasileiou ◽  
Ioanna Karathanassi ◽  
Parthena Navrozidou ◽  
Marianna Vlychou ◽  
Georgios Koukoulis ◽  
...  

Author(s):  
Hadi Bazyar ◽  
Seyed Ahmad Hosseini ◽  
Sirous Saradar ◽  
Delsa Mombaini ◽  
Mohammad Allivand ◽  
...  

Abstract Background In patients with type 2 diabetes mellitus (T2DM) the inflammatory and metabolic responses to epigallocatechin-3-gallate (EGCG) are unknown. Objectives Evaluate the impacts of EGCG on metabolic factors and some biomarkers of stress oxidative in patients with T2DM. Methods In this randomized, double-blind, placebo-controlled trial, 50 patients with T2DM consumed either 2 tablets (300 mg) EGCG (n=25) or wheat flour as placebo (n=25) for 2 months. The total antioxidant capacity (TAC), interleukin-6 (IL-6), lipid profile, mean arterial pressure (MAP), atherogenic index of plasma (AIP) were evaluated before and after the intervention. Results The finding of present study exhibited a significant increase in the serum levels of TAC after the EGCG supplementation (p=0.001). Also, in compare with control group, the mean changes of TAC were significantly higher in supplement group (p=0.01). In intervention group, a significant decrease was observed in the mean levels of triglyceride, total cholesterol, diastolic blood pressure (DBP), AIP, and MAP (p<0.05). Taking EGCG resulted in the mean changes of total cholesterol, MAP and DBP were significantly lower in compare with control group (p<0.05). Conclusions This study recommended that EGCG supplementation may be improved blood pressure, lipid profile, AIP, and oxidative status in patients with T2DM.


2021 ◽  
pp. 1-9
Author(s):  
Ramkumar Mohan ◽  
Stefanie Wei Lynn Goh ◽  
Guan Wei Tan ◽  
Yen Pin Tan ◽  
Sameer P. Junnarkar ◽  
...  

<b><i>Background:</i></b> Acute cholangitis (AC) is a common emergency with a significant mortality risk. The Tokyo Guidelines (TG) provide recommendations for diagnosis, severity stratification, and management of AC. However, validation of the TG remains poor. This study aims to validate TG07, TG13, and TG18 criteria and identify predictors of in-hospital mortality in patients with AC. <b><i>Methods:</i></b> This is a retrospective audit of patients with a discharge diagnosis of AC in the year 2016. Demographic, clinical, investigation, management and mortality data were documented. We performed a multinomial logistic regression analysis with stepwise variable selection to identify severity predictors for in-hospital mortality. <b><i>Results:</i></b> Two hundred sixty-two patients with a median age of 75.9 years (IQR 64.8–82.8) years were included for analysis. TG13/TG18 diagnostic criteria were more sensitive than TG07 diagnostic criteria (85.1 vs. 75.2%; <i>p</i> &#x3c; 0.006). The majority of the patients (<i>n</i> = 178; 67.9%) presented with abdominal pain, pyrexia (<i>n</i> = 156; 59.5%), and vomiting (<i>n</i> = 123; 46.9%). Blood cultures were positive in 95 (36.3%) patients, and 79 (83.2%) patients had monomicrobial growth. The 30-day, 90-day, and in-hospital mortality numbers were 3 (1.1%), 11 (4.2%), and 15 (5.7%), respectively. In multivariate analysis, type 2 diabetes mellitus (OR = 12.531; 95% CI 0.354–116.015; <i>p</i> = 0.026), systolic blood pressure &#x3c;100 mm Hg (OR = 10.108; 95% CI 1.094–93.395; <i>p</i> = 0.041), Glasgow coma score &#x3c;15 (OR = 38.16; 95% CI 1.804–807.191; <i>p</i> = 0.019), and malignancy (OR = 14.135; 95% CI 1.017–196.394; <i>p</i> = 0.049) predicted in-hospital mortality. <b><i>Conclusion:</i></b> TG13/18 diagnostic criteria are more sensitive than TG07 diagnostic criteria. Type 2 diabetes mellitus, systolic blood pressure &#x3c;100 mm Hg, Glasgow coma score &#x3c;15, and malignant etiology predict in-hospital mortality in patients with AC. These predictors could be considered in acute stratification and treatment of patients with AC.


Sign in / Sign up

Export Citation Format

Share Document