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Yoga Practice for Reducing the Male Obesity and Weight Related Psychological Difficulties-A Randomized Controlled Trial . -- Dragonfly Kingdom Library

Posted on November 29, 2020 at 3:05 PM

Yoga Practice for Reducing the Male Obesity and Weight Related Psychological Difficulties-A Randomized Controlled Trial

P.B. Rshikesan,corresponding author1 Pailoor Subramanya,2 and Ram Nidhi3

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Abstract

Introduction

Obesity is a health disorder and increasing all over the world. It is also a cause for many non-communicable diseases. Yoga practice reduces the stress level which may improve the eating habits and help in weight reduction.

 

Aim

To assess the final outcome of the effects after 3 months of the 14 weeks yoga training on obesity of adult male in an urban setting.

 

Materials and Methods

This was a randomized controlled trial with parallel groups (Yoga and Control groups) on male obese. Total 80 subjects with Body Mass Index (BMI) between 25 to 35 kg/cm2 were enrolled and randomized into two equal groups in which 72 subjects (yoga n = 37 and control n=35) completed the trial. Yoga group mean age ± SD was 40.03±8.74 and Control group mean age±SD was 42.20±12.06. A 14 weeks special IAYT (Integrated Approach of Yoga Therapy) yoga training was given to the Yoga group and no specific activity was given to Control group. The interim results of this study at 14 weeks were covered in another article which is under process. After the 14 weeks of yoga training the Yoga group was asked to continue the yoga practice for the next 3 months and the Control group was not given any physical activity. The final outcome is covered in this paper.

 

The assessments were anthropometric parameters of body weight (Wt), BMI (Body Mass Index), MAC (Mid-upper Arm Circumferences of left and right arm), WC (Waist Circumference), HC (Hip Circumference), WHR (Waist Hip Ratio), SKF (Skin Fold Thickness) of biceps, triceps, sub scapular, suprailiac and cumulative skin fold thickness value), Percentage body fat based on SKF and Psychological questionnaires of PSS (Perceived Stress Scale) and AAQW (Acceptance and Action Questionnaire for Weight related difficulty). Assessments were taken after 3 months of yoga training, for both Yoga and Control groups. Within group, between group and correlation analyses were carried out using SPSS 21.

 

Results

Improvement in anthropometric and psychological parameters such as Wt, Percentage body fat, PSS were observed in the final outcome. Also, some of the improvements such as AAQW score were lost in the final outcome, compared to interim results.

 

Conclusion

The yoga practice is effective for obesity control for adult male in an urban setting.

 

Keywords: Body mass index, Overweight, Perceived stress scale, Skin fold thickness, Waist circumference


Introduction

Obesity is a condition of excessive fat accumulation and is a major risk factor for a number of chronic diseases. It is a health disorder and is growing in high income countries, as well as in low and middle income countries [1–3]. This health problem is increasing in cities like Mumbai in India and the causes are urbanization and life style changes, among other factors [4–6]. The previous studies showed that among the Asian Indians, the prevalence of obesity is high in male populations [7,8].

 

BMI (Body Mass Index) is considered as a measure of obesity. It was observed that for Asian Indians, BMI cut-off points are to be considered much lesser than the WHO standards for categorizing the obesity [9–12]. In our study, subjects with BMI of 25kg/m2 or above were considered as obese.

 

In general, obesity is caused by an unbalance in the energy intake and energy expenditure [13]. The causes of obesity are not fully understood but it is a multi factorial disorder. The present options for controlling obesity are inadequate and have adverse effects [14–17]. Yoga is an ancient therapeutic practice based on Patanjali yoga sutras [18–20]. The Integrated Approach of Yoga Therapy (IAYT) consists of yogic practices based on ancient yoga texts and addresses the mind and body in a holistic way. The earlier studies showed that Yoga practice is useful for stress reduction, awareness on satiety, awareness on over eating and weight reduction [21]. The long term effect of yoga after imparting the training is required to be assessed. The aim of this study was to assess the final outcome after 3 months, of obesity parameters, after giving 14 weeks of IAYT training, for adult male, in an urban setting.

 

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Materials and Methods

Participants

The study was a parallel group study with Yoga and Control groups. After training 14 weeks the Yoga group continued practice of yoga, for the next 3 months. The Control group was not given any specific physical activity.

 

The participants were from north east part of Mumbai. Advertisement was done and total 80 subjects were enrolled based on inclusion criteria. After randomization with minimization of co-factors, 40 subjects were assigned in each group. The IAYT training was given to Yoga group for 14 weeks and assessments outcome were reported in an earlier paper [22]. Further the study was continued and the final results were taken and the outcome is presented in this paper.

 

The trial profile is shown in [Table/Fig-1]. Open source software, titled MinmPy, was used for randomization with minimization of co factors [23]. In the inclusion criteria, BMI was from 23 to 35 kg/m2, and age was from 18 to 60 years. All the participants were male. The subjects who had any surgery during previous six months were excluded. Each participant was given an alpha numeric code to remove all personal identities.

Indexed for NIH by Dragonfly Kingdom Library

....... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5198375/

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