Comparative study of autonomic function in diabetics and yoga practitioners using Ewing’s battery

Background: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood sugar levels. It significantly increases the risk of cardiovascular diseases and autonomic neuropathy. Yoga has been shown to improve autonomic function and glycemic control in diabetic patients. Objective...

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Main Authors: Tasneem Amadawala, Charushila Rukadikar, Dileep Deshpande
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:https://journals.lww.com/10.4103/jfmpc.jfmpc_749_24
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author Tasneem Amadawala
Charushila Rukadikar
Dileep Deshpande
author_facet Tasneem Amadawala
Charushila Rukadikar
Dileep Deshpande
author_sort Tasneem Amadawala
collection DOAJ
description Background: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood sugar levels. It significantly increases the risk of cardiovascular diseases and autonomic neuropathy. Yoga has been shown to improve autonomic function and glycemic control in diabetic patients. Objective: To compare the autonomic nervous system (ANS) function between diabetic patients and regular yoga practitioners using Ewing’s battery tests. Methods: This cross-sectional study included 270 participants, divided into two groups: 135 diabetics (Group I) and 135 yoga practitioners (Group II). Participants’ height, weight, and BMI were measured. ANS function was assessed using Ewing’s battery tests, which included heart rate (HR) and blood pressure (BP) responses to various stimuli. Statistical analysis was performed using SPSS, with significance set at P ≤ 0.05. Results: Diabetic participants showed lower HR responses to standing from a supine posture, the Valsalva maneuver, and slow deep breathing, indicating impaired parasympathetic function. They also exhibited higher BP responses to the cold pressor test, sustained handgrip, and standing, reflecting sympathetic overactivity. In contrast, yoga practitioners demonstrated better autonomic function with higher HR responses and lower BP responses in these tests. The findings suggest that yoga promotes parasympathetic dominance and reduces sympathetic overactivity. Conclusion: Regular yoga practice significantly improves autonomic function in individuals, including those with diabetes. These results support the incorporation of yoga as a complementary therapy in diabetes management to enhance cardiovascular health and reduce autonomic dysfunction.
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spelling doaj-art-db2d4949658c47f29acb79f0b08d9f072025-02-11T12:53:03ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632278-71352025-01-0114112112510.4103/jfmpc.jfmpc_749_24Comparative study of autonomic function in diabetics and yoga practitioners using Ewing’s batteryTasneem AmadawalaCharushila RukadikarDileep DeshpandeBackground: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood sugar levels. It significantly increases the risk of cardiovascular diseases and autonomic neuropathy. Yoga has been shown to improve autonomic function and glycemic control in diabetic patients. Objective: To compare the autonomic nervous system (ANS) function between diabetic patients and regular yoga practitioners using Ewing’s battery tests. Methods: This cross-sectional study included 270 participants, divided into two groups: 135 diabetics (Group I) and 135 yoga practitioners (Group II). Participants’ height, weight, and BMI were measured. ANS function was assessed using Ewing’s battery tests, which included heart rate (HR) and blood pressure (BP) responses to various stimuli. Statistical analysis was performed using SPSS, with significance set at P ≤ 0.05. Results: Diabetic participants showed lower HR responses to standing from a supine posture, the Valsalva maneuver, and slow deep breathing, indicating impaired parasympathetic function. They also exhibited higher BP responses to the cold pressor test, sustained handgrip, and standing, reflecting sympathetic overactivity. In contrast, yoga practitioners demonstrated better autonomic function with higher HR responses and lower BP responses in these tests. The findings suggest that yoga promotes parasympathetic dominance and reduces sympathetic overactivity. Conclusion: Regular yoga practice significantly improves autonomic function in individuals, including those with diabetes. These results support the incorporation of yoga as a complementary therapy in diabetes management to enhance cardiovascular health and reduce autonomic dysfunction.https://journals.lww.com/10.4103/jfmpc.jfmpc_749_24autonomic functioncardiovascular healthdiabetes mellitusewing’s battery testsyoga
spellingShingle Tasneem Amadawala
Charushila Rukadikar
Dileep Deshpande
Comparative study of autonomic function in diabetics and yoga practitioners using Ewing’s battery
Journal of Family Medicine and Primary Care
autonomic function
cardiovascular health
diabetes mellitus
ewing’s battery tests
yoga
title Comparative study of autonomic function in diabetics and yoga practitioners using Ewing’s battery
title_full Comparative study of autonomic function in diabetics and yoga practitioners using Ewing’s battery
title_fullStr Comparative study of autonomic function in diabetics and yoga practitioners using Ewing’s battery
title_full_unstemmed Comparative study of autonomic function in diabetics and yoga practitioners using Ewing’s battery
title_short Comparative study of autonomic function in diabetics and yoga practitioners using Ewing’s battery
title_sort comparative study of autonomic function in diabetics and yoga practitioners using ewing s battery
topic autonomic function
cardiovascular health
diabetes mellitus
ewing’s battery tests
yoga
url https://journals.lww.com/10.4103/jfmpc.jfmpc_749_24
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AT charushilarukadikar comparativestudyofautonomicfunctionindiabeticsandyogapractitionersusingewingsbattery
AT dileepdeshpande comparativestudyofautonomicfunctionindiabeticsandyogapractitionersusingewingsbattery