Key result
Pranayama breathing with conventional physiotherapy significantly improved cognition (effect size 4.05, p<0.001) and instrumental activities of daily living (p=0.002) in type 2 diabetes.
Why the study?
Type 2 diabetes is linked to cognitive dysfunction and poor physical performance that affect activities of daily living, prompting investigation into whether pranayamic breathing can improve cognition and instrumental activities of daily living.
Does pranayamic breathing added to conventional physiotherapy improve cognition and instrumental activities of daily living in patients with type 2 diabetes mellitus?
RCT (n=30)
Randomized
Does pranayamic breathing added to conventional physiotherapy improve cognition and instrumental activities of daily living in patients with type 2 diabetes mellitus?
Standardized Mean Difference: 4.05
p-value: p=<0.001
Pranayamic breathing combined with conventional physiotherapy significantly improves cognitive function and instrumental activities of daily living in patients with type 2 diabetes mellitus.
Should not change diabetes care; hypothesis-generating for pranayama's cognitive effects, requiring RCTs.
Type 2 diabetes is inherent in poor physical performance and cognitive functions that affect patients' overall performance in their activities of daily living (ADL) (Lindsay et al., 2016) . Diabetes and cognitive dysfunction are linked, according to epidemiological evidence. When compared to adults without type 2 diabetes, adults who develop type 2 diabetes later in life have cognitive decits; psychomotor productivity, executive function, and learning and memory skills are often the most affected(Wrighten et al., 2009; Okereke, 2008.).So this study aims to investigate the. efcacy of pranayamic breathing on cognition and Instrumental Activities of Daily living (IADL) in type2 diabetes mellitus.(DM). Thirty type2 Diabetic patients between 45-65 years of age were selected randomly and were divided into two groups. Group A received pranayama breathing with conventional physiotherapy for 5 days a week for 4 weeks. Group B received conventional physiotherapy. Montreal cognitive assessment scale (MoCA) and Functional activities questionnaire (FAQ) were reported to determine cognition and IADL.Between group comparison of MOCAshowed that the paired difference obtained from pretest to post test in the experimental group was 3.80±0.862 and in the conventional group 1.13±0.352, the effect size was 4.05 and this observed difference was statistically signicant (p<0.001). Between group comparison of FAQ says that the paired difference obtained was 3.33±0.816 for experimental group and 1.80±1.47 for control group. The effect size observed was 1.28 and it was statistically signicant (p=0.002).The ndings of the study show that there is signicant difference between the scores of two groups which concludes , pranayama breathing with conventional physiotherapy has shown signicant improvement in cognition and Instrumental Activities of daily living among Type 2 Diabetes Mellitus..
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Unnikrishnan et al. (2021) conducted an RCT in Type 2 Diabetes Mellitus (n=30). Pranayama breathing with conventional physiotherapy vs. Conventional physiotherapy was evaluated on Cognition (Montreal Cognitive Assessment scale) and Instrumental Activities of Daily Living (Functional Activities Questionnaire) (Effect size 4.05 for MoCA and 1.28 for FAQ, p=<0.001). Pranayama breathing with conventional physiotherapy significantly improved cognition (effect size 4.05, p<0.001) and instrumental activities of daily living (p=0.002) in type 2 diabetes.
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