Yoga for the Treatment of Metabolic Syndrome

This study has been completed.
Sponsor:
Collaborator:
Cliff Lede Foundation
Information provided by:
University of California, San Francisco
ClinicalTrials.gov Identifier:
NCT00605436
First received: January 16, 2008
Last updated: January 30, 2008
Last verified: January 2008
  Purpose

We tested the following hypotheses:

  1. That a standardized yoga therapy will improve insulin sensitivity (primary outcome), and other features of the metabolic syndrome such as hypertension and dyslipidemia (secondary outcomes), we will perform a 2-hour oral glucose tolerance test, fasting blood tests, and a physical examination before and after randomization of subjects to a 10-week yoga therapy intervention or wait-list control group.
  2. That a yoga therapy is feasible in overweight and underactive individuals with the metabolic syndrome, that adherence to a yoga intervention is acceptable, and that yoga therapy is associated with improved quality of life, we will assess the adherence to twice-weekly yoga group sessions (for weeks1-5) and weekly yoga group sessions (for weeks 6-10), frequency of home yoga therapy practice, and self-reported quality of life before and after the intervention in both treatment groups.
  3. To elucidate a potential mechanism for the effect of yoga on changes in insulin resistance by evaluating markers of inflammation from adipose tissue (adipocytokines). We hypothesize that these biochemical parameters will show modest improvement with yoga therapy and that changes in these parameters will be associated with improvements in insulin sensitivity.

Condition Intervention Phase
Metabolic Syndrome
Behavioral: Restorative yoga therapy
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Restorative Yoga for Therapy of the Metabolic Syndrome: A Pilot Trial

Resource links provided by NLM:


Further study details as provided by University of California, San Francisco:

Primary Outcome Measures:
  • Fasting plasma glucose level [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Feasability of yoga postures [ Time Frame: 10 weeks ] [ Designated as safety issue: Yes ]
  • Adherence to protocol [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
  • Blood pressure [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
  • Insulin sensitivity [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
  • Weight [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
  • Waist circumference [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
  • Heart rate variability [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]

Enrollment: 26
Study Start Date: October 2006
Study Completion Date: June 2007
Primary Completion Date: April 2007 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: A
Restorative yoga therapy group: one orientation workshop for 3 hours, then twice-weekly group yoga therapy classes for first 5 weeks followed by once-weekly group yoga classes for another 5 weeks. The group will also be asked to practice their yoga postures at home for 30 minutes three times per week.
Behavioral: Restorative yoga therapy
3-hour workshop at study initiation. Then twice-weekly group yoga classes for 5 weeks, then once-weekly group yoga classes for 5 weeks. Home yoga practice for 90 minutes/week throughout the 10 week trial.
No Intervention: B
The control group is a wait-list control group with no active intervention.

Detailed Description:

Study Interventions: There will be a 12-week intervention period.

  1. Yoga Therapy Group: Those randomized to yoga therapy will receive twice-weekly group yoga sessions at the Osher Center for the entire intervention period. The yoga postures and breathing techniques will be taught by a qualified and certified yoga instructor using a standardized protocol that was determined by a Yoga Expert Panel. Each group yoga session will take approximately 90 minutes. Participants will also be required to practice yoga at home at least 3 times per week, and be given yoga materials (mat, blocks, straps), an instruction manual, and a video for their use at home. They will be asked to keep a calendar log of the dates/times that they practiced yoga at home. This group will also receive a 20-30 minute session with a counselor to discuss Standard Health Education at the beginning of the 12-week intervention. This session will be similar to the control group intervention.
  2. Standard Health Education Group: Participants assigned to the standard health education group will receive an individual 20-30 minute session with a trained research associate within a week of their baseline visit. In this session, participants will be informed of the importance of a healthy lifestyle, given written information of the Food Guide Pyramid12 and told to follow the equivalent of the National Cholesterol Education Program Step I diet13. They will be counseled to reduce weight and increase physical activity. This is similar to the intervention given to the "Standard Lifestyle Group" in the Diabetes Prevention Program4.
  Eligibility

Ages Eligible for Study:   30 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. to be between the ages of 30 and 65 years,
  2. fulfill at least three criteria for the metabolic syndrome per the NCEP guidelines:

    • waist circumference (>88 cm for women; >102 cm for men),
    • HDL-cholesterol (<50 mg/dl for women; <40 mg/dl for men),
    • triglycerides >=150 mg/dL
    • fasting glucose >=100 mg/dL, and/or
    • high blood pressure (>=130/>=85 or use of antihypertensive medication), and
  3. report an underactive or sedentary lifestyle defined as accumulating less than 30 minutes of moderate intensity endurance exercise 5 days per week.

Exclusion Criteria:

  1. Pregnancy or lactation
  2. Coronary heart disease (defined as a myocardial infarction or cardiac intervention with percutaneous transluminal catheterization or coronary artery bypass graft surgery) event or hospitalization in the past 6 months
  3. Chronic illnesses: cancer, kidney disease, cirrhosis, rheumatogic diseases, or chronic infections
  4. Current use of these medications: oral diabetes medications, insulin, steroid hormones, oral contraceptives, hormone replacement therapy, niacin, fibrates.
  5. Regular participation (>1/week) yoga for past 3 months or concurrent use of yoga
  6. Current major psychiatric illness, cognitive impairment, or substance abuse
  7. Plans to move out of the study region within 6 months
  8. Life-expectancy of < 6 months
  9. Concurrent enrollment in any other studies, experimental therapies, or blinded treatments
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00605436

Locations
United States, California
University of California, San Francisco
San Francisco, California, United States, 94115
Sponsors and Collaborators
University of California, San Francisco
Cliff Lede Foundation
Investigators
Principal Investigator: Alka M. Kanaya, MD University of California, San Francisco
Principal Investigator: Deborah Grady, MD, MPH University of California, San Francisco
  More Information

No publications provided

Responsible Party: Alka M. Kanaya, MD
ClinicalTrials.gov Identifier: NCT00605436     History of Changes
Other Study ID Numbers: H9377-29543-02, CHR#H9377-29543-02
Study First Received: January 16, 2008
Last Updated: January 30, 2008
Health Authority: United States: Institutional Review Board

Keywords provided by University of California, San Francisco:
overweight
sedentary
metabolic syndrome

Additional relevant MeSH terms:
Metabolic Syndrome X
Syndrome
Insulin Resistance
Hyperinsulinism
Glucose Metabolism Disorders
Metabolic Diseases
Disease
Pathologic Processes

ClinicalTrials.gov processed this record on September 16, 2014