Tag: Insulin Dependent Diabetes

YOGA AND ARTHRITIS: A REVIEW

YOGA AND ARTHRITIS: A REVIEW
Dr. Manoj Dash, BHMS, DYT,Ph.D.

Yoga is an ancient Indian science and way of life, which influences the functioning of the brain and the rest of the body. Several studies have shown that the practice of yoga has a definite role in the promotion of positive health, including mental health, characterized by improved cardio-respiratory efficiency, autonomic responses to stressors, sleep, muscular endurance, and `higher brain functions. With an increase in the incidence of stress-related ailments, related to the rapid pace of life today, yoga has been evaluated as a treatment for such disorders in several controlled trials. The disorders, which were most likely to respond to yoga, with reduced symptoms and need for medication, were bronchial asthma, non-insulin dependent diabetes mellitus, anxiety neurosis, and rheumatoid arthritis. THE CONCEPT OF HEALTH According to the World Health Organization (WHO) the state of health is defined as a state of complete physical, mental, social and spiritual well being and not merely an absence of disease or infirmity. It is clear from this definition that health and ill-health are not two discrete entities as commonly understood but health should be conceived as a continuous function indicating the state of well being.The ancient Indian science, Yoga, has its origin in the Sankhya philosophy of Indian culture, which is about 8000 years old (Nagarathna, 2001). Yoga includes a wide range of techniques (e.g., physical postures, regulated breathing, cleansing techniques, meditation, philosophical principles, and devotional sessions, surrendering to the Supreme). These techniques bring about a calm and balanced state of mind, and are expected to help the spiritual evolution of the individual. However, yoga has more pragmatic applications in medicine. In order to understand these, it is important to know the concepts of health and disease in Yoga texts. According to yoga, man is in perfect health and homeostasis at his subtle levels of existence. All diseases are classified as (i) stress-related (adhija) and (ii) not stress related, e.g., injuries (anadhija) (Vasudeva, 1937). Yoga has been considered especially useful in the management of stress related disorders by getting mastery over the excessive speed of the mind. The technique to reducing the rate of flow of thoughts with deep internal awareness is yoga. This review will describe the therapeutic applications of yoga in the management of arthritis. Physical activity is an essential part of the effective treatment of osteoarthritis (OA) and rheumatoid arthritis (RA), according to treatment guidelines published by the American College of Rheumatology (Hochberg, 1995; Newsome, 2002). In persons with arthritis, exercise is safe and does not exacerbate pain or worsen disease (Ettinger,1997; Minor,1999; O’Grady,2000;Bearne,2002). In fact, exercise may play a key role in promoting joint health (Forrest,1994) , since those who do not exercise often suffer more joint discomfort than those who do (Nordemar,1981). However, regular physical activity is especially important for people with arthritis, who often have decreased muscle strength, physical energy, and endurance (Lyngberg,1988). The psychological benefits of exercise such as stress reduction, fewer depressive symptoms, improved coping and well-being and enhanced immune functioning (Taylor,1985;Scully,1998;Fox,1999 Paluska,2000) also contribute to greater overall health.Scientific studies on yoga Yoga has been used in the management of a wide range of diverse ailments. While there is a great deal of anecdotal evidence of the benefits of yoga, to date only a handful of scientific studies have been conducted on persons with OA and RA (though several more are currently underway). The study conducted in England demonstrated that hand grip strength significantly improved following yoga in rheumatoid arthritis patients (Haslock,1994). It was subsequently proven that yoga resulted in similar benefits in rheumatoid arthritis patients in an Indian population (Dash, 2001). Studies in osteoarthritis of the hands and carpal tunnel syndrome show greater improvement in pain during activity, tenderness and finger range of motion (Garfinkel, 1994). These above studies have shown promising results with some improvement in joint health, physical functioning, and mental/emotional well-being. Perhaps most importantly, yoga has an important positive effect on quality of life. People with arthritis may also enjoy yoga more than traditional forms of exercise, and exercise enjoyment is an important predictor of adherence(Ryan,1997;Trost,2003).This is particularly important considering that, on average, 50% of sedentary individuals will drop out of exercise within 6 months (Dishman,1990).In summary, yoga can be a meaningful and enjoyable alternative to traditional forms of exercise such as aerobics or aquatic exercise with important health benefits. Yoga can play an important role in reducing stress and frustration that results from pain and disability, and increasing positive feelings and wellbeing. Drug treatments for OA and RA have improved markedly in the last few years. Despite this, arthritis cannot be cured, and even the best medications and medical care can only help a little. There is a great need for additional activities patients can do to reduce pain, disability, and take control of the overall impact arthritis may have on their lives. Thus, the evidence suggests that, when combined with a program of good medical care, yoga may provide important additional physical and psychological health benefits for arthritis patients. Finally, it has to be emphasized that while yoga has important therapeutic benefits, the practice of yoga is very important in the promotion of positive health and human potential in body, mind, and spirit (Scott, 1999).References:1.Nagarathna R. Yoga in medicine. API Text book of medicine (6th ed), 2001. 2.Vasudeva Sharma PL. Laghu yoga vasistha (in Sanskriit); Nirnaya sagar prakashan, Bombay 1937,P 684.3.Hochberg MC, Altman RD, Brandt KD, Clark BM, Dieppe PA, Griffin MR et al. Guidelines for the medical management of osteoarthritis. Part II. Osteoarthritis of the knee.American College of Rheumatology. Arthritis Rheum 1995; 38(11):1541-1546.4.Newsome G. Guidelines for the management of rheumatoid arthritis: 2002 update. J Am Acad Nurse Pract 2002; 14(10):432-437.5.Minor MA. Exercise in the treatment of osteoarthritis. Rheum Dis Clin North Am 1999; 25(2):397-415, viii.6.Bearne LM, Scott DL, Hurley MV. Exercise can reverse quadriceps sensorimotor dysfunction that is associated with rheumatoid arthritis without exacerbating disease activity. Rheumatology (Oxford) 2002; 41(2):157-166.7.O’Grady M, Fletcher J, Ortiz S. Therapeutic and physical fitness exercise prescription for older adults with joint disease: an evidence-based approach. Rheum Dis Clin North Am 2000; 26(3):617-646.8.Ettinger WH, Jr., Burns R, Messier SP, Applegate W, Rejeski WJ, Morgan T et al. A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). JAMA 1997; 277(1):25-31.9.Forrest G, Rynes RI. Exercise for rheumatoid arthritis. Contemp Intern Med 1994; 6(11):23-28.10.Nordemar R, Ekblom B. [Effects of long-term physical therapy in rheumatoid arthritis]. Lakartidningen 1981; 78(15):1561-1564.11.Lyngberg K, Danneskiold-Samsoe B, Halskov O. The effect of physical training on patients with rheumatoid arthritis: changes in disease activity, muscle strength and aerobic capacity. A clinically controlled minimized cross-over study. Clin Exp Rheumatol 1988; 6(3):253-260.12.Paluska SA, Schwenk TL. Physical activity and mental health: current concepts. Sports Med 2000; 29(3):167-180.13.Fox KR. The influence of physical activity on mental well-being. Public Health Nutr 1999; 2(3A):411-418.14.Scully D, Kremer J, Meade MM, Graham R, Dudgeon K. Physical exercise and psychological well being: a critical review. Br J Sports Med 1998; 32(2):111-120.15.Taylor CB, Sallis JF, Needle R. The relation of physical activity and exercise to mental health. Public Health Rep 1985; 100(2):195-202.16.Haslock I, Monro R, Nagarathna R, Nagendra HR, Raghuram NV. Measuring the effects of yoga in rheumatoid arthritis. Br J Rheumatol 1994; 33(8):787-788.17.Dash M, Telles S. Improvement in hand grip strength in normal volunteers and rheumatoid arthritis patients following yoga training. Indian J Physiol Pharmacol 2001; 45(3):355-360.18.Garfinkel MS, Schumacher HR, Jr., Husain A, Levy M, Reshetar RA. Evaluation of a yoga based regimen for treatment of osteoarthritis of the hands. J Rheumatol 1994; 21(12):2341-2343.19.OConnor D, Marshall S, & Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpel tunnel syndrome. Cochrane Database Syst Rev. 2003; (1): CD003219.20.Trost SG, Sallis JF, Pate RR, Freedson PS, Taylor WC, Dowda M. Evaluating a model of parental influence on youth physical activity. Am J Prev Med 2003; 25(4):277-282.21.Ryan RM, Frederick CM, Lepes D, Rubio N, Sheldon KM. Intrinsic motivation and exercise adherence. International Journal of Sports Psychology 1997; 28(4):335-354.22.Dishman R. Determinants of participation in physical activity. In: Bouchard C, Shepard R, Stephens T, Sutton J, McPherson B, editors. Exercise, Fitness, and Health. Champaign : Human Kinetics, 1990: 75-102.23.Scott AH. Wellness works: community service health promotion groups led by occupational therapy students. Am J Occup Ther. 1999; 53(6): 566-74. About the Author
I am a Doctor, doing my Ph.D.in Yoga. My topic of interest is to conduct Yoga Retreat, take class for Yoga Teacher and Medical professionals for in depth Research findings, and also Interest to conduct research in various field of yoga, both experimental and theoretical. I have been Traveling to all EUROPIAN countries.My contact: [email protected] web page:http://www.geocities.com/manojrieneke/Research.html

Are You Suffering From Diabetes?

People who are prone to diabetesespecially those who have the disease in their familys historyshould consider that there is a great possibility that they or their kids might inherit the illness. So, the best way to go about it is become very informed about the condition. The following are some the things that people who are prone to diabetes must consider:

1. TYPE OF DIABETES. Experts say that the severity of diabetes can be determined through its types including type 1diabetes also known as juvenile diabetes or insulin-dependent diabetes which is an auto-immune type targeting the bodys immune system and the least common type; the type 2 diabetes also known as non-insulin-dependent diabetes mellitus or adult-onset diabetes which is affects the amount of insulin produced in the persons body, and gestational diabetes which is common among women who are conceiving or pregnant.

2. SYMPTOMS. To know if you are suffering from diabetes or not, knowing the symptoms for each type would help you a lot. Those who suffering from type 1diabetes would experience 1diabetes exceptional thirstiness, dryness of mouth despite taking in lots of fluid, the urgent need to urinate more often, drastic loss of weight even is they are eating fairly well, exhaustion or feeling of being weak or tired despite less workload, and blurring of vision in most occasions. For type 2 diabetes, sufferers experience often blurring of vision, wounds, sores, or cuts that takes a long time to heal, itchiness of skin in many parts of the body, frequent development of yeast infections, increased or onset thirst, drying of mouth, frequent urination, and mild to extreme leg pains. Gestational diabetes symptoms are also alike with other types its just that they are short termed because the disease ends once the woman gives birth. However, people who have this type of diabetes should be more careful because it can lead to type 2 if not monitored and treated immediately.

3. DIAGNOSIS. For a person to finally know whether he or she suffers from diabetes, tests for diagnosis are a must. Although the symptoms can give you a hint whether you are suffering from the illness or not, relying on these are not enough. Experts say that only way to confirm if one has diabetes or not is to get a test. Now, there are so many types of tests that one can get including:

– fasting plasma glucose test which, is considered as the most preferred test for people with diabetes and requires a person to go fasting at least eight hours or ideally the night before the test to ensure that the blood sample that will be drawn and examined for glucose levels is accurate;

– random blood glucose test which, unlike the Fasting Plasma Glucose test, doesnt require fasting but the blood samples should be drawn out immediately after the person has eaten or has drunk something;

– oral glucose tolerance test which requires the person to fast not less than 8 hours and prohibits him or her to smoke cigar and drink coffee before drawing the blood sample for the testing;

– glucose challenge test is for women who are prone to gestational diabetes when they are pregnant;

– impaired fasting glucose test which is considered as a new diagnostic category for people with diabetes. Here, blood sugar levels are and can determine the probability of the person to have diabetes.

What Is Diabetes?

If you think that you are prone to diabetes, the first thing that you need to know is to understand what is the illness all about. Experts say that diabetes is a chronic disease, which develop among people who have the inability to utilize the glucose in their food to be used as energy. The illness develops when the accumulated glucose stays in the persons bloodstream for a long time. Over a period of time, this amount of glucose, can bring potential harm to the persons other organs such as the eyes, kidneys, heart, and even the nerves themselves.

After having sufficient knowledge about it and how the disease develops, the next step is to know what kind of diabetes that are known and acknowledged by experts and physicians. Today, there are three major types of diabetes including Type 1 diabetes, Type 2 diabetes, and Gestational diabetes. Knowing what they are and what sets each one apart from one other will help people who are prone to diabetes where to focus in trying to manage their condition.

What type are you?

Type 1diabetes otherwise known as juvenile diabetes or insulin-dependent diabetes, is considered as the least common type of diabetes there is. Experts say that it is an auto-immune disease that makes the bodys immune systemwhich serves as a shield against infectiongone not of working order, thus, savaging the cells located in the pancreas which is responsible for producing insulin. For peopleespecially those who are prone to diabetesinsulin is very important in breaking down the food once eaten.

People who suffer from type 1 diabetes has the inability to make insulin, thus, their bodys are easily damaged by the accumulate glucose in the body. Since they need insulin to get by, people who are suffering from this type of diabetes need a regular supply of insulin 24/7. Children and young adults are prone to this type of diabetes but this occur at any age or can be a result of an illness. Type 1diabetes sufferers exhibit characteristics such as onset thirst, often urination, and drastic weight loss. Next is the type 2 diabetes, which is also known as non-insulin-dependent diabetes mellitus and adult-onset diabetes. What sets it apart from the type 1diabetes is that the person suffering from this has the ability to make insulin its just that the amount produced in not enough for the body to use it efficiently.

This type is considered as the common type of diabetes, which usually develops among people who are more than 40 years of age. People who are prone to this type of diabetes are usually those who are overweight or obese and those that have sedentary lifestyle. Being a progressive disease, type 2 diabetes can also lead to more severe complications like diseases including the heart, the kidney, the eyes through blindness and amputation or loss of limbs. People who suffer from type 2 diabetes are also characterized by slow or onset thirstiness, repeated urination, and loss of weight usually develops is a span of weeks to weeks.

The last type is called gestational diabetes which develops during pregnancy. Normally, this type of diabetes ends after giving birth but there are also those cases in some women that develop this type diabetes as they get older. Gestational diabetes, though it is common among pregnant women, should be monitored because theres a big chance of leading to type 2 diabetes.