Abstract
Background: Offspring of Diabetes Mellitus (DM) parents perceive hereditary risk as much higher than lifestyle-related risk. They showed higher proportion of variables related to metabolic syndrome compared with those offspring of healthy parents, and this proportion increased in case of DM parents plus metabolic syndrome. It was also evident that the pulmonary functions of obese offspring of DM parents was affected and more prone for restrictive lung disease. This study was framed to screen the offspring of DM for pulmonary function, evaluate the effect of Pranayama in pulmonary functions of offspring of DM and compare the influence of Pranayama in pulmonary functions of normal BMI offspring, overweight and obese offspring of DM parents.
Method: Cross sectional study was performed with 30 individuals for each group after satisfying the inclusion and exclusion criteria and the study group consists of Group I: Control group - Normal BMI healthy individuals aged between 18- 25 years offspring of Non-diabetic healthy parents. Group II: Normal BMI healthy individuals aged between 18- 25 years offspring of DM. Group III: Overweight and obese individuals (BMI ≥ 25) aged between 18- 25 years offspring of DM. Pulmonary function Test was performed using EASY ON PC COMPUTERISED SPIROMETER
Results: FEV1, FVC, FEV1/FVC ratio, FEF (25% - 75%) and PEFR did not show any significant increase or decrease when compared between the three groups before pranayama training. But, FEV1, FVC, FEF (25% - 75%) and PEFR showed a marked significant increase in the Group II and Group III after 6 weeks training of pranayama.
Conclusion: This study concludes that offspring of diabetic parents with normal BMI and those who are obese showed significant improvement in pulmonary functions by performing short term pranayama techniques for six weeks but there is no confirmed possibility that they would be prone to type II diabetes in near future.
Keywords: DM: Type II diabetes mellitus, BMI: Body mass index.
References
- Swati H. Shah, Pranali Sonawane, Pradeep Nahar, Savita Vaidya, and SundeepSalvi. Pulmonary function tests in type 2 diabetes mellitus and their association with glycemic control and duration of the disease. Lung India. 2013, 30(2), 108–112.
- Ramiru Le, Nogare DA. Hsia C, Araur C, Butt I. Strowig MS, Breen SL. Relationship between dlabetes control and pulmonary function in lnsulin dependent diabetes mellitus. Am J Med 1991, 91, 371.
- Chapple A, May C, Campion P: Parental guilt: the part played by the clinical geneticist. J Genet Couns. 1995, 4, 179–191.
- Linares Segovia, Maximiliano Gutierrez Tinoco, Angeles IzquierdoArrizon,Juan Manuel Guızar Mendoza, and Norma Amador Licona. Long-Term Consequences for Offspring of Paternal Diabetes and Metabolic Syndrome. Experimental Diabetes Research. 2012, 1 – 6.
- David J. Pettitt, MD, William C. Knowler, MD, Peter H. Bennett, MB, Kirk A. Aleck, MD, and Robert Baird, M. obesity in Offspring of Diabetic Pima Indian Women Despite Normal Birth Weight. Diabetes Care. 1987, 10, 76- 80.Obesity and lung function: a systematic review
- Luciana, Maria AlaydeMendonça da Silva and Ana Carolina do Nascimento Calles. Obesity and lung function: a systematic review. Einstein (Sao Paulo). 2014, 12(1), 120–125.
- DeLorenzo LJ, Aronow WS. Impact of Morbid Obesity on Pulmonary Function. Chest, 2007, 132, 4.
- Bijilani RL. The Yogic Practices: Asanas, Pranayamas and Kriyas. Bijilani RL, editor, Understanding medical physiology, Third edition. New Delhi, India: Jaypee Brothers Medical Publishers. 2004, 883-889.
- Joshi LN, Joshi VD, Gokhale LV. Effect of short term ‘Pranayam’ practice on breathing rate and ventilator functions of lung. Indian J PhysiolPharmacol. 1992, 36, 105–8.
- Köbberling J, Tillil H: Empirical risk figures for first degree relatives of non-insulin dependent diabetics. In Serono Symposium No. 47. The Genetics of Diabetes Mellitus. Köbberling J, Tattersall R, Eds. London, Academic Press, 1982, 201–209.
- Grover P, Varma VD, Pershad D, Verma SK. Role of yoga in the treatment of psychoneuron’s bull. PGI. 1998, 22(2), 68-76.
- Chanavirut R, Khaidjapho K, Jaree P, Pongnaratorn P. Yoga exercise increases chest wall expansion and lung volumes. Thai Journal of Physiological Sciences. 2006, 19(1), 1–7.
- Prakash S, Meshram S, Ramtekkar U. Athletes, yogis and individuals with sedentary lifestyle; do their lung functions differ? Indian J PhysiolPharmacol. 2007, 51(1), 76-80.
- Manaspure S, Fadia A, Gowda D. Effect of specific pranayama techniques on ventilator functions of lung. Res J Pharm Bio Cheml Sci. 2011, 2(4), 351-7.
- Madanmohan, Lakshmi J, Udupa K, Bhavanani AB. Effect of yoga training on handgrip, respiratory pressures and pulmonary function. Indian J PhysiolPharmacol 2003, 47(4), 387-92.
- Hilderbran JN, Georke J, Clements JA. Surfactant release exercised rat lung which is stimulated by air inflation. J Applied physiol. 1981, 51, 905-10.
- Shankarappa V., Prashanth P., NachalAnnamalai and Varunmalhotra, The Short Term Effect of Pranayama on the Lung Parameters. Journal of Clinical and Diagnostic Research. 2012, 6(1), 27-30.
- Suman R, et al. The effect of pranayama on pulmonary function test. Indian Medical Gazette 2011, 1, 314-318.
Corresponding Author
Dr Saravanan Selvaraj
Assistant Professor, Department of Physiology, Chengalpattu Medical College, Chengalpattu - 603001, Tamil Nadu
DOI: https://dx.doi.org/10.18535/jmscr/v7i12.136
