Session: SUN 839-872-Diabetes & Obesity Management
Poster Board SUN-847
Methods: 18 subjects were enrolled in a 6 week lifestyle intervention program including instruction in anti-inflammatory cooking and meal plan, physical activity (30-40 minutes at least 5 times/week), and stress reduction techniques. Heart rate variability, quality of life, psychosocial questionnaires, and cortisol levels were evaluated at baseline and upon completion of the intervention.
Results: Heart rate variability (coherence) improved significantly during the 6 week intervention (39% pre-intervention vs. 74% post-intervention, p<0.01). Significant improvement was seen in the SF-36 quality of life measurements for the following assessments: Role Limitations of emotional stress (56.6 vs. 83.3, p=0.03), Vitality (48 vs. 54, p=0.04), General Health (61.3 vs. 67.1, p=0.02) and Mental Health component (43.1 vs. 48.4, p=0.037). There was significant improvement in the Beck Depression inventory (10 vs. 5.8, p=0.05) and the Eating Disorder Diagnostic Scale (9.4 vs. 5.9, p=0.02). Salivary cortisols showed a reduction in the morning, noon and evening samples, but only the noon sample reached statistical significance (p=0.04).
Conclusion: This short term practice of stress reduction and anti-inflammatory diet techniques produced significant improvements in heart rate variability, salivary cortisol levels, emotional eating, depression and overall quality of life among participants, and could represent a simple, cost-effective adjunct to conventional lifestyle modification in managing T2DM. A larger study is planned to investigate the impact of these techniques on glucose regulation in patients with poorly controlled type 2 DM.
Nothing to Disclose: MB, SN, LK, SW, TC, TH, MM, LJ, SA
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