PMID- 37014456 OWN - NLM STAT- MEDLINE DCOM- 20230522 LR - 20230522 IS - 1432-5233 (Electronic) IS - 0940-5429 (Linking) VI - 60 IP - 7 DP - 2023 Jul TI - Prefrontal oxygenation and working memory in patients with type 2 diabetes mellitus following integrated yoga: a randomized controlled trial. PG - 951-961 LID - 10.1007/s00592-023-02085-0 [doi] AB - AIMS: Type 2 diabetes mellitus (T2DM) alters brain functional and structural connectivity leading to cognitive dysfunction. This study examined the effect of a 12-week yoga intervention on prefrontal cortex (PFC) oxygenation and working memory in patients with T2DM. METHODS: Fifty participants were randomized into yoga and waitlist control groups. The yoga protocol specific to T2DM was followed. The pre- (day 1), mid- (6 weeks) and post-intervention (12 weeks) assessments included measurement of PFC oxygenation while performing working memory tasks (n-back) using functional near-infrared spectroscopy. RESULTS: Following a 12-week intervention, the yoga group showed improved performance in working memory [accuracy (geometric mean difference of 3.15%, 95% CI [2.33,3.96], p = 0.001) and reaction time (mean difference of 100.8 milliseconds,95% CI [- 166.6, - 35.1], p = 0.002] in the high task load (2-back) associated with higher oxygenation in dorsolateral PFC (beta coefficient mean difference of 95.6, 95% CI [0.23,191], p = 0.049) and ventrolateral PFC (beta coefficient mean difference of 53.4, 95% CI [7.8,98.9], p = 0.018) regions. Higher oxygenation in dorsolateral PFC during 2-back task was positively correlated with accuracy (r(23) = 0.65, p < 0.001) and negatively correlated with reaction time (r(23) = - 0.47,p = 0.017). CONCLUSION: Integrated yoga practice may improve working memory performance associated with higher PFC oxygenation in patients with T2DM. As 12 weeks of yoga intervention improved working memory performance, the regular practice of yoga may have the potential to prevent decline of cognitive functions in clinical conditions. CI - (c) 2023. Springer-Verlag Italia S.r.l., part of Springer Nature. FAU - Kaligal, Chidananda AU - Kaligal C AD - Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana, Samsthana (S-VYASA), #19 Eknath Bhavan, Gavipuram Circle, K.G. Nagar, Bangalore, 560019, India. FAU - Kanthi, Amit AU - Kanthi A AD - Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana, Samsthana (S-VYASA), #19 Eknath Bhavan, Gavipuram Circle, K.G. Nagar, Bangalore, 560019, India. FAU - Vidyashree, M AU - Vidyashree M AD - Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana, Samsthana (S-VYASA), #19 Eknath Bhavan, Gavipuram Circle, K.G. Nagar, Bangalore, 560019, India. FAU - Krishna, Dwivedi AU - Krishna D AD - Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana, Samsthana (S-VYASA), #19 Eknath Bhavan, Gavipuram Circle, K.G. Nagar, Bangalore, 560019, India. FAU - Raghuram, Nagarathna AU - Raghuram N AD - Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana, Samsthana (S-VYASA), #19 Eknath Bhavan, Gavipuram Circle, K.G. Nagar, Bangalore, 560019, India. FAU - Hongasandra Ramarao, Nagendra AU - Hongasandra Ramarao N AD - Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana, Samsthana (S-VYASA), #19 Eknath Bhavan, Gavipuram Circle, K.G. Nagar, Bangalore, 560019, India. FAU - Deepeshwar, Singh AU - Deepeshwar S AUID- ORCID: 0000-0002-9867-1405 AD - Division of Yoga and Life Sciences, Swami Vivekananda Yoga Anusandhana, Samsthana (S-VYASA), #19 Eknath Bhavan, Gavipuram Circle, K.G. Nagar, Bangalore, 560019, India. deepeshwar.singh@svyasa.edu.in. LA - eng GR - Z.280152092015-HPC(EMR)-AYUSH/Ministry of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20230404 PL - Germany TA - Acta Diabetol JT - Acta diabetologica JID - 9200299 SB - IM MH - Humans MH - Memory, Short-Term MH - *Yoga/psychology MH - *Diabetes Mellitus, Type 2/complications/therapy MH - Cognition MH - Brain OTO - NOTNLM OT - Cognitive performance OT - Prefrontal hemodynamics OT - fNIRS OT - n-back task EDAT- 2023/04/05 06:00 MHDA- 2023/05/22 06:42 CRDT- 2023/04/04 11:15 PHST- 2023/02/07 00:00 [received] PHST- 2023/03/24 00:00 [accepted] PHST- 2023/05/22 06:42 [medline] PHST- 2023/04/05 06:00 [pubmed] PHST- 2023/04/04 11:15 [entrez] AID - 10.1007/s00592-023-02085-0 [pii] AID - 10.1007/s00592-023-02085-0 [doi] PST - ppublish SO - Acta Diabetol. 2023 Jul;60(7):951-961. doi: 10.1007/s00592-023-02085-0. Epub 2023 Apr 4.