Effectiveness of a 7 Days Residential Integrated Lifestyle Modification Program on Type 2 Diabetes Mellitus: A Single Arm Observational Study
European Journal of Preventive Medicine
Volume 7, Issue 1, January 2019, Pages: 17-22
Received: Jan. 18, 2019;
Accepted: Feb. 21, 2019;
Published: Mar. 11, 2019
Views 266 Downloads 150
Pramod Tripathi, Founder, Freedom from Diabetes Research Foundation, Pune, India
Gandhali Bhagwat, Research Department, Freedom from Diabetes Research Foundation, Pune, India
Mamata Hiremath, Research Department, Freedom from Diabetes Research Foundation, Pune, India
Anay Dudhbhate, Research Department, Freedom from Diabetes Research Foundation, Pune, India
Maithili Paranjpe, Research Department, Freedom from Diabetes Research Foundation, Pune, India
Sukeshini Khandagale, Research Department, Freedom from Diabetes Research Foundation, Pune, India
Follow on us
Diabetes Mellitus is leading cause of morbidity and mortality in India with its increased prevalence. This study assessed the impact of 7 days residential program named Transcendental Residential Program (TRP) of Freedom From Diabetes Research Foundation (FFDRF) on type 2 diabetes mellitus participants as a complementary therapy to pharmacotherapy. A retrospective observational study was conducted on 485 diabetes mellitus participants after obtaining the informed consent where they underwent integrated training under a team consisting of doctors, cooking experts, nutritionists, fitness trainer and stress management trainer. TRP was intended to bring in changes in habit patterns related to the four modifiable factors namely diet, physical activity, medicines and inner transformation (through stress release and developing positivity). After 7 days of the program there were statistically significant changes in the outcome variables like fasting blood glucose, postprandial blood glucose, weight and reduction in insulin and oral hypoglycemic medications. The results suggest the significance of a well planned lifestyle modification program of FFD and its impact on the clinical outcomes in type 2 diabetes mellitus. This study has a major limitation such as there was no control group. However, TRP when used as an adjunct to pharmacotherapy has shown to improve glycemic control and reduce the requirement for medication within a short period of time. Given the fact, despite many advances in pharmacotherapy, diabetes mellitus and its complications are still escalating. Therefore, a personalized integrated health program that helps participants to make a shift in their current lifestyle is the way subsequently to reverse this life threatening metabolic disorder.
Diabetes Mellitus (DM), Lifestyle Intervention, Dietary Modification, Oral Hypoglycemic Agents (OHA), Transcendental Residential Program (TRP)
To cite this article
Effectiveness of a 7 Days Residential Integrated Lifestyle Modification Program on Type 2 Diabetes Mellitus: A Single Arm Observational Study, European Journal of Preventive Medicine.
Vol. 7, No. 1,
2019, pp. 17-22.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Tiwary P. Recent Trends in Therapeutic Approaches for Diabetes Management: A Comprehensive Update. Journal of Diabetes Research. 2015.2015.
IDF diabetes atlas. Idf.org. 2014 [cited 7 October 2017]. Available from: http://www.idf.org/diabetesatlas
Tripathy J. Burden and risk factors of diabetes and hyperglycemia in India: findings from the Global Burden of Disease Study 2016. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy. 2018; Volume 11:381-387.
Thankappan K, Sathish T, Tapp R, Shaw J, Lotfaliany M, Wolfe R et al. A peer-support lifestyle intervention for preventing type 2 diabetes in India: A cluster-randomized controlled trial of the Kerala Diabetes Prevention Program. PLOS Medicine. 2018;15 (6):e1002575.
Guddoye G, Vyas M. Role of diet and lifestyle in the management of Madhumeha (Diabetes Mellitus). Ayurveda.2013; 34:167-173.
Asif M. The prevention and control the type-2 diabetes by changing lifestyle and dietary pattern. Journal of Education and Health Promotion. 2014;3:1.
Osho. Meditation: The First and Last Freedom. New York, NY: St. Martin’s Griffin.
Keng S-L, Smoski J, Robins J. Effects of Mindfulness on Psychological Health: A Review of Empirical Studies. Clinical psychology review.2011; 31:1041-1056.
Sturt J, Ali S, Robertson W, Metcalfe D, Grove A, Bourne C &Birdle C. Neurolinguistic programming: a systematic review of the effects on health outcomes. The British Journal of General Practice. 2012; 62:e757-e764.
Dr. & Master Sha. drsha.com 2014 [cited 21 December 2017]. Available from:https://www.drsha.com/
Colberg R, Sigal J, Fernhall B, Regensteiner G, Blissmer J, Rubin R, Chasan-Taber L, Albright L & Braun B. Exercise and Type 2 Diabetes: The American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care. 2010; 33:e147-e167.
Zheng Y, Ley S, Hu F. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nature Reviews: Endocrinology. 2018; 14: 88-98. Available from: https://www.nature.com/articles/nrendo.2017.151
Bairy S, Kumar M, Raju M, Achanta S, Naik B, Tripathy P&Zachariah R. Is adjunctive naturopathy associated with improved glycemic control and a reduction in need for medications among type 2 Diabetes patients? A prospective cohort study from India. BMC Complementary and Alternative Medicine. 2016;16:290.
Gann D, Gann E. Type 2 Diabetic Patients on Insulin Can Reduce or Eliminate Insulin with Lifestyle Change and Carbohydrate Restriction. Current Research in Diabetes & Obesity Journal. 2015;1(1).
McDougall J, Thomas L, McDougall C, Moloney G, Saul B, Finnell J et al. Effects of 7 days on an ad libitum low-fat vegan diet: the McDougall Program cohort. Nutrition Journal. 2014; 13(1).
Tripathi P,Paranjape M,Hiremath M. Reversal of Metabolic Syndrome with Freedom From Diabetes (FFD) Protocol. Elixir Endocrinology. Vol. 122, 2018, pp. 52217-52219.
Tripathi P, Paranjape M, Tripathi R, Khandagale S, Bhagwat G, Kakrani A. Effectiveness ofSpecifically Modified Plant Based Dietary Intervention and Anti-gravity Exercise in Type 2 Diabetics a Follow-up Study. International Journal of Diabetes and Endocrinology. Vol. 3, No. 3, 2018, pp. 50-57. doi: 10.11648/j.ijde.20180303.13.