Integrando mindfulness e atividade física na prevenção e tratamento do diabetes: uma revisão sistemática
DOI:
https://doi.org/10.47197/retos.v59.106848Palavras-chave:
Self-Management, Mindfulness, Insulin Resistance, Psychological Well-Being, Self Efficacy, Exercise, AgingResumo
Antecedentes: A necessidade urgente reside no desenvolvimento de intervenções mais eficazes e holísticas que abranjam as dimensões físicas e psicológicas da diabetes. O objetivo deste estudo foi investigar a eficácia da integração da atenção plena e da atividade física na prevenção e tratamento do diabetes. Método: A revisão sistemática da literatura existente visa destacar a importância de uma compreensão mais profunda da relação entre mindfulness e atividades fisicamente ativas no contexto da prevenção e controle do diabetes. Resultado: Os resultados desta revisão sistemática destacam vários resultados benéficos, incluindo melhorias no bem-estar psicológico e no controle do diabetes, cuidados holísticos, atividade parassimpática, resistência à insulina, redução do estresse, autogestão e alimentação consciente. Conclusão: Os resultados defendem o uso complementar de intervenções baseadas em mindfulness, como a Redução do Stress Baseada em Mindfulness (MBSR), MBCT e MB-EAT no tratamento da diabetes, oferecendo caminhos para mitigar o stress, reforçar a autogestão e potencialmente aumentar a diabetes cuidados através de melhores cuidados. Autoeficácia, conhecimento e comunicação.
Palavras-chave: Autocuidado, Mindfulness, Resistência à Insulina, Bem-estar Psicológico, Autoeficácia, Exercício, Envelhecimento
Referências
Abujaradeh, H., Viswanathan, P., Galla, B. M., Sereika, S. M., DiNardo, M., Feeley, C. A., Cohen, S. M., & Charron-Prochownik, D. (2021). Trait Mindfulness and Mindfulness Practices in Adolescents with Type 1 Diabetes: Descriptive and Comparative Study. In Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners (Vol. 35, Issue 6, pp. 592–600). https://doi.org/10.1016/j.pedhc.2021.07.012
Ajele, W. K., Oladejo, T. A., Akanni, A. A., & Babalola, O. B. (2021). Spiritual intelligence, mindfulness, emotional dysregulation, depression relationship with mental well-being among persons with diabetes during COVID-19 pandemic. In Journal of diabetes and metabolic disorders (Vol. 20, Issue 2, pp. 1705–1714). https://doi.org/10.1007/s40200-021-00927-8
Bao, H. (2022). Intervention Effect of Mindfulness-Based Cognitive Therapy on Diabetes-Related Distress and Self-Care. In Iranian journal of public health (Vol. 51, Issue 3, pp. 606–614). https://doi.org/10.18502/ijph.v51i3.8937
Cangelosi, G., Acito, M., Grappasonni, I., Nguyen, C. T. T., Tesauro, M., Pantanetti, P., Morichetti, L., Ceroni, E., Benni, A., & Petrelli, F. (2024). Yoga or Mindfulness on Diabetes: Scoping Review for Theoretical Experimental Framework. In Annali di igiene : medicina preventiva e di comunita (Vol. 36, Issue 2, pp. 153–168). https://doi.org/10.7416/ai.2024.2600
Chandra, M., Raveendranathan, D., R, J. P., Patra, S., Rushi, Prasad, K., & Brar, J. S. (2020). Managing Depression in Diabetes Mellitus: A Multicentric Randomized Controlled Trial Comparing Effectiveness of Fluoxetine and Mindfulness in Primary Care: Protocol for DIAbetes Mellitus ANd Depression (DIAMAND) Study. In Indian journal of psychological medicine (Vol. 42, Issue 6). https://doi.org/10.1177/0253717620971200
Chen, Q., Yang, G., Lin, S., Li, M., Liu, Z., Fu, Y., & Chen, Y. (2021). The effects of mindfulness-based stress reduction therapy combined with intensive education on the effectiveness of the care and the awareness rate in patients with arthritis and diabetes. In American journal of translational research (Vol. 13, Issue 4, pp. 3190–3197).
Dalpatadu, K. P. C., Galappatthy, P., Katulanda, P., & Jayasinghe, S. (2022). Effects of meditation on physiological and metabolic parameters in patients with type 2 diabetes mellitus “MindDM”: study protocol for a randomized controlled trial. Trials, 23(1), 821. https://doi.org/10.1186/s13063-022-06771-2
DiNardo, M. M., Greco, C., Phares, A. D., Beyer, N. M., Youk, A. O., Obrosky, D. S., Morone, N. E., Owen, J. E., Saba, S. K., Suss, S. J., & Siminerio, L. (2022). Effects of an integrated mindfulness intervention for veterans with diabetes distress: a randomized controlled trial. In BMJ open diabetes research & care (Vol. 10, Issue 2). https://doi.org/10.1136/bmjdrc-2021-002631
Ee, C., Courten, B. de, Avard, N., Manincor, M. de, Al-Dabbas, M. A., Hao, J., McBride, K., Dubois, S., White, R. L., Fleming, C., Egger, G., Blair, A., Stevens, J., MacMillan, F., Deed, G., Grant, S., Templeman, K., & Chang, D. (2020). Shared Medical Appointments and Mindfulness for Type 2 Diabetes-A Mixed-Methods Feasibility Study. In Frontiers in endocrinology (Vol. 11, p. 570777). https://doi.org/10.3389/fendo.2020.570777
Fisher, V., Li, W. W., & Malabu, U. (2023). The effectiveness of mindfulness-based stress reduction (MBSR) on the mental health, HbA1C, and mindfulness of diabetes patients: A systematic review and meta-analysis of randomised controlled trials. In Applied psychology. Health and well-being (Vol. 15, Issue 4, pp. 1733–1749). https://doi.org/10.1111/aphw.12441
Guo, J., Wang, H., Ge, L., Valimaki, M., Wiley, J., & Whittemore, R. (2022). Effectiveness of a nurse-led mindfulness stress-reduction intervention on diabetes distress, diabetes self-management, and HbA1c levels among people with type 2 diabetes: A pilot randomized controlled trial. In Research in nursing & health (Vol. 45, Issue 1, pp. 46–58). https://doi.org/10.1002/nur.22195
Hamasaki, H. (2023). The Effects of Mindfulness on Glycemic Control in People with Diabetes: An Overview of Systematic Reviews and Meta-Analyses. In Medicines (Basel, Switzerland) (Vol. 10, Issue 9). https://doi.org/10.3390/medicines10090053
Heo, S., Kang, J., Umeakunne, E., Lee, S., Bertulfo, T. F., Barbé, T., Kim, J., Black, V., An, M., & Randolph, J. (2023). Effects of Meditation Intervention on Self-management in Adult Patients With Type 2 Diabetes: A Systematic Literature Review and Meta-analysis. The Journal of Cardiovascular Nursing, 38(6), 581–592. https://doi.org/10.1097/JCN.0000000000000973
Humiston, T., Cummings, C., Suss, S., Cohen, L. B., Hazlett-Stevens, H., & Lansing, A. H. (2024). Acceptability of a Self-Led Mindfulness-Based Intervention for Teens with Type 1 Diabetes: Pilot Randomized Controlled Trial. In JMIR formative research (Vol. 8). https://doi.org/10.2196/45659
Inverso, H., Moore, H. R., Lupini, F., Wang, C. H., Streisand, R., Shomaker, L. B., & Mackey, E. R. (2022). Mindfulness-Based Interventions: Focus on Pediatric Type 1 and Type 2 Diabetes. In Current diabetes reports (Vol. 22, Issue 10, pp. 493–500). https://doi.org/10.1007/s11892-022-01492-x
Irwin, A., Igudesman, D., Crandell, J., Kichler, J. C., Kahkoska, A. R., Burger, K., Zaharieva, D. P., Addala, A., & Mayer-Davis, E. J. (2022). Mindfulness, disordered eating, and impulsivity in relation to glycemia among adolescents with type 1 diabetes and suboptimal glycemia from the Flexible Lifestyles Empowering Change (FLEX) intervention trial. In Pediatric diabetes (Vol. 23, Issue 4, pp. 516–526). https://doi.org/10.1111/pedi.13334
Jiang, S., Pan, X., Li, H., & Su, Y. (2024). Global trends and developments in mindfulness interventions for diabetes: a bibliometric study. In Diabetology & metabolic syndrome (Vol. 16, Issue 1, p. 43). https://doi.org/10.1186/s13098-024-01288-x
Koerner, R., & Rechenberg, K. (2022). Mindfulness in adolescents and young adults with diabetes: An integrative review. In Complementary therapies in clinical practice (Vol. 49, p. 101659). https://doi.org/10.1016/j.ctcp.2022.101659
Leischik, R., Schwarz, K., Bank, P., Brzek, A., Dworrak, B., Strauss, M., Litwitz, H., & Gerlach, C. E. (2021). Exercise Improves Cognitive Function-A Randomized Trial on the Effects of Physical Activity on Cognition in Type 2 Diabetes Patients. In Journal of personalized medicine (Vol. 11, Issue 6). https://doi.org/10.3390/jpm11060530
Medina, W. L., Wilson, D., de Salvo, V., Vannucchi, B., de Souza, É. L., Lucena, L., Sarto, H. M., Modrego-Alarcón, M., Garcia-Campayo, J., & Demarzo, M. (2017). Effects of Mindfulness on Diabetes Mellitus: Rationale and Overview. Current Diabetes Reviews, 13(2), 141–147. https://doi.org/10.2174/1573399812666160607074817
Miller, C. K. (2017). Mindful Eating With Diabetes. Diabetes Spectrum : A Publication of the American Diabetes Association, 30(2), 89–94. https://doi.org/10.2337/ds16-0039
Morowatisharifabad, M. A., Asadpour, M., Zakeri, M. A., & Abdolkarimi, M. (2021). The Effect of Integrated Intervention Based on Protection Motivation Theory and Implementation Intention to Promote Physical Activity and Physiological Indicators of Patients with Type 2 Diabetes. In BioMed research international (Vol. 2021, p. 6637656). https://doi.org/10.1155/2021/6637656
Ngan, H. Y., Chong, Y. Y., & Chien, W. T. (2021). Effects of mindfulness- and acceptance-based interventions on diabetes distress and glycaemic level in people with type 2 diabetes: Systematic review and meta-analysis. In Diabetic medicine : a journal of the British Diabetic Association (Vol. 38, Issue 4). https://doi.org/10.1111/dme.14525
Ni, Y.-X., Ma, L., & Li, J.-P. (2021). Effects of mindfulness-based intervention on glycemic control and psychological outcomes in people with diabetes: A systematic review and meta-analysis. In Journal of diabetes investigation (Vol. 12, Issue 6, pp. 1092–1103). https://doi.org/10.1111/jdi.13439
Nikkhah Ravari, O., Mousavi, S. Z., & Babak, A. (2020). Evaluation of the Effects of 12 Weeks Mindfulness-Based Stress Reduction on Glycemic Control and Mental Health Indices in Women with Diabetes Mellitus Type 2. Advanced Biomedical Research, 9, 61. https://doi.org/10.4103/abr.abr_133_20
Patra, S., Patro, B. K., Padhy, S., & Mantri, J. (2023). Relationship of Mindfulness with Depression, Self-Management, and Quality of Life in Type 2 Diabetes Mellitus: mindfulness is a Predictor of Quality of Life. In Indian journal of social psychiatry (Vol. 39, Issue 1, pp. 70–76). https://doi.org/10.4103/ijsp.ijsp_436_20
Priya, G., & Kalra, S. (2018). TOUCH MEDICAL MEDIA Review Holistic Care Mind-Body Interactions and Mindfulness Meditation in Diabetes. Citation: European Endocrinology, 14(1), 35–41.
Ravari, O. N., Mousavi, S. Z., & Babak, A. (2020). Evaluation of the Effects of 12 Weeks Mindfulness-Based Stress Reduction on Glycemic Control and Mental Health Indices in Women with Diabetes Mellitus Type 2. In Advanced biomedical research (Vol. 9, p. 61). https://doi.org/10.4103/abr.abr_133_20
Saito, J., & Kumano, H. (2022). The patterns of acceptance, mindfulness, and values for Japanese patients with type 2 diabetes mellitus: a web-based survey. In BioPsychoSocial medicine (Vol. 16, Issue 1, p. 6). https://doi.org/10.1186/s13030-022-00236-3
Sasikumar, S., & Padmapriya, S. (2022). Beneficial effects of mindfulness based stress reduction (MBSR) on bio-physiological and psychological parameters among type 2 diabetics. Indian Journal of Traditional Knowledge, 21(4), 766–773. https://doi.org/10.56042/ijtk.v21i4.33089
Shukla, R., Gupta, M., Agarwal, N., & Bajpai, A. (2021). Mindfulness Meditation as Adjunctive Therapy to Improve the Glycemic Care and Quality of Life in Patients with Type 1 Diabetes. In Medical sciences (Basel, Switzerland) (Vol. 9, Issue 2). https://doi.org/10.3390/medsci9020033
Weng, X., Liao, S., Wang, F., Wang, H., & Yang, L. (2022). Evaluation of Mindfulness Training Combined with Aerobic Exercise on Neurological Function and Quality of Life in Patients with Peripheral Neuropathy Type 2 Diabetes Mellitus. In Contrast media & molecular imaging (Vol. 2022, p. 7665483). https://doi.org/10.1155/2022/7665483
Xia, T., Lopes, S., Chen, L., Roth, R., Zinzow, H., Jones, K., Zhang, L., Shi, L., & Jindal, M. (2022). A feasibility study on low-dose mindfulness-based stress reduction intervention among prediabetes and diabetes patients. In Complementary therapies in medicine (Vol. 65, p. 102810). https://doi.org/10.1016/j.ctim.2022.102810
Yeo, A. J., Ledsham, V., Halpern, L. F., Lin, B., Riddick, L., Sima, D., Wohlfahrt, K. M., & Jones, N. (2022). Differential Contributions of Parental Warmth and Mindfulness to Child Executive Function and Pediatric Type 1 Diabetes Management. In Journal of developmental and behavioral pediatrics : JDBP (Vol. 43, Issue 9). https://doi.org/10.1097/DBP.0000000000001117
Zeinabeh, M. Z., Atefeh, A., Masumeh, G. H. P., Tania, D., Mojgan, S., & Katayoun, A. (2023). The Effect of Mindfulness-Based Stress Reduction Counseling on Blood Glucose and Perceived Stress in Women with Gestational Diabetes. In Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia (Vol. 45, Issue 9). https://doi.org/10.1055/s-0043-1775810
Downloads
Publicado
Edição
Secção
Licença
Direitos de Autor (c) 2024 Retos
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-SemDerivações 4.0.
Autores que publicam nesta revista concordam com os seguintes termos:
- Autores mantém os direitos autorais e assegurar a revista o direito de ser a primeira publicação da obra como licenciado sob a Licença Creative Commons Attribution que permite que outros para compartilhar o trabalho com o crédito de autoria do trabalho e publicação inicial nesta revista.
- Os autores podem estabelecer acordos adicionais separados para a distribuição não-exclusiva da versão do trabalho publicado na revista (por exemplo, a um repositório institucional, ou publicá-lo em um livro), com reconhecimento de autoria e publicação inicial nesta revista.
- É permitido e os autores são incentivados a divulgar o seu trabalho por via electrónica (por exemplo, em repositórios institucionais ou no seu próprio site), antes e durante o processo de envio, pois pode gerar alterações produtivas, bem como a uma intimação mais Cedo e mais do trabalho publicado (Veja O Efeito do Acesso Livre) (em Inglês).
Esta revista é a "política de acesso aberto" de Boai (1), apoiando os direitos dos usuários de "ler, baixar, copiar, distribuir, imprimir, pesquisar, ou link para os textos completos dos artigos". (1) http://legacy.earlham.edu/~peters/fos/boaifaq.htm#openaccess
