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World J Gastroenterol. Dec 14, 2007; 13(46): 6213-6218
Published online Dec 14, 2007. doi: 10.3748/wjg.v13.i46.6213
Effect of Breathwalk on body composition, metabolic and mood state in chronic hepatitis C patients with insulin resistance syndrome
M Vázquez-Vandyck, S Roman, JL Vázquez, L Huacuja, G Khalsa, R Troyo-Sanromán, A Panduro
M Vázquez-Vandyck, S Roman, A Panduro, Molecular Biology in Medicine, Civil Hospital of Guadalajara, Fray Antonio Alcalde, Guadalajara Jalisco, México
M Vázquez-Vandyck, S Roman, A Panduro, Health Sciences University Center, University of Guadalajara, Guadalajara Jalisco, México
JL Vázquez, Epidemiology Department, Regional General Hospital No.110, Mexican Institute of Social Security and Public Health Department, University of Guadalajara, Guadalajara Jalisco, México
L Huacuja, Chronic Degenerative Diseases Institute, Health Sciences University Center, University of Guadalajara, Guadalajara Jalisco, México
G Khalsa, Kundalini Research Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, United States
R Troyo-Sanromán, Research Unit, Health Sciences University Center, University of Guadalajara, Guadalajara Jalisco, México
Author contributions: All authors contributed equally to the work.
Supported by Grant Salud-Conacyt-2004-C01-025 to AP
Correspondence to: Arturo Panduro, MD, PhD, Molecular Biology in Medicine, Civil Hospital of Guadalajara Fray Antonio Alcalde, P.O. Box 2-500, Guadalajara, Jalisco 44280, Mexico. apanduro@prodigy.net.mx
Telephone: +52-33-36147743 Fax: +52-33-36147743
Received: August 8, 2007
Revised: September 15, 2007
Accepted: October 25, 2007
Published online: December 14, 2007
Abstract

AIM: To identify the anthropometric, metabolic and mood state in hepatitis C virus (HCV)-infected patients from the west of Mexico and to evaluate the effect of Breathwalk (BW), a combination of walking, synchronized breathing and focussed attention, on those patients.

METHODS: In an experimental study, 17 patients with serological and molecular diagnosis of HCV, not receiving pharmacological treatment, were studied. One hour sessions of BW were practiced 3 times at week for six months. Body composition was assessed by electric impedance. Biochemical profiles and insulin resistance (IR) risk was assessed by conventional methods. Mood state was evaluated with specific and open questions at the beginning and at the end of the program.

RESULTS: Seventy percent of patients were overweight or obese, and 77% of the patients presented with IR at the beginning of the study. Improvements were observed at the 3rd mo, and statistically significant differences were recorded at the 6th mo using the fitness score (76 vs 83, P < 0.01), in alanine aminotransferase (ALT) (106 ± 93 U/L vs 59 ± 32 U/L, P < 0.01), total bilirubin (0.09 ± 1 mg/dL vs 0.62 ± 0.2 mg/dL, P < 0.01), ALT/AST ratio (1.04 vs 0.70, P < 0.01), triglycerides (165 ±86 mg/dL vs 124 ± 49 mg/dL, P < 0.01) and the IR risk (4.0 vs 2.7). Most patients (88%) indicated to feel better at the end of BW (P < 0.01).

CONCLUSION: Breathwalk has an important effect on body composition, lipid profile and liver enzymes. It is also easy, inexpensive and has a beneficial effect on metabolic and mood state in HCV patients.

Keywords: Breathwalk; Chronic hepatitis C; Insulin resistance; Obesity; Quality of life