IDDF2018-ABS-0237 Effect of laughter yoga and clapping exercise on renal functions and quality of life in patients suffering from chronic kidney disease in south delhi metro population

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Chronic kidney disease (CKD) is a worldwide public health problem and emerging health problem in India. To study new methods of CKD rehabilitation complications by laughter yoga and clapping exercise program in south Delhi metro population.


For this purpose, we used laughter yoga, which includes respiratory laughing and fun exercises. Fifty-six patients (subject) between 45–65 years old with CKD were studied and divided into two groups (laughter yoga and clapping exercise group and control group) to see the effect of laughter yoga and clapping exercise group in CKD for 30 days. Using a cross-sectional design, which includes age, family history of CKD patients, exercise status and waist circumference, fasting glucose and insulin, glucose tolerance test (GTT), renal ultrasonography, regular monitoring of blood pressure, renal function, requirement of a number of dialysis, serum creatinine level and glycosylated haemoglobin (HbA1c) and quality of life (QOL) indicators were done CKD patients. A 30 min lecture was followed by 30 min intense clapping workout for those participants who had laughter yoga included in the program.


The present study showed that after three months treatment there was a significant reduction of systolic and diastolic blood pressure, blood glucose levels, glycosylated haemoglobin levels, significant reduction in blood urea and serum creatinine levels, and significant improvement in physical and psychological domain compare to normal levels with changes in lifestyle. Present study highlight that the successful treatment of CKD patients not only requires drugs; but also family care, lifestyle education, harmonised mind-body-soul, awareness, psychological support, preventive approach toward activity of daily living.


Our study indicated the importance of daily opportunities for laughter in patients with CKD patients. For subjects in yoga and exercise group, the need for dialysis was less when compared to control group although this difference was statistically insignificant. Therefore, preventive CKD education programme and promotion of laughter yoga and clapping will be the future plan of action for control and treatment.

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