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CTRI Number  CTRI/2025/10/095890 [Registered on: 10/10/2025] Trial Registered Prospectively
Last Modified On: 09/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Yoga on Physical and Mental Health Among Children with Diabetes 
Scientific Title of Study   Effect of Yoga on Psychological Wellbeing and Cell Survival Biomarkers Among Children and Adolescents with Type 1 Diabetes: An Open Label Randomized Control Trial 
Trial Acronym  YOUTH-T1D: Yoga for Optimal Uplift in Thoughts and Health in T1D 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rakesh Kumar  
Designation  Professor 
Affiliation  PGIMER, Chandigarh  
Address  Deptt of Pediatrics, PGIMER, Sector 12,Chandigarh Chandigarh CHANDIGARH 160012 India

Chandigarh
CHANDIGARH
160012
India 
Phone  7087008480  
Fax    
Email  drrakesh.pgi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Indu Rani  
Designation  PhD Student 
Affiliation  PGIMER, Chandigarh 
Address  Deaprtment of Pediatrics, PGIMER Chandigarh
PGIMER, Sector 12, Chandigarh
Chandigarh
CHANDIGARH
160012
India 
Phone  8105175790  
Fax    
Email  indum0907@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rakesh Kumar 
Designation  Professor 
Affiliation  PGIMER, Chandigarh  
Address  Deptt of Pediatrics, PGIMER, Sector 12,Chandigarh Chandigarh CHANDIGARH

Chandigarh
CHANDIGARH
160012
India 
Phone  7087008480  
Fax    
Email  drrakesh.pgi@gmail.com  
 
Source of Monetary or Material Support  
Indian Council of Medical Research (ICMR), New Delhi 
 
Primary Sponsor  
Name  Indian Council of Medical Research (ICMR), New Delhi 
Address  V. Ramalingaswami Bhawan, P.O. Box No. 4911 Ansari Nagar, New Delhi - 110029, India 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rakesh Kumar  PGIMER, Chandigarh  Room No 3117, Level 3A,Deptt of Pediatrics, APC Building Chandigarh CHANDIGARH
Chandigarh
CHANDIGARH 
7087008480

drrakesh.pgi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, PGIMER, Chandigarh   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E109||Type 1 diabetes mellitus without complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  No Intervention (Standard Care)  Group B (Control group): Children and adolescents with T1D will be provided only the standard T1D care for 6 months and will be considered as waitlisted control groups. Group D (Control group): Caregivers of Group B will not be provided any Yoga intervention for 6 months and will be considered as waitlisted control groups. 
Intervention  Yoga   The participants (Children and adolescents along with their respective one primary caregivers) will be trained for a 30-minute, specific Yoga protocol for T1D. The Yoga will be performed for 5 days/week for 6 months via online mode by a trained and certified Yoga trainer. Group A (Intervention group): Children and adolescents with T1D will be provided Yoga intervention along with the standard T1D care for 6 months (5 days Yoga session/week). Group C (Intervention group): Caregivers of Group A will be provided Yoga intervention along with their child for 6 months (5 days Yoga session/week) 
 
Inclusion Criteria  
Age From  8.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  Inclusion criteria for children and adolescents with T1D:
1. T1D diagnosed for at least 1 year.
2. Age- 8 to 18 years
(inclusive ± 6 months)
3. Both genders.
4. Informed consent provided by the parent or the legal guardian, and assent by the children

Inclusion criteria for caregivers of children and adolescents with T1D:
1. Age of caregiver 25- 45 years
2. The caregiver should be actively
involved in the care of the child for at least 6 months and should be able to continue till the end of the intervention.
3. Accessibility of a smartphone to attend an online Yoga class
 
 
ExclusionCriteria 
Details  Exclusion criteria for children and adolescents with T1D:
1. Previously diagnosed intellectual disability, psychiatric disorders
2. Participants with chronic systemic illness, such as celiac disease, kidney, liver, or cardiovascular disease
3. Individuals having physical limitations which restrain them from performing Yoga
4. Already practising Yoga regularly
5. Individuals participating in any other trial
6. More than 1 child with T1D in the family

Exclusion criteria for caregivers of children and adolescents with T1D:
1. Caregivers managing more than one child with T1D in the family
2. Pregnant mothers
3. Caregivers with any psychiatric illness
4. Individuals who regularly practice Yoga
5. Caregivers taking long-term treatment for any major chronic illness
6. An individual with physical disabilities which restrain them from practising Yoga Intervention 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Effect of Yoga on psychological parameters i.e Depression, Diabetes Distress, Quality of life and Behavioral problems in children with Type 1 diabetes.  3 months interval for 1 year (Baseline, 3rd month, 6th month, 9th month, 12th month) 
 
Secondary Outcome  
Outcome  TimePoints 
Effect of Yoga on cell survival biomarkers, and HbA1c, mean FBG and mean blood glucose in children and adolescents with T1D.
 
3 months interval for 1 year (Baseline, 3rd month, 6th month, 9th month, 12th month) 
Effect of Yoga on psychological well-being (Distress, Quality of life and burden) of caregivers.
 
3 months interval for 1 year (Baseline, 3rd month, 6th month, 9th month, 12th month) 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   01/11/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   The global prevalence of Type 1 diabetes (T1D) in children and adolescents has been rising, with India reporting the highest numbers, as per the International Diabetes Federation (IDF). T1D contributes to chronic microvascular and macrovascular complications, in addition to psychological challenges, diminishing the quality of life for patients and their caregivers. Yoga, a holistic and inexpensive practice, could be an adjunct therapy to address these complications. There are very few studies on the benefits of Yoga for adolescents and children with T1D. There is no standardized T1D-specific Yoga module, insufficient long-term research, and limited focus on T1D population as compared to documented beneficial effects of Yoga among individuals with T2D. This is the first study to explore the effects of Yoga on psychological well-being and cellular health biomarkers among children and adolescents with T1D, along with their caregivers. The study aims to assess the impact of Yoga on psychological health, quality of life, and cellular biomarkers, and glycemic control in children and adolescents with T1D. An open-label, randomized controlled trial, with Yoga as intervention, will be conducted involving children and adolescents with T1D and their caregivers. Primary outcomes will include psychological health, while secondary measures encompass children’s cellular biomarkers, quality of life, HbA1c, and caregivers’ psychological well-being. A standardized, T1D-specific Yoga module, as a low-cost, accessible therapy, is expected to enhance psychological and biomolecular health, improve quality of life, foster glycemic control, and strengthen the parent-child bond, ultimately mitigating long-term complications of T1D. 
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