Role of Asana, Pranayama, and Meditation as an Add-on Therapy in Regulation of Hypertension
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Abstract
A common condition that affects the body's arteries and is associated with a higher risk of developing cardiovascular diseases is high blood pressure, also known as hypertension. A sedentary lifestyle, poor diet, obesity, smoking, stress, and a family history of high blood pressure are just a few of the things that can potentially raise your blood pressure. You can effectively manage your blood pressure by maintaining a balanced diet and getting regular exercise. A healthy and alternative approach to controlling and regulating high blood pressure is yoga. Yoga is a historical form of exercise that can help you with a range of health problems. It has been adapted for use in alternative therapies and consists mostly of physical postures, breathing techniques, and meditation. This review aims to compile all the literature on the subject. Only the years 2009 to 2023 were searched in the databases Google Scholar, Research Gate, Scopus, and Cochrane. The safety of yoga practice under the guidance of a trained yoga teacher may be generally accepted. However, future research will need to focus on high-quality clinical trials and the mechanism of action of various yoga practices.
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References
WHO W. A global brief on hypertension: silent killer, global public health crisis.
Tyagi A, Cohen M. Yoga and hypertension: a systematic review. Alternative therapies in health and medicine. 2014;20(2):32-59.
Papp ME, Lindfors P, Nygren-Bonnier M, Gullstrand L, Wändell PE. Effects of high-intensity hatha yoga on cardiovascular fitness, adipocytokines, and apolipoproteins in healthy students: a randomized controlled study. The Journal of Alternative and Complementary Medicine. 2016 Jan 1;22(1):81-7.
Dhungana RR, Khatiwoda SR, Gurung Y, Pedišić Ž, de Courten M. Yoga for hypertensive patients: a study on barriers and facilitators of its implementation in primary care. Global Health Action. 2021 Jan 1;14(1):1952753.
Wang G, Grosse SD, Schooley MW. Conducting research on the economics of hypertension to improve cardiovascular health. American journal of preventive medicine. 2017 Dec 1;53(6):S115-7.
Anheyer D, Koch AK, Thoms MS, Dobos G, Cramer H. Yoga in women with abdominal obesity–Do lifestyle factors mediate the effect? Secondary analysis of a RCT. Complementary Therapies in Medicine. 2021 Aug 1;60:102741.
White DG. Yoga, brief history of an idea. Yoga in practice. 2012;5(1):1-23.
Wu Y, Johnson BT, Acabchuk RL, Chen S, Lewis HK, Livingston J, Park CL, Pescatello LS. Yoga as antihypertensive lifestyle therapy: a systematic review and meta-analysis. InMayo Clinic Proceedings 2019 Mar 1 (Vol. 94, No. 3, pp. 432-446). Elsevier.
Cramer H, Lauche R, Haller H, Steckhan N, Michalsen A, Dobos G. Effects of yoga on cardiovascular disease risk factors: a systematic review and meta-analysis. International journal of cardiology. 2014 May 1;173(2):170-83.
Nalbant g, lewis s, chattopadhyay k. Content, structure and delivery characteristics of yoga interventions for managing hypertension: a systematic review and meta-analysis of randomised controlled trials. Journal of hypertension. 2021 apr 1;39:e399-400.
Wang G, Grosse SD, Schooley MW. Conducting research on the economics of hypertension to improve cardiovascular health. American journal of preventive medicine. 2017 Dec 1;53(6):S115-7.
Anheyer D, Koch AK, Thoms MS, Dobos G, Cramer H. Yoga in women with abdominal obesity–Do lifestyle factors mediate the effect? Secondary analysis of a RCT. Complementary Therapies in Medicine. 2021 Aug 1;60:102741.
Centers for Disease Control and Prevention (CDC. Vital signs: prevalence, treatment, and control of hypertension--United States, 1999-2002 and 2005-2008. MMWR. Morbidity and mortality weekly report. 2011 Feb 4;60(4):103-8.
Gascon JJ, Sánchez-Ortuño M, Llor B, Skidmore D, Saturno PJ. Why hypertensive patients do not comply with the treatment: results from a qualitative study. Family practice. 2004 Apr 1;21(2):125-30.
Unger T, Borghi C, Charchar F, Khan NA, Poulter NR, Prabhakaran D, Ramirez A, Schlaich M, Stergiou GS, Tomaszewski M, Wainford RD. 2020 International Society of Hypertension global hypertension practice guidelines. Hypertension. 2020 Jun;75(6):1334-57.
WHO W. A global brief on hypertension: silent killer, global public health crisis.
Hartley L, Dyakova M, Holmes J, Clarke A, Lee MS, Ernst E, Rees K. Yoga for the primary prevention of cardiovascular disease. Cochrane Database of Systematic Reviews. 2014(5).
Sherman KJ. Guidelines for developing yoga interventions for randomized trials. Evidence-Based Complementary and Alternative Medicine. 2012 Oct 2;2012.
Muktibodhananda S. Hatha Yoga Pradipika. Munger: Yoga Publications Trust (2013).
Singh UP. Psychophysiological effects of yoga for adults with occupational stress: Yoga in the workplace. InResearch-based perspectives on the Psychophysiology of Yoga 2018 (pp. 359-382). IGI Global.
Schmid AA, Sternke EA, Do AN, Conner NS, Starnino VR, Davis LW. The eight limbs of yoga can be maintained in a veteran friendly yoga program. International Journal of Yoga. 2021 May;14(2):127.
Hagins M, Moore W, Rundle A. Does practicing hatha yoga satisfy recommendations for intensity of physical activity which improves and maintains health and cardiovascular fitness?. BMC complementary and alternative medicine. 2007 Dec;7(1):1-9.
Larson-Meyer DE. A systematic review of the energy cost and metabolic intensity of yoga. Medicine and science in sports and exercise. 2016 Aug 1;48(8):1558-69.
Cramer H, Lauche R, Langhorst J, Dobos G. Yoga for depression: A systematic review and meta‐analysis. Depression and anxiety. 2013 Nov;30(11):1068-83.
Büssing A, Michalsen A, Khalsa SB, Telles S, Sherman KJ. Effects of yoga on mental and physical health: a short summary of reviews. Evidence-based complementary and alternative medicine. 2012 Oct;2012.
Brandani JZ, Mizuno J, Ciolac EG, Monteiro HL. The hypotensive effect of Yoga's breathing exercises: A systematic review. Complementary therapies in clinical practice. 2017 Aug 1;28:38-46.
Innes KE, Vincent HK. The influence of yoga-based programs on risk profiles in adults with type 2 diabetes mellitus: a systematic review. Evidence-Based Complementary and Alternative Medicine. 2007 Dec 1;4:469-86.
Riley KE, Park CL. How does yoga reduce stress? A systematic review of mechanisms of change and guide to future inquiry. Health psychology review. 2015 Aug 7;9(3):379-96.
Pascoe MC, Thompson DR, Ski CF. Yoga, mindfulness-based stress reduction and stress-related physiological measures: A meta-analysis. Psychoneuroendocrinology. 2017 Dec 1;86:152-68.
Sengupta P. Health impacts of yoga and pranayama: A state-of-the-art review. International journal of preventive medicine. 2012 Jul;3(7):444.
Manchanda SC, Madan K. Yoga and meditation in cardiovascular disease. Clinical Research in Cardiology. 2014 Sep;103:675-80.
Gangadurai E, Subramanian G. Role of Augmented Reality and Virtual Reality in Yoga Asana Learning and Practice. Journal of Embedded Systems and Processing. 2022 Feb 1;7(1):14-8.
Satayanand V, Reddy B, Lilly N, Mahaboobvali S, Mohan D, Salma S. Effect of yoga on hypertension. Narayana Med J. 2016;5(1):4-11.
Dinesh T, Gaur GS, Sharma VK, Madanmohan T, Kumar KH, Bhavanani AB. Comparative effect of 12 weeks of slow and fast pranayama training on pulmonary function in young, healthy volunteers: A randomized controlled trial. International journal of yoga. 2015 Jan;8(1):22.
Chandrasekhar M, Ambareesha K, Nikhil C. Effect of pranayama and suryanamaskar on pulmonary functions in medical students. Journal of clinical and diagnostic research: JCDR. 2014 Dec;8(12):BC04.
Dockery TD. Effectiveness of Ayurvedic Yoga Practices in the Complementary Management of Adult Essential Hypertension.
Upadhyay J, Shetty S, Saoji AA, Yadav SS. Effects of Nadishodhana and Bhramari Pranayama on heart rate variability, auditory reaction time, and blood pressure: A randomized clinical trial in hypertensive patients. Journal of Ayurveda and Integrative Medicine. 2023 Jul 1;14(4):100774.
Tseng AA. Scientific evidence of health benefits by practicing mantra meditation: narrative review. International Journal of Yoga. 2022 May;15(2):89.
Conversano C, Orru G, Pozza A, Miccoli M, Ciacchini R, Marchi L, Gemignani A. Is mindfulness-based stress reduction effective for people with hypertension? A systematic review and meta-analysis of 30 years of evidence. International journal of environmental research and public health. 2021 Mar 11;18(6):2882.
Murthy SN, Rao NS, Nandkumar B, Kadam A. Role of naturopathy and yoga treatment in the management of hypertension. Complementary therapies in clinical practice. 2011 Feb 1;17(1):9-12.
Nejati S, Zahiroddin A, Afrookhteh G, Rahmani S, Hoveida S. Effect of group mindfulness-based stress-reduction program and conscious yoga on lifestyle, coping strategies, and systolic and diastolic blood pressures in patients with hypertension. The Journal of Tehran University Heart Center. 2015 Jul 7;10(3):140.
Satayanand, V., et al. "Effect of yoga on hypertension." Narayana Med J 5.1 (2016): 4-11.
Chauhan A, Semwal DK, Mishra SP, Semwal RB. Yoga practice improves the body mass index and blood pressure: A randomized controlled trial. International journal of yoga. 2017 May;10(2):103.
Devi NV, Sarada N. Effect of yoga on heart rate and blood pressure in mild hypertensive patients (stage I). Journal of Evolution of Medical and Dental Sciences. 2017 Mar 16;6(22):1754-8.
Hewett ZL, Pumpa KL, Smith CA, Fahey PP, Cheema BS. Effect of a 16-week Bikram yoga program on heart rate variability and associated cardiovascular disease risk factors in stressed and sedentary adults: A randomized controlled trial. BMC complementary and alternative medicine. 2017 Dec;17(1):1-1.
Dhungana RR, Pedisic Z, Joshi S, Khanal MK, Kalauni OP, Shakya A, Bhurtel V, Panthi S, Ramesh Kumar KC, Ghimire B, Pandey AR. Effects of a health worker-led 3-month yoga intervention on blood pressure of hypertensive patients: a randomised controlled multicentre trial in the primary care setting. BMC Public Health. 2021 Dec;21(1):1-1.
Penrod NM, Moore JH. Antihypertensive effects of yoga in a general patient population: real-world evidence from electronic health records, a retrospective case-control study. BMC Public Health. 2022 Dec;22(1):1-9.
Pandey A, Pandey A, Pandey AS, Bonsignore A, Auclair A, Poirier P. Impact of Yoga on Global Cardiovascular Risk as an Add-On to a Regular Exercise Regimen in Patients With Hypertension. Canadian Journal of Cardiology. 2023 Jan 1;39(1):57-62.
Upadhyay J, Shetty S, Saoji AA, Yadav SS. Effects of Nadishodhana and Bhramari Pranayama on heart rate variability, auditory reaction time, and blood pressure: A randomized clinical trial in hypertensive patients. Journal of Ayurveda and Integrative Medicine. 2023 Jul 1;14(4):100774.
Elliott WJ, Izzo Jr JL. Device-guided breathing to lower blood pressure: case report and clinical overview. Medscape General Medicine. 2006;8(3):23.
Rutledge T, Hogan BE. A quantitative review of prospective evidence linking psychological factors with hypertension development. Psychosomatic medicine. 2002 Sep 1;64(5):758-66.
Sparrenberger F, Cichelero FT, Ascoli AM, Fonseca FP, Weiss G, Berwanger O, Fuchs SC, Moreira LB, Fuchs FD. Does psychosocial stress cause hypertension? A systematic review of observational studies. Journal of human hypertension. 2009 Jan;23(1):12-9.
Walton KG, Pugh ND, Gelderloos P, Macrae P. Stress reduction and preventing hypertension: preliminary support for a psychoneuroendocrine mechanism. The journal of alternative and complementary medicine. 1995 Jun 1;1(3):263-83.
Julius S, Nesbitt S. Sympathetic overactivity in hypertension: a moving target. American journal of hypertension. 1996 Nov 1;9(S4):113S-20S.
Imumorin IG, Dong Y, Zhu H, Poole JC, Harshfield GA, Treiber FA, Snieder H. A gene-environment interaction model of stress-induced hypertension. Cardiovascular Toxicology. 2005 Jun;5:109-32.
Strahler J, Kirschbaum C, Rohleder N. Association of blood pressure and antihypertensive drugs with diurnal alpha-amylase activity. International journal of psychophysiology. 2011 Jul 1;81(1):31-7.
Sieverdes JC, Mueller M, Gregoski MJ, Brunner-Jackson B, McQuade L, Matthews C, Treiber FA. Effects of Hatha yoga on blood pressure, salivary α-amylase, and cortisol function among normotensive and prehypertensive youth.The Journal of Alternative and Complementary Medicine. 2014 Apr 1;20(4):241-50.
Ankolekar VH, Reddy GG, Sanju CS, Mamatha H. Role of yoga intervention on quality of life and prehypertension.
Cohen DL, Bloedon LT, Rothman RL, Farrar JT, Galantino ML, Volger S, Mayor C, Szapary PO, Townsend RR. Iyengar yoga versus enhanced usual care on blood pressure in patients with prehypertension to stage I hypertension: a randomized controlled trial. Evidence-Based Complementary and Alternative Medicine. 2011 Jan 1;2011.