Effect of Yoga Intervention in the Management of Hypertension: A Preventive Trial

Rujuta S. Hadaye, Shruti Shastri, Santosh Salagre

Abstract


Background: Noncommunicable diseases are on the rise in India. Hypertension is one of the major risk factors for cardiovascular diseases and also labeled as a chronic lifestyle disorder. Hence, non‑pharmacological interventions leading to lifestyle modifications are of utmost importance to control and prevent hypertension. This trial aims to implement yoga intervention to the experimental group in addition to medicines, advice on diet and physical activity and to compare blood pressure and perceived stress scores with the control group.

Methods: It was an open‑label, two‑armed, non‑randomized controlled trial, conducted at a tertiary care center on 145 patients with hypertension: 73 in the intervention group and 72 in the control group. The intervention group received yoga intervention for a period of 4 months on a weekly basis along with advice on physical activity, diet, and routine medicines. The control group did not receive yoga intervention.

Results: The mean age of the participants was 51.3 ± 9.4, females (58.2%) outnumbered males (41.3%). Following the intervention, perceived stress score and blood pressure showed a significant reduction between two groups (P < 0.001). Also, perceived stress and blood pressure were found to be reduced significantly within both groups (P < 0.001).

Conclusions: Yoga proves to be an effective, safe, and less expensive adjunct therapy for hypertension management. Yoga was also found to be effective in reducing the level of stress. Diet modification and physical activity have got an important role to play in the control and prevention of hypertension.


Keywords


Hypertension; noncommunicable diseases; yoga

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References


WHO. Global status report on non‑communicable diseases. 2014.

Park K. Epidemiology of Chronic Non‑Communicable Disease

and Conditions in Textbook of Preventive and Social Medicine.

th ed.. Bhanot Publications; 2017. p. 381‑93.

Faraji H, Jamshidi S, Beigrezaei S, Askari G. Dietary intake

of vitamin‑D and its relation with blood pressure in the elderly

population. Int J Prev Med 2019;10:40.

Hagins M, States R, Selfe T, Innes K. Effectiveness of yoga for

hypertension: Systematic review and meta‑analysis. Evid Based

Complement Alternat Med 2013;1:1-13.

Saptharishi LG, Soudarssanane M, Thiruselvakumar D,

Navasakthi D, Mathanraj S, Karthigeyan M, et al.

Community‑based randomized controlled trial of

non‑pharmacological interventions in prevention and control of

hypertension among young adults. Indian J Community Med

;34:329‑34.

Cohen S. A global measure of perceived stress. J Health Social

Behav 1983;24:385‑96.

Sadashiv P. Nimbalkar Health through Yoga in Textbook of Yoga

for Health and Peace. 5th ed.. Mukund Vasudeo Bedekar, Yoga

Vidya Niketan; 2003. p. 1.

Common Yoga Protocol. International Day of Yoga. 2nd Revised

ed. Ministry of AYUSH, Government of India; 2016.

Oberoi SS. Updating income ranges for Kuppuswamy’s

socio‑economic status scale for the year 2014. Indian J Public

Health 2015;59:156‑7.

Stamler R. Implications of the INTERSALT study. Hypertension

;17:1620.

Tyagi A, Cohen M. Yoga and hypertension: A systematic review.

Altern Ther Health Med 2014;20:32‑59.

Posadzki P, Cramer H, Kuzdzal A, LeeMS, Ernst E. Yoga for

hypertension: A systematic review of randomized clinical trials.

Complement Ther Med 2014;22:511‑22.

Subramanian H, Soudarssanane MB,

Jayalakshmy, R, Thiruselvakumar D, Navasakthi D, Sahai A,

et al. Non‑pharmacological interventions in hypertension:

A community‑based cross‑over randomized controlled trial.

Indian J Community Med 2011;36:191.

Telles S, Yadav A, Kumar N, Sharma S, Naveen K.

Visweshwaraiah AB. Blood Pressure and purdue pegboard

scores in individuals with hyertension after alternate nostril

breathing, breath awareness and no intervention. Med Sci Monit

;19:61‑6.

Sharma M, Meena M, Sharma RB, Meena CB, Meena PD,

Chauhan N. Study on the effect of yoga (yogasans, pranayam

and meditation) training on hypertension. Ind J Sci Res Tech

;1:89‑95.

McCaffrey R, Ruknui P, Hatthakit U, Kasetsomboon P. The

effects of yoga on hypertensive persons in Thailand. Holist Nurs

Pract 2005;19:173‑80.

Kumari NS, Gowda MDNS, Madhu LN. Effect of yoga therapy

on body mass index and oxidative status. Nitte Univ J Health Sci

;I: 1‑5.

Paoli A, Bianco A. What is fitness training? Definitions and

implications: A systematic review article. Iran J Public Health

;44:602‑14.