Effect of alternate nostril breathing exercise on autonomic functions, ocular hypertension, and quality of life in elderly with systemic hypertension and high-tension primary open-angle glaucoma

Ismail, Ali Mohamed Ali; Saif, Hatem Fawzy Abd Elfatah Abo; Taha, Mona M.

doi:10.1016/j.gerinurse.2023.05.012

Cited by 4 publications

(4 citation statements)

References 33 publications

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“…The present study showed that SAH did not significantly impair the respiratory symptom of dyspnea, perhaps because although a statistically significant reduction of FEV1 was observed, such reduction could not be strong enough to induce a persistent cough. In addition, this can be explained by the fact that the body seeks compensation for a balance for the ventilation/perfusion ratio mainly during aging [ 5 , 17 , 18 , 20 , 21 ] in the presence of a change that compromises pulmonary elasticity [ 5 , 17 , 21 , 22 , 23 ], which, in our study, was observed functionally by the impairment in the lung reactance (X5Hz) in hypertensive older adults. This impairment in the lung reactance supports the concept that a compensatory hyperventilation of pulmonary regions with normal functioning prevents the increase in CO 2 in the arterial blood, where diffusion/perfusion ratio tends to be compensated for non-dyspnea status.…”

Section: Discussionmentioning

confidence: 62%

“…Collaboration between exercise physiologists, physicians, nurses, and other healthcare professionals allows for the development of integrated, personalized care plans that address not only high blood pressure, but also other cardiovascular risk factors and the patient’s overall health [ 21 , 22 ]. In addition, there is a high frequency of comorbidities and adverse effects in the geriatric population that do not perform physical activities, especially in Chronic Obstructive Pulmonary Disease patients, who normally present SAH beyond pulmonary affection [ 23 , 24 ]. A very strong association was also observed between the presence of pulmonary problems with hypertensive older adults and physical inactivity.…”

Section: Discussionmentioning

confidence: 99%

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Physically Active Lifestyle Attenuates Impairments on Lung Function and Mechanics in Hypertensive Older Adults

Brandao-Rangel,

Brill,

de Souza Carvalho

et al. 2024

ARM

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Aim: Physical activity attenuates hypertension in older adults, but its impact on pulmonary function and mechanics in hypertensive older adults is unknown. The study seeks to understand whether a physically active lifestyle can improve respiratory capacity, the mechanical efficiency of the lungs, and, consequently, the quality of life of these individuals, comparing data between groups of active and sedentary hypertensive older adults. Methods: This is a cross-sectional study. We evaluated 731 older adults, stratified into two initial groups: hypertensive older adults (HE; n = 445) and non-hypertensive older adults (NHE; n = 286). For a secondary analysis, we used the International Physical Activity Questionnaire to sub-stratify HE and NHE into four groups: physically inactive hypertensive (PIH; n = 182), active hypertensive (AH; n = 110), physically inactive non-hypertensive (PINH; n = 104), and active non-hypertensive (ANH; n = 65). Lung function was measured by spirometry, and lung mechanics were assessed by impulse oscillometry. Results: Hypertensive older adults presented reduced lung function compared to non-hypertensive older adults, and physical inactivity accentuated this decline. Regarding pulmonary mechanics, hypertensive older adults had higher resistance of the entire respiratory system (R5 Hz), the central airways (R20 Hz), and peripheral airways (R5–20 Hz), which may trigger bronchoconstriction. Conclusions: Hypertension is associated with impaired lung function and mechanics in older adults, and a physically active lifestyle attenuates these dysfunctions.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Physically Active Lifestyle Attenuates Impairments on Lung Function and Mechanics in Hypertensive Older Adults

Brandao-Rangel,

Brill,

de Souza Carvalho

et al. 2024

ARM

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“…One study was excluded as its research participants were identical to those of another study [21]. Ultimately, twelve studies (consisting of 764 eyes) were incorporated into our research [21][22][23][24][25][26][27][28][29][30][31][32][33] (refer to Supplementary Figure S3 and Table 1). The included studies were from Asia (n = 9), the Middle East (n = 2), and Europe (n = 2).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The main result did not c significantly after removing any one of the included studies. All analyses showed statistical nificant effects of relaxation exercise on IOP reduction[21][22][23][24][25][26][27][28][29][30]32,33].…”

mentioning

confidence: 93%

The Clinical Efficacy of Different Relaxation Exercises on Intraocular Pressure Reduction: A Meta-Analysis

Wu,

Kuo,

Hsu

et al. 2024

JCM

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Objective: The aim of this study was to synthesize the available evidence on the clinical efficacy of different relaxation exercises on intraocular pressure (IOP) reduction. Methods: A systemic search of PubMed, Embase, Cochrane CENTRAL, and Web of Science was undertaken from the earliest record to 10 April 2024. Peer-reviewed studies that reported on healthy individuals and glaucoma patients engaging in relaxation exercises for at least three weeks were included. The primary outcome was changes in IOP levels from baseline, before the commencement of relaxation exercises, to post-exercise. Our statistical analysis employed a random-effects model, with effect sizes reported using Hedges’ g. Results: Twelve studies were included, totaling 764 eyes (mean participant age ranging from 21.07 to 69.50 years). Relaxation exercises significantly reduced IOP, with Hedges’ g being −1.276 (95% CI: −1.674 to −0.879) and I2 = 84.4%. Separate subgroup analyses showed that breathing exercises (Hedges’ g = −0.860, p < 0.0001), mindfulness-based stress reduction (MBSR) (Hedges’ g = −1.79, p < 0.0001), and ocular exercises (Hedges’ g = −0.974, p < 0.0001) were associated with reduced IOP levels. The reduction in IOP following the relaxation exercises was found to be associated with baseline IOP either greater than (Hedges’ g = −1.473, p < 0.0001) or less than 21 mmHg (Hedges’ g = −1.22, p < 0.0001). Furthermore, this effect persisted with follow-up durations of less than (Hedges’ g = −1.161, p < 0.0001) and more than one month (Hedges’ g = −1.324, p < 0.0001). Conclusions: The current meta-analysis indicates that relaxation exercises can significantly reduce IOP levels. Relaxation exercises are a potential class of novel treatments for glaucoma patients that deserve further evaluation.

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Yoga as a Potential Tool for Filling Implementation Gap in Promoting Better Mental Health in Geriatric Age Group at Global Level: A Scoping Review

Dhikav,

Bhati,

Kumar

et al. 2024

OBM Geriatr

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This scoping review aims to review the effectiveness of yoga as a complementary intervention for improving mental health outcomes in the geriatric population globally. Yoga is practiced by millions worldwide. Since practitioners of yoga claim to have calmer minds and better psychological and physical health, this topic needs to be reviewed at length. There is a considerable treatment gap worldwide in treating mental disorders, especially in old age, and there is a shortage of low-cost, feasible, and acceptable preventive or treatment options available to tackle mental ailments for the senior population at large. Yoga can potentially act as a low-cost intervention for promoting better mental health. The article reviews yoga as an implementation strategy for meeting this global challenge. Information related to “Yoga and Mental Health” and “Yoga and old age” was searched in two databases, i.e., PubMed and Google Scholar, using a standard search strategy and search strings. Only the articles published in the English language were selected. A standard data extraction form was used to extract and tabulate the data. A comprehensive search strategy (annexed) yielded only two papers as the work on implementation research on mental health is dismal. Both were excluded as the papers did not belong to implementation research. However, for the sake of narrative review, a common search strategy in PubMed included key terms such as “yoga and aging and mental health” and yielded 54 results out of which 7 were included for this scoping review. Comprehensive advanced search from Google Scholar revealed 4850 articles. Screening found 1 implementation research abstract only and two clinical trials. None was included as they did not belong to implementation research. Considering the potential that yoga has as a preventive and therapeutic option, scientific work on implementation research involving mental health and yoga is required. Considering the bludgeoning amount of work done on the subject, there is a possibility of including the same in mainstream medicine as a low-cost preventive or therapeutic option to address the implementation gap in mental health, especially for the senior age group.

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Effect of alternate nostril breathing exercise on autonomic functions, ocular hypertension, and quality of life in elderly with systemic hypertension and high-tension primary open-angle glaucoma

Cited by 4 publications

References 33 publications

Physically Active Lifestyle Attenuates Impairments on Lung Function and Mechanics in Hypertensive Older Adults

Physically Active Lifestyle Attenuates Impairments on Lung Function and Mechanics in Hypertensive Older Adults

The Clinical Efficacy of Different Relaxation Exercises on Intraocular Pressure Reduction: A Meta-Analysis

Yoga as a Potential Tool for Filling Implementation Gap in Promoting Better Mental Health in Geriatric Age Group at Global Level: A Scoping Review

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