Take a deep breath: A randomized control trial of Pranayama breathing on uncontrolled hypertension

Misra, Shamita; Smith, Jamie; Wareg, Nuha K.; Hodges, Kelvin L.; Gandhi, Mukti; McElroy, Jane A.

doi:10.1016/j.aimed.2018.08.002

Cited by 11 publications

(11 citation statements)

References 32 publications

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“…In total, 5,083 people were invited and 3,125 participated in these studies. Twenty-one RCTs were conducted in India ( n = 1,694 participants), 4 in the USA ( n = 382) ( 45 , 47 , 53 , 59 ), 2 in Germany ( n = 415) ( 46 , 67 ), 2 in Nepal ( n = 135) ( 61 , 77 ) and 1 each in Sweden ( n = 191) ( 49 ), Thailand ( n = 61) ( 63 ), Spain ( n = 100) ( 64 ), Hong-Kong ( n = 97) ( 68 ) and Brazil ( n = 50) ( 72 ). Studies recruited participants who were between 18 and 70 years old.…”

Section: Resultsmentioning

confidence: 99%

“…A variety of strategies was used to increase attendance and adherence of participants to the intervention. Keeping attendance register ( 46 , 48 , 50 , 55 , 56 , 65 , 69 , 75 , 77 ), providing an audio recording, DVD, and/or training manuals for home practice ( 45 , 46 , 56 , 63 , 71 , 77 ), recording home practice ( 45 , 46 , 63 , 71 ), contacting the clinic/hospital to follow-up advice ( 45 , 71 , 77 ) and providing sessions at different times ( 56 ) were among the strategies used. Six out of 16 effective long-term studies reported the commitments of the participants to the intervention, and it ranged from 70 to 100% ( 48 , 50 , 56 , 65 , 69 , 71 ).…”

Section: Resultsmentioning

confidence: 99%

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Content, Structure, and Delivery Characteristics of Yoga Interventions for Managing Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Nalbant

Hassanein

Lewis

et al. 2022

Front. Public Health

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ObjectivesThis systematic review aimed to synthesize the content, structure, and delivery characteristics of effective yoga interventions used for managing hypertension and to compare these characteristics with ineffective interventions.Design and MethodThe JBI and the PRISMA guidelines were followed in this systematic review. RCTs conducted among hypertensive adults were included. RCTs reporting at least one of the major components of yoga (i.e., asana, pranayama, and dhyana and relaxation practices) and comparing them with no intervention or any intervention were eligible. Sixteen databases were searched for published and unpublished studies without any date and language restrictions till March 15, 2021.ResultsThe literature search yielded 13,130 records. 34 RCTs (evaluating 38 yoga interventions) met the inclusion criteria. Overall, included studies had low methodological quality mostly due to inadequate reporting. Yoga reduced SBP and DBP compared to a control intervention (MD −6.49 and −2.78; 95CI% −8.94– −4.04 and −4.11– −1.45, respectively). Eighteen, 14 and 20 interventions were effective in improving SBP, DBP, or either, respectively. 13 out of 20 effective interventions incorporated all the 3 major components of yoga and allocated similar durations to each component whereas ineffective interventions were more focused on the asana and duration of asana practice was longer. The most common duration and frequency of effective interventions were 45 min/session (in 5 interventions), 7 days/week (in 5 interventions), and 12 weeks (in 11 interventions) whereas the most common session frequency was 2 days a week (in 7 interventions) in ineffective interventions. Effective interventions were mostly center-based (in 15 interventions) and supervised (in 16 interventions) and this was similar with ineffective interventions.ConclusionDespite the low quality and heterogeneity of included studies, our findings suggest yoga interventions may effectively manage hypertension. The differences between the effective and ineffective interventions suggest that effective yoga interventions mostly incorporated asana, pranayama, and dhyana and relaxation practices and they had a balance between these three components and included regular practice. They were mostly delivered in a center and under supervision. Future studies should consider developing and evaluating an intervention for managing hypertension using the synthesized findings of the effective interventions in this review.Systematic Review Registration[PROSPERO], identifier [CRD42019139404].

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Content, Structure, and Delivery Characteristics of Yoga Interventions for Managing Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Nalbant

Hassanein

Lewis

et al. 2022

Front. Public Health

View full text Add to dashboard Cite

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“…The autonomic nervous system influences the blood pressure through the arterial baroreceptors and pulmonary strech receptors (Joseph C.N, 2005). Deep breathing stimulates the stretch receptors, increases the vagal tone, decreases the sympathetic activity and the result is a decrease in blood pressure (Misra et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Deep Breathing Relaxation for Decreasing Blood Pressure in People with Hypertension

Fitriyah¹,

Fernandez²,

Samudera³

et al. 2019

J. Ners

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Various non-pharmacological therapies can be used to reduce blood pressure. One of them is deep breathing relaxation. This study aimed to know the influence of deep breath relaxation to decrease the blood pressure of people with hypertension. The design of this study was an Pre-Experimental One Group Pretest-Post-test design which covered 30 respondents as the sample. They fulfilled the inclusion criteria and were chosen through purposive sampling. The independent variable in this study was deep breath relaxation and the dependent variable was blood pressure. The data collection technique was using the observation sheet of blood pressure measurement. Data were analyzed using the paired t test. The findings of this study majority there were decrease blood pressure after deep breath. Before doing the breath relaxation exercise, most of the respondents were hypertension level 1. Nonetheless, after the deep breath relaxation had been executed, most found that their blood pressure decreased although several respondents were at hypertension level 2 with stable blood pressure. The results showed that there were differences in the blood pressure patients with hypertension before and after the deep breath relaxation. There were several points which influenced the decrease in blood pressure after implementing the deep breath relaxation such as stress, cigarettes etc.

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“…My journey from clinician/educator to clinician/educator/researcher has been gratifying. Publishing study results, [5][6][7] giving a talk at grand rounds, and presenting at the Society of Teachers in Family Medicine's 2018 Annual Spring Conference further motivated me to continue on this journey. However, in the current environment where physicians are measured for their productivity, I hope a metric is developed to credit clinicians who engage in all levels of research.…”

Section: Narrative Essaysmentioning

confidence: 99%

On the Other Side of the Fence: A Busy Clinician Learning to Be a Researcher

Misra

McElroy

2019

Fam Med

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Take a deep breath: A randomized control trial of Pranayama breathing on uncontrolled hypertension

Cited by 11 publications

References 32 publications

Content, Structure, and Delivery Characteristics of Yoga Interventions for Managing Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Content, Structure, and Delivery Characteristics of Yoga Interventions for Managing Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Deep Breathing Relaxation for Decreasing Blood Pressure in People with Hypertension

On the Other Side of the Fence: A Busy Clinician Learning to Be a Researcher

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