Yoga in Arterial Stiffness: A Review

Authors

  • Gaurav Kapoor Department of Physiotherapy, Jayoti Vidyapeeth Women’s University, Rajasthan, India.
  • Sandeep Singh Department of Physiotherapy, Faculty of Medicine, Punjabi University, Punjab, India.
  • Priya Chauhan Department of Physiotherapy, UIAHS, Chandigarh University, Punjab, India.
  • Aksh Chahal Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar University, Haryana, India.
  • Anchit Gugnani Department of Physiotherapy, Jayoti Vidyapeeth Women’s University, Rajasthan, India.

DOI:

https://doi.org/10.31584/jhsmr.2022863

Keywords:

arterial stiffness, cardio vascular disease, physical activity, yoga

Abstract

Non-communicable diseases; especially cardiovascular disease (CVD), is expected to be a leading cause of death worldwide through till 2030. Controlling this disease and its complications requires early recognition and surveillance, and as a result the accompanying health-care expenses can be kept under control. Looking back over the past, since 5 to 6 decades, studies have revealed an increase in CVD in India; ranging from 1.0% to 9.0% and 1.0% to 4.0-6.0% in both urban and rural areas, respectively. Arterial stiffness is defined as a decrease in an artery's ability to expand and contract in response to changes in pressure. Pulse Wave Velocity (PWV), which is the speed at which forward pressure is conveyed from the aorta via the vascular tree, is one of the simplest and oldest methods for determining it. Yoga, a mind-body practice that dates back to 5,000 Before Christ in India. It is regarded as a Vedic, ancient science, as a means of mental, bodily, and social existence, and has been increasingly used as a remedial measure. An comprehensive search of the electronic databases in PubMed/Medline, Web of Science, Scopus, Science Direct, Google Scholar, and Semantic Scholar for relevant publications was conducted using the keywords "Yoga and Arterial Stiffness." This current review, based on the scientific evidence, suggests yoga to pose and deliver health favourable benefits on PWV; particularly in adolescents as opposed to middle and geriatric populations. In addition, yoga is useful for young people with obesity, hypertension, and for those who lead a sedentary lifestyle. Yoga's beneficial effects on cardiovascular disease are related to a reduction in sympathetic activity as well as concomitant mental and physical relaxation.

References

Duren CM, Cress ME, McCully KK. The influence of physical activity and yoga on central arterial stiffness. Dyn Med 2008; 7:2.

Gupta R, Mohan I, Narula J. Trends in coronary heart disease epidemiology in India. Ann Glob Health 2016;82:307-15.

World Health Organization. Cardiovascular disease in India [homepage on the Internet]. Geneva: WHO; 2018. Available from: https://www.who.int/india/health-topics/cardiovascular diseases

Benetos A, Waeber B, Izzo J, Mitchell G, Resnick L, Asmar R, et al. Influence of age, risk factors, and cardiovascular and renal disease on arterial stiffness: clinical applications. Am J Hypertens 2002;15:1101-8.

Bonarjee VVS. Arterial stiffness: a prognostic marker in coronary heart disease. Available methods and clinical application. Front Cardiovasc Med 2018;5:64.

Cecelja M, Chowienczyk P. Role of arterial stiffness in cardio vascular disease. JRSM Cardiovasc Dis 2012;1:012016.

Shirwany NA, Zou MH. Arterial stiffness: a brief review. Acta Pharmacol Sin 2010;3:1267-76.

Sengupta P. Health impacts of yoga and pranayama: a state of-the-art review. Int J Prev Med 2012;3:444-58.

Brems C, Colgan D, Freeman H, Freitas J, Justice L, Shean M, et al. Elements of yogic practice: Perceptions of students in healthcare programs. Int J Yoga 2016;9:121-9.

Hunter SD, Dhindsa MS, Cunningham E, Tarumi T, Alkatan M, Nualnim N, et al. The effect of Bikram yoga on arterial stiffness in young and older adults. J Altern Complement Med 2013;19: 930-4.

Hunter SD, Dhindsa MS, Cunningham E, Tarumi T, Alkatan M, Nualnim N, et al. Impact of hot yoga on arterial stiffness and quality of life in normal and overweight/obese adults. J Phys Act Health 2016;13:1360-3.

Kumar PVG, Deshpande S, Joshi A, More P, Singh A, Nagendra HR. Effect of integrated yoga therapy on arterial stiffness: a pilot study on young and older adults with obesity. Integr Med Int 2017;4:85–93.

Patil SG, Aithala MR, Das KK. Effect of yoga on arterial stiffness in elderly subjects with increased pulse pressure: A randomized controlled study. Complement Ther Med 2015; 23:562-9.

Wooten SV, Gundersen SS, and Tanaka H. Hemodynamic and pressor responses to combination of yoga and blood flow restriction. Int J Sports Med 2020;41:759-65.

Kim S, Bemben MG, Bemben DA. Effects of an 8-month yoga intervention on arterial compliance and muscle strength in premenopausal women. J Sports Sci Med 2012;1:322-30.

Hunter SD, Tarumi T, Dhindsa MS, Nualnim N, Tanaka H. Hatha yoga and vascular function: results from cross-sectional and interventional studies. J Bodyw Mov Ther 2013;17:322-7.

Hunter SD, Laosiripisan J, Elmenshawy A. Effects of heated and thermoneutral yoga interventions on arterial stiffness in middle-aged adults. Complement Ther Med 2018;40:113-5.

Piña AA, Shadiow J, Tobi Fadeyi A, Chavez A, Hunter SD. The acute effects of vinyasa flow yoga on vascular function, lipid and glucose concentrations, and mood. Complement Ther Med 2021;56:102585.

Bhaskar L, Kharya C, Deepak KK and Kochupillai V. Assessment of Cardiac Autonomic Tone Following Long Sudarshan Kriya Yoga in Art of Living Practitioners. J Altern Complement Med 2017;23:705-12.

Trivedi GY, Patel V, Shah MH, Dhok MJ, Bhoyania K. Comparative study of the impact of active meditation protocol and silence meditation on heart rate variability and mood in women. Int J Yoga 2020;13:255-60.

Murugesan R, Govindarajulu N, Bera TK. Effect of selected yoga practices on the management of hypertension. Indian J Physiol Pharmacol 2000;44:207-10.

Van der Zwan LP, Scheffer PG, Dekker JM, Stehouwer CD, Heine RJ, Teerlink T. Hyperglycemia and oxidative stress strengthen the association between myeloperoxidase and blood pressure. Hypertension 2010;55:1366-72.

Patil SG, Dhanakshirur GB, Aithala MR, Naregal G, Das KK. Effect of yoga on oxidative stress in elderly with grade-I hypertension: a randomized controlled study. JCDR 2014;8: BC04.

Incalza MA, D'Oria R, Natalicchio A, Perrini S, Laviola L, Giorgino F. Oxidative stress and reactive oxygen species in endothelial dysfunction associated with cardiovascular and metabolic diseases. Vascul Pharmacol 2018;100:1-19.

De Ciuceis C, Amiri F, Brassard P, Endemann DH, Touyz RM, Schiffrin EL. Reduced vascular remodeling, endothelial dysfunction, and oxidative stress in resistance arteries of angiotensin II-infused macrophage colony-stimulating factor deficient mice: evidence for a role in inflammation in angio tensin-induced vascular injury. Arterioscler Thromb Vasc Biol 2005;25:2106-13.

Li AW, Goldsmith CAW. The effects of yoga on anxiety and stress. Altern Med Rev 2012;17:21-35.

Azeez AM, Puri GD, Samra T, Singh M. Effect of short-term yoga-based-breathing on peri-operative anxiety in patients undergoing cardiac surgery. Int J Yoga 2021;14:163-7.

Parswani MJ, Sharma MP, Iyengar SS. Mindfulness-based stress reduction program in coronary heart disease: A randomized control trial. Int J Yoga 2013;6:111-7.

Streeter CC, Gerbarg PL, Saper RB, Ciraulo DA, Brown RP. Effects of yoga on the autonomic nervous system, gamma aminobutyric-acid, and allostasis in epilepsy, depression, and post-traumatic stress disorder. Med Hypotheses 2012;78: 571-9.

Arora S, Bhattacharjee J. Modulation of immune responses in stress by Yoga. Int J Yoga 2008;1:45-55.

Esfahani HN, Zamani M, Marandi SM, Shaygannejad V, Javanmard SH. Preventive effects of a three-month yoga inter vention on endothelial function in patients with migraine. Int J Prev Med 2014;5:424–9.

Yang K. A review of yoga programs for four leading risk factors of chronic diseases. Evid Based Complement Alternat Med 2007;4:487-91.

Agyemang C, Addo J, Bhopal R, Aikins Ade G, Stronks K. Cardiovascular disease, diabetes and established risk factors among populations of sub-Saharan African descent in Europe: a literature review. Global Health 2009;5:7.

Manchanda SC. Yoga--a promising technique to control cardiovascular disease. Indian Heart J 2014;66:487-9.

Manchanda SC, Madan K. Yoga and meditation in cardio vascular disease. Clin Res Cardiol 2014;103:675-80.

Chu P, Gotink RA, Yeh GY, Goldie SJ, Hunink MG. The effectiveness of yoga in modifying risk factors for cardio vascular disease and metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials. Eur J Prev Cardiol 2016;23:291-307.

Mooventhan A, Nivethitha L. Role of yoga in the prevention and management of various cardiovascular diseases and their risk factors: a comprehensive scientific evidence-based review. Explore (NY) 2020;16:257-63.

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Published

2023-04-08

How to Cite

1.
Kapoor G, Singh S, Chauhan P, Chahal A, Gugnani A. Yoga in Arterial Stiffness: A Review. J Health Sci Med Res [Internet]. 2023 Apr. 8 [cited 2024 Dec. 23];40(5):599-606. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/262873

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Section

Review Article