Effect of Integrated Approach of Yoga Therapy on Noninvasive Cardiovascular Responses: Study on Young and Older Healthy Males

Snehasis Bhunia *

Singhania University, Pacheri Bari, Jhunjhunu district, Rajasthan, India.

Sohan Raj Tater

Singhania University, Pacheri Bari, Jhunjhunu district, Rajasthan, India.

*Author to whom correspondence should be addressed.


Abstract

Background and Aims: Arterial stiffness index (ASI) is significantly reduced after physical exercise or after Yoga activities.  However, the effect of integrated yoga therapy (IAYT) for longer duration, using PC based cardiovascular analyzer & PPG analysis system on non-invasive cardiovascular responses such as arterial stiffness index or ankle brachial index (ABI) are not yet reported. The aim of the study was to investigate the effect of IAYT for a longer duration on noninvasive cardiovascular responses including arterial stiffness index in both young and older healthy males living in rural areas.

Methodology: A total of 20 healthy subjects were included in the study. All healthy participants were divided into two groups (A&B) based on their age. There were 10 participants in group A considered as young healthy aged below 40 years, 10 old healthy adults aged above 50 years were included in group B. All participants in group A & B were accepted and recorded all non- invasive cardiovascular parameters as experimental control (group C). A 6-weeks integrated approach of yoga therapy (IAYT) was given as an intervention to the participants come under group A & B. The PC based cardiovascular analyzer and PC based PPG analysis system were used to record almost all cardiovascular parameters signifying the status of arterial stiffness index and ankle brachial index at the beginning and end of the yoga program. The arterial stiffness index (ASI) and reflection index (RI) were computed from the pulse data. The data were analyzed using the paired-samples t test.

Results: There was a significant reduction in Pulse Wave Velocity (PWV), ASI (P < 0.05) and no significant alterations (P>0.05) on ABI after IAYT for 6-weeks of IAYT in young and old participants. There was non-significant reduction in BMI after IAYT in healthy young and older adults, but the ASI was more significantly low (P<0.01) in young adults. There were no significant changes in Systolic Blood Pressure (SBP), Diastolic Blood Pressure (DBP) and Pulse Pressure (PP) after IAYT for 6 weeks.

Conclusion:  Our findings suggest that IAYT offered was more effective than Yoga or brisk-walk separately in reducing ASI. This could be due to reduce sympathetic activity and improved   endothelial function with enhancement in bioavailability of NO, which would be less effective in aged individuals. The age-related endothelial dysfunction associated with decreased bioavailability of nitric oxide (NO), a potent vasodilator, contributes to vascular stiffness would not be ruled out. The life-style modalities in IAYT must be considered as a prime candidate to reduce cardiovascular diseases (CVD).

Keywords: Arterial Stiffness Index (ASI), Pulse Wave Velocity (PWV), Reflection Index (RI), Ankle Brachial Index (ABI), Yoga, Integrated Approach of Yoga Therapy (IAYT)


How to Cite

Bhunia, Snehasis, and Sohan Raj Tater. 2022. “Effect of Integrated Approach of Yoga Therapy on Noninvasive Cardiovascular Responses: Study on Young and Older Healthy Males”. Asian Journal of Research in Cardiovascular Diseases 4 (1):182-90. https://journalijrrc.com/index.php/AJRCD/article/view/63.

Downloads

Download data is not yet available.

References

Villacres MC, Jagannathan A, Nagarathna R, Ramakrsihna J. Decoding the integrated approach to yoga therapy: qualitative evidence based conceptual framework. Int J Yoga. 2014;7:22–31.

Ebnezar J, Nagarathna R, Yogitha B, Nagendra H. Effect of integrated yoga therapy on pain, morning stiffness and anxiety in osteoarthritis of the knee joint: a randomized control study. Int J Yoga. 2012;5:28–36.

Ebnezar J, YogithaBali M, John R, Gupta O. Role of integrated approach of yoga therapy in a failed post-total knee replacement of bilateral knees. Int J Yoga. 2014;7:160–164.

Jagannathan A, Hamza A, Thirthalli J, Nagendra H, Nagarathna R, Gangadhar B.Development and feasibility of need-based yoga program for family caregivers of in-patients with schizophrenia in India. Int J Yoga. 2012;5: 42–47.

Radhakrishna S: Application of integrated yoga therapy to increase imitation skills in children with autism spectrum disorder. Int J Yoga. 2010;3:26–30.

Ranjita R, Badhai S, Hankey A, Nagendra H: A randomized controlled study on assessment of health status, depression, and anxiety in coal miners with chronic obstructive pulmonary disease following yoga training. Int J Yoga. 2016;9:137–144.

Tekur P, Chametcha S, Hongasandra R, Raghuram N: Effect of yoga on quality of life of CLBP patients: a randomized control study. Int J Yoga. 2010;3:10–17.

Giri PV, Despande 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.

Bhunia S, Bhunia B, Basavaraj AS, Sant SK. Acute changes after 30 minute of dynamic exercise in arterial stiffness and pulse wave velocity of healthy young and middle aged individuals. Journal of Advance Research in Biological Sciences. 2015; 7(1); 17-23.

Bhunia S, Tripathy NK. A comparative analysis of non-invasive cardiovascular functions in proficient and non-proficient healthy subjects. International Journal of Physiology. July-Dec 2013;1(2);22-27.

Lumbani QA, Bhunia S, Hyder ANG. A study to assess sympathetic response changes in carotid femoral pulse wave velocity using cold pressor test in normal BMI, overweight and obese subjects. Int J of Basic Appl Physiol. 2020; 9(1);75-79.

Sugawara J, Tanaka H. Brachial-ankle pulse wave velocity: myths, misconceptions, and realities. Pulse (Base). 2015; 3:106–113.

Hertzman AB: The blood supply of various skins areas as estimated by the photoelectric plethysmograph. Am J Physiol. 1938;124:328–340.

Millasseau SC, Ritter JM, Takazawa K, Chowienczyk PJ. Contour analysis of the photoplethysmographic pulse measured at the finger. J Hypertension. 2006;24:1449–1456.

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. 2016;23: 562–569.

Richard C Jin, Joseph L. Vascular nitric oxide: formation & function. Journal of Blood Medicine.2010;1:147-162.

Wildman RP, Farhat GN, Patel AS, Mackey RH, Brockwell S, Thompson T, et al. Weight change is associated with change in arterial stiffness among healthy young adults. Hypertension. 2005;45: 187–192.

Wildman RP, Farhat GN, Patel AS, Mackey RH, Brockwell S, Thompson T, et al. Weight change is associated with change in arterial stiffness among healthy young adults. Hypertension .2005;45:187–192.

Millasseau SC, Guigui FG, Kelly RP, Prasad K, Cockcroft JR, Ritter JM, et al. Noninvasive assessment of the digital volume pulse. Comparison with the peripheral pressure pulse. Hypertension. 2000;36:952–956.

Selvamurthy W, Sridharan K, Ray US, Tiwary RS, Hegde KS, Radhakrishan U, et al. A new physiological approach to control essential hypertension. Indian J Physiol Pharmacol. 1998;42(2):205–13.