Abstract
Yoga is a holistic mind–body intervention aimed at physical, mental, emotional and spiritual well being. Several studies have shown that yoga and/or meditation can control risk factors for cardiovascular disease like hypertension, type II diabetes and insulin resistance, obesity, lipid profile, psychosocial stress and smoking. Some randomized studies suggest that yoga/meditation could retard or even regress early and advanced coronary atherosclerosis. A recent study suggests that transcendental meditation may be extremely useful in secondary prevention of coronary heart disease and may reduce cardiovascular events by 48 % over a 5-year period. Another small study suggests that yoga may be helpful in prevention of atrial fibrillation. However, most studies have several limitations like lack of adequate controls, small sample size, inconsistencies in baseline and different methodologies, etc. and therefore large trials with improved methodologies are required to confirm these findings. However, in view of the existing knowledge and yoga being a cost-effective technique without side effects, it appears appropriate to incorporate yoga/meditation for primary and secondary prevention of cardiovascular disease.
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References
Ananda S (1981) The Complete book of yoga: Harmony of body and mind, 1st edn. Orient, Delhi reprinted 2001
Garfinkel M, Schumacher HR Jr (2000) Yoga. Rheum Dis Clin N Am 26:125–132
Chandler K (2001) The emerging field of yoga therapy. Hawaii Med J 60:286–287
Mak JC, Faux S (2010) Complementary and alternative medicine use by osteoporotic patients in Australia (CAMEO-A): a prospective study. J Altern Complement Med 16(5):579–584
Michalsen A, Grossman P, Acil A, Langhorst J, Lüdtke R, Esch T et al (2005) Rapid stress reduction and anxiolysis among distressed women as a consequence of a three-month intensive yoga program. Med Sci Monit 11(12):CR555–CR561
Hoyez AC (2007) The ‘world of yoga’: the production and reproduction of therapeutic landscapes. Soc Sci Med 65(1):112–124
Raub J (2002) Psychophysiologic effects of Hatha Yoga on musculoskeletal and cardiopulmonary function: a literature review. J Altern Complement Med 8:797–812
Meditation practices for Health. State of the Research (2007) prepared for agency for Healthcare Research and Quantity; US Department of Health and Human Services. www.ahrg.gov
Roth B, Stanley TW (2002) Mindfulness-based stress reduction and healthcare utilization in the inner city: preliminary findings. Altern Ther Health Med 8(1):60-2–64-6
Datey KK, Deshmukh SN, Dalvi CP, Vinekar SL (1969) “Shavasan”: a yogic exercise in the management of hypertension. Angiology 20(6):325–333
Benson H, Rosner BA, Marzetta BR, Klemchuk HM (1974) Decreased blood-pressure in pharmacologically treated hypertensive patients who regularly elicited the relaxation response. Lancet 1(7852):289–291
Glasgow MS, Gaarder KR, Engel BT (1982) Behavioral treatment of high blood pressure II. Acute and sustained effects of relaxation and systolic blood pressure biofeedback. Psychosom Med 44(2):155–170
Patel C, North WR (1975) Randomised controlled trial of yoga and bio-feedback in management of hypertension. Lancet 2(7925):93–95
Eisenberg DM, Delbanco TL, Berkey CS, Kaptchuk TJ, Kupelnick B, Kuhl J et al (1993) Cognitive behavioral techniques for hypertension: are they effective? Ann Intern Med 118(12):964–972
Bagga OP, Gandhi A (1983) A comparative study of the effect of Transcendental Meditation (TM) and Shavasana practice on cardiovascular system. Indian Heart J 35(1):39–45
Johnston SW (1987) The behavioural control of high blood pressure. Curr Pychol Res Rev 6:99–114
Selvamurthy W, Sridharan K, Ray US, Tiwary RS, Hegde KS, Radhakrishan U et al (1998) A new physiological approach to control essential hypertension. Indian J Physiol Pharmacol 42(2):205–213
Sundar S, Agrawal SK, Singh VP, Bhattacharya SK, Udupa KN, Vaish SK (1984) Role of yoga in management of essential hypertension. Acta Cardiol 39(3):203–208
Murugesan R, Govindarajulu N, Bera TK (2000) Effect of selected yogic practices on the management of hypertension. Indian J Physiol Pharmacol 44(2):207–210
Canter PH, Ernst E (2004) Insufficient evidence to conclude whether or not Transcendental Meditation decreases blood pressure: results of a systematic review of randomized clinical trials. J Hypertens 22(11):2049–2054
Parati G, Steptoe A (2004) Stress reduction and blood pressure control in hypertension: a role for transcendental meditation? J Hypertens 22(11):2057–2060
Dickinson HO, Mason JM, Nicolson DJ, Campbell F, Beyer FR, Cook JV et al (2006) Lifestyle interventions to reduce raised blood pressure: a systematic review of randomized controlled trials. J Hypertens 24(2):215–233
Manikonda JP, Störk S, Tögel S, Lobmüller A, Grünberg I, Bedel S et al (2008) Contemplative meditation reduces ambulatory blood pressure and stress-induced hypertension: a randomized pilot trial. J Hum Hypertens 22(2):138–140
Linden W, Lenz JW, Con AH (2001) Individualized stress management for primary hypertension: a randomized trial. Arch Intern Med 161(8):1071–1080
Carlson LE, Speca M, Faris P et al (2007) One year pre-post intervention follow-up of psychological, immune, endocrine and blood pressure outcomes of mindfulness-based stress reduction (MBSR) in breast and prostate cancer outpatients. Brain Behav Immun 21(8):1038–1049
Barnes VA, Davis HC, Murzynowski JB, Treiber FA (2004) Impact of meditation on resting and ambulatory blood pressure and heart rate in youth. Psychosom Med 66(6):909–914
Linden W, Moseley JV (2006) The efficacy of behavioral treatments for hypertension. Appl Psychophysiol Biofeedback 31(1):51–63
Anderson JW, Liu C, Kryscio RJ (2008) Blood pressure response to transcendental meditation: a meta-analysis. Am J Hypertens 21(3):310–316
Patel C, Marmot M, Terry D et al (1985) Trial of relaxation in reducing coronary risk: four year follow-up. Br Med J 290:1103–1106
Rana Singh RK, Singh VK (2013) Clinical evaluation of some yogic practices in the management of essential hypertension. Indian Med J 107(3):105
Stamler J, Rose G, Stamler R, Elliott P, Dyer A, Marmot M (1989) INTERSALT study findings. Public health and medical care implications. Hypertension 14(5):570–577
Appel LJ (2003) Lifestyle modification as a means to prevent and treat high blood pressure. J Am Soc Nephrol 14(7 Suppl 2):S99–S102
Khatri D, Mathur KC, Gahlot S, Jain S, Agrawal RP (2007) Effects of yoga and meditation on clinical and biochemical parameters of metabolic syndrome. Diabetes Res Clin Pract 78:e9–e10
Cohen BE, Chang AA, Grady D, Kanaya AM (2008) Restorative yoga in adults with metabolic syndrome: a randomized, controlled pilot trial. Metab Syndr Relat Disord 6:223–229
Innes KE, Bourguignon C, Taylor AG (2005) Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: a systematic review. J Am Board Fam Pract 18:491–519
Paul-Labrador M, Polk D, Dwyer JH, Velasquez I, Nidich S et al (2006) Effects of a randomized controlled trial of transcendental meditation on components of the metabolic syndrome in subjects with coronary heart disease. Arch Intern Med 166:1218–1224
Manchanda SC, Mehrotra UC, Makhija A, Mohanty A, Dhawan S et al (2013) Reversal of early atherosclerosis in metabolic syndrome by yoga: a randomized controlled trial. J Yoga Phys Ther 3:132. doi:10.4172/2157-7595.1000132
Jain S, Uppal A, Bhatnagar S, Talukdar B (1993) A study of response pattern of non-insulin dependent diabetics to yoga therapy. Diabetes Res Clin Pract 19:69–74
Singh S, Malhotra V, Singh KP, Madhu SV, Tandon OP (2004) Role of yoga in modifying certain cardiovascular functions in type 2 diabetic patients. J Assoc Phys India 52:203–206
Malhotra V, Singh S, Tandon OP, Sharma SB (2005) The beneficial effects of yoga in diabetes. Nepal Med Coll J 7:145–147
Kosuri M, Sridhar GR (2009) Yoga practice in diabetes improves physical and psychological outcomes. Metab Syndr Relat Disord 7:515–517
Gordon LA, Morrison EY, McGrowder DA, Young R, Fraser YT, Zamora EM et al (2008) Effects of exercise therapy on lipid profile and oxidative stress indicators in patients with type 2 diabetes. BMC Complement Altern Med 13(8):21
Manchanda S, Narang R, Reddy K et al (2000) Retardation of coronary atherosclerosis with yoga lifestyle intervention. J Assoc Phys India 48:687–694
Mahajan A, Reddy K, Sachdeva U (1999) Lipid profile of coronary risk subjects following yogic lifestyle intervention. Indian Heart J 51(1):37–40
Udupa KN, Singh RH (1972) The scientific basis of yoga. JAMA 220:1365
Damodaran A, Malathi A, Patil N, Shah N, Suryavansihi Marathe S (2002) Therapeutic potential of yoga practices in modifying cardiovascular risk profile in middle aged men and women. J Assoc Phys India 50:633–640
Joseph S, Sridharan K, Patil S et al (1981) Study of some physiological and biochemical parameters in subjects undergoing yogic training. Indian J Med Res 74:120–124
Patel C (1976) Reduction of serum cholesterol and blood pressure in hypertensive patients by behaviour modification. J Roy Coll Gen Pract 26:211–215
Naruka J, Mathur R, Mathur A (1986) Effect of pranayama practices on fasting blood glucose and serum cholesterol. Indian J Med Sci 40:149–152
Shantakumari N, Sequeira S, El Deeb R (2013) Effects of a yoga intervention on lipid profiles of diabetes patients with dyslipidemia. Indian Heart J 65(2):127–131
Moan A, Nordby G, Rostrup M, Eide I, Kjeldsen SE (1995) Insulin sensitivity, sympathetic activity, and cardiovascular reactivity in young men. Am J Hypertens 8:268–275
Jennings JR, van der Molen MW, Somsen RJ, Graham R, Gianaros PJ (2002) Vagal function in health and disease: studies in Pittsburgh. Physiol Behav 77:693–698
Mezzacappa ES, Kelsey RM, Katkin ES, Sloan RP (2001) Vagal rebound and recovery from psychological stress. Psychosom Med 63:650–657
Ceriello A, Motz E (2004) Is oxidative stress the pathogenic mechanism underlying insulin resistance, diabetes and cardiovascular disease? The common soil hypothesis revisited. Arterioscler Thromb Vasc Biol 24:816–823
Chohan IS, Nayar HS, Thomas P, Geetha NS (1984) Influence of yoga on blood coagulation. Thromb Hemost 51:196–197
Schmidt T, Wijga A, Von Zur Mühlen A, Brabant G, Wagner TO (1997) Changes in cardiovascular risk factors and hormones during a comprehensive residential three month kriya yoga training and vegetarian nutrition. Acta Physiol Scand Suppl 640:158–162
Singh S, Malhotra V, Singh K, Sharma S (2001) A pre-liminary report on the role of yoga asanas on oxi-dative stress in noninsulin dependent diabetes. Indian J Clin Biochem 16:216–220
Bhattacharya S, Pandey U, Verma N (2002) Improvement in oxidative status with yogic breathing in young healthy males. Indian J Physiol Pharmacol 46:349–354
Sharma H, Sen S, Singh A, Bhardwaj NK, Kochupillai V, Singh N (2003) Sudarshan kriya practitioners exhibit better antioxidant status and lower blood lactate levels. Biol Psychol 63:281–291
Sinha S, Singh SN, Monga YP, Ray US (2007) Improvement of glutathione and total antioxidant status with yoga. J Altern Complement Med 13(10):1085–1090
Fields JZ, Walton KG, Schneider RH, Nidich S, Pomerantz R et al (2002) Effect of a multimodality natural medicine program on carotid atherosclerosis in older subjects: a pilot trial of Maharishi Vedic Medicine. Am J Cardiol 89:952–958
Ornish D, Brown SE, Scherwitz LW, Billings JH, Armstrong WT et al (1990) Can lifestyle changes reverse coronary heart disease? The lifestyle heart trial. Lancet 336:129–133
Gupta SK, Sawhney RC, Rai L, Chavan VD, Dani S et al (2011) Regression of coronary atherosclerosis through healthy lifestyle in coronary artery disease patients–Mount Abu open heart trial. Indian Heart J 63:461–469
Schneider RH, Grim CE, Rainforth MV, Kotchen T, Nidich SI et al (2012) Stress reduction in the secondary prevention of cardiovascular disease: randomized, controlled trial of transcendental meditation and health education in Blacks. Circ Cardiovasc Qual Outcomes 5:750–758
Telles S, Naveen KV (1997) Yoga for rehabilitation: an overview. Indian J Med Sci 51(4):123–127
Raju PS, Madhavi S, Prasad KV, Reddy MV, Reddy ME, Sahay BK, Murthy KJ (1994) Comparison of effects of yoga and physical exercise in athletes. Indian J Med Res 100:81–86
Malathi A, Damodaran A, Shah N, Patil N, Maratha S (2000) Effect of yogic practices on subjective well being. Indian J Physiol Pharmacol 44(2):202–206
Tang YY, Tang R, Posner MI (2013) Brief meditation training induces smoking reduction. Proc Natl Acad Sci USA 110(34):13971–13975
Lakkireddy D, Atkins D, Pillarisetti J, Ryschon K, Bommana S, Drisko J, Vanga S, Dawn B (2013) Effect of yoga on arrhythmia burden, anxiety, depression, and quality of life in paroxysmal atrial fibrillation: the YOGA My Heart Study. J Am Coll Cardiol 61(11):1177–1182
La Forge R (1997) Mind–body fitness: encouraging prospects for primary and secondary prevention. J Cardiovasc Nurs 11(3):53–65
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Manchanda, S.C., Madan, K. Yoga and meditation in cardiovascular disease. Clin Res Cardiol 103, 675–680 (2014). https://doi.org/10.1007/s00392-014-0663-9
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DOI: https://doi.org/10.1007/s00392-014-0663-9