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Yoga and Psychophysiological Determinants of Cardiovascular Health: Comparing Yoga Practitioners, Runners, and Sedentary Individuals

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

The evidence of cardiovascular benefits of yoga is promising, but lacks demonstrations of specificity compared to other interventions.

Purpose

The present cross-sectional study examined cardiovascular health markers in long-term practitioners of yoga (yogis), runners, and sedentary individuals.

Methods

We compared physiological, psychological, and lifestyle variables associated with cardiovascular health across groups.

Results

Yogis (n = 47) and runners (n = 46) showed favorable profiles compared to sedentary individuals (n = 52) on heart rate, heart rate variability, depression, perceived stress, and cigarette smoking. Runners and male yogis showed superior aerobic fitness compared to the sedentary group. Runners reported greater social support compared to other groups. Yogis demonstrated a lower respiration rate compared to sedentary individuals and were more likely to refrain from eating meat compared to other groups.

Conclusions

Yogis and runners demonstrated several cardiovascular health advantages over sedentary individuals. Our findings raise the possibility that yoga may improve aerobic fitness in men but not women.

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References

  1. Innes KE, Bourguignon C, Taylor AG. Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: A systematic review. J Am Board Fam Pract. 2005; 18(6): 491-519.

    Article  PubMed  Google Scholar 

  2. Jayasinghe SR. Yoga in cardiac health (a review). Eur J Cardiovasc Prev Rehabil. 2004; 11(5): 369-375.

    PubMed  Google Scholar 

  3. Yang K. A review of yoga programs for four leading risk factors of chronic diseases. Evid Based Complement. 2007; 4(4): 487-491.

    Article  Google Scholar 

  4. Aljasir B, Bryson M, Al-shehri B. Yoga practice for the management of type II diabetes mellitus in adults: A systematic review. Evid Based Complement. 2010; 7(4): 399-408.

    Article  Google Scholar 

  5. Schroeder EB, Liao D, Chambless LE, et al. Hypertension, blood pressure, and heart rate variability: The Atherosclerosis Risk in Communities (ARIC) study. Hypertension. 2003; 42: 1106-1111.

    Article  PubMed  CAS  Google Scholar 

  6. Khattab K, Khattab AA, Ortak J, Richardt G, Bonnemier H. Iyengar yoga increases cardiac parasympathetic nervous modulation among healthy yogis. Evid Based Complement. 2007; 4(1): 511-517.

    Article  Google Scholar 

  7. Satyapriya M, Nagendra HR, Nagarathna R, Padmalatha V. Effect of integrated yoga on stress and heart rate variability in pregnant women. Int J Gynecol Obstet. 2009; 104(3): 218-222.

    Article  Google Scholar 

  8. Kiecolt-Glaser JK, Christian L, Preston H, et al. Stress, inflammation, and yoga practice. Psychosom Med. 2010; 72(2): 113-121.

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  9. Muralikrishnan K, Balakrishnan B, Balasubramanian K, Visnegarawla F. Measurement of the effect of Isha Yoga on cardiac autonomic nervous system using short-term heart rate variability. J Ayurveda Integr Med. 2012; 3(2): 91.

    Article  PubMed Central  PubMed  Google Scholar 

  10. Conroy RM, Pyörälä K, Fitzgerald AE, et al. Estimation of ten-year risk of fatal cardiovascular disease in Europe: The SCORE project. Eur Heart J. 2003; 24(11): 987-1003.

    Article  PubMed  CAS  Google Scholar 

  11. Solarz DE, Mullington JM, Meier-Ewert HK. Sleep, inflammation and cardiovascular disease. Front Biosci. 2012; 4: 2490 (Elite Ed).

    Article  Google Scholar 

  12. Appleby PN, Davey GK, Key TJ. Hypertension and blood pressure among meat eaters, fish eaters, vegetarians and vegans in EPIC-Oxford. Public Health Nutr. 2002; 5(05): 645-654.

    Article  PubMed  Google Scholar 

  13. Krantz DS, McCeny MK. Effects of psychological and social factors on organic disease. Annu Rev Psychol. 2002; 53(1): 341-369.

    Article  PubMed  Google Scholar 

  14. Pilkington K, Kirkwood G, Rampes H, Richardson J. Yoga for depression: The research evidence. J Affect Disord. 2005; 89(1–3): 13-24.

    Article  PubMed  Google Scholar 

  15. Kugler J, Seelback H, Krüskemper GM. Effects of rehabilitation exercise programmes on anxiety and depression in coronary patients: A meta-analysis. Br J Clin Psychol. 1994; 33(3): 401-410.

    Article  PubMed  Google Scholar 

  16. Rimer J, Dwan K, Lawlor DA, et al. Exercise for depression. Cochrane Database Syst Rev. 2012; 7.

  17. Brisbon NM, Lowery GA. Mindfulness and levels of stress: A comparison of beginner and advanced Hatha yoga practitioners. J Relig Health. 2011; 50(4): 931-941.

    Article  PubMed  Google Scholar 

  18. Lau MA, Bishop SR, Segal ZV, et al. The Toronto Mindfulness Scale: Development and validation. J Clin Psychol. 2006; 62(12): 1445-1467.

    Article  PubMed  Google Scholar 

  19. Juliano LM, Griffiths RR. A critical review of caffeine withdrawal: Empirical validation of symptoms and signs, incidence, severity, and associated features. Psychopharmacology. 2004; 176(1): 1-29.

    Article  PubMed  CAS  Google Scholar 

  20. Mattu GS, Heran BS, Wright JM. Overall accuracy of the BpTRU—an automated electronic blood pressure device. Blood Press Monit. 2004; 9(1): 47-52.

    Article  PubMed  Google Scholar 

  21. Task Force of the European Society of Cardiology, The North American Society of Pacing and Electrophysiology. Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. Eur Heart J. 1996; 17: 354-381.

    Article  Google Scholar 

  22. Gevirtz RN, Schwartz MS. Respiratory system in applied psychophysiology. In: Schwartz S, Andrasik F, eds. Biofeedback: A practitioner’s guide. New York: Guilford Press; 2003: 212-234.

    Google Scholar 

  23. Dobbelsteyn CJ, Joffres MR, MacLean DR, Flowerdew G. A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian Heart Health Surveys. Int J Obes. 2001; 25(5): 652-661.

    Article  CAS  Google Scholar 

  24. Canadian Society for Exercise Physiology (CSEP). The Canadian Physical Activity, Fitness & Lifestyle Approach (CPAFLA): CSEP-Health & Fitness Program’s Health-Related Appraisal and Counselling Strategy. 3rd ed. Ottawa, ON: CSEP; 2003.

    Google Scholar 

  25. Weller IM, Thomas SG, Gledhill N, Paterson D, Quinney A. A study to validate the modified Canadian Aerobic Fitness Test. Can J Appl Physiol. 1995; 20(2): 211-221.

    Article  PubMed  CAS  Google Scholar 

  26. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation; 1996: 1-82.

    Google Scholar 

  27. Dozois DJ, Dobson KS, Ahnberg JL. A psychometric evaluation of the Beck Depression Inventory-II. Psychol Assess. 1998; 10(2): 83.

    Article  Google Scholar 

  28. Arnau RC, Meagher MW, Norris MP, Bramson R. Psychometric evaluation of the Beck Depression Inventory-II with primary care medical patients. Heal Psychol. 2001; 20(2): 112-119.

    Article  CAS  Google Scholar 

  29. Buss AH, Perry M. The Aggression Questionnaire. J Pers Soc Psychol. 1992; 63(3): 452.

    Article  PubMed  CAS  Google Scholar 

  30. Harris JA. A further evaluation of The Aggression Questionnaire: Issues of validity and reliability. Behav Res Ther. 1997; 35(11): 1047-1053.

    Article  PubMed  CAS  Google Scholar 

  31. Cohen S, Williamson G. Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S, eds. The social psychology of health. Newbury Park: Sage; 1988: 31-68.

    Google Scholar 

  32. Cohen S, Mermelstein R, Kamarck T, Hoberman H. Measuring the functional components of social support. In: Sarason IG, Sarason B, eds. Social support: Theory, research and applications. The Hague: Martinus Nijhoff; 1985: 73-94.

    Chapter  Google Scholar 

  33. Brown KW, Ryan RM. The benefits of being present: Mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003; 84(4): 822-848.

    Article  PubMed  Google Scholar 

  34. MacKillop J, Anderson EJ. Further psychometric validation of the Mindful Attention Awareness Scale (MAAS). J Psychopathol Behav Assess. 2007; 29(4): 289-293.

    Article  Google Scholar 

  35. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index (PSQI): A new instrument for psychiatric practice and research. Psychiatry Res. 1989; 28(2): 193-213.

    Article  PubMed  CAS  Google Scholar 

  36. Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: A meta-analysis of randomized controlled trials. Ann Intern Med. 2002; 136(7): 493-503.

    Article  PubMed  Google Scholar 

  37. Bryan S, St-Pierre Larose M, Campbell N, Clarke J, Tremblay MS. Resting blood pressure and heart rate measurement in the Canadian Health Measures Survey, cycle 1. Health Rep. 2010; 21(1): 71-78.

    PubMed  Google Scholar 

  38. Prakash S, Meshram S, Ramtekkar U. Athletes, yogis and individuals with sedentary lifestyles; do their lung functions differ? Indian J Physiol Pharmacol. 2007; 51(1): 76.

    PubMed  Google Scholar 

  39. Courneya KS, McAuley E. Cognitive mediators of the social influence–exercise adherence relationship: A test of the theory of planned behavior. J Behav Med. 1995; 18(5): 499-515.

    Article  PubMed  CAS  Google Scholar 

  40. Nagaya T, Yoshida H, Takahashi H, Kawai M. Cigarette smoking weakens exercise habits in healthy men. Nicotine Tob Res. 2007; 9(10): 1027-1032.

    Article  PubMed  Google Scholar 

  41. Ussher MH, Taylor A, Faulkner G. Exercise interventions for smoking cessation. Cochrane Database Syst Rev. 2012. doi:10.1002/14651858.CD002295.pub3.

    PubMed  Google Scholar 

  42. Gillum RF, Santibanez S, Bennett G, Donahue M. Associations of prayer, mind–body therapy, and smoking cessation in a national survey. Psychol Rep. 2009; 105(2): 593-604.

    Article  PubMed  CAS  Google Scholar 

  43. Vera FM, Manzaneque JM, Maldonado. Subjective sleep quality and hormonal modulation in long-term yoga practitioners. Biol Psychol. 2009; 81(3): 164-168.

    Article  PubMed  Google Scholar 

  44. Driver HS, Taylor SR. Exercise and sleep. Sleep Med Rev. 2000; 4(4): 387-402.

    Article  PubMed  Google Scholar 

  45. Statistics Canada (2011) Canadian Community Health Survey. Ottawa, ON: Statistics Canada. Available at http://www.statcan.gc.ca/daily-quotidien/110621/dq110621b-eng.htm. Accessibility verified 8 June 2013.

  46. Harland JO, Unwin N, Bhopal RS, et al. Low levels of cardiovascular risk factors and coronary heart disease in a UK Chinese population. J Epidemiol Commun H. 1997; 51(6): 636-642.

    Article  CAS  Google Scholar 

  47. Anand SS, Yusuf S, Vuksan V, et al. Differences in risk factors, atherosclerosis, and cardiovascular disease between ethnic groups in Canada: The Study of Health Assessment and Risk in Ethnic groups (SHARE). Lancet. 2000; 356(9226): 279-284.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This research was supported by the BC and Yukon Heart and Stroke Foundation and the Michael Smith Health Research Foundation. The authors wish to thank research assistants Candace Marshall, Jung-Un Choi, Haley Laing, Joanne Tseng, Jill Goldberg, Duncan Greig, Tommy Chien, Salah Bustami, Katherine Chan, and Jeff Markusoff; Tracy Cassels for statistical consulting; Drs. Lynn Alden, Todd Handy, Toni Schmader, Liz Dunn, Robert Sparks, Steven Taylor, Patricia Vertinsky, and Paul Lehrer for helpful comments on earlier drafts; and all the participants.

Conflict of Interest

The authors have no conflict of interest to disclose.

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Correspondence to Jillian R. Satin Ph.D..

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Satin, J.R., Linden, W. & Millman, R.D. Yoga and Psychophysiological Determinants of Cardiovascular Health: Comparing Yoga Practitioners, Runners, and Sedentary Individuals. ann. behav. med. 47, 231–241 (2014). https://doi.org/10.1007/s12160-013-9542-2

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  • DOI: https://doi.org/10.1007/s12160-013-9542-2

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