Abstract
Modern day stressful life has been implicated in the pathogenesis of various cardiovascular, neurological, and psychiatric disorders. Research in this field has shown significant reduction of stress-induced progress of these disorders using various life style modifications involving alternative and complementary therapies. Yoga is a cumulative physical and mental practices including diet and lifestyle that originated in India and is a potential antidote to the modern day stressful living. Exploration of the physiological benefits of yoga has increased tremendously in the last few decades resulting in the plethora of scientific studies involving different physiological measures in healthy volunteers and patients of various disorders. Among these, autonomic functional assessment remains a prime parameter because of wider regulation of autonomic nervous system functions over all visceral systems of the body. Through its two limbs (sympathetic and parasympathetic) autonomic nervous system regulates involuntary visceral organs and systems of the body, which is critical in maintaining the homeostasis of all the physiological functions. This homeostasis is altered in various disease conditions most of which resulted because of the increased stress, a product of modern day lifestyle. Yoga is perfect antidote for the stress, effectively tackling the dreaded effects of stress on physiological systems mainly acting through modulating sympathovagal balance to maintain the homeostasis and restoring health. Yoga achieves this balance by regulating the autonomic system and its functions and plenty of scientific studies conducted over the last few decades in various disorders have reaffirmed it. Although we have general idea as to how yoga modulates the sympathovagal balance improving clinical condition, we need to have more long-term, in-depth, well-controlled studies not only to understand these complex interactions of yoga and autonomic functions but also to provide scientific credibility to yoga research in the scientific community. These steps would hopefully enable mankind to lead a disease-free healthy life style effectively to achieve meaningfully the purpose of one’s life.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Tawakol A, Ishai A, Takx RA, Figueroa AL, Ali A, Kaiser Y, Truong QA, Solomon CJ, Calcagno C, Mani V, Tang CY, Mulder WJ, Murrough JW, Hoffmann U, Nahrendorf M, Shin LM, Fayad ZA, Pitman RK. Relation between resting amygdalar activity and cardiovascular events: a longitudinal and cohort study. Lancet. 2017;25;389(10071):834–45. https://doi.org/10.1016/S0140-6736(16)31714-7.
Ginty AT, Krayank TE, Fischer JP, Gianoros PJ. Cardiovascular and autonomic reactivity to psychological stress: neurophysiological substrates and links to cardiovascular disease. Auton Neurosci Basic Clin. 2017;207:2–9.
Udupa K, Sathyaprabha TN. Influence of yoga on the autonomic nervous system. In: Telles S, Singh N, editors. Research-based perspectives on the psychophysiology of yoga. Hershey, PA: IGI Global; 2017. p. 67–85.
Levy MN, Martin PJ, Iano T. Effects of single vagal stimuli on heart rate and atrioventricular conduction. Am J Physiol. 1970;218:1256–62.
Furnival CM, Linden RJ, Snow HM. Chronotropic and ionotropic effects on the dog heart of stimulating the efferent cardiac sympathetic nerves. J Physiol. 1973;230:137–53.
Zipes DP. Influence of myocardial ischemia and infarction on autonomic innervations of heart. Circulation. 1990;82(4):1095–105.
Cowley AW Jr. Long-term control of arterial blood pressure. Physiol Rev. 1992;72:231–300.
Joyner MJ, Shepherd JT. Autonomic regulation of the circulation. In: Low PA, editor. Clinical autonomic disorders. Philadelphia: Lippincott-Raven Publishers; 1997.
Hainsworth R, Ledsome JR, Carswell F. Reflex response from aortic baroreceptors. Am J Physiol. 1970;218:423–9.
Eckberg DL. Human sinus arrhythmia as an index of vagal cardiac outflow. J Appl Physiol. 1983;54:961–6.
Hohnloser SH, Klingenheben T. Basic autonomic tests. In: Malik M, editor. Clinical guide to cardiac autonomic tests. Dordrecht: Kluwer Academic Publishers; 1998.
Mathias CJ, Bannister R. A textbook of clinical disorders of the autonomic nervous system. Oxford: Oxford University Press; 1999.
Huikuri HV, Makikallio T, Airaksinen KE, et al. Measurement of heart rate variability: a clinical tool or a research toy? J Am Coll Cardiol. 1999;34(7):1878–83.
Hartikainen JEK, Tahvanainen KUO, Kuusela TA. Short-term measurement of heart rate variability. In: Malik M, editor. Clinical guide to cardiac autonomic tests. Dordrecht: Kluwer Academic Publishers; 1998.
Task Force of the European Society of Cardiology and the North American Society of Pacing and Electro Physiology. Heart rate variability. Standards of measurement, physiological interpretation and clinical use. Circulation. 1996;93:1043–65.
Headman AE, Tahavanainen KU, Hartikainen JE, Hakumäki MO. Effect of sympathetic modulation and sympathovagal interaction on heart rate variability in anaesthetized dogs. Acta Physiol Scand. 1995;39:801–5.
Akselrod S, Gordon D, Ubel FA, Shannon DC, Berger AC, Cohen RJ. Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science. 1981;213:220–2.
Malliani A, Pagani M, Lombardi F, Cerutti S. Cardiovascular neural regulation explored in the frequency domain. Circulation. 1991;84:482–92.
Pagani M, Lombardi F, Guzzetti S, Rimoldi O, Furlan R, et al. Power spectral analysis of heart rate and arterial pressure variabilities as a marker of sympatho-vagal interaction in man and conscious dog. Circ Res. 1986;59:178–93.
Dwain L, Eckberg DL. Sympathovagal balance; a critical appraisal. Circulation. 1997;96:3224–32.
Bigger JT Jr, Fleiss JL, Rolnitzky LM, Steinman RC, Schneider WJ. Time course of recovery of heart period variability after myocardial infarction. J Am Coll Cardiol. 1991;18(7):1643–9.
Pagani M, Malfatto G, Pierini S, Casati R, Masu AM, et al. Spectral analysis of heart rate variability in the assessment of autonomic diabetic neuropathy. J Auton Nerv Syst. 1988;23(2):143–53.
Sands KE, Appel ML, Lilly LS, Schoen FJ, Mudge GH Jr, Cohen RJ. Power spectrum analysis of heart rate variability in human cardiac transplant recipients. Circulation. 1989;79(1):76–82.
Perini R, Veicsteinas A. Heart rate variability and autonomic activity at rest and during exercise in various physiological conditions. Eur J Appl Physiol. 2003;90(3–4):317–25.
Chandla SS, Sood S, Dogra R, Das S, Shukla SK, Gupta S. Effect of short-term practice of pranayamic breathing exercises on cognition, anxiety, general well being and heart rate variability. J Indian Med Assoc. 2013;111(10):662–5.
Benvenutti MJ, Alves EDS, Michael S, Ding D, Stamatakis E, Edwards KM. A single session of hatha yoga improves stress reactivity and recovery after an acute psychological stress task-A counterbalanced, randomized-crossover trial in healthy individuals. Complement Ther Med. 2017;35:120–6.
Telles S, Nagarathna R, Nagendra HR. Breathing through a particular nostril can alter metabolism and autonomic activities. Indian J Physiol Pharmacol. 1994;38(2):133–7.
Shannahoff-Khalsa DS. Selective unilateral autonomic activation: implications for psychiatry. CNS Spectr. 2007;12(8):625–364.
Shannahoff-Khalsa DS, Kennedy B. The effects of unilateral forced nostril breathing on the heart. Int J Neurosci. 1993;73(1–2):47–60.
Joshi M, Telles S. Immediate effects of right and left nostril breathing on verbal and spatial scores. Indian J Physiol Pharmacol. 2008;52(2):197–200.
Subramanian RK, Devaki PR, Saikumar PS. Alternate nostril breathing at different rates and its influence on heart rate variability in non practitioners of yoga. J Clin Diagn Res. 2016;10(1):CM01–2.
Raghuraj P, Ramakrishnan AG, Nagendra HR, Telles S. Effect of two selected yogic breathing techniques of heart rate variability. Indian J Physiol Pharmacol. 1998;42(4):467–72.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Udupa, K., Bhavanani, A.B., Ramanathan, M. (2022). Stress and the Autonomic Nervous System: Implication of Yoga. In: Basu-Ray, I., Mehta, D. (eds) The Principles and Practice of Yoga in Cardiovascular Medicine. Springer, Singapore. https://doi.org/10.1007/978-981-16-6913-2_9
Download citation
DOI: https://doi.org/10.1007/978-981-16-6913-2_9
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-6912-5
Online ISBN: 978-981-16-6913-2
eBook Packages: MedicineMedicine (R0)