Impact of Sequential Practice of Kaphalabhati and Nadi Shodhana Pranayama on Heart Rate Variability in Healthy Volunteers
DOI:
https://doi.org/10.18311/jnr/2023/28476Keywords:
Autonomic Balance, Blood Pressure, Breathing Techniques, Cardiovascular Function, YogaAbstract
Background: Pranayama or breath technique is considered as an important component of yoga, which influence wide range of physiological and psychological functions. Practice of Kaphalabhati (KB) and Nadi Shodhana Pranayama (NSP) are known breathing techniques to influence the autonomic functions. The sequential practice of KB and NSP has not been assessed. In this Context, we assessed the immediate effect of combined practice of KB and NSP on autonomic variables in healthy subjects. Materials and Methods: A prospective analytical cross-sectional study was conducted and recruited 28 healthy participants who admitted in SDM Nature cure and Yoga hospital, Dharmasthala for the positive promotion of the health/general well-being. All participants were practiced KB 60 strokes/min for 5 rounds followed by NSP 1:1 ratio, 5 seconds inhalation and 5 seconds exhalation without any retention for 12 rounds. The Heart Rate Variability (HRV) was assessed through MP150 data acquisition system and blood pressure was recorded by using a standard mercury sphygmomanometer. We assessed the BP, Heart Rate (HR), Short term HRV at baseline and immediately after the practice. Results: The mean age (SD) of the participants was 33.29 (6.9). The study showed significant decrease in Systolic blood pressure, Diastolic Blood Pressure and RMSSD. There were borderline changes in the time domain measures (Mean R-R, NN50, pNN50) and reduction in the frequency domain of the HRV (LF, HF, LF/HF). However, the difference was not statistically significant. Conclusion: Immediate effect of sequential practice of KB and NSP in healthy volunteers showed positive effect in reduction of SBP, DBP and RMSSD. It can be included in the routine clinical practice for better outcome in the cardiovascular parameters and for the general well-being. Further studies are requisite to give insight in the underlying mechanism.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Kumaresan Poornachandran, Prabu Poornachandran, Naveena Arumugam, Divya Dhandapani, Sendhilkumar Muthappan, Rajajeyakumar M
This work is licensed under a Creative Commons Attribution 4.0 International License.
Accepted 2023-04-27
Published 2023-06-13
References
Michaelis E. A history of modern yoga: Patanjali and Western Esotericism. London,UK: Continuum International Publishing Group; 2005.
Iyengar BKS. Light on Yoga: Yoga Dipika. New York: Schocken Books; 1979.
Clarke TC, Barnes PM, Black LI, Stussman BJ NR. Use of yoga, meditation, and chiropractors among U.S. adults aged 18 and over. Natl Cent Heal Stat. 2018; 325.
Jeter PE, Slutsky J, Singh N, Khalsa SBS. Yoga as a therapeutic intervention: A bibliometric analysis of published research studies from 1967 to 2013. J Altern Complement Med Mary Ann Liebert Inc. 2015; 21:586-92. https://doi.org/10.1089/acm.2015.0057 DOI: https://doi.org/10.1089/acm.2015.0057
Sengupta P. Health impacts of yoga and pranayama: A state-of-the-art review. Int J Prev Med Wolters Kluwer -- Medknow Publications. 2012; 3:444-58.
Van Dixhoorn J. Cardiorespiratory effects of breathing and relaxation instruction in myocardial infarction patients. Biol Psychol Biol Psychol. 1998; 49:123-35. https://doi.org/10.1016/S0301-0511(98)00031-3 DOI: https://doi.org/10.1016/S0301-0511(98)00031-3
Bhagat OL, Kharya C, Jaryal A, Deepak KK. Acute effects on cardiovascular oscillations during controlled slow yogic breathing. Indian J Med Res Indian Council of Medical Research. 2017; 145:503-12.
Sztajzel J. Heart rate variability: A noninvasive electrocardiographic method to measure the autonomic nervous system. National Library of Med. 2004; 134(35-36):514-22. https://doi.org/10.4414/smw.2004.10321 DOI: https://doi.org/10.4414/smw.2004.10321
Alvares GA, Quintana DS, Kemp AH, Balleine BW, Hickie IB, et al. Reduced heart rate variability in social anxiety disorder: Associations with gender and symptom severity. PLoS One. 2013; 8. https://doi.org/10.1371/journal.pone.0070468 DOI: https://doi.org/10.1371/journal.pone.0070468
Telles S, Yadav A, Kumar N, Sharma S, Visweshwaraiah NK, Balkrishna A. Blood pressure and Purdue pegboard scores in individuals with hypertension after alternate nostril breathing, breath awareness, and no intervention. Med Sci Monit. 2013; 19:61-6. https:// doi.org/10.12659/MSM.883743 DOI: https://doi.org/10.12659/MSM.883743
Saoji AA, Raghavendra BR, Manjunath NK. Effects of yogic breath regulation: A narrative review of scientific evidence [Internet]. Journal of Ayurveda and Integrative Medicine. Elsevier B.V. 2019; 10:50-8. https://doi.org/10.1016/j.jaim.2017.07.008 DOI: https://doi.org/10.1016/j.jaim.2017.07.008
Stancák A, Kuna M, Srinivasan, Vishnudevananda S, Dostálek C. Kapalabhati--yogic cleansing exercise. I. Cardiovascular and respiratory changes. Homeost Health Dis Homeost Health Dis. 1991; 33:126-34.
Telles S, Singh N, Balkrishna A. Heart rate variability changes during high frequency yoga breathingand breath awareness. Biopsychosoc Med BioMed Central. 2011; 5:4. https://doi.org/10.1186/1751-0759-5-4
Raghuraj P, Ramakrishnan AG, Nagendra HR TS. Effect of two selected yogic breathing techniques of heart rate variability. Indian J Physiol Pharmacol. 1998; 42:467-72.
Telles S, Sharma SK, Balkrishna A. Blood pressure and heart rate variability during yoga-based alternate nostril breathing practice and breath awareness. Med Sci Monit Basic Res. 2014; 20:184-93. https://doi. org/10.12659/MSMBR.892063 DOI: https://doi.org/10.12659/MSMBR.892063
Kalaivani S, Kumari MJ, Pal G. Effect of alternate nostril breathing exercise on blood pressure, heart rate, and rate pressure product among patients with hypertension in JIPMER, Puducherry. J Educ Health Promot Wolters Kluwer Medknow Publications. 2019; 8. https://doi.org/10.4103/jehp.jehp_32_19 DOI: https://doi.org/10.4103/jehp.jehp_32_19
Amandeep K, Preksha M. Applications SD-IJ of T, 2015 undefined. Effectiveness of abdominal breathing exercise on blood pressure among hypertensive patients. 2015.
Tarvainen MP, Niskanen JP, Lipponen JA, Rantaaho PO, Karjalainen PA. Kubios HRV - Heart rate variability analysis software. Comput Methods Programs Biomed Comput Methods Programs Biomed. 2014; 113:210-20. https://doi.org/10.1016/j.cmpb.2013.07.024 DOI: https://doi.org/10.1016/j.cmpb.2013.07.024
Berntson GG, Thomas Bigger J, Eckberg DL, Grossman P, Kaufmann PG, Malik M, et al. Heart rate variability: Origins methods, and interpretive caveats [Internet]. Psychophysiology. Blackwell Publishing Inc. 1997; 34:623-48. https://doi.org/10.1111/j.1469-8986.1997.tb02140.x DOI: https://doi.org/10.1111/j.1469-8986.1997.tb02140.x
Thayer JF, Åhs F, Fredrikson M, Sollers JJ, Wager TD. A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a marker of stress and health. Neuroscience and Biobehavioral Reviews. Pergamon. 2012; 36:747-56. https://doi.org/10.1016/j.neubiorev.2011.11.009 DOI: https://doi.org/10.1016/j.neubiorev.2011.11.009
Thayer JF, Hansen AL, Saus-Rose E, Johnsen BH. Heart rate variability, prefrontal neural function, and cognitive performance: The neurovisceral integration perspective on self-regulation, adaptation, and health [Internet]. Annals of Behavioral Medicine. 2009; 37:141-53. https://doi.org/10.1007/s12160-009-9101-z DOI: https://doi.org/10.1007/s12160-009-9101-z
Supplements GH-E Heart Journal, 1999 undefined. Reappraisal of heart rate as a risk factor in the general population. Oxford Univ Press. 1999.
Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J. 1996; 17:354-81.
Rajendra Acharya U, Suri JS, Spaan JAE, Krishnan SM. Advances in cardiac signal processing. Advances in Cardiac Signal Processing. Springer Berlin Heidelberg. 2007; 1-468. https://doi.org/10.1007/978-3-540-36675-1 DOI: https://doi.org/10.1007/978-3-540-36675-1
Stancák A Jr, Kuna M, Srinivasan, Vishnudevananda S DC. Kapalabhati--yogic cleansing exercise. I. Cardiovascular and respiratory changes. Homeost Heal Dis. 1991; 33:126-34.
Telles S, Singh N, Balkrishna A. Heart rate variability changes during high frequency yoga breathingand breath awareness. Biopsychosoc Med BioMed Central. 2011; 5:4. https://doi.org/10.1186/1751-0759-5-4 DOI: https://doi.org/10.1186/1751-0759-5-4
Rajajeyakumar M, Amudharaj D, Bandi harikrishna, Madanmohan T, Jeyasettiseloune BA. Immediate effect of different pranayam on short term heart rate variability in health care students- A preliminary study. Int J Physiol. 2014; 2:39-43. https://doi. org/10.5958/j.2320-608X.2.1.009 DOI: https://doi.org/10.5958/j.2320-608X.2.1.009
Shirley A, Bcf T, Yadav A, Kumar N, Sachin B, Adf S, et al. Blood pressure and purdue pegboard scores in individuals with hypertension after alternate nostril breathing, breath awareness, and no intervention. Med Sci Monit. 2013.
Shannahoff-Khalsa DS. Lateralized rhythms of the central and autonomic nervous systems. Int J Neurosci. 1991; 11:222-51. https://doi.org/10.1016/0167-8760(91)90017-R DOI: https://doi.org/10.1016/0167-8760(91)90017-R
Raghuraj P, Ramakrishnan AG, Nagendra HR, Telles S. Effect of two selected yogic breathing techniques of heart rate variability. Indian J Physiol Pharmacol. 1998; 42:467-72.
Ghiya S, Lee CM. Influence of alternate nostril breathing on heart rate variability in non-practitioners of yogic breathing. Int J Yoga. 2012; 5:66-9. https://doi. org/10.4103/0973-6131.91717 DOI: https://doi.org/10.4103/0973-6131.91717
Srivastava RD, Jain N, Singhal A. Influence of alternate nostril breathing on cardiorespiratory and autonomic functions in healthy young adults. Indian J Physiol Pharmacol. 2005; 49:475-83.
Subramanian RK, Devaki PR, Saikumar P. Alternate nostril breathing at different rates and its influence on heart rate variability in non practitioners of yoga. J Clin Diagnostic Res JCDR Research and Publications Private Limited. 2016; 10:CM01. https:// doi.org/10.7860/JCDR/2016/15287.7094 DOI: https://doi.org/10.7860/JCDR/2016/15287.7094
Hadase M, Azuma A, Zen K, Asada S, Kawasaki T, Kamitani T, et al. Very low frequency power of heart rate variability is a powerful predictor of clinical prognosis in patients with congestive heart failure. Circ J Circ J. 2004; 68:343-7. https://doi.org/10.1253/ circj.68.343 DOI: https://doi.org/10.1253/circj.68.343
Parati G, Saul JP, Di Rienzo M, Mancia G. Spectral analysis of blood pressure and heart rate variability in evaluating cardiovascular regulation: A critical appraisal. Hypertension Lippincott Williams and Wilkins. 1995; 25:1276-86. https://doi.org/10.1161/01.HYP.25.6.1276 DOI: https://doi.org/10.1161/01.HYP.25.6.1276
Bernardi L, Valle F, Coco M, Calciati A, Sleight P. Physical activity influences heart rate variability and very-low-frequency components in Holter electrocardiograms. Cardiovasc Res Cardiovasc Res. 1996; 32:234-7. https://doi.org/10.1016/0008-6363(96)00081-8 DOI: https://doi.org/10.1016/0008-6363(96)00081-8