EFFECT OF SHITLI AND BHRAMARI PRANAYAMA ON HYPERTENSION AMONG MALE POLICE
DOI:
https://doi.org/10.47413/t6dwge69Keywords:
Hypertension, pranayama, blood pressure, non-pharmacological therapy, police wellnessAbstract
Background: Hypertension is a major global health challenge and a significant risk factor for cardiovascular diseases (CVDs). Stress and autonomic nervous system (ANS) dysfunction play critical roles in its etiology. Non-pharmacological approaches, such as pranayama techniques, are increasingly recognized for their potential to manage hypertension. This study evaluates the effects of Sheetali and Bhramari Pranayama on systolic and diastolic blood pressure among male police personnel, a high-stress occupational group. Method: The study included 50 male police personnel diagnosed with hypertension. Participants were assigned to a two-month intervention involving daily practice of Sheetali and Bhramari Pranayama under supervision. Blood pressure levels, including systolic (SBP) and diastolic (DBP), were recorded pre- and post-intervention. Data were analysed using paired t-tests to assess the impact of the intervention. Results: The findings showed a significant reduction in both SBP and DBP following the pranayama intervention. The mean SBP decreased from 145.318 mmHg (SD = 6.034) to 140.440 mmHg (SD = 6.188), with a t-value of 19.036 (p < 0.0001). Similarly, the mean DBP decreased from 88.68 mmHg (SD = 4.47) to 84.00 mmHg (SD = 4.70), with a t-value of 19.66 (p < 0.0001). These results highlight the effectiveness of Sheetali and Bhramari Pranayama in managing hypertension. Conclusions: Sheetali and Bhramari Pranayama significantly reduced systolic and diastolic blood pressure among hypertensive male police personnel. These techniques offer a simple, cost-effective, and non-pharmacological approach to managing hypertension, particularly in high-stress occupational groups. Integrating pranayama into workplace wellness programs could improve cardiovascular health and overall well-being in law enforcement personnel.
References
1. Prabhu, P., Gowda, P., & Chandra, G. (2022). Effect of Prana Vidya practices on intelligence quotient and performance quotient of adolescents: A randomized control trial. Journal of Applied Consciousness Studies, 10(2), 124-133. DOI: https://doi.org/10.4103/ijoyppp.ijoyppp_22_21
2. Veerabhadrappa, S. G., Herur, A., Patil, S., Ankad, R. B., Chinagudi, S., Baljoshi, V. S., & Khanapure, S. (2011). Effect of yogic bellows on cardiovascular autonomic reactivity. Journal of cardiovascular disease research, 2(4), 223-227. DOI: https://doi.org/10.4103/0975-3583.89806
3. Kearney, P. M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P. K., & He, J. (2005). Global burden of hypertension: analysis of worldwide data. The lancet, 365(9455), 217-223. DOI: https://doi.org/10.1016/S0140-6736(05)70151-3
4. Sharma, R. A. T. N. A., Gupta, N., & Bijlani, R. L. (2008). Effect of yoga based lifestyle intervention on subjective well-being. Indian J Physiol Pharmacol, 52(2), 123-31.
5. Brown. Criteria Committee of the New York Heart Association. Nomenclature and Criteria for Diagnosis of Diseases of the Heart and Great Vessels. 9th ed. Boston, MA, 1994.
6. Sundar, S., Agrawal, S. K., Singh, V. P., Bhattacharya, S. K., Udupa, K. N., & Vaish, S. K. (1984). Role of yoga in management of essential hypertension. Acta cardiologica, 39(3), 203-208.
7. Vijayalakshmi, P., & Surendiran, A. (2005). Effect of slow and fast pranayama on reaction time and cardiorespiratory variables. Indian J Physiol Pharmacol, 49(3), 313-318.
8. Pal, G. K., & Velkumary, S. (2004). Effect of short-term practice of breathing exercises on autonomic functions in normal human volunteers. Indian Journal of Medical Research, 120(2), 115.
9. Jerath, R., Edry, J. W., Barnes, V. A., & Jerath, V. (2006). Physiology of long pranayamic breathing: neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Medical hypotheses, 67(3), 566-571.
10. Pramanik, T., Sharma, H. O., Mishra, S., Mishra, A., Prajapati, R., & Singh, S. (2009). Immediate effect of slow pace bhastrika pranayama on blood pressure and heart rate. The Journal of Alternative and Complementary Medicine, 15(3), 293-295. DOI: https://doi.org/10.1089/acm.2008.0440
11. Vialatte, F. B., Bakardjian, H., Prasad, R., & Cichocki, A. (2009). EEG paroxysmal gamma waves during Bhramari Pranayama: a yoga breathing technique. Consciousness and cognition, 18(4), 977-988. DOI: https://doi.org/10.1016/j.concog.2008.01.004
12. Jerath, R., Edry, J. W., Barnes, V. A., & Jerath, V. (2006). Physiology of long pranayamic breathing: neural respiratory elements may provide a mechanism that explains how slow deep breathing shifts the autonomic nervous system. Medical hypotheses, 67(3), 566-571. DOI: https://doi.org/10.1016/j.mehy.2006.02.042
13. Matsumoto, S., Ikeda, M., Nishikawa, T., Tanimoto, T., Yoshida, S., & Saiki, C. (2000). Inhibitory mechanism of slowly adapting pulmonary stretch receptors after release from hyperinflation in anesthetized rabbits. Life sciences, 67(12), 1423-1433. DOI: https://doi.org/10.1016/S0024-3205(00)00738-4
14. Schelegle, E. S., & Green, J. F. (2001). An overview of the anatomy and physiology of slowly adapting pulmonary stretch receptors. Respiration physiology, 125(1-2), 17-31. DOI: https://doi.org/10.1016/S0034-5687(00)00202-4
15. Rapsomaniki, E., Timmis, A., George, J., Pujades-Rodriguez, M., Shah, A. D., Denaxas, S., ... & Hemingway, H. (2014). Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and age-specific associations in 1· 25 million people. The Lancet, 383(9932), 1899-1911. DOI: https://doi.org/10.1016/S0140-6736(14)60685-1
16. Kuppusamy, M., Kamaldeen, D., Pitani, R., Amaldas, J., & Shanmugam, P. (2018). Effects of Bhramari Pranayama on health–a systematic review. Journal of traditional and complementary medicine, 8(1), 11-16. DOI: https://doi.org/10.1016/j.jtcme.2017.02.003
17. Egan, B. M., Li, J., Hutchison, F. N., & Ferdinand, K. C. (2014). Hypertension in the United States, 1999 to 2012: progress toward Healthy People 2020 goals. Circulation, 130(19), 1692-1699. DOI: https://doi.org/10.1161/CIRCULATIONAHA.114.010676
18. Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo Jr, J. L., ... & National High Blood Pressure Education Program Coordinating Committee. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Jama, 289(19), 2560-2571.
19. Lewington, S. (2002). Prospective studies collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet, 360, 1903-1913.
20. BLOOD, H. (2003). Effects of comprehensive lifestyle modification on blood pressure control. Jama, 289, 2083-2093. DOI: https://doi.org/10.1001/jama.289.16.2083
21. Whelton, P. K. (2018). ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines (vol 71, pg 2199, 2018). J Am Coll Cardiol, 71(19), 2273. DOI: https://doi.org/10.1161/HYP.0000000000000075
22. Dhungana, R. R., Khanal, M. K., Joshi, S., Kalauni, O. P., Shakya, A., Bhrutel, V., ... & Neupane, D. (2018). Impact of a structured yoga program on blood pressure reduction among hypertensive patients: study protocol for a pragmatic randomized multicenter trial in primary health care settings in Nepal. BMC complementary and alternative medicine, 18, 1-8. DOI: https://doi.org/10.1186/s12906-018-2275-9
23. Wang, J., Xiong, X., & Liu, W. (2013). Yoga for essential hypertension: a systematic review. PloS one, 8(10), e76357. DOI: https://doi.org/10.1371/journal.pone.0076357
24. Lewington, S. (2002). Prospective studies collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet, 360, 1903-1913. DOI: https://doi.org/10.1016/S0140-6736(02)11911-8
25. Brook, R. D., & Julius, S. (2000). Autonomic imbalance, hypertension, and cardiovascular risk. American journal of hypertension, 13(S4), 112S-122S. DOI: https://doi.org/10.1016/S0895-7061(00)00228-4
26. Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo Jr, J. L., ... & National High Blood Pressure Education Program Coordinating Committee. (2003). The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Jama, 289(19), 2560-2571. DOI: https://doi.org/10.1001/jama.289.19.2560
27. Mathers, C. D. (2020). History of global burden of disease assessment at the World Health Organization. Archives of Public Health, 78(1), 1-13. http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004update_full.pdf . [Google Scholar] DOI: https://doi.org/10.1186/s13690-020-00458-3
28. Innes, K. E., Bourguignon, C., & Taylor, A. G. (2005). Risk indices associated with the insulin resistance syndrome, cardiovascular disease, and possible protection with yoga: a systematic review. The Journal of the American Board of Family Practice, 18(6), 491-519. [PubMed] [Google Scholar] DOI: https://doi.org/10.3122/jabfm.18.6.491
Downloads
Published
Issue
Section
License
Copyright (c) 2024 VIDYA - A JOURNAL OF GUJARAT UNIVERSITY
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.