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VOLUME 3 , ISSUE 2 ( July, 2022 ) > List of Articles

REVIEW ARTICLE

The role of Yoga Practice in Management of Coronary Artery Disease

Swati Kumari, Neelam Dahiya, Manjari Rain, Rupesh Kumar, Gurmeet Singh

Keywords : Yoga, CVD, CAD, Cardiac Rehabilitation, Hypertension, Quality of life, Alternative therapies

Citation Information : Kumari S, Dahiya N, Rain M, Kumar R, Singh G. The role of Yoga Practice in Management of Coronary Artery Disease. Integr Med Case Rep 2022; 3 (2):69-75.

DOI: 10.38205/imcr.030269

License: CC BY-NC 4.0

Published Online: 15-06-2024

Copyright Statement:  Copyright © 2022; Swami Paramhansa Swastha Siksha Evam Paryavaran Sanrakshan Samiti


Abstract

Background: Yoga has quickly risen to one of the common complementary and alternative medicine) practice worldwide. Yoga has been useful in primary and secondary prevention of cardiovascular disease (CVD) including coronary artery diseases (CAD). Many evidences suggest that Yoga is safe and efficacious in reducing various risk factors of CAD such as stress, anxiety, depression, diabetes and hypertension. Yoga also improves quality of life, and reduces other psychological burdens in patients of CAD. Summary: We intend here to look into the available literature on the role of Yoga in CAD, how Yoga can be an alternative and cost-effective model for cardiac rehabilitation worldwide, especially in low-income countries. Key message: Yoga has been associated with improvement in general health, prevention of cardiovascular risk factor and of other non-communicable diseases. Yoga has shown improvement in BMI, blood pressure, lipid profile, slows lesion progression in CAD. However, the biomolecules through which Yoga acts on body is unclear in CAD. There should be emphasis on yoga practice at community level which is the need in current era.

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  1. World Health Organization. Global status report on noncommunicable diseases 2014. World Health Organization; 2014.
  2. Cardiovascular Diseases WHO, https://www.google.com/search?q=who+current+death+rate+due+to+cardiovascular+disease&rlz=1C1CHBF_enIN1009IN1009&oq=who+current+death+rate+due+to+cardiovascular+disease&aqs=chrome..69i57j33i160l2.22517j0j7&sourceid=chrome&ie=UTF-8, [Accessed on 29 June 2022]
  3. Agency for Healthcare Research and Quality. Medical expenditure panel survey (MEPS): Household component summary tables: Medical conditions, United States, 1996–2015. Agency for Healthcare Research and Quality website; 2020.
  4. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, Chamberlain AM, Chang AR, Cheng S, Delling FN, Djousse LE. On behalf of the AHAC on E and PS, Association. C and SSS. Heart disease and stroke statistics-2020 update: a report from the American heart association. Circulation. 2020;141:e1–45.
  5. Pullen PR, Nagamia SH, Mehta PK, Thompson WR, Benardot D, Hammoud R, Parrott JM, Sola S, Khan BV. Effects of yoga on inflammation and exercise capacity in patients with chronic heart failure. Journal of cardiac failure. 2008 Jun 1;14(5):407–13.
  6. Dada R, Basant Kumar S, Chawla B, Bisht S, Khan S. Oxidative stress induced damage to paternal genome and impact of meditation and yoga-can it reduce incidence of childhood cancer? Asian Pacific Journal of Cancer Prevention. 2016 Sep 1;17(9):4517–25.
  7. Sharma M, Ganguly NK. Premature coronary artery disease in Indians and its associated risk factors. Vascular health and risk management. 2005 Sep;1(3):217.
  8. Patel C. 12-month follow-up of yoga and bio-feedback in the management of hypertension. The Lancet. 1975 Jan 11;305(7898):62–4.
  9. Supriya R, Yu AP, Lee PH, Lai CW, Cheng KK, Yau SY, Chan LW, Yung BY, Siu PM. Yoga training modulates adipokines in adults with high-normal blood pressure and metabolic syndrome. Scandinavian journal of medicine & science in sports. 2018 Mar;28(3):1130–8.
  10. Hadaye RS, Shastri S, Salagre S. Effect of yoga intervention in the management of hypertension: A preventive trial. International Journal of Preventive Medicine. 2021;12.
  11. Park SH, Han KS. Blood pressure response to meditation and yoga: a systematic review and meta-analysis. The Journal of Alternative and Complementary Medicine. 2017 Sep 1;23(9):685–95.
  12. Khandekar JS, Vasavi VL, Singh VP, Samuel SR, Sudhan SG, Khandelwal B. Effect of Yoga on Blood Pressure in Prehypertension: A Systematic Review and Meta-Analysis. The Scientific World Journal. 2021 Jan 1;2021.
  13. Penrod NM, Moore JH. Antihypertensive effects of yoga in a general patient population: real-world evidence from electronic health records, a retrospective case-control study. BMC Public Health. 2022 Dec;22(1):1–9.
  14. Sivasankaran S, Pollard-Quintner S, Sachdeva R, Pugeda J, Hoq SM, Zarich SW. The effect of a six-week program of yoga and meditation on brachial artery reactivity: Do psychosocial interventions affect vascular tone?. Clinical Cardiology: An International Indexed and Peer-Reviewed Journal for Advances in the Treatment of Cardiovascular Disease. 2006 Sep;29(9):393–8.
  15. Saely C, Zanolin D, Vonbank A, Leiherer A, Drexel H. Diabetes awareness among coronary disease patients differs significantly between men and women. Atherosclerosis. 2016 Sep 1;252:e146–7.
  16. Mody BS. Acute effects of Surya Namaskar on the cardiovascular & metabolic system. Journal of bodywork and movement therapies. 2011 Jul 1;15(3):343–7.
  17. Thind H, Lantini R, Balletto BL, Donahue ML, Salmoirago-Blotcher E, Bock BC, Scott-Sheldon LA. The effects of yoga among adults with type 2 diabetes: A systematic review and meta-analysis. Preventive medicine. 2017 Dec 1;105:116–26.
  18. Nagarathna R, Tyagi R, Kaur G, Vendan V, Acharya IN, Anand A, Singh A, Nagendra HR. Efficacy of a validated yoga protocol on dyslipidemia in diabetes patients: NMB-2017 India trial. Medicines. 2019 Dec;6(4):100.
  19. Nagarathna R, Kumar S, Anand A, Acharya IN, Singh AK, Patil SS, Latha RH, Datey P, Nagendra HR. Effectiveness of Yoga Lifestyle on Lipid Metabolism in a Vulnerable Population—A Community Based Multicenter Randomized Controlled Trial. Medicines. 2021 Jul;8(7):37.
  20. Rshikesan PB, Pailoor Subramanya RN. Yoga practice for reducing the male obesity and weight related psychological difficulties-A randomized controlled trial. Journal of clinical and diagnostic research: JCDR. 2016 Nov;10(11):OC22.
  21. Patil SG, Patil SS, Aithala MR, Das KK. Comparison of yoga and walking-exercise on cardiac time intervals as a measure of cardiac function in elderly with increased pulse pressure. Indian heart journal. 2017 Jul 1;69(4):485–90.
  22. Lauche R, Langhorst J, Lee MS, Dobos G, Cramer H. A systematic review and meta-analysis on the effects of yoga on weight-related outcomes. Preventive medicine. 2016 Jun 1;87:213–32.
  23. Dhananjai S, Tiwari S, Dutt K, Kumar R. Reducing psychological distress and obesity through Yoga practice. International journal of yoga. 2013 Jan;6(1):66.
  24. Sharma KNS, Pailoor S, Choudhary NR, Bhat P, Shrestha S. Integrated Yoga Practice in Cardiac Rehabilitation Program: A Randomized Control Trial. J Altern Complement Med. 2020 Oct;26(10):918–927. https://doi.org/10.1089/acm.2019.0250. Epub 2020 Jun 29. PMID: 32608989.
  25. Krishna BH, Pal P, Pal GK, Balachander J, Jayasettiaseelon E, Sreekanth Y, Sridhar MG, Gaur GS. A randomized controlled trial to study the effect of yoga therapy on cardiac function and N terminal pro BNP in heart failure. Integrative medicine insights. 2014 Jan;9:IMI-S13939.
  26. Manchanda SC, Narang R, Reddy KS, Sachdeva U, Prabhakaran D, Dharmanand S, Rajani M, Bijlani R. Retardation of coronary atherosclerosis with yoga lifestyle intervention. The Journal of the Association of Physicians of India. 2000 Jul 1;48(7):687–94.
  27. Yogendra J, Yogendra HJ, Ambardekar S, Lele RD, Shetty S, Dave M, Husein N. Beneficial effects of yoga lifestyle on reversibility of ischaemic heart disease: caring heart project of International Board of Yoga. JAPI. 2004 Apr;52:283–9.
  28. Li J, Gao X, Hao X, Kantas D, Mohamed EA, Zheng X, Xu H, Zhang L. Yoga for secondary prevention of coronary heart disease: A systematic review and meta-analysis. Complementary Therapies in Medicine. 2021 Mar 1;57:102643.
  29. Bruce C, Achan V, Rathore S. Yoga-Based Cardiac Rehabilitation: Current Perspectives from Randomized Controlled Trials in Coronary Artery Disease. Vascular Health and Risk Management. 2021;17:779.
  30. Prabhakaran D, Chandrasekaran AM, Singh K, Mohan B, Chattopadhyay K, Chadha DS, Negi PC, Bhat P, Sadananda KS, Ajay VS, Singh K. Yoga-based cardiac rehabilitation after acute myocardial infarction: a randomized trial. Journal of the American College of Cardiology. 2020 Apr 7;75(13):1551–61.
  31. Walter AA, Adams EV, Van Puymbroeck M, Crowe BM, Urrea-Mendoza E, Hawkins BL, Sharp J, Woschkolup K, Revilla FJ, Schmid AA. Changes in nonmotor symptoms following an 8-week yoga intervention for people with Parkinson's disease. International journal of yoga therapy. 2019 Nov;29(1):91–9.
  32. Grabara M, Nowak Z, Nowak A. Effects of hatha yoga on cardiac hemodynamic parameters and physical capacity in cardiac rehabilitation patients. Journal of Cardiopulmonary Rehabilitation and Prevention. 2020 Jul 1;40(4):263–7.
  33. Tillin T, Tuson C, Sowa B, Chattopadhyay K, Sattar N, Welsh P, Roberts I, Ebrahim S, Kinra S, Hughes A, Chaturvedi N. Yoga and Cardiovascular Health Trial (YACHT): a UK-based randomised mechanistic study of a yoga intervention plus usual care versus usual care alone following an acute coronary event. BMJ open. 2019 Nov 1;9(11):e030119.
  34. Gupte RS, Vijay V, Marks B, Levine RJ, Sabbah HN, Wolin MS, Recchia FA, Gupte SA. Upregulation of glucose-6-phosphate dehydrogenase and NAD (P) H oxidase activity increases oxidative stress in failing human heart. Journal of cardiac failure. 2007 Aug 1;13(6):497–506.
  35. Morgan N, Irwin MR, Chung M, Wang C. The effects of mind-body therapies on the immune system: meta-analysis. PloS one. 2014 Jul 2;9(7):e100903.
  36. Chen PJ, Yang L, Chou CC, Li CC, Chang YC, Liaw JJ. Effects of prenatal yoga on women's stress and immune function across pregnancy: A randomized controlled trial. Complementary therapies in medicine. 2017 Apr 1;31:109–17.
  37. Ungaro F, Rubbino F, Danese S, D'Alessio S. Actors and factors in the resolution of intestinal inflammation: lipid mediators as a new approach to therapy in inflammatory bowel diseases. Frontiers in immunology. 2017 Oct 23;8:1331.
  38. Kaliman P, Alvarez-Lopez MJ, Cosín-Tomás M, Rosenkranz MA, Lutz A, Davidson RJ. Rapid changes in histone deacetylases and inflammatory gene expression in expert meditators. Psychoneuroendocrinology. 2014 Feb 1;40:96–107.
  39. Duraimani S, Schneider RH, Randall OS, Nidich SI, Xu S, Ketete M, Rainforth MA, Gaylord-King C, Salerno JW, Fagan J. Effects of lifestyle modification on telomerase gene expression in hypertensive patients: a pilot trial of stress reduction and health education programs in African Americans. PloS one. 2015 Nov 16;10(11):e0142689.
  40. Strömberg A, Thylén I, Orwelius L, Klompstra L, Jaarsma T. Tele-Yoga in Long Term Illness–Protocol for a Randomised Controlled Trial Including a Process Evaluation and Results from a Pilot Study. International Journal of Environmental Research and Public Health. 2021 Jan;18(21):11343.
  41. Selman L, McDermott K, Donesky D, Citron T, Howie-Esquivel J. Appropriateness and acceptability of a Tele-Yoga intervention for people with heart failure and chronic obstructive pulmonary disease: qualitative findings from a controlled pilot study. BMC complementary and alternative medicine. 2015 Dec;15(1):1–3.
  42. Basu-Ray I. A mechanistic model for yoga as a preventive and therapeutic modality. International Journal of Yoga. 2021 May;14(2):152.
  43. Dahiya N, Sharma V, Kumar B, Thakur JS, Kumar S. Awareness and adherence to primary and primordial preventive measures among family members of patients with myocardial infarction-the unmet need for a “Preventive Clinic”. Indian Heart Journal. 2020 Sep 1;72(5):454–8.
  44. Sharma G, Gujral JS, Agarwal A, Jat M, Mohanty S, Pandey RM. Exploring knowledge, attitude and practice regarding yoga among patients attending cardiology and neurology clinics in a tertiary care hospital in northern India. National Medical Journal of India. 2021 Jul 1;34(4).
  45. Sharma S, Pailoor S, Ram NC, Shrestha S. Development of a yoga module targeting cardiovascular health for patients with post-myocardial left ventricular dysfunction in India. Complementary Therapies In Medicine. 2019 Feb 1;42:170–7.
  46. Jarry JL, Chang FM, La Civita L. Ashtanga yoga for psychological well-being: initial effectiveness study. Mindfulness. 2017 Oct;8(5):1269–79.
  47. Balakrishnan B, Metri KG, Day J, Ganesan M. Long-Term Effects of Hatha Yoga on Heart Rate Variability In Healthy Practitioners: Potential Benefits For Cardiovascular Risk Reduction. Alternative therapies in health and medicine. 2021 Aug 30.
  48. Clay CC, Lloyd LK, Walker JL, Sharp KR, Pankey RB. The metabolic cost of hatha yoga. Journal of Strength and Conditioning Research. 2005 Aug 1;19(3):604.
  49. Vizcaino M. Hatha yoga practice for type 2 diabetes mellitus patients: a pilot study. International journal of yoga therapy. 2013 Jan 1;23(2):59–65.
  50. Matko K, Sedlmeier P, Bringmann HC. Differential Effects of Ethical Education, Physical Hatha Yoga, and Mantra Meditation on Well-Being and Stress in Healthy Participants—An Experimental Single-Case Study. Frontiers in Psychology. 2021;12.
  51. Infante JR, Peran F, Rayo JI, Serrano J, Domínguez ML, Garcia L, Duran C, Roldan A. Levels of immune cells in transcendental meditation practitioners. International journal of yoga. 2014 Jul;7(2):147.
  52. Jung CG. The psychology of kundalini yoga. Princeton University Press; 2012 Jan 12.
  53. Bhavanani AB, Ramanathan M, Balaji R, Pushpa D. Differential effects of uninostril and alternate nostril pranayamas on cardiovascular parameters and reaction time. International journal of yoga. 2014 Jan;7(1):60.
  54. Mandape A, Bharshankar J, Phatak M. Effect of Raja Yoga meditation on the lipid profile of healthy adults in Central India. Journal of Medical Sciences and Health. 2015 Jan;1(1):10–3.
  55. Sundar S, Agrawal SK, Singh VP, Bhattacharya SK, Udupa KN, Vaish SK. Role of yoga in management of essential hypertension. Acta cardiologica. 1984 Jan 1;39(3):203–8.
  56. Saraswati S. Yoga and cardiovascular management. Bihar School of Yoga; 1982.
  57. Ministry of Ayush, Yoga for Cardiac Health from [Acessed 4 March 2022]
  58. Cramer H, Ward L, Saper R, Fishbein D, Dobos G, Lauche R. The safety of yoga: a systematic review and meta-analysis of randomized controlled trials. American Journal of Epidemiology. 2015 Aug 15;182(4):281–93.
  59. Szabo-Reed A, Clutton J, White S, Van Sciver A, White D, Morris J, Martin L, Lepping R, Shaw A, Puchalt JP, Montgomery R. COMbined Exercise Trial (COMET) to improve cognition in older adults: Rationale and methods. Contemporary Clinical Trials. 2022 May 27:106805.
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