EFFECT OF YOGA ON BLOOD PRESSURE IN PEOPLE WITH HYPERTENSION
A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS
DOI:
10.51283/rc.27.e14780Keywords:
Yoga, Hypertension, High Blood PressureAbstract
Hypertension is one of the main causes of death in Brazil and in the world. On the other side, studies suggest that yoga practice can be an interesting complementary strategy for the treatment of the disease. The aim of this study was to carry out a systematic review and meta-analysis on the effects of this practice on the blood pressure of people with hypertension. Two reviewers performed searches in Pubmed, Embase, Cochrane and LILACS databases. Randomized clinical trials that evaluated the effect of yoga on blood pressure in adult volunteers diagnosed with arterial hypertension were included. Random effects meta-analysis was conducted to determine the effect of yoga on blood pressure, using Stata software (version 16.0, StataCrop, College Station, Texas, USA). A total of 945 articles were found and, after verifying the eligibility criteria, 10 were included. Of these 10 studies, 8 reported a significant reduction in blood pressure levels after the yoga intervention period. Through meta-analysis, yoga physical training significantly reduced systolic blood pressure (MD = -7.28; 95% IC = -11.32; -3.23 mmHg) and diastolic blood pressure (MD = -4.81; 95% CI = -8.22; -1.40 mmHg) in people with hypertension. Yoga training is an effective treatment for arterial hypertension.
References
ANASUYA, Boligarla e colaboradores. Effect of slow breathing on autonomic tone & baroreflex sensitivity in yoga practitioners. Indian journal of medical research. v. 152, n. 6, p. 638-647, 2020.
ANASUYA, Boligarla; DEEPAK, Kishore K.; JARYAL, Ashok K. autonomic tone and baroreflex sensitivity during 70° head up tilt in yoga practitioners. International journal of yoga, v. 13, n. 3, p. 200-206.
ATKINS, David e colaboradores. Systems for grading the quality of evidence and the strength of recommendations I: critical appraisal of existing approaches The Grade Working Group. BMC health services research, v. 4, p. 1-7, 2004.
BALSHEM, Howad e colaboradores. GRADE guidelines: 3. Rating the quality of evidence. Journal of clinical epidemiology, v. 64, n. 4, p. 401-406, 2011.
BARROSO, Weimar Kunz Sebba e colaboradores. Diretrizes brasileiras de hipertensão arterial. Arquivos brasileiros de cardiologia, v. 116, n. 3, p. 516-658, 2020.
BHUTKAR, Milind V. e colaboradores. how effective is sun salutation in improving muscle strength, general body endurance and body composition? Asian journal of sports medicine, v. 2, n. 4, p. 259-266, 2011.
BUNDY, Joshua D. e colaboradores. Systolic blood pressure reduction and risk of cardiovascular disease and mortality: a systematic review and network meta-analysis. Journal of american medical academy cardiology, v. 2, n. 7, p. 775-781, 2017.
CAO Liujiao e colaboradores. The effectiveness of aerobic exercise for hypertensive population: a systematic review and meta-analysis. Journal of clinical hypertension, v. 21, n. 7, p. 868-876, 2019.
CENTRO DE FISIOTERAPIA BASEADA EM EVIDÊNCIAS (CEBP). Escala PEDro, 2010. Disponível em: <https://pedro.org.au/portuguese/resources/pedro-scale/>. Acesso em: 12 dez., 2022.
CHOBANIAN, Aram V. e colaboradores. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension, v. 42, n. 6, p. 1206-1252, 2003.
CHU, Paula e colaboradores. The effectiveness of yoga in modifying risk factors for cardiovascular disease and metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials. European journal of preventive cardiology, v. 23, n. 3, p. 291-307, 2016.
CORNELISSEN, Véronique A. e colaboradores. Impact of resistance training on blood pressure and other cardiovascular risk factors: a meta-analysis of randomized, controlled trials. Hypertension, v. 58, n. 5, p. 950-958, 2011.
CORNELISSEN, Véronique A.; SMART, Neil A. Exercise training for blood pressure: a systematic review and metaanalysis. Journal of the american heart association, v. 2, n. 1, p. 1-9, 2013.
CRAMER, Holger e colaboradores. Effects of yoga on cardiovascular disease risk factors: A systematic review and meta-analysis. International journal of cardiology, v. 173, n. 2, p. 170-183, 2014.
CRAMER, Holger e colaboradores. Prevalence, patterns, and predictors of yoga use: results of a U.S. Nationally Representative Survey. American journal of preventive medicine, v. 50, n. 2, p. 230-235, 2015.
CRAMER, Holger e colaboradores. Yoga in arterial hypertension: a three-armed, randomized controlled trial. Deutsches ärzteblatt international, v. 115, n. 50, p. 833-839, 2018.
DHUNGANA, Raja Ram e colaboradores. Effects of a health worker-led 3-month yoga intervention on blood pressure of hypertensive patients: a randomised controlled multicentre trial in the primary care setting. BMC public health, v. 21, n. 550, p. 1-11, 2021.
FORJAZ, Claudia Lucia de Moraes e colaboradores. A duração do exercício determina a magnitude e a duração da hipotensão pós-exercício. Arquivos brasileiros de cardiologia, v. 70, n. 2, p. 99-104, 1998.
GUDDETI, Raviteja R. e colaboradores. Role of yoga in cardiac disease and rehabilitation. Journal of cardiopulmonary rehabilitation and prevention, v. 39, n. 3, p. 146-152, 2019.
HAGINS, Marshall e colaboradores. Effectiveness of yoga for hypertension: systematic review and meta-analysis. Evidence-based complementary alternative medicine, v. 1, n. 1, p. 1-13, 2013.
HIGGINS, Julian e colaboradores (Eds.). Cochrane handbook for systematic reviews of interventions. John Wiley & Sons, Nova Jersey, USA, 2019.
KEARNEY, Patrícia M. e colaboradores. Global burden of hypertension: analysis of worldwide data. Lancet, v. 365, n. 9455, p. 217-223, 2005.
KRISHNA, Bandi Hari e colaboradores. Effect of yoga therapy on heart rate, blood pressure and cardiac autonomic function in heart failure. Journal of clinical and diagnostic research, v. 8, n. 1, p. 14-16, 2014.
LATERZA, Mateus Camaroti e colaboradores. Exercise training restores baroreflex sensitivity in never-treated hypertensive patients. Hypertension, v. 49, n. 6, p. 1298-1306, 2007.
LATERZA, Mateus Camaroti; RONDON, Maria Urbana Pinto Brandão, NEGRÃO, Carlos Eduardo. Efeito anti-hipertensivo do exercício, Revista brasileira de hipertensão, v. 14, n. 2, p. 104-111, 2007.
LATERZA, Mateus Camaroti; RONDON, Maria Urbana Pinto Brandão; NEGRÃO, Carlos Eduardo. Efeitos do exercício físico aeróbio na hipertensão arterial. Revista da sociedade de cardiologia do Rio Grande do Sul, v. 15, n. 9, p. 1-8, 2006.
MACDONALD, Hayley V. e colaboradores. Dynamic resistance training as stand-alone antihypertensive lifestyle therapy: a meta-analysis. Journal of the american heart association, v. 5, n. 10, p. 1-15, 2016.
MCCAFFREY, Ruth e colaboradores. The effects of yoga on hypertensive persons in Thailand. Holist nurs pract, v. 19, n. 4, p. 173-180, 2005.
MISRA, Shamita e colaboradores. Take a deep breath: a randomized control trial of pranayama breathing on uncontrolled hypertension. Advances in integrative medicine, v. 6, n. 2, p. 66-72, 2019.
NUNES, Ana Paula de Oliveira Barbosa e colaboradores. Efeitos de um programa de exercício físico não-supervisionado e acompanhado a distância, via internet, sobre a pressão arterial e composição em indivíduos normotensos e pré-hipertensos. Arquivos brasileiros de cardiologia, v. 86, n. 4, p. 289-295, 2006.
PATIL, Satish Gurunarthrao; AITHALA, Manjunatha R.; DAS, Kusal Kanti. Effect of yoga on arterial stiffness in elderly subjects with increased pulse pressure: a randomized controlled study. Complementary therapies in medicine, v. 23, n. 4, p. 562-569, 2015.
PESCATELLO, Linda S. e colaboradores. American College of Sports Medicine position stand. exercise and hypertension. Medicine and science in sports and exercise, v.36, n. 3, p. 533-553, 2004.
POSADZKI, Paul e colaboradores. Yoga for hypertension: A systematic review of randomized clinical trials. Complementary therapies in clinical practice, v. 22, n. 3, p. 511-522, 2014.
POULTER, Neil R. e colaboradores. May measurement month 2019: results of blood pressure screening from 47 countries. European heart journal supplements, v. 23, n. Supplement_B, p. B1-B5, 2021.
PUNITA, Pushpanathan e colaboradores. Randomized controlled trial of 12-week yoga therapy as lifestyle intervention in patients of essential hypertension and cardiac autonomic function tests, National journal of physiology, pharmacy and pharmacology, v. 6, n. 1, p. 19-26, 2016.
PUSHPANATHAN, Punita e colaboradores. Heart rate variability by Poincaré plot analysis in patients of essential hypertension and 12-week yoga therapy. National journal of physiology, pharmacy and pharmacology, v. 5, n. 3, p. 174-180, 2015.
ROCHE, Laura Tolbaños e colaboradores. Yoga and self-regulation in management of essential arterial hypertension and associated emotional symptomatology: a randomized controlled trial. Complementary therapies in clinical practice, v. 29, p. 153-161, 2017.
ROCHE, Laura Tolbaños; HESSE, Blanca Mas. Application of an integrative yoga therapy programme in cases of essential arterial hypertension in public healthcare, Complementary therapies in clinical practice, v. 20, n. 4, p. 285-290, 2014.
THANALAKSHMI, Jagadeesan e colaboradores. Effect of sheetali pranayama on cardiac autonomic function among patients with primary hypertension - A randomized controlled trial. Complementary therapies in clinical practice, v. 39, p. 1-6, 2020.
TRAN, Mark D. e colaboradores. Effects of hatha yoga practice on the health-related aspects of physical fitness. Preventive cardiology, v. 4, n. 4, p. 165-170, 2001.
VERMA, Narsingh e colaboradores. Non‐pharmacological management of hypertension. Journal of clinical hypertension, v. 23, n. 7, p. 1275-1283, 2021.
WOLFF, Moa e colaboradores. Impact of a short home-based yoga programme on blood pressure in patients with hypertension: a randomized controlled trial in primary care. Journal of human hypertension, v. 30, n. 10, p. 599-605, 2016.
WU, Yin e colaboradores. Yoga as antihypertensive lifestyle therapy: a systematic review and meta-analysis. Mayo Clinic proceedings, v. 94, n. 3, p. 432-446, 2019.
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