1 1257 165 FETAL AND MATERNAL RESPONSES TO YOGA IN THE THIRD TRIMESTER. OBJECTIVE: THE PRIMARY PURPOSE OF THIS STUDY WAS TO EXAMINE MATERNAL AND FETAL RESPONSES TO A TYPICAL, MODERATE-INTENSITY YOGA SESSION IN HEALTHY PREGNANT WOMEN DURING THE THIRD TRIMESTER USING CONTINUOUS MONITORING.METHODS: THIS PROSPECTIVE OBSERVATIONAL STUDY IN LOW-RISK, PREGNANT WOMEN USED THE MONICA AN24 ABDOMINAL ECG WIRELESS MATERNAL-FETAL MONITOR TO MEASURE FETAL HEART RATE, MATERNAL HEART RATE, AND UTERINE ACTIVITY DURING A PRENATAL YOGA SESSION. SESSIONS INCLUDED 4 TIME PERIODS: (1) 20-MINUTE REST, (2) 50 MINUTES STANDARD PRENATAL YOGA, (3) 10-MINUTE MEDITATION, (4) 20-MINUTE RECOVERY. DATA WERE CONTINUOUSLY RECORDED THROUGHOUT THE ENTIRE SESSION, STORED AT 0.25-SECOND INTERVALS, AND THEN AVERAGED OVER 5-MINUTE INTERVALS. TO EVALUATE CHANGES OVER TIME, OVERALL MEANS FOR THE FOUR TIME PERIODS (REST, YOGA, MEDITATION, RECOVERY) WERE COMPARED USING ONE-WAY ANOVA WITH REPEATED MEASURES. POST-HOC PAIRWISE COMPARISONS (TUKEY'S) WERE USED TO PROBE SIGNIFICANT DIFFERENCES BETWEEN THE FOUR TIME POINTS. STATISTICAL SIGNIFICANCE WAS REACHED AT P < .05.RESULTS: TWENTY PARTICIPANTS WERE ENROLLED; 19 COMPLETED THE YOGA SESSION. MEAN GESTATIONAL AGE WAS 35 WEEKS AND 6 DAYS (RANGE OF 32-0/7 TO 38-6/7) WITH AN AVERAGE PARTICIPANT AGE OF 32 +/- 2.7 YEARS. MATERNAL HEART RATES SIGNIFICANTLY INCREASED DURING THE YOGA PERIOD (102 +/- 11 BPM) COMPARED TO REST (90 +/- 10), MEDITATION (85 +/- 12), AND RECOVERY (88 +/- 10) (P < .01). THE MAXIMUM MATERNAL HEART RATE REACHED DURING THE YOGA SESSION WAS 125 +/- 13 BPM. WHILE FETAL HEART RATES FLUCTUATED SLIGHTLY OVER THE COURSE OF THE YOGA SESSION, THERE WERE NO SIGNIFICANT FETAL HEART RATE DECELERATIONS TO SUGGEST DELETERIOUS FETAL EFFECTS. THERE WERE NO STATISTICALLY SIGNIFICANT DIFFERENCES AMONG RESTING (138 +/- 14 BPM), YOGA (137 +/- 11 BPM), MEDITATION (139 +/- 7 BPM), OR RECOVERY (135 +/- 22 BPM) FETAL HEART RATES (P = .814). UTERINE ACTIVITY WAS SIGNIFICANTLY GREATER DURING THE YOGA PERIOD COMPARED WITH THE OTHER TIME POINTS (P < .001).CONCLUSION: YOGA CAN BE RECOMMENDED FOR LOW-RISK WOMEN DURING PREGNANCY AS NO ADVERSE FETAL OR MATERNAL HEART RATE CHANGES WERE OBSERVED DURING A TYPICAL PRENATAL YOGA SESSION. 2020 2 263 34 ACUTE CARDIOVASCULAR RESPONSES TO A SESSION OF BIKRAM YOGA: A PILOT UNCONTROLLED TRIAL. INTRODUCTION: MAIN CARDIOVASCULAR PARAMETERS SUCH AS HEART RATE (HR), BLOOD PRESSURE, AND MYOCARDIAL OXYGEN CONSUMPTION (MOC) ARE TIGHTLY REGULATED BY A MULTIFACTORIAL, NONLINEAR CONTROL SYSTEM. INCREASED HR BECAUSE OF PHYSICAL ACTIVITY IS OFTEN ACCOMPANIED BY AN INCREASE IN BLOOD PRESSURE. POSTURAL CHANGES HAVE AN EFFECT ON THE BARORECEPTORS, AND STRETCHING EXERCISES AND ISOMETRIC CONTRACTIONS MODULATE MUSCLE MECHANORECEPTORS ELICITING INCREASES IN BLOOD PRESSURE. HOWEVER, A HOT ENVIRONMENT INCREASES THE CORE TEMPERATURE INDUCING VASODILATION AND PLASMA VOLUME CHANGES THAT MIGHT CONTRIBUTE TO A DROP IN BLOOD PRESSURE. DURING THE PRACTICE OF BIKRAM YOGA, ALL THESE FACTORS CONVERGE AND LITTLE IS KNOWN ABOUT THE RESULTING CHANGES IN BLOOD PRESSURE AND MOC. METHODS: SIXTEEN APPARENTLY HEALTHY FEMALE VOLUNTEERS, REGULAR PRACTITIONERS OF BIKRAM YOGA, WERE EVALUATED DURING A 90 MIN SESSION. SYSTOLIC BLOOD PRESSURE (SBP) AND DIASTOLIC BLOOD PRESSURE (DBP) WERE MEASURED IMMEDIATELY AFTER EACH POSTURE AND HR WAS MEASURED CONTINUOUSLY DURING THE PRACTICE. RESULTS: HR AND ESTIMATED MOC INCREASED SIGNIFICANTLY OVER BASELINE DURING THE EXERCISE (+62.3% AND +63.6%, RESPECTIVELY). HR MEAN VALUE ACROSS THE ENTIRE BIKRAM YOGA SESSION WAS 126.6 +/- 14.3 BPM REACHING A MAXIMUM OF 168.1 +/- 20.2 BPM. SBP WAS NOT SIGNIFICANTLY INCREASED OVER BASELINE AT ANY TIME DURING THE PRACTICE WITH A MEAN VALUE OF 117.0 +/- 10.1 MMHG AND DBP WAS SIGNIFICANTLY DECREASED OVER BASELINE MOST OF THE TIME (-10.1%, MEAN 71.2 +/- 7.3 MMHG) WITH PARTICULAR DECLINE TOWARD THE END OF THE PRACTICE DURING THE FLOOR POSTURES. CONCLUSIONS: DBP DURING THE PRACTICE OF BIKRAM YOGA WAS SIGNIFICANTLY DIFFERENT FROM THAT PREVIOUSLY REPORTED FOR NONHEATED HATHA YOGA FOR NORMOTENSIVE SUBJECTS. FURTHER STUDIES EVALUATING THE SAME GROUP AT BOTH CONDITIONS ARE NEEDED TO BETTER CHARACTERIZE THE MAGNITUDE OF THE CHANGES IN HR, SBP, DBP, AND MOC. 2019 3 637 28 DO 12-WEEK YOGA PROGRAM INFLUENCE RESPIRATORY FUNCTION OF ELDERLY WOMEN? AGING PRODUCES SEVERAL RESPIRATORY LIMITATIONS AND REDUCES TOLERANCE TO PHYSICAL EFFORTS, SOMETIMES LEADING TO PULMONARY DISEASES IN THE ELDERLY. THE LITERATURE DRAWS ATTENTION TO THE POSSIBLE BENEFITS OF YOGA PRACTICE AMONG THE ELDERLY, PRESENTING EVIDENCE FOR SIGNIFICANT IMPROVEMENTS IN QUALITY OF LIFE. IT WAS HYPOTHESIZED THAT YOGA PRACTICE CAN IMPROVE RESPIRATORY FUNCTION IN THE ELDERLY. THE EFFECTS OF A YOGA PROGRAM ON PULMONARY VOLUMES AND RESPIRATORY MUSCLE STRENGTH WERE VERIFIED IN 36 ELDERLY WOMEN DIVIDED INTO A YOGA GROUP [YG] (63.1 +/- 13.3 YEARS OF AGE) AND A CONTROL GROUP (61.0 +/- 6.9 YEARS OF AGE). MAXIMAL INSPIRATORY AND EXPIRATORY PRESSURE (MIP AND MEP) WERE ASSESSED BY A MANOVACUOMETER AND TIDAL VOLUME (VT), VITAL CAPACITY (VC) AND MINUTE VENTILATION (VE) WERE MEASURED BY A VENTILOMETER. THE PROGRAM COMPRISED 65 MIN SESSIONS, 3 TIMES/WEEK DURING 12 WEEKS. THE HEART RATE AND RESPIRATORY RATE DECREASED SIGNIFICANTLY IN THE YG (76-39 +/- 8-03 VS. 74-61+/-10.26 BPM AND 18.61 +/- 3.15 VS. 16.72 +/- 3.12 RESP/MIN, RESPECTIVELY). IN THE YG, VT AND VE INCREASED SIGNIFICANTLY (0.55 +/- 0.22 VS. 0.64 +/- 0.2 ML AND 9.19 +/- 2.39 VS. 10.05 +/- 2.11 ML, RESPECTIVELY), AS WELL AS VC (1.48 +/- 0.45 VS. 2.03 +/- 0.72 ML). IMPROVEMENTS WERE ALSO FOUND IN MIP AND MEP IN THE YG (62.17 +/- 14.77 VS. 73.06 +/- 20.16 CMH2O AND 80.56 +/- 23.94 VS. 86.39 +/- 20.16 CMH2O, RESPECTIVELY). IT WAS CONCLUDED THAT A 12-WEEK YOGA PROGRAM SIGNIFICANTLY IMPROVES PULMONARY FUNCTION OF AGED WOMEN. 2014 4 2727 39 YOGA NIDRA RELAXATION INCREASES HEART RATE VARIABILITY AND IS UNAFFECTED BY A PRIOR BOUT OF HATHA YOGA. OBJECTIVE: THE MEASUREMENT OF HEART RATE VARIABILITY (HRV) IS OFTEN APPLIED AS AN INDEX OF AUTONOMIC NERVOUS SYSTEM (ANS) BALANCE AND, THEREFORE, MYOCARDIAL STABILITY. PREVIOUS STUDIES HAVE SUGGESTED THAT RELAXATION OR MIND-BODY EXERCISE CAN INFLUENCE ANS BALANCE POSITIVELY AS MEASURED BY HRV BUT MAY ACT VIA DIFFERENT MECHANISMS. NO STUDIES, TO THE AUTHORS' KNOWLEDGE, HAVE EXAMINED THE ACUTE RESPONSE IN HRV TO INTERVENTIONS COMBINING RELAXATION AND MIND-BODY EXERCISE. THE OBJECTIVE OF THIS STUDY WAS TO COMPARE THE ACUTE HRV RESPONSES TO YOGA NIDRA RELAXATION ALONE VERSUS YOGA NIDRA RELAXATION PRECEDED BY HATHA YOGA. DESIGN: THIS WAS A RANDOMIZED COUNTER-BALANCED TRIAL. SETTING: THE TRIAL WAS CONDUCTED IN A UNIVERSITY EXERCISE PHYSIOLOGY LABORATORY. SUBJECTS: SUBJECTS INCLUDED 20 WOMEN AND MEN (29.15+/-6.98 YEARS OF AGE, WITH A RANGE OF 18-47 YEARS). INTERVENTIONS: PARTICIPANTS COMPLETED A YOGA PLUS RELAXATION (YR) SESSION AND A RELAXATION ONLY (R) SESSION. RESULTS: THE YR CONDITION PRODUCED SIGNIFICANT CHANGES FROM BASELINE IN HEART RATE (HR; BEATS PER MINUTE [BPM], P<0.001) AND INDICES OF HRV: R-R (MS, P<0.001), PNN50 (%, P=0.009), LOW FREQUENCY (LF; %, P=0.008) AND HIGH FREQUENCY (HF; %, P=0.035). THE R CONDITION PRODUCED SIGNIFICANT CHANGES FROM BASELINE IN HEART RATE (BPM, P<0.001) AS WELL AS INDICES OF HRV: R-R (MS, P<0.001), HF (MS(2), P=0.004), LF (%, P=0.005), HF (%, P=0.008) AND LF:HF RATIO (%, P=0.008). THERE WERE NO SIGNIFICANT DIFFERENCES BETWEEN CONDITIONS AT BASELINE NOR FOR THE CHANGES FROM BASELINE FOR ANY OF THE VARIABLES. CONCLUSIONS: THESE CHANGES DEMONSTRATE A FAVORABLE SHIFT IN AUTONOMIC BALANCE TO THE PARASYMPATHETIC BRANCH OF THE ANS FOR BOTH CONDITIONS, AND THAT YOGA NIDRA RELAXATION PRODUCES FAVORABLE CHANGES IN MEASURES OF HRV WHETHER ALONE OR PRECEDED BY A BOUT OF HATHA YOGA. 2012 5 306 37 AN EVALUATION OF THE ABILITY TO VOLUNTARILY REDUCE THE HEART RATE AFTER A MONTH OF YOGA PRACTICE. THE STUDY AIMED AT DETERMINING WHETHER NOVICES TO YOGA WOULD BE ABLE TO REDUCE THEIR HEART RATE VOLUNTARILY AND WHETHER THE MAGNITUDE OF REDUCTION WOULD BE MORE AFTER 30 DAYS OF YOGA TRAINING. TWO GROUPS (YOGA AND CONTROL, N = 12 EACH) WERE ASSESSED ON DAY 1 AND ON DAY 30. DURING THE INTERVENING 30 DAYS, THE YOGA GROUP RECEIVED TRAINING IN YOGA TECHNIQUES WHILE THE CONTROL GROUP CARRIED ON WITH THEIR ROUTINE. AT EACH ASSESSMENT THE BASELINE HEART RATE WAS RECORDED FOR ONE MINUTE, THIS WAS FOLLOWED BY A SIX-MINUTE PERIOD DURING WHICH PARTICIPANTS WERE ASKED TO ATTEMPT TO VOLUNTARILY REDUCE THEIR HEART RATE, USING ANY STRATEGY. BOTH THE BASELINE HEART RATE AND THE LOWEST HEART RATE ACHIEVED VOLUNTARILY DURING THE SIX-MINUTE PERIOD WERE SIGNIFICANTLY LOWER IN THE YOGA GROUP ON DAY 30 COMPARED TO DAY 1 BY A GROUP AVERAGE OF 10.7 BEATS PER MINUTE (I.E., BPM) AND 6.8 BPM, RESPECTIVELY (P < .05, WILCOXON PAIRED SIGNED RANKS TEST). IN CONTRAST, THERE WAS NO SIGNIFICANT CHANGE IN EITHER THE BASELINE HEART RATE OR THE LOWEST HEART RATE ACHIEVED VOLUNTARILY IN THE CONTROL GROUP ON DAY 30 COMPARED TO DAY 1. THE RESULTS SUGGEST THAT YOGA TRAINING CAN ENABLE PRACTITIONERS TO USE THEIR OWN STRATEGIES TO REDUCE THE HEART RATE, WHICH HAS POSSIBLE THERAPEUTIC APPLICATIONS. 2004 6 1676 39 OBJECTIVE AND SUBJECTIVE MEASURES OF EXERCISE INTENSITY DURING THERMO-NEUTRAL AND HOT YOGA. WHILE HOT YOGA HAS GAINED ENORMOUS POPULARITY IN RECENT YEARS, OWING IN PART TO INCREASED ENVIRONMENTAL CHALLENGE ASSOCIATED WITH EXERCISE IN THE HEAT, IT IS NOT CLEAR WHETHER HOT YOGA IS MORE VIGOROUS THAN THERMO-NEUTRAL YOGA. THEREFORE, THE AIM OF THIS STUDY WAS TO DETERMINE OBJECTIVE AND SUBJECTIVE MEASURES OF EXERCISE INTENSITY DURING CONSTANT INTENSITY YOGA IN A HOT AND THERMO-NEUTRAL ENVIRONMENT. USING A RANDOMIZED, CROSSOVER DESIGN, 14 PARTICIPANTS COMPLETED 2 IDENTICAL APPROXIMATELY 20-MIN YOGA SESSIONS IN A HOT (35.3 +/- 0.8 DEGREES C; HUMIDITY: 20.5% +/- 1.4%) AND THERMO-NEUTRAL (22.1 +/- 0.2 DEGREES C; HUMIDITY: 27.8% +/- 1.6%) ENVIRONMENT. OXYGEN CONSUMPTION AND HEART RATE (HR) WERE RECORDED AS OBJECTIVE MEASURES (PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION AND PERCENTAGE OF MAXIMAL HR (%HRMAX)) AND RATING OF PERCEIVED EXERTION (RPE) WAS RECORDED AS A SUBJECTIVE MEASURE OF EXERCISE INTENSITY. THERE WAS NO DIFFERENCE IN EXERCISE INTENSITY BASED ON PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION DURING HOT VERSUS THERMO-NEUTRAL YOGA (30.9% +/- 2.3% VS. 30.5% +/- 1.8%, P = 0.68). HOWEVER, EXERCISE INTENSITY WAS SIGNIFICANTLY HIGHER DURING HOT VERSUS THERMO-NEUTRAL YOGA BASED ON %HRMAX (67.0% +/- 2.3% VS. 60.8% +/- 1.9%, P = 0.01) AND RPE (12 +/- 1 VS. 11 +/- 1, P = 0.04). ACCORDING TO ESTABLISHED EXERCISE INTENSITIES, HOT YOGA WAS CLASSIFIED AS LIGHT-INTENSITY EXERCISE BASED ON PERCENTAGE OF MAXIMAL OXYGEN CONSUMPTION BUT MODERATE-INTENSITY EXERCISE BASED ON %HRMAX AND RPE WHILE THERMO-NEUTRAL YOGA WAS CLASSIFIED AS LIGHT-INTENSITY EXERCISE BASED ON PERCENTAGE OF MAXIMAL OXYGEN UPTAKE, %HRMAX, AND RPE. DESPITE THE ADDED HEMODYNAMIC STRESS AND PERCEPTION THAT YOGA IS MORE STRENUOUS IN A HOT ENVIRONMENT, WE OBSERVED SIMILAR OXYGEN CONSUMPTION DURING HOT VERSUS THERMO-NEUTRAL YOGA, CLASSIFYING BOTH EXERCISE MODALITIES AS LIGHT-INTENSITY EXERCISE. 2018 7 1578 44 MEASUREMENT OF THE EFFECT OF ISHA YOGA ON CARDIAC AUTONOMIC NERVOUS SYSTEM USING SHORT-TERM HEART RATE VARIABILITY. BACKGROUND: BENEFICIAL EFFECTS OF YOGA HAVE BEEN POSTULATED TO BE DUE TO MODULATION OF THE AUTONOMIC NERVOUS SYSTEM. OBJECTIVE: TO ASSESS THE EFFECT OF ISHA YOGA PRACTICES ON CARDIOVASCULAR AUTONOMIC NERVOUS SYSTEM THROUGH SHORT-TERM HEART RATE VARIABILITY (HRV). DESIGN OF THE STUDY: SHORT-TERM HRV OF LONG-TERM REGULAR HEALTHY 14 (12 MALES AND 2 FEMALES) ISHA YOGA PRACTITIONERS WAS COMPARED WITH THAT OF AGE- AND GENDER-MATCHED 14 (12 MALES AND 2 FEMALES) NON-YOGA PRACTITIONERS. METHODS AND MATERIALS: ECG LEAD II AND RESPIRATORY MOVEMENTS WERE RECORDED IN BOTH GROUPS USING POLYRITE DURING SUPINE REST FOR 5 MIN AND CONTROLLED DEEP BREATHING FOR 1 MINUTE. FREQUENCY DOMAIN ANALYSIS [RR INTERVAL IS THE MEAN OF DISTANCE BETWEEN SUBSEQUENT R WAVE PEAKS IN ECG], LOW FREQUENCY (LF) POWER, HIGH FREQUENCY (HF) POWER, LF NORMALIZED UNITS (NU), HF NU, LF/HF RATIO] AND TIME DOMAIN ANALYSIS [STANDARD DEVIATION OF NORMAL TO NORMAL INTERVAL (SDNN), SQUARE OF MEAN SQUARED DIFFERENCE OF SUCCESSIVE NORMAL TO NORMAL INTERVALS (RMSSD), NORMAL TO NORMAL INTERVALS WHICH ARE DIFFERING BY 50 MS (NN50), AND PERCENTAGE OF NN50 (PNN50)] OF HRV VARIABLES WERE ANALYZED FOR SUPINE REST. TIME DOMAIN ANALYSIS WAS RECORDED FOR DEEP BREATHING. RESULTS: RESULTS SHOWED STATISTICALLY SIGNIFICANT DIFFERENCES BETWEEN ISHA YOGA PRACTITIONERS AND CONTROLS IN BOTH FREQUENCY AND TIME DOMAIN ANALYSES OF HRV INDICES, WITH NO DIFFERENCE IN RESTING HEART RATE BETWEEN THE GROUPS. CONCLUSIONS: PRACTITIONERS OF ISHA YOGA SHOWED WELL-BALANCED BENEFICIAL ACTIVITY OF VAGAL EFFERENTS, AN OVERALL INCREASED HRV, AND SYMPATHOVAGAL BALANCE, COMPARED TO NON-YOGA PRACTITIONERS DURING SUPINE REST AND DEEP BREATHING. 2012 8 2759 33 YOGA PRACTITIONERS EXHIBIT HIGHER PARASYMPATHETIC ACTIVITY AND BAROREFLEX SENSITIVITY AND BETTER ADAPTABILITY TO 40 MM HG LOWER-BODY NEGATIVE PRESSURE. YOGA HAS BEEN SHOWN TO IMPROVE AUTONOMIC CONDITIONING IN HUMANS, AS EVIDENCED BY THE ENHANCEMENT OF PARASYM-PATHETIC ACTIVITY AND BAROREFLEX SENSITIVITY. THEREFORE, WE HYPOTHESIZED THAT THE EXPERIENCE OF YOGA MAY RESULT IN ADAPTATION TO ACUTE HEMODYNAMIC CHANGES. TO DECIPHER THE LONG-TERM EFFECTS OF YOGA ON CARDIOVASCULAR VARIABILITY, YOGA PRACTITIONERS WERE COMPARED TO YOGA-NAIVE SUBJECTS DURING EXPOSURE TO -40 MM HG LOWER-BODY NEGATIVE PRESSURE (LBNP). A COMPARATIVE STUDY WAS CONDUCTED ON 40 YOGANAIVE SUBJECTS AND 40 YOGA PRACTITIONERS WITH AN AVERAGE AGE OF 31.08 +/- 7.31 YEARS AND 29.93 +/- 7.57 YEARS, RESPECTIVELY. HEART RATE VARIABILITY, BLOOD PRESSURE VARIABILITY, BAROREFLEX SENSITIVITY, AND CORRELATION BETWEEN SYSTOLIC BLOOD PRESSURE AND RR INTERVAL WERE EVALUATED AT REST AND DURING LBNP. IN YOGA PRACTITIONERS, THE HEART RATE WAS LOWER IN SUPINE REST (P = 0.011) AND DURING LBNP (P = 0.043); THE PNN50 MEASURE OF HEART RATE VARIABILITY WAS HIGHER IN SUPINE REST (P = 0.011) AND DURING LBNP (P = 0.034). THE YOGA PRACTITIONERS' STANDARD DEVIATION OF SUCCESSIVE BEAT-TO-BEAT BLOOD PRESSURE INTERVALS OF SYSTOLIC BLOOD PRESSURE VARIABILITY WAS LOWER IN SUPINE REST (P = 0.034) AND DURING LBNP (P = 0.007), WITH HIGHER SEQUENCE BAROREFLEX SENSITIVITY (P = 0.019) AND ~ HIGH-FREQUENCY BAROREFLEX SENSITIVITY. MEAN SYSTOLIC BLOOD PRESSURE AND RR INTERVAL WERE INVERSELY CORRELATED IN THE YOGA GROUP (R = -0.317, P = 0.049). THE YOGA PRACTITIONERS EXHIBITED HIGHER PARASYMPATHETIC ACTIVITY AND BAROREFLEX SENSITIVITY WITH LOWER SYSTOLIC BLOOD PRESSURE VARIABILITY, INDICATING BETTER ADAPTABILITY TO LBNP COMPARED TO THE YOGA-NAIVE GROUP. OUR FINDINGS INDICATE THAT THE YOGA MODULE WAS HELPFUL IN CONDITIONS OF HYPOVOLEMIA IN HEALTHY SUBJECTS; IT IS PROPOSED TO BE BENEFICIAL IN CLINICAL CONDITIONS ASSOCIATED WITH SYMPATHETIC DOMINANCE, IMPAIRED BARORE-FLEX SENSITIVITY, AND ORTHOSTATIC INTOLERANCE. 2021 9 1638 33 MODULATION OF CARDIOVASCULAR RESPONSE TO EXERCISE BY YOGA TRAINING. THIS STUDY REPORTS THE EFFECTS OF YOGA TRAINING ON CARDIOVASCULAR RESPONSE TO EXERCISE AND THE TIME COURSE OF RECOVERY AFTER THE EXERCISE. CARDIOVASCULAR RESPONSE TO EXERCISE WAS DETERMINED BY HARVARD STEP TEST USING A PLATFORM OF 45 CM HEIGHT. THE SUBJECTS WERE ASKED TO STEP UP AND DOWN THE PLATFORM AT A RATE OF 30/MIN FOR A TOTAL DURATION OF 5 MIN OR UNTIL FATIGUE, WHICHEVER WAS EARLIER. HEART RATE (HR) AND BLOOD PRESSURE RESPONSE TO EXERCISE WERE MEASURED IN SUPINE POSITION BEFORE EXERCISE AND AT 1, 2, 3, 4, 5, 7 AND 10 MINUTES AFTER THE EXERCISE. RATE-PRESSURE PRODUCT [RPP = (HR X SP)/100] AND DOUBLE PRODUCT (DO P = HR X MP), WHICH ARE INDICES OF WORK DONE BY THE HEART WERE ALSO CALCULATED. EXERCISE PRODUCED A SIGNIFICANT INCREASE IN HR, SYSTOLIC PRESSURE, RPP & DOP AND A SIGNIFICANT DECREASE IN DIASTOLIC PRESSURE. AFTER TWO MONTHS OF YOGA TRAINING, EXERCISE-INDUCED CHANGES IN THESE PARAMETERS WERE SIGNIFICANTLY REDUCED. IT IS CONCLUDED THAT AFTER YOGA TRAINING A GIVEN LEVEL OF EXERCISE LEADS TO A MILDER CARDIOVASCULAR RESPONSE, SUGGESTING BETTER EXERCISE TOLERANCE. 2004 10 967 35 EFFECTS OF AEROBIC EXERCISE TRAINING AND YOGA ON THE BAROREFLEX IN HEALTHY ELDERLY PERSONS. IT IS UNCLEAR WHETHER THE AGE-ASSOCIATED REDUCTION IN BAROREFLEX SENSITIVITY IS MODIFIABLE BY EXERCISE TRAINING. THE EFFECTS OF AEROBIC EXERCISE TRAINING AND YOGA, A NON-AEROBIC CONTROL INTERVENTION, ON THE BAROREFLEX OF ELDERLY PERSONS WAS DETERMINED. BAROREFLEX SENSITIVITY WAS QUANTIFIED BY THE ALPHA-INDEX, AT HIGH FREQUENCY (HF; 0.15-0.35 HZ, REFLECTING PARASYMPATHETIC ACTIVITY) AND MID-FREQUENCY (MF; 0.05-0.15 HZ, REFLECTING SYMPATHETIC ACTIVITY AS WELL), DERIVED FROM SPECTRAL AND CROSS-SPECTRAL ANALYSIS OF SPONTANEOUS FLUCTUATIONS IN HEART RATE AND BLOOD PRESSURE. TWENTY-SIX (10 WOMEN) SEDENTARY, HEALTHY, NORMOTENSIVE ELDERLY (MEAN 68 YEARS, RANGE 62-81 YEARS) SUBJECTS WERE STUDIED. FOURTEEN (4 WOMEN) OF THE SEDENTARY ELDERLY SUBJECTS COMPLETED 6 WEEKS OF AEROBIC TRAINING, WHILE THE OTHER 12 (6 WOMEN) SUBJECTS COMPLETED 6 WEEKS OF YOGA. HEART RATE DECREASED FOLLOWING YOGA (69 +/- 8 VS. 61 +/- 7 MIN-1, P < 0.05) BUT NOT AEROBIC TRAINING (66 +/- 8 VS. 63 +/- 9 MIN-1, P = 0.29). VO2 MAX INCREASED BY 11% FOLLOWING YOGA (P < 0.01) AND BY 24% FOLLOWING AEROBIC TRAINING (P < 0.01). NO SIGNIFICANT CHANGE IN ALPHA MF (6.5 +/- 3.5 VS. 6.2 +/- 3.0 MS MMHG-1, P = 0.69) OR ALPHA HF (8.5 +/- 4.7 VS. 8.9 +/- 3.5 MS MMHG-1, P = 0.65) OCCURRED AFTER AEROBIC TRAINING. FOLLOWING YOGA, ALPHA HF (8.0 +/- 3.6 VS. 11.5 +/- 5.2 MS MMHG-1, P < 0.01) BUT NOT ALPHA MF (6.5 +/- 3.0 VS. 7.6 +/- 2.8 MS MMHG-1, P = 0.29) INCREASED. SHORT-DURATION AEROBIC TRAINING DOES NOT MODIFY THE ALPHA-INDEX AT ALPHA MF OR ALPHA HF IN HEALTHY NORMOTENSIVE ELDERLY SUBJECTS. ALPHA HF BUT NOT ALPHA MF INCREASED FOLLOWING YOGA, SUGGESTING THAT THESE PARAMETERS ARE MEASURING DISTINCT ASPECTS OF THE BAROREFLEX THAT ARE SEPARATELY MODIFIABLE. 1997 11 758 32 EFFECT OF SLOW BREATHING ON AUTONOMIC TONE & BAROREFLEX SENSITIVITY IN YOGA PRACTITIONERS. BACKGROUND & OBJECTIVES: SLOW BREATHING INCREASES PARASYMPATHETIC ACTIVITY AND BAROREFLEX SENSITIVITY (BRS) IN HEALTHY INDIVIDUALS, ALSO SIMILARLY OBSERVED IN YOGA PRACTITIONERS. PRANAYAMA WHICH IS AN IMPORTANT COMPONENT OF YOGA WHEN PRACTICED AT A SLOW PACE WAS AT A RESPIRATORY FREQUENCY OF AROUND 0.1 HZ (6 BREATHS/MIN). THEREFORE, IT WAS HYPOTHESIZED THAT YOGA PRACTITIONERS MIGHT HAVE ADAPTED TO SLOW BREATHING. THIS STUDY WAS AIMED TO DECIPHER THE ROLE OF YOGA ON CARDIOVASCULAR VARIABILITY DURING SLOW BREATHING (0.1 HZ) IN YOGA PRACTITIONERS. METHODS: A CROSS-SECTIONAL STUDY WAS UNDERTAKEN IN NAIVE-TO-YOGA INDIVIDUALS (N=40) AND YOGA PRACTITIONERS (N=40) WITH AN AVERAGE AGE OF 31.08 +/- 7.31 AND 29.93 +/- 7.57 YR, RESPECTIVELY. THE ANALYSIS OF HEART RATE VARIABILITY, BLOOD PRESSURE VARIABILITY (BPV) AND BRS DURING SPONTANEOUS AND SLOW BREATHING WAS COMPARED BETWEEN THE TWO GROUPS. RESULTS: DURING SLOW BREATHING, THE HEART RATE (P<0.01) WAS LOWER, RESPIRATORY RATE INTERVAL (P<0.05) AND PNN50 PER CENT (P=0.01) WERE HIGHER, MEAN SYSTOLIC BP (SBP) (P<0.05) AND SDSD (STANDARD DEVIATION OF SUCCESSIVE BEAT TO BEAT SYSTOLIC BLOOD PRESSURE DIFFERENCES) (P<0.01) OF SBP VARIABILITY WERE LOWER WITH SEQUENCE BRS (P<0.001) AND ALPHA LOW FREQUENCY (P<0.01) AND ALPHA HIGH FREQUENCY (P<0.001) OF SPECTRAL BRS WERE HIGHER IN YOGA PRACTITIONERS. INTERPRETATION & CONCLUSIONS: THE PRESENT STUDY INDICATED HIGHER PARASYMPATHETIC ACTIVITY AND BRS WITH LOWER SBP VARIABILITY AT REST AND DURING SLOW BREATHING IN YOGA PRACTITIONERS COMPARED TO NAIVE GROUP. FINDINGS INDICATE THAT THE SHORT-TERM PRACTICE OF SLOW BREATHING COMPLEMENTS THE AUGMENTED PARASYMPATHETIC ACTIVITY AND BRS IN THE YOGA GROUP. 2020 12 411 46 BLOOD PRESSURE AND HEART RATE VARIABILITY DURING YOGA-BASED ALTERNATE NOSTRIL BREATHING PRACTICE AND BREATH AWARENESS. BACKGROUND: PREVIOUS RESEARCH HAS SHOWN A REDUCTION IN BLOOD PRESSURE (BP) IMMEDIATELY AFTER THE PRACTICE OF ALTERNATE NOSTRIL YOGA BREATHING (ANYB) IN NORMAL HEALTHY MALE VOLUNTEERS AND IN HYPERTENSIVE PATIENTS OF BOTH SEXES. THE BP DURING ANYB HAS NOT BEEN RECORDED. MATERIAL/METHODS: PARTICIPANTS WERE 26 MALE VOLUNTEERS (GROUP MEAN AGE +/-SD, 23.8+/-3.5 YEARS). WE ASSESSED (1) HEART RATE VARIABILITY, (2) NON-INVASIVE ARTERIAL BP, AND (3) RESPIRATION RATE, DURING (A) ANYB AND (B) BREATH AWARENESS (BAW) SESSIONS. EACH SESSION WAS 25 MINUTES. WE PERFORMED ASSESSMENTS AT 3 TIME POINTS: PRE (5 MINUTES), DURING (15 MINUTES; FOR ANYB OR BAW) AND POST (5 MINUTES). A NAIVE-TO-YOGA CONTROL GROUP (N=15 MALES, MEAN AGE +/-SD 26.1+/-4.0 YEARS) WERE ASSESSED WHILE SEATED QUIETLY FOR 25 MINUTES. RESULTS: DURING ANYB THERE WAS A SIGNIFICANT DECREASE (REPEATED MEASURES ANOVA) IN SYSTOLIC BP AND RESPIRATION RATE; WHILE RMSSD (THE SQUARE ROOT OF THE MEAN OF THE SUM OF SQUARES OF DIFFERENCES BETWEEN ADJACENT NN INTERVALS) AND NN50 (THE NUMBER OF INTERVAL DIFFERENCES OF SUCCESSIVE NORMAL TO NORMAL INTERVALS GREATER THAN 50 MS) SIGNIFICANTLY INCREASED. DURING BAW RESPIRATION RATE DECREASED. IN CONTRAST, RESPIRATION RATE INCREASED DURING THE CONTROL STATE. ANYB AND BAW WERE SIGNIFICANTLY DIFFERENT (2-FACTOR ANOVA) IN RMSSD AND RESPIRATION RATE. BAW AND CONTROL WERE DIFFERENT WITH RESPECT TO RESPIRATION RATE. CONCLUSIONS: THE RESULTS SUGGEST THAT VAGAL ACTIVITY INCREASED DURING AND AFTER ANYB, WHICH COULD HAVE CONTRIBUTED TO THE DECREASE IN BP AND CHANGES IN THE HRV. 2014 13 873 30 EFFECT OF YOGA THERAPY ON HEART RATE, BLOOD PRESSURE AND CARDIAC AUTONOMIC FUNCTION IN HEART FAILURE. BACKGROUND AND OBJECTIVE: IT IS WELL KNOWN THAT A HALL MARK OF HEART FAILURE IS ADVERSE CHANGES IN AUTONOMIC FUNCTION. ELEVATED BLOOD PRESSURE IS A POWERFUL PREDICTOR OF CONGESTIVE HEART FAILURE AND OTHER CARDIOVASCULAR DISEASE (CVD) OUTCOMES. IN THIS STUDY, WE PLANNED TO EXAMINE THE EFFECTS OF A 12 WEEK YOGA THERAPY ON BLOOD PRESSURE, HEART RATE, HEART RATE VARIABILITY, AND RATE PRESSURE PRODUCT (RPP). METHODS: OUT OF 130 HEART FAILURE PATIENTS RECRUITED FOR THE STUDY, 65 PATIENTS WERE RANDOMLY SELECTED TO RECEIVE 12 WEEK YOGA THERAPY ALONG WITH STANDARD MEDICAL THERAPY (YOGA GROUP). OTHER PATIENTS (N=65) RECEIVED ONLY STANDARD MEDICAL THERAPY (CONTROL GROUP). HEART RATE, BLOOD PRESSURE, CARDIAC AUTONOMIC FUNCTION (BY SHORT-TERM HEART-RATE VARIABILITY ANALYSIS) AND MYOCARDIAL OXYGEN CONSUMPTION (BY RPP) WERE ASSESSED BEFORE AND AFTER 12 WEEKS. IN THE YOGA GROUP, 44 PATIENTS AND IN THE CONTROL GROUP, 48 PATIENTS COMPLETED THE STUDY. RESULTS: THERE WAS A SIGNIFICANT DECREASE IN HEART RATE, BLOOD PRESSURE AND RPP IN YOGA GROUP COMPARED TO CONTROL GROUP. ALSO, LFNU AND LF-HF RATIO DECREASED SIGNIFICANTLY AND HFNU INCREASED SIGNIFICANTLY IN YOGA GROUP COMPARED TO CONTROL GROUP. CONCLUSION: TWELVE-WEEK YOGA THERAPY SIGNIFICANTLY IMPROVED THE PARASYMPATHETIC ACTIVITY AND DECREASED THE SYMPATHETIC ACTIVITY IN HEART FAILURE PATIENTS (NYHA I&II). 2014 14 2193 36 THE EFFECTS OF YOGA TRAINING AND A SINGLE BOUT OF YOGA ON DELAYED ONSET MUSCLE SORENESS IN THE LOWER EXTREMITY. THE PURPOSE OF THIS STUDY WAS TO DETERMINE THE EFFECTS OF YOGA TRAINING AND A SINGLE BOUT OF YOGA ON THE INTENSITY OF DELAYED ONSET MUSCLE SORENESS (DOMS). 24 YOGA-TRAINED (YT; N = 12) AND NON-YOGA-TRAINED (CON; N = 12), MATCHED WOMEN VOLUNTEERS WERE ADMINISTERED A DOMS-INDUCING BENCH-STEPPING EXERCISE. MUSCLE SORENESS WAS ASSESSED AT BASELINE, 24, 48, 72, 96, AND 120 HOURS AFTER BENCH-STEPPING USING A VISUAL ANALOG SCALE (VAS). GROUPS WERE ALSO COMPARED ON BODY AWARENESS (BA), FLEXIBILITY USING THE SIT-AND-REACH TEST (SR), AND PERCEIVED EXERTION (RPE). STATISTICAL SIGNIFICANCE WAS ACCEPTED AT P