1 2386 174 YOGA AIDS BLOOD PRESSURE RECOVERY AFTER EXPOSURE OF FOREHEAD TO COLD: A PILOT STUDY. CONTEXT: HYPOTENSION THAT OCCURS AFTER A SINGLE BOUT OF AEROBIC EXERCISE ALSO ATTENUATES THE VASCULAR RESPONSE TO DISCRETE STRESSORS, AN EFFECT THAT CAN LAST FOR HOURS. IT IS UNKNOWN WHETHER THE HYPOTENSIVE BENEFITS OF TRADITIONAL EXERCISE EXTEND TO ALTERNATIVE FORMS OF MINDFUL EXERCISE, SUCH AS YOGA, TO CONFER TRANSIENT PROTECTION AGAINST NEUROVASCULAR CHALLENGES THAT INCREASE BLOOD PRESSURE (BP). OBJECTIVES: THE STUDY INTENDED TO EXAMINE THE EFFECTS OF ACUTE EXERCISE ON NEUROVASCULAR RESPONSES TO EXPOSURE OF THE FOREHEAD OF FEMALE YOGA PRACTITIONERS TO VASOCONSTRICTIVE COLD (IE, TO COLD PRESSOR STRESS). DESIGN: THE RESEARCH TEAM DESIGNED A STUDY WITH 3 CONDITIONS (IE, WITH PARTICIPANTS' PARTICIPATION IN 3 ACTIVITIES ON SEPARATE DAYS IN A REPEATED-MEASURES DESIGN). PARTICIPANTS WERE RANDOMLY ASSIGNED TO PERFORM THE ACTIVITIES IN 1 OF 3 ORDERS ACROSS SUCCESSIVE VISITS. PARTICIPANTS: PARTICIPANTS WERE 9 FEMALES, 20 TO 33 Y OLD, WHO HAD REGULARLY PRACTICED HATHA YOGA FROM 6 MO TO 12 Y BEFORE THE START OF THE STUDY. ALL PARTICIPANTS WERE NORMOTENSIVE AT ENTRY TO THE STUDY AND HAD NORMAL BODY WEIGHTS FOR THEIR HEIGHTS. INTERVENTIONS: ALL PARTICIPANTS PERFORMED 3 ACTIVITIES: (1) SELF-DIRECTED YOGA PRACTICE, THE INTERVENTION; (2) CYCLING EXERCISE AT A SELF-SELECTED INTENSITY, A POSITIVE CONTROL; AND (3) QUIET REST, A NEGATIVE CONTROL. OUTCOME MEASURES: POSTINTERVENTION, PARTICIPANTS' FOREHEADS WERE EXPOSED TO COLD. THEIR SYSTOLIC BLOOD PRESSURES (SBPS), DIASTOLIC BLOOD PRESSURES (DBPS), PULSE RATES, AND FOREARM OXYGENATION WERE ASSESSED USING NEAR-INFRARED SPECTROSCOPY. RESULTS: PARTICIPANTS' SBPS AND DBPS INCREASED DURING COLD PRESSOR STRESS UNDER ALL CONDITIONS, CONCURRENT WITH DECREASED FOREARM OXYGENATION. DURING RECOVERY FROM THE COLD, PARTICIPANTS' BPS DECLINED TO NEAR PRECOLD PRESSOR BASELINE LEVELS AFTER YOGA AND CYCLING BUT REMAINED ELEVATED AFTER QUIET REST. CONCLUSIONS: THE ENHANCED RECOVERY OF BP FROM COLD APPLIED TO THE FOREHEAD AFTER YOGA PRACTICE OR CYCLING EXERCISE SUGGESTS THAT BOTH TYPES OF EXERCISE PROMOTE A HYPOTENSIVE RESPONSE, WHICH COULD INDICATE LOWERED CARDIOVASCULAR RISK. 2018 2 369 26 AUTONOMIC FUNCTIONS IN RAJA-YOGA MEDITATORS. STRESS, AN INEVITABLE AND CONSTANT FEATURE THROUGHOUT THE LIFETIME, INDUCES AUTONOMIC DYSFUNCTIONS, FOR WHICH MEDITATION IS CONSIDERED TO BE AN ANTIDOTE. SO THE CASE CONTROL STUDY WAS PLANNED INCLUDING 50 RAJA-YOGA MEDITATORS PRACTICING MEDITATION FOR 5 YEARS AND 50 AGE MATCHED NON-MEDITATORS. AUTONOMIC FUNCTION TESTS WERE PERFORMED AND RESULTS WERE COMPARED USING THE STUDENT-T TEST. MEAN VALUES OF RESTING HR, SBP AND DBP WERE LESS IN MEDITATORS. GALVANIC SKIN RESPONSE IN MEDITATORS WAS SIGNIFICANTLY MORE (P < 0.001). MEAN INCREASE BP RESPONSE TO HAND GRIP TEST AND COLD PRESSOR TEST WAS SIGNIFICANTLY LESS IN MEDITATORS THAN NON-MEDITATORS (P < 0.001). STANDING: LYING RATIO, VALSALVA RATIO, INSPIRATION: EXPIRATION RATIO AND 30:15 RATIOS WERE SIGNIFICANTLY INCREASED IN MEDITATORS THAN NON-MEDITATORS. FROM THE RESULTS, THERE WAS SHIFTING OF THE AUTONOMIC BALANCE TO PARASYMPATHETIC SIDE IN RAJA-YOGA MEDITATORS, WHICH SUGGESTS ITS UTILITY TO COMBAT THE ILL EFFECTS OF STRESS. 2015 3 2390 17 YOGA AND BIOFEEDBACK IN THE MANAGEMENT OF 'STRESS' IN HYPERTENSIVE PATIENTS. 1. PSYCHOPHYSICAL RELAXATION EXERCISES BASED ON YOGIC PRINCIPLES AND REINFORCED BY BIOFEEDBACK INSTRUMENTS WERE USED FOR BEHAVIOUR MODIFICATION IN SIXTEEN HYPERTENSIVE SUBJECTS. 2. PRELIMINARY STUDIES INDICATED THAT THEIR PRESSOR RESPONSE TO EMOTIONAL AND PHYSICAL STIMULI BECAME LESS EXAGGERATED AND LESS PROTRACTED COMPARED WITH CONTROLS. 1975 4 1322 35 HEMODYNAMIC AND PRESSOR RESPONSES TO COMBINATION OF YOGA AND BLOOD FLOW RESTRICTION. A COMBINATION OF YOGA AND BLOOD FLOW RESTRICTION, EACH OF WHICH ELICITS MARKED PRESSOR RESPONSES, MAY FURTHER INCREASE BLOOD PRESSURE AND MYOCARDIAL OXYGEN DEMAND. TO DETERMINE THE IMPACT OF A COMBINATION OF YOGA AND BLOOD FLOW RESTRICTION ON HEMODYNAMIC RESPONSES, TWENTY YOUNG HEALTHY PARTICIPANTS PERFORMED 20 YOGA POSES WITH/WITHOUT BLOOD FLOW RESTRICTION BANDS PLACED ON BOTH LEGS. AT BASELINE, THERE WERE NO SIGNIFICANT DIFFERENCES IN ANY OF THE VARIABLES BETWEEN THE BLOOD FLOW RESTRICTION AND NON-BLOOD FLOW RESTRICTION CONDITIONS. BLOOD PRESSURE AND HEART RATE INCREASED IN RESPONSE TO THE VARIOUS YOGA POSES (P<0.01) BUT WERE NOT DIFFERENT BETWEEN THE BLOOD FLOW RESTRICTION AND NON-BLOOD FLOW RESTRICTION CONDITIONS. RATE-PRESSURE PRODUCTS, AN INDEX OF MYOCARDIAL OXYGEN DEMAND, INCREASED SIGNIFICANTLY DURING YOGA EXERCISES WITH NO SIGNIFICANT DIFFERENCES BETWEEN THE TWO CONDITIONS. RATING OF PERCEIVED EXERTION WAS NOT DIFFERENT BETWEEN THE CONDITIONS. BLOOD LACTATE CONCENTRATION WAS SIGNIFICANTLY GREATER AFTER PERFORMING YOGA WITH BLOOD FLOW RESTRICTION BANDS (P=0.007). CARDIO-ANKLE VASCULAR INDEX, AN INDEX OF ARTERIAL STIFFNESS, DECREASED SIMILARLY AFTER YOGA EXERCISE IN BOTH CONDITIONS WHILE FLOW-MEDIATED DILATION REMAINED UNCHANGED. IN CONCLUSION, THE USE OF LOWER BODY BLOOD FLOW RESTRICTION BANDS IN COMBINATION WITH YOGA DID NOT RESULT IN ADDITIVE OR SYNERGISTIC HEMODYNAMIC AND PRESSOR RESPONSES. 2020 5 887 15 EFFECT OF YOGA TYPE BREATHING ON HEART RATE AND CARDIAC AXIS OF NORMAL SUBJECTS. EFFECT OF INSPIRATORY AND EXPIRATORY PHASES OF NORMAL QUIET BREATHING, DEEP BREATHING AND SAVITRI PRANAYAM TYPE BREATHING ON HEART RATE AND MEAN VENTRICULAR QRS AXIS WAS INVESTIGATED IN YOUNG, HEALTHY UNTRAINED SUBJECTS. PRANAYAM TYPE BREATHING PRODUCED SIGNIFICANT CARDIOACCELERATION AND INCREASE IN QRS AXIS DURING THE INSPIRATORY PHASE AS COMPARED TO EUPNEA. ON THE OTHER HAND, EXPIRATORY EFFORT DURING PRANAYAM TYPE BREATHING DID NOT PRODUCE ANY SIGNIFICANT CHANGE IN HEART RATE OR QRS AXIS. THE CHANGES IN HEART RATE AND QRS AXIS DURING THE INSPIRATORY AND EXPIRATORY PHASES OF PRANAYAM TYPE BREATHING WERE SIMILAR TO THE CHANGES OBSERVED DURING THE CORRESPONDING PHASES OF DEEP BREATHING. 1986 6 809 47 EFFECT OF YOGA ON AUTONOMIC FUNCTIONS AND PSYCHOLOGICAL STATUS DURING BOTH PHASES OF MENSTRUAL CYCLE IN YOUNG HEALTHY FEMALES. CONTEXT: PREMENSTRUAL STRESS AFFECTS 75% OF WOMEN OF CHILDBEARING AGE AND YOGA HAS BEEN FOUND TO BE BENEFICIAL IN MANY PSYCHO-SOMATIC DISORDERS. AIMS: TO INVESTIGATE THE EFFECT OF INTEGRATED YOGA ON AUTONOMIC PARAMETERS AND PSYCHOLOGICAL WELL-BEING DURING BOTH PRE AND POST PHASES OF MENSTRUAL CYCLE IN HEALTHY YOUNG FEMALE SUBJECTS. SETTINGS AND DESIGN: PRESENT STUDY IS A RANDOMIZED CONTROL TRIAL AND WAS CONDUCTED IN THE DEPARTMENT OF PHYSIOLOGY, LADY HARDINGE MEDICAL COLLEGE, NEW DELHI, INDIA. MATERIAL AND METHODS: FIFTY APPARENTLY HEALTHY FEMALES IN THE AGE GROUP OF 18-20 YEARS WERE RANDOMIZED INTO TWO GROUPS: GROUP I (N=25) CONSISTED OF SUBJECTS WHO PRACTICED YOGA 35-40 MINUTES PER DAY, SIX TIMES PER WEEK FOR THE DURATION OF THREE MENSTRUAL CYCLES. TRAINING WAS GIVEN BY QUALIFIED YOGA INSTRUCTOR. GROUP II (N=25) SUBJECTS ACTED AS CONTROLS. FOLLOWING PARAMETERS WERE RECORDED AT THE BEGINNING AND AFTER COMPLETION OF THREE MENSTRUAL CYCLES IN ALL THE SUBJECTS: HEIGHT, WEIGHT (BW), RESTING HEART RATE (HR), RESTING SYSTOLIC (SBP) AND DIASTOLIC BLOOD PRESSURE (DBP), PARASYMPATHETIC REACTIVITY TESTS INCLUDING EXPIRATION-INSPIRATION RATIO (E: I RATIO) AND 30:15 RATIO, SYMPATHETIC REACTIVITY TESTS INCLUDING BP CHANGES DUE TO ISOMETRIC HAND GRIP (IHG) EXERCISE, AND COLD PRESSOR TEST (CPT). ASSESSMENT OF PSYCHOLOGICAL STATUS WAS DONE BY ADMINISTERING DIPAS (DEFENSE INSTITUTE OF PHYSIOLOGY AND ALLIED SCIENCES) INVENTORIES OF ANGER SELF REPORT SCALE, TRAIT ANXIETY, SENSE OF WELL-BEING AND DEPRESSION SCALE. STATISTICAL ANALYSIS: INTRA-GROUP COMPARISON OF PHYSIOLOGICAL PARAMETERS WAS DONE BY USING PAIRED 'T' TEST, WHEREAS INTRA-GROUP COMPARISON OF NON-PARAMETERIC DATA SUCH AS SCORES OF ANXIETY, DEPRESSION, ANGER AND SENSE OF WELL-BEING WAS DONE BY WILCOXON SIGNED-RANK TEST. INTER-GROUP COMPARISON OF PARAMETERS WAS DONE BY STUDENTS 'T' TEST FOR PARAMETRIC TESTS AND MANN-WHITNEY 'U' TEST FOR NON-PARAMETERIC TESTS. RESULTS: THERE WAS SIGNIFICANTLY HIGHER BW, RESTING SBP, DBP, SYMPATHETIC ACTIVITY AND BLUNTING OF PARASYMPATHETIC REACTIVITY AND ALSO, SIGNIFICANTLY HIGHER SCORES OF ANGER, DEPRESSION, ANXIETY AND DECREASED SCORE OF WELL-BEING IN PREMENSTRUAL PHASE AS COMPARED TO POSTMENSTRUAL PHASE IN BOTH THE GROUPS IN INITIAL CYCLE. THERE WAS SIGNIFICANTLY HIGHER PERCENTAGE DECREASE IN BW, HR, SBP & DBP IN YOGA GROUP AS COMPARED TO CONTROL GROUP IN BOTH THE PHASES FROM INITIAL TO SECOND AND ONWARDS BETWEEN SECOND AND THIRD MENSTRUAL CYCLE. ALSO, DECREASE IN ANGER, DEPRESSION AND ANXIETY AND INCREASE IN WELL-BEING SCORE WAS SIGNIFICANT IN YOGA GROUP AS COMPARED TO CONTROL GROUP FROM INITIAL TO SECOND AND THIRD CYCLE IN PREMENSTRUAL PHASE WHILE THE CHANGE WAS SIGNIFICANT ONLY IN DEPRESSION SCORE IN POSTMENSTRUAL PHASE. CONCLUSION: OUR STUDY SHOWS THAT THERE WAS SIGNIFICANT ALTERATION OF AUTONOMIC FUNCTIONS AND PSYCHOLOGICAL STATUS IN PREMENSTRUAL PHASE WHEN COMPARED WITH POSTMENSTRUAL PHASE IN YOUNG HEALTHY FEMALES. ALSO, REGULAR PRACTICE OF YOGA HAS BENEFICIAL EFFECTS ON BOTH PHASES OF MENSTRUAL CYCLE BY BRINGING PARASYMPATHODOMINANCE AND PSYCHOLOGICAL WELL-BEING PROBABLY BY BALANCING NEURO-ENDOCRINAL AXIS. 2013 7 509 42 COMPARATIVE IMMEDIATE EFFECT OF DIFFERENT YOGA ASANAS ON HEART RATE AND BLOOD PRESSURE IN HEALTHY YOUNG VOLUNTEERS. INTRODUCTION: THIS STUDY PLANNED TO COMPARE IMMEDIATE CARDIOVASCULAR EFFECTS OF DIFFERENT YOGA ASANAS IN HEALTHY YOUNG VOLUNTEERS. MATERIALS AND METHODS: HEART RATE (HR), SYSTOLIC PRESSURE (SP), AND DIASTOLIC PRESSURE (DP), BLOOD PRESSURE (BP), WERE RECORDED USING THE NON INVASIVE BLOOD PRESSURE (NIBP) APPARATUS IN 22 HEALTHY YOUNG SUBJECTS, BEFORE AND AFTER THE PERFORMANCE OF DHANURASANA (DA), VAKRASANA (VA) (BOTH SIDES), JANUSIRASASANA (JSA) (BOTH SIDES), MATSYASANA AND SHAVASANA FOR 30 S. HR AND BP WERE FURTHER RECORDED DURING SUPINE RECOVERY AT 2, 4, 6, 8, AND 10 MIN. A REPEATED MEASURE OF ANOVA WAS USED FOR STATISTICAL ANALYSIS. RESULTS: THERE WERE SIGNIFICANT CHANGES IN HR AND BP BOTH IMMEDIATELY AFTER THE ASANAS AS WELL AS DURING THE RECOVERY PERIOD. OVERALL COMPARISONS OF % CHANGES IMMEDIATELY AFTER THE PERFORMANCE OF THE ASANAS REVEALED SIGNIFICANT DIFFERENCES WITH REGARD TO HR THAT INCREASED SIGNIFICANTLY AFTER DA. IN THE RECOVERY PHASE, THERE WERE SIGNIFICANT INTERGROUP DIFFERENCES FROM 2 MIN ONWARD IN BOTH SP AND DP. THE DECREASE OF SP AFTER VA (RIGHT SIDE) (VA-R) WAS SIGNIFICANTLY GREATER THAN SHAVASANA (4(TH), 6(TH), AND 8(TH) MIN) AND JSA (LEFT SIDE) (JSA-L) AT 6(TH) AND 8(TH) MIN. DP DECREASED SIGNIFICANTLY AFTER PERFORMING JSA-L COMPARED TO VA-R AT THE 6(TH) AND 8(TH) MIN. DISCUSSION: THE CARDIOVASCULAR CHANGES IMMEDIATELY AFTER THE ASANAS AND DURING THE RECOVERY PHASE REVEAL INHERENT DIFFERENCES BETWEEN THE SELECTED POSTURES. THE RISE OF HR IN DA MAY BE ATTRIBUTED TO INCREASED SYMPATHETIC RESPONSE DUE TO THE RELATIVE DIFFICULTY OF THE POSTURE AS WELL AS ABDOMINAL COMPRESSION OCCURRING IN IT. THE EFFECT OF SUPINE RELAXATION IS MORE PRONOUNCED AFTER THE PERFORMANCE OF THE ASANAS AS COMPARED TO MERE RELAXATION IN SHAVASANA. THIS MAY BE ATTRIBUTED TO A NORMALIZATION AND RESULTANT HOMEOSTATIC EFFECT OCCURRING DUE TO A GREATER, HEALTHIER DE-ACTIVATION OF THE AUTONOMIC NERVOUS SYSTEM OCCURRING TOWING TO THE PRESENCE OF PRIOR ACTIVATION. THERE WERE ALSO SUBTLE DIFFERENCES BETWEEN THE RIGHT SIDED AND LEFT SIDED PERFORMANCE OF VA AND JSA THAT MAY BE OCCURRING DUE TO THE DIFFERENT INTERNAL STRUCTURES BEING EITHER COMPRESSED OR RELAXED ON EITHER SIDE. CONCLUSION: OUR STUDY PROVIDES INITIAL EVIDENCE OF DIFFERENTIAL CARDIOVASCULAR EFFECTS OF ASANAS AND SUBTLE DIFFERENCES BETWEEN RIGHT AND LEFT SIDED PERFORMANCE. FURTHER, CARDIOVASCULAR RECOVERY IS GREATER AFTER THE PERFORMANCE OF THE ASANAS AS COMPARED TO SHAVASAN; THUS, IMPLYING A BETTER RESPONSE WHEN EFFORT PRECEDES RELAXATION. 2014 8 744 34 EFFECT OF ROSARY PRAYER AND YOGA MANTRAS ON AUTONOMIC CARDIOVASCULAR RHYTHMS: COMPARATIVE STUDY. OBJECTIVE: TO TEST WHETHER RHYTHMIC FORMULAS SUCH AS THE ROSARY AND YOGA MANTRAS CAN SYNCHRONISE AND REINFORCE INHERENT CARDIOVASCULAR RHYTHMS AND MODIFY BAROREFLEX SENSITIVITY. DESIGN: COMPARISON OF EFFECTS OF RECITATION OF THE AVE MARIA (IN LATIN) OR OF A MANTRA, DURING SPONTANEOUS AND METRONOME CONTROLLED BREATHING, ON BREATHING RATE AND ON SPONTANEOUS OSCILLATIONS IN RR INTERVAL, AND ON BLOOD PRESSURE AND CEREBRAL CIRCULATION. SETTING: FLORENCE AND PAVIA, ITALY. PARTICIPANTS: 23 HEALTHY ADULTS. MAIN OUTCOME MEASURES: BREATHING RATE, REGULARITY OF BREATHING, BAROREFLEX SENSITIVITY, FREQUENCY OF CARDIOVASCULAR OSCILLATIONS. RESULTS: BOTH PRAYER AND MANTRA CAUSED STRIKING, POWERFUL, AND SYNCHRONOUS INCREASES IN EXISTING CARDIOVASCULAR RHYTHMS WHEN RECITED SIX TIMES A MINUTE. BAROREFLEX SENSITIVITY ALSO INCREASED SIGNIFICANTLY, FROM 9.5 (SD 4.6) TO 11.5 (4.9) MS/MM HG, P<0.05. CONCLUSION: RHYTHM FORMULAS THAT INVOLVE BREATHING AT SIX BREATHS PER MINUTE INDUCE FAVOURABLE PSYCHOLOGICAL AND POSSIBLY PHYSIOLOGICAL EFFECTS. 2001 9 416 30 BODY TEMPERATURE AND ENERGY EXPENDITURE DURING AND AFTER YOGA BREATHING PRACTICES TRADITIONALLY DESCRIBED AS COOLING. BACKGROUND IN TRADITIONAL YOGA TEXTS, SHEETALI AND SITKARI PRANAYAMAS ARE DESCRIBED AS COOLING. THE PRESENT STUDY WAS AIMED AT RECORDING THE SURFACE BODY TEMPERATURE, OXYGEN CONSUMED, AND CARBON DIOXIDE ELIMINATED BEFORE, DURING, AND AFTER PERFORMANCE OF SHEETALI AND SITKARI PRANAYAMAS. MATERIAL AND METHODS SEVENTEEN HEALTHY MALE VOLUNTEERS WITH AGES BETWEEN 19 TO 25 YEARS (AVERAGE AGE 20.7+/-1.8 YEARS) WERE ASSESSED IN 4 SESSIONS, VIZ. SHEETALI PRANAYAMA, SITKARI PRANAYAMA, BREATH AWARENESS AND QUIET LYING, ON 4 SEPARATE DAYS, IN RANDOM SEQUENCE. THE AXILLARY SURFACE BODY TEMPERATURE (TRUSCOPE II, SCHILLER, CHINA) AND METABOLIC VARIABLES (QUARK CPET, COSMED, ITALY) WERE RECORDED IN 3 PERIODS: BEFORE (5 MINUTES), DURING (18 MINUTES), AND AFTER (5 MINUTES), IN EACH OF THE 4 SESSIONS. THE HEAT INDEX WAS CALCULATED IN THE BEFORE AND AFTER PERIODS, BASED ON RECORDINGS OF AMBIENT TEMPERATURE AND HUMIDITY. DATA WERE ANALYZED USING SPSS (VERSION 24.0). RESULTS BODY TEMPERATURE INCREASED SIGNIFICANTLY DURING SHEETALI AND SITKARI (P<0.05, P<0.01; RESPECTIVELY) WHILE IT DECREASED AFTER BREATH AWARENESS AND QUIET LYING DOWN (P<0.01, P<0.001; RESPECTIVELY) WHEN COMPARED WITH RESPECTIVE POST-EXERCISE STATES. OXYGEN CONSUMPTION INCREASED BY 9.0% DURING SHEETALI (P<0.05) AND BY 7.6% DURING SITKARI (P<0.01) WHILE IT DECREASED SIGNIFICANTLY DURING (P<0.05) AND AFTER (P<0.01) QUIET LYING DOWN COMPARED TO RESPECTIVE PRE-EXERCISE STATES. CONCLUSIONS THE RESULTS DO NOT SUPPORT THE DESCRIPTION OF THESE YOGA BREATHING PRACTICES AS COOLING. THESE YOGA BREATHING PRACTICES MAY BE USED TO INDUCE A MILD HYPERMETABOLIC STATE. 2020 10 821 28 EFFECT OF YOGA ON EXERCISE TOLERANCE IN NORMAL HEALTHY VOLUNTEERS. TWELVE NORMAL HEALTHY VOLUNTEERS (6 MALES AND 6 FEMALES) UNDERGOING YOGA TRAINING FOR 90 DAYS WERE STUDIED FOR THE EFFECT OF YOGA ON EXERCISE TOLERANCE. THEIR AGES RANGED FROM 18 TO 28 YEARS. THE VOLUNTEERS WERE TAUGHT ONLY PRANAYAMA FOR THE FIRST 20 DAYS AND LATER ON YOGIC ASANAS WERE ADDED. SUB-MAXIMAL EXERCISE TOLERANCE TEST WAS DONE ON A MOTORIZED TREADMILL BY USING BALKE'S MODIFIED PROTOCOL, INITIALLY, AFTER 20 DAYS (PHASE-I) AND AFTER 90 DAYS OF YOGA TRAINING (PHASE-II). PYRUVATE AND LACTATE IN VENOUS BLOOD AND BLOOD GASES IN CAPILLARY BLOOD WERE ESTIMATED IMMEDIATELY BEFORE AND AFTER THE EXERCISE. MINUTE VENTILATION AND OXYGEN CONSUMPTION WERE ESTIMATED BEFORE AND DURING THE TEST. POST EXERCISE BLOOD LACTATE WAS ELEVATED SIGNIFICANTLY DURING INITIAL AND PHASE-I, BUT NOT IN PHASE-II. THERE WAS SIGNIFICANT REDUCTION OF MINUTE VENTILATION AND OXYGEN CONSUMPTION ONLY IN MALES IN PHASE-I AND II AT THE TIME WHEN THE VOLUNTEERS REACHED THEIR 80% OF THE PREDICTED HEART RATE. FEMALE VOLUNTEERS WERE ABLE TO GO TO HIGHER LOADS OF EXERCISE IN PHASE-I AND II. 1986 11 1323 41 HEMODYNAMIC OBSERVATIONS OF TUMO YOGA PRACTITIONERS IN A HIMALAYAN ENVIRONMENT. BACKGROUND: FEW ATTEMPTS HAVE BEEN MADE TO EVALUATE THE PHYSIOLOGY OF TRADITIONAL EASTERN HEALTH PRACTICES. THE GOAL OF THIS STUDY WAS TO EVALUATE THE HEMODYNAMIC EFFECTS OF THE MYSTERIOUS BUDDHIST PRACTICE OF TUMO. TUMO IS A MEDITATIVE PRACTICE THAT PRODUCES INNER HEAT THROUGH THE ALLEGED CULTIVATION OF BODY ENERGY-CHANNELS. METHODS: THIS STUDY WAS PERFORMED BY MEMBERS OF AN INTERNATIONAL EXPEDITION TO THE HIMALAYAN MOUNTAINS IN THE REPUBLIC OF INDIA. THE STUDY WAS PERFORMED IN AN UNPOPULATED OUTDOOR MOUNTAINOUS AREA AT AN ALTITUDE OF 16,400 FT WITH AMBIENT TEMPERATURES BETWEEN -10 AND -15( DEGREES )C. TWO (2) COHORTS OF SUBJECTS WERE STUDIED: HEALTHY NON-YOGI VOLUNTEERS AND TUMO PRACTITIONERS. ALL OF THE SUBJECTS WERE STRIPPED DOWN TO THEIR UNDERCLOTHES AND EXPOSED TO THE SUBZERO ATMOSPHERIC TEMPERATURES FOR 5 MINUTES. THE VOLUNTEERS WERE THEN PASSIVELY REWARMED WHILE THE TUMO PRACTITIONERS PERFORMED TUMO FOR UP TO 10 MINUTES. BLOOD PRESSURE, HEART RATE, AND STROKE VOLUME INDEX (SVI) AND CARDIAC INDEX WERE MEASURED NONINVASIVELY USING A NICOM HEMODYNAMIC MONITOR, WHILE CAROTID BLOOD FLOW AND BIVENTRICULAR PERFORMANCE WERE DETERMINED ECHOCARDIOGRAPHICALLY AT EACH STAGE OF THE EXPERIMENT. THE TOTAL PERIPHERAL RESISTANCE INDEX (TPRI), LEFT VENTRICULAR EJECTION FRACTION (LVEF), AND TRICUSPID ANNULAR PLANE SYSTOLIC EXCURSION (TAPSE) WERE DETERMINED USING STANDARD FORMULA. RESULTS: FOURTEEN (14) SUBJECTS (SIX VOLUNTEERS AND EIGHT TUMO PRACTITIONERS) COMPLETED THE STUDY. THERE WAS ONE FEMALE SUBJECT IN EACH GROUP. WITH COLD EXPOSURE, THE SVI AND CAROTID BLOOD FLOW DECREASED WHILE THE TPRI INCREASED SIGNIFICANTLY IN BOTH GROUPS. IN THE VOLUNTEER GROUP, THESE CHANGES RETUNED TO BASELINE WITH REWARMING. FOLLOWING TUMO, THE CARDIAC INDEX (4.8+/-0.6 VERSUS 4.0+/-0.5 L/M(2); P<0.01), CAROTID BLOOD FLOW (445+/-127 VERSUS 325+/-100 ML/MIN/M(2), P<0.01), LVEF (68+/-5 VERSUS 64+/-7%; P<0.05) AND TAPSE (2.9+/-0.4 VERSUS 2.4+/-0.5 CM; P<0.01) WERE SIGNIFICANTLY HIGHER WHEN COMPARED WITH BASELINE, WHILE THE TPRI WAS SIGNIFICANTLY LOWER (1786+/-189 VERSUS 2173+/-281; P<0.01). CONCLUSIONS: TUMO WAS ASSOCIATED WITH A HYPERDYNAMIC VASODILATED STATE WITH INCREASED BIVENTRICULAR PERFORMANCE. WE POSTULATE THAT TUMO RESULTS IN A MASSIVE INCREASE IN SYMPATHETIC ACTIVITY WITH ACTIVATION OF BROWN ADIPOSE TISSUE AND MARKED HEAT PRODUCTION. THE INCREASED HEAT PRODUCTION MAY EXPLAIN THE PARADOXICAL VASODILATATION IN TUMO PRACTITIONERS EXPOSED TO SUBZERO TEMPERATURES. 2014 12 438 35 CARDIOVASCULAR AND RESPIRATORY EFFECT OF YOGIC SLOW BREATHING IN THE YOGA BEGINNER: WHAT IS THE BEST APPROACH? SLOW BREATHING INCREASES CARDIAC-VAGAL BAROREFLEX SENSITIVITY (BRS), IMPROVES OXYGEN SATURATION, LOWERS BLOOD PRESSURE, AND REDUCES ANXIETY. WITHIN THE YOGA TRADITION SLOW BREATHING IS OFTEN PAIRED WITH A CONTRACTION OF THE GLOTTIS MUSCLES. THIS RESISTANCE BREATH "UJJAYI" IS PERFORMED AT VARIOUS RATES AND RATIOS OF INSPIRATION/EXPIRATION. TO TEST WHETHER UJJAYI HAD ADDITIONAL POSITIVE EFFECTS TO SLOW BREATHING, WE COMPARED BRS AND VENTILATORY CONTROL UNDER DIFFERENT BREATHING PATTERNS (EQUAL/UNEQUAL INSPIRATION/EXPIRATION AT 6 BREATH/MIN, WITH/WITHOUT UJJAYI), IN 17 YOGA-NAIVE YOUNG HEALTHY PARTICIPANTS. BRS INCREASED WITH SLOW BREATHING TECHNIQUES WITH OR WITHOUT EXPIRATORY UJJAYI (P < 0.05 OR HIGHER) EXCEPT WITH INSPIRATORY + EXPIRATORY UJJAYI. THE MAXIMAL INCREASE IN BRS AND DECREASE IN BLOOD PRESSURE WERE FOUND IN SLOW BREATHING WITH EQUAL INSPIRATION AND EXPIRATION. THIS CORRESPONDED WITH A SIGNIFICANT IMPROVEMENT IN OXYGEN SATURATION WITHOUT INCREASE IN HEART RATE AND VENTILATION. UJJAYI SHOWED SIMILAR INCREASE IN OXYGEN SATURATION BUT SLIGHTLY LESSER IMPROVEMENT IN BAROREFLEX SENSITIVITY WITH NO CHANGE IN BLOOD PRESSURE. THE SLOW BREATHING WITH EQUAL INSPIRATION AND EXPIRATION SEEMS THE BEST TECHNIQUE FOR IMPROVING BAROREFLEX SENSITIVITY IN YOGA-NAIVE SUBJECTS. THE EFFECTS OF UJJAYI SEEMS DEPENDENT ON INCREASED INTRATHORACIC PRESSURE THAT REQUIRES GREATER EFFORT THAN NORMAL SLOW BREATHING. 2013 13 1881 32 REDUCED HYPOXIC VENTILATORY RESPONSE WITH PRESERVED BLOOD OXYGENATION IN YOGA TRAINEES AND HIMALAYAN BUDDHIST MONKS AT ALTITUDE: EVIDENCE OF A DIFFERENT ADAPTIVE STRATEGY? YOGA INDUCES LONG-TERM CHANGES IN RESPIRATORY FUNCTION AND CONTROL. WE TESTED WHETHER IT REPRESENTS A SUCCESSFUL STRATEGY FOR HIGH-ALTITUDE ADAPTATION. WE COMPARED VENTILATORY, CARDIOVASCULAR AND HEMATOLOGICAL PARAMETERS IN: 12 CAUCASIAN YOGA TRAINEES AND 12 CONTROL SEA-LEVEL RESIDENTS, AT BASELINE AND AFTER 2-WEEK EXPOSURE TO HIGH ALTITUDE (PYRAMID LABORATORY, NEPAL, 5,050 M), 38 ACTIVE LIFESTYLE HIGH-ALTITUDE NATIVES (SHERPAS) AND 13 CONTEMPLATIVE LIFESTYLE HIGH-ALTITUDE NATIVES WITH PRACTICE OF YOGA-LIKE RESPIRATORY EXERCISES (BUDDHIST MONKS) STUDIED AT 5,050 M. AT BASELINE, HYPOXIC VENTILATORY RESPONSE (HVR), RED BLOOD CELL COUNT AND HEMATOCRIT WERE LOWER IN CAUCASIAN YOGA TRAINEES THAN IN CONTROLS. AFTER 14 DAYS AT ALTITUDE, YOGA TRAINEES SHOWED SIMILAR OXYGEN SATURATION, BLOOD PRESSURE, RR INTERVAL COMPARED TO CONTROLS, BUT LOWER HVR (-0.44 +/- 0.08 VS. -0.98 +/- 0.21 L/MIN/M/%SAO(2), P < 0.05), MINUTE VENTILATION (8.3 +/- 0.9 VS. 10.8 +/- 1.6 L/MIN, P < 0.05), BREATHING RATE (INDICATING HIGHER VENTILATORY EFFICIENCY), AND LOWER RED BLOOD CELL COUNT, HEMOGLOBIN, HEMATOCRIT, ALBUMIN, ERYTHROPOIETIN AND SOLUBLE TRANSFERRIN RECEPTORS. HYPOXIC VENTILATORY RESPONSE IN MONKS WAS LOWER THAN IN SHERPAS (-0.23 +/- 0.05 VS. -0.63 +/- 0.09 L/MIN/M/%SAO(2), P < 0.05); VALUES WERE SIMILAR TO BASELINE DATA OF YOGA TRAINEES AND CAUCASIAN CONTROLS, RESPECTIVELY. RED BLOOD CELL COUNT AND HEMATOCRIT WERE LOWER IN MONKS AS COMPARED TO SHERPAS. IN CONCLUSION, CAUCASIAN SUBJECTS PRACTICING YOGA MAINTAIN A SATISFACTORY OXYGEN TRANSPORT AT HIGH ALTITUDE, WITH MINIMAL INCREASE IN VENTILATION AND WITH REDUCED HEMATOLOGICAL CHANGES, RESEMBLING HIMALAYAN NATIVES. RESPIRATORY ADAPTATIONS INDUCED BY THE PRACTICE OF YOGA MAY REPRESENT AN EFFICIENT STRATEGY TO COPE WITH ALTITUDE-INDUCED HYPOXIA. 2007 14 2005 22 STUDY OF PULMONARY AND AUTONOMIC FUNCTIONS OF ASTHMA PATIENTS AFTER YOGA TRAINING. "THE CONCEPT OF YOGA IS HELPFUL FOR THE TREATMENT OF BRONCHIAL ASTHMA", HAS CREATED A GREAT INTEREST IN THE MEDICAL RESEARCH FIELD. IN ORDER TO INVESTIGATE WHETHER AUTONOMIC FUNCTIONS AND PULMONARY FUNCTIONS ARE IMPROVED IN ASTHMA PATIENTS AFTER SHORT TERM YOGA TRAINING, A STUDY WAS CONDUCTED WITH NINE DIAGNOSED BRONCHIAL ASTHMA PATIENTS. YOGA TRAINING WAS GIVEN FOR SEVEN DAYS IN A CAMP IN ADHYATMA SADHNA KENDRA, NEW DELHI. THE AUTONOMIC FUNCTION TESTS TO MEASURE THE PARASYMPATHETIC REACTIVITY (DEEP BREATHING TEST, VALSALVA MANOUEVER), SYMPATHETIC REACTIVITY (HAND GRIP TEST, COLD PRESSURE TEST), AND PULMONARY FUNCTION TESTS FVC, FEV1, PEFR, PIF, BHT AND CE WERE RECORDED BEFORE AND AFTER YOGA TRAINING. THE RESTING HEART RATE AFTER YOGA TRAINING (P < 0.05) WAS SIGNIFICANTLY DECREASED (89.55 +/- 18.46/MIN TO 76.22 +/- 16.44/MIN). THE SYMPATHETIC REACTIVITY WAS REDUCED FOLLOWING YOGA TRAINING AS INDICATED BY SIGNIFICANT (P < 0.01) REDUCTION IN DBP AFTER HGT. THERE WAS NO CHANGE IN PARASYMPATHETIC REACTIVITY. THE FVC, FEV1, PEFR DID NOT SHOW ANY SIGNIFICANT CHANGE. THE PIF (P < 0.01), BHT (P < 0.01) AND CE (P < 0.01) SHOWED SIGNIFICANT IMPROVEMENT. THE RESULTS CLOSELY INDICATED THE REDUCTION IN SYMPATHETIC REACTIVITY AND IMPROVEMENT IN THE PULMONARY VENTILATION BY WAY OF RELAXATION OF VOLUNTARY INSPIRATORY AND EXPIRATORY MUSCLES. THE "COMPREHENSIVE YOGIC LIFE STYLE CHANGE PROGRAMME FOR PATIENTS OF BRONCHIAL ASTHMA" HAVE SHOWN SIGNIFICANT BENEFIT EVEN WITHIN A SHORT PERIOD. 1996 15 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 16 804 16 EFFECT OF YOGA ON AEROBIC AND ANAEROBIC POWER OF MUSCLES. AEROBIC POWER (VO2 MAX) AND ANAEROBIC POWER WERE ESTIMATED IN MEDICAL STUDENTS BEFORE AND AFTER SIX WEEKS OF YOGIC TRAINING. A SIGNIFICANT INCREASE IN AEROBIC POWER AND A SIGNIFICANT DECREASE IN ANAEROBIC POWER WAS OBSERVED. THIS MAY BE DUE TO CONVERSION OF SOME OF THE FAST TWITCH (F.T.) MUSCLE FIBRES INTO SLOW TWITCH FIBRES (S.T.) DURING YOGIC TRAINING. 1991 17 2363 35 VOLUNTARILY INDUCED VOMITING - A YOGA TECHNIQUE TO ENHANCE PULMONARY FUNCTIONS IN HEALTHY HUMANS. VOMITING IS A COMPLEX AUTONOMIC REFLEX ORCHESTRATED BY SEVERAL NEUROLOGICAL CENTRES IN THE BRAIN. VAGUS, THE CRANIAL NERVE PLAYS A KEY ROLE IN REGULATION OF VOMITING. KUNJAL KRIYA (VOLUNTARILY INDUCED VOMITING), IS A YOGIC CLEANSING TECHNIQUE WHICH INVOLVES VOLUNTARILY INDUCING VOMITING AFTER DRINKING SALINE WATER (5%) ON EMPTY STOMACH. THIS STUDY WAS DESIGNED WITH AN OBJECTIVE TO UNDERSTAND THE EFFECT OF VOLUNTARY INDUCED VOMITING (VIV) ON PULMONARY FUNCTIONS IN EXPERIENCED PRACTITIONERS AND NOVICES AND DERIVE ITS POSSIBLE THERAPEUTIC APPLICATIONS. EIGHTEEN HEALTHY INDIVIDUALS VOLUNTEERED FOR THE STUDY OF WHICH NINE HAD PRIOR EXPERIENCE OF VIV WHILE NINE DID NOT. PULMONARY FUNCTION TESTS WERE PERFORMED BEFORE AND AFTER 10 MIN OF REST FOLLOWING VIV. ANALYSIS OF COVARIANCE WAS PERFORMED ADJUSTED FOR GENDER AND BASELINE VALUES. NO SIGNIFICANT CHANGES WERE OBSERVED ACROSS GENDERS. THE RESULTS OF THE PRESENT STUDY SUGGEST A SIGNIFICANT INCREASE IN SLOW VITAL CAPACITY [F(1,13) = 5.699; P = 0.03] AND FORCED INSPIRATORY VOLUME IN 1ST SECOND [P = 0.02] AND REDUCTION IN EXPIRATORY RESERVE VOLUME [F(1,13) = 5.029; P = 0.04] AND RESPIRATORY RATE [F(1,13) = 3.244, P = 0.09]. THESE CHANGES SUGGEST THE POSSIBLE ROLE OF VIV IN ENHANCING THE ENDURANCE OF THE RESPIRATORY MUSCLES, DECREASED AIRWAY RESISTANCE, BETTER EMPTYING OF LUNGS AND VAGAL PREDOMINANCE RESPECTIVELY. WE CONCLUDE THAT VIV WHEN PRACTICED REGULARLY ENHANCES THE ENDURANCE OF THE RESPIRATORY MUSCLES AND DECREASES AIRWAY RESISTANCE. THESE FINDINGS ALSO INDICATE NEED FOR SCIENTIFIC UNDERSTANDING OF VIV IN THE MANAGEMENT OF MOTION SICKNESS AND RESTRICTIVE PULMONARY DISORDERS LIKE BRONCHITIS AND BRONCHIAL ASTHMA. 2018 18 447 21 CHANGED PATTERN OF REGIONAL GLUCOSE METABOLISM DURING YOGA MEDITATIVE RELAXATION. USING POSITRON EMISSION TOMOGRAPHY (PET), MEASUREMENTS OF THE REGIONAL CEREBRAL METABOLIC RATE OF GLUCOSE (RCMRGLC) ARE ABLE TO DELINEATE CEREBRAL METABOLIC RESPONSES TO EXTERNAL OR MENTAL STIMULATION. IN ORDER TO EXAMINE POSSIBLE CHANGES OF BRAIN METABOLISM DUE TO YOGA MEDITATION PET SCANS WERE PERFORMED IN 8 MEMBERS OF A YOGA MEDITATION GROUP DURING THE NORMAL CONTROL STATE (C) AND YOGA MEDITATIVE RELAXATION (YMR). WHEREAS THERE WERE INTRAINDIVIDUAL CHANGES OF THE TOTAL CMRGLC, THE ALTERATIONS WERE NOT SIGNIFICANT FOR INTERGROUP COMPARISON; SPECIFIC FOCAL CHANGES OR CHANGES IN THE INTERHEMISPHERIC DIFFERENCES IN METABOLISM WERE ALSO NOT SEEN; HOWEVER THE RATIOS OF FRONTAL VS. OCCIPITAL RCMRGLC WERE SIGNIFICANTLY ELEVATED (P LESS THAN 0.05) DURING YMR. THESE ALTERED RATIOS WERE CAUSED BY A SLIGHT INCREASE OF FRONTAL RCMRGLC AND A MORE PRONOUNCED REDUCTION IN PRIMARY AND SECONDARY VISUAL CENTERS. THESE DATA INDICATE A HOLISTIC BEHAVIOR OF THE BRAIN METABOLISM DURING THE TIME OF ALTERED STATE OF CONSCIOUSNESS DURING YMR. 1990 19 2396 18 YOGA AND CHEMOREFLEX RESPONSE TO HYPOXIA AND HYPERCAPNIA. WE TESTED WHETHER CHEMOREFLEX SENSITIVITY COULD BE AFFECTED BY THE PRACTICE OF YOGA, AND WHETHER THIS IS SPECIFICALLY BECAUSE OF A SLOW BREATHING RATE OBTAINED DURING YOGA OR AS A GENERAL CONSEQUENCE OF YOGA. WE FOUND THAT SLOW BREATHING RATE PER SE SUBSTANTIALLY REDUCED CHEMOREFLEX SENSITIVITY, BUT LONG-TERM YOGA PRACTICE WAS RESPONSIBLE FOR A GENERALISED REDUCTION IN CHEMOREFLEX. 2000 20 31 12 12-MONTH FOLLOW-UP OF YOGA AND BIO-FEEDBACK IN THE MANAGEMENT OF HYPERTENSION. TWENTY HYPERTENSIVE PATIENTS TREATED BY PSYCHOPHYSICAL RELAXATION EXERCISES WERE FOLLOWED UP MONTHLY FOR 12 MONTHS. AGE AND SEX MATCHED HYPERTENSIVE CONTROLS WERE SIMILARLY FOLLOWED UP FOR 9 MONTHS. STATISTICALLY SIGNIFICANT REDUCTIONS IN BLOOD-PRESSURE (BP) AND ANTIHYPERTENSIVE DRUG REQUIREMENTS WERE SATISFACTORILY MAINTAINED IN THE TREATMENT GROUP. MERE REPETITION OF B.P. MEASUREMENTS AND INCREASED MEDICAL ATTENTION DID NOT IN THEMSELVES REDUCE B.P. SIGNIFICANTLY IN CONTROL PATIENTS. 1975