A Randomized Controlled Trial Comparing the Effects of Yoga With an Active Control on Ambulatory Blood Pressure in Individuals With Prehypertension and Stage 1 Hypertension

被引:44
作者
Hagins, Marshall [1 ]
Rundle, Andrew [2 ]
Consedine, Nathan S. [3 ]
Khalsa, Sat Bir S. [4 ]
机构
[1] Long Isl Univ, Dept Phys Therapy, Brooklyn, NY 11201 USA
[2] Columbia Univ, Dept Epidemiol, Mailman Sch Publ Hlth, New York, NY USA
[3] Univ Auckland, Dept Psychol Med, Auckland 1, New Zealand
[4] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med, Boston, MA 02115 USA
关键词
PHYSICAL-ACTIVITY; VALIDATION; RISK; QUESTIONNAIRE; THERAPY; MONITOR; DISEASE; ADULTS;
D O I
10.1111/jch.12244
中图分类号
R6 [外科学];
学科分类号
100210 [外科学];
摘要
The purpose of this study was to compare the effects of yoga with an active control (nonaerobic exercise) in individuals with prehypertension and stage 1 hypertension. A randomized clinical trial was performed using two arms: (1) yoga and (2) active control. Primary outcomes were 24-hour day and night ambulatory systolic and diastolic blood pressures. Within-group and between-group analyses were performed using paired t tests and repeated-measures analysis of variance (timexgroup), respectively. Eighty-four participants enrolled, with 68 participants completing the trial. Within-group analyses found 24-hour diastolic, night diastolic, and mean arterial pressure all significantly reduced in the yoga group (-3.93, -4.7, -4.23mm Hg, respectively) but no significant within-group changes in the active control group. Direct comparisons of the yoga intervention with the control group found a single blood pressure variable (diastolic night) to be significantly different (P=.038). This study has demonstrated that a yoga intervention can lower blood pressure in patients with mild hypertension. Although this study was not adequately powered to show between-group differences, the size of the yoga-induced blood pressure reduction appears to justify performing a definitive trial of this intervention to test whether it can provide meaningful therapeutic value for the management of hypertension.
引用
收藏
页码:54 / 62
页数:9
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