Yoga respiratory training improves respiratory function and cardiac sympathovagal balance in elderly subjects: a randomised controlled trial

Imagem de Miniatura
Arquivos
art_SANTAELLA_Yoga_respiratory_training_improves_respiratory_function_and_cardiac_2011.PDF (380.97 KB)
Citações na Scopus
Tipo de produção
article
Data de publicação
2011
DOI
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
BMJ PUBLISHING GROUP
Autores
ROJO, Marcos R.
CASALI, Karina R.
MONTANO, Nicola
Citação
BMJ OPEN, v.1, n.1, article ID e000085, 8p, 2011
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objectives: Since ageing is associated with a decline in pulmonary function, heart rate variability and spontaneous baroreflex, and recent studies suggest that yoga respiratory exercises may improve respiratory and cardiovascular function, we hypothesised that yoga respiratory training may improve respiratory function and cardiac autonomic modulation in healthy elderly subjects. Design: 76 healthy elderly subjects were enrolled in a randomised control trial in Brazil and 29 completed the study (age 68 +/- 6 years, 34% males, body mass index 25 +/- 3 kg/m(2)). Subjects were randomised into a 4-month training program (2 classes/week plus home exercises) of either stretching (control, n=14) or respiratory exercises (yoga, n=15). Yoga respiratory exercises (Bhastrika) consisted of rapid forced expirations followed by inspiration through the right nostril, inspiratory apnoea with generation of intrathoracic negative pressure, and expiration through the left nostril. Pulmonary function, maximum expiratory and inspiratory pressures (PEmax and PImax, respectively), heart rate variability and blood pressure variability for spontaneous baroreflex determination were determined at baseline and after 4 months. Results: Subjects in both groups had similar demographic parameters. Physiological variables did not change after 4 months in the control group. However, in the yoga group, there were significant increases in PEmax (34%, p<0.0001) and PImax (26%, p<0.0001) and a significant decrease in the low frequency component (a marker of cardiac sympathetic modulation) and low frequency/high frequency ratio (marker of sympathovagal balance) of heart rate variability (40%,p<0.001). Spontaneous baroreflex did not change, and quality of life only marginally increased in the yoga group. Conclusion: Respiratory yoga training may be beneficial for the elderly healthy population by improving respiratory function and sympathovagal balance. Trial Registration: CinicalTrials.gov identifier: NCT00969345; trial registry name: Effects of respiratory yoga training (Bhastrika) on heart rate variability and baroreflex, and quality of life of healthy elderly subjects.
Palavras-chave
URI
https://observatorio.fm.usp.br/handle/OPI/23872
Referências
  1. American College of Sports Medicine Position Stand, 1998, MED SCI SPORTS EXERC, V30, P992
  2. Stein PK, 2009, AGE AGEING, V38, P212, DOI 10.1093/ageing/afn292
  3. Christensen K, 2009, LANCET, V374, P1196, DOI 10.1016/S0140-6736(09)61460-4
  4. Bernardi L, 2010, CLIN AUTON RES, V20, P353, DOI 10.1007/s10286-010-0079-1
  5. [Anonymous], 1996, EUR HEART J, V17, P354
  6. BLACK LF, 1969, AM REV RESPIR DIS, V99, P696
  7. Oken BS, 2006, ALTERN THER HEALTH M, V12, P40
  8. Montano N, 2009, NEUROSCI BIOBEHAV R, V33, P71, DOI 10.1016/j.neubiorev.2008.07.006
  9. Pal GK, 2004, INDIAN J MED RES, V120, P115
  10. Janssens JP, 2005, CLIN CHEST MED, V26, P469, DOI 10.1016/j.ccm.2005.05.004
  11. BERTINIERI G, 1988, AM J PHYSIOL, V254, pH377
  12. BERTINIERI G, 1985, J HYPERTENS, V3, pS79
  13. VERBRUGGE LM, 1994, SOC SCI MED, V38, P1, DOI 10.1016/0277-9536(94)90294-1
  14. Raupach T, 2008, EUR RESPIR J, V32, P387, DOI 10.1183/09031936.00109607
  15. Chobanian AV, 2003, HYPERTENSION, V42, P1206, DOI 10.1161/01.HYP.0000107251.49515.c2
  16. Fleck MP, 2006, REV SAUDE PUBL, V40, P785, DOI 10.1590/s0034-89102006000600007
  17. Pomidori L, 2009, J CARDIOPULM REHABIL, V29, P133, DOI 10.1097/HCR.0b013e31819a0227
  18. Kaye DM, 2008, NEUROMOL MED, V10, P179, DOI 10.1007/s12017-008-8034-1
  19. Miller MR, 2005, EUR RESPIR J, V26, P319, DOI 10.1183/09031936.05.00034805
  20. MONTANO N, 1994, CIRCULATION, V90, P1826
  21. Bernardi L, 2007, EUR J APPL PHYSIOL, V99, P511, DOI 10.1007/s00421-006-0373-8
  22. Bernardi L, 2001, AUTON NEUROSCI-BASIC, V90, P47, DOI 10.1016/S1566-0702(01)00267-3
  23. Chachamovich Eduardo, 2008, Rev Saude Publica, V42, P308, DOI [10.1590/S0034-89102008000200017, 10.1590/s0034-89102008000200017]
  24. Chan ED, 1998, CHEST, V114, P1704, DOI 10.1378/chest.114.6.1704
  25. Cooper S, 2003, THORAX, V58, P674, DOI 10.1136/thorax.58.8.674
  26. Drewnowski A, 2001, J GERONTOL A-BIOL, V56, P89
  27. Duarte Andrezza Araújo de Oliveira, 2007, J Bras Pneumol, V33, P527, DOI 10.1590/S1806-37132007000500007
  28. Fauvel JP, 2007, HYPERTENSION, V50, P543, DOI 10.1161/HYPERTENSIONAHA.107.090811
  29. Sharma Ratna, 2008, Indian J Physiol Pharmacol, V52, P123
  30. Slader CA, 2006, THORAX, V61, P651, DOI 10.1136/thx.2005.054767
  31. Swami Kuvalayananda, 2008, PRANAYAMA TRAD R GIU, P312
  32. TOBIN MJ, 1987, J APPL PHYSIOL, V62, P497
  33. Vempati Ramaprabhu, 2009, BMC Pulm Med, V9, P37, DOI 10.1186/1471-2466-9-37

Coleções
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/09