Abstract
Objectives
Sheetali pranayama, a cooling pranayama is best known for its calming and relaxing nature, widely used for many conditions like depression, anxiety and hypertension. The aim of the study was to evaluate the immediate effect of the practice of Sheetali pranayama on heart rate and blood pressure parameters in healthy volunteers.
Methods
Apparently, 60 healthy volunteers were involved, from both sexes. They were split into pranayama (n=30) and control (n=30) groups at random. Sheetali pranayama was performed for 5 min (5 cycles) in the pranayama group and normal breathing (12–16 breaths/min) was permitted in the control group. Heart rate (HR) and blood pressure (BP) were recorded with RMS polyrite in the supine position after 5 min of rest.
Results
The HR in the pranayama group significantly decreased (p=0.04). Systolic (SBP) and diastolic blood (DBP) pressure, pulse pressure (PP) and mean arterial pressure (MAP) decreased significantly (p<0.05) relative to control after pranayama practice. Pre-Post inter-group results has also shown that the pranayama group has substantially decreased HR and BP indices.
Conclusions
Present study shows that the practice of Sheetlai pranayama creates a relaxed state, and parasympathetic activity overrides sympathetic activity in this state. It indicates that in healthy volunteers, pranayama strengthens the resting cardiovascular parameters.
Acknowledgments
We express our appreciation and deep gratitude to all the volunteers involved in this research. For all the motivation and assistance, we are also grateful to the management of SRIHER.
-
Research funding: None declared.
-
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
-
Competing interests: Authors state no conflict of interest.
-
Informed consent: Informed consent was obtained from all individuals included in this study.
-
Ethical approval: The Institutional Ethics Committee has given the approval [IEC no: CSP/17/JUN/57/209].
References
1. Kuppusamy, M, Kamaldeen, D, Pitani, R, Amaldas, J, Shanmugam, P. Effects of Bhramari pranayama on health–a systematic review. J Tradit Complement Med 2018;8:11–6. https://doi.org/10.1016/j.jtcme.2017.02.003.Search in Google Scholar PubMed PubMed Central
2. Kuppusamy, M, Kamaldeen, D, Pitani, R, Amaldas, J. Immediate effects of Bhramari pranayama on resting cardiovascular parameters in healthy adolescents. J Clin Diagn Res: JCDR 2016;10:CC17. https://doi.org/10.7860/JCDR/2016/19202.7894.Search in Google Scholar PubMed PubMed Central
3. Hayes, M, Chase, S. Prescribing yoga. Prim Care Clin Off Pract 2010;37:31–47. https://doi.org/10.1016/j.pop.2009.09.009.Search in Google Scholar PubMed
4. Lalitha, S, Maheshkumar, K, Shobana, R, Deepika, C. Immediate effect of Kapalbhathi pranayama on short term heart rate variability (HRV) in healthy volunteers. J Compl Integr Med 2020:1 [Epub ahead of print].10.1515/jcim-2019-0331Search in Google Scholar PubMed
5. Kuppusamy, M, Kamaldeen, D, Pitani, R, Amaldas, J, Ramasamy, P, Shanmugam, P, et al.. Effects of yoga breathing practice on heart rate variability in healthy adolescents: a randomized controlled trial. Integr Med Res 2020;9:28–32. https://doi.org/10.1016/j.imr.2020.01.006.Search in Google Scholar PubMed PubMed Central
6. Miller, S, Mendelson, T, Lee-Winn, A, Dyer, NL, Khalsa, SBS. Systematic review of randomized controlled trials testing the effects of yoga with youth. Mindfulness 2020:1–18.10.1007/s12671-019-01230-7Search in Google Scholar
7. Kuppusamy, M, Dilara, K, Ravishankar, P, Julius, A. Effect of Bhrāmarī prāṇāyāma practice on pulmonary function in healthy adolescents: a randomized control study. Ancient Sci Life 2017;36:196. https://doi.org/10.4103/asl.asl_220_16.Search in Google Scholar PubMed PubMed Central
8. Ramanathan, M, Bhavanani, AB. Immediate effect of Chandra and Suryanadi pranayamas on cardiovascular parameters and reaction time in a geriatric population. Int J Physiol 2014;2:59. https://doi.org/10.5958/j.2320-608x.2.1.013.Search in Google Scholar
9. Kumar, N, Thanalakshmi, J, Kannan, R, Kumar, M, Allu, AR, Vijayalakshmi, B. The immediate effect of Sheethali and Sheethkari pranayama on blood pressure and cardiovascular changes among hypertensive patients. Int J Res Pharm Sci 2018;9:1249–52.Search in Google Scholar
10. Saraswati, SS, Hiti, J. Asana pranayama mudra bandha. Bihar, India: Yoga Publication Trust; 1996.Search in Google Scholar
11. Thanalakshmi, J, Maheshkumar, K, Kannan, R, Sundareswaran, L, Venugopal, V, Poonguzhali, S. Effect of Sheetali pranayama on cardiac autonomic function among patients with primary hypertension-a randomized controlled trial. Compl Ther Clin Pract 2020:101138. https://doi.org/10.1016/j.ctcp.2020.101138.Search in Google Scholar PubMed
12. Pramanik, T, Pudasaini, B, Prajapati, R. Immediate effect of a slow pace breathing exercise Bhramari pranayama on blood pressure and heart rate. Nepal Med Coll J 2010;12:154–7.Search in Google Scholar
13. Shetty, P. Effects of Sheetali and Sheetkari pranayamas on blood pressure and autonomic function in hypertensive patients. Integr Med A Clin J 2017;16:32.Search in Google Scholar
14. Dhungel, KU, Malhotra, V, Sarkar, D, Prajapati, R. Effect of alternate nostril breathing exercise on cardiorespiratory functions. Nepal Med Coll J 2008;10:25–7.Search in Google Scholar
15. Barrett, KE, Barman, SM, Boitano, S, Brooks, H. Ganong’s review of medical physiology, 23rd ed. NY: McGraw-Hill Medical; 2009.Search in Google Scholar
16. Wustmann, K, Kucera, JP, Scheffers, I, Mohaupt, M, Kroon, AA, de Leeuw, PW, et al.. Effects of chronic baroreceptor stimulation on the autonomic cardiovascular regulation in patients with drug-resistant arterial hypertension. Hypertension 2009;54:530–6. https://doi.org/10.1161/hypertensionaha.109.134023.Search in Google Scholar PubMed
© 2021 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Reviews
- Swarna Prashana – faith in the embrace of research
- A review on the concept of aging in Ayurveda literature
- Ethno-pharmacology of Asaroon (Asarum europaeum L.) with special reference to Unani System of Medicine
- Is Trikatu an ayurvedic formulation effective for the management of flu-like illness? A narrative review
- The anti-cancer properties of neem (Azadirachta indica) through its antioxidant activity in the liver: its pharmaceutics and toxic dosage forms. A literature review
- The role of acupuncture for myofascial pain syndrome (MPS) in interventional pain management
- Research Articles
- Identification of phenolic compounds in the buds of Algerian Pistacia atlantica desf. Subsp. atlantica by antioxidant activity guided fractionation
- Optimization of water-based ultrasonic-microwave assisted extraction (UMAE) of bioactive compounds from Garcinia mangostana pericarp
- Proximate analysis, HPTLC finger print analysis and multi spectrometric analysis of Strychnos nux-vomica nuts
- Amelioration of sodium fluoride induced oxidative stress by Cynometra travancorica Bedd in mice
- The effects of saffron petals and damask rose petals on biochemical and inflammatory measurements
- Ethanolic extract of Achillea wilhelmsii C. Koch improves pulmonary function and inflammation in LPS-induced acute lung injury mice
- Interaction between properties of commercial Australian honey and saliva: in vitro exploratory study of a potential mechanism in the treatment of oral mucositis
- The potential of immature poken (Citrus reticulata) extract in the weight management, lipid and glucose metabolism
- Effect of the beta-adrenergic blockade on intestinal lactate production and glycogen concentration in dogs infused with hexoses
- Investigating the effect of the Teucrium polium aqueous extract on the liver of the streptozotocin-induced diabetic rats
- Synergistic effects of high-intensity interval training (HIIT) and intake of nettle on serum levels of chemerin and beta cells function in type 2 diabetic rats
- The effect of Cinnamomum cassia extract on oxidative stress in the liver and kidney of STZ-induced diabetic rats
- Protective role of Sterculia tragacantha aqueous extract on pancreatic gene expression and oxidative stress parameters in streptozotocin-induced diabetic rats
- Ameliorating activity of polyphenolic-rich extracts of Basella rubra L. leaves on pancreatic β-cell dysfunction in streptozotocin-induced diabetic rats
- Amelioration of related complications by the combined usage of Gymnadenia orchidis Lindl and pumpkin seed in type 2 diabetic mice
- The effect of Madhumeha Kusumakar Rasa – an Ayurved medicine – in insulin resistance
- Anti-obesity effects of the n-butanol fraction of the methanolic leaf extract of Artemisia campestris from Tunisian pharmacopeia in male Wistar rats
- Compensatory depression of arterial pressure and reversal of ECG abnormalities by Annona muricata and Curcuma longa in hypertensive Wistar rats
- Preventing SARS-CoV-2 transmission in the emergency department by implementing a separate pathway for patients with respiratory conditions
- Clinical significance of serum gonadotropin and androgen levels among Egyptian overweight/obese pubertal girls
- Preference between serum homocysteine and urinary periostin as early predictive biomarkers of renal dysfunction among uncontrolled diabetics
- Mizaj assessment in multiple sclerosis patients based on Persian Medicine
- Immediate effects of the practise of Sheethali pranayama on heart rate and blood pressure parameters in healthy volunteers
- Effects of 12 sessions of steam bath intervention on spirometry parameters among healthy adult volunteers
- The effects of psychological counseling and acupressure based on couple therapy procedure for alleviation of vomiting and nausea in pregnant women in Iran country
- “The immediate effect of neutral spinal compress on heart rate variability in hypertensive individuals”
- Effect of whole-body vibration after a resistance exercise bout on heart rate variability in hypertensive population
- Wet-cupping on calf muscles in polycystic ovary syndrome: a quasi-experimental study
- Auricular field nerve stimulation using the NSS-2 BRIDGE® device as an alternative to opioids following kidney donor surgery
- Evaluation of general body temperament and uterine dystemperament in amenorrhoea: a cross-sectional analytical study
- Short Communication
- Isolation, characterization, and antimicrobial activity of communic acid from Juniperus phoenicea
- Letter to the Editor
- Can silymarin ameliorate β-thalassemia major-induced osteopenia/osteoporosis?
- Case Reports
- Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report
- Psychogenic pseudo-myasthenic ptosis – management with ayurvedic medicines and Smriti meditation
- Education Forum
- Tongue stretching: technique and clinical proposal
- Simulation-based ventilatory training for the caregivers at primary and rural health care workers in Central India for dealing with COVID-19 pandemic: recommendations
Articles in the same Issue
- Frontmatter
- Reviews
- Swarna Prashana – faith in the embrace of research
- A review on the concept of aging in Ayurveda literature
- Ethno-pharmacology of Asaroon (Asarum europaeum L.) with special reference to Unani System of Medicine
- Is Trikatu an ayurvedic formulation effective for the management of flu-like illness? A narrative review
- The anti-cancer properties of neem (Azadirachta indica) through its antioxidant activity in the liver: its pharmaceutics and toxic dosage forms. A literature review
- The role of acupuncture for myofascial pain syndrome (MPS) in interventional pain management
- Research Articles
- Identification of phenolic compounds in the buds of Algerian Pistacia atlantica desf. Subsp. atlantica by antioxidant activity guided fractionation
- Optimization of water-based ultrasonic-microwave assisted extraction (UMAE) of bioactive compounds from Garcinia mangostana pericarp
- Proximate analysis, HPTLC finger print analysis and multi spectrometric analysis of Strychnos nux-vomica nuts
- Amelioration of sodium fluoride induced oxidative stress by Cynometra travancorica Bedd in mice
- The effects of saffron petals and damask rose petals on biochemical and inflammatory measurements
- Ethanolic extract of Achillea wilhelmsii C. Koch improves pulmonary function and inflammation in LPS-induced acute lung injury mice
- Interaction between properties of commercial Australian honey and saliva: in vitro exploratory study of a potential mechanism in the treatment of oral mucositis
- The potential of immature poken (Citrus reticulata) extract in the weight management, lipid and glucose metabolism
- Effect of the beta-adrenergic blockade on intestinal lactate production and glycogen concentration in dogs infused with hexoses
- Investigating the effect of the Teucrium polium aqueous extract on the liver of the streptozotocin-induced diabetic rats
- Synergistic effects of high-intensity interval training (HIIT) and intake of nettle on serum levels of chemerin and beta cells function in type 2 diabetic rats
- The effect of Cinnamomum cassia extract on oxidative stress in the liver and kidney of STZ-induced diabetic rats
- Protective role of Sterculia tragacantha aqueous extract on pancreatic gene expression and oxidative stress parameters in streptozotocin-induced diabetic rats
- Ameliorating activity of polyphenolic-rich extracts of Basella rubra L. leaves on pancreatic β-cell dysfunction in streptozotocin-induced diabetic rats
- Amelioration of related complications by the combined usage of Gymnadenia orchidis Lindl and pumpkin seed in type 2 diabetic mice
- The effect of Madhumeha Kusumakar Rasa – an Ayurved medicine – in insulin resistance
- Anti-obesity effects of the n-butanol fraction of the methanolic leaf extract of Artemisia campestris from Tunisian pharmacopeia in male Wistar rats
- Compensatory depression of arterial pressure and reversal of ECG abnormalities by Annona muricata and Curcuma longa in hypertensive Wistar rats
- Preventing SARS-CoV-2 transmission in the emergency department by implementing a separate pathway for patients with respiratory conditions
- Clinical significance of serum gonadotropin and androgen levels among Egyptian overweight/obese pubertal girls
- Preference between serum homocysteine and urinary periostin as early predictive biomarkers of renal dysfunction among uncontrolled diabetics
- Mizaj assessment in multiple sclerosis patients based on Persian Medicine
- Immediate effects of the practise of Sheethali pranayama on heart rate and blood pressure parameters in healthy volunteers
- Effects of 12 sessions of steam bath intervention on spirometry parameters among healthy adult volunteers
- The effects of psychological counseling and acupressure based on couple therapy procedure for alleviation of vomiting and nausea in pregnant women in Iran country
- “The immediate effect of neutral spinal compress on heart rate variability in hypertensive individuals”
- Effect of whole-body vibration after a resistance exercise bout on heart rate variability in hypertensive population
- Wet-cupping on calf muscles in polycystic ovary syndrome: a quasi-experimental study
- Auricular field nerve stimulation using the NSS-2 BRIDGE® device as an alternative to opioids following kidney donor surgery
- Evaluation of general body temperament and uterine dystemperament in amenorrhoea: a cross-sectional analytical study
- Short Communication
- Isolation, characterization, and antimicrobial activity of communic acid from Juniperus phoenicea
- Letter to the Editor
- Can silymarin ameliorate β-thalassemia major-induced osteopenia/osteoporosis?
- Case Reports
- Management of psoriasis with Ayurveda Panchakarma and Manibhadragula as Shodhana Rasayana – a case report
- Psychogenic pseudo-myasthenic ptosis – management with ayurvedic medicines and Smriti meditation
- Education Forum
- Tongue stretching: technique and clinical proposal
- Simulation-based ventilatory training for the caregivers at primary and rural health care workers in Central India for dealing with COVID-19 pandemic: recommendations