Abstract
Background
We aimed to determine whether the addition of yoga to a regular exercise training
regimen improves cardiometabolic risk profile.
Methods
Sixty individuals with diagnosed hypertension (≥ 140/90 mm Hg for 3 measurements on
different days) were recruited in an exercise training program. In addition to aerobic
exercise training, participants were randomised into either a yoga or a stretching
control group. Participants, over the 3-month intervention regimen, performed 15 minutes
of either yoga or stretching in addition to 30 minutes of aerobic exercise training
5 times weekly. Blood pressure, anthropometry, high-sensitivity C-reactive protein
(hs-CRP), glucose, and lipid levels as well as the Framingham and Reynolds Risk Scores
were measured.
Results
At baseline, there was no difference in age, sex, smoking status, body mass index,
blood pressure, heart rate, lipid and glucose levels, and Framingham Risk Score between
groups. After the 3-month intervention period, the decrement in systolic and diastolic
blood pressures (before vs after stretching: 126 ± 11/76 ± 7 vs 122 ± 11/73 ± 8 mm
Hg; before vs after yoga: 130 ± 13/77 ± 10 vs 119 ± 11/69 ± 8 mm Hg) and heart rate
was greater (P < 0.001) in the yoga group, with similar decreases in lipid, glucose, and hs-CRP
levels and Framingham Risk Score in both groups. Reynolds Risk Score decrement was
higher in the yoga vs the control group (absolute reduction −1.2 ± 1.2 vs −0.6 ± 0.8;
relative reduction 13.2 ± 11.8% vs 9.3 ± 6.5%; P < 0.05).
Conclusion
In patients with hypertension, the practice of yoga incorporated in a 3-month exercise
training program was associated with greater improvement in resting blood pressure
and heart rate and Reynolds Risk Score compared with stretching.
Résumé
Contexte
Nous avons cherché à déterminer si l’ajout du yoga à un programme d’entraînement physique
régulier pouvait améliorer le profil de risque cardiométabolique.
Méthodologie
Soixante personnes ayant reçu un diagnostic d’hypertension (trois mesures ≥ 140/90
mmHg prises lors de journées différentes) ont été recrutées pour participer à un programme d’entraînement
comprenant, en plus des exercices aérobies au lieu de aérobiques, soit une séance
de yoga soit une séance d’étirements (le groupe témoin), les participants étant répartis
aléatoirement dans l’un des deux groupes. Sur une période de trois mois, les participants
ont effectué 15 minutes de yoga ou d’étirements en plus des 30 minutes d’exercices
aérobies au lieu de aérobiques, à raison de cinq fois par semaine. Les paramètres
suivants ont été mesurés : pression artérielle, anthropométrie, taux de protéine C-réactive
de haute sensibilité (PCR-hs), taux de glucose, taux de lipides et scores de risque
de Framingham et de Reynolds.
Résultats
Au début de l’étude, il n’y avait aucune différence entre les groupes sur le plan
de l’âge, du sexe, du statut tabagique, de l’indice de masse corporelle, de la pression
artérielle, de la fréquence cardiaque, des taux de lipides et de glucose ou du score
de risque de Framingham. Après la période d’intervention de trois mois, les baisses
de la pression artérielle systolique et diastolique (avant vs après les séances d’étirements : 126 ± 11/76 ± 7 vs 122 ± 11/73 ± 8 mmHg; avant vs après les séances de yoga : 130 ± 13/77 ± 10 vs 119 ± 11/69 ± 8 mmHg) et de la fréquence cardiaque étaient plus marquées (P < 0,001) dans le groupe pratiquant le yoga; les diminutions des taux de lipides,
de glucose et de PCR-hs et du score de risque de Framingham étaient équivalentes dans
les deux groupes. La diminution du score de risque de Reynolds était plus importante
dans le groupe pratiquant le yoga que dans le groupe témoin (diminution absolue de −1,2
± 1,2 vs −0,6 ± 0,8; diminution relative de 13,2 ± 11,8 % vs 9,3 ± 6,5 %; P < 0,05).
Conclusion
Chez les patients atteints d’hypertension, la pratique du yoga dans le cadre d’un
programme d’entraînement physique de trois mois a été associée à des améliorations
de la pression artérielle et de la fréquence cardiaque au repos ainsi que du score
de risque de Reynolds supérieures à celles obtenues avec les étirements.
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Article info
Publication history
Published online: December 07, 2022
Accepted:
September 10,
2022
Received:
February 10,
2022
Footnotes
See page 61 for disclosure information.
Identification
Copyright
© 2022 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
