235403 Yoga as a nonpharmacological alternative or complementary therapy for hypertension

Monday, October 31, 2011

Manoj Sharma, PhD , Health Promotion & Education, University of Cincinnati, Cincinnati, OH
Hypertension is an important risk factor for heart disease and stroke. Treatment of hypertension reduces this risk. The Healthy People 2020 objective is to increase the proportion of adults with high blood pressure whose blood pressure is under control. Prevalence of hypertension in the United States based on the data from NHANES 2007-2008 indicate 29% people have hypertension defined as systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure ≥ 90 mm Hg. Blood pressure was controlled in approximately 50.1% of all patients with hypertension based on NHANES 2007-2008 data. Not all patients accept pharmacological therapy. The purpose of this study was to examine whether yoga is beneficial as a nonpharmacological alternative or complementary therapy for hypertension. The method used in this study was a systematic qualitative review of interventions obtained from MEDLINE, CINAHL, & ERIC databases. The criteria for including studies were: publication in English language, publication between 1975 and 2010, studies that measured blood pressure as an outcome, and studies that used yoga (from any school) as an intervention. A total of 16 articles met the criteria with one study reporting two interventions. Eight interventions were from India, five from United Kingdom, three from United States, and one from Thailand. Only five interventions used randomized controlled trials. All the interventions have shown statistically significant beneficial effects of yoga on hypertension. However several methodological limitations such as weak designs, small sample sizes etc. were identified in the conduct of the intervention trials which future interventions must consider.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health

Learning Objectives:
At the end of this presentation the participants will be able to: 1. Evaluate the potential for replication of yoga-based interventions for disease prevention, risk reduction, and health promotion in public health settings. 2. Assess the role of yoga as an alternative or complimentary therapy in hypertension. 3. Identify key components of effective yoga interventions for use in addressing hypertension.

Keywords: Hypertension, Clinical Trials

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conceptualized this study, conducted the literature search, analyzed the studies and synthesized the paper.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.