Center for Primary Health Care Research, Department of Clinical Sciences in Malmö, Lund University, Jan Waldenströms gata 35, Skåne University Hospital, Malmö 205 02, Sweden.
BMC Cardiovasc Disord. 2013 Dec 7;13:111. doi: 10.1186/1471-2261-13-111.
Medical treatment of hypertension is not always sufficient to achieve blood pressure control. Despite this, previous studies on supplementary therapies, such as yoga, are relatively few. We investigated the effects of two yoga interventions on blood pressure and quality of life in patients in primary health care diagnosed with hypertension.
Adult patients (age 20-80 years) with diagnosed hypertension were identified by an electronic chart search at a primary health care center in southern Sweden. In total, 83 subjects with blood pressure values of 120-179/≤109 mmHg at baseline were enrolled. At baseline, the patients underwent standardized blood pressure measurement at the health care center and they completed a questionnaire on self-rated quality of life (WHOQOL-BREF). There were three groups: 1) yoga class with yoga instructor (n = 28); 2) yoga at home (n = 28); and 3) a control group (n = 27). The participants were matched at the group level for systolic blood pressure. After 12 weeks of intervention, the assessments were performed again. At baseline a majority of the patients (92%) were on antihypertensive medication, and the patients were requested not to change their medication during the study.
The yoga class group showed no improvement in blood pressure or self-rated quality of life, while in the yoga at home group there was a decline in diastolic blood pressure of 4.4 mmHg (p < 0.05) compared to the control group. Moreover, the yoga at home group showed significant improvement in self-rated quality of life compared to the control group (p < 0.05).
A short yoga program for the patient to practice at home seems to have an antihypertensive effect, as well as a positive effect on self-rated quality of life compared to controls. This implies that simple yoga exercises may be useful as a supplementary blood pressure therapy in addition to medical treatment when prescribed by primary care physicians.
高血压的医疗治疗并不总是足以实现血压控制。尽管如此，以前关于瑜伽等补充疗法的研究相对较少。我们调查了两种瑜伽干预措施对初级保健中心诊断为高血压的患者的血压和生活质量的影响。
通过在瑞典南部的一个初级保健中心的电子图表搜索，确定患有高血压的成年患者（年龄 20-80 岁）。共有 83 名患者在基线时的血压值为 120-179/≤109mmHg，入选了该研究。在基线时，患者在保健中心接受了标准化的血压测量，并完成了一份关于自我评估生活质量的问卷（WHOQOL-BREF）。患者分为三组：1）瑜伽教练指导的瑜伽班（n=28）；2）在家做瑜伽（n=28）；3）对照组（n=27）。组间按照收缩压进行匹配。干预 12 周后再次进行评估。基线时，大多数患者（92%）正在服用降压药物，且要求患者在研究期间不要改变药物。
瑜伽班组的血压或自我评估生活质量没有改善，而在家做瑜伽组的舒张压下降了 4.4mmHg（p<0.05），与对照组相比。此外，在家做瑜伽组的自我评估生活质量与对照组相比有显著改善（p<0.05）。
一个简短的瑜伽方案，让患者在家中练习，似乎对降低血压有作用，同时与对照组相比，对自我评估的生活质量也有积极影响。这表明，简单的瑜伽运动可能在初级保健医生开具处方时，作为除药物治疗之外的辅助降压治疗方法是有用的。
