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瑜伽和顺势疗法为基础的生活方式干预对高血压患者心率变异性的影响:一项随机对照试验。

Effect of a yoga and naturopathy-based lifestyle intervention with nine-month follow-up on heart rate variability in patients with hypertension: A randomized controlled trial.

机构信息

Department of Nutrition and Dietetics, S.D.M. College of Naturopathy and Yogic Sciences, Ujire (D.K.), Karnataka, India.

Department of Natural Therapeutics, S.D.M. College of Naturopathy and Yogic Sciences, Ujire (D.K.), Karnataka, India.

出版信息

J Bodyw Mov Ther. 2024 Oct;40:2185-2189. doi: 10.1016/j.jbmt.2024.11.008. Epub 2024 Nov 6.

DOI:10.1016/j.jbmt.2024.11.008
PMID:39593583
Abstract

PURPOSE

Hypertension is associated with autonomic nervous system (ANS) dysregulation. Heart rate variability (HRV) monitoring is frequently used as a gauge of the ANS balance. The aim of the present study was to assess the effects of yoga and naturopathy on the autonomic variables in patients with hypertension.

METHODS

262 hypertensive patients were randomly allocated to the study group (SG) or control group (CG) in a randomized controlled trial. For ten days, the SG (n = 131) group got received naturopathic treatments and yoga, whereas the CG (n = 131) group did not. HRV which was examined at the beginning and end of the 10-day intervention period and again after 9 months, served as the study's main endpoint.

RESULT

There was a significant change in the frequency domain of heart rate variability with a significant increase in High frequency (HF) and a significant decrease in low frequency (LF) and LF/HF (all p < 0.05) were observed after follow-up in both SG and CG, but the magnitude of change was more in SG with a significant difference in LF/HF between group.

CONCLUSION

Results of this study suggest that 10 days of integrated yoga and naturopathy intervention produces a shift of vagal activity towards parasympathetic activity.

CLINICAL TRIAL REGISTRATION NUMBER

CTRI/2019/01/016883.

摘要

目的

高血压与自主神经系统(ANS)失调有关。心率变异性(HRV)监测常被用作 ANS 平衡的指标。本研究旨在评估瑜伽和顺势疗法对高血压患者自主变量的影响。

方法

在一项随机对照试验中,将 262 名高血压患者随机分配到研究组(SG)或对照组(CG)。在十天的时间里,SG 组(n=131)接受了顺势疗法治疗和瑜伽,而 CG 组(n=131)则没有。在 10 天干预期结束时和 9 个月后,检查心率变异性作为研究的主要终点。

结果

在 SG 和 CG 中,在随访后,心率变异性的频域均发生了显著变化,高频(HF)显著增加,低频(LF)和 LF/HF 显著降低(均 p<0.05),但 SG 组的变化幅度更大,组间 LF/HF 差异有统计学意义。

结论

本研究结果表明,10 天的综合瑜伽和顺势疗法干预会使迷走神经活动向副交感神经活动转移。

临床试验注册号

CTRI/2019/01/016883。

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