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Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension
13

Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Jul 19, 2015

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Page 1: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Using Regular Yoga Practice

to Reduce Blood Pressure in

Patients with Unmedicated

Prehypertension

Page 2: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

The Clinical Question

Can an evidence-based practice solution be

implemented using yoga to lower blood pressure in patients diagnosed with

prehypertension?

Page 3: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

The Hypertension Epidemic• 67 million American adults have high blood

pressure

• 30% of American adults have prehypertension

• In 2009, 348,000 deaths in the U.S. included high blood pressure as a primary or contributing cause

• High blood pressure leads to heart attacks, strokes and heart failure

Page 4: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

The Cost of Hypertension

High blood

pressure

costs $51

billion

annually.

Costs are

estimated to

increase to

$343 billion

by 2030.

Page 5: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Current solutions are not

working!

47%

Control

BP is under control

BP NOT under control

58%

Anti-hypertensive Use

Do not use anti-hypertensivemedication as prescribed

Use anti-hypertensives asprescribed

Page 6: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Yoga??

Page 7: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Yoga in the Literature

SBP

8.17

mmHg

DBP

6.14

mmHg

Page 8: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Yoga in the Literature

Yoga

Nonaerobic exercise

vs.

Page 9: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Yoga in the Literature

Page 10: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Why Yoga?

Popularity of yoga – 15.8 million Americans

Yoga is effective, simple and inexpensive.

Yoga requires very little equipment.

Page 11: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Best practice can be

implemented for a yoga

regimen that includes

postures, breathing

techniques and meditation

for patients diagnosed

with prehypertension.

Page 12: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

American Heart Association logo image. Retrieved March 2, 2014 from www.heart.org

Blood pressure cuff image. Retrieved April 28, 2014 from www.prediabetescenters.com

Clouds image. Retrieved March 2, 2014 from www.2pat.com

Cohen, D.L., Bloedon, L.T., Rothman, R.L., Farrar, J.T., Galantino, M.L., Volger, S.,…Townsend, R.R. (2011). Iyengar yoga versus enhanced usual care on blood pressure in patients with prehypertension to stage I hypertension: A randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2011, 1-8. doi: 10.1093/ecam/nep130

Chung, S.C., Brooks, M.M., Rai, M., Balk, J.L., & Rai, S. (2012). Effect of Sahaja yoga meditation on quality of life, anxiety and blood pressure control. Journal of Alternative and Complementary Medicine, 18, 589-596. doi: 10.1089/acm.2011.0038

Downward dog pose image. Retrieved March 2, 2014 from www.yoga.prevention.com

Page 13: Using Regular Yoga Practice to Reduce Blood Pressure in Patients with Unmedicated Prehypertension

Heart and blood pressure cuff image. Retreived Mary 2, 2014 from www.todayifoundout.com

High blood pressure facts (2013, March 20). Centers for Disease Control and Prevention. Retreived from: http://www.cdc.gov/bloodpressure/facts.htm.

Ho, P.M., Bryson, C.L., & Rumsfeld, J.S. (2009). Medication adherence: Its importance in cardiovascular outcomes. Circulation, 119, 3028-3035. doi: 10.1161/CIRCULATION AHA.108.768986

Hughes, J.W., Fresco, D.M., Myerscough, R., Van Dulmen, M.H., Carlson, L.E. & Josephson, R. (2013). Randomized controlled trial of mindfulness-based stress reduction for prehypertension. Psychosomatic Medicine, 75, 721-728. doi: 10.1097/psy.0b013e3182a3 e4e5

Karakurt, P. & Kasicki, M. (2012). Factors affecting medication adherence in patients with hypertension. Journal of Vascular Nursing, 30, 118-126. doi: 10.1016/j.jvn.2012.04.002

Money bag image. Retrieved March 2, 2014 from www.ffbsccn.wordpress.com