using regular yoga practice to reduce blood pressure in patients with unmedicated prehypertension
TRANSCRIPT
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?
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
The Cost of Hypertension
High blood
pressure
costs $51
billion
annually.
Costs are
estimated to
increase to
$343 billion
by 2030.
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
Yoga??
Yoga in the Literature
SBP
8.17
mmHg
DBP
6.14
mmHg
Yoga in the Literature
Yoga
Nonaerobic exercise
vs.
Yoga in the Literature
Why Yoga?
Popularity of yoga – 15.8 million Americans
Yoga is effective, simple and inexpensive.
Yoga requires very little equipment.
Best practice can be
implemented for a yoga
regimen that includes
postures, breathing
techniques and meditation
for patients diagnosed
with 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
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