Results of ABP did not lower BP by a statistically or clinically meaningful amount in the treatment group as opposed to the control group. Ambulatory BP monitoring was performed at baseline and at 12 weeks. The most recent publication from Canada randomized unmedicated stage 1 hypertensive patients to meditation and yoga for 8 weeks versus wait-list control. This study showed clinically meaningful reductions in 24-hour ambulatory BP readings in the IY group at 12 weeks. This includes our own previous study completed at the University of Pennsylvania in which subjects with prehypertension to stage 1 hypertension were randomized to a structured Iyengar Yoga Program or enhanced LSM. There are only 9 randomized controlled trials of any form of yoga for hypertension. Although yoga has been beneficial in treating a variety of medical conditions there has been limited data published suggesting a benefit of yoga on hypertension.Īlthough there are a number of published studies investigating the effects of various forms of yoga on hypertension, most of these studies are uncontrolled case reports or small cohort studies conducted in India with significant methodological limitations. Yoga has been shown to be one of the most popular CAM therapies with growing use particularly in older hypertensive patients. Complementary and Alternative Medicine modalities including mind-body therapies have been used in managing modest elevations in BP. Lifestyle modifications have been recommended as a first line approach for both prehypertension and stage 1 hypertension patients. Patients with prehypertension are also at an increased risk for adverse CV events compared to normotensive controls. Hypertension is a major public health issue affecting more than 70 million US adults and is a major risk factor in the development of stroke, cardiovascular and chronic kidney disease.
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