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Accessible Unlicensed Requires Authentication Published by De Gruyter May 19, 2020

Immediate effect of Kapalbhathi pranayama on short term heart rate variability (HRV) in healthy volunteers

S. Lalitha, K. Maheshkumar, R. Shobana and C. Deepika

Abstract

Objectives

Kapalbhathi Pranayam (Kapal = forehead; bhati = shining) is a breathing exercise that has been practiced to cleanse the frontal brain in traditional practices like yoga. Still, there exists a dearth of literature on the effect of Kapalbhathi pranayama on physiological systems. So this present study was carried out to find the immediate effect of “kapalbhathi Pranayam” practice for the period of 5 min on cardiac autonomic function among the healthy volunteers.

Materials and methods

Apparently 50 healthy volunteers includes both sex were participated. They were randomly divided into Pranayama (n−25) and control (n−25) group. Pranayama group was practiced kapalbhathi pranayama 5 min (5 cycles) and control group was allowed to do normal breathing (12–16 breath/min). Lead II ECG was recorded for 5 min using simple AD converter before, immediately after practice and 20 min of recovery period.

Results

One way Analysis of variance (ANOVA) followed by post hoc test was done using R statistical software. There was a significant (p < 0.05) parasympathetic withdrawal (Root Mean Square of the Successive Differences (RMSSD) – p < 0.04 and HF n.u – p < 0.05) was found in the pranayama group immediately after practice and its was changed to parasympathetic domination (RMSSD – p < 0.04 and HF n.u – p < 0.05) after 20 min of recovery period.

Conclusion

The present study suggested that though there was parasympathetic withdrawal immediately after practicing kapalbhathi pranayama, 20 min after the recovery period showed a parasympathetic domination in the pranayama group subjects. However, further studies are required to warrant the findings of this study.


Corresponding author: Dr. R. Shobana, Department of Physiology, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra Institute of Higher Education and Research (SRIHER), Chennai, Tamil Nadu, India, E-mail:

  1. Research funding: None declared.

  2. Employment or leadership: None declared.

  3. Honorarium: None declared.

  4. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

References

1. Shankar G. Yoga Psychotherapy around the world. Health Psychol 2016;1:219.Search in Google Scholar

2. Kuppusamy M, Kamaldeen D, Pitani R, Amaldas J. Immediate effects of Bhramari pranayama on resting cardiovascular parameters in healthy adolescents. J Clin Diagn Res 2016;10:CC17. .Search in Google Scholar

3. Russo MA, Santarelli DM, O'Rourke D. The physiological effects of slow breathing in the healthy human. Breathe 2017;13:298–309. .Search in Google Scholar

4. Kuppusamy M, Kamaldeen D, Pitani R, Amaldas J, Shanmugam P. Effects of Bhramari Pranayama on health–a systematic review. J Tradit Complement Med 2018;8:11–6. .Search in Google Scholar

5. Singh RB, Wilczyńska-Kwiatek A, Fedacko J, Pella D, De Meester F. Pranayama: the power of breath. Int J Disabil Hum Dev 2009;8:141–54. https://doi.org/10.1515/IJDHD.2009.8.2.141.Search in Google Scholar

6. Sengupta P. Health impacts of yoga and pranayama: A state-of-the-art review. Int J Prev Med 2012;3:444.Search in Google Scholar

7. Sivakumar G, Prabhu K, Baliga R, Pai MK, Manjunatha S. Acute effects of deep breathing for a short duration (2-10 minutes) on pulmonary functions in healthy young volunteers. Indian J Physiol Pharmacol 2011;55:154–59.Search in Google Scholar

8. Ansari RM. Kapalabhati pranayama: An answer to modern day polycystic ovarian syndrome and coexisting metabolic syndrome? Int j yoga. 2016;9:163. .Search in Google Scholar

9. Saraswati SS, Hiti J. Asana Pranayama Mudra Bandha Bihar. India: Yoga Publication Trust 1996.Search in Google Scholar

10. Maheshkumar K, Dilara K, Maruthy K, Sundareswaren L. Validation of PC-based sound card with biopac for digitalization of ECG recording in short-term HRV analysis. North Am J Med Sci 2016;8:307. .Search in Google Scholar

11. Dinesh T, Gaur GS, Sharma VK, Madanmohan T, Kumar KH, Bhavanani AB. Comparative effect of 12 weeks of slow and fast pranayama training on pulmonary function in young, healthy volunteers: A randomized controlled trial. Int J Yoga 2015;8:22. .Search in Google Scholar

12. Kekan D, Kashalikar S. Effect of Kapalbhati pranayama on waist and hip circumference. J Evol Med Dental Sci 2013;2:1695–9. .Search in Google Scholar

13. Veerabhadrappa SG, Herur A, Patil S, Ankad RB, Chinagudi S, Baljoshi VS, et al. Effect of yogic bellows on cardiovascular autonomic reactivity. J Cardiovasc Dis Res 2011;2:223–7. https://doi.org/10.4103/0975-3583.89806.Search in Google Scholar

14. Draghici AE, Taylor JA. The physiological basis and measurement of heart rate variability in humans. J Physiol Anthropol 2016;35:22. https://doi.org/10.1186/s40101-016-0113-7.Search in Google Scholar

15. Laborde S, Mosley E, Thayer JF. Heart rate variability and cardiac vagal tone in psychophysiological research–recommendations for experiment planning, data analysis, and data reporting. Front Physcol 2017;8:213. .Search in Google Scholar

16. Task Force of the European Society of Cardiology. Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation 1996;93:1043–65.Search in Google Scholar

17. Malliani A, Pagani M, Lombardi F, Cerutti S. Cardiovascular neural regulation explored in the frequency domain. Circulation 1991;84:482–92. .Search in Google Scholar

18. Stevenson I, Ripley HS. Variations in respiration and in respiratory symptoms during changes in emotion. Psychosom Med 1952;14:476–90. .Search in Google Scholar

19. Hill L, Siebenbrock A, Sollers J, Thayer JF. Are all measures created equal? Heart rate variability and respiration. Biomed Sci Instrum 2009;45:71–6.Search in Google Scholar

Received: 2019-12-15
Accepted: 2020-01-17
Published Online: 2020-05-19

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