Role of Yoga in Cardiovascular Diseases

The Sanskrit word for yoga means “connection” or “union.” Specifically, it is the combination of the atman that is, soul with the supreme or absolute soul, or “PARAM atman” (ie, God). To achieve the balance between the body, mind, and soul, it combines meditation (dhyana), breathing exercises (pranayama), and physical postures (asana). Pranayama is the ultimate objective of spiritual emancipation (moksha)1. Yoga is a traditional Indian exercise that combines physical activity and meditation by emphasizing physical flexibility and concentration. About 300 million people practice yoga worldwide. Yoga has been known to have a positive effect on CVD risk factors (Streeter et al.). Despite the Hindu tradition to practice yoga, the roots of yoga extend back to prevedic times. Yoga was only presented to the West in the late 19th and early 20th centuries. Yoga has been widely accepted and used in the West for a while, but until the beginning of the 21st century, it was only preferred as a medical alternative. Because of a greater response and comprehension of the mind-body links in many medical problems, the notion of yoga has received more attention in the last 10-15 years in the scientific world of medicine.1 Although yoga is becoming more and more well-liked, its effects on risk factors for cardiovascular disease (CVD) have been unpredictable. The systematic analysis of “how yoga affects modify CVD risk factors” are implicated. Yoga is a strength- and flexibility-focused discipline that integrates the mind, body, and spirit via postures that is, asanas linked to meditation that is, dhyana and breathing exercises that is, pranayama.2 The ability to meditate is mindfulness. It entails making an effort to consciously notice “the present moment” or “what is happening in the now,” both outside and inside of oneself.3 As part of rehabilitation, adaptation, and health education, to lifestyle change, these behaviors may be specifically beneficial for individuals with long-standing diseases, such as CV disease.4 The goal of yoga is to promote overall health on all levels—physical, mental, emotional, and spiritual. The practice of yoga, which has its roots in India and dates back around 4000 years, is becoming more and more popular in Western nations.5 Numerous varieties of yogic techniques have been mentioned in ancient scriptures. These consist of the focus of Bhakti Yoga is on devotion and spirituality. Wisdom is emphasized in Gnana Yoga. The focus of Karma Yoga is on selfless actions and gifts. Raj Yoga stresses mental mastery through intense concentration. Meditation is emphasized in Dhyana Yoga. Hatha Yoga stresses the psychosocial energies of the body, while Mantra Yoga focuses on the repeating of religious recitations like transcendental meditation. According to common belief, yoga refers to a set of physical postures and callisthenic exercises that are carried out for physical fitness. Though, this ancient Indian philosophy also includes a variety of mental attitudes, bodily activities, and intellectual precepts. Yoga, which is practiced in many ways, includes physical postures, breathing techniques, and meditation in addition to lifestyle practices including moderation in eating and quitting smoking and drinking.6

The word “cardiovascular diseases” (CVDs) refers to a variety of blood vessels and heart conditions.7 It is widely known that cardiovascular disease is a chronic, inflammatory immunological disorder that affects the arteries. Over time, the arteries become stenotic due to the build-up of sclerosis of the arterial walls and intimal atheroma.8 If the procedure persists, plaques may form that are prone to rupture, obstructing coronary arteries and resulting in thrombosis. Cardiovascular disease epidemiology is intricate and multifaceted. The World Health Organization (WHO) has raised the alarm during the past 15 years due to the rising burden of CVDs (WHO 2017). In 2015, 17.7 million people worldwide passed away from CVDs, accounting for 31% of all fatalities. The majority of CVDs could be avoided by controlling their risk factors. Due to an understanding of the mind-body superior knowledge linkages in many medicinal diseases, the notion of yoga has garnered increased interest in the medical scientific community during the last 10-15 years. According to estimates, 18.6 million general public will die from cardiovascular diseases (CVD) in 2019, which would account for 32% of all fatalities worldwide. Nearly 39% of these (or roughly 58%, or 10.8 million) happened in people under the age of 70 and occurred in Asia. The rising CVD epidemic in Asia is most likely brought on by a complex interplay between lifestyle, rising CVD risk factors socioeconomic environment, and prevalence. About 80% of CVD is brought on by modified risk factors, the most important of which are hyperlipidemia, body weight, diabetes, and hypertension. Not only do cardiovascular illnesses (CVD) top the list of causes of death worldwide, but they are also to blame for the greatest loss of healthy life years.9 As a result, the greatest group of patients who have experienced cardiovascular events requires long-term systemic rehabilitation that is well-balanced. Because of rising morbidity and death rates, we must now consider all additional options for implementing secondary prevention programs.10 The of this goal study was to thoroughly assess the most recent randomized control trial (RCT) data on the special effects of yoga rehabilitation on modifiable cardiovascular disease (CVD) risk factors. In particular, attention was paid to metabolic parameters, blood pressure (BP), and body mass indexes (BMI) like hemoglobin A1c (HbA1c) and lipid profiles. Therefore this review examines most of the available data evaluating yoga's physiological and clinical effects on the cardiovascular system as well as its prospective significance as a component of thorough cardiac rehabilitation.11 This review also supports the involvement of yoga in the executive management and prevention of several CVDs and their risk aspects.

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