Key result
Kapalbhathi pranayama causes immediate parasympathetic withdrawal that shifts to parasympathetic dominance after a 20-minute recovery.
Why the study?
There is a dearth of literature on the effect of Kapalbhathi pranayama on physiological systems, prompting investigation into its immediate effect on cardiac autonomic function.
Does Kapalbhathi pranayama alter short term heart rate variability in healthy volunteers?
RCT (n=50)
Randomly divided
Does Kapalbhathi pranayama alter short term heart rate variability in healthy volunteers?
p-value: p=<0.04
Kapalbhathi pranayama induces an immediate parasympathetic withdrawal followed by parasympathetic dominance at 20 minutes post-practice in healthy volunteers.
May guide pranayama timing to capture post-recovery parasympathetic rebound; extends RCT evidence on acute biphasic HRV effects in healthy adults.
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.
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Lalitha et al. (2020) conducted an RCT in Healthy (n=50). Kapalbhathi pranayama vs. Normal breathing (12-16 breath/min) was evaluated on Cardiac autonomic function (RMSSD and HF n.u) (p=<0.04). Kapalbhathi pranayama caused significant parasympathetic withdrawal immediately after 5 minutes of practice (RMSSD p<0.04), shifting to parasympathetic domination after a 20-minute recovery.
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