Key result
Integrated yoga increases RMSSD by ~34% in school-aged children, boosting parasympathetic tone.
Why the study?
While evidence supports yogic practices in modulating autonomic function in adults, pediatric research on heart rate variability and autonomic function remains limited.
Does an integrated yogic intervention improve heart rate variability and autonomic function in school-aged children?
RCT (n=82)
Randomly allocated
No
Does an integrated yogic intervention improve heart rate variability and autonomic function in school-aged children?
Standardized Mean Difference: -0.44
Absolute Event Rate: 280.85% vs 210.26%
p-value: p=.022
An integrated yoga and Yoga Nidra intervention acutely shifts autonomic balance toward parasympathetic dominance in school-aged children, suggesting potential benefits for stress regulation.
Supports acute parasympathetic shift with yoga in children; extends adult HRV data but needs replication for clinical adoption.
Background: Heart rate variability (HRV) is a reliable, non-invasive biomarker of cardiac autonomic regulation. While evidence supports yogic practices in modulating autonomic function in adults, pediatric research remains limited. Objective: This study investigated the acute effects of an integrated yogic intervention—comprising Bhramari Pranayama, Adi Mudra, Navasana, and Yoga Nidra—on 16 comprehensive HRV metrics in school-aged children (ages 8–12 years). Methods: 82 students from Auroville, Tamil Nadu, India were randomly allocated into intervention (n = 41) and control (n = 41) groups. HRV was continuously recorded across three phases: Pre (3 min), During Yoga Nidra (20 min), and Post (3 min). The same 41 responders were identified by LF/HF ratio reduction. Sixteen HRV metrics were analyzed using repeated measures ANOVA with Bonferroni-corrected pairwise comparisons. Results: Significant omnibus effects were observed for RMSSD (F = 3.38, p = .037, η² = .053), PNS Index (F = 3.18, p = .045, η² = .050), SNS Index (F = 4.03, p = .020, η² = .063), Stress Index (F = 3.98, p = .021, η² = .062), and SD1 (F = 3.33, p = .039, η² = .053). Pre-to-Post comparisons revealed significant enhancements in parasympathetic markers (RMSSD: d = −0.44; PNS Index: d = −0.42; pNN50: d = −0.51) and significant reductions in sympathetic markers (SNS Index: d = 0.52; Stress Index: d = 0.53). Conclusion: The integrated yogic intervention produced statistically significant and clinically meaningful shifts toward parasympathetic dominance in school-aged children.
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Dama et al. (2026) reported an RCT. Integrated yogic intervention vs. Pre-intervention baseline (within-subject) / 60-minute structured activities was evaluated on Change in RMSSD (ms) from Pre to Post intervention (d = -0.440, p=.022). An integrated yogic intervention significantly increased RMSSD by 33.6% (d = -0.44, p = .022) from pre- to post-intervention in school-aged children, indicating a shift toward parasympathetic dominance.
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