Effects of a 12-Week Yoga Training Intervention on Blood Pressure and Body Composition in Obese Female Adolescents: A Randomized Controlled Pilot Study

Authors

DOI:

https://doi.org/10.15391/prrht.2023-8(3).05

Keywords:

yoga training intervention, blood pressure, obesity, body composition, adolescents

Abstract

This study delves into the pressing issue of obesity, a condition characterized by abnormal fat accumulation and a significant contributor to non-communicable diseases like diabetes, cardiovascular ailments, hypertension, and hyperlipidemia. With over 1 billion individuals globally classified as obese, addressing this epidemic is paramount.

Purpose: this research aimed to evaluate the impact of a 12-week yoga training intervention on blood pressure and body composition among obese adolescents.

Material & Methods: twenty four female adolescents 4 participants discared, aged 18-20 years, female adolescents were randomly assigned to two groups. One group performed yoga training interevention (YPG, n=10, age 19.2±0.4) for 12 weeks with two sessions (morning & evening) for three days a week. A second group acted as an control group (CG, 18.9±0.9). All participants completed the following tests before and after intervention; body weight, body mass index, free fat mass, body fat, systolic blood pressure, diastolic blood pressure, mean arterial pressure, pulse pressure. The results yielded promising outcomes, with all participants successfully completing the study, showcasing a 100% adherence rate without any training or test-related injuries.

Results: the intervention led to significant improvements in several key parameters. In present study, body weight (p<0.001), a notable reduction in (BMI), BF% (p<0.001), SBP (p<0.001), MAP (p<0.001), and PP (p<0.001) were changed significantly.

Conclusion: in conclusion, the 12-week yoga training program emerged as an effective strategy for reducing body composition indicators such as body weight, BMI, and BF%, while also positively impacting blood pressure parameters (MAP and PP) in obese female adolescents. These findings underscore the potential of yoga as a holistic approach in combating the obesity crisis and its associated health risks, offering a path toward healthier lifestyles for affected individuals.

References

Ahmed, B., & Konje, J.C. (2023). The epidemiology of obesity in reproduction. Best Practice & Research. Clinical Obstetrics & Gynaecology, 89, 102342. https://doi.org/10.1016/j.bpobgyn.2023.102342

Alert, M.D., Rastegar, S., Foret, M., Slipp, L., Jacquart, J., Macklin, E., Baim, M., Fricchione, G., Benson, H., Denninger, J., & Yeung, A. (2013). The effectiveness of a comprehensive mind body weight loss intervention for overweight and obese adults: A pilot study. Complementary Therapies in Medicine, 21(4), 286-293. https://doi.org/10.1016/j.ctim.2013.05.005

Alfawaz, H., Amer, O.E., Aljumah, A.A., Aldisi, D.A., Enani, M.A., Aljohani, N.J., Alotaibi, N.H., Alshingetti, N., Alomar, S.Y., Khattak, M.N.K., Sabico, S., & Al-Daghri, N.M. (2021). Effects of home quarantine during COVID-19 lockdown on physical activity and dietary habits of adults in Saudi Arabia. Scientific Reports, 11(1), 5904. https://doi.org/10.1038/s41598-021-85330-2

Asiah, A.S.S., Norhayati, M.N., Muhammad, J., & Muhamad, R. (2023). Effect of yoga on anthropometry, quality of life, and lipid profile in patients with obesity and central obesity: A systematic review and meta-analysis. Complementary Therapies in Medicine, 76, 102959. https://doi.org/10.1016/j.ctim.2023.102959

Batrakoulis, A. (2022). Psychophysiological Adaptations to Yoga Practice in Overweight and Obese Individuals: A Topical Review. Diseases, 10(4), 107. https://doi.org/10.3390/diseases10040107

Budreviciute, A., Damiati, S., Sabir, D.K., Onder, K., Schuller-Goetzburg, P., Plakys, G., Katileviciute, A., Khoja, S., & Kodzius, R. (2020). Management and Prevention Strategies for Non-communicable Diseases (NCDs) and Their Risk Factors. Frontiers in Public Health, 8, 574111. https://doi.org/10.3389/fpubh.2020.574111

Chew, H.S.J., & Lopez, V. (2021). Global Impact of COVID-19 on Weight and Weight-Related Behaviors in the Adult Population: A Scoping Review. International Journal of Environmental Research and Public Health, 18(4), 1876. https://doi.org/10.3390/ijerph18041876

Cohen, B., Kanaya, A., Macer, J., Shen, H., Chang, A., & Grady, D. (2007). Feasibility and acceptability of restorative yoga for treatment of hot flushes: A pilot trial. Maturitas, 56, 198-204. https://doi.org/10.1016/j.maturitas.2006.08.003

Di Cesare, M., Sorić, M., Bovet, P., Miranda, J.J., Bhutta, Z., Stevens, G.A., Laxmaiah, A., Kengne, A.-P., & Bentham, J. (2019). The epidemiological burden of obesity in childhood: A worldwide epidemic requiring urgent action. BMC Medicine, 17(1), 212. https://doi.org/10.1186/s12916-019-1449-8

Field, A. (2013). Discovering Statistics Using IBM SPSS Statistics. SAGE Publications. https://books.google.co.in/books?id=srb0a9fmMEoC

Franklin, S.S., Gustin, W., Wong, N.D., Larson, M.G., Weber, M.A., Kannel, W.B., & Levy, D. (1997). Hemodynamic Patterns of Age-Related Changes in Blood Pressure. Circulation, 96(1), 308-315. https://doi.org/10.1161/01.CIR.96.1.308

Gao, Z., Chen, Z., Sun, A., & Deng, X. (2019). Gender differences in cardiovascular disease. Medicine in Novel Technology and Devices, 4, 100025. https://doi.org/10.1016/j.medntd.2019.100025

Gour, P., Choudhary, A., Sahoo, K.C., Jirwe, M., Hallgren, M., Diwan, V.K., Mahadik, V. K., & Diwan, V. (2020). Experience of Elderly People Regarding the Effect of Yoga/Light Exercise on Sedentary Behavior: A Longitudinal Qualitative Study in Madhya Pradesh, India. Geriatrics, 5(4), 103. https://doi.org/10.3390/geriatrics5040103

Guo, Y., Yue, X.-J., Li, H.-H., Song, Z.-X., Yan, H.-Q., Zhang, P., Gui, Y.-K., Chang, L., & Li, T. (2016). Overweight and Obesity in Young Adulthood and the Risk of Stroke: A Meta-analysis. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of National Stroke Association, 25(12), 2995-3004. https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.08.018

Hendricks, G., Savona, N., Aguiar, A., Alaba, O., Booley, S., Malczyk, S., Nwosu, E., Knai, C., Rutter, H., Klepp, K.-I., & Harbron, J. (2022). Adolescents’ Perspectives on the Drivers of Obesity Using a Group Model Building Approach: A South African Perspective. International Journal of Environmental Research and Public Health, 19(4), 2160. https://doi.org/10.3390/ijerph19042160

Hughson, R.L., Shoemaker, J.K., Tschakovsky, M.E., & Kowalchuk, J.M. (1996). Dependence of muscleV˙o 2on blood flow dynamics at onset of forearm exercise. Journal of Applied Physiology, 81(4), 1619-1626. https://doi.org/10.1152/jappl.1996.81.4.1619

Hulley, S.B., Cummings, S.R., Browner, W.S., Grady, D.G., & Newman, T.B. (2011). Designing Clinical Research. Wolters Kluwer Health. https://books.google.co.in/books?id=L3GQoFQdJ-MC

KavehFarsani, Z., Kelishadi, R., & Beshlideh, K. (2020). Study of the effect of family communication and function, and satisfaction with body image, on psychological well-being of obese girls: The mediating role of self-esteem and depression. Child and Adolescent Psychiatry and Mental Health, 14(1), 39. https://doi.org/10.1186/s13034-020-00345-3

Kwarteng, E.A., Shank, L.M., Faulkner, L.M., Loch, L.K., Fatima, S., Gupta, S., Haynes, H. E., Ballenger, K.L., Parker, M.N., Brady, S.M., Zenno, A., Tanofsky-Kraff, M., & Yanovski, J.A. (2023). Influence of puberty on relationships between body composition and blood pressure: A cross-sectional study. Pediatric Research, 94(2), 781-788. https://doi.org/10.1038/s41390-023-02503-7

Lorås, H. (2020). The Effects of Physical Education on Motor Competence in Children and Adolescents: A Systematic Review and Meta-Analysis. Sports, 8(6), 88. https://doi.org/10.3390/sports8060088

Luppino, F.S., de Wit, L.M., Bouvy, P.F., Stijnen, T., Cuijpers, P., Penninx, B.W.J.H., & Zitman, F.G. (2010). Overweight, obesity, and depression: A systematic review and meta-analysis of longitudinal studies. Archives of General Psychiatry, 67(3), 220-229. https://doi.org/10.1001/archgenpsychiatry.2010.2

Manchanda, S.C., & Madan, K. (2022). Yoga for Primary and Secondary Prevention of Coronary Heart Disease. In I. Basu-Ray & D. Mehta (Eds.), The Principles and Practice of Yoga in Cardiovascular Medicine (pp. 243–252). Springer Nature Singapore. https://doi.org/10.1007/978-981-16-6913-2_19

Mitchell, W., Atherton, P., Williams, J., Larvin, M., Lund, J., & Narici, M. (2012). Sarcopenia, Dynapenia, and the Impact of Advancing Age on Human Skeletal Muscle Size and Strength; a Quantitative Review. Frontiers in Physiology, 3. https://doi.org/10.3389/fphys.2012.00260

Na Nongkhai, M.P., Yamprasert, R., & Punsawad, C. (2021). Effects of Continuous Yoga on Body Composition in Obese Adolescents. Evidence-Based Complementary and Alternative Medicine, 2021, 1-7. https://doi.org/10.1155/2021/6702767

Noale, M., Limongi, F., & Maggi, S. (2020). Epidemiology of Cardiovascular Diseases in the Elderly. In N. Veronese (Ed.), Frailty and Cardiovascular Diseases (Vol. 1216, pp. 29-38). Springer International Publishing. https://doi.org/10.1007/978-3-030-33330-0_4

Park, W., Jung, W.-S., Hong, K., Kim, Y.-Y., Kim, S.-W., & Park, H.-Y. (2020). Effects of Moderate Combined Resistance- and Aerobic-Exercise for 12 Weeks on Body Composition, Cardiometabolic Risk Factors, Blood Pressure, Arterial Stiffness, and Physical Functions, among Obese Older Men: A Pilot Study. International Journal of Environmental Research and Public Health, 17(19), 7233. https://doi.org/10.3390/ijerph17197233

Patel, R., & Veidlinger, D. (2023). Exploring the Benefits of Yoga for Mental and Physical Health during the COVID-19 Pandemic. Religions, 14(4), 538. https://doi.org/10.3390/rel14040538

Popkin, B.M., Adair, L.S., & Ng, S.W. (2012). Global nutrition transition and the pandemic of obesity in developing countries. Nutrition Reviews, 70(1), 3-21. https://doi.org/10.1111/j.1753-4887.2011.00456.x

Ramos-Campo, D.J., Andreu Caravaca, L., Martínez-Rodríguez, A., & Rubio-Arias, J.Á. (2021). Effects of Resistance Circuit-Based Training on Body Composition, Strength and Cardiorespiratory Fitness: A Systematic Review and Meta-Analysis. Biology, 10(5), 377. https://doi.org/10.3390/biology10050377

Reddy, K.S., & Mathur, M.R. (2022). Addressing the Common Risk Factors for Reducing the Burden of Cardiovascular Diseases: The Impact of Yoga. In I. Basu-Ray & D. Mehta (Eds.), The Principles and Practice of Yoga in Cardiovascular Medicine (pp. 39-43). Springer Nature Singapore. https://doi.org/10.1007/978-981-16-6913-2_2

Reinehr, T., Andler, W., Denzer, C., Siegried, W., Mayer, H., & Wabitsch, M. (2005). Cardiovascular risk factors in overweight German children and adolescents: Relation to gender, age and degree of overweight. Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 15, 181-187. https://doi.org/10.1016/j.numecd.2004.06.003

Renehan, A.G., Tyson, M., Egger, M., Heller, R.F., & Zwahlen, M. (2008). Body-mass index and incidence of cancer: A systematic review and meta-analysis of prospective observational studies. Lancet (London, England), 371(9612), 569-578. https://doi.org/10.1016/S0140-6736(08)60269-X

Riaz, H., Khan, M.S., Siddiqi, T.J., Usman, M.S., Shah, N., Goyal, A., Khan, S.S., Mookadam, F., Krasuski, R.A., & Ahmed, H. (2018). Association Between Obesity and Cardiovascular Outcomes: A Systematic Review and Meta-analysis of Mendelian Randomization Studies. JAMA Network Open, 1(7), e183788. https://doi.org/10.1001/jamanetworkopen.2018.3788

Romero-Corral, A., Somers, V.K., Sierra-Johnson, J., Thomas, R.J., Collazo-Clavell, M.L., Korinek, J., Allison, T.G., Batsis, J.A., Sert-Kuniyoshi, F.H., & Lopez-Jimenez, F. (2008). Accuracy of body mass index in diagnosing obesity in the adult general population. International Journal of Obesity, 32(6), 959-966. https://doi.org/10.1038/ijo.2008.11

Ross, A., & Thomas, S. (2010). The Health Benefits of Yoga and Exercise: A Review of Comparison Studies. The Journal of Alternative and Complementary Medicine, 16(1), 3-12. https://doi.org/10.1089/acm.2009.0044

Saeidifard, F., Medina-Inojosa, J.R., West, C.P., Olson, T.P., Somers, V.K., Bonikowske, A.R., Prokop, L.J., Vinciguerra, M., & Lopez-Jimenez, F. (2020). The association of resistance training with mortality: A systematic review and meta-analysis. European Journal of Preventive Cardiology, 26(15), 1647-1665. https://doi.org/10.1177/2047487319850718

Safaei, M., Sundararajan, E.A., Driss, M., Boulila, W., & Shapi’i, A. (2021). A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Computers in Biology and Medicine, 136, 104754. https://doi.org/10.1016/j.compbiomed.2021.104754

Silverwood, V., Blagojevic-Bucknall, M., Jinks, C., Jordan, J.L., Protheroe, J., & Jordan, K.P. (2015). Current evidence on risk factors for knee osteoarthritis in older adults: A systematic review and meta-analysis. Osteoarthritis and Cartilage, 23(4), 507-515. https://doi.org/10.1016/j.joca.2014.11.019

Štefanová, E., Bakalár, P., & Baška, T. (2020). Eating-Disordered Behavior in Adolescents: Associations with Body Image, Body Composition and Physical Activity. International Journal of Environmental Research and Public Health, 17(18), 6665. https://doi.org/10.3390/ijerph17186665

Taksali, S.E., Caprio, S., Dziura, J., Dufour, S., Calí, A.M.G., Goodman, T.R., Papademetris, X., Burgert, T.S., Pierpont, B.M., Savoye, M., Shaw, M., Seyal, A.A., & Weiss, R. (2008). High Visceral and Low Abdominal Subcutaneous Fat Stores in the Obese Adolescent: A Determinant of an Adverse Metabolic Phenotype. Diabetes, 57(2), 367-371. https://doi.org/10.2337/db07-0932

Templin, T., Cravo Oliveira Hashiguchi, T., Thomson, B., Dieleman, J., & Bendavid, E. (2019). The overweight and obesity transition from the wealthy to the poor in low- and middle-income countries: A survey of household data from 103 countries. PLoS Medicine, 16(11), e1002968. https://doi.org/10.1371/journal.pmed.1002968

Tran, M.D., Holly, R.G., Lashbrook, J., & Amsterdam, E.A. (2001). Effects of Hatha Yoga Practice on the Health-Related Aspects of Physical Fitness. Preventive Cardiology, 4(4), 165-170. https://doi.org/10.1111/j.1520-037X.2001.00542.x

Whelton, P.K., Carey, R.M., Aronow, W.S., Casey, D.E., Collins, K.J., Himmelfarb, C.D., DePalma, S.M., Gidding, S., Jamerson, K.A., Jones, D.W., MacLaughlin, E.J., Muntner, P., Ovbiagele, B., Smith, S.C., Spencer, C.C., Stafford, R.S., Taler, S.J., Thomas, R.J., Williams, K.A., … Wright, J.T. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension, 71(6), 1269-1324. https://doi.org/10.1161/HYP.0000000000000066

Zubery, D., Kimiywe, J., & Martin, H.D. (2021). Prevalence of Overweight and Obesity, and Its Associated Factors Among Health-care Workers, Teachers, and Bankers in Arusha City, Tanzania. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 14, 455-465. https://doi.org/10.2147/DMSO.S283595

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2023-09-30

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Original research article