Skip to main content

Yoga and Cardiovascular Disease Prevention in African Americans and Hispanics

  • Chapter
  • First Online:
The Principles and Practice of Yoga in Cardiovascular Medicine

Abstract

Despite numerous advances in the prevention and treatment of cardiovascular disease (CVD) and CVD risk factors, CVD remains a leading cause of morbidity and mortality in the USA and globally [1]. The effective prevention and treatment of CVD often requires the combination of pharmacologic and non-pharmacologic approaches, typically directed at CVD risk factors [1, 2]. However, the prevention of CVD is more commonly grounded in non-pharmacologic approaches, especially primary prevention of key CVD risk factors such as hypertension, diabetes, obesity, hypercholesterolemia, inactivity, smoking, and stress [1–3]. The therapeutic lifestyle changes required as part of a comprehensive non-pharmacologic approach are particularly important since many of these CVD risk factors are behavioral and modifiable [1, 2]. Health care providers may use evidence-based tools for CVD prevention, for example, brief motivational interviewing or the 5A’s (Ask, Advise, Assist, Assess, Arrange) to ask patients about diet and exercise patterns, their smoking status, provide lifestyle advice, and participate in local initiatives or services that may provide support services and promote healthy lifestyle change [4]. By contrast, health care providers may encourage the use of approaches considered alternative for addressing CVD in Western Allopathic medicine such as naturopathy, meditation, and yoga [5–7]. The identification and effective communication of key CVD risk-attributable behaviors (such as dietary intake, physical inactivity, excessive alcohol intake, smoking, and stress reduction), should engage and encourage patients to be proactive in the implementation of therapeutic lifestyle changes including the practice of yoga and meditation [1–3].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Virani SS, Alonso A, Benjamin EJ, Bittencourt MS, Callaway CW, Carson AP, et al. Heart disease and stroke statistics-2020 update: a report from the American Heart Association. Circulation. 2020;141(9):e139–596. https://doi.org/10.1161/cir.0000000000000757.

    Article  PubMed  Google Scholar 

  2. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 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: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2018;138(17):e484–594. https://doi.org/10.1161/cir.0000000000000596.

    Article  PubMed  Google Scholar 

  3. Levine GN, Lange RA, Bairey-Merz CN, Davidson RJ, Jamerson K, Mehta PK, et al. Meditation and cardiovascular risk reduction: a scientific statement from the American Heart Association. J Am Heart Assoc. 2017;6(10) https://doi.org/10.1161/jaha.117.002218.

  4. National Guideline C. National Institute for health and care excellence: clinical guidelines. In: Hypertension in adults: diagnosis and management. London: National Institute for Health and Care Excellence (UK); 2019. Copyright (c) NICE 2019.

    Google Scholar 

  5. Mooventhan A, Nivethitha L. Role of yoga in the prevention and management of various cardiovascular diseases and their risk factors: a comprehensive scientific evidence-based review. Explore (NY). 2020; https://doi.org/10.1016/j.explore.2020.02.007.

  6. Prasad K, Sharma V, Lackore K, Jenkins SM, Prasad A, Sood A. Use of complementary therapies in cardiovascular disease. Am J Cardiol. 2013;111(3):339–45. https://doi.org/10.1016/j.amjcard.2012.10.010.

    Article  PubMed  Google Scholar 

  7. Sirois FM, Jiang L, Upchurch DM. Use and disclosure of complementary health approaches in US adults with cardiovascular disease. Am J Cardiol. 2018;122(1):170–4. https://doi.org/10.1016/j.amjcard.2018.03.014.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Pascoe MC, Bauer IE. A systematic review of randomised control trials on the effects of yoga on stress measures and mood. J Psychiatr Res. 2015;68:270–82. https://doi.org/10.1016/j.jpsychires.2015.07.013.

    Article  PubMed  Google Scholar 

  9. Sengupta P. Health impacts of yoga and pranayama: a state-of-the-art review. Int J Prev Med. 2012;3(7):444.

    PubMed  PubMed Central  Google Scholar 

  10. Kuntsevich V, Bushell WC, Theise ND. Mechanisms of yogic practices in health, aging, and disease. Mt Sinai J Med. 2010;77(5):559–69. https://doi.org/10.1002/msj.20214.

    Article  PubMed  Google Scholar 

  11. Zope SA, Zope RA. Sudarshan kriya yoga: breathing for health. Int J Yoga. 2013;6(1):4–10. https://doi.org/10.4103/0973-6131.105935.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Rep. 2008;(12):1–23.

    Google Scholar 

  13. Clarke TC, Barnes PM, Black LI, Stussman BJ, Nahin RL. Use of yoga, meditation, and chiropractors among U.S. adults aged 18 and over. NCHS Data Brief. 2018;(325):1–8.

    Google Scholar 

  14. Bohm D. Wholeness and the implicate order. London: Routledge; 2002.

    Google Scholar 

  15. Gove PB. Webster’s third new international dictionary of the English language, unabridged, vol. 1. Springfield: Merriam-Webster; 1981.

    Google Scholar 

  16. Denner SS. The science of energy therapies and contemplative practice: a conceptual review and the application of zero balancing. Holist Nurs Pract. 2009;23(6):315–34. https://doi.org/10.1097/HNP.0b013e3181bf3784.

    Article  PubMed  Google Scholar 

  17. Sullivan LS. Trust, risk, and race in American medicine. Hast Cent Rep. 2020;50(1):18–26. https://doi.org/10.1002/hast.1080.

    Article  Google Scholar 

  18. Bhasin MK, Dusek JA, Chang BH, Joseph MG, Denninger JW, Fricchione GL, et al. Relaxation response induces temporal transcriptome changes in energy metabolism, insulin secretion and inflammatory pathways. PLoS One. 2013;8(5):e62817. https://doi.org/10.1371/journal.pone.0062817.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Buric I, Farias M, Jong J, Mee C, Brazil IA. What is the molecular signature of mind-body interventions? A systematic review of gene expression changes induced by meditation and related practices. Front Immunol. 2017;8:670. https://doi.org/10.3389/fimmu.2017.00670.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Fjorback LO. Mindfulness and bodily distress. Dan Med J. 2012;59(11):B4547.

    PubMed  Google Scholar 

  21. Guddeti RR, Dang G, Williams MA, Alla VM. Role of yoga in cardiac disease and rehabilitation. J Cardiopulm Rehabil Prev. 2018; https://doi.org/10.1097/hcr.0000000000000372.

  22. Cooper RS, Forrester TE, Plange-Rhule J, Bovet P, Lambert EV, Dugas LR, et al. Elevated hypertension risk for African-origin populations in biracial societies: modeling the Epidemiologic Transition Study. J Hypertens. 2015;33(3):473–80.; discussion 480-471. https://doi.org/10.1097/hjh.0000000000000429.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Cruickshank JK, Silva MJ, Molaodi OR, Enayat ZE, Cassidy A, Karamanos A, et al. Ethnic differences in and childhood influences on early adult pulse wave velocity: the determinants of adolescent, now young adult, social wellbeing, and health longitudinal study. Hypertension. 2016;67(6):1133–41. https://doi.org/10.1161/hypertensionaha.115.07079.

    Article  CAS  PubMed  Google Scholar 

  24. Faerstein E, Chor D, Werneck GL, de Souza Lopes C, Kaplan G. Race and perceived racism, education, and hypertension among Brazilian civil servants: the Pro-Saude Study. Rev Bras Epidemiol. 2014;17(Suppl 2):81–7. https://doi.org/10.1590/1809-4503201400060007.

    Article  PubMed  Google Scholar 

  25. Michaels EK, Reeves AN, Thomas MD, Price MM, Hasson RE, Chae DH, Allen AM. Everyday racial discrimination and hypertension among midlife African American women: disentangling the role of active coping dispositions versus active coping behaviors. Int J Environ Res Public Health. 2019;16(23) https://doi.org/10.3390/ijerph16234759.

  26. Orom H, Sharma C, Homish GG, Underwood W 3rd, Homish DL. Racial discrimination and stigma consciousness are associated with higher blood pressure and hypertension in minority men. J Racial Ethn Health Disparities. 2016; https://doi.org/10.1007/s40615-016-0284-2.

  27. Taylor JY, Sun YV, Barcelona de Mendoza V, Ifatunji M, Rafferty J, Fox ER, et al. The combined effects of genetic risk and perceived discrimination on blood pressure among African Americans in the Jackson Heart Study. Medicine (Baltimore). 2017;96(43):e8369. https://doi.org/10.1097/md.0000000000008369.

    Article  Google Scholar 

  28. Beatty Moody DL, Waldstein SR, Tobin JN, Cassells A, Schwartz JC, Brondolo E. Lifetime racial/ethnic discrimination and ambulatory blood pressure: the moderating effect of age. Health Psychol. 2016;35(4):333–42. https://doi.org/10.1037/hea0000270.

    Article  PubMed  Google Scholar 

  29. Brown C, Matthews KA, Bromberger JT, Chang Y. The relation between perceived unfair treatment and blood pressure in a racially/ethnically diverse sample of women. Am J Epidemiol. 2006;164(3):257–62. https://doi.org/10.1093/aje/kwj196.

    Article  PubMed  Google Scholar 

  30. Gabriel AC, Bell CN, Bowie JV, Hines AL, LaVeist TA, Thorpe RJ Jr. The association between perceived racial discrimination and hypertension in a low-income, racially integrated urban community. Fam Community Health. 2020;43(2):93–9. https://doi.org/10.1097/fch.0000000000000254.

    Article  PubMed  Google Scholar 

  31. Maraboto C, Ferdinand KC. Update on hypertension in African-Americans. Prog Cardiovasc Dis. 2020;63(1):33–9. https://doi.org/10.1016/j.pcad.2019.12.002.

    Article  PubMed  Google Scholar 

  32. Taylor HA Jr. Establishing a foundation for cardiovascular disease research in an African-American community—the Jackson Heart Study. Ethn Dis. 2003;13(4):411–3.

    PubMed  Google Scholar 

  33. Okhomina VI, Seals SR, Anugu P, Adu-Boateng G, Sims M, Marshall GD Jr. Adherence and retention of African Americans in a randomized controlled trial with a yoga-based intervention: the effects of health promoting programs on cardiovascular disease risk study. Ethn Health. 2018;25:1–13. https://doi.org/10.1080/13557858.2018.1458073.

    Article  Google Scholar 

  34. Johnson CC, Taylor AG, Anderson JG, Jones RA, Whaley DE. Feasibility and acceptability of an internet-based, African dance-modified yoga program for African-American women with or at risk for metabolic syndrome. J Yoga Phys Ther. 2014;4:174. https://doi.org/10.4172/2157-7595.1000174.

    Article  Google Scholar 

  35. Palta P, Page G, Piferi RL, Gill JM, Hayat MJ, Connolly AB, Szanton SL. Evaluation of a mindfulness-based intervention program to decrease blood pressure in low-income African-American older adults. J Urban Health. 2012;89(2):308–16. https://doi.org/10.1007/s11524-011-9654-6.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Moreno-Castro C, Lopera-Pareja EH. Comparative study of the frequency of use of natural therapies among the Spanish population and their public image on digital media. In: Paper presented at the 14th international conference on public communication of science and technology (PCST). Estambul; 2016. Retrieved from https://pcst.co/archive/paper/2623

  37. Flores A, Lopez M, Krogstad J. US Hispanic population reached new high in 2018, but growth has slowed. Pew Research Center; 2019. Retrieved 22 July 2019.

    Google Scholar 

  38. Friedman JD. The future of yoga is in Spanish. Yoga J. 2017. Updated: Apr 5, 2017. https://www.yogajournal.com/lifestyle/future-yoga-spanish. Accessed 5-1-20.

  39. Park J, Newman D, McCaffrey R, Garrido JJ, Riccio ML, Liehr P. The effect of chair yoga on biopsychosocial changes in English- and Spanish-speaking community-dwelling older adults with lower-extremity osteoarthritis. J Gerontol Soc Work. 2016;59(7–8):604–26. https://doi.org/10.1080/01634372.2016.1239234.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Shah AJ, Ostfeld RJ. Attitudes of inner city patients with cardiovascular disease towards meditation. J Integr Cardiol. 2016;2(2) https://doi.org/10.15761/jic.1000152.

  41. Parker EA, McArdle PF, Gioia D, Trilling A, Bahr-Robertson M, Costa N, et al. An onsite fitness facility and integrative wellness program positively impacted health-related outcomes among teachers and staff at an urban elementary/middle school. Glob Adv Health Med. 2019;8:2164956119873276. https://doi.org/10.1177/2164956119873276.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Sarkissian M, Trent NL, Huchting K, Singh Khalsa SB. Effects of a kundalini yoga program on elementary and middle school students’ stress, affect, and resilience. J Dev Behav Pediatr. 2018;39(3):210–6. https://doi.org/10.1097/dbp.0000000000000538.

    Article  PubMed  Google Scholar 

  43. Hernandez R, Daviglus ML, Martinez L, Durazo-Arvizu RA, Huffman JC, Ramirez F, et al. “iAlegrate!”—a culturally adapted positive psychological intervention for Hispanics/Latinos with hypertension: rationale, design, and methods. Contemp Clin Trials Commun. 2019;14:100348. https://doi.org/10.1016/j.conctc.2019.100348.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Clark LT, Watkins L, Pina IL, Elmer M, Akinboboye O, Gorham M, et al. Increasing diversity in clinical trials: overcoming critical barriers. Curr Probl Cardiol. 2019;44(5):148–72. https://doi.org/10.1016/j.cpcardiol.2018.11.002.

    Article  PubMed  Google Scholar 

  45. Spadola CE, Rottapel R, Khandpur N, Kontos E, Bertisch SM, Johnson DA, et al. Enhancing yoga participation: a qualitative investigation of barriers and facilitators to yoga among predominantly racial/ethnic minority, low-income adults. Complement Ther Clin Pract. 2017;29:97–104. https://doi.org/10.1016/j.ctcp.2017.09.001.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Chen KW, Berger CC, Manheimer E, Forde D, Magidson J, Dachman L, Lejuez CW. Meditative therapies for reducing anxiety: a systematic review and meta-analysis of randomized controlled trials. Depress Anxiety. 2012;29(7):545–62. https://doi.org/10.1002/da.21964.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Cramer H, Lauche R, Langhorst J, Dobos G. Yoga for depression: a systematic review and meta-analysis. Depress Anxiety. 2013;30(11):1068–83. https://doi.org/10.1002/da.22166.

    Article  PubMed  Google Scholar 

  48. da Silva TL, Ravindran LN, Ravindran AV. Yoga in the treatment of mood and anxiety disorders: a review. Asian J Psychiatr. 2009;2(1):6–16. https://doi.org/10.1016/j.ajp.2008.12.002.

    Article  PubMed  Google Scholar 

  49. Chu P, Gotink RA, Yeh GY, Goldie SJ, Hunink MG. The effectiveness of yoga in modifying risk factors for cardiovascular disease and metabolic syndrome: a systematic review and meta-analysis of randomized controlled trials. Eur J Prev Cardiol. 2016;23(3):291–307. https://doi.org/10.1177/2047487314562741.

    Article  PubMed  Google Scholar 

  50. Ziv A, Vogel O, Keret D, Pintov S, Bodenstein E, Wolkomir K, et al. Comprehensive Approach to Lower Blood Pressure (CALM-BP): a randomized controlled trial of a multifactorial lifestyle intervention. J Hum Hypertens. 2013;27(10):594–600. https://doi.org/10.1038/jhh.2013.29.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Brown RP, Gerbarg PL. Sudarshan Kriya yogic breathing in the treatment of stress, anxiety, and depression: part I-neurophysiologic model. J Altern Complement Med. 2005;11(1):189–201. https://doi.org/10.1089/acm.2005.11.189.

    Article  PubMed  Google Scholar 

  52. Kjellgren A, Bood SA, Axelsson K, Norlander T, Saatcioglu F. Wellness through a comprehensive yogic breathing program—a controlled pilot trial. BMC Complement Altern Med. 2007;7:43. https://doi.org/10.1186/1472-6882-7-43.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Qu S, Olafsrud SM, Meza-Zepeda LA, Saatcioglu F. Rapid gene expression changes in peripheral blood lymphocytes upon practice of a comprehensive yoga program. PLoS One. 2013;8(4):e61910. https://doi.org/10.1371/journal.pone.0061910.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  54. Diamantidis CJ, Davenport CA, Lunyera J, Bhavsar N, Scialla J, Hall R, et al. Low use of routine medical care among African Americans with high CKD risk: the Jackson Heart Study. BMC Nephrol. 2019;20(1):11. https://doi.org/10.1186/s12882-018-1190-0.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Lor M, Koleck TA, Bakken S, Yoon S, Dunn Navarra AM. Association between health literacy and medication adherence among Hispanics with hypertension. J Racial Ethn Health Disparities. 2019;6(3):517–24. https://doi.org/10.1007/s40615-018-00550-z.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Nahin RL, Barnes PM, Stussman BJ, Bloom B. Costs of complementary and alternative medicine (CAM) and frequency of visits to CAM practitioners: United States, 2007. Natl Health Stat Rep. 2009;30(18):1–14.

    Google Scholar 

  57. Snyderman R, Weil AT. Integrative medicine: bringing medicine back to its roots. Arch Intern Med. 2002;162(4):395–97. Retrieved from http://archinte.jamanetwork.com/article.aspx?articleid=211225; http://archinte.jamanetwork.com/data/Journals/InteMed/5313/isa10029.pdf

  58. Jackson JE. The cross-cultural evidence on “extreme behaviors”: what can it tell us? Ann N Y Acad Sci. 2009;1172:270–7. https://doi.org/10.1111/j.1749-6632.2009.04536.x.

    Article  PubMed  Google Scholar 

  59. Loizzo J, Charlson M, Peterson J. A program in contemplative self-healing: stress, allostasis, and learning in the Indo-Tibetan tradition. Ann N Y Acad Sci. 2009;1172:123–47. https://doi.org/10.1111/j.1749-6632.2009.04398.x.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Keith C. Norris .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Norris, K.C., Beech, B.M. (2022). Yoga and Cardiovascular Disease Prevention in African Americans and Hispanics. In: Basu-Ray, I., Mehta, D. (eds) The Principles and Practice of Yoga in Cardiovascular Medicine. Springer, Singapore. https://doi.org/10.1007/978-981-16-6913-2_22

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-6913-2_22

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-6912-5

  • Online ISBN: 978-981-16-6913-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics