Journal of Cardiac Failure
Volume 16, Issue 9 , Pages 742-749 , September 2010

Yoga in Heart Failure Patients: A Pilot Study

  • Jill Howie-Esquivel, PhD, RN, NP

      Affiliations

    • Department of Physiological Nursing, University of California, San Francisco, CA
    • Corresponding Author InformationReprint requests: Jill Howie-Esquivel, PhD, RN, NP, #2 Koret Way, Box 0610, School of Nursing, University of California, San Francisco, San Francisco, CA 94143. Tel: 415-502-1551; 415-476-8899 (fax).
  • ,
  • Jiyeon Lee, RN, PhD

      Affiliations

    • Department of Physiological Nursing, University of California, San Francisco, CA
  • ,
  • Gina Collier, RN, MS, ACNP

      Affiliations

    • Department of Physiological Nursing, University of California, San Francisco, CA
  • ,
  • Wolf Mehling, MD

      Affiliations

    • Department of Family and Community Medicine, Osher Center for Integrative Medicine, University of California, San Francisco, CA
  • ,
  • Kirsten Fleischmann, MD, MPH

      Affiliations

    • Department of Cardiology, University of California, San Francisco, CA

Received 25 November 2009 ,Revised 20 April 2010 ,Accepted 29 April 2010.

References 

  1. AHA. 2007 Heart and Stroke Statistical Update. Dallas: American Heart Association; 2007;
  2. Francis G. Pathophysiology of congestive heart failure. Rev Cardiovasc Med. 2003;4(Suppl 2):S14–S20
  3. Dracup K, Walden JA, Stevenson LW, Brecht ML. Quality of life in patients with advanced heart failure. J Heart Lung Transplant. 1992;11:273–279
  4. Walke LM, Gallo WT, Tinetti ME, Fried TR. The burden of symptoms among community-dwelling older persons with advanced chronic disease. Arch Intern Med. 2004;164:2321–2324
  5. Grady KL. Self-care and quality of life outcomes in heart failure patients. J Cardiovasc Nurs. 2008;23:285–292
  6. Packer M. The neurohormonal hypothesis: a theory to explain the mechanism of disease progression in heart failure. J Am Coll Cardiol. 1992;20:248–254
  7. Ponitkowski P, Anker S, Chua T, et al. Oscillatory breathing patterns during wakefulness in patients with chronic heart failure. Circulation. 1999;100:2418–2424
  8. Havranek EP, Ware MG, Lowes BD. Prevalence of depression in congestive heart failure. Am J Cardiol. 1999;84:348–350A9
  9. Joseph CN, Porta C, Casucci G, et al. Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension. Hypertension. 2005;46:714–718
  10. Giardino ND, Chan L, Borson S. Combined heart rate variability and pulse oximetry biofeedback for chronic obstructive pulmonary disease: preliminary findings. Appl Psychophysiol Biofeedback. 2004;29:121–133
  11. Mehling WE. Breath Therapy for chronic low back pain. J Bodywork Movement Ther. 2006;10:96–98
  12. Bernardi L, Porta C, Spicuzza L, et al. Slow Breathing increases arterial baroreflex sensitivity in patients with chronic heart failure. Circulation. 2002;105:143–145
  13. Bernardi L, Spadacini G, Bellwon J, et al. Effect of breathing on oxygen saturation and exercise performance in chronic heart failure. Lancet. 1998;351:1308–1311
  14. Pullen PR, Nagamia SH, Mehta PK, et al. Effects of yoga on inflammation and exercise capacity in patients with chronic heart failure. J Cardiac Fail. 2008;14:407–413
  15. Kollak I. Yoga for nurses. New York (NY): Springer Publishing Company; 2009;
  16. Rikli RE, Jones CJ. Senior fitness test manual. Champaign (IL): Human Kinetics; 2001;
  17. Norkin CC, White DJ. Measurement of joint motion: a guide to goniometry. 3rd ed.. Philadelphia (PA): F.A. Davis Company; 2003;
  18. Lemmink KAPM, Kemper HCG, DeGreef MCG, Rispens P, Stevens M. The validity of the sit-and-reach test and the modified sit-and-reach test in middle-aged to older men and women. Res Q Exerc Sport. 2003;74:331–336
  19. Manini TM, Cook SB, VanArnam T, Marko M, Ploutz-Snyder L. Evaluating task modification as an objective measure of functional limitation: repeatability and comparability. J Gerontol Med Sci. 2006;61:718–725
  20. Guyatt GH, Sullivan MJ, Thompson PJ, et al. The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J. 1985;132:919–923
  21. Green CP, Porter CB, Bresnahan DR, Spertus JA. Development and evaluation of the Kansas City Cardiomyopathy Questionnaire: a new health status measure for heart failure. J Am Coll Cardiol. 2000;35:1245–1255
  22. Spertus J, Green C, Conway K, Uzun V, Spertus J, Green C, et al. QOL Newsletter. 1998;20:9–10
  23. Beck AT, Steer RA, Brown GK. Beck Depression Inventory-II Manual. New York (NY): Harcourt Brace Jovanovich; 1996;
  24. Baer R, Smith GT, Allen KB. Assessment of mindfulness by self-report: the Kentucky inventory of mindfulness skills. Assessment. 2004;11:191–206
  25. Marlatt GA, Kristeller JL. Mindfulness and meditation. In:  Miller WR editors. Integrating spirituality into treatment: resources for practitioners. Washington, DC: American Psychological Association; 1999;p. 67–84
  26. Tran MD, Holly RG, Lashbrook J, Amsterdam EA. Effects of hatha yoga practice on the health-related aspects of physical fitness. Prev Cardiol. 2001;4:165–170
  27. Puymbroeck MV, Payne LL, Hsieh P. A phase I feasibility study of yoga on the physical health and coping of informal caregivers. eCAM. 2007;4:519–529
  28. Chen KM, Tseng WS. Pilot-testing the effects of a newly-developed silver yoga exercise program for female seniors. J Nursing Res. 2008;16:37–45
  29. Hilliard MJ, Martine KM, Janssen I, Edwards B, Mill ML, Zhang Y, et al. Lateral balance factors predict future falls in community-living older adults. Arch Phys Med Rehabil. 2008;89:1708–1713
  30. Crimi E, Ignarro L, Cacciatore F, Napoli C. Mechanisms by which exercise training benefits patients with heart failure. Nat Rev Cardiol. 2009;6:292–300
  31. Mancini DM, Eisen H, Kussmaul W, Mull R, Edmunds LH, Wilson JR. Value of peak exercise oxygen consumption for optimal timing of cardiac transplantation in ambulatory patients with heart failure. Circulation. 1991;83:778–786
  32. Baas L, Beery TA, Allen G, Wizner M, Wagoner L. An exploratory study of body awareness in persons with heart failure treated medically or with transplantation. J Cardiovasc Nurs. 2004;19:32–40
  33. Daubenmier J. The relationship of yoga, body awareness, and body responsiveness to self objectification and disordered eating. Psychol Women Q. 2005;29:207–219
  34. Sherman KJ, Cherkin DC, Erro J, Miglioretti DL, Deyo RA. Comparing yoga, exercise, and a self-care book for chronic low back pain: a randomized, controlled trial. Ann Intern Med. 2005;143:849–856
  35. Mehling WE, Gopisetty V, Daubenmier J, Price CJ, Hecht FM, Stewart A. Body awareness: construct and self-report measures. PLoS ONE. 2009;4:e5614
  36. Cohn JN, Levine TB, Olivari MT, Garberg V, Lura D, Francis GS, et al. Plasma norepinephrine as a guide to prognosis in patients with chronic congestive heart failure. N Engl J Med. 1984;311:819–823
  37. Jayadevappa R, Johnson J, Bloom BS, Nidich S, Desau S, Chhatre S, et al. Effectiveness of transcendental meditation of functional capacity and quality of life of African Americans with congestive heart failure: a randomized control study. Ethn Dis. 2007;17:72–77
  38. Curiati JA, Bocchi E, Freire JO, Arantes AC, Braga M, Garcia Y, et al. Meditation reduces sympathetic activation and improves the quality of life in elderly patients with optimally treated heart failure: a prospective randomized study. J Altern Complement Med. 2005;11:465–472
  39. Friedmann E, Thomas SA, Liu F, Morton PG, Chapa D, Gottlieb SS. Relationship of depression, anxiety, and social isolation to chronic heart failure outpatient mortality. Am Heart J. 2006;152:940, e1–8
  40. Kuyken W, Byford S, Taylor RS, Watkins E, Holden E, White K, et al. Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. J Consult Clin Psychol. 2008;76:966–978

 Funded by the University of California, San Francisco Academic Senate Individual Investigator Award.See page 748 for disclosure information.

PII: S1071-9164(10)00203-4

doi: 10.1016/j.cardfail.2010.04.011

Journal of Cardiac Failure
Volume 16, Issue 9 , Pages 742-749 , September 2010