PURPOSE: Assessment of short-term practice of relaxation therapy on autonomic and cardiovascular functions in first-year medical students. DESIGN: Case-control, interventional study. SETTING: Medical college laboratory. SUBJECTS:Sixty-seven medical students, divided into two groups: study group (n = 35) and control group (n = 32). INTERVENTION: Study group subjects practiced relaxation therapy (shavasana with a soothing background music) daily 1 hour for 6 weeks. Control group did not practice relaxation techniques. MEASURES: Cardiovascular parameters and spectral indices of heart rate variability (HRV) were recorded before and after the 6-week practice of relaxation therapy. ANALYSIS: The data between the groups and the data before and after practice of relaxation techniques were analyzed by one-way analysis of variance and Student t-test. In the study group, prediction of low-frequency to high-frequency ratio (LF-HF) of HRV, the marker of sympathovagal balance, to blood pressure (BP) status was assessed by logistic regression. RESULTS: In the study group, there was significant reduction in heart rate (p = .0001), systolic (p = .0010) and diastolic (p = .0021) pressure, and rate pressure product (p < .0001), and improvement in HRV indices, following 6 weeks of relaxation therapy. As determined by regression model, prediction of LF-HF to BP status was more significant (odds ratio, 2.7; p = .009) after practice of relaxation therapy. There was no significant alteration in these parameters in control subjects. CONCLUSION: Short-term practice of relaxation therapy can improve autonomic balance and promote cardiovascular health of medical students. Sympathovagal balance is directly linked to BP status in these individuals.
RCT Entities:
PURPOSE: Assessment of short-term practice of relaxation therapy on autonomic and cardiovascular functions in first-year medical students. DESIGN: Case-control, interventional study. SETTING: Medical college laboratory. SUBJECTS: Sixty-seven medical students, divided into two groups: study group (n = 35) and control group (n = 32). INTERVENTION: Study group subjects practiced relaxation therapy (shavasana with a soothing background music) daily 1 hour for 6 weeks. Control group did not practice relaxation techniques. MEASURES: Cardiovascular parameters and spectral indices of heart rate variability (HRV) were recorded before and after the 6-week practice of relaxation therapy. ANALYSIS: The data between the groups and the data before and after practice of relaxation techniques were analyzed by one-way analysis of variance and Student t-test. In the study group, prediction of low-frequency to high-frequency ratio (LF-HF) of HRV, the marker of sympathovagal balance, to blood pressure (BP) status was assessed by logistic regression. RESULTS: In the study group, there was significant reduction in heart rate (p = .0001), systolic (p = .0010) and diastolic (p = .0021) pressure, and rate pressure product (p < .0001), and improvement in HRV indices, following 6 weeks of relaxation therapy. As determined by regression model, prediction of LF-HF to BP status was more significant (odds ratio, 2.7; p = .009) after practice of relaxation therapy. There was no significant alteration in these parameters in control subjects. CONCLUSION: Short-term practice of relaxation therapy can improve autonomic balance and promote cardiovascular health of medical students. Sympathovagal balance is directly linked to BP status in these individuals.
Keywords:
Autonomic Functions; Blood Pressure Status; Cardiovascular Risk; Health focus: stress management; Heart Rate Variability; Manuscript format: research; Outcome measure: morbidity; Prevention Research; Relaxation Therapy; Research purpose: intervention testing; Setting: clinical/health care; Strategy: built environment; Study design: quasi-experimental; Sympathovagal Balance; Target population age: youth; Target population circumstances: all education levels, all income levels, all races/ethnicities
Authors: Antonio Lanatà; Alberto Greco; Mirco Ciardelli; Allison Uvelli; Elisabetta Fratini; Diego Manzoni; Enzo P Scilingo; Enrica L Santarcangelo; Laura Sebastiani Journal: Sci Rep Date: 2021-03-04 Impact factor: 4.379