Comparing the effects of yoga and exercise on vascular function: A systematic review

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2025-07-15 DOI:10.1016/j.aimed.2025.100556

Poovitha Shruthi Paramashiva , Suresh Sukumar , Dilip Shettigar , Rajagopal Kadavigere , Abhimanyu Pradhan , Nitika C. Panakkal , Winniecia Dkhar , K. Vaishali , Baskaran Chandrasekaran , Hari Prakash Palaniswamy , Sneha Ravichandran , Sathya Sabina Muthu , Koustubh Kamath , Haris Jose Felix , Anam Shazli , Leena R. David

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引用次数: 0

Abstract

Background

Sedentary behaviour negatively impacts vascular function, increasing cardiovascular risk. While yoga and conventional exercise are proposed to counteract these effects, their relative efficacy remains unclear.

Objective

This review aims to compare the effects of yoga and conventional exercise interventions on ultrasound-measured vascular function in sedentary individuals.

Methods

A systematic search of PubMed, Scopus, and Web of Science was conducted (last updated February 15, 2025), including randomized controlled trials (RCTs), crossover trials, and non-randomized studies comparing yoga and exercise interventions in sedentary adults. Studies assessing vascular function using ultrasound techniques (e.g., flow-mediated dilation [FMD], pulse wave velocity [PWV]) were included. The review followed PRISMA guidelines and was registered in PROSPERO (CRD420250655130).

Results

Ten studies met the inclusion criteria. Yoga interventions showed mixed results, with some improvement in endothelial function in older adults but inconsistent effects on arterial stiffness. Exercise interventions consistently improved FMD and reduced arterial stiffness. However, micro-breaks during prolonged sitting yielded limited benefits. Most studies had small sample sizes and short durations, affecting generalizability.

Conclusion

Exercise interventions consistently improve vascular function more than yoga among sedentary individuals. Yoga may benefit older populations but lacks

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比较瑜伽和运动对血管功能的影响：一项系统综述

久坐行为会对血管功能产生负面影响，增加心血管风险。虽然人们建议瑜伽和传统运动来抵消这些影响，但它们的相对功效尚不清楚。目的本综述旨在比较瑜伽和常规运动干预对久坐人群超声测量血管功能的影响。方法系统检索PubMed、Scopus和Web of Science（最近更新于2025年2月15日），包括随机对照试验（rct）、交叉试验和非随机研究，比较瑜伽和运动干预对久坐成年人的影响。包括使用超声技术评估血管功能的研究（例如，血流介导的扩张[FMD]，脉冲波速度[PWV]）。该审查遵循PRISMA指南，并在PROSPERO注册（CRD420250655130）。结果10项研究符合纳入标准。瑜伽干预的结果好坏参半，老年人的内皮功能有所改善，但对动脉僵硬的影响不一致。运动干预持续改善FMD和减少动脉僵硬。然而，在长时间坐着的时候，微休息带来的好处有限。大多数研究样本量小，持续时间短，影响了普遍性。结论运动干预对久坐人群血管功能的改善效果优于瑜伽。瑜伽可能对老年人有益，但缺乏益处

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.