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J Educ Health Promot. 2019 Jul 29;8:145. doi: 10.4103/jehp.jehp_32_19. eCollection 2019.

Effect of alternate nostril breathing exercise on blood pressure, heart rate, and rate pressure product among patients with hypertension in JIPMER, Puducherry.

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Department of Medical Surgical Nursing, College of Nursing, JIPMER, Puducherry, India.
Department of Physiology, Coordinator, ACYTER, JIPMER, Puducherry, India.



Hypertension has a direct relationship with the circulation, respiration, and function of vital organs. Similarly, complementary therapy such as alternate nostril breathing exercise has a direct effect on mental and physical health.


This is a quantitative experimental research with randomized controlled trial design. A total of 170 and 85 individuals were allotted to each group. Patients in the study group were instructed alternate nostril breathing exercise two times a day (10 min duration of exercise each time) for 5 days along with routine treatment, and patients in the control group underwent routine treatment.


There was a marked reduction in systolic blood pressure (BP), diastolic BP, heart rate, and rate pressure product after the continuous 5-day alternate nostril breathing exercise in the study group. P < 0.0001 demonstrated a statistically significant difference in systolic BP, diastolic BP, heart rate, and rate pressure product that existed pre- and post-assessment on 1st day and 5th day.


It can be concluded that regular simple alternate nostril breathing exercise effectively reduces hypertension.


Diastolic pressure; hypertension; rate pressure product; systolic pressure

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