Optimization of Nostril Breathing Exercises as a Complementary Therapy in Hypertension Management

Dian Istiana; Dewi Nur Sukma Purqoti; Supriyadi Supriyadi

doi:10.55887/nrpm.v5i2.208

Authors

Dian Istiana Inkes Yarsi Mataram Author
Dewi Nur Sukma Purqoti Inkes Yarsi Mataram Author
Supriyadi Supriyadi Inkes Yarsi Mataram Author

DOI:

https://doi.org/10.55887/nrpm.v5i2.208

Keywords:

Complementary, Elderly, Hypertension, Nostril

Abstract

Background: Hypertension or high blood pressure is a medical condition characterized by consistently high arterial blood pressure. If left untreated, hypertension can increase the risk of heart disease, stroke, kidney failure, and other health problems. Hypertension management can include complementary practices such as Alternate Nostril Breathing exercises. Aims: To determine the effect of alternate nostril breathing on reducing blood pressure in the elderly with hypertension in the Karang Buyuk area, South Ampenan Subdistrict. Method: A pre-experimental method was conducted. The research design used a one-group pretest-posttest design. The population consists of all elderly women in the Karang Buyuk area. The sample size in this study was 16 respondents, and the sampling technique used was purposive sampling. Data analysis was conducted using a paired t-test, and the instruments used were observation sheets: standard operating procedure for alternate nostril breathing exercises, and a sphygmomanometer. The intervention was administered for 2 weeks. Result: Based on the data, the majority of respondents were aged 60-74 years (12 respondents (75%)); most respondents were unemployed 10 (62.5%)); most respondents had an elementary school education (7 respondents (43.75%)); mean systolic pretest 152.13 and mean systolic posttest 144.25. The data analysis showed a significance value of 0.000 (< 0.05), indicating a reduction in blood pressure after performing alternate nostril breathing exercises. Conclusion: There is an effect of alternate nostril breathing on reducing blood pressure in the elderly with hypertension.

References

Booth, F. W., Roberts, C. K., & Laye, M. J. (2012). Lack of exercise is a major cause of chronic diseases. Comprehensive Physiology, 2(2), 1143–1211. https://doi.org/10.1002/cphy.c110025

Burnier, M., & Egan, B. M. (2019). Adherence in Hypertension: A Review of Prevalence, Risk Factors, Impact, and Management. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.313220

Garg, P., Mendiratta, A., Banga, A., Bucharles, A., Victoria, P., Kamaraj, B., Qasba, R. K., Bansal, V., Thimmapuram, J., Pargament, R., & Kashyap, R. (2024). Effect of breathing exercises on blood pressure and heart rate: A systematic review and meta-analysis. International Journal of Cardiology: Cardiovascular Risk and Prevention, 20, 1–16. https://doi.org/10.1016/j.ijcrp.2023.200232

Jerath, R., Crawford, M. W., Barnes, V. A., & Harden, K. (2015). Self-Regulation of Breathing as a Primary Treatment for Anxiety. Applied Psychophysiology Biofeedback, 40(2), 107–115. https://doi.org/10.1007/s10484-015-9279-8

Mataram City Health Office. (2024). Mataram City Health Profile 2023.

Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nat Rev Nephrol, 16(4), 223–237. https://doi.org/10.1038/s41581-019-0244-2

Mourouti, N., Michou, M., & Costarelli, V. (2022). Health literacy in relation to health outcomes in hypertension: A systematic review. Journal of Atherosclerosis Prevention and Treatment, 13(3), 109–118. https://doi.org/10.53590/japt.02.1040

Nam, T. G., Jeong, H., Kim, K. H., & Jang, I. (2024). Effectiveness of Alternative Nostril Breathing on Blood Pressure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Complement Med Res, 31(5), 449–460. https://doi.org/10.1159/000539707

Pascoe, M. C., Thompson, D. R., Jenkins, Z. M., & Ski, C. F. (2017). Mindfulness mediates the physiological markers of stress: Systematic review and meta-analysis. Journal of Psychiatric Research, 95, 156–178. https://doi.org/10.1016/j.jpsychires.2017.08.004

S. Kalaivani, MJ. Kumari, & GK. Pal. (2018). Effect of alternate nostril breathing exercise on blood pressure, heart rate, and rate pressure product among patients with hypertension in JIPMER, Puducherry. Journal of Education and Health Promotion, 8(145), 1–8. https://doi.org/10.4103/jehp.jehp_32_19

Setiawan, D. (2021). Nostril Breathing Therapy Lowers Blood Pressure in Hypertensive Patients. Insan Cendekia Medika Jombang.

Shaffer, F., & Ginsberg, J. P. (2017). An Overview of Heart Rate Variability Metrics and Norms. Frontiers in Public Health, 5, 1–17. https://doi.org/10.3389/fpubh.2017.00258

Thayer, J. F., Åhs, F., Fredrikson, M., Sollers, J. J., & Wager, T. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: Implications for heart rate variability as a marker of stress and health. Neuroscience and Biobehavioral Reviews, 36(2), 747–756. https://doi.org/10.1016/j.neubiorev.2011.11.009

Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Himmelfarb, C. D., DePalma, S. M., Gidding, S., Jamerson, K. A., Jones, D. W., MacLaughlin, E. J., Muntner, P., Ovbiagele, B., Smith, S. C., Spencer, C. C., Stafford, R. S., Taler, S. J., Thomas, R. J., Williams, K. A., … Wright, J. T. (2018). 2017 ACC/AHA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: Executive summary. In Hypertension (Vol. 71, Issue 6). American Heart Association. https://doi.org/10.1161/HYP.0000000000000066

World Health Organization. (2025, October 25). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension