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Maini et al: Meditation and lipid profile
IJMDS ● www.ijmds.org ● July 2014; 3(2) 490
Original Article
Effect of Rajayoga Meditation on Serum Cholesterol and HDL
Maini S1
, Kaur H2
, Kohli PG3
ABSTRACT
Background: Meditation has a number of positive effects on physiology of
human body. It has shown to reduce blood pressure, heart rate and serum
cholesterol levels thus reducing the risk of coronary artery disease.
Objectives: The present study is contemplated to highlight the
hemodynamic and biochemical effects of Rajyoga meditation by studying
its impact on serum cholesterol and serum HDL levels of the individuals.
Materials and methods: The study was conducted on 100 healthy people
selected from Brahma Kumari Ashram Amritsar. Group I included 50
subjects meditation regularly for at least 1 hour a day for last 2-5 yrs,
Group II included 50 subjects in the same age group who did not perform
any meditation technique. Serum cholesterol and HDL were measured by
the respective kits. Results were analysed statistically
Results: This data shows that mean value of serum cholesterol in case of
meditator males and females was significantly lower than in non
meditators Also, the mean values for the S.Cholesterol/HDL ratio were also
significantly lower in meditators and non meditators.
Conclusions: Persons practising Rajayoga Meditation regularly are at a
lower risk of developing cardiovascular diseases as compared to those who
do not perform any meditation at all. So it can be safely conclude that
meditation has a positive effect on cardiovascular system and with regular
practice of meditation reduces the risk of developing cardiovascular
diseases.
Key Words: Meditation, lipid profile, cardiovascular disease
Introduction
The man cannot rest contented without
knowing. To know and to understand
seems to be the most virulent appetites
man is ever suffering from. His mind is
always busy fluttering from one object to
the other. The flow of thoughts is
ceaseless. In meditation the mind is made
to withdraw its attention from all the
sense objects. By assiduous practice the
mind learns to think of only one thing at a
time. Meditation is a technique of
achieving a harmony between the
physical, mental intellectual and spiritual
personalities of man. Mediation is highest
spiritual discipline through which man
comes to experience peace within and
without. Internecine wars between
desires are ended, conflicts between
duties no longer wreck a mediator ’s
nerves and the mind grows up to view life
as a whole (Meditation and life, Swami
Chinamayananda)
Meditation is a practice in which
an individual trains the mind and/ or
induces a mode of consciousness to
realize some benefit, although it can be
argued that meditation is a journey, a goal
in and of itself.
A technique of meditation is
Rajayoga meditation. Rajayoga meditation
does involve concentration but no
physical object is involved. The object of
concentration is the inner self. Instead of
repeating one word or a phrase as in a
mantra, a flow of thoughts is encouraged
thus using the mind in a natural way. The
positive flow of thoughts is based on an
accurate understanding of the self and so
acts as a key to unlock the treasure trove
1
Dr Seema Maini
MD, Associate professor, Physiology
Shriya782@gmail.com
2
Dr Harleen Kaur
MD, Assisstant Professor, Physiology
vinty_10@hotmail.com
3
Dr Poonam G Kohli
MD, Assisstant Professor, Physiology
drkohli6881@yahoo.com
1,2,3
Punjab Institute of Medical
Sciences
Jalandhar, Punjab, India
Received: 27-02-2014
Revised: 04-03-2014
Accepted: 10-04-2014
Correspondence to:
Dr Harleen Kaur
9814651884
vinty_10@hotmail.com
Maini et al: Meditation and lipid profile
IJMDS ● www.ijmds.org ● July 2014; 3(2) 491
of peaceful experiences lying within.
According to Raja yoga, if the mind
becomes peaceful, there will be peace
within and the world will become a better
place. (Practical Meditation, Brahma
Kumaris, Iswariya Vishwa Vidyalaya)
Increasing materialism in society is
resulting more wide spread nervous
tension in all the age groups while some
degree of tension in all age group is
necessary in everyday living. Its adverse
effects require that we must learn to bring
it under control. Total tension is shown to
have two components: controllable
elements, arising from the factors in the
environment and in built uncontrollable
residue which is basic in the individual’s
temperament. The effect of excessive or
uncontrolled stress can be emotional
reactions such as neurotic behaviour like
anxiety, hypochondria, hysteria, phobia,
obsessions, depression or psychotic
behaviour and psychosomatic reactions
like nervous asthma, headache, insomnia
and even heart attacks. Relaxation is the
only way to control undesirable nervous
tension and its techniques requires to be
learned. [1]
Coronary heart diseases remain
the major cause of mortality and
morbidity in western world and also in
developing countries like India. It accounts
for more deaths annually than any other
disease including all forms of cancers
combined. The enormous toll has focused
attention on possible prevention of
coronary heart disease by various means.
[2]
A number of risk factors have been
identified as strongly associated with
coronary heart disease. Obesity,
hypercholesterolemia and hypertension in
addition to physical inactivity, stress and
behaviour pattern, male sex hormones
and untreated menopausal status are the
risk factor for coronary heart disease. In
the developing countries, where people
are adopting western lifestyle the
mortality due to coronary heart disease is
increasing. [3]
A number of drugs have been
discovered but drugs are accompanied by
side effects and so there is an extensive
back to nature movement for prevention
and treatment of coronary artery disease.
Meditation has a number of positive
effects on physiology of human body. It
has shown to reduce blood pressure,
heart rate and serum cholesterol levels
thus reducing the risk of coronary artery
disease. Meditation has a number of
positive effects on physiology of human
body. It has been shown to reduce blood
pressure, heart rate and serum
cholesterol levels. Observational and
epidemiological studies have shown that
the higher the total plasma cholesterol
the greater is the risk for development of
coronary heart disease and there is a
strong relationship between HDL
cholesterol concentration and risk factor
for coronary heart disease. So meditation
help in the management and prevention
of coronary artery by reducing the risk
factors associated with the same. [4]
The present study is contemplated
to highlight the hemodynamic and
biochemical effects of Rajyoga meditation
by studying its impact on serum
cholesterol and serum HDL levels of the
individuals in this part of the country so
that these findings could help the people
lead a healthier life by adopting this non
pharmacological and not so much difficult
technique in their life style.
Materials and Methods
The study was conducted on 100 healthy
people selected from Brahma Kumari
Ashram Amritsar. The subjects were
categorised into two groups. Group I
included 50 subjects (36 males and 14
females) in the age group of 25-50 years
who were performing Rajyoga meditation
Maini et al: Meditation and lipid profile
IJMDS ● www.ijmds.org ● July 2014; 3(2) 492
regularly for at least 1 hour a day for last
2-5 yrs, Group II included 50 subjects in
the same age group who did not perform
any meditation technique. In this group
also, 36 were males and 14 females.
The subjects having history of
Hypertension, Diabetes Mellitus, Ischemic
Heart Disease, jaundice, alcoholism and
smoking were not included in the study.
Each subject was subjected to a detailed
physical examination.
A detailed cardiovascular
examination was done in all subjects.
Heart Rate was counted with the
stethoscope kept over the apex for full
one minute. Blood Pressure was checked
using standard mercury
sphygmomanometer and three
consecutive readings were taken and
mean of the three readings was
calculated. The readings were taken at an
interval of 8 minutes. A standard 12 lead
ECG was recorded in all the subjects and
all the necessary precautions were taken.
ECG was studied for rate, rhythm, P wave,
axis, ST segment and T wave.
Urine sugar and blood sugar levels
were calculated in each case. Blood
samples were collected in both meditators
and non meditators in the morning
between 8:00 to 9:00 am. Serum
cholesterol and HDL were measured by
the respective kits. [5, 6]
Descriptive statistics of mean,
standard deviation were used to display
the continuous and categorical variables
of both groups. One way analysis of
variance was applied to compare
quantitative data in intragroup ie I, II and
III in meditators to find the significance.
Unpaired t test was used to compare the
mean values. SPSS software version 16
was used. Intergroup comparison of
quantitative data i.e. meditators and non
meditators was done using unpaired t test
and P values were calculated.
Results
A total no of 100 subjects were involved in
the study. 50 used to meditate regularly
and 50 had never practised meditation.
Mean values of age, height and weight in
the meditators (group I) and non
meditators (group II) are 36.4±7.9 years,
160.15±6.22, 60.30±8.73 and 37.0±7.8,
159.74±5.98, 63.10±9.11 respectively.
(Table1) No statistical difference was
found between the two groups.
The mean age for meditator males
was 36.1±7.6 years and in meditator
females it was 37.0±8.9. The mean value
of height (in cms) in meditator males and
females was 162.22±5.98 and
154.82±2.69 respectively and for weight
the mean values in meditator males and
females was 59.53±8.66 and 62.69±8.93.
In the non meditator group the mean
values for age, height and weight in males
and females was 37.4±7.9, 161.18±5.64,
64.25±8.43 and 35.8±7.2, 154.43±2.68,
60.14±10.39 respectively. (Table1) No
statistical difference was observed
between the males and females of the
two groups regarding age, weight and
height.
Meditator subjects were divided in
three groups depending upon the no. of
years of meditation. Group I included
subjects who were regularly doing
meditation for 2-3 years and included 16
subjects. Group II with 3-4 yrs of
meditation had 18 subjects and Group III
with 4-5 yrs of meditation had 16
subjects. The anthropometric
measurements are shown in the table.
(Table 2) No significant difference was
found between the anthropometric
measurements in the subgroups.
Maini et al: Meditation and lipid profile
IJMDS ● www.ijmds.org ● July 2014; 3(2) 493
Table 1: Table showing anthropometric data of meditators, non meditators, Males and Females of
two groups
Group Age Height Weight
Meditators 36.4±7.9 160.15±6.22 60.30±8.73
Non Meditators 36.9±7.7 159.74±5.98 63.10±9.11
Meditators (M) 36.1±7.6 162.22±5.98 59.53±8.66
Meditators (F) 37.0±8.9 154.82±2.69 62.29±8.93
Non meditators
(M)
37.4±7.9 161.81±5.64 64.25±8.43
Non meditators
(F)
35.8±7.2 154.43±2.68 60.14±8.39
M=Male F= Female
Table 2: Anthropometric measurements of meditators divided into three groups
Groups Age Height Weight
Group I (16) 34.9±8.5 159.65±5.66 59.69±7.41
Group II (18) 33.1±5.5 157.13±4.76 62.13±9.09
Group III (16) 40.4±6.6 162.47±7.18 60.38±10.81
Table 3: Comparison of S.Cholesterol and S. HDL in meditators and non meditators
Parameters Meditators Non Meditators t-value
S. Cholesterol 161.76±12.49 188.87±7.67 13.15***
S. HDL 48.99±2.85 43.01±2.97 10.33***
Chol/HDL 3.31±0.24 4.41±0.31 19.94***
p-value < 0.001,*** Very highly significant
Table 4: Comparison of S. Cholesterol, S. HDL , Chol/HDL in meditator and non meditator males
and females
Males Females
Meditators Non
meditators
t-value Meditators Non
meditators
t-
value
S.Cholesterol 160.12±11.90 189.52±7.53 12.62***
165.97±13.45 187.17±8.03 5.16***
S. HDL 48.92±3.12 43.02±3.11 8.09***
49.18±2.15 42.98±2.66 6.19***
Chol/HDL 3.28±0.19 4.43±0.34 17.84***
3.38±0.32 4.36±0.21 9.76***
*** p value<0.001, very highly significant
Maini et al: Meditation and lipid profile
IJMDS ● www.ijmds.org ● July 2014; 3(2) 494
The mean value for serum cholesterol in
meditator males was 160.12±11.90 and in
meditator females was 165.97±13.45. In
case of non meditators, in males it was
189.52±7.53 and in females it was
187.17±8.03. This data shows that mean
value of serum cholesterol in case of
meditator males and females was
significantly lower than in non meditator
males and females.
Similarly, the mean value of serum
HDL in meditator males and females was
48.92±3.112 and 49.18±2.15 respectively.
In contrast their values in non meditator
males and females were 43.02±3.11 and
42.98±2.66 respectively and these values
were significantly lower than those in
meditators. (Table 4)
Also, the mean values for the
S.Cholesterol/HDL ratio were also
significantly lower in meditators and non
meditators. Mean values of S. Cholesterol
/HDL in meditator males was 3.28±0.19
and in non meditators was 4.43±0.34. The
difference was found to be statistically
significant (p<0.001). Similarly, on
comparing meditator females and non
meditator females (3.38±0.32 and
4.36±0.21), it was found to be statistically
significant. (p<0.001)
In meditators heart rate was
67.72±3.95, Systolic blood pressure was
114.78±4.95 and diastolic blood pressure
was 77.67±3.72 whereas in non
meditators, heart rate was 82.17±3.29,
systolic blood pressure was 126.67±6.20
and diastolic blood pressure was
84.22±3.23, it was found to be statistically
significant. (p<0.001)
Discussion
Coronary heart disease remains the major
cause of mortality and morbidity in India.
A number of risk factors have been
identified as strongly associated with
coronary heart disease. Obesity,
hypercholesterolemia and hypertension in
addition to physical inactivity, stress and
behaviour pattern, male sex hormones
and untreated menopausal status are the
risk factor for coronary heart disease. In
the developing countries, where people
are adopting western lifestyle the
mortality due to coronary heart disease is
increasing.[3]
In the present study, the mean
value of serum cholesterol was
significantly lower and HDL was
significantly higher in meditators than in
non meditators. The practice of
meditation brings about a significant
reduction in serum cholesterol levels. This
was attributed to a reduction in the
sympathetic nervous activity which has
been implicated as a factor capable of
lowering and maintaining low serum
cholesterol levels independent of dietary
measures. [7]
Behavioural interventions
specifically the transcendental meditation
technique, reduces levels of major
coronary risk factors including
hypercholesterolemia and also blood
pressure. These findings are also
supported by several other studies on
meditation. [8, 9, 10]
High density lipoprotein is a
protective factor against coronary heart
disease and it had an inverse relationship
with the incidence of coronary heart
diseases in both men and women. [11]
Low
HDL levels predict coronary heart disease
mortality and occurrence of new coronary
heart disease events in persons older than
70 years. Higher values of serum HDL
cholesterol in meditators lower the risk of
developing coronary heart disease than
non meditators. [12]
In the present study the ratio of
total cholesterol and HDL was significantly
lower in meditators than in non
meditators. It has been reported that the
lower values of cholesterol/ HDL ratio are
associated with reduced risk of
Maini et al: Meditation and lipid profile
IJMDS ● www.ijmds.org ● July 2014; 3(2) 495
cardiovascular disease and persons with
even elevated total cholesterol levels may
not be at high risk for cardiovascular
disease owing to the favourable
cholesterol/HDL ratio. [13]
Various other
studies also support this. [12, 14]
Meditation causes alteration in
autonomic balance and well being. There
is a trend of gradual shift of autonomic
equilibrium towards relative
parasympathodominance because of the
reduction of sympathetic activity. This
modulation of autonomic nervous system
activity might have been brought about by
the conditioning effects of yoga on
autonomic functions. Yoga and Omkar
meditation has positive effect on
cardiorespiratory performance,
psychological profile and melatonin
secretion. [15]
The improvement in lipid profile
parameters after yoga could be due to
increased hepatic lipase and lipoprotein
lipase at cellular level, which affects the
metabolism of lipoprotein and thus
increase uptake of triglycerides by adipose
tissues. [16]
Better ability to overcome
stress can be cited as possible mechanism
for improvement in lipid profile. [17]
Because of ability of HDL to retard the
oxidation of LDL,it can prevent the
proinflammatory effects of oxidized LDL
on the endothelium. Thus HDL can
prevent oxidized LDL induced production
of monocyte chemotactic protein I, this
retards monocyte endothelium
interaction, the first stage in the
inflammatory process in atherosclerosis.
[18, 19]
Lower values for mean serum
cholesterol and total cholesterol/ HDL
ratio and higher value for mean HDL
cholesterol in meditators indicate that
persons practising Rajayoga Meditation
regularly are at a lower risk of developing
cardiovascular diseases as compared to
those who do not perform any meditation
at all. So it can be safely conclude that
meditation has a positive effect on
cardiovascular system and with regular
practice of meditation reduces the risk of
developing cardiovascular diseases.
References
1. Neuberry CR. Tension and relaxation in
the individual. Int Dent Journ
1972;29(2):173-82.
2. Levy RI. Review: Declining mortality in
coronary heart disease. Atherosclerosis
1981;1(5):312-325.
3. Kaplan NM. The Deadly Quartet. Arch
Intern Med 1989;149:1514.
4. Gordon DJ, Probstfield JL, Garrison RJ.
High density lipoprotein cholesterol and
cardiovascular disease. Circulation
1989;79:80.
5. Foosati P. Serum Triglycerides determined
colorimetrically with an enzyme that
produces H2O2. Clin Chem 1982;28:2077-
2080.
6. Richmond W. Preparation and properties
of a cholesterol oxidase from Nocardia sp.
and its applications to the enzymatic assay
of total chplesterol in serum. Clin Chem
1973;19:1350-1356.
7. Cooper MJ, Aygen MM. A relaxation
technique in the management of
hypercholesterolemia. J Human Stress
1979;5(4):24-27.
8. Cooper MI. Effect of relaxation on blood
pressure and serum cholesterol. Act Nerv
Super (Praha) 1982;3(2):428-36.
9. Patel C, Marmot MG, Terry DJ, Carruthers
M, Hunt B, Patel M. Trial of relaxation in
reducing coronary risk: Four year follow
up. Br Med Journ (Clin Res Ed)
1985;290(6475):1103-06.
10. Calderon R Jr, Schneider RH, Alexander
CN, Myers HF, Nidich SI, Harey C. Stress,
Stress reduction and
hypercholesterolemia in African
Americans. A Review Ethn Dis 1999;9(3):
451-62.
Maini et al: Meditation and lipid profile
IJMDS ● www.ijmds.org ● July 2014; 3(2) 496
11. Gorton T, Castelli WP, hjortland MC,
Kannel WB, Dawber TR. High density
lipoprotein as a protective factor against
coronary heart disease. Am J Med
1977;62:707.
12. Corti MC, Guralnik JM, Salive ME, Harris T,
Field TS, Wallace RB et al. HDL cholesterol
predicts coronary heart disease mortality
in older persons. JAMA
1995;Aug16;274(7):539-44.
13. Malecka TE, Lewin KJ, Wazowski R,
Piskorska D, Klimek K. Lipid profiles in
polish adolescents from high and low risk
families, tracking unfavourable lipid levels
over a one year period. Acta Paediatr
2000;89(8):908-14.
14. Ridker PM, Glynn RJ, Hennekens CH. C-
Reactive Protein adds to the predictive
values of total and HDL cholesterol in
determining risk of first myocardial
infarction. Circulation 1998
May26;97(20):2007-11.
15. Harinnath K, Malhotra AS, Pal K, Prasad R,
Kumar R, Kain TC. Effects of Hathayoga
and Omkar meditation on
cardiorespiratory performance,
psychologic profile and melatonin
secretion. The journal of Alt and
Complementary Medicine 2004;10(2):261-
268.
16. Singh S, Kyizom T, Singh KP, Tandon OP,
Madhu SV. Influence of pranayams and
yogasanas on serum insulin, blood glucose
and lipid profile in type II diabetes. Ind J
Clin Biochem 2008;23(4):365-368.
17. Vyas R, Raval KV, Dixit N. Effect of
Rajayoga Meditation in the lipid profile of
postmenopausal women. Indian J Physiol
Pharmacol 2008;52(4):420-424.
18. Mackness B, Mackness M. High Density
Lipoprotein: Why all the fuss? Ann Clin
Biochem 2009;46:5-7.
19. Shilpa S, Bairy KL. Guest Editorial. HDL-C
as a new paradigm in atherosclerotic
diseases. Indian J Physiol Pharmacol 2008;
53(4):319-326.
Cite this article as: Maini S, Kaur H, Kohli
PG. Effect of Rajayoga Meditation on
Serum Cholesterol and HDL. Int J Med
and Dent Sci 2014; 3(2):-490-496.
Source of Support: Nil
Conflict of Interest: No

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Effect of Rajayoga Meditation on Serum Cholesterol and HDL

  • 1. Maini et al: Meditation and lipid profile IJMDS ● www.ijmds.org ● July 2014; 3(2) 490 Original Article Effect of Rajayoga Meditation on Serum Cholesterol and HDL Maini S1 , Kaur H2 , Kohli PG3 ABSTRACT Background: Meditation has a number of positive effects on physiology of human body. It has shown to reduce blood pressure, heart rate and serum cholesterol levels thus reducing the risk of coronary artery disease. Objectives: The present study is contemplated to highlight the hemodynamic and biochemical effects of Rajyoga meditation by studying its impact on serum cholesterol and serum HDL levels of the individuals. Materials and methods: The study was conducted on 100 healthy people selected from Brahma Kumari Ashram Amritsar. Group I included 50 subjects meditation regularly for at least 1 hour a day for last 2-5 yrs, Group II included 50 subjects in the same age group who did not perform any meditation technique. Serum cholesterol and HDL were measured by the respective kits. Results were analysed statistically Results: This data shows that mean value of serum cholesterol in case of meditator males and females was significantly lower than in non meditators Also, the mean values for the S.Cholesterol/HDL ratio were also significantly lower in meditators and non meditators. Conclusions: Persons practising Rajayoga Meditation regularly are at a lower risk of developing cardiovascular diseases as compared to those who do not perform any meditation at all. So it can be safely conclude that meditation has a positive effect on cardiovascular system and with regular practice of meditation reduces the risk of developing cardiovascular diseases. Key Words: Meditation, lipid profile, cardiovascular disease Introduction The man cannot rest contented without knowing. To know and to understand seems to be the most virulent appetites man is ever suffering from. His mind is always busy fluttering from one object to the other. The flow of thoughts is ceaseless. In meditation the mind is made to withdraw its attention from all the sense objects. By assiduous practice the mind learns to think of only one thing at a time. Meditation is a technique of achieving a harmony between the physical, mental intellectual and spiritual personalities of man. Mediation is highest spiritual discipline through which man comes to experience peace within and without. Internecine wars between desires are ended, conflicts between duties no longer wreck a mediator ’s nerves and the mind grows up to view life as a whole (Meditation and life, Swami Chinamayananda) Meditation is a practice in which an individual trains the mind and/ or induces a mode of consciousness to realize some benefit, although it can be argued that meditation is a journey, a goal in and of itself. A technique of meditation is Rajayoga meditation. Rajayoga meditation does involve concentration but no physical object is involved. The object of concentration is the inner self. Instead of repeating one word or a phrase as in a mantra, a flow of thoughts is encouraged thus using the mind in a natural way. The positive flow of thoughts is based on an accurate understanding of the self and so acts as a key to unlock the treasure trove 1 Dr Seema Maini MD, Associate professor, Physiology Shriya782@gmail.com 2 Dr Harleen Kaur MD, Assisstant Professor, Physiology vinty_10@hotmail.com 3 Dr Poonam G Kohli MD, Assisstant Professor, Physiology drkohli6881@yahoo.com 1,2,3 Punjab Institute of Medical Sciences Jalandhar, Punjab, India Received: 27-02-2014 Revised: 04-03-2014 Accepted: 10-04-2014 Correspondence to: Dr Harleen Kaur 9814651884 vinty_10@hotmail.com
  • 2. Maini et al: Meditation and lipid profile IJMDS ● www.ijmds.org ● July 2014; 3(2) 491 of peaceful experiences lying within. According to Raja yoga, if the mind becomes peaceful, there will be peace within and the world will become a better place. (Practical Meditation, Brahma Kumaris, Iswariya Vishwa Vidyalaya) Increasing materialism in society is resulting more wide spread nervous tension in all the age groups while some degree of tension in all age group is necessary in everyday living. Its adverse effects require that we must learn to bring it under control. Total tension is shown to have two components: controllable elements, arising from the factors in the environment and in built uncontrollable residue which is basic in the individual’s temperament. The effect of excessive or uncontrolled stress can be emotional reactions such as neurotic behaviour like anxiety, hypochondria, hysteria, phobia, obsessions, depression or psychotic behaviour and psychosomatic reactions like nervous asthma, headache, insomnia and even heart attacks. Relaxation is the only way to control undesirable nervous tension and its techniques requires to be learned. [1] Coronary heart diseases remain the major cause of mortality and morbidity in western world and also in developing countries like India. It accounts for more deaths annually than any other disease including all forms of cancers combined. The enormous toll has focused attention on possible prevention of coronary heart disease by various means. [2] A number of risk factors have been identified as strongly associated with coronary heart disease. Obesity, hypercholesterolemia and hypertension in addition to physical inactivity, stress and behaviour pattern, male sex hormones and untreated menopausal status are the risk factor for coronary heart disease. In the developing countries, where people are adopting western lifestyle the mortality due to coronary heart disease is increasing. [3] A number of drugs have been discovered but drugs are accompanied by side effects and so there is an extensive back to nature movement for prevention and treatment of coronary artery disease. Meditation has a number of positive effects on physiology of human body. It has shown to reduce blood pressure, heart rate and serum cholesterol levels thus reducing the risk of coronary artery disease. Meditation has a number of positive effects on physiology of human body. It has been shown to reduce blood pressure, heart rate and serum cholesterol levels. Observational and epidemiological studies have shown that the higher the total plasma cholesterol the greater is the risk for development of coronary heart disease and there is a strong relationship between HDL cholesterol concentration and risk factor for coronary heart disease. So meditation help in the management and prevention of coronary artery by reducing the risk factors associated with the same. [4] The present study is contemplated to highlight the hemodynamic and biochemical effects of Rajyoga meditation by studying its impact on serum cholesterol and serum HDL levels of the individuals in this part of the country so that these findings could help the people lead a healthier life by adopting this non pharmacological and not so much difficult technique in their life style. Materials and Methods The study was conducted on 100 healthy people selected from Brahma Kumari Ashram Amritsar. The subjects were categorised into two groups. Group I included 50 subjects (36 males and 14 females) in the age group of 25-50 years who were performing Rajyoga meditation
  • 3. Maini et al: Meditation and lipid profile IJMDS ● www.ijmds.org ● July 2014; 3(2) 492 regularly for at least 1 hour a day for last 2-5 yrs, Group II included 50 subjects in the same age group who did not perform any meditation technique. In this group also, 36 were males and 14 females. The subjects having history of Hypertension, Diabetes Mellitus, Ischemic Heart Disease, jaundice, alcoholism and smoking were not included in the study. Each subject was subjected to a detailed physical examination. A detailed cardiovascular examination was done in all subjects. Heart Rate was counted with the stethoscope kept over the apex for full one minute. Blood Pressure was checked using standard mercury sphygmomanometer and three consecutive readings were taken and mean of the three readings was calculated. The readings were taken at an interval of 8 minutes. A standard 12 lead ECG was recorded in all the subjects and all the necessary precautions were taken. ECG was studied for rate, rhythm, P wave, axis, ST segment and T wave. Urine sugar and blood sugar levels were calculated in each case. Blood samples were collected in both meditators and non meditators in the morning between 8:00 to 9:00 am. Serum cholesterol and HDL were measured by the respective kits. [5, 6] Descriptive statistics of mean, standard deviation were used to display the continuous and categorical variables of both groups. One way analysis of variance was applied to compare quantitative data in intragroup ie I, II and III in meditators to find the significance. Unpaired t test was used to compare the mean values. SPSS software version 16 was used. Intergroup comparison of quantitative data i.e. meditators and non meditators was done using unpaired t test and P values were calculated. Results A total no of 100 subjects were involved in the study. 50 used to meditate regularly and 50 had never practised meditation. Mean values of age, height and weight in the meditators (group I) and non meditators (group II) are 36.4±7.9 years, 160.15±6.22, 60.30±8.73 and 37.0±7.8, 159.74±5.98, 63.10±9.11 respectively. (Table1) No statistical difference was found between the two groups. The mean age for meditator males was 36.1±7.6 years and in meditator females it was 37.0±8.9. The mean value of height (in cms) in meditator males and females was 162.22±5.98 and 154.82±2.69 respectively and for weight the mean values in meditator males and females was 59.53±8.66 and 62.69±8.93. In the non meditator group the mean values for age, height and weight in males and females was 37.4±7.9, 161.18±5.64, 64.25±8.43 and 35.8±7.2, 154.43±2.68, 60.14±10.39 respectively. (Table1) No statistical difference was observed between the males and females of the two groups regarding age, weight and height. Meditator subjects were divided in three groups depending upon the no. of years of meditation. Group I included subjects who were regularly doing meditation for 2-3 years and included 16 subjects. Group II with 3-4 yrs of meditation had 18 subjects and Group III with 4-5 yrs of meditation had 16 subjects. The anthropometric measurements are shown in the table. (Table 2) No significant difference was found between the anthropometric measurements in the subgroups.
  • 4. Maini et al: Meditation and lipid profile IJMDS ● www.ijmds.org ● July 2014; 3(2) 493 Table 1: Table showing anthropometric data of meditators, non meditators, Males and Females of two groups Group Age Height Weight Meditators 36.4±7.9 160.15±6.22 60.30±8.73 Non Meditators 36.9±7.7 159.74±5.98 63.10±9.11 Meditators (M) 36.1±7.6 162.22±5.98 59.53±8.66 Meditators (F) 37.0±8.9 154.82±2.69 62.29±8.93 Non meditators (M) 37.4±7.9 161.81±5.64 64.25±8.43 Non meditators (F) 35.8±7.2 154.43±2.68 60.14±8.39 M=Male F= Female Table 2: Anthropometric measurements of meditators divided into three groups Groups Age Height Weight Group I (16) 34.9±8.5 159.65±5.66 59.69±7.41 Group II (18) 33.1±5.5 157.13±4.76 62.13±9.09 Group III (16) 40.4±6.6 162.47±7.18 60.38±10.81 Table 3: Comparison of S.Cholesterol and S. HDL in meditators and non meditators Parameters Meditators Non Meditators t-value S. Cholesterol 161.76±12.49 188.87±7.67 13.15*** S. HDL 48.99±2.85 43.01±2.97 10.33*** Chol/HDL 3.31±0.24 4.41±0.31 19.94*** p-value < 0.001,*** Very highly significant Table 4: Comparison of S. Cholesterol, S. HDL , Chol/HDL in meditator and non meditator males and females Males Females Meditators Non meditators t-value Meditators Non meditators t- value S.Cholesterol 160.12±11.90 189.52±7.53 12.62*** 165.97±13.45 187.17±8.03 5.16*** S. HDL 48.92±3.12 43.02±3.11 8.09*** 49.18±2.15 42.98±2.66 6.19*** Chol/HDL 3.28±0.19 4.43±0.34 17.84*** 3.38±0.32 4.36±0.21 9.76*** *** p value<0.001, very highly significant
  • 5. Maini et al: Meditation and lipid profile IJMDS ● www.ijmds.org ● July 2014; 3(2) 494 The mean value for serum cholesterol in meditator males was 160.12±11.90 and in meditator females was 165.97±13.45. In case of non meditators, in males it was 189.52±7.53 and in females it was 187.17±8.03. This data shows that mean value of serum cholesterol in case of meditator males and females was significantly lower than in non meditator males and females. Similarly, the mean value of serum HDL in meditator males and females was 48.92±3.112 and 49.18±2.15 respectively. In contrast their values in non meditator males and females were 43.02±3.11 and 42.98±2.66 respectively and these values were significantly lower than those in meditators. (Table 4) Also, the mean values for the S.Cholesterol/HDL ratio were also significantly lower in meditators and non meditators. Mean values of S. Cholesterol /HDL in meditator males was 3.28±0.19 and in non meditators was 4.43±0.34. The difference was found to be statistically significant (p<0.001). Similarly, on comparing meditator females and non meditator females (3.38±0.32 and 4.36±0.21), it was found to be statistically significant. (p<0.001) In meditators heart rate was 67.72±3.95, Systolic blood pressure was 114.78±4.95 and diastolic blood pressure was 77.67±3.72 whereas in non meditators, heart rate was 82.17±3.29, systolic blood pressure was 126.67±6.20 and diastolic blood pressure was 84.22±3.23, it was found to be statistically significant. (p<0.001) Discussion Coronary heart disease remains the major cause of mortality and morbidity in India. A number of risk factors have been identified as strongly associated with coronary heart disease. Obesity, hypercholesterolemia and hypertension in addition to physical inactivity, stress and behaviour pattern, male sex hormones and untreated menopausal status are the risk factor for coronary heart disease. In the developing countries, where people are adopting western lifestyle the mortality due to coronary heart disease is increasing.[3] In the present study, the mean value of serum cholesterol was significantly lower and HDL was significantly higher in meditators than in non meditators. The practice of meditation brings about a significant reduction in serum cholesterol levels. This was attributed to a reduction in the sympathetic nervous activity which has been implicated as a factor capable of lowering and maintaining low serum cholesterol levels independent of dietary measures. [7] Behavioural interventions specifically the transcendental meditation technique, reduces levels of major coronary risk factors including hypercholesterolemia and also blood pressure. These findings are also supported by several other studies on meditation. [8, 9, 10] High density lipoprotein is a protective factor against coronary heart disease and it had an inverse relationship with the incidence of coronary heart diseases in both men and women. [11] Low HDL levels predict coronary heart disease mortality and occurrence of new coronary heart disease events in persons older than 70 years. Higher values of serum HDL cholesterol in meditators lower the risk of developing coronary heart disease than non meditators. [12] In the present study the ratio of total cholesterol and HDL was significantly lower in meditators than in non meditators. It has been reported that the lower values of cholesterol/ HDL ratio are associated with reduced risk of
  • 6. Maini et al: Meditation and lipid profile IJMDS ● www.ijmds.org ● July 2014; 3(2) 495 cardiovascular disease and persons with even elevated total cholesterol levels may not be at high risk for cardiovascular disease owing to the favourable cholesterol/HDL ratio. [13] Various other studies also support this. [12, 14] Meditation causes alteration in autonomic balance and well being. There is a trend of gradual shift of autonomic equilibrium towards relative parasympathodominance because of the reduction of sympathetic activity. This modulation of autonomic nervous system activity might have been brought about by the conditioning effects of yoga on autonomic functions. Yoga and Omkar meditation has positive effect on cardiorespiratory performance, psychological profile and melatonin secretion. [15] The improvement in lipid profile parameters after yoga could be due to increased hepatic lipase and lipoprotein lipase at cellular level, which affects the metabolism of lipoprotein and thus increase uptake of triglycerides by adipose tissues. [16] Better ability to overcome stress can be cited as possible mechanism for improvement in lipid profile. [17] Because of ability of HDL to retard the oxidation of LDL,it can prevent the proinflammatory effects of oxidized LDL on the endothelium. Thus HDL can prevent oxidized LDL induced production of monocyte chemotactic protein I, this retards monocyte endothelium interaction, the first stage in the inflammatory process in atherosclerosis. [18, 19] Lower values for mean serum cholesterol and total cholesterol/ HDL ratio and higher value for mean HDL cholesterol in meditators indicate that persons practising Rajayoga Meditation regularly are at a lower risk of developing cardiovascular diseases as compared to those who do not perform any meditation at all. So it can be safely conclude that meditation has a positive effect on cardiovascular system and with regular practice of meditation reduces the risk of developing cardiovascular diseases. References 1. Neuberry CR. Tension and relaxation in the individual. Int Dent Journ 1972;29(2):173-82. 2. Levy RI. Review: Declining mortality in coronary heart disease. Atherosclerosis 1981;1(5):312-325. 3. Kaplan NM. The Deadly Quartet. Arch Intern Med 1989;149:1514. 4. Gordon DJ, Probstfield JL, Garrison RJ. High density lipoprotein cholesterol and cardiovascular disease. Circulation 1989;79:80. 5. Foosati P. Serum Triglycerides determined colorimetrically with an enzyme that produces H2O2. Clin Chem 1982;28:2077- 2080. 6. Richmond W. Preparation and properties of a cholesterol oxidase from Nocardia sp. and its applications to the enzymatic assay of total chplesterol in serum. Clin Chem 1973;19:1350-1356. 7. Cooper MJ, Aygen MM. A relaxation technique in the management of hypercholesterolemia. J Human Stress 1979;5(4):24-27. 8. Cooper MI. Effect of relaxation on blood pressure and serum cholesterol. Act Nerv Super (Praha) 1982;3(2):428-36. 9. Patel C, Marmot MG, Terry DJ, Carruthers M, Hunt B, Patel M. Trial of relaxation in reducing coronary risk: Four year follow up. Br Med Journ (Clin Res Ed) 1985;290(6475):1103-06. 10. Calderon R Jr, Schneider RH, Alexander CN, Myers HF, Nidich SI, Harey C. Stress, Stress reduction and hypercholesterolemia in African Americans. A Review Ethn Dis 1999;9(3): 451-62.
  • 7. Maini et al: Meditation and lipid profile IJMDS ● www.ijmds.org ● July 2014; 3(2) 496 11. Gorton T, Castelli WP, hjortland MC, Kannel WB, Dawber TR. High density lipoprotein as a protective factor against coronary heart disease. Am J Med 1977;62:707. 12. Corti MC, Guralnik JM, Salive ME, Harris T, Field TS, Wallace RB et al. HDL cholesterol predicts coronary heart disease mortality in older persons. JAMA 1995;Aug16;274(7):539-44. 13. Malecka TE, Lewin KJ, Wazowski R, Piskorska D, Klimek K. Lipid profiles in polish adolescents from high and low risk families, tracking unfavourable lipid levels over a one year period. Acta Paediatr 2000;89(8):908-14. 14. Ridker PM, Glynn RJ, Hennekens CH. C- Reactive Protein adds to the predictive values of total and HDL cholesterol in determining risk of first myocardial infarction. Circulation 1998 May26;97(20):2007-11. 15. Harinnath K, Malhotra AS, Pal K, Prasad R, Kumar R, Kain TC. Effects of Hathayoga and Omkar meditation on cardiorespiratory performance, psychologic profile and melatonin secretion. The journal of Alt and Complementary Medicine 2004;10(2):261- 268. 16. Singh S, Kyizom T, Singh KP, Tandon OP, Madhu SV. Influence of pranayams and yogasanas on serum insulin, blood glucose and lipid profile in type II diabetes. Ind J Clin Biochem 2008;23(4):365-368. 17. Vyas R, Raval KV, Dixit N. Effect of Rajayoga Meditation in the lipid profile of postmenopausal women. Indian J Physiol Pharmacol 2008;52(4):420-424. 18. Mackness B, Mackness M. High Density Lipoprotein: Why all the fuss? Ann Clin Biochem 2009;46:5-7. 19. Shilpa S, Bairy KL. Guest Editorial. HDL-C as a new paradigm in atherosclerotic diseases. Indian J Physiol Pharmacol 2008; 53(4):319-326. Cite this article as: Maini S, Kaur H, Kohli PG. Effect of Rajayoga Meditation on Serum Cholesterol and HDL. Int J Med and Dent Sci 2014; 3(2):-490-496. Source of Support: Nil Conflict of Interest: No