Effect of nadanusandhana on heart rate variability in individuals with insomnia – A randomized controlled trial

Abstract

ABSTRACT Background: Insomnia is a common sleep disorder characterized by difficulty initiating or maintaining sleep or sleep that is unrefreshing or of poor quality. It is a serious public health concern where pharmacological insomnia treatments are often only advised for short term. Nadanusandana relaxation can be a safe, simple, and most effective treatment for insomnia as an adjuvant yogic treatment. Aim: The aim of this study was to assess the effect of Nadanusandana relaxation on autonomic variables in patients with insomnia. Settings and Design: A prospective randomized controlled trial conducted on subjects who fulfilled the inclusion criteria were divided equally into two groups. Group 1 along with naturopathy and yogic intervention practiced Nadanusandana relaxation (n = 50) and Group 2 underwent only naturopathic and yogic practices (n = 50). Subjects and Methods: Subjects were assessed for heart rate variability (HRV), blood pressure, and Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) scores before and after treatment. Statistical Analysis Used: SPSS 21.0 was used for statistical analysis. Results: The Nadanusandana relaxation group observed a significant increase in average RR interval, the square root of the mean squared difference between adjacent N-N intervals, the fraction of consecutive RR intervals that differ by more than 50 ms, and high frequency (HF), and a significant decrease in low frequency (LF) and LF/HF ratio was observed in HRV.. A very substantial drop in both the diastolic and systolic blood pressure during blood pressure readings. Sleep quality questionnaire analyzed a significant decrease in ISI score and in PSQI. Conclusion: Nadanusandana relaxation reduces sympathetic tone and shifts sympathovagal balance toward vagal dominance in regular practice. Hence, the result claims that this technique can be effective in reducing sleep disturbances, lowering blood pressure, and improving sleep quality in insomnia.