㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,㧗⾑ᅽ㸧 ᩥ⊩ McCaffrey R, et al : The effects of yoga on Hypertensive persons in Thailand. Horist Nurs Pract. 2005; 19(4): 173-80. PubMed ID:16006832 ┠ⓗ 㐌㛫ࡢࣚ࢞ࣉࣟࢢ࣒ࣛࡀ๓ᮇ㧗⾑ᅽࢱ࢖ேࡢࠊࢫࢺࣞࢫࠊ%0,ࠊᚰᢿᩘࠊ⾑ᅽ࡬ຠᯝࡀ ࠶ࡿ࠿ẚ㍑᳨ウࡍࡿࠋ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ ࢥ࣑ࣗࢽࢸ࢕ෆࡢ ࡘࡢࣚ࢞ࢺ࣮ࣞࢽࣥࢢࢭࣥࢱ࣮ࢱ࢖༡㒊ࢯࣥࢡ࣮ࣛᕞ ཧຍ⪅ 㝆ᅽ⸆ࢆ᭹⏝ࡋ࡚࠸࡞࠸㧗⾑ᅽᝈ⪅㸼PP+J ྡዪᛶ ྡࠊ⏨ᛶ ྡ ௓ධ <RJDIRUKHDOWK ࡢࣚ࢞ 㸯ᅇ ศ㐌 ᅇ 㐌㛫 $UP௓ධ⩌㏻ᖖ἞⒪㸩ࣚ࢞⩌ ᖹᆒᖺ㱋 ṓ $UPࢥࣥࢺ࣮ࣟࣝ⩌㏻ᖖ἞⒪㸩࣊ࣝࢫࢣ࢔⩌ ᖹᆒᖺ㱋 ṓ ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ Stress Assessment Questionnaire (ࢫࢺࣞࢫ࡟㛵ࡍࡿ㉁ၥ⣬)ࢆ௓ධ๓ࠊ௓ධᚋࡢ㸰ᅇ ᐃࠋ⾑ ᅽ(཰⦰ᮇ⾑ᅽ SBPࠊᣑᙇᮇ⾑ᅽ DBP)ࠊBMI(࣎ࢹ࢕࣐ࢫᣦᩘ)ࠊᚰᢿᩘ(HR)ࡣࠊ࣮࣋ࢫࣛ ࢖ࣥࠊ2 㐌ࠊ4 㐌ࠊ8 㐌ࡢ 4 ᅇ ᐃࠋ ୺࡞⤖ᯝ ࢫࢺࣞࢫ㸸௓ධ๓ࠊ୧⩌ࡢᚓⅬ࡟ᕪࡣ࡞࠿ࡗࡓࠋ௓ධᚋࠊࣚ࢞⩌࡛ࡣ᭷ព࡟ᚓⅬࡀୗࡀࡗ ࡓࡀࠊࢥࣥࢺ࣮ࣟࣝ⩌࡛ࡣኚ໬࡞࠿ࡗࡓࠋ௓ධᚋࡢ୧⩌ࡢᚓⅬ࡟ࡣ᭷ពᕪࡀ࠶ࡾࠊࣚ࢞⩌ ࡢ᪉ࡀప࠿ࡗࡓࠋ ཰⦰ᮇ⾑ᅽ㸦SBP㸧ᣑᙇᮇ⾑ᅽ㸦DBP㸧 ࠊᚰᢿᩘ(HR)ࠊ࣎ࢹ࢕࣐ࢫᣦᩘ(BMI)㸸ࣚ࢞⩌࡛ࡣࠊ ࡇࢀࡽࡢ್ࡣ௓ධᮇ㛫ᚋࠊⴭࡋࡃపୗࡋࡓࡀࠊࢥࣥࢺ࣮ࣟࣝ⩌࡛ࡣኚࢃࡾ࡞࠿ࡗࡓࠋ⩌㛫 ẚ㍑࡛ࡶࠊࡇࢀࡽࡢᣦᶆࡣࣚ࢞⩌ࡢ᪉ࡀపࡃ࡞ࡗࡓࠋ ⤖ㄽ 8 㐌㛫ࡢࣚ࢞࢔࣮ࢧࢼ࡜ࣉ࣮ࣛࢼ࣮࣮࣐ࣖᐇ⩦ࡣ㍍ᗘ࠿ࡽ୰➼ᗘࡢ㧗⾑ᅽࡢࢱ࢖ேࡢࢫࢺ ࣞࢫࠊ⾑ᅽࠊ࣎ࢹ࢕࣐ࢫᣦᩘࠊᚰᢿᩘࢆୗࡆࡓࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ௓ධ⩌ ྡࠊࢥࣥࢺ࣮ࣟࣝ⩌㸵ྡ ⌮⏤ࡣ᫬㛫ࡀ࡞࠸ࠊᢞ⸆἞⒪ࢆ㛤ጞࡋࡓࠋ ࣚ࢞ࡢヲ⣽ <RJDIRU+HDOWK㸸ಟṇࡉࢀࡓ࢝ࢭࢵࢺࢸ࣮ࣉࡀ౑⏝ࡉࢀࡓࠋ࢝ࢭࢵࢺࢸ࣮ࣉ࡟ࡣࠊࣉࣛ ࣮ࢼ࣮࣮࣐ࣖࠊ῝࠸ࣜࣛࢡࢮ࣮ࢩࣙࣥࠊࡑࡋ࡚✀㢮ࡢࣚ࢞࢔࣮ࢧࢼࡢ⦎⩦࢞࢖ࢲࣥࢫࠋ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ࣚ࢞࢔࣮ࢧࢼ࡜ࣉ࣮ࣛࢼ࣮࣮࣐ࣖᐇ⩦ࡣࢫࢺࣞࢫࠊ⾑ᅽࠊ࣎ࢹ࢕࣐ࢫᣦᩘࠊᚰᢿᩘࢆୗࡆ ࡓ࡜♧၀ࡋࡓࡇࡢ◊✲ࡣࠊ㔜኱࡞ព࿡ࢆᣢࡘ࡜ᛮ࠸ࡲࡍࠋ $EVWUDFWRU ࡢ᥎ዡᗘ 㧗⾑ᅽ⪅࡟ᑐࡋࠊࢫࢺࣞࢫࠊ%0,ࠊᚰᢿᩘࠊ⾑ᅽࡢῶᑡ࡟ࠊࣚ࢞ࢆ່ࡵࡿ $EVWUDFWRUDQG'DWH ᕝᓮṇᏊ ᒸᏕ࿴ − 149 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,㧗⾑ᅽ㸧 ᩥ⊩ Murugesan R, et al. Effect of selected yogic practices on the management of Hypertension.Indian J Pharmacol, 2000; 44(2): 207-10. Pubmed ID:10846637 ┠ⓗ 㧗⾑ᅽ⑕ᝈ⪅࡟ᑐࡍࡿࣚ࢞ࡢຠᯝࢆㄪ࡭ࡿ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ Government General Hospital, Pondicherry, India ཧຍ⪅ ṓࡢ㧗⾑ᅽ⑕ᝈ⪅ ྡ ௓ධ $UP௓ධ⩌ࣚ࢞⩌ ᮅኤ ᅇࡎࡘࠊ ᅇ ศ㐌 ᅇ 㐌㛫 $UP௓ධ⩌⸆≀἞⒪⩌ $UPࢥࣥࢺ࣮ࣟࣝ⩌ ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ 1.SBP(཰⦰ᮇ⾑ᅽ) 2.DBP(ᣑᙇᮇ⾑ᅽ) 3.PR(⬦ᢿᩘ) 4.య㔜ࢆ௓ධ๓ࠊ௓ධᚋࡢ 2 ᅇ ᐃࠋ ୺࡞⤖ᯝ ௓ධ๓ࠊSBPࠊDBP ࡣ୕⩌࡟ᕪࡣ࡞࠿ࡗࡓࡀࠊPRࠊయ㔜ࡣ୕⩌࡛᭷ពᕪࡀ࠶ࡗࡓࠋ SBP㸸௓ධᚋࠊ཰⦰ᮇ⾑ᅽࡣᨵၿࡀㄆࡵࡽࢀࠊ⤫ィⓗ࡟᭷ព࡛࠶ࡗࡓ㸦P <0.01㸧 ࠋ ௓ධ๓ᚋࡢẚ㍑࡛ࡣࠊࢥࣥࢺ࣮ࣟࣝ⩌࡛ࡣኚ໬ࡋ࡞࠿ࡗࡓࡢ࡟ᑐࡋ࡚ࠊࣚ࢞⩌(P <0.01)࡜ ᢞ⸆἞⒪⩌(P <0.01)࡛ࡣ᭷ព࡞పୗࢆ♧ࡋࡓࠋ DBP:ᣑᙇᮇ⾑ᅽ࡟࠾࠸࡚ࡶࠊSBP ࡜ྠᵝ࡞⤖ᯝ࡛࠶ࡗࡓࠋ ࣚ࢞⩌ࡣ⸆≀⒪ἲࡼࡾ SBP ࢆ᭷ព࡟పୗࡋࡓࡀࠊDBP ࡛ࡣᕪࡣ࡞࠿ࡗࡓࠋ ⤖ㄽ ࣚ࢞ࡢ௓ධࡸ⸆๣἞⒪ࡢ཮᪉ࡀ㧗⾑ᅽࢆᨵၿࡋࡓࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ≉࡟グ㏙࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ࡞ࡋ ࣚ࢞ࡢヲ⣽ ࢔࣮ࢧࢼ ✀㢮ࠊ࿧྾ἲࠊ࣒ࣚ࢞ࢻࣛࠊࢳࣕࣥࢸ࢕ࣥࢢࠊ▂᝿ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ⸆≀⒪ἲ⩌ࡢ⸆࡜⏝㔞ࡀ♧ࡉࢀ࡚࠸࡞࠸ࡢ࡛ࠊ⸆≀⒪ἲ࡜ࣚ࢞ࡢඃຎࢆẚ㍑ࡍࡿ஦ࡣᅔ㞴 ࡛࠶ࡿࡀࠊࣚ࢞࡟ࡼࡗ࡚ 6%3ÆPP+J'%3ÆPP+J ࡟పୗࡋࡓࡇ࡜ࡀ♧ࡉࢀ࡚ ࠸ࡿࠋ $EVWUDFWRU ࡢ᥎ዡᗘ 㧗⾑ᅽ⑕ᝈ⪅࡟ᑐࡋ࡚ࠊࣚ࢞ࢆ່ࡵࡿ $EVWUDFWRUDQG'DWH ụ⏣⪽Ꮚ ᒸᏕ࿴ − 150 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,㧗⾑ᅽ㸧 ᩥ⊩ van Montfrans GA et al., Relaxation therapy and continuous ambulatory blood pressure in mild hypertention: a controlled study. BMJ 1990 may: 300(6736):1368-72. PubMed ID: 2196946 ┠ⓗ ㍍ᗘ࡛἞⒪ࢆཷࡅ࡚࠸࡞࠸ࠊࡶࡋࡃࡣྜే⑕ࡢ↓࠸㧗⾑ᅽᝈ⪅࡟࠾ࡅࡿࠊࣜࣛࢡࢮ࣮ࢩࣙ ࣥࢭࣛࣆ࣮ࣚ࢞ࡢ㛗ᮇⓗຠᯝࢆ᳨ドࡍࡿࠋ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ ࢔࣒ࢫࢸࣝࢲ࣒኱Ꮫ⑓㝔 እ᮶ࢡࣜࢽࢵࢡ ཧຍ⪅ ୍⯡㛤ᴗ་ࡢୗ㧗⾑ᅽࡢ἞⒪ࢆཷࡅ࡚࠸ࡿࠊ ࡲࡓࡣ 㐃⥆᳨ᰝゼၥ࡛᭱ప⾑ᅽPP+J ࡛἞⒪ࢆཷࡅ࡚࠸࡞࠸ᡂே ྡ㹼 ṓ ௓ධ $UPࣚ࢞⩌ࣜࣛࢡࢭ࣮ࢩࣙࣥࢭࣛࣆ࣮⩌ ྡ㸸⏨ᛶ ྡዪᛶ ྡࠊ ṓ 㐌 ࡟㸯᫬㛫ࡢࢺ࣮ࣞࢽࣥࢢࢆ㸶㐌ࣜࣛࢡ࣮ࢩࣙࣥࠊ࢚ࣚ࢞ࢡࢧࢧ࢖ࢬࠊࢫࢺࣞࢫ࣐ࢿ࣮ࢪ ࣓ࣥࢺࢆཷࡅࡓᚋࠊ⮬Ꮿᐇ⩦ ᅇ ศ᪥ ᅇ ᖺ㛫 $UPᑐ↷⩌ࢺ࣮ࣞࢽࣥࢢࡋ࡞࠸⩌ ྡ㸸⏨ᛶ ྡዪᛶ ྡࠊѸ ṓ ᪥ ᅇᗙ ఩ࣜࣛࢵࢡࢫ ᖺ㛫 ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ ୺せホ౯㡯┠㸸24᫬㛫⮬⏤⾜ືୗື⬦⾑ᅽ ᐃࠋᒀ୰ࢼࢺ࣒ࣜ࢘᤼ἥ㔞ࡢᖹᆒ್ࠊ⾑Ύࢥ ࣞࢫࢸ࣮ࣟࣝ⃰ᗘࠊయ㔜ࠊ᭱ప(ᣑᙇᮇ)⾑ᅽࠊᚰ⮚ᣑᙇእ᮶ື⬦ෆᅽᖹᆒ್ࠊࢆ௓ධ๓ࠊ ௓ධᚋ࡛ẚ㍑ࠋ ୺࡞⤖ᯝ ᒀ୰ࢼࢺ࣒ࣜ࢘᤼ἥ㔞ࡢᖹᆒ್ࠊ⾑Ύࢥࣞࢫࢸ࣮ࣟࣝ⃰ᗘࠊయ㔜ࡣ୧⩌ඹ࡟ኚ໬࡞ࡋࠋ⾑ ᅽィ࡛ ᐃࡋࡓSBࣉ࢓௓ධ๓ᚋ࡛୧⩌࡜ࡶ࡟ኚ໬↓ࡋࠋDBPࡣࣚ࢞⩌࡛㸰mmHgࠊࢥࣥࢺ ࣮ࣟࣝ⩌࡛㸱㸰mmHgపୗࡋࡓࠋ24᫬㛫⾑ᅽ ᐃࡢ⤖ᯝࡣࠊ᫨㛫ࡢ⾑ᅽࡣኚ໬ࡀ࡞ࡃࠊኪ 㛫ࡢ⾑ᅽࡀࠊ୧⩌࡜ࡶ࡟SBPࠊDBP࡜ࡶ࡟5mmHgቑຍࡋࡓࠋ ⤖ㄽ ࣜࣛࢡࢮ࣮ࢩࣙࣥࢭࣛࣆ࣮࡟ࡼࡿ㝆ᅽຠᯝࡣほᐹࡉࢀ࡞࠿ࡗࡓࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ 㸣 ྡ ᫬㛫ࡢᣊ᮰ࢆ᎘ࡀࡿ࣭௓ධෆᐜ࡟ⴠ⫹࣭⬚③࣭⾑ᅽୖ᪼ ࣚ࢞ࡢヲ⣽ ࣁࢱࣚ࢞ࡢ࿧྾ἲ࡜࣏࣮ࢬ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ $EVWUDFWRU ࡢ᥎ዡᗘ ㍍ᗘࡢ㧗⾑ᅽ⑕ᝈ⪅࡟ᑐࡋ࡚ࣚ࢞ࢆ່ࡵ࡞࠸ $EVWUDFWRUDQG'DWH ⊦⏣ᬛ⨾ ᒸᏕ࿴ − 151 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,㧗⾑ᅽ㸧 ᩥ⊩ Patel C. Randomised controlled trial of yoga and bio-feedback in management of hypertension. 1975 The Lancet;volume306;No.7925:93-95. ┠ⓗ ࣚ࢞ཬࡧࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡࡢ௓ධ࡟ࡼࡾࠊ㧗⾑ᅽ࡟ᑐࡋ࡚ຠᯝࡀ࠶ࡿ࠿ࢆㄪ࡭ࡓࠋ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ 1RUWKZLFN3DUN⑓㝔 ཧຍ⪅ ṓ௨ୗࡢ㧗⾑ᅽᝈ⪅ึᮇᣑᙇᮇ⾑ᅽ PP+J ௨ୖࡀ ᪥௨ୖ࠶ࡾ㸴࠿᭶௨ୖ⸆≀἞ ⒪ࢆཷࡅ࡚࠸ࡿ ྡ࠺ࡕ ྡࢻࣟࢵࣉ࢔࢘ࢺ ྡࡀཧຍࠋ ௓ධ $UP௓ධ⩌ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡჾᶵࢆే⏝ࡋࡓࣚ࢞ⓗࣜࣛࢡࢮ࣮ࢩࣙࣥ⩌ ྡ $UPࢥࣥࢺ࣮ࣟࣝ⩌ࣉࣛࢭ୍࣎⯡ⓗࣜࣛࢡࢮ࣮ࢩࣙࣥ⩌ ྡ ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ ࢭࢵࢩࣙࣥ๓ᚋ 30 ศࡢ཰⦰ᮇ/ᣑᙇᮇ⾑ᅽ(❧఩ࠊᗙ఩ࠊ⮩఩) ୺࡞⤖ᯝ ௓ධ⩌࡛⾑ᅽࡣୖ᪼ࡋࡓࡶࡢࡣ࠸࡞࠿ࡗࡓࡀࠊࢥࣥࢺ࣮ࣟࣝ⩌࡛ࡣࠊ8 ྡ࠸ࡓࠋࢥࣥࢺࣟ ࣮ࣝ⩌࡟ẚ࡭ࠊ௓ධ⩌࡛ࡣ཰⦰ᮇ⾑ᅽࡢపୗ(p<0.005)ࠊᣑᙇᮇ⾑ᅽࡢపୗ(p<0.001)ࡀ㢧ⴭ ࡔࡗࡓࠋࡲࡓࠊ2 ࠿᭶࠶ࡅ࡚ࠊ௓ධ⩌࡜ࢥࣥࢺ࣮ࣟࣝ⩌ࢆධࢀ᭰࠼࡚௓ධࢆ⾜ࡗࡓ࡜ࡇࢁࠊ ௓ධ⩌࡛ࡣ⾑ᅽࡀపୗࡋࠊ⾑ᅽࡢపୗࡀ⥅⥆ࡋ࡚࠸ࡓࢥࣥࢺ࣮ࣟࣝ⩌(᭱ึࡢ௓ධ⩌)࡜ࡢ ᕪࡣ࡞࠿ࡗࡓࠋ ⤖ㄽ ௓ධ࡟ࡼࡾࠊ⾑ᅽࡀ๻ⓗ࡟పୗࡋࡓࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ྡ㸸㸯ྡࡣࢺࣛ࢖࢔ࣝ㛤ጞ๓࡟ṇᖖ⾑ᅽ࡟ᡠࡗࡓⅭ㝖እࠋ ௓ධ⩌⢾ᒀ⑓ࡢ⭈ྜే⑕࡟ࡼࡾᚋ࡟Ṛஸ ࢥࣥࢺ࣮ࣟࣝ⩌ࢢ࢔ࢿࢳࢪࣥ㝆ᅽ๣ࡢ๪స⏝࡟࡚἞⒪ኚ᭦ࡢࡓࡵࠋ ࣚ࢞ࡢヲ⣽ 3KDVHϨ࡛ࡣࠊ་ᖌᝈ⪅ࡢಙ㢗㛵ಀࢆసࡾࠊಶูࢺ࣮ࣞࢽࣥࢢ࡛ᶓ࡟࡞ࡗ࡚ࣜࣛࢵࢡࢫἲ ࢆᏛࡪࠋḟ࡟▂᝿ࡀᑟධࡉࢀࠊ㡢࡛ࣜࣛࢵࢡࢫ≧ែࢆ▱ࡽࡏࡿࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡჾᲔ ࣜࣛࢵࢡࢫ࣓࣮ࢱ࣮ࡀ౑ࢃࢀࡓࠋᝈ⪅ࡓࡕࡣࣜࣛࢵࢡࢫἲ࡜▂᝿ࢆ㸯᪥㸰ᅇ⦎⩦ࡋࡓࠋ 㸰㐌㛫ࡈ࡜࡟㸱࢝᭶ࣇ࢛࣮ࣟ࢔ࢵࣉࡉࢀࡓࠋࡑࡢ㸰ࣨ᭶ᚋ࡟ 3KDVHϩࡀጞࡲࡿࠋ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ᖺࡢㄽᩥ࡛࠶ࡿࡇ࡜ࠊࣚ࢞࡜ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡ௓ධ⩌ࡀ㧗⾑ᅽࡢᨵၿࢆ࣮࢟ࣉ ࡛ࡁ࡚࠸ࡿࡇ࡜ࡣࠊ኱ኚ⯆࿡῝࠸ࠋ $EVWUDFWRU ࡢ᥎ዡᗘ ࣚ࢞ࡢヲ⣽ࡀศ࠿ࡽ࡞࠸ࡇ࡜ࠊࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡ༢⊂ࡢᙳ㡪ࡢࢥࣥࢺ࣮ࣟࣝࢫࢱࢹ࢕ ࣮ࡀ࡞࠸ࡇ࡜࡞࡝࡟ࡼࡾࠊࡇࡢ⤖ᯝࡔࡅ࡛ࣚ࢞ࡢ᥎ዡᗘࢆ㏙࡭ࡿࡢࡣ㞴ࡋ࠸࡜ឤࡌࡿࠋ $EVWUDFWRUDQG'DWH ᒸెᜨ ᒸᏕ࿴ − 152 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,㧗⾑ᅽ㸧 ᩥ⊩ Patel C. Yoga and biofeedback in the management of hypertension. Journal of Psychosomatic Research, Vol. 19, pp. 355 to 360. Pergamon Press, 1975. Pubmed ID:1214232 ┠ⓗ 㧗⾑ᅽ⟶⌮࡟࠾ࡅࡿࣚ࢞࡜ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡࡢ᭷ຠᛶࢆ᳨ウࡍࡿࠋ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ ࠶ࡿ་㝔 ᪋タࠋ ཧຍ⪅ ᮏែᛶ㧗⾑ᅽࠊ⭈ᛶ㧗⾑ᅽࠊ㝆ᅽ⸆౑⏝⪅ࡢ ྡᖹᆒᖺ㱋 ṓ ௓ධ ࣜࣛࢡࢭ࣮ࢩࣙࣥ࡜▂᝿ ᅇ ศ㐌 ࣭ ᅇ 㐌㛫 ◊✲㸯 $UP㏻ᖖ἞⒪㸩ࣚ࢞⩌ ྡ $UP㏻ᖖ἞⒪⩌ ྡᐷ᳔Ꮚ࡟௮⮩఩࡜࡞ ࡾࠊࣜࣛࢡࢮ࣮ࢩࣙࣥ࡜▂᝿ࢆ⾜ࡗࡓࠋᑐ↷⩌ࡣࠊ௓ධ⩌ࡢࢭࢵࢩࣙࣥ࡜ྠࡌᅇᩘฟᖍࡋࠊ ࣜࣛࢡࢮ࣮ࢩࣙࣥカ⦎ࡢ௦ࢃࡾ࡟ᐷ᳔Ꮚ࡟ఇࢇࡔࠋ ◊✲ ࢡࣟࢫ࣮࢜ࣂ࣮ヨ㦂 $UP㏻ᖖ἞⒪㸩ࣚ࢞⩌ ྡ $UP㏻ᖖ἞⒪ ྡ ᑐ㇟⪅ࡣࠊࢥࣥࢺ࣮ࣟࣝᮇ㛫ࡢ 㐌㛫࡛ ᅇࡢࢭࢵࢩࣙࣥࡀ࠶ࡗࡓࠋ ணഛ◊✲ ྠᵝ࡞ࣜࣛࢡࢮ࣮ࢩࣙࣥカ⦎࡟ࡼࡗ࡚㧗⾑ᅽᝈ⪅ࡀ᪥ᖖ⏕άࢫࢺࣞࢫ࡟ࡼࡃ ⪏࠼ࡽࢀࡿ࠿ࢆ☜ㄆࡍࡿࡇ࡜ࡀ┠ⓗࠋ㐠ື㈇Ⲵヨ㦂࡜ᐮ෭᪼ᅽヨ㦂ࢆཷࡅࡓࠋ ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ ◊✲ 1ࠊ◊✲ 2͐⾑ᅽ್ࡢኚ໬ ணഛ◊✲͐⾑ᅽࡢ᭱኱ୖ᪼ࠊ⾑ᅽࡢᅇ᚟᫬㛫 ୺࡞⤖ᯝ ◊✲ 1㸸௓ධ⩌࡛ࡣ཰⦰ᮇ⾑ᅽ(P<0,001)ࠊᣑᙇᮇ⾑ᅽ(P<0.001)ࠊ⸆๣ࡢῶ㔞 41㸣 ࡜᭷ព࡞⾑ᅽపୗࡀぢࡽࢀࡓࡀࠊᑐ↷⩌࡛ࡣ᭷ព࡞⾑ᅽኚ໬ࡣ࡞࠿ࡗࡓ(P>0.1)ࠋ ◊✲ 2㸸ࢥࣥࢺ࣮ࣟࣝᮇ㛫࡛ࡣ᭷ព࡞⾑ᅽኚ໬ࡣ࡞࠿ࡗࡓࡀ(P>0.1)ࠊ௓ධᮇ㛫࡛ࡣ᭷ព࡞ ⾑ᅽపୗ(P<0.001)࡜⸆๣ࡢῶ㔞(27.5%)ࢆㄆࡵࡓࠋணഛ◊✲㸸㐠ື㈇Ⲵヨ㦂࡟ࡼࡿ⾑ᅽࡢ ᭱኱ୖ᪼࡜⾑ᅽࡢᅇ᚟᫬㛫࡟ࡘ࠸࡚ࠊ௓ධ⩌࡛ࡣヨ㦂๓ᚋ࡛᭷ព࡞పୗࢆㄆࡵࡓࡀࠊᑐ↷ ⩌࡛ࡣ᭷ព࡞ኚ໬ࡀ࡞࠿ࡗࡓࠋᐮ෭㈇Ⲵヨ㦂࡟ࡼࡿ⾑ᅽࡢ᭱኱ୖ᪼࡜⾑ᅽࡢᅇ᚟᫬㛫࡟ࡘ ࠸࡚ࠊ௓ධ⩌࡛ࡣヨ㦂๓ᚋ࡛᭷ព࡞పୗࢆㄆࡵࡓࡀࠊᑐ↷⩌࡛ࡣ᭷ព࡞ኚ໬ࡀ࡞࠿ࡗࡓࠋ ⤖ㄽ ◊✲1࡜◊✲2࠿ࡽ͐ࣚ࢞࡜ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡࡣ㛗ᮇⓗ࡟Ᏻ㟼᫬ࡢ⾑ᅽࢆపୗࡉࡏࡿ ࡢ࡟ຠᯝࡀ࠶ࡿࠋணഛ◊✲࠿ࡽ͐㸦ࣚ࢞࡜ࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡࡢ㸧ຠᯝⓗ࡞᪉ἲࡀ⎔ቃ ࢫࢺࣞࢫ࡟ᑐࡍࡿ཯ᛂࢆῶᙅࡋࠊࡑࡢᙳ㡪࠿ࡽࡢᅇ᚟ࢆ㏿ࡃࡍࡿ࡜ㄆࡵࡽࢀࡿྍ⬟ᛶࢆ♧ ၀ࡋ࡚࠸ࡿࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ⾲グ࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ⾲グ࡞ࡋ ࣚ࢞ࡢヲ⣽ 㸦㸧య఩ᐷ᳔Ꮚࡢୖ࡛௮ྥࡅ࡟࡞ࡾࠊ┠ࡣࡎࡗ࡜㛢ࡌ࡚࠸ࡓࠋ㸧࿧྾᭱ึ࡟ࡺࡗࡃࡾ ࣜࢬ࣑࢝ࣝ࡟࿧྾ࡍࡿࡼ࠺ồࡵࡽࢀࡓࠋࡑࡋ࡚ࠊࡑࡢࣜࢬ࣒ࡣ⮬↛ࡢ࣮࣌ࢫ࡟࡞ࡗ࡚࠸ࡗ ࡓࠋ 㸦㸧ࣜࣛࢡࢮ࣮ࢩࣙࣥࠊ▂᝿➼࿧྾࡟⥆ࡁࠊᚰࡢ୰࡛యࡢࡉࡲࡊࡲ࡞㒊ศࢆ࠶ࡿ㡰 ᗎ࡛ㄪ࡭ࠊྛࠎࡢ㒊఩ࢆ᏶඲࡟ᘱ⦆ࡉࡏࡓࠋ୍᪦ࡼࡃࣜࣛࢵࢡࢫࡍࡿࡇ࡜ࢆ⩦ᚓ࡛ࡁࡓ࡜ ࡇࢁ࡛⢭⚄㞟୰࡜▂᝿ࡀᑟධࡉࢀࡓࠋࣂ࢖࢜ࣇ࢕࣮ࢻࣂࢵࢡ⿦⨨ࢆ⏝࠸࡚⓶⭵㟁Ẽ᢬ᢠࠊ ➽㟁ᅗࠊ⬻Ἴࡀࣇ࢕࣮ࢻࣂࢵࢡࡉࢀࠊṇࡋ࠸཯ᛂࡀᙉ໬ࡉࢀࡓࠋ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ᮏㄽᩥࡢព⩏ࡣࠊࣚ࢞ࡀᏳ㟼᫬⾑ᅽࡢࢥࣥࢺ࣮ࣟࣝ࡟ᙺ❧ࡘࡢࡳ࡞ࡽࡎࠊ᪥ᖖ⏕άࢫࢺࣞ ࢫ࡟ࡼࡿ⾑ᅽୖ᪼ࢆᢚไࡋ㏿ࡃᅇ᚟ࡉࡏࡿྍ⬟ᛶࢆ♧ࡋ࡚࠸ࡿ࡜ࡇࢁ࡟࠶ࡿࠋ $EVWUDFWRU ࡢ᥎ዡᗘ ᮏㄽᩥ࠿ࡽࡣࠊ㧗⾑ᅽ࡟ᑐࡋ࡚ࣚ࢞ࡀ᭷ຠ࠿࡝࠺࠿࡝ࡕࡽ࡜ࡶ࠸࠼࡞࠸ࠋ $EVWUDFWRUDQG'DWH ๓ᓥᩥኵ ᒸᏕ࿴ − 153 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,⬻༞୰㸧 ᩥ⊩ Schmid AA, et al. Poststroke Balance Improves With Yoga: A Plot Study. Stroke. 2012, 43: 2402-2407. Pubmed ID: 22836351 ┠ⓗ ࣚ࢞ࢆ࣮࣋ࢫ࡜ࡋࡓࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ἞⒪௓ධࡢࠊ⬻༞୰ᚋࡢࣂࣛࣥࢫࠊࣂࣛࣥࢫ⮬ᕫ ຠຊឤࠊ㌿ಽࡢᜍࢀࠊQOL ࡬ࡢᙳ㡪ࢆホ౯ࡍࡿ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ Indiana University Rehabilitation and Integrative Therapy laboratory ཧຍ⪅ 18 ṓ௨ୖࡢ៏ᛶᮇ⬻༞୰(6 ࢝᭶௨ୖ)ࡢᝈ⪅ ௓ධ ᅇ ศ㐌 ᅇ 㐌㛫ィ ᅇ $UP௓ධ⩌ࣚ࢞⩌ ྡ ୖグ ᅇ㸩㐌 ᅇ௨ୖ ศࡢࣜࣛࢡࢭ࣮ࢩࣙࣥࢆᐇ⩦ $UPࢥࣥࢺ࣮ࣟࣝ⩌ ᚅᶵ⩌ ྡ ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ ⬻༞୰࡟ࡼࡿ㌟య㞀ᐖ(mRS)ࠊBerg Balance Scale(ࣂࣛࣥࢫ)ࠊActivities-specific Balance Confidence Scale (ࣂࣛࣥࢫ⮬ᕫຠຊឤ)ࠊFear of Falling㸦㌿ಽࡢᜍᛧ㸧 ࠊStroke-specific QOL Scale (QOL)ࢆ௓ධ๓ࠊ8 㐌㛫ࡢ 2 ᅇ ᐃࠋ ୺࡞⤖ᯝ ࣚ࢞⩌࡜ࢥࣥࢺ࣮ࣟࣝ⩌ࡢ㛫࡛ࡣࠊ௓ධ๓ᚋ࡜ࡶ࡟ୖグࡢᣦᶆ࡟ᕪࡣ࡞࠿ࡗࡓࠋࡋ࠿ࡋ⩌ ෆẚ㍑࡛ࡣࠊࣚ࢞⩌࡟࠾࠸࡚ࣚ࢞๓ᚋ࡛ࣂࣛࣥࢫࡀᨵၿ(P<0.001)ࠊ FoF ࡟ࠕࡣ࠸ࠖ࡜ᅇ ⟅ࡋࡓ⿕㦂⪅ࡀ᭷ព࡟ῶᑡ(P<0.001)ࠊmRS ࡛⮬❧ࡋ࡚࠸ࡿ࡜ᅇ⟅ࡍࡿேᩘࡀ᭷ព࡟ቑຍ (P<0.001)ࡋࠊ QOL(P=0.037)࡜ࣂࣛࣥࢫ⮬ᕫຠຊឤ(P=0.035)ࡀ᭷ព࡟ᨵၿࡋࡓࠋࢥࣥࢺࣟ ࣮ࣝ⩌࡛ࡣࠊ௓ධᮇ㛫๓ᚋ࡛ࡇࢀࡽࡢ㡯┠࡟ᕪࡣࡳࡽࢀ࡞࠿ࡗࡓࠋ ⤖ㄽ ៏ᛶᮇ⬻༞୰ࡢேࠎ࡟࡜ࡗ࡚ࠊࣚ࢞࡟ᇶ࡙ࡃࣜࣁࣅࣜࡣ⬻༞୰ᚋࡢከࡃࡢၥ㢟ࢆᨵၿࡍࡿ ྍ⬟ᛶࢆ⛎ࡵ࡚࠸ࡿࠋࢢ࣮ࣝࣉࣚ࢞ࡣࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢ┦⿵ⓗ࡞ᙺ๭ࢆࡣࡓࡋࠊ་Ꮫ ⓗ࠾ࡼࡧࢥ࣑ࣗࢽࢸ࢕࣮࡟ᇶ࡙ࡃሙ㠃࡛ᐇ⾜ྍ⬟࡛࠶ࡾࠊ㈝⏝ᑐຠᯝࡢ㧗࠸ࡶࡢ࡛࠶ࢁ ࠺ࠋࢢ࣮ࣝࣉࣚ࢞࡟ᇶ࡙ࡃࣜࣁࣅࣜ௓ධࡢࡉࡽ࡞ࡿ◊✲ࡀᚲせࡔࢁ࠺ࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ཧຍ⪅ࡣ඲࡚ࡢࣚ࢞࢔ࢡࢸ࢕ࣅࢸ࢕࣮ࢆ᏶㐙࡛ࡁࠊ᛹ᡃࡣㄆࡵࡽࢀ࡞࠿ࡗࡓࠋ࣏࣮ࢬࡣࠊ ⬻༞୰࡟ᑐࡋ࡚ࡢࡇࢀࡲ࡛ࡢ⤒㦂࡜ࠊ⮌㒊࡜㊊㤳ࡢᰂ㌾ᛶ࡜ᙉࡉ࡟ࣇ࢛࣮࢝ࢫࡍࡿࡇ࡜࡛ ࣂࣛࣥࢫࡀᨵၿࡉࢀࡿࡇ࡜ࢆ⿬௜ࡅࡿ࢚ࣅࢹࣥࢫࠊࢆᇶ࡟㑅ࡤࢀࡓࠋ㧗⾑ᅽࡸᩆᛴࡢሙྜ ࡟ഛ࠼ࠊᶆ‽ⓗ࡞Ᏻ඲つ⣙ࡀ‽ഛࡉࢀࡓࠋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ௓ධ⩌㸣 ⌮⏤ࡣ஺㏻ᡭẁࡀ࡞࠸ࠊᝏኳೃࠊ⑓Ẽࠊ௙஦ ࢥࣥࢺ࣮ࣟࣝ⩌㸣 ࣚ࢞ࡢヲ⣽ ᗙ఩ࠊ❧఩ࠊ⫼⮩఩࡛ࡢࠊᨵⰋࡉࢀࡓ࣏࣮ࢬࠊ࿧྾ࠊ▂᝿࡛ᵓᡂࡉࢀࡓࠋ඲࡚ࡢࢭࢵࢩࣙ ࣥࡣ㞟୰ⓗ࡞῝࠸ࣜࣛࢡࢮ࣮ࢩࣙࣥ▂᝿ࢆྵࢇ࡛࠸ࡿࠋ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ៏ᛶᮇ⬻༞୰ᝈ⪅࡛ࣂࣛࣥࢫ㞀ᐖࡢ࠶ࡿ⪅࡟࡜ࡗ࡚ࠊ࣮ࣚ࢞࣋ࢫࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥ ࡣࠊ㏻ᖖࡢࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࢆ⿵࠸࠺ࡿࡶࡢ࡛࣓ࣜࢵࢺࡀ࠶ࡿ࡜ᛮࢃࢀࡿࠋࢢ࣮ࣝࣉࣚ ࢞ࡣᑐ㈝⏝ຠᯝࡀࡼ࠸࡜ᮇᚅࡶࡉࢀࡿࠋ⥲ࡌ࡚ 42/ ࡟㈉⊩ࡋ࠺ࡿࡢ࡛ࡣ࡞࠸ࡔࢁ࠺࠿ࠋ $EVWUDFWRU ࡢ᥎ዡᗘ ៏ᛶᮇ⬻༞୰ᝈ⪅࡛ࣂࣛࣥࢫ㞀ᐖࡢ࠶ࡿ⪅࡟ᑐࡋ࡚ࠊࣚ࢞ࢆ᮲௳௜ࡁ່࡛ࡵࡿ $EVWUDFWRUDQG'DWH ⠛ཎెᏊ ᒸᏕ࿴ − 154 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,ෙື⬦⑌ᝈ㸧 ᩥ⊩ Yeung A, et al. Randomised controlled trial of a 12 week yoga intervention on negative affective states, cardiovascular and cognitive function in post-cardiac rehabilitation patients. BMC complementary and Alternative Medicine 2014; 14: 441. Pubmed ID:25342209 ┠ⓗ ➨ ᮇ࡟࠶ࡿᚰ⮚ࣜࣁࣅࣜᝈ⪅࡟ᑐࡍࡿࠊࣚ࢞⒪ἲ௓ධ࡟ࡼࡿ㝜ᛶឤ᝟ࠊᚰ⾑⟶ᶵ⬟࠾ࡼ ࡧㄆ▱ᶵ⬟࡟ᑐࡍࡿຠᯝࢆ☜ㄆࡍࡿ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ 8QLYHUVLW\RI:HVWHUQ6\GQH\6\GQH\$GYHQWLVW+RVSLWDO*URXS ཧຍ⪅ ṓ௨ୖࡢᡂே࡛࠶ࡾࠊෙື⬦⑌ᝈࢆᣢࡕࠊ㐣ཤ ࢝᭶௨ෆ࡟ࣇ࢙࣮ࢬ ࡢᚰ⮚ࣜࣁࣅࣜ ࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛࡢ᏶஢ࡋࡓ ྡ ௓ධ <RJD6\QHUJ\3W\/WG࣮࢜ࢫࢺࣛࣜ࢔ࡢࣉࣟࢢ࣒ࣛ ᅇ ศ㐌 ᅇ 㐌㛫 $UP௓ධ⩌ ࣚ࢞⩌ ྡ $UPࢥࣥࢺ࣮ࣟࣝ⩌ グ㏙࡞ࡋ ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ 1.Depression Anxiety Stress Scales(࠺ࡘ⑕≧ホ౯) 2.Short Form 36 version 2(ໟᣓⓗ QOL ᑻ ᗘ) 3.ᚰᢿᩘ࡜⾑ᅽ 4.ᚰᢿኚື 5.Pulse Wave Velocity(⬦Ἴఏ᧛㏿ᗘ) 6.Carotid Intima Media Thickness(㢕ື⬦ෆ⭷୰⭷⫧ཌ) 7.Computerised Mental Performance Assessment System(ㄆ▱ᶵ⬟) 8.LD(పẚ㔜࣏ࣜࢱࣥࣃࢡ),HDL(㧗ẚ㔜࣏ࣜࢱࣥࣃࢡ),ࢺࣜࢢࣜࢭࣜࢻ (୰ᛶ⬡⫫) 9 ࢢࣝࢥ࣮ࢫ 10.CRP(C ཯ᛂᛶ⺮ⓑ)ࢆ ᐃࠋ ୺࡞⤖ᯝ ලయ࡞⤖ᯝ࠾ࡼࡧᩘ್ࡢグ㏙ࡣ࡞࠸ࠋ ⤖ㄽ ᮏ◊✲࡟ࡼࡗ࡚ᝈ⪅ࡢㄆ▱ᶵ⬟࠾ࡼࡧᚰ⾑⟶ᶵ⬟ࡢᨵၿ࡟ຍ࠼࡚ࠊCV ஦㇟࡟㛵㐃௜ࡅࡽ ࢀࡓᚰ⌮♫఍ⓗ⑕≧ࡢ⟶⌮ࢆᨵၿࡍࡿࡓࡵ࡟ᐇ⏝ⓗ࡞⿵ຓ࡜ࡋ࡚ࠊᶆ‽໬ࡉࢀࡓࣜࣁࣅࣜ ࢸ࣮ࢩࣙࣥࣉࣟࢢ࣒ࣛ࡟ࣚ࢞⒪ἲ฼⏝ྍ⬟࡛࠶ࡿ࠿࡝࠺࠿ᥦ౪࡛ࡁࡿ࡛࠶ࢁ࠺ࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ௓ධ⩌ ྡ ⌮⏤ࡣ୙᫂ ࢥࣥࢺ࣮ࣟࣝ⩌࡟ᑐࡍࡿグ㏙࡞ࡋ ࣚ࢞ࡢヲ⣽ ࢔࣮ࢧࢼ ศ ㄪẼἲ ศ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ࣚ࢞⒪ἲ௓ධࡲ࡛ࡣ࠿࡞ࡾヲ⣽࡞グ㏙ࡀ࠶ࡿࡀࠊලయⓗ࡞⤖ᯝࡀᥦ♧ࡉࢀ࡚࠸࡞࠸ࡢ࡛ࠊ ࣚ࢞⒪ἲ௓ධࡢ᭷ຠᛶࡢྍ⬟ᛶࡋ࠿㏙࡭࡚࠸࡞࠸ࠋ $EVWUDFWRU ࡢ᥎ዡᗘ ➨ ᮇ࡟࠶ࡿᚰ⑌ᝈᝈ⪅࡟ᑐࡋ࡚ࠊࣚ࢞ࡀຠᯝⓗ࠿࡝ࡕࡽ࡜ࡶゝ࠼࡞࠸ $EVWUDFWRUDQG'DWH ụ⏣⪽Ꮚ ᒸᏕ࿴ − 155 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,ෙື⬦⑌ᝈ㸧 ᩥ⊩ Pal A, et al: Effect of yogic intervention on the autonomic nervous system in the patients with coronary artery disease: a randomized controlled trial. Eastern Mediterranean Health Journal 2013; Vol. 19 No.5, 452-458. PubMed ID:24617124 ┠ⓗ ෙື⬦⑌ᝈᝈ⪅ࡢ⮬ᚊ⚄⤒⣔࡟ᑐࡍࡿࣚ࢞ᐇ⩦ࡢຠᯝࢆホ౯ࡍࡿ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ ࢖ࣥࢻࠊ࢘ࢵࢱ࣭ࣝࣉࣛࢹ࣮ࢩࣗᕞࡢᕞ㒔ࣛࢡࢼ࢘࡟࠶ࡿ㸯་⒪᪋タ ཧຍ⪅ ෙື⬦⑌ᝈᝈ⪅ ྡ㸦 ṓ㸧 ་⛉኱ࡢᚠ⎔ჾෆ⛉㸦'HSDUWPHQWRI&DUGLRURJ\&KKDWUDSDWL6KDKXML0DKDUDM0HGLFDO 8QLYHUVLW\㸧࡛ເ㞟ࠋ ௓ධ $UP௓ධ⩌ ⸆≀἞⒪㸩ࣚ࢞⩌㸸 ྡ ᅇ 㹼 ศ㐌 ᅇ ࣨ᭶ $UPࢥࣥࢺ࣮ࣟࣝ⩌⸆≀἞⒪⩌㸸 ྡ ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ ⫧‶ᗘࠊ࢚࢘ࢫࢺ࣭ࣄࢵࣉẚࠊ⾑ᅽࠊᚰᢿᩘ࡞࡝ࠋ ๪஺ឤ⚄⤒཯ᛂᛶࢸࢫࢺ࡜ࡋ࡚ࠊHeart rate response to standing from the supine posture (30:15 ratio)(௮ྥࡅ࠿ࡽ❧ࡗࡓ᫬ࡢᚰᢿ཯ᛂ)࡜ Slow deep breathing test(ࡺࡗࡃࡾ῝࿧྾ࢸࢫࢺ)࡜ Valsalva manoeuvre(ࣂࣝࢧࣝࣂຠᯝ)ࠊ஺ឤ⚄⤒཯ᛂᛶࢸࢫࢺ࡜ࡋ࡚ࠊBlood pressure response to lying to standing test(௮ྥࡅ࠿ࡽ❧ࡗࡓ࡜ࡁࡢ⾑ᅽ཯ᛂ)࡜ Hand grip test(ᥱຊ) ௓ධ๓࡜ 18 ࣨ᭶ᚋࢆẚ㍑ࠋ ୺࡞⤖ᯝ ࣚ࢞⩌ࡢ᪉ࡀࡼࡾ᭷ព࡟ BMI (P < 0.0001)ࠊ࢚࢘ࢫࢺ࣭ࣄࢵࣉẚ(P < 0.005)ࠊ཰⦰ᮇ⾑ᅽ(P < 0.002)ࠊᣑᙇᮇ⾑ᅽ(P < 0.0002)ࠊᏳ㟼᫬ᚰᢿᩘ(P < 0.0006)࡟࠾࠸࡚ῶᑡࡲࡓࡣపୗࡋࡓࠋ ࢥࣥࢺ࣮ࣟࣝ⩌࡛ࡣ BMI ࡣᐇ㉁ⓗ࡟ࡣኚ໬࡞ࡃࠊᣑᙇᮇ⾑ᅽᖹᆒ್ࡣ㏫࡟ⱝᖸୖ᪼ࡋࡓࠋ Ᏻ㟼᫬ᚰᢿᩘࡣ᭷ព࡞ኚ໬ࡀ࡞࠿ࡗࡓࠋ ஺ឤ⚄⤒ᶵ⬟ࠊ๪஺ឤ⚄⤒ᶵ⬟ࢆホ౯ࡍࡿヨ㦂࡛ࡣࠊ࠸ࡎࢀࡢヨ㦂ࡶ୧⩌࡛ᕪࡣ࡞࠿ࡗࡓࠋ ⤖ㄽ ෙື⬦⑌ᝈᝈ⪅࡟ᑐࡋ࡚ࠊࣚ࢞ࢭࣛࣆ࣮ࡀ⿵ຓ⒪ἲ࡜ࡋ࡚᭷ຠᛶࡀࡳࡽࢀࡓ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ྡ㸣 ௓ධ⩌㸦 ྡ㸧 ྡࣚ࢞ᐇ⩦ ᮍ‶ࠊ ྡṚஸࠊ ྡ⛣ື ᑐ↷⩌㸦 ྡ㸧 ྡᢞ⸆୰Ṇࠊ ྡṚஸࠊ ྡከᛁࠊ ྡ㐃⤡୙⬟ ࣚ࢞ࡢヲ⣽ グ㍕࡞ࡋ㸦ࢭࢵࢩࣙࣥࡣ↓ᩱ࡛ᚲせ࡞タഛࡣࡍ࡭࡚⏝ពࡉࢀࡓ㸧 $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ࡇࡢ◊✲ࡣ $<86+ ┬ࡢጤク◊✲ࣉࣟࢪ࢙ࢡࢺࡢ୍㒊࡜࠸࠺ࡇ࡜࡛ࠊᐇ⩦ෆᐜࡢヲ⣽ࡀࡇࡢ ࣏࣮ࣞࢺ࡛㏙࡭ࡽࢀ࡚࠸࡞࠸㒊ศࡀ࠶ࡗࡓࠋணᐃᐇ⩦ࡢ㢖ᗘࡣ㐌㸳᪥࡜㧗ࡃࠊཧຍ⋡ ࡀ࣮࣎ࢲ࣮ࣛ࢖ࣥ࡜࡞ࡗ࡚࠸ࡿࡀࠊࡑࢀ࡛ࡶຠᯝࡀ☜ㄆࡉࢀ࡚࠸ࡿࡇ࡜ࡣὀ┠࡟್ࡍࡿࠋ ࡓࡔࡋࠊᮏ◊✲ࡢ┠ⓗ࡛࠶ࡗࡓ⮬ᚊ⚄⤒ᶵ⬟࡟ᑐࡋ࡚ࠊࢥࣥࢺ࣮ࣟࣝ⩌࡜ࡢ㛫࡟ᕪࡣ࡞࠸ࠋ $EVWUDFWRU ࡢ᥎ዡᗘ ෙື⬦⑌ᝈᝈ⪅࡟ᑐࡋ࡚ࣚ࢞ࢆ່ࡵࡿ $EVWUDFWRUDQG'DWH ▼ᮧ༓᫂ ᒸᏕ࿴ − 156 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,ෙ≧ື⬦୙඲㸧 ᩥ⊩ Pal A, et al. Effect of yogic practices on lipid profile and body fat composition in patients of coronary artery disease. Complementary Therapies in Medicine,2011; 19: 122—127. Pubmed ID:21641516 ┠ⓗ ᐃᮇⓗ࡞ࣚ࢞ᐇ⩦࡜⮬ᕫ㘫㘐࡟ࡼࡿෙ≧ື⬦୙඲ᝈ⪅ࡢయ⬡⫫࡜ቑຍࡋࡓ⬡㉁ࡢῶᑡࢆ ほᐹࡍࡿ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ ࢖ࣥࢻ࣭࢘ࢵࢱ࣭ࣝࣉࣛࢹ࣮ࢵࢩࣗᕞ࣭ࣛࢡࢼ࣭࢘ࢳࣕࢺࣛ Shahuji ࣐ࣁࣛࢪ་⛉኱Ꮫ࣭ ⏕⌮Ꮫ⛉ ཧຍ⪅ ᚰ⮚⑓⛉ᝈ⪅࡛ෙ≧ື⬦୙඲ࢆᝈ࠺ṓࡢ⏨ዪྡ ௓ධ $UP௓ධ⩌ࣚ࢞㸩㏻ᖖ἞⒪⩌ ྡ ᅇ ศ㐌 ᅇ ࣨ᭶ $UPࢥࣥࢺ࣮ࣟࣝ⩌㏻ᖖ἞⒪⩌ ྡ ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ 1.BMI 2.Fat(య⬡⫫⋡) 3.Fat mas(⬡⫫㔞) 4.Fat free mass(㝖⬡⫫㔞) 5.Total body water(యỈศ) 6.SBP(཰⦰ᮇ⾑ᅽ) 7.DBP(ᣑᙇᮇ⾑ᅽ) 8.HR(ᚰᢿᩘ) 9.Total cholesterol(⥲ࢥࣞࢫࢸ࣮ࣟࣝ) 10.HDL ࢥࣞࢫࢸ࣮ࣟࣝ 11.Triglyceride(୰ᛶ⬡⫫) 12.LDL ࢥࣞࢫࢸ࣮ࣟࣝࢆ௓ධ๓ࠊ௓ධᚋࡢ 2 ᅇ ᐃࠋ ୺࡞⤖ᯝ ௓ධ࡟ࡼࡿኚ໬㔞ࡢ⩌㛫ẚ㍑࡛ࡣࠊࣚ࢞⩌ࡣࢥࣥࢺ࣮ࣟࣝ⩌ࡼࡾ BMI(P<0.04)ࠊయ⬡⫫⋡ (P<0.0002)ࠊ㝖⬡⫫㔞(P<0.04)ࠊ཰⦰ᮇ⾑ᅽ(P<0.002)ࠊᣑᙇᮇ⾑ᅽ(P<0.009)ࠊHDL (P<0.0001)ࠊ LDL(P<0.04)ࠊᚰᢿᩘࠊ⥲ࢥࣞࢫࢸ್࣮ࣟࣝࠊ୰ᛶ⬡⫫(࠸࡙ࢀࡶ P<0.0001)࡟࠾࠸࡚᭷ព ࡟పୗࡋࡓࠋ ⤖ㄽ ᐃᮇⓗ࡞ࣚ࢞ᐇ⩦ᚋࡢ㸪BMI,య⬡⫫⋡,㝖⬡⫫㔞,཰⦰ᮇ⾑ᅽ,ᣑᙇᮇ⾑ᅽ,ᚰᢿᩘ,⥲ࢥࣞࢫ ࢸ್࣮ࣟࣝ,୰ᛶ⬡⫫,LDL ࡢῶᑡࡣ, ᚰ⮚⑓ཬࡧ㧗⾑ᅽᝈ⪅࡟᭷┈࡛࠶ࡿࠋࡋࡓࡀࡗ࡚㸪 ᮏ◊✲࡟ྵࡲࢀࡿࣚ࢞ᐇ⩦ࡣ㸪ෙ≧ື⬦୙඲ᝈ⪅࡟ᑐࡋ࡚᭷ຠ࡛࠶ࡿࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ௓ධ⩌ ྡ ⌮⏤ࡣṚஸࠊ㌿㝔 ࢥࣥࢺ࣮ࣟࣝ⩌ ྡ ⌮⏤ࡣᢞ⸆἞⒪ࢆ୰Ṇࠊᛁࡋ࠸ࠊ㐃⤡ࡀ㏵⤯࠼ࡓ ࣚ࢞ࡢヲ⣽ ࢡ࣮ࣜࣖࠊࢩࣕࣂ࢔࣮ࢧࢼࠊ࢔࣮ࢧࢼ ✀㢮ࠊ࿧྾ἲࠊ࣮࣒࢜ャၐ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ࣚ࢞ᐇ⩦࡟ࡼࡗ࡚ᚰ⮚⑓ᝈ⪅ࡢయ⬡⫫ཬࡧࢥࣞࢫࢸ್࣮ࣟࣝࡀῶᑡࡋᚰᢿᩘ⾑ᅽ࡟ࡘ ࠸࡚ࡶ኱ᖜ࡞ᨵၿࡀぢࡽࢀࡿࡇ࡜ࢆᐇドࡋࡓ◊✲࡛࠶ࡿࠋࣚ࢞ࡢ௓ධ๓ᚋ࡛ +'/ ࡶపୗࡋ ࡚࠸ࡿࡀࠊᮏ◊✲࡛ࡣࠊࣚ࢞⥲ࢥࣞࢫࢸ࣮ࣟࣝࡀ 㸦༢఩ࡢグ㍕ࡀ࡞࠸ࡀ PJG/㸧 ࠊ+'/ ࡀ㸴ࠊ/'/ ࡀ పୗࡋࡓ࡜ࡋ࡚࠸ࡿࠋ $EVWUDFWRU ࡢ᥎ዡᗘ ෙ≧ື⬦⑌ᝈᝈ⪅ࡢ⾑୰⬡㉁ࣉࣟࣇ࢓࢖ࣝ࡜య⬡⫫㔞ࢆᨵၿࡍࡿࡓࡵ࡟ࣚ࢞ࢆ່ࡵࡿ $EVWUDFWRUDQG'DWH 㟷ᮌᘺ⏕ ᒸᏕ࿴ − 157 − 㸷ᚠ⎔ჾ⣔ࡢ⑌ᝈ 㸦,ෙື⬦⑌ᝈ㸧 ᩥ⊩ Jatuporn S, et al. Short-term effects of an intensive lifestyle modification program on lipid peroxidation and antioxidant systems in patients with coronary artery disease.Clin Hemorheol Microcirc.2003:29(3-4):429-36. Pubmed ID:14724371 ┠ⓗ ᚭᗏࡋࡓ࡞ࣛ࢖ࣇࢫࢱ࢖ࣝ࡬ࡢ௓ධ㸦,/0㸧ࡀෙື⬦⑌ᝈ㸦&$'㸧ᝈ⪅ࡢ⬡⫫ࡢ㐣㓟໬ࡸᢠ 㓟໬ᶵ⬟࡟࡝ࡢࡼ࠺࡞ᙳ㡪ࢆ୚࠼ࡿ࠿ࠊ௓ධ⩌࡜ࢥࣥࢺ࣮ࣟࣝ⩌࡜࡛ẚ㍑ࡋ࡚ㄪ࡭ࡓ࠸ࠋ ◊✲ࢹࢨ࢖ࣥ ࣛࣥࢲ࣒໬ẚ㍑ヨ㦂㸦5&7㸧 ࢭࢵࢸ࢕ࣥࢢ )DFXOW\RI0HGLFLQH&KXODORQJNRUQ8QLYHUVLW\7KDLODQG ཧຍ⪅ ෙື⬦⑌ᝈᝈ⪅ ྡ ௓ධ ࢖ࣥࢸࣥࢫ࢕ࣈ࣭ࣛ࢖ࣇࢫࢱ࢖࣭ࣝࣔࢹ࢕ࣇ࢕ࢣ࣮ࢩࣙࣥ,/0ࣉࣟࢢ࣒ࣛ㸦㣗஦ᣦᑟࠊ ࣚ࢞ࠊࢫࢺࣞࢫᑐฎᣦᑟࠊ⚗↮㸧 ࣚ࢞ ศ࢖࣓࣮ࢪࣜࣛࢡࢭ࣮ࢩࣙࣥ ศ㐌 ᅇ ࠿᭶㛫 $UP௓ධ⩌ࣚ࢞⩌ Q $UPࢥࣥࢺ࣮ࣟࣝ⩌ᚅᶵ⩌ Q ୺࡞࢔࢘ࢺ࣒࢝ホ౯ᣦᩘ ⾑୰⥲ࢥࣞࢫࢸ࣮ࣟࣝࠊLDLࠊHDLࠊࢺࣜࢢࣜࢭࣜࢻ㸦TG㸧 ࠊmalondialdehyde (MDA,⬡㉁㐣㓟໬࣐࣮࣮࢝)ࠊ⥲ᢠ㓟໬≀㉁ࠊࣅࢱ࣑ࣥ CࠊEࠊ㉥⾑⌫୰ࢢࣝࢱࢳ࢜ࣥ㸦GSH㸧 ࠊ௓ධ ๓࡜௓ධᚋࡢ 2 ᅇ࡛ẚ㍑ࠋ ୺࡞⤖ᯝ 4 ࠿᭶ࡢ௓ධᚋࠊࣚ࢞⩌࡛ࡣࠊ⥲ࢥࣞࢫࢸ࣮ࣟࣝࠊLDLࠊTG ࡀపୗࡋࠊHDL ࡀቑຍࡋࡓࠋ ⾑୰ࡢ⥲ᢠ㓟໬≀㉁ࠊࣅࢱ࣑ࣥࣥ Eࠊ㉥⾑⌫୰ࡢ GSH ࡀ᭷ព࡟ቑຍࡋ࡚࠸ࡓࠋ⾑୰ MDAࠊ VC ࡞ኚ໬ࢆ♧ࡉ࡞࠿ࡗࡓࠋࡇࢀࡽࡢ࣐࣮࣮࢝ࡣࢥࣥࢺ࣮ࣟࣝ⩌࡛ࡣࠊ௓ධ๓ᚋ࡛ᕪࡀ࡞ ࠿ࡗࡓࠋ ⤖ㄽ ILM ࣉࣟࢢ࣒ࣛࡣ⾑୰ᢠ㓟໬≀㉁ࢆቑຍࡉࡏࠊCAD ᝈ⪅ࡢ㓟໬ࢫࢺࣞࢫࢆ㍍ῶࡉࡏࡿࠋ Ᏻ඲ᛶ࡟㛵ࡍࡿゝཬ ゝཬ࡞ࡋ ࢻࣟࢵࣉ࢔࢘ࢺ⋡࡜ࢻࣟࢵࣉ࢔࢘ࢺ⩌ࡢ≉ᚩ ௓ධ⩌Q ࢥࣥࢺ࣮ࣟࣝ⩌Q ࣚ࢞ࡢヲ⣽ ࢖ࣥࢸࣥࢫ࢕ࣈ࣭ࣛ࢖ࣇࢫࢱ࢖࣭ࣝࣔࢹ࢕ࣇ࢕ࢣ࣮ࢩࣙࣥࡢࣚ࢞㸸ࣚ࢞ ศ㸩࢖࣓࣮ࢪ ࣜࣛࢡࢭ࣮ࢩࣙࣥ ศ $EVWUDFWRU ࡢࢥ࣓ࣥࢺ ࣚ࢞ࢆྵࡵࡿ ,/0 ࡢ௓ධ࡟ࡼࡾ୍ᐃࡢຠᯝࡀ⌧ࢀࡓࡇ࡜ࡀ♧၀ࡉࢀࡿࠋ௒ᚋࡣලయⓗ࡟࡝ ࡢࡼ࠺࡞௓ධ᪉ἲࡀ &$' ᝈ⪅ࡢ⑕≧㍍ῶࡸ⑓≧ࡢᅇ᚟࡟᭷ຠ໬ࡢ◊✲ࡀᮇᚅࡉࢀࡿࠋ $EVWUDFWRU ࡢ᥎ዡᗘ ෙື⬦⑌ᝈ㸦&$'㸧ᝈ⪅ࡢ⬡⫫ࡢ㐣㓟໬ࡸᢠ㓟໬ᶵ⬟ࡢᨵၿࡢࡓࡵ࡟ࣚ࢞ࢆྵࢇࡔ௓ධࣉ ࣟࢢ࣒ࣛࢆ່ࡵࡿࠋ $EVWUDFWRUDQG'DWH ᒸభ࿴ ᒸᏕ࿴ − 158 −