Yoga is a way of life being practiced in India since thousands of years in the form of physical postures (asana), breathing practices (pranayama), and meditation (dhyana). Past decades have encouraged rigorous scientific studies to understand the science behind these traditional practices towards understanding their possible role in promoting health and alleviate disease conditions. Recent studies in Yoga have demonstrated beneficial effects in many cardio vascular diseases and metabolic disorders like diabetes mellitus (Ren et al., 2012).

Present day science has started recognizing the relationship between the emotional regulation, breathing and metabolism (Porges, 2001), which has been described in the hatha yoga pradipika (Muktibodhananda, 2000). Also, respiratory patterns and maneuvers have shown to provide striking influences on the autonomic nervous system and may exacerbate or reduce adverse responses to stressors. For example, increased breathing rate is a typical response to stressful situations (Grossman, 1983). This tendency can lead to breathing in excess of metabolic needs (hyperventilation), which causes reduction in blood carbon dioxide concentrations. The reduced carbon dioxide causes psycho-physiological and psychological effects that include (a) enhanced arousal and anxiety and (b) decreased cerebral and coronary blood flow, which can lead to a variety of clinical symptoms including dizziness, poor performance, headache, chest pain, cardiac abnormalities, and sleep disturbances (Brown, 1953; Fried, 1988; Grossman, 1983; Lamb et al., 1958; Magarian, 1982). Certain other respiratory patterns that modestly elevate blood carbon dioxide concentration appear to promote the opposite effects, including reduced anxiety and increased or well-maintained cerebral and coronary blood flow (Grossman, 1983). Reduction of hypertension (Irvine et al., 1986; Patel et al., 1981; Patel and North, 1975) and dramatic improvement of heart disease have resulted from integrated treatment programs that included yogic breathing practices (Berman and Larson, 1994)

Pranayama, the science and art of breath regulation is more than a simple breathing exercise. It is not merely breathe control but one of the powerful yogic techniques used to regulate the prana (defined as the force behind every action) in the body to a higher frequency (Singh et al., 1990). Pranayama techniques involve breathing through either of the nostrils or through both the nostrils, and conscious regulation of rate and depth of breathing (Niranjanananda, 2000).

Kapalabhati (KB) is mentioned as one of the six cleansing procedures (Muktibodhananda, 2000) that involves rapid breathing consisting of active expiration with the help of abdominal muscles and passive spontaneous inspiration happening during relaxation (Raghuraj et al., 1998). Bhastrika (BH) is another high frequency breathing practice similar to that of KB except for the forceful inhalation unlike KB (Muktibodhananda, 2000).

However, there being very subtle difference in the actual procedure of the practice, these practices have been described as voluntary breath regulation practices and cleansing procedures thereby demanding closer observation into the traditional literatures to unearth their significance and understand their possible applications.

Experimental data shows that KB and BH practices have a direct influence on physiological processes such as respiratory and cardiovascular system, biochemical parameters (Desai and Gharote, 1990) and central nervous activity (Stancák et al., 1991). An increase in the performance in a letter cancellation task was observed immediately after practice of KB at a rate of 60 strokes (breaths) per minute (Telles et al., 2008). Whereas the cognitive evoked potentials showed a reduction in latency and increase in amplitude following practice of KB when administered at the rate of 120 strokes (breaths) per minute (Joshi and Telles, 2009). Earlier studies have reported that slower breathing practices, alternate nostril breathing (nadishuddhi) increase parasympathetic activity whereas faster breathing practices (KB) increase sympathetic activity (Pal et al., 2004).

Heart Rate Variability (HRV) is an indicator of the autonomic nervous system activity of an individual. Previous studies conducted on the influence of kapalabhati on HRV have shown increased sympathetic arousal (Raghuraj et al., 1998). However studies are lacking in understanding the difference in autonomic changes following BH and KB. BH and KB both being high frequency breathing practices it is a mandate to understand the underlying difference in their mechanism of action. This preliminary study is expected to aid in understanding the commonalities and differences between these two high frequency yoga breathing techniques on components of autonomic functions.

Paired ‘t’ test performed (Table 1) to understand the within group differences showed a significant increase in heart rate (p < 0.001), and a significant decrease in NN50 (p < 0.001) immediately after the practice of BH and KB practices. A significant increase in LF (p < 0.05) and significant decrease in HF (p < 0.05) components of HRV was observed immediately following the practice of KB. There were no significant differences following intervention on both the days.

Respiratory rate was significantly reduced immediately following both the practices KB (p < 0.05) and BH (p < 0.001) (Table 1). There was no significant change observed in the peripheral oxygen saturation levels.

The purpose of this study was to understand the influence of two High Frequency Yogic Breathing practices on the Heart Rate Variability and Blood Pressure in healthy experienced Yoga practitioners. Both KB and BH practices involve constant forceful rapid exhalations; the difference in the two practices being additional active forceful inhalation in BH practice, which is thought to contribute to additional load over the physiological reserve. However, there were no studies comparing the role of KB and BH practices regulating the Heart Rate Variability.

The findings of the present study are in accordance with the earlier findings indicating an increase in Sympathetic Nervous System activity immediately after both the practices. However, the sympathetic arousal was non-significantly more following the practice of BH as compared to KB, which can be attributed to the increased effort required to perform the BH, requiring more Cardiac output to suffice the needs of the exercising respiratory musculature and the diaphragm.

High frequency breathing is known to cause a direct influence on physiological processes through the cardio respiratory system (Stancák et al., 1991).

Though KB was shown to be a stimulating practice, reported to improve attention and concentration (Tells et al., 2008), there was a need to understand simpler breathing based methods to increase sympathetic activity. It is clear from the present study that high frequency breathing has a direct impact on the autonomic nervous system. While BH showed more influence on blood pressure and heart rate, KB had better influence on heart rate variability as expected. BH practice appears to influence the cardio Respiratory system more mechanically than KB.

The thoraco-abdominal manoeuvring involved in BH results in increased breath volume and greater contraction and expansion of the thorax and abdominal wall. In comparison, KB with more of diaphragmatic movement appears to exert less mechanical pressure on the thorax and hence has less influence on the blood pressure. No changes observed in oxygen saturation levels can probably be attributed to the duration of the practice.

The findings of the present study are in accordance with the earlier findings of high frequency breathing practices directly regulating the autonomic nervous system. The results suggest that practice of Kapalabhathi and Bhastrika for 60 and 40 strokes per minute respectively in experienced practitioners, cause an increase in heart rate, blood pressure, LF component of HRV and a significant decrease in NN50 component and respiratory rate. Further follow up studies are required to understand the long term autonomic regulation following breathing practices. And evaluation of safety in hypertensive patients is warranted.