The Effect of Islamic Praying on Heart Rate Variation in Adult Muslims
Abstract
Introduction: The flexibility of the heart is important for cardiovascular health. The heart rate variation (HRV) is a metric of heart flexibility. Muslims perform praying (Namaz) which has some significant effects on general health regularity. The study aimed to assess the impact of real Namaz on HRV.
Materials and Methods: Eighty-two participants who performed Namaz daily were categorized into three groups, including more minor, more than, and equal to the normal cortisol level range based on salivary cortisol. The electrocardiography was recorded before, during (divided into standing, bowing, prostration, and sitting positions), and after a four-cycle Namaz around noon. The linear and non-linear features of HRV were extracted.
Results: The two-way analysis of variance showed that the standard deviation (SD)1 and SD2 of the Poincare plots of all groups increased after Namaz (P<0.0001). During Namaz, the indexes of sympathetic tone decreased in the prostration and bowing compared to the sitting and standing positions (P<0.00001). The SD of the mean of the R peaks interval, SD1, and SD2 of the Poincare plot also increased in those comparisons (P<0.00001). In addition, the spectral entropy was decreased in the bowing and prostration compared with standing and sitting positions (P<0.001).
Conclusion: Namaz significantly increased the performance of the cardiovascular system and decreased the effect of daily stress on it.
Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: A review. EXCLI Journal. 2017; 16:1057-72. [DOI:10.17179/excli2017-480] [PMID] [PMCID]
McEwen BS. Neurobiological and systemic effects of chronic stress. Chronic Stress. 2017; 1:2470547017692328. [DOI:10.1177/2470547017692328] [PMID] [PMCID]
Huda. The 5 Muslim daily prayer times and what they mean [Internet]. 2019 [Updated 2019 May 4]. Available from: [Link]
Sayeed SA, Prakash A. The Islamic prayer (Salah/Namaaz) and yoga togetherness in mental health. Indian Journal of Psychiatry. 2013; 55(Suppl 2):S224-30. [DOI:10.4103/0019-5545.105537] [PMID] [PMCID]
Sobhani V, Manshadi Mokari E, Aghajani J, Hatef B. Islamic praying changes stress-related hormones and genes. Journal of Medicine and Life. 2022; 15(4):483-8. [DOI:10.25122/jml-2021-0167] [PMID] [PMCID]
Doufesh H, Ibrahim F, Ismail NA, Ahmad WAW. Assessment of heart rates and blood pressure in different salat positions. Journal of Physical Therapy Science. 2013; 25(2):211-4. [DOI:10.1589/jpts.25.211]
Doufesh H, Ibrahim F, Ismail NA, Wan Ahmad WA. Effect of Muslim prayer (Salat) on α electroencephalography and its relationship with autonomic nervous system activity. Journal of Alternative and Complementary Medicine. 2014; 20(7):558-62. [DOI:10.1089/acm.2013.0426] [PMID] [PMCID]
Kim HG, Cheon EJ, Bai DS, Lee YH, Koo BH. Stress and heart rate variability: A meta-analysis and review of the literature. Psychiatry Investigation. 2018; 15(3):235-45. [DOI:10.30773/pi.2017.08.17] [PMID] [PMCID]
Mohammadi A, Emamgoli A, Shirinkalam M, Meftahi GH, Yagoobi K, Hatef B. The persistent effect of acute psychosocial stress on heart rate variability. The Egyptian Heart Journal. 2019; 71(1):18. [DOI:10.1186/s43044-019-0009-z] [PMID] [PMCID]
Melillo P, Bracale M, Pecchia L. Nonlinear heart rate variability features for real-life stress detection. Case study: Students under stress due to university examination. Biomedical Engineering Online. 2011; 10:96. [DOI:10.1186/1475-925X-10-96] [PMID] [PMCID]
Castaldo R, Melillo P, Bracale U, Caserta M, Triassi M, Pecchia L. Acute mental stress assessment via short term HRV analysis in healthy adults: A systematic review with meta-analysis. Biomedical Signal Processing and Control. 2015; 18(Supplement C):370-7. [DOI:10.1016/j.bspc.2015.02.012]
Kim D, Seo Y, Jaegeol C, Chul-Ho C. Detection of subjects with higher self-reporting stress scores using heart rate variability patterns during the day. Paper presented at: 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 20 August 2008; Vancouver, Canada. [DOI:10.1109/IEMBS.2008.4649244]
Reive C. The biological measurements of mindfulness-based stress reduction: A systematic review. Explore. 2019; 15(4):295-307. [DOI:10.1016/j.explore.2019.01.001] [PMID]
Kim DK, Rhee JH, Kang SW. Reorganization of the brain and heart rhythm during autogenic meditation. Frontiers in Integrative Neuroscience. 2014; 7:109. [DOI:10.3389/fnint.2013.00109] [PMID] [PMCID]
Avvenuti G, Leo A, Cecchetti L, Franco MF, Travis F, Caramella D, et al. Reductions in perceived stress following transcendental meditation practice are associated with increased brain regional connectivity at rest. Brain and Cognition. 2020; 139:105517. [DOI:10.1016/j.bandc.2020.105517] [PMID]
Grippo AJ, Johnson AK. Stress, depression and cardiovascular dysregulation: A review of neurobiological mechanisms and the integration of research from preclinical disease models. Stress. 2009; 12(1):1-21. [DOI:10.1080/10253890802046281] [PMID] [PMCID]
Krygier JR, Heathers JA, Shahrestani S, Abbott M, Gross JJ, Kemp AH. Mindfulness meditation, well-being, and heart rate variability: A preliminary investigation into the impact of intensive vipassana meditation. International Journal of Psychophysiology. 2013; 89(3):305-13. [DOI:10.1016/j.ijpsycho.2013.06.017] [PMID]
Lumma AL, Kok BE, Singer T. Is meditation always relaxing? Investigating heart rate, heart rate variability, experienced effort and likeability during training of three types of meditation. International Journal of Psychophysiology. 2015; 97(1):38-45. [DOI:10.1016/j.ijpsycho.2015.04.017] [PMID]
Peng CK, Mietus JE, Liu Y, Khalsa G, Douglas PS, Benson H, et al. Exaggerated heart rate oscillations during two meditation techniques. International Journal of Cardiology. 1999; 70(2):101-7. [DOI:10.1016/S0167-5273(99)00066-2] [PMID]
Pascoe MC, Thompson DR, Jenkins ZM, Ski CF. Mindfulness mediates the physiological markers of stress: Systematic review and meta-analysis. Journal of Psychiatric Research. 2017; 95:156-78. [DOI:10.1016/j.jpsychires.2017.08.004] [PMID]
Doufesh H, Faisal T, Lim KS, Ibrahim F. EEG spectral analysis on Muslim prayers. Applied Psychophysiology and Biofeedback. 2012; 37(1):11-8. [DOI:10.1007/s10484-011-9170-1] [PMID]
Mirzaee O, Saneian M, Vani JR, Shahrivar K, Peyravi M, Shariat A, et al. The psychophysiological responses of the chronic ischemic stroke patients to the acute stress were changed. Brazilian Archives of Biology and Technology. 2019; 62:e19180494. [DOI:10.1590/1678-4324-2019180494]
Ashtiani AA, Shaygannejad V, Ghobadi F, Bathaie R, Shahyad S, Hatef B. Acute response of stress system in multiple sclerosis. Archives of Neuroscience. 2021; 8(4):9. [Link]
Ramshur Jr JT. Design, evaluation, and application of heart rate variability analysis software (HRVAS) [Master dissertation]. Memphis: University of Memphis; 2010. [Link]
Billman GE. The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance. Frontiers in Physiology. 2013; 4:26. [DOI:10.3389/fphys.2013.00026] [PMID] [PMCID]
Brennan M, Palaniswami M, Kamen P. Do existing measures of poincaré plot geometry reflect nonlinear features of heart rate variability? IEee Transactions on Bio-Medical Engineering. 2001; 48(11):1342-7. [DOI:10.1109/10.959330] [PMID]
McConnell M, Schwerin B, So S, Richards B. RR-APET - Heart rate variability analysis software. Computer Methods and Programs in Biomedicine. 2020; 185:105127. [DOI:10.1016/j.cmpb.2019.105127] [PMID]
Acharya R, Kumar A, Bhat PS, Lim CM, Iyengar SS, Kannathal N, et al. Classification of cardiac abnormalities using heart rate signals. Medical & Biological Engineering & Computing. 2004; 42(3):288-93. [DOI:10.1007/BF02344702] [PMID]
Thayer JF, Friedman BH. Stop that! Inhibition, sensitization, and their neurovisceral concomitants. Scandinavian Journal of Psychology. 2002; 43(2):123-30. [DOI:10.1111/1467-9450.00277] [PMID]
Sobhani V, Izadi K, Mokari EM, Hatef B. Classification of body position during muslim prayer using the convolutional neural network. International Journal of Pattern Recognition and Artificial Intelligence. 2021; 35(11):2154028. [DOI:10.1142/S0218001421540288]
Yousefzadeh F, Pirzad Jahromi G, Mokari Manshadi E, Hatef B. The effect of prostration (Sajdah) on the prefrontal brain activity: A pilot study. Basic and Clinical Neuroscience. 2019; 10(3):257-68. [DOI:10.32598/bcn.9.10.195] [PMID] [PMCID]
Pickering TG. Mental stress as a causal factor in the development of hypertension and cardiovascular disease. Current Hypertension Reports. 2001; 3(3):249-54. [DOI:10.1007/s11906-001-0047-1] [PMID]
Liu JJW, Ein N, Peck K, Huang V, Pruessner JC, Vickers K. Sex differences in salivary cortisol reactivity to the Trier Social Stress Test (TSST): A meta-analysis. Psychoneuroendocrinology. 2017; 82:26-37. [DOI:10.1016/j.psyneuen.2017.04.007] [PMID]
Geisler FCM, Vennewald N, Kubiak T, Weber H. The impact of heart rate variability on subjective well-being is mediated by emotion regulation. Personality and Individual Differences. 2010; 49(7):723-8. [DOI:10.1016/j.paid.2010.06.015]
Malik M, Bigger JT, Camm AJ, Kleiger RE, Malliani A, Moss AJ, et al. Heart rate variability: Standards of measurement, physiological interpretation, and clinical use. European Heart Journal. 1996; 17(3):354-81. [DOI:10.1093/oxfordjournals.eurheartj.a014868]
Goyal M, Singh S, Sibinga EM, Gould NF, Rowland-Seymour A, Sharma R, et al. Meditation programs for psychological stress and well-being: A systematic review and meta-analysis. JAMA Internal Medicine. 2014; 174(3):357-68. [DOI:10.1001/jamainternmed.2013.13018] [PMID] [PMCID]
Dagar G, Taneja A, Nanchal RS. Abdominal circulatory interactions. Critical Care Clinics. 2016; 32(2):265-77. [DOI:10.1016/j.ccc.2015.12.005] [PMID]
Rabinovitch A, Friedman M, Braunstein D, Biton Y, Aviram I. The baroreflex mechanism revisited. Bulletin of Mathematical Biology. 2015; 77(8):1521-38. [DOI:10.1007/s11538-015-0094-4] [PMID]
Buccelletti E, Gilardi E, Scaini E, Galiuto L, Persiani R, Biondi A, et al. Heart rate variability and myocardial infarction: Systematic literature review and metanalysis. European Review for Medical and Pharmacological Sciences. 2009; 13(4):299-307. [PMID]
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Issue | Vol 18 No 2 (2024) | |
Section | Research Article(s) | |
DOI | https://doi.org/10.18502/jmr.v18i2.15974 | |
Keywords | ||
Praying Islam Heart rate Complexity |
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