In laboratory studies, kapalabhati acutely raises heart rate and blood pressure and lowers cardiac vagal tone and baroreflex sensitivity, a pattern of physiological arousal that is the opposite of the calming response to slow breathing.
Very low certainty
This is uncertain; treat it as a lead, not a finding.Who this is about
healthy adults
Practical note
Graded very low: the findings come from small, mostly non-randomised physiological experiments summarised in narrative reviews, without pooled estimates.
Vegan note
Not diet-related; applies equally to people following a vegan diet.
Safety note
The rise in blood pressure and heart rate during practice is one reason reviews advise caution for people living with heart or blood pressure conditions.
Sources
- Supports “Their experiments demonstrated reduction in baroreflex sensitivity and vagal tone, associated with increase in blood pressure and heart rate following kapalabhati.” (Section 3.4.2) Swathi PS, Raghavendra BR, Saoji AA. 2021. Journal of Ayurveda and Integrative Medicine. Health and therapeutic benefits of Shatkarma: A narrative review of scientific studies. CC BY-NC-ND 4.0; credit Swathi, Raghavendra and Saoji, Journal of Ayurveda and Integrative Medicine 2021
- Supports “A previous study reported a decrease in cardiac vagal tone during Kapālabhāti due to changes in respiratory pattern and decreased sensitivity of arterial baroreflex” (Kapālabhāti section) Nivethitha L, Mooventhan A, Manjunath NK. 2016. Ancient Science of Life. Effects of Various Prāṇāyāma on Cardiovascular and Autonomic Variables. CC BY-NC-SA 3.0; credit Nivethitha, Mooventhan and Manjunath, Ancient Science of Life 2016