Abstract
Purpose: This is a meta-analysis study that conducted qualitative and quantitative analyses to determine the effects of alternate nostril breathing(ANB) on pulse and blood pressure.
 Methods: This study was a meta-analysis following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analysis(PRISMA). Studies from the last 10 years from June 2023 were collected from four international electronic databases. Qualitative assessments were conducted using the risk-bias-tool from the cochrane library. Revman 5.4 was used for statistics and pooled using a random effect model.
 Results: A total of four studies were selected, and 310 subjects were evaluated. The analysis showed a significant difference in pulse(SMD=-0.84; 95% CI=-1.44 to -0.24; heterogeneity (χ2=37.48, df=4, I2=89%); overall effect (Z=2.73)). Systolic blood pressure showed a significant difference (SMD=-0.79; 95% CI=-1.35 to -0.23; heterogeneity (χ2=63.07, df=6, I2=90%); overall effect (Z=2.75)). Diastolic blood pressure showed a significant difference (SMD=-0.54; 95% CI=-1.07 to -0.00; heterogeneity (χ2=58.59, df=6, I2=90%); overall effect (Z=1.97)).
 Conclusion: ANB exercise reduces pulse and blood pressure, making it an effective adjunctive therapy alongside routine conventional care and treatment for hypertension.
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