Hypertension (HTN) and pre-hypertension are significant global health challenges, particularly in rural populations where access to healthcare and lifestyle education is limited. This cross-sectional study, conducted at a tertiary care hospital in Erode, Tamil Nadu, beginning in October 2022, aimed to quantify the prevalence of hypertension and pre-hypertension among 412 rural adults and explore the role of lifestyle factors, particularly yoga participation, in blood pressure management. A total of 412 participants were surveyed for demographic details, lifestyle habits, and health metrics such as blood pressure, BMI, and heart rate. Hypertension was defined as systolic blood pressure (SBP) ≥140 mmHg and diastolic blood pressure (DBP) ≥90 mmHg, while pre-hypertension was defined as SBP 120-139 mmHg or DBP 80-89 mmHg. The study found a 32% prevalence of hypertension and a 28% prevalence of pre-hypertension. Regular yoga participants had significantly lower systolic (mean 120 mmHg) and diastolic (mean 75 mmHg) BP compared to nonpractitioners (mean SBP 135 mmHg, DBP 85 mmHg). These findings highlight the critical role of yoga and lifestyle changes in managing blood pressure in rural populations, supporting the need for public health policies that promote yoga as a preventive intervention.