Introduction: High blood pressure is a major cause for cardiovascular diseases. Thus pre hypertensive individuals should be prevented from worsening to hypertensive state. It has been found aerobic exercises has an effect on cardiovascular parameters. Also Prāṇāyāma has an important role in reducing blood pressure as well as regulating cardiovascular parameters.

Aim: To study the added effect of Prāṇāyāma with aerobic exercises for reducing blood pressure in pre hypertensives.

Materials and Methodology: Twenty four pre hypertensive individuals participated in the study. They were randomly divided into group a and group B. Group A included both aerobic exercises as well as Prāṇāyāma for 6 weeks and group b included only aerobic exercises. Informed consent was taken. In Prāṇāyāma individuals were asked to perform four types of Prāṇāyāma- alternate nostril yoga breathing, Praṇava Prāṇāyāma, Kapālabhāti, Bhrāmarī Prāṇāyāma for 30 minutes. While in aerobic exercises individuals were asked to do treadmill walking, stationary cycle, cross trainer. Blood pressure was taken using omron bp machine after each session of Prāṇāyāma as well as aerobic exercises.

Results: Blood pressure was significantly reduced in both the groups but when comparison was made between the two groups, group A was better than group B.