All Publications

  • Siddha Self-Inquiry for Flow, Bliss, and Uvagai: Mindfulness for Intuitive Lifestyle in Complex Cardiac Disease AMERICAN JOURNAL OF LIFESTYLE MEDICINE Chockalingam, A., Bettencourt, B., Anand, K., Dorairajan, S., Anbuganapathi, G., Srinivas, S., Chockalingam, V. 2022
  • Adolescent psychological well-being and adulthood cardiovascular disease risk: longitudinal association and implications for care quality management BENCHMARKING-AN INTERNATIONAL JOURNAL Srinivas, S., Anand, K., Chockalingam, A. 2021
  • Encouraging Flow: A State Of Calm and Deep Focus May Improve Exercise Compliance in Cardiac Rehabilitation. Missouri medicine Chockalingam, A., Anand, K. 2021; 118 (6): 556-560


    Cardiovascular disease (CVD) accounts for more deaths worldwide than any other illness. Over 80% of CVD can be prevented by lifestyle changes. Improving compliance with exercise requirements and reaching 30 minutes of brisk physical activity (PA) on most days remains a challenge. Only a minority of eligible CVD patients complete cardiac rehabilitation (CR) and fewer sustain PA long term. Changing work environments, urbanization, and virtual engagement foster a sedentary lifestyle in students and healthy adults. Disabilities and comorbidities limit PA in older CVD patients. The Flow phenomenon was described in the 1970s as an intrinsically enjoyable state, typically achieved by highly trained people encountering significant challenge like competitive tennis or writing new music. Siddha Tamil medicine has recognized the importance of this 2,000 years ago, recommending ways to experience flow and engage enthusiastically. We hypothesize that flow can be learned and targeted during CR. Older cardiac patients despite comorbidities can experience some level of flow state during CR. This significantly improves long term PA adherence while also sustainably improving other aspects of lifestyle, including diet, smoking cessation, stress reduction, and medication compliance. Clinicians can estimate flow at baseline, following PA sessions and during clinic visits to encourage a deeper mind-body connection. Once PA becomes enjoyable, compliance and cardiac outcomes may improve in CVD.

    View details for PubMedID 34924626

  • Higher Consciousness Through Self-Inquiry Can Improve Cardio Metabolic Outcomes, Mental Health, and Resilience. Missouri medicine Chockalingam, A., Dorairajan, S., Anand, K. 2021; 118 (2): 97-102

    View details for PubMedID 33840843

  • Longitudinal association between adolescent negative emotions and adulthood cardiovascular disease risk: an opportunity for healthcare quality improvement BENCHMARKING-AN INTERNATIONAL JOURNAL Srinivas, S., Anand, K., Chockalingam, A. 2020; 27 (8): 2323-2339