Effects of Diaphragmatic Breathing on Health: A Narrative Review

Hidetaka Hamasaki, Hidetaka Hamasaki

Abstract

Background: Breathing is an essential part of life. Diaphragmatic breathing (DB) is slow and deep breathing that affects the brain and the cardiovascular, respiratory, and gastrointestinal systems through the modulation of autonomic nervous functions. However, the effects of DB on human health need to be further investigated. Methods: The author conducted a PubMed search regarding the current evidence of the effect of DB on health. Results: This review consists of a total of 10 systematic reviews and 15 randomized controlled trials (RCTs). DB appears to be effective for improving the exercise capacity and respiratory function in patients with chronic obstructive pulmonary disease (COPD). Although the effect of DB on the quality of life (QoL) of patients with asthma needs to be investigated, it may also help in reducing stress; treating eating disorders, chronic functional constipation, hypertension, migraine, and anxiety; and improving the QoL of patients with cancer and gastroesophageal reflux disease (GERD) and the cardiorespiratory fitness of patients with heart failure. Conclusions: Based on this narrative review, the exact usefulness of DB in clinical practice is unclear due to the poor quality of studies. However, it may be a feasible and practical treatment method for various disorders.

Keywords: abdominal breathing; breathing exercise; diaphragmatic breathing; randomized controlled trial; respiratory function; systematic review.

Conflict of interest statement

The author declares no conflict of interest.

Figures

Figure 1
Figure 1
Breathing in slowly and deeply through the nose with a minimum movement of the chest in a supine position with one hand placed on the chest and the other on the belly. Diaphragmatic breathing has an impact on the brain and cardiovascular, respiratory, and gastrointestinal systems through the modulation of the autonomic nervous function.

References

    1. Sewall H., Pollard M.E. On the Relations of Diaphragmatic and Costal Respiration, with particular reference to Phonation. J. Physiol. 1890;11:159–264. doi: 10.1113/jphysiol.1890.sp000327.
    1. Fogarty M.J., Mantilla C.B., Sieck G.C. Breathing: Motor control of diaphragm muscle. Physiology. 2018;33:113–126. doi: 10.1152/physiol.00002.2018.
    1. Ricoy J., Rodríguez-Núñez N., Álvarez-Dobaño J.M., Toubes M.E., Riveiro V., Valdés L. Diaphragmatic dysfunction. Pulmonology. 2019;25:223–235. doi: 10.1016/j.pulmoe.2018.10.008.
    1. Kocjan J., Adamek M., Gzik-Zroska B., Czyżewski D., Rydel M. Network of breathing. Multifunctional role of the diaphragm: A review. Adv. Respir. Med. 2017;85:224–232. doi: 10.5603/ARM.2017.0037.
    1. Bordoni B., Purgol S., Bizzarri A., Modica M., Morabito B. The Influence of Breathing on the Central Nervous System. Cureus. 2018;10:e2724. doi: 10.7759/cureus.2724.
    1. Bordoni B., Zanier E. The continuity of the body: Hypothesis of treatment of the five diaphragms. J. Altern. Complement. Med. 2015;21:237–242. doi: 10.1089/acm.2013.0211.
    1. Bruton A., Garrod R., Thomas M. Respiratory physiotherapy: Towards a clearer definition of terminology. Physiotherapy. 2011;97:345–349. doi: 10.1016/j.physio.2010.12.005.
    1. Rama S., Ballentine R., Hymes A. Science of Breath: A Practical Guide. Himalayan Institute Press; Honesdale, PA, USA: 1998. pp. 26–44.
    1. Zou L., Sasaki J.E., Wei G.X., Huang T., Yeung A.S., Neto O.B., Chen K.W., Hui S.S. Effects of Mind⁻Body Exercises (Tai Chi/Yoga) on Heart Rate Variability Parameters and Perceived Stress: A Systematic Review with Meta-Analysis of Randomized Controlled Trials. J. Clin. Med. 2018;7:404. doi: 10.3390/jcm7110404.
    1. Martarelli D., Cocchioni M., Scuri S., Pompei P. Diaphragmatic breathing reduces exercise-induced oxidative stress. Evid. Based Complement. Altern. Med. 2011;2011:932430. doi: 10.1093/ecam/nep169.
    1. Ambrosino N., Paggiaro P.L., Macchi M., Filieri M., Toma G., Lombardi F.A., Del Cesta F., Parlanti A., Loi A.M., Baschieri L. A study of short-term effect of rehabilitative therapy in chronic obstructive pulmonary disease. Respiration. 1981;41:40–44. doi: 10.1159/000194357.
    1. Tiep B.L., Burns M., Kao D., Madison R., Herrera J. Pursed lips breathing training using ear oximetry. Chest. 1986;90:218–221. doi: 10.1378/chest.90.2.218.
    1. Collins E.G., Fehr L., Bammert C., O’Connell S., Laghi F., Hanson K., Hagarty E., Langbein W.E. Effect of ventilation-feedback training on endurance and perceived breathlessness during constant work-rate leg-cycle exercise in patients with COPD. J. Rehabil. Res. Dev. 2003;40:35–44. doi: 10.1682/JRRD.2003.10.0035.
    1. Jones A.Y., Dean E., Chow C.C. Comparison of the oxygen cost of breathing exercises and spontaneous breathing in patients with stable chronic obstructive pulmonary disease. Phys. Ther. 2003;83:424–431. doi: 10.1093/ptj/83.5.424.
    1. Garrod R., Dallimore K., Cook J., Davies V., Quade K. An evaluation of the acute impact of pursed lips breathing on walking distance in nonspontaneous pursed lips breathing chronic obstructive pulmonary disease patients. Chron. Respir. Dis. 2005;2:67–72. doi: 10.1191/1479972305cd068oa.
    1. Spahija J., de Marchie M., Grassino A. Effects of imposed pursed-lips breathing on respiratory mechanics and dyspnea at rest and during exercise in COPD. Chest. 2005;128:640–650. doi: 10.1378/chest.128.2.640.
    1. Nield M.A., Soo Hoo G.W., Roper J.M., Santiago S. Efficacy of pursed-lips breathing: A breathing pattern retraining strategy for dyspnea reduction. J. Cardiopulm. Rehabil. Prev. 2007;27:237–244. doi: 10.1097/01.HCR.0000281770.82652.cb.
    1. Collins E.G., Langbein W.E., Fehr L., O’Connell S., Jelinek C., Hagarty E., Edwards L., Reda D., Tobin M.J., Laghi F. Can ventilation-feedback training augment exercise tolerance in patients with chronic obstructive pulmonary disease? Am. J. Respir. Crit. Care Med. 2008;177:844–852. doi: 10.1164/rccm.200703-477OC.
    1. Faager G., Stâhle A., Larsen F.F. Influence of spontaneous pursed lips breathing on walking endurance and oxygen saturation in patients with moderate to severe chronic obstructive pulmonary disease. Clin. Rehabil. 2008;22:675–683. doi: 10.1177/0269215508088986.
    1. Bonilha A.G., Onofre F., Vieira M.L., Prado M.Y., Martinez J.A. Effects of singing classes on pulmonary function and quality of life of COPD patients. Int. J. Chron. Obstruct. Pulmon. Dis. 2009;4:1–8.
    1. Lord V.M., Cave P., Hume V.J., Flude E.J., Evans A., Kelly J.L., Polkey M.I., Hopkinson N.S. Singing teaching as a therapy for chronic respiratory disease—A randomised controlled trial and qualitative evaluation. BMC Pulm. Med. 2010;10:41. doi: 10.1186/1471-2466-10-41.
    1. Lin W.C., Yuan S.C., Chien J.Y., Weng S.C., Chou M.C., Kuo H.W. The effects of respiratory training for chronic obstructive pulmonary disease patients: A randomised clinical trial. J. Clin. Nurs. 2012;21:2870–2878. doi: 10.1111/j.1365-2702.2012.04124.x.
    1. Lord V.M., Hume V.J., Kelly J.L., Cave P., Silver J., Waldman M., White C., Smith C., Tanner R., Sanchez M., et al. Singing classes for chronic obstructive pulmonary disease: A randomized controlled trial. BMC Pulm. Med. 2012;12:69. doi: 10.1186/1471-2466-12-69.
    1. van Gestel A.J., Kohler M., Steier J., Teschler S., Russi E.W., Teschler H. The effects of controlled breathing during pulmonary rehabilitation in patients with COPD. Respiration. 2012;83:115–124. doi: 10.1159/000324449.
    1. Yamaguti W.P., Claudino R.C., Neto A.P., Chammas M.C., Gomes A.C., Salge J.M., Moriya H.T., Cukier A., Carvalho C.R. Diaphragmatic breathing training program improves abdominal motion during natural breathing in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Arch. Phys. Med. Rehabil. 2012;93:571–577. doi: 10.1016/j.apmr.2011.11.026.
    1. Bhatt S.P., Luqman-Arafath T.K., Gupta A.K., Mohan A., Stoltzfus J.C., Dey T., Nanda S., Guleria R. Volitional pursed lips breathing in patients with stable chronic obstructive pulmonary disease improves exercise capacity. Chron. Respir. Dis. 2013;10:5–10. doi: 10.1177/1479972312464244.
    1. de Araujo C.L., Karloh M., Dos Reis C.M., Palú M., Mayer A.F. Pursed-lips breathing reduces dynamic hyperinflation induced by activities of daily living test in patients with chronic obstructive pulmonary disease: A randomized cross-over study. J. Rehabil. Med. 2015;47:957–962.
    1. Cabral L.F., D’Elia T.C., Marins D.S., Zin W.A., Guimarães F.S. Pursed lip breathing improves exercise tolerance in COPD: A randomized crossover study. Eur. J. Phys. Rehabil. Med. 2015;51:79–88.
    1. Borge C.R., Mengshoel A.M., Omenaas E., Moum T., Ekman I., Lein M.P., Mack U., Wahl A.K. Effects of guided deep breathing on breathlessness and the breathing pattern in chronic obstructive pulmonary disease: A double-blind randomized control study. Patient Educ. Couns. 2015;98:182–190. doi: 10.1016/j.pec.2014.10.017.
    1. Thomas M., McKinley R.K., Freeman E., Foy C., Prodger P., Price D. Breathing retraining for dysfunctional breathing in asthma: A randomised controlled trial. Thorax. 2003;58:110–115. doi: 10.1136/thorax.58.2.110.
    1. Thomas M., McKinley R.K., Mellor S., Watkin G., Holloway E., Scullion J., Shaw D.E., Wardlaw A., Price D., Pavord I. Breathing exercises for asthma: A randomised controlled trial. Thorax. 2009;64:55–61. doi: 10.1136/thx.2008.100867.
    1. Grammatopoulou E.P., Skordilis E.K., Stavrou N., Myrianthefs P., Katrteroliotis K., Baltopoulos G., Koutsouki D. The effect of physiotherapy-based breathing retraining on asthma control. J. Asthma. 2011;48:593–601. doi: 10.3109/02770903.2011.587583.
    1. Asher M.I., Douglas C., Airy M., Andrews D., Trenholme A. Effects of chest physical therapy on lung function in children recovering from acute severe asthma. Pediatr. Pulmonol. 1990;9:146–151. doi: 10.1002/ppul.1950090305.
    1. Bingöl G.K., Yilmaz M., Sur S., Ufuk D.A., Sarpel T., Güneter S.K. The effects of daily pulmonary rehabilitation program at home on childhood asthma. Allergol. Immunopathol. 2000;28:12–14.
    1. Lima E.V.N.C.L., Lima W.L., Nobre A., dos Santos A.M., Brito L.M.O., do Rosário da Silva Ramos Costa M. Inspiratory muscle training and respiratory exercises in children with asthma. J. Bras. Pneumol. 2008;34:552–558. doi: 10.1590/S1806-37132008000800003.
    1. Manzano R.M., Carvalho C.R., Saraiva-Romanholo B.M., Vieira J.E. Chest physiotherapy during immediate postoperative period among patients undergoing upper abdominal surgery: Randomized clinical trial. Sao Paulo Med. J. 2008;126:269–273. doi: 10.1590/S1516-31802008000500005.
    1. Roukema J.A., Carol E.J., Prins J.G. The prevention of pulmonary complications after upper abdominal surgery in patients with noncompromised pulmonary status. Arch. Surg. 1988;123:30–34. doi: 10.1001/archsurg.1988.01400250032004.
    1. Ribeiro S., Gastaldi A.C., Fernandes C. The effect of respiratory kinesiotherapy in patients undergoing upper abdominal surgery. Einstein. 2008;6:166–169.
    1. Gastaldi A.C., Magalhães C.M.B., Baraúna M.A., Silva E.M.C., Souza H.C.D. Benefícios da cinesioterapia respiratória no pós-operatório de colecistectomia laparoscópica. Rev. Bras. Fisioter. 2008;12:100–106. doi: 10.1590/S1413-35552008000200005.
    1. Forgiarini L.A., Jr., Carvalho A.T., Ferreira T.S., Monteiro M.B., Bosco A.D., Gonçalves M.P., Dias A.S. Atendimento fisioterapêutico no pós-operatório imediato de pacientes submetidos à cirurgia abdominal. J. Bras. Pneumol. 2009;35:445–459. doi: 10.1590/S1806-37132009000500011.
    1. Ali L.A., Pingitore A., Piaggi P., Brucini F., Passera M., Marotta M., Cadoni A., Passino C., Catapano G., Festa P. Respiratory Training Late After Fontan Intervention: Impact on Cardiorespiratory Performance. Pediatr. Cardiol. 2018;39:695–704. doi: 10.1007/s00246-018-1808-9.
    1. Holland A.E., Hill C.J., Jones A.Y., McDonald C.F. Breathing exercises for chronic obstructive pulmonary disease. Cochrane Database Syst. Rev. 2012;10:CD008250. doi: 10.1002/14651858.CD008250.pub2.
    1. Lausin G., Gouilly P. Étude des effets de la ventilation dirigée abdomino-diaphragmatique (Vdad) chez des patients BPCO de stade I et II: Study of the effects of controlled abdominodiaphragmatic ventilation in patients with level I and II COPD. Kinésithér. Revue. 2009;9:29–38. doi: 10.1016/S1779-0123(09)70776-4.
    1. Ubolnuar N., Tantisuwat A., Thaveeratitham P., Lertmaharit S., Kruapanich C., Mathiyakom W. Effects of Breathing Exercises in Patients with Chronic Obstructive Pulmonary Disease: Systematic Review and Meta-Analysis. Ann. Rehabil. Med. 2019;43:509–523. doi: 10.5535/arm.2019.43.4.509.
    1. Santino T.A., Chaves G.S., Freitas D.A., Fregonezi G.A., Mendonça K.M. Breathing exercises for adults with asthma. Cochrane Database Syst. Rev. 2020;3:CD001277. doi: 10.1002/14651858.CD001277.pub4.
    1. Girodo M., Ekstrand K.A., Metivier G.J. Deep diaphragmatic breathing: Rehabilitation exercises for the asthmatic patient. Arch. Phys. Med. Rehabil. 1992;73:717–720.
    1. Prem V., Sahoo R.C., Adhikari P. Effect of diaphragmatic breathing exercise on quality of life in subjects with asthma: A systematic review. Physiother. Theory Pract. 2013;29:271–277. doi: 10.3109/09593985.2012.731626.
    1. Macêdo T.M., Freitas D.A., Chaves G.S., Holloway E.A., Mendonça K.M. Breathing exercises for children with asthma. Cochrane Database Syst. Rev. 2016;4:CD011017. doi: 10.1002/14651858.CD011017.pub2.
    1. Thomas M., McKinley R.K., Freeman E., Foy C. Prevalence of dysfunctional breathing in patients treated for asthma in primary care: Cross sectional survey. BMJ. 2001;322:1098–1100. doi: 10.1136/bmj.322.7294.1098.
    1. Gridina I., Bidat E., Chevallier B., Stheneur C. Prevalence of chronic hyperventilation syndrome in children and teenagers. Arch. Pediatr. Organe Off. Soc. Fr. Pediatr. 2013;20:265–268. doi: 10.1016/j.arcped.2012.12.016.
    1. Barker N.J., Jones M., O’Connell N.E., Everard M.L. Breathing exercises for dysfunctional breathing/hyperventilation syndrome in children. Cochrane Database Syst. Rev. 2013;12:CD010376.
    1. Jones M., Harvey A., Marston L., O’Connell N.E. Breathing exercises for dysfunctional breathing/hyperventilation syndrome in adults. Cochrane Database Syst. Rev. 2013;5:CD009041. doi: 10.1002/14651858.CD009041.pub2.
    1. Lindeboom I., Vlaander-van der Giessen G. Hyperventilation and therapy [Hyperventilatie en therapie] Ned. Tijdschr. Voor Fysiother. 1980;90:18–21.
    1. Lewis L.K., Williams M.T., Olds T. Short-term effects on outcomes related to the mechanism of intervention and physiological outcomes but insufficient evidence of clinical benefits for breathing control: A systematic review. Aust. J. Physiother. 2007;53:219–227. doi: 10.1016/S0004-9514(07)70002-8.
    1. Mcneill R.S., Mckenzie J.M. An assessment of the value of breathing exercises in chronic bronchitis and asthma. Thorax. 1955;10:250–252. doi: 10.1136/thx.10.3.250.
    1. Wiens M.E., Reimer M.A., Guyn H.L. Music therapy as a treatment method for improving respiratory muscle strength in patients with advanced multiple sclerosis: A pilot study. Rehabil. Nurs. 1999;24:74–80. doi: 10.1002/j.2048-7940.1999.tb01840.x.
    1. Sackner M.A., Silva G., Banks J.M., Watson D.D., Smoak W.M. Distribution of ventilation during diaphragmatic breathing in obstructive lung disease. Am. Rev. Respir. Dis. 1974;109:331–337.
    1. Brach B.B., Chao R.P., Sgroi V.L., Minh V.D., Ashburn W.L., Moser K.M. 133Xenon washout patterns during diaphragmatic breathing. Studies in normal subjects and patients with chronic obstructive pulmonary disease. Chest. 1977;71:735–739. doi: 10.1378/chest.71.6.735.
    1. Sackner M.A., Gonzalez H.F., Jenouri G., Rodriguez M. Effects of abdominal and thoracic breathing on breathing pattern components in normal subjects and in patients with chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 1984;130:584–587.
    1. Becklake M.R., Mcgregor M., Goldman H.I., Braudo J.L. A study of the effects of physiotherapy in chronic hypertrophic emphysema using lung function tests. Dis. Chest. 1954;26:180–191. doi: 10.1378/chest.26.2.180.
    1. Blaney F., Sawyer T. Sonographic measurement of diaphragmatic motion after upper abdominal surgery: A comparison of three breathing manoeuvres. Physiother. Theo. Pract. 1997;13:207–215. doi: 10.3109/09593989709036464.
    1. Campbell E.J., Friend J. Action of breathing exercises in pulmonary emphysema. Lancet. 1955;265:325–329. doi: 10.1016/S0140-6736(55)90062-3.
    1. Chuter T.A., Weissman C., Mathews D.M., Starker P.M. Diaphragmatic breathing maneuvers and movement of the diaphragm after cholecystectomy. Chest. 1990;97:1110–1114. doi: 10.1378/chest.97.5.1110.
    1. Gosselink R.A., Wagenaar R.C., Rijswijk H., Sargeant A.J., Decramer M.L. Diaphragmatic breathing reduces efficiency of breathing in patients with chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 1995;151:1136–1142.
    1. Grimby G., Oxhoj H., Bake B. Effects of abdominal breathing on distribution of ventilation in obstructive lung disease. Clin. Sci. Mol. Med. 1975;48:193–199. doi: 10.1042/cs0480193.
    1. Ito M., Kakizaki F., Tsuzura Y., Yamada M. Immediate effect of respiratory muscle stretch gymnastics and diaphragmatic breathing on respiratory pattern. Respiratory Muscle Conditioning Group. Intern. Med. 1999;38:126–132. doi: 10.2169/internalmedicine.38.126.
    1. Mckinley H., Gersten J.W., Speck L. Pressure-volume relationships in emphysema patients before and after breathing exercises. Arch. Phys. Med. Rehabil. 1961;42:513–517.
    1. Miller W.F. A physiologic evaluation of the effects of diaphragmatic breathing training in patients with chronic pulmonary emphysema. Am. J. Med. 1954;17:471–477. doi: 10.1016/0002-9343(54)90122-9.
    1. Shearer M.O., Banks J.M., Silva G., Sackner M.A. Lung ventilation during diaphragmatic breathing. Phys. Ther. 1972;52:139–148. doi: 10.1093/ptj/52.2.139.
    1. Sinclair J.D. The effect of breathing exercises in pulmonary emphysema. Thorax. 1955;10:246–249. doi: 10.1136/thx.10.3.246.
    1. Vitacca M., Clini E., Bianchi L., Ambrosino N. Acute effects of deep diaphragmatic breathing in COPD patients with chronic respiratory insufficiency. Eur. Respir. J. 1998;11:408–415. doi: 10.1183/09031936.98.11020408.
    1. Williams I.P., Smith C.M., McGavin C.R. Diaphragmatic breathing training and walking performance in chronic airways obstruction. Br. J. Dis. Chest. 1982;76:164–166. doi: 10.1016/0007-0971(82)90029-8.
    1. Willeput R., Vachaudez J.P., Lenders D., Nys A., Knoops T., Sergysels R. Thoracoabdominal motion during chest physiotherapy in patients affected by chronic obstructive lung disease. Respiration. 1983;44:204–214. doi: 10.1159/000194550.
    1. Grams S.T., Ono L.M., Noronha M.A., Schivinski C.I., Paulin E. Breathing exercises in upper abdominal surgery: A systematic review and meta-analysis. Rev. Bras. Fisioter. 2012;16:345–353. doi: 10.1590/S1413-35552012005000052.
    1. Hallböök T., Lindblad B., Lindroth B., Wolff T. Prophylaxis against pulmonary complications in patients undergoing gall-bladder surgery. A comparison between early mobilization, physiotherapy with and without bronchodilatation. Ann. Chir. Gynaecol. 1984;73:55–58.
    1. Hopper S.I., Murray S.L., Ferrara L.R., Singleton J.K. Effectiveness of diaphragmatic breathing for reducing physiological and psychological stress in adults: A quantitative systematic review. JBI Database Syst. Rev. Implement. Rep. 2019;17:1855–1876. doi: 10.11124/JBISRIR-2017-003848.
    1. Ma X., Yue Z.Q., Gong Z.Q., Zhang H., Duan N.Y., Shi Y.T., Wei G.X., Li Y.F. The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults. Front. Psychol. 2017;8:874. doi: 10.3389/fpsyg.2017.00874.
    1. Joshi A., Kiran R., Singla H.K., Sah A.N. Stress management through regulation of blood pressure among college students. Work. 2016;54:745–752. doi: 10.3233/WOR-162308.
    1. Sundram B.M., Dahlui M., Chinna K. “Taking my breath away by keeping stress at bay”—An employee assistance program in the automotive assembly plant. Iran. J. Public Health. 2014;43:263–272.
    1. Yekefallah L., Zohal M.A., Keshavarzsarkar O., Barikani A., Gheraati M. Comparing the effects of upper limb and breathing exercises on six-minute walking distance among patients with chronic obstructive pulmonary disease: A three-group randomized controlled clinical trial. Adv. Respir. Med. 2019;87:77–82. doi: 10.5603/ARM.2019.0013.
    1. Shaw B.S., Shaw I. Pulmonary function and abdominal and thoracic kinematic changes following aerobic and inspiratory resistive diaphragmatic breathing training in asthmatics. Lung. 2011;189:131–139. doi: 10.1007/s00408-011-9281-8.
    1. Campbell D.F., Dixon J.K., Sanderford L.D., Denicola M.A. Relaxation: Its effect on the nutritional status and performance status of clients with cancer. J. Am. Diet. Assoc. 1984;84:201–204.
    1. Shahriari M., Dehghan M., Pahlavanzadeh S., Hazini A. Effects of progressive muscle relaxation, guided imagery and deep diaphragmatic breathing on quality of life in elderly with breast or prostate cancer. J. Educ. Health Promot. 2017;6:1.
    1. Silva C.A., Motta M.E. The use of abdominal muscle training, breathing exercises and abdominal massage to treat paediatric chronic functional constipation. Colorectal. Dis. 2013;15:e250–e255. doi: 10.1111/codi.12160.
    1. Wang S.Z., Li S., Xu X.Y., Lin G.P., Shao L., Zhao Y., Wang T.H. Effect of slow abdominal breathing combined with biofeedback on blood pressure and heart rate variability in prehypertension. J. Altern. Complement. Med. 2010;16:1039–1045. doi: 10.1089/acm.2009.0577.
    1. Nolan R.P., Kamath M.V., Floras J.S., Stanley J., Pang C., Picton P., Young Q.R. Heart rate variability biofeedback as a behavioral neurocardiac intervention to enhance vagal heart rate control. Am. Heart J. 2005;149:1137. doi: 10.1016/j.ahj.2005.03.015.
    1. Seo Y., Yates B., LaFramboise L., Pozehl B., Norman J.F., Hertzog M. A Home-Based Diaphragmatic Breathing Retraining in Rural Patients with Heart Failure. West. J. Nurs. Res. 2016;38:270–291. doi: 10.1177/0193945915584201.
    1. Sutbeyaz S.T., Koseoglu F., Inan L., Coskun O. Respiratory muscle training improves cardiopulmonary function and exercise tolerance in subjects with subacute stroke: A randomized controlled trial. Clin. Rehabil. 2010;24:240–250. doi: 10.1177/0269215509358932.
    1. Eherer A.J., Netolitzky F., Högenauer C., Pusching G., Hinterleitner T.A., Scheidl S., Kraxner W., Krejs G.J., Hoffmann K.M. Positive effect of abdominal breathing exercise on gastroesophageal reflux disease: A randomized, controlled study. Am. J. Gastroenterol. 2012;107:372–378. doi: 10.1038/ajg.2011.420.
    1. Kaushik R., Kaushik R.M., Mahajan S.K., Rajesh V. Biofeedback assisted diaphragmatic breathing and systematic relaxation versus propranolol in long term prophylaxis of migraine. Complement. Ther. Med. 2005;13:165–174. doi: 10.1016/j.ctim.2005.04.004.
    1. Chen Y.F., Huang X.Y., Chien C.H., Cheng J.F. The Effectiveness of Diaphragmatic Breathing Relaxation Training for Reducing Anxiety. Perspect. Psychiatr. Care. 2017;53:329–336. doi: 10.1111/ppc.12184.
    1. Kavan M.G., Elsasser G., Barone E.J. Generalized anxiety disorder: Practical assessment and management. Am. Fam Physician. 2009;79:785–791.
    1. Liu C.J., Tu G.Y., Lin S.L., Yeh C.C. Comparisons of different breathing ratios of slow breathing among outpatients with anxiety disorders. J. Med. Health. 2014;3:57–66.
    1. Russell M.E., Hoffman B., Stromberg S., Carlson C.R. Use of controlled diaphragmatic breathing for the management of motion sickness in a virtual reality environment. Appl. Psychophysiol. Biofeedback. 2014;39:269–277. doi: 10.1007/s10484-014-9265-6.
    1. Gimenez M., Servera E., Abril E., Saavedra P., Darias M., Gomez A., Hannhart B. Comprehensive directed breathing retraining improves exertional dyspnea for men with spirometry within normal limits. Am. J. Phys. Med. Rehabil. 2010;89:90–98. doi: 10.1097/PHM.0b013e3181bc0cf4.
    1. Cahalin L.P., Braga M., Matsuo Y., Hernandez E.D. Efficacy of diaphragmatic breathing in persons with chronic obstructive pulmonary disease: A review of the literature. J. Cardiopulm. Rehabil. 2002;22:7–21. doi: 10.1097/00008483-200201000-00002.
    1. Dechman G., Wilson C.R. Evidence underlying cardiopulmonary physical therapy in stable COPD. Cardiopulmonary Phys. Ther. J. 2002;13:20–22. doi: 10.1097/01823246-200213020-00006.
    1. Han J.W., Kim Y.M. Effect of breathing exercises combined with dynamic upper extremity exercises on the pulmonary function of young adults. J. Back Musculoskelet. Rehabil. 2018;31:405–409. doi: 10.3233/BMR-170823.
    1. Bahenský P., Malátová R., Bunc V. Changed dynamic ventilation parameters as a result of a breathing exercise intervention program. J. Sports Med. Phys. Fit. 2019;59:1369–1375. doi: 10.23736/S0022-4707.19.09483-0.
    1. Sperlich B., Fricke H., de Marées M., Linville J.W., Mester J. Does respiratory muscle training increase physical performance? Mil. Med. 2009;174:977–982. doi: 10.7205/MILMED-D-04-6408.
    1. Riganas C.S., Vrabas I.S., Christoulas K., Mandroukas K. Specific inspiratory muscle training does not improve performance or VO2max levels in well trained rowers. J. Sports Med. Phys. Fit. 2008;48:285–292.
    1. Kolar P., Neuwirth J., Sanda J., Suchanek V., Svata Z., Volejnik J., Pivec M. Analysis of diaphragm movement during tidal breathing and during its activation while breath holding using MRI synchronized with spirometry. Physiol. Res. 2009;58:383–392.
    1. Russo M.A., Santarelli D.M., O’Rourke D. The physiological effects of slow breathing in the healthy human. Breathe. 2017;13:298–309. doi: 10.1183/20734735.009817.
    1. Bernardi L., Gabutti A., Porta C., Spicuzza L. Slow breathing reduces chemoreflex response to hypoxia and hypercapnia, and increases baroreflex sensitivity. J. Hypertens. 2001;19:2221–2229. doi: 10.1097/00004872-200112000-00016.
    1. Bilo G., Revera M., Bussotti M., Bonacina D., Styczkiewicz K., Caldara G., Giglio A., Faini A., Giuliano A., Lombardi C., et al. Effects of slow deep breathing at high altitude on oxygen saturation, pulmonary and systemic hemodynamics. PLoS ONE. 2012;7:e49074. doi: 10.1371/journal.pone.0049074.
    1. Billman G.E. Heart rate variability—A historical perspective. Front. Physiol. 2011;2:86. doi: 10.3389/fphys.2011.00086.
    1. Dick T.E., Mims J.R., Hsieh Y.H., Morris K.F., Wehrwein E.A. Increased cardio-respiratory coupling evoked by slow deep breathing can persist in normal humans. Respir. Physiol. Neurobiol. 2014;204:99–111. doi: 10.1016/j.resp.2014.09.013.
    1. Lee J.S., Lee M.S., Lee J.Y., Cornélissen G., Otsuka K., Halberg F. Effects of diaphragmatic breathing on ambulatory blood pressure and heart rate. Biomed. Pharmacother. 2003;57(Suppl. S1):87s–91s. doi: 10.1016/j.biopha.2003.08.011.
    1. Chang Q., Liu R., Shen Z. Effects of slow breathing rate on blood pressure and heart rate variabilities. Int. J. Cardiol. 2013;169:e6–e8. doi: 10.1016/j.ijcard.2013.08.121.
    1. Thayer J.F., Yamamoto S.S., Brosschot J.F. The relationship of autonomic imbalance, heart rate variability and cardiovascular disease risk factors. Int. J. Cardiol. 2010;141:122–131. doi: 10.1016/j.ijcard.2009.09.543.
    1. Villemure C., Čeko M., Cotton V.A., Bushnell M.C. Neuroprotective effects of yoga practice: Age-, experience-, and frequency-dependent plasticity. Front. Hum. Neurosci. 2015;9:281. doi: 10.3389/fnhum.2015.00281.
    1. Jerath R., Crawford M.W., Barnes V.A., Harden K. Self-regulation of breathing as a primary treatment for anxiety. Appl. Psychophysiol. Biofeedback. 2015;40:107–115. doi: 10.1007/s10484-015-9279-8.
    1. Roi G.S., Mosconi G., Totti V., Angelini M.L., Brugin E., Sarto P., Merlo L., Sgarzi S., Stancari M., Todeschini P., et al. Renal function and physical fitness after 12-mo supervised training in kidney transplant recipients. World J. Transplant. 2018;8:13–22. doi: 10.5500/wjt.v8.i1.13.
    1. Wickerson L., Rozenberg D., Janaudis-Ferreira T., Deliva R., Lo V., Beauchamp G., Helm D., Gottesman C., Mendes P., Vieira L., et al. Physical rehabilitation for lung transplant candidates and recipients: An evidence-informed clinical approach. World J. Transplant. 2016;6:517–531. doi: 10.5500/wjt.v6.i3.517.

Source: PubMed

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