Breathing Training for Older Patients with Controlled Isolated Systolic Hypertension

Sangthong, Benjarat; Ubolsakka-Jones, Chulee; Pachirat, Orathai; Jones, David A.

doi:10.1249/mss.0000000000000967

Cited by 25 publications

(32 citation statements)

References 35 publications

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“…Further studies might, therefore, determine whether SLB can replace conventional pharmaceutical treatment and whether it is necessary for patients to train every day. The fact that the training effect persists for several weeks (Sangthong et al, and present results) suggests that once BP is reduced, it may be sufficient to train intermittently.…”

Section: Discussionsupporting

confidence: 54%

“…Guidelines for the management of hypertension focus very much on pharmacological treatments, lifestyle, and exercise training (James et al, ), and although these treatments can be effective, many patients remain poorly controlled (Chobanian, ; Mancia et al, ). Some other form of nonpharmacological treatment may be of benefit to these patients, and we have previously demonstrated that SLB is effective in reducing resting sBP (Sangthong et al, ; Ublosakka‐Jones et al, a). Although it is important to reduce resting BP, it would be valuable if the treatment also decreased the exaggerated increase in BP seen during exercise in ISH (Ubolsakka‐Jones et al, ).…”

Section: Discussionmentioning

confidence: 99%

“…The SLB group trained with a load of 25% maximum inspiratory pressure using a BreatheMAX inspiratory training device (Sangthong et al, ; Ublosakka‐Jones et al, a). Briefly, the inspiratory resistance was set by the depth of water in the bottle, and the respiratory rate was controlled at 6 breaths per minute with 4‐s inspiratory, and 6‐s expiratory, time.…”

Section: Methodsmentioning

confidence: 99%

“…Yoga and meditation are known to improve resting BP, and controlled slow breathing may be the common factor (Spicuzza, Gabutti, Porta, Montano, & Bernardi, ), and a number of experimental studies have shown benefits of slow breathing training for essential hypertension (Anderson, McNeely, & Windham, ; Grossman, Grossman, Schein, Zimlichman, & Gavish, ; Jones, Sangthong, & Pachirat, ; Logtenberg, Kleefstra, Houweling, Groenier, & Bilo, ; Mahtani, Nunan, & Heneghan, ; Meles et al, ). Although essential hypertension and ISH are assumed to have differing underlying causes, slow breathing training is also effective in reducing resting BP in ISH patients, and breathing with an inspiratory load is particularly effective (Sangthong, Ubolsakka‐Jones, Pachirat, & Jones, ).…”

Section: Introductionmentioning

confidence: 99%

“…Although essential hypertension and ISH are assumed to have differing underlying causes, slow breathing training is also effective in reducing resting BP in ISH patients, and breathing with an inspiratory load is particularly effective (Sangthong, Ubolsakka-Jones, Pachirat, & Jones, 2016).…”

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confidence: 99%

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The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension

Ubolsakka-Jones

Tongdee

Jones

2019

Physiotherapy Res Intl

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Objectives Slow loaded breathing training has been shown to reduce resting blood pressure (BP) in isolated systolic hypertension (ISH), but it is not known whether this also reduces their exaggerated BP responses to exercise. Methods The study was a randomized controlled trial with block allocation stratified by sex. Twenty ISH patients (68 ± 5 yrs, 11 males) were randomized with one group undertaking 8‐weeks training with slow loaded breathing (SLB: 25% maximum inspiratory pressure, 6 breaths per minute, 60 breaths every day) or deep breathing control (CON), with 8 weeks follow‐up. Outcome measures were home BP and heart rate (HR) with laboratory measures of BP and HR responses to static handgrip and dynamic arm cranking exercise. Data were compared with a two‐week run‐in baseline. Results Home systolic BP fell by 22 mmHg (20–23; mean, 95% CI), diastolic BP by 9 mmHg (7–11), and HR by 12 bpm (9–15; all p < .001) as a result of SLB training. Systolic BP at the end of 2‐min isometric handgrip was 189 ± 10 mmHg (mean, SD) before training and 157 ± 6 mmHg following SLB training. After 4‐min arm exercise, systolic BP, measured at the ankle, was reduced from 243 ± 8 mmHg during the run‐in period to 170 ± 15 mmHg after SLB training with no change for CON. The reduction in exercise BP, in both types of exercise, was partly due to a reduction in resting BP and to a smaller increase above resting. Systolic and pulse pressures remained below run‐in values 8 weeks after the end of SLB training, and BP response to handgrip exercise remained below run‐in values at 4 weeks after SLB training. Conclusions SLB not only reduces resting BP in ISH but also the responses to both static and dynamic exercise, potentially reducing the negative aspect of exercise for cardiovascular health.

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Section: Discussionsupporting

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension

Ubolsakka-Jones

Tongdee

Jones

2019

Physiotherapy Res Intl

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Device and nondevice‐guided slow breathing to reduce blood pressure in hypertensive patients: A systematic review and meta‐analysis

Gonçalves

Daniel

Lamas

et al. 2022

Health Science Reports

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Backgroud and Aims: Hypertension (HTN) is a multifactorial chronic disease.Considering the high prevalence rates of this disease, treatment of HTN is necessary, not only to reduce blood pressure (BP) levels but also to prevent the development of cardiovascular, cerebrovascular, and kidney diseases. This treatment can be through medication, which will be determined according to the BP values, obtained either in medical consultations or at home; presence of cardiovascular risk factors, and the presence of target organ damage identified during anamnesis. The aim of this systematic review and meta-analysis is to summarize the effects of device-guided slow breathing (DGSB) and nondevice-guided slow breathing (NDGSB) on BP levels of patients with HTN.Methods: This study is a systematic review and meta-analysis of randomized clinical trials, pertaining to hypertensive patients, with or without comorbidity, over 18 years old, of both sexes, and with or without hypertensive medication. The selected studies showed comparisons between groups that performed DGSB and/or NDGSB with control conditions. The primary outcome was the value of systolic blood pressure (SBP) and diastolic blood pressure (DBP) after the interventions.Results: Twenty-two studies involving 17,214 participants were included in the quantitative analysis. Considerable heterogeneity was revealed between studies.

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Slow loaded breathing training improves blood pressure, lung capacity and arm exercise endurance for older people with treated and stable isolated systolic hypertension

Ublosakka-Jones

Tongdee

Pachirat

et al. 2018

Experimental Gerontology

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Breathing Training for Older Patients with Controlled Isolated Systolic Hypertension

Abstract: Slow breathing training, especially with an inspiratory load, is very effective in reducing resting systolic and pulse pressures and could be a valuable adjunct in the management of ISH.

Cited by 25 publications

References 35 publications

The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension

The effects of slow loaded breathing training on exercise blood pressure in isolated systolic hypertension

Device and nondevice‐guided slow breathing to reduce blood pressure in hypertensive patients: A systematic review and meta‐analysis

Slow loaded breathing training improves blood pressure, lung capacity and arm exercise endurance for older people with treated and stable isolated systolic hypertension

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