Skip to main content

Table 3 Qualitative synthesis of clinical trials from breathing training included in the systematic review

From: Are home-based exercises effective to reduce blood pressure in hypertensive adults? A systematic review

Author, year

Sample

Interventions (F.I.T.T)

BP at baseline

Outcomes

McCaffrey et al., 2005 [29]

EXP: 10♂ 17♀; 56.7 yrs

CTL: 9♂ 18♀; 56.2 yrs

F: 3 days/wk for 8 wks

I: unloading breathing

I: 63 min

T: Yoga

SBP 161 ± 10; DBP 98 ± 8 mmHg

↓SBP; ↓DBP; ↓HR; ↓BMI

Wolff et al. 2013 [30]

EXP: 8♂ 20♀; 64 ± 10.3 yrs

CTL: 11♂ 16♀; 60.8 ± 11 yrs

F: 7 days/wk for 12wks

I: unloading breathing

T: 15 min/day

T: Yoga

SBP 144 ± 14; DBP 88 ± 6 mmHg

 ↔ SBP; ↓DBP

Wolff et al., 2016 [31]

EXP: 44♂ 52♀; 64.7 ± 9.2 yrs

CTL: 48♂ 47♀; 64.8 ± 7.6 yrs

F: 7 days/wk; 2 sessions/day for 12wks

I: unloading breathing

T:15 min

T: Yoga

SBP 149 ± 12; DBP 88 ± 6 mmHg

 ↔ SBP; ↔ DBP; Improved self-rated QOL; PSS and HADS

Sujatha and Judie 2014 [32]

EXP: 55♂ 63♀; 30–60 yrs

CTL: 55♂ 65♀; 30–60 yrs

F: 5 days/wk for 12wks

I: unloading breathing

T: 30–45 min

T: Hatha Yoga

SBP 153 ± 12; DBP 95 ± 7 mmHg

↓SBP and DBP; ↓HR; ↓BMI ↓Level of stress and anxiety

Schein et al. 2001 [33]

EXP: 18♂ 14♀; 57.8 ± 9.4 yrs

CTL: 13♂ 20♀; 56.5 ± 8 yrs

F: 7 days/wk for 8 wks

I: unloading breathing

T: 10 min

T: Device-guided breathing

SBP 157 ± 14; DBP 97 ± 9 mmHg

↓SBP and DBP

Viskoper et al. 2003 [34]

EXP: 10♂ 7♀; 66.5 ± 7.6 yrs

F: 7 days/wk for 8 wks

I: Unloading breathing

T: 15 min

T: Device-guided breathing

SBP 155 ± 10; DBP 89 ± 8 mmHg

↓SBP and DBP; ↓HR

Logtenberg et al. 2007 [35]

EXP:3♂ 12♀; 62.7 ± 6 yrs

CTL: 10♂ 5♀; 61.0 ± 7.5 yrs

F: 7 days/wk for 8 wks

I: Unloading breathing

T: 10 min

T: Device-guided breathing

SBP: 154 ± 8; DBP 83 ± 6.7 mmHg

↓SBP and DBP

Anderson et al., 2010 [36]

EXP: 12♂ 8♀; 53.4 ± 2.8 yrs

CTL: 9♂ 11♀; 52.9 ± 2.8 yrs

F: 7 days/wk for 4 wks

I: < 10 breaths/min, and often ≤ 6 breaths/min

T: 15 min

T: Device-guided breathing

SBP 142 ± 3; DBP 88 ± 2 mmHg

↓MBP; ↓Breathing rate; ↑Tidal volume; ↓PetCO2; ↓24-h BP

Meles, 2004 [18]

EXP:25♂ 19♀; 57 ± 9 yrs

CTL: 15♂ 11♀; 49 ± 12 yrs

F: 7 days/wk for 8 wks

I: Unloading breathing

T: 15 min

T: Device-guided breathing

SBP 137 ± 12; DBP 83 ± 9 mmHg

↓SBP and DBP; ↓HR

Rosenthal et al., 2001 [37]

EXP: 7♂ 6♀; 50.5 ± 13.9 yrs

F: 7 days/wk for 8 wks

I: Lowest breathing rate for each user

T: 15 min

T: Slow breathing training

SBP 146 ± 15; DBP 85 ± 8 mmHg

↓SBP; ↓DBP

Elliot et al. 2004 [38]

EXP: 89♀♂;59.5 ± 9.6 yrs

CTL: 60♀♂; 58.7 ± 10.5 yrs

F: 7 days/wk for 8 wks

I: Unloading breathing

T: 15 min

T: Slow breathing training

SBP 150 ± 8; DBP 85 ± 9 mmHg

↓SBP and ↔ DBP

Schein et al. 2009 [39]

EXP: 20♂ 13♀; 62 ± 9 yrs

CTL: 21♂ 12♀; 63 ± 8 yrs

F: 7 days/wk for 8 wks

I: Unloading breathing

T: 15 min/day

T: Slow breathing training

SBP 148 ± 11; DBP 81 ± 9 mmHg

↓SBP and DBP

Grossman et al. 2001 [40]

EXP: 13 ♂ 5♀; 52 ± 12 yrs

CTL: 10♂ 5♀; 50 ± 4 yrs

F: 7 days/wk for 8 wks

I: Unloading breathing

T: 10 min

T: Slow breathing training

SBP 160 ± 18; DBP 95 ± 7 mmHg

↓SBP and DBP

Ublosakka-Jones et al., 2018 [41]

EXP: 8♂ 8♀; 66.4 ± 4.2 yrs

CTL: 8♂ 8♀; 68.2 ± 4.8 yrs

F: 7 days/wk; 2 sessions/day for 8wks

I: 25% MIP and 50% HRR;

T: 6 breaths/min for 5 min/session; 60 breaths/day

T: Slow breathing training

SBP 141 ± 7; DBP 70 ± 3 mmHg

↓SBP and DBP;↓PP; ↓HR bpm; ↑MIP; ↑SVC; ↑IC; ↑CE; ↑AE

Jones et al., 2015 [42]

EXP Loaded:

10♂♀; 51.4 ± 5.3yrs

EXP No Load:

10♂♀; 53.4 ± 4.3yrs

CTL: 10♂♀; 50.4 ± 5.4 yrs

F: 7 days/wk; 2 sessions/day for 8wks

I: IRL of 20 cmH2O

I: 30 min

T: Slow breathing training

F: 7 days/wk; 2 sessions/day for 8wks

I: Unloading breathing

I: 30 min

T: Slow breathing training

IRL group:

SBP 137 ± 13; DBP 81 ± 8 mmHg

Unloading breathing group:

SBP 136 ± 13; DBP 80 ± 6 mmHg

IRL group:

↓SBP and DBP; ↓HR; ↓MBP

Unloading breathing group:

↓SBP and DBP; ↓HR; ↓MBP

Jones et al., 2010 [43]

EXP Loaded: 4♂ 6♀; 51 ± 5 yrs

EXP No Load: 4♂ 6♀; 53 ± 4yrs

CTL: 3♂ 7♀; 50 ± 5 yrs

F: 7 days/wk; 2 sessions/day for 8wks

I: IRL of 20 cmH2O

T: 30 min

T: Slow breathing training

F: 7 days/wk; 2 sessions/day for 8wks

I: Unloading breathing

T: 30 min

T: Slow breathing training

IRL group:

SBP 142 ± 8.9; DBP 87 ± 5.2 mmHg

Unloading breathing group:

SBP 141 ± 5.9; DBP 85 ± 4.4 mmHg

IRL group:

↓SBP and DBP; ↓HR; ↓PP

Unloading breathing group:

↓SBP and DBP; ↓HR; ↓PP

Sangthong et al., 2016 [44]

EXP Load: 4♂ 6♀; 60–70 yrs;

EXP No Load: 1♂ 9♀; 60–79 yrs

CTL: 3♂ 6♀; 60–74 yrs

F: 7 days/wk; 30 min/day for 8 wks

I: IRL of 18 cmH2O

T: 6 breaths/min

T: Slow breathing training

F: 7 days/wk; 30 min/day for 8 wks

I: Unloading breathing

T: 6 breaths/min

T: Slow breathing training

IRL group:

SBP 144 ± 8.7; DBP 81 ± 6.7 mmHg

Unloading breathing group:

SBP 141 ± 11.1; DBP 81 ± 6.2 mmHg

IRL group:

↓SBP; ↔ DBP; ↔ HR; ↓PP

Unloading breathing group:

↓SBP; ↔ DBP; ↔ HR; ↓PP

  1. EXP Experimental group, CTL Control group, BMI Body mass index, PetCO2 Partial pressure of carbon dioxide, IRL Inspiratory resistive loading, self-rated QOL World Health Organization Quality of Life Assessment, PSS Perceived stress scale, HADS Hospital anxiety and depression scale, wk week, wks weeks, min minutes, yrs years, HRR Heart Rate Reserve, F.I.T.T. Frequency, intensity, time, and type of exercise, BP Blood pressure, SBP Systolic Blood pressure, DBP Diastolic Blood Pressure, MBP Mean Blood pressure, HR Heart Rate, PP Pulse Pressure, MIP Maximum inspiratory pressure, SVC Slow vital capacity, IC Inspiratory capacity, CE Chest expansion, AE Abdominal expansion
  2. ↓: decreased; ↑: increased; ↔ : unchanged