Device-guided breathing exercises for the treatment of hypertension: An overview

doi:10.4330/wjc.v6.i5.277

Advanced Search

BPG is committed to discovery and dissemination of knowledge

Home / Archive / Volume 6, Issue 5

This Article

Academic Content and Language Evaluation of This Article

Citation of this article

Corresponding Author of This Article

Research Domain of This Article

Article-Type of This Article

Open-Access Policy of This Article

Times Cited Counts in Google of This Article

Number of Hits and Downloads for This Article

Total Article Views (4354)

All Articles published online

The chart showing PDF series, WORD series, HTML series, Tables (1-2) series.

Item

Count

PDF

440

WORD

310

HTML

2155

Tables (1-2)

154

Sum=3059

Publishing Process of This Article

The chart showing Browse series, Download series.

Item

Count

Browse

629

Download

666

Sum=1295

May 26, 2014 (publication date) through Jul 24, 2024

Times Cited of This Article

Times Cited (13)

Journal Information of This Article

Publication Name

World Journal of Cardiology

ISSN

1949-8462

Publisher of This Article

Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Topic Highlight

World J Cardiol. May 26, 2014; 6(5): 277-282
Published online May 26, 2014. doi: 10.4330/wjc.v6.i5.277

Table 1 Study and patients characteristics

Ref.	Study group		Period (wk)	Study arm	Endpoint	Results (mean)
Ref.	Disease, therapy, patients	Number (I/C)		Intervention	Endpoint	Control		Intervention(mmHg)	Control(mmHg)	Difference intervention vs control (mmHg)
Schein et al[9], 2001; Israel	HT, medication, BP ≥ 140/90, 25-75 yr	32/33	Period (wk)	8	Resperate^® 10 min/d	Walkman 10 min/d	SBP DBP	156.6 > 141.4	154.7 > 143.4	-2.9 (-2.8-10.6)
Schein et al[9], 2001; Israel	HT, medication, BP ≥ 140/90, 25-75 yr	32/33	96.7 > 86.7^a	8	Resperate^® 10 min/d	Walkman 10 min/d	SBP DBP	93.4 > 87.8	-4.4^a (1.1-7.6)
Grossman et al[10], 2001; Israel	HT, medication, BP ≥ 140/90, 25-75 yr	18/15	8	Resperate^® 10 min/d	Walkman 10 min/d	Clinic, SBP DBP Home, SBP DBP	160 > 152.5 95 > 91 157 > 152.0 94 > 91.3	155 > 152.1 94 > 92.5 151 > 149.8 90 > 90.9	-4.6^a -2.5 -3.8 -3.6^a
Rosenthal et al[11], 2001; Israel	HT, medication, BP 130/85-180/110, 25-75 yr	13/-	8	Resperate^® 15 min/d	-	24 h, SBP DBP	137.1 > 129.9^a 82.5 > 80.2	- -	- -
Viskoper et al[12], 2003; Israel	HT, medication, SBP 140-160 or DBP 90-100, 40-80 yr	17/-	8	Resperate^® 15 min/d	-	Home, SBP DBP Clinic, SBP DBP	156.4 > 150.0^a 88.5 > 85.9^a 155.4 > 142.5^a 88.9 > 82.0^a	- - - -	- - - -
Meles et al[13], 2004; Italy	HT, 40-75 yr + 1) not treated, SBP 140-159 or DBP 90-99; OR = 2) medication and BP > 140/90	48/31	8	Resperate^® 15 min/d	BP 1/d	Home, SBP DBP Clinic, SBP DBP	137 > 131.6^a 83 > 79.8^a 141.4 > 135.9 88.1 > 84.5^a	126 > 124.1 79 > 78.0 133.2 > 133.0 85.9 > 86.8	-3.5^a -2.2^a -5.3 -4.5^a
Elliot et al[14], 2004; United States	HT, medication, SBP 140-179, DBP < 110, 40-75 yr	89/60	8	Resperate^® 15 min/d	BP 3/d	Clinic, SBP DBP Home, SBP DBP	150.3 > 139.7 84.7 > 81.5 145.8 > 145.3 85.9 > 85.3	149.8 > 140.6 86.8 > 83.6 141.3 > 141.9 83.7 > 83.5	-1.4 0.0 -1.1 -0.4
Logtenberg et al[15], 2007; The Netherlands	T2DM, HT, medication, SBP 140-160, > 18 yr	15/15	8	Resperate^® 15 min/d	Discman 15 min/d	Clinic, SBP DBP Home, SBP DBP	153.5 > 146.0 83.0 > 82.0 - -	150.4 > 138.2 87.0 > 81.5 - -	4.7 (-11.7-2.3) 4.6 (-10.4-2.3) 1.0 (-7.8-5.8) 1.3 (-5.8-3.2)
Altena et al[16], 2008; The Netherlands	HT, medication SBP 140-160, > 18 yr	15/15	8	Resperate^® 15 min/d	Discman 15 min/d	Clinic, SBP DBP Home, SBP DBP	-9.8 -4.6 -2.5 -4.9	-5.6 -2,0 -2.9 -3.4	-4.2 (-12.4-3.9) -2.6 (-8.4-3.3) 0.5 (-3.7-4.8) -1.8 (-8.4-4.8)
Schein et al[17], 2009; Israel	T2DM, HT, medication, SBP >130	33/33	8	Resperate^® 15 min/d	Usual care	Clinic, SBP DBP	150 > 140 81 > 77	147 > 149 81 > 80	-12^a -3
Anderson et al[18], 2010; United States	Stage 1 HT or pre-hypertension, no medication, no CVD or T2DM.	20/20	4	Resperate^® 15 min/d	Meditative exercise 15 min/d	Clinic, SBP DBP 24h, SBP DBP	141.8 > ? 88.2 > ? 138.2 > 137.7 84.6 > 83.8	140.1 > ? 85.2 > ? 137.3 > 137.8 80.4 > 81.8	- - -1 -2.2
Bertisch et al[19], 2011; United States	HT and OSA, medication or untreated, BP 120/80-160/100, 20-75 yr	25/-	8	BiPAP^® 15 min/d	-	Clinic, SBP DBP	140 > 130.4^a 82.7 > 80.2	- -	- -
Landman et al[20], 2013; The Netherlands	T2DM, HT, medication, SBP 140-160, ≥ 18 yr	24/24	8	Resperate^® 15 min/d	Sham- Device 15 min/d	Clinic, SBP DBP Home, SBP DBP	151.6 > 145.6 82.1 > 76.2 ? ?	151.2 > 142.8 80.7 > 77.0 ? ?	2.4 (-6.5-11.2) -2.3 (-6.7-2.2) -3.0 (-13.2-7.2) 0.1 (-6.9-7.1)
Howorka et al[21], 2013; Austria	T2DM, HT, medication, BP < target value, 18-78 yr	16/16	8	Resperate^® 12 min/d	Usual care	24h, SBP DBP Daytime SBP DBP	126.1 > 123.2^a ? 129.3 > 127.1 ?	? ? ? ?	? (P = 0.18) ? (P = 0.43)

^aP < 0.05 vs control. I: Intervention; C: Control; HT: Hypertension; SBP: (Systolic) blood pressure; DBP: Diastolic blood pressure; T2DM: Type 2 diabetes mellitus; CVD: Cardiovascular disease; OSA: Obstructive sleep apnea.

Table 2 Randomized controlled trials with an active control group: methodological quality

Criteria	Schein[9]	Grossman[10]	Logtenberg[15]	Altena[16]	Anderson[18]	Landman[20]
Randomization adequate	+/-	+	+	+	-	+
Treatment allocation concealed	+	?	+	+	-	+
Groups similar at baseline	+	+	+	+	+	+
Patient blinded	+/-	+/-	+	+	-	+
Care provider blinded	+/-	+/-	-	-	-	+
Outcome assessor blinded	-	?	-	-	-	+
Co-interventions avoided	+	+/-	?	+	?	+
Compliance acceptable	+	?	+	+	+	+
Withdrawal/drop-out rate acceptable	+	+	+	+	+	+
Timing of outcome assessment similar	+	+	+	+	+	+
Intention to treat analyses	+/-	+	+	+	-	+

Citation: Hateren KJV, Landman GW, Logtenberg SJ, Bilo HJ, Kleefstra N. Device-guided breathing exercises for the treatment of hypertension: An overview. World J Cardiol 2014; 6(5): 277-282
URL: https://www.wjgnet.com/1949-8462/full/v6/i5/277.htm
DOI: https://dx.doi.org/10.4330/wjc.v6.i5.277