Inspiratory muscle training reduces blood pressure and sympathetic activity in hypertensive patients: A randomized controlled trial

International Journal of Cardiology

Volumn 166, Issue 1, 2013, Pages 61-67

  Ferreira, Janaína Barcellos ^a   Plentz, Rodrigo Della Méa ^a   Stein, Cinara ^a   Casali, Karina Rabello ^b   Arena, Ross ^c   Lago, Pedro Dal ^a  

^a UNIVERSIDADE FEDERAL DE CIÊNCIAS DA SAÚDE DE PORTO ALEGRE   (Brazil)

^b INSTITUTO DE CARDIOLOGIA DO RIO GRANDE DO SUL   (Brazil)

^c UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE   (United States)

Author keywords

Autonomic nervous system; Breathing exercises; Hypertension; Inspiratory muscle training

Indexed keywords

ADRENERGIC TRANSMISSION; ADULT; ARTERIAL PRESSURE; ARTICLE; BLOOD PRESSURE MONITORING; BLOOD PRESSURE REGULATION; BREATHING EXERCISE; BREATHING MUSCLE; CARDIOPULMONARY EXERCISE TEST; CHOLINERGIC ACTIVITY; CLINICAL ARTICLE; CLINICAL EFFECTIVENESS; CONTROLLED STUDY; DIASTOLIC BLOOD PRESSURE; DOUBLE BLIND PROCEDURE; ESSENTIAL HYPERTENSION; FEMALE; HEART RATE VARIABILITY; HUMAN; INSPIRATORY MUSCLE TRAINING; MALE; MUSCLE STRENGTH; NEUROMODULATION; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RR INTERVAL; SYMPATHETIC TONE; SYSTOLIC BLOOD PRESSURE; THERAPY EFFECT; TREATMENT DURATION; TREATMENT OUTCOME;

ADULT; AGED; BLOOD PRESSURE; BREATHING EXERCISES; DIAPHRAGM; DOUBLE-BLIND METHOD; FEMALE; HUMANS; HYPERTENSION; INHALATION; MALE; MIDDLE AGED; PROSPECTIVE STUDIES; SYMPATHETIC NERVOUS SYSTEM;

EID: 84877753083     PISSN: 01675273     EISSN: 18741754     Source Type: Journal    
DOI: 10.1016/j.ijcard.2011.09.069     Document Type: Article

References (32)

1. A. Malliani, M. Pagani, F. Lombardi, R. Furlan, S. Guzzetti, and S. Cerutti Spectral analysis to assess increased sympathetic tone in arterial hypertension Hypertension 17 III 1991 36 42
2. R.D. Brook, and S. Julius Autonomic imbalance, hypertension, and cardiovascular risk Am J Hypertens 13 2000 112S 122S
3. M. Pagani, V. Somers, and R. Furlan Changes in autonomic regulation induced by physical training in mild hypertension Hypertension 12 1988 600 610
4. G. Mancia Bjorn Folkow Award Lecture. The sympathetic nervous system in hypertension J Hypertens 15 1997 1553 1565
5. A.V. Chobanian, G.L. Bakris, and H.R. Black The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report JAMA 289 2003 2560 2572
6. V.V. Panfilov, and J.L. Reid Brain and autonomic mechanisms in hypertension J Hypertens 12 1994 337 343
7. E. Meles, C. Giannattasio, M. Failla, G. Gentile, A. Capra, and G. Mancia Nonpharmacologic treatment of hypertension by respiratory exercise in the home setting Am J Hypertens 17 2004 370 374
8. P.A. Modesti, A. Ferrari, and C. Bazzini Psychological predictors of the antihypertensive effects of music-guided slow breathing J Hypertens 28 2010 1097 1103
9. C. Binggeli, I. Sudano, and R. Corti Spontanous periodic breathing is associated with sympathetic hyperreactivity and baroreceptor dysfunction in hypertension J Hypertens 28 2010 985 992
10. E. Grossman, A. Grossman, M.H. Schein, R. Zimlichman, and B. Gavish Breathing-control lowers blood pressure J Hum Hypertens 15 2001 263 269
11. C.N. Joseph, C. Porta, and G. Casucci Slow breathing improves arterial baroreflex sensitivity and decreases blood pressure in essential hypertension Hypertension 46 2005 714 718
12. C.H. Pinheiro, R.A. Medeiros, D.G. Pinheiro, and J. Marinho Mde Spontaneous respiratory modulation improves cardiovascular control in essential hypertension Arq Bras Cardiol 88 2007 651 659
13. M.H. Schein, B. Gavish, and M. Herz Treating hypertension with a device that slows and regularises breathing: a randomised, double-blind controlled study J Hum Hypertens 15 2001 271 278
14. C.M. St Croix, B.J. Morgan, T.J. Wetter, and J.A. Dempsey Fatiguing inspiratory muscle work causes reflex sympathetic activation in humans J Physiol 529 Pt 2 2000 493 504
15. M. Mourya, A.S. Mahajan, N.P. Singh, and A.K. Jain Effect of slow- and fast-breathing exercises on autonomic functions in patients with essential hypertension J Altern Complement Med 15 2009 711 717
16. P. Dall'Ago, G.R. Chiappa, H. Guths, R. Stein, and J.P. Ribeiro Inspiratory muscle training in patients with heart failure and inspiratory muscle weakness: a randomized trial J Am Coll Cardiol 47 2006 757 763
17. M.R. Miller, J. Hankinson, and V. Brusasco Standardisation of spirometry Eur Respir J 26 2005 319 338
18. K.F. Schulz, D.G. Altman, and D. Moher CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials (Chinese version) Zhong Xi Yi Jie He Xue Bao 8 2010 604 612
19. E. O'Brien, T. Pickering, and R. Asmar Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults Blood Press Monit 7 2002 3 17
20. Association for the advancement of Medical Instrumentation American national standard for electronic or automated sphymomanometers 1987 AAMI Arlingon, VA
21. A. Casali, and K. Casali The SiSyPhus Project: BioMedical Data Analysis Package. Version 1.01b 2007 Milan University of Milan
22. A. Martinez, C. Lisboa, and J. Jalil Selective training of respiratory muscles in patients with chronic heart failure Rev Med Chil 129 2001 133 139
23. P.H. Johnson, A.J. Cowley, and W.J. Kinnear A randomized controlled trial of inspiratory muscle training in stable chronic heart failure Eur Heart J 19 1998 1249 1253
24. M. Beckerman, R. Magadle, M. Weiner, and P. Weiner The effects of 1 year of specific inspiratory muscle training in patients with COPD Chest 128 2005 3177 3182
25. J.M. Ruiz de Ona Lacasta, J. Garcia de Pedro, L. Puente Maestu, D. Llorente Inigo, J. Celdran Gil, and J.M. Cubillo Marcos [Effects of muscle training on breathing pattern in patients with severe chronic obstructive pulmonary disease] Arch Bronconeumol 40 2004 20 23
26. V.K. Somers, A.L. Mark, and F.M. Abboud Potentiation of sympathetic nerve responses to hypoxia in borderline hypertensive subjects Hypertension 11 1988 608 612
27. L. Bernardi, A. Gabuttia, C. Portaa, and L. Spicuzzab Slow breathing reduces chemorēex response to hypoxia and hypercapnia, and increases baroreflex sensitivity J Hypertens 19 2001 2221 2229
28. L. Bernardi, C. Porta, and L. Spicuzza Slow breathing increases arterial baroreflex sensitivity in patients with chronic heart failure Circulation 105 2002 143 145
29. B. Oneda, K.C. Ortega, J.L. Gusmao, T.G. Araujo, and D. Mion Jr. Sympathetic nerve activity is decreased during device-guided slow breathing Hypertens Res 33 2010 708 712
30. A.W. Sheel, P.A. Derchak, B.J. Morgan, D.F. Pegelow, A.J. Jacques, and J.A. Dempsey Fatiguing inspiratory muscle work causes reflex reduction in resting leg blood flow in humans J Physiol 537 2001 277 289
31. J.M. Hill Discharge of group IV phrenic afferent fibers increases during diaphragmatic fatigue Brain Res 856 2000 240 244
32. European Society of Cardiology Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology Eur Heart J 1996/03/01 354 381 ed1996