Efficacy of device-guided breathing for hypertension in blinded, randomized, active-controlled trials: A meta-analysis of individual patient data

JAMA Internal Medicine

Volumn 174, Issue 11, 2014, Pages 1815-1821

  Landman, Gijs W D ^a,b   Van Hateren, Kornelis J J ^a   Van Dijk, Peter R ^a   Logtenberg, Susan J J ^a,c   Houweling, Sebastiaan T ^a   Groenier, Klaas H ^a,c   Bilo, Henk J G ^a,c   Kleefstra, Nanne ^a,c  

^a Lsala Clinics   (Netherlands)

^b GELRE HOSPITALS   (Netherlands)

^c UNIVERSITY MEDICAL CENTER GRONINGEN   (Netherlands)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BLOOD PRESSURE; CARDIOVASCULAR EQUIPMENT; COCHRANE LIBRARY; DEVICE GUIDED BREATHING; DIASTOLIC BLOOD PRESSURE; EMBASE; FOLLOW UP; HUMAN; HYPERTENSION; MEDLINE; MUSIC THERAPY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); SYSTOLIC BLOOD PRESSURE; BREATHING EXERCISE; META ANALYSIS;

BLOOD PRESSURE; BREATHING EXERCISES; HUMANS; HYPERTENSION; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 84925282937     PISSN: 21686106     EISSN: 21686114     Source Type: Journal    
DOI: 10.1001/jamainternmed.2014.4336     Document Type: Article

References (29)

1. Brook RD, Appel LJ, Rubenfire M, et al American Heart Association Professional Education Committee of the Council for High Blood Pressure Research, Council on Cardiovascular and Stroke Nursing, Council on Epidemiology and Prevention, and Council on Nutrition, Physical Activity. Beyond medications and diet: alternative approaches to lowering blood pressure: a scientific statement from the American Heart Association. Hypertension. 2013;61(6):1360-1383.
2. He FJ, MacGregor GA. A comprehensive review on salt and health and current experience of worldwide salt reduction programmes. J Hum Hypertens. 2009;23(6):363-384.
3. Minami J, Ishimitsu T, Matsuoka H. Effects of smoking cessation on blood pressure and heart rate variability in habitual smokers. Hypertension. 1999; 33(1, pt 2):586-590.
4. Appel LJ, Champagne CM, Harsha DW, et al Writing Group of the PREMIER Collaborative Research Group. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. JAMA. 2003; 289(16):2083-2093.
5. Mahtani KR, Nunan D, Heneghan CJ. Device-guided breathing exercises in the control of human blood pressure: systematic review and meta-analysis. J Hypertens. 2012;30(5):852-860.
6. Grossman E, Grossman A, Schein MH, Zimlichman R, Gavish B. Breathing-control lowers blood pressure. J Hum Hypertens. 2001;15(4):263-269.
7. Take hypertension meds before bedtime. RESPeRATE website. http://www.resperate.com/medications-and-side-effects/take-hypertension-meds-before-bedtime. Published October 20, 2013. Accessed May 15, 2014.
8. Parati G, Carretta R. Device-guided slow breathing as a non-pharmacological approach to antihypertensive treatment: efficacy, problems and perspectives. J Hypertens. 2007;25(1):57-61.
9. American Heart Association. Hypertension primer: the essentials of high blood pressure. In: Izzo JL Jr, Black HR, ed. Respiration and Blood Pressure. New York, NY: Lippincott, Williams &Wilkins; 2003.
10. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. doi: 10.1371/journal.pmed1000097.
11. Higgins JPT, Green S, eds. Cochrane handbook for systematic reviews of interventions: version 5.1.0. The Cochrane Collaboration. http://www.cochrane-handbook.org. Updated March 2011. Accessed October 4, 2014.
12. De Angelis C, Drazen JM, Frizelle FA, et al International Committee of Medical Journal Editors. Clinical trial registration: a statement from the International Committee of Medical Journal Editors. N Engl J Med. 2004;351(12):1250-1251.
13. De Angelis CD, Drazen JM, Frizelle FA, et al International Committee of Medical Journal Editors. Is this clinical trial fully registered? a statement from the International Committee of Medical Journal Editors. N Engl J Med. 2005;352(23):2436-2438.
14. Slow breathing may lower blood pressure. Health News. 2003;9(7):8-9.
15. RESPeRATE for hypertension. Med Lett Drugs Ther. 2007;49(1264):55-56.
16. Altena MR, Kleefstra N, Logtenberg SJ, Groenier KH, Houweling ST, Bilo HJ. Effect of device-guided breathing exercises on blood pressure in patients with hypertension: a randomized controlled trial. Blood Press. 2009;18 (5):273-279.
17. Anderson DE, McNeely JD, Windham BG. Regular slow-breathing exercise effects on blood pressure and breathing patterns at rest. J Hum Hypertens. 2010;24(12):807-813.
18. Dowdall SA. Breathing techniques that help reduce hypertension. RN. 1977;40(10):73, 76.
19. ElliotWJ, Izzo JL Jr, White WB, et al. Graded blood pressure reduction in hypertensive outpatients associated with use of a device to assist with slow breathing. J Clin Hypertens (Greenwich). 2004;6(10):553-561.
20. Landman GW, Drion I, van Hateren KJ, et al. Device-guided breathing as treatment for hypertension in type 2 diabetes mellitus: a randomized, double-blind, sham-controlled trial. JAMA Intern Med. 2013;173(14):1346-1350.
21. Logtenberg SJ, Kleefstra N, Houweling ST, Groenier KH, Bilo HJ. Effect of device-guided breathing exercises on blood pressure in hypertensive patients with type 2 diabetes mellitus: a randomized controlled trial. J Hypertens. 2007;25 (1):241-246.
22. Meles E, Giannattasio C, Failla M, Gentile G, Capra A, Mancia G. Nonpharmacologic treatment of hypertension by respiratory exercise in the home setting. Am J Hypertens. 2004;17(4):370-374.
23. Modesti PA, Ferrari A, Bazzini C, et al. Psychological predictors of the antihypertensive effects of music-guided slow breathing. J Hypertens. 2010;28(5):1097-1103.
24. Mourya M, Mahajan AS, Singh NP, Jain AK. Effect of slow- and fast-breathing exercises on autonomic functions in patients with essential hypertension. J Altern Complement Med. 2009;15 (7):711-717.
25. Robb-Nicholson C. By the way, doctor: I've heard you can lower your blood pressure by using a breathing device called RESPeRATE: do you know anything about this? HarvWomens HealthWatch. 2005;12(11):8.
26. ScheinM, Grossman E, Rosenthal T, et al. Treating high blood pressure by device-guided paced breathing in the home setting: an evidence-based approach. J Hum Hypertens. 2005; 19(10):845-846.
27. Schein MH, Gavish B, HerzM, et al. Treating hypertension with a device that slows and regularises breathing: a randomised, double-blind controlled study. J Hum Hypertens. 2001;15(4):271-278.
28. Desai M, Stockbridge N, Temple R. Blood pressure as an example of a biomarker that functions as a surrogate. AAPS J. 2006;8(1):e146-e152. doi:10.1208/aapsj080117.
29. Guyatt G, Oxman AD, Akl EA, et al. GRADE guidelines, 1: introduction-GRADE evidence profiles and summary of findings tables. J Clin Epidemiol. 2011;64(4):383-394.