Heart rate variability biofeedback in chronic disease management: A systematic review.
Autonomic function
Chronic disease
Heart rate variability biofeedback
Non-pharmacological intervention
Symptom management
Journal
Complementary therapies in medicine
ISSN: 1873-6963
Titre abrégé: Complement Ther Med
Pays: Scotland
ID NLM: 9308777
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
09
09
2020
revised:
08
06
2021
accepted:
08
06
2021
pubmed:
13
6
2021
medline:
25
11
2021
entrez:
12
6
2021
Statut:
ppublish
Résumé
Heart rate variability biofeedback (HRVB) is a non-pharmacological intervention used in the management of chronic diseases. A systematic search was performed according to eligibility criteria including adult chronic patients, HRVB as main treatment with or without control conditions, and psychophysiological outcomes as dependent variables. In total, 29 articles were included. Reported results showed the feasibility of HRVB in chronic patients without adverse effects. Significant positive effects were found in various patient profiles on hypertension and cardiovascular prognosis, inflammatory state, asthma disorders, depression and anxiety, sleep disturbances, cognitive performance and pain, which could be associated with improved quality of life. Improvements in clinical outcomes co-occurred with improvements in heart rate variability, suggesting possible regulatory effect of HRVB on autonomic function. HRVB could be effective in managing patients with chronic diseases. Further investigations are required to confirm these results and recommend the most effective method.
Sections du résumé
BACKGROUND
BACKGROUND
Heart rate variability biofeedback (HRVB) is a non-pharmacological intervention used in the management of chronic diseases.
METHOD
METHODS
A systematic search was performed according to eligibility criteria including adult chronic patients, HRVB as main treatment with or without control conditions, and psychophysiological outcomes as dependent variables.
RESULTS
RESULTS
In total, 29 articles were included. Reported results showed the feasibility of HRVB in chronic patients without adverse effects. Significant positive effects were found in various patient profiles on hypertension and cardiovascular prognosis, inflammatory state, asthma disorders, depression and anxiety, sleep disturbances, cognitive performance and pain, which could be associated with improved quality of life. Improvements in clinical outcomes co-occurred with improvements in heart rate variability, suggesting possible regulatory effect of HRVB on autonomic function.
CONCLUSIONS
CONCLUSIONS
HRVB could be effective in managing patients with chronic diseases. Further investigations are required to confirm these results and recommend the most effective method.
Identifiants
pubmed: 34118390
pii: S0965-2299(21)00091-1
doi: 10.1016/j.ctim.2021.102750
pii:
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
102750Informations de copyright
Copyright © 2021. Published by Elsevier Ltd.