Heart Rate Variability Biofeedback
Abstract
Objectives To present additional analysis of data from a previously published study showing that biofeedback training to increase heart rate variability (HRV) can be an effective component in asthma treatment. HRV and intervention-related changes in HRV are negatively correlated with age. Here we assess the effects of age on biofeedback effects for asthma. Design Ten sessions of HRV biofeedback were administered to 45 adults with asthma. Medication was prescribed by blinded physicians according to National Heart, Lung, and Blood Institute criteria. Medication needs were reassessed biweekly. Results Decreases in need for controller medication were independent of age. There were larger acute decreases in forced oscillation frequency dependence in the older group but larger increases in HRV variables in the younger group. Differences between age groups were smaller among subjects trained in pursed-lips abdominal breathing as well as biofeedback, than among those receiving only biofeedback. Conclusions Age-related attenuation of biofeedback effects on cardiovascular variability does not diminish the usefulness of the method for treating asthma among older patients. Additional training in pursed-lips abdominal breathing obliterates the effects of age on HRV changes during biofeedback.
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Learning to voluntarily increase HF-HRV through biofeedback has beneficial effects for diverse medical and psychopathological conditions such as asthma, cardiovascular disease, depression, and PTSD.
“Learning to voluntarily increase HF-HRV through biofeedback also has beneficial effects for diverse medical and psychopathological conditions such as asthma31,32, cardiovascular disease33, depression34, and PTSD35.”
From Voluntary upregulation of heart rate variability through biofeedback is improved by mental contemplative training (2019) · cites this paper as [32]
The ability to increase HF-HRV through slower breathing has been linked to symptom reduction in a variety of bodily and mental disorders, such as cardiovascular and pulmonary disease, as well as depression and PTSD, making these findings clinically relevant.
“The ability to increase HF-HRV through slower breathing has been linked to symptom reduction in a variety of bodily and mental disorders, such as cardiovascular33 and pulmonary disease31,32, as well as depression34 and PTSD35, making these findings clinically relevant.”
From Voluntary upregulation of heart rate variability through biofeedback is improved by mental contemplative training (2019) · cites this paper as [32]
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- Authors
- Lehrer, P., Vaschillo, E., Lu, S.-E., Eckberg, D., Vaschillo, B., Scardella, A., & Habib, R.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- University of Public Health Yangon (MM)
- Virginia Commonwealth University (US)
- Mercy Children's Hospital (US)
- Corresponding author
- Lehrer, Paul
- Venue
- Chest
- Publisher
- Elsevier BV
- Published
- 2006-02
- Volume
- 129
- Issue
- 2
- Pages
- 278-284
- ISSN
- 0012-3692 (ISSN-L)
- OpenAlex
- W2163887272
- Cited by
- 136
- References
- 19
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 9 · 2023: 9 · 2022: 7 · 2021: 5 · 2020: 6 · 2019: 11 · 2018: 6 · 2017: 3 · 2016: 9 · 2015: 9 · 2014: 14 · 2013: 7 · 2012: 15
- FWCI
- 2.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- CHEST Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL58805, R01HL058805)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- heart rate variability biofeedback, asthma, age effects, cardiovascular variability, elderly patients
- MeSH terms
- Adolescent, Adult, Aged, Aging, Asthma, Biofeedback, Psychology, Female, Heart Rate, Humans, Male, Middle Aged, Single-Blind Method, Baroreflex
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