Browse > Article
http://dx.doi.org/10.13048/jkm.16019

The Effects of Breath-Counting Meditation and Deep Breathing on Heart Rate Variability  

Kim, Ji-Hwan (Department of Sasang Constitutional Medicine, College of Korean Medicine, Dongguk University)
Bae, Hyo-Sang (Department of Sasang Constitutional Medicine, College of Korean Medicine, Dongguk University)
Park, Seong-Sik (Department of Sasang Constitutional Medicine, College of Korean Medicine, Dongguk University)
Publication Information
The Journal of Korean Medicine / v.37, no.2, 2016 , pp. 36-44 More about this Journal
Abstract
Objectives: This study aimed to evaluate the effects of breath-counting meditation (BCM) and deep breathing (DB) on heart rate variability (HRV). These breathing techniques have the characteristics of non-paced and self-controlled breathings, resulting in less increase of HRV. We also compared BCM and DB with usual breathing (UB) or relaxing breathing (RB) which can reveal the characteristics of those. Methods: 83 healthy volunteers sitting in chairs performed non-paced breathing; UB, RB, BCM, and DB each for 5 minutes. One minute of relaxation was permitted between breathings. Participants surfed the internet sitting in front of a computer during UB, while for RB, they remained steady with eyes closed. For BCM, they breathed inwardly counting from 1 to 10 repetitively, while they took a deep breath during DB. Physiological indices were simultaneously recorded with a biofeedback system. Results: Respiration rate, thoracic amplitude, and mean heart rate decreased in RB compared with UB, but there was no change in HRV. Respiration rate in BCM and DB was lower than that in UB or RB, and the amplitude of thorax or abdomen, and HRV all increased (p<0.05). However, mean heart rate and skin conductance decreased in BCM compared with UB (p<0.05), whereas those were no different between DB and UB. Conclusion: BCM, just concentrating mentally on breathing with counting each breath, can increase HRV with less sympathetic activation, while DB, actively moving thorax and abdomen for achieving the deepest respiration rate, can greatly raise HRV with the maintenance of mean vagal or sympathetic tone.
Keywords
Usual breathing; Relaxing breathing; Breath-counting meditation; Deep breathing; Heart rate variability; Biofeedback;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Chan AS, Cheung M-C, Sze SL, Leung WW-M, Shi D. Shaolin dantian breathing fosters relaxed and attentive mind: a randomized controlled neuro-electrophysiological study. Evid Based Complement Alternat Med. 2001;180704.
2 Ando M, Morita T, Akechi T, Ifuku Y. A qualitative study of mindfulness-based meditation therapy in Japanese cancer patients. Support Care Cancer. 2011;19(7):929-33.   DOI
3 Driscoll D, Dicicco G. The effects of metronome breathing on the variability of autonomic activity measurements. J Manipulative Physiol Ther. 2000;23(9):610-4.   DOI
4 Cooke WH, Cox JF, Diedrich AM, Taylor JA, Beightol LA, Ames JE, et al. Controlled breathing protocols probe human autonomic cardiovascular rhythms. Am J Physiol. 1998;274(2):H709-18.
5 Khan HM, Ahmed B, Choi J, Gutierrez-Osuna R. Using an ambulatory stress monitoring device to identify relaxation due to untrained deep breathing. Conf Proc Annu Int Conf IEEE Eng Med Biol Soc. IEEE Eng Med Biol Soc Annu Conf. 2013;1744-7.
6 Taylor JA, Myers CW, Halliwill JR, Seidel H, Eckberg DL. Sympathetic restraint of respiratory sinus arrhythmia: implications for vagal-cardiac tone assessment in humans. Am J Physiol Heart Circ Physiol. 2001;280:H2804-14.   DOI
7 Gevirtz R. The Promise of Heart Rate Variability Biofeedback: Evidence-Based Applications. Biofeedback. 2013;41(3):110-20.   DOI
8 Jan BU, Coyle SM, Oikawa LO, Lu S-E, Calvano SE, Lehrer PM, et al. Influence of acute epinephrine infusion on endotoxin-induced parameters of heart rate variability: a randomized controlled trial. Ann Surg. 2009;249(5):750-760.   DOI
9 Schroeder EB, Liao D, Chambless LE, Prineas RJ, Evans GW, Heiss G. Hypertension, Blood Pressure, and Heart Rate Variability The Atherosclerosis Risk in Communities (ARIC) Study. Hypertension. 2003;42(6):1106-11.   DOI
10 Busch V, Magerl W, Kern U, Haas J, Hajak G, Eichhammer P. The effect of deep and slow breathing on pain perception, autonomic activity, and mood processing-an experimental study. Pain Med Malden Mass. 2012;13(2):215-28.   DOI
11 Turankar AV, Jain S, Patel SB, Sinha SR, Joshi AD, Vallish BN, et al. Effects of slow breathing exercise on cardiovascular functions, pulmonary functions & galvanic skin resistance in healthy human volunteers - a pilot study. Indian J Med Res. 2013;137(5):916-21.
12 Hirsch JA, Bishop B. Respiratory sinus arrhythmia in humans: how breathing pattern modulates heart rate. Am J Physiol. 1981;241(4):.H620-9.
13 Rahman F, Pechnik S, Gross D, Sewell L, Goldstein DS. Low frequency power of heart rate variability reflects baroreflex function, not cardiac sympathetic innervation. ClinAuton Res. 2011;21(3):133-41.
14 Perini R, Veicsteinas A. Heart rate variability and autonomic activity at rest and during exercise in various physiological conditions. Eur J Appl Physiol. 2003;90(3-4):317-25.   DOI
15 Malliani A. Heart rate variability: from bench to bedside. Eur J Intern Med. 2005;16(1):12-20.   DOI
16 Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability, Standards of measurement, physiological interpretation, and clinical use.Eur Heart J. 1996;17(3):354-81.   DOI
17 Coumel P, Maison-Blanche P, Catuli D. Heart rate and heart rate variability in normal young adults. J Cardiovasc Electrophysiol. 1994;5(11): 899-911.   DOI
18 Sztajzel J. Heart rate variability: a noninvasive electrocardiographic method to measure the autonomic nervous system. Swiss Med Wkly. 2004;134(35-36):514-22.
19 Chiesa A. Zen meditation: an integration of current evidence. J Altern Complement Med. 2009;15(5):585-92.   DOI
20 Prinsloo GE, Derman WE, Lambert MI, Laurie Rauch HG. The effect of a single session of short duration biofeedback-induced deep breathing on measures of heart rate variability during laboratory -induced cognitive stress: a pilot study. Appl Psychophysiol Biofeedback. 2013; 38:81-90.   DOI
21 Vaschillo EG, Vaschillo B, Lehrer PM. Characteristics of resonance in heart rate variability stimulated by biofeedback. Appl Psychophysiol Biofeedback, 2006;31(2):129-42.   DOI
22 Brown RP, Gerbarg PL. Yoga breathing, meditation, and longevity. Annals of the New York Academy of science. 2009;1172:54-62.   DOI
23 Eckberg DL, Eckberg MJ. Human sinus node responses to repetitive, ramped carotid baroreceptor stimuli. Am J Physiol. 1982;242(4):H638-44.
24 Grossman P, Taylor EW. Toward understanding respiratory sinus arrhythmia: relations to cardiac vagal tone, evolution and biobehavioral functions. Biol Psychol. 2007;74(2):263-85.   DOI
25 Benchetrit G. Breathing pattern in humans: diversity and individuality. Respir Physiology. 2000;122(2-3):123-9.   DOI
26 Barnes VA, Pendergrast RA, Harshfield GA, Treiber FA. Impact of breathing awareness meditation on ambulatory blood pressure and sodium handling in prehypertensive African American adolescents.Ethnicity & Disease. 2008; 18(1):1-5.