Evidence map›Paper›PMID 39050620›Full record

ArticleIEEE journal of translational engineering in health and medicine2024

Benefits From Different Modes of Slow and Deep Breathing on Vagal Modulation.

Deshan Ma, Conghui Li, Wenbin Shi, Yong Fan, Hong Liang, Lixuan Li, Zhengbo Zhang, Chien-Hung Yeh

Abstract read
In one paragraph

Article in IEEE journal of translational engineering in health and medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Deshan MaSchool of Information and ElectronicsBeijing Institute of Technology Beijing 100811 China.ORCID 0009-0003-6073-1382
Conghui LiDepartment of Child Rehabilitation MedicineThe Fifth Affiliated Hospital of Zhengzhou University Zhengzhou Henan 450052 China.
Wenbin ShiSchool of Information and ElectronicsBeijing Institute of Technology Beijing 100811 China.ORCID 0000-0002-4332-6305
Yong FanCentre for Artificial Intelligence in MedicineMedical Innovation Research DepartmentChinese PLA General Hospital Beijing 100036 China.
Hong LiangCentre for Artificial Intelligence in MedicineMedical Innovation Research DepartmentChinese PLA General Hospital Beijing 100036 China.
Lixuan LiCentre for Artificial Intelligence in MedicineMedical Innovation Research DepartmentChinese PLA General Hospital Beijing 100036 China.ORCID 0009-0007-9041-4272
Zhengbo ZhangCentre for Artificial Intelligence in MedicineMedical Innovation Research DepartmentChinese PLA General Hospital Beijing 100036 China.
Chien-Hung YehSchool of Information and ElectronicsBeijing Institute of Technology Beijing 100811 China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Slow and deep breathing (SDB) is a relaxation technique that can increase vagal activity. Respiratory sinus arrhythmia (RSA) serves as an index of vagal function usually quantified by the high-frequency power of heart rate variability (HRV). However, the low breathing rate during SDB results in deviations when estimating RSA by HRV. Besides, the impact of the inspiration-expiration (I: E) ratio and guidelines ways (fixed breathing rate or intelligent guidance) on SDB is not yet clear. In our study, 30 healthy people (mean age = 26.5 years, 17 females) participated in three SDB modes, including 6 breaths per minute (bpm) with an I:E ratio of 1:1/ 1:2, and intelligent guidance mode (I:E ratio of 1:2 with guiding to gradually lower breathing rate to 6 bpm). Parameters derived from HRV, multimodal coupling analysis (MMCA), Poincaré plot, and detrended fluctuation analysis were introduced to examine the effects of SDB exercises. Besides, multiple machine learning methods were applied to classify breathing patterns (spontaneous breathing vs. SDB) after feature selection by max-relevance and min-redundancy. All vagal-activity markers, especially MMCA-derived RSA, statistically increased during SDB. Among all SDB modes, breathing at 6 bpm with a 1:1 I:E ratio activated the vagal function the most statistically, while the intelligent guidance mode had more indicators that still significantly increased after training, including SDRR and MMCA-derived RSA, etc. About the classification of breathing patterns, the Naive Bayes classifier has the highest accuracy (92.2%) with input features including LFn, CPercent, pNN50, [Formula: see text], SDRatio, [Formula: see text], and LF. Our study proposed a system that can be applied to medical devices for automatic SDB identification and real-time feedback on the training effect. We demonstrated that breathing at 6 bpm with an I:E ratio of 1:1 performed best during the training phase, while intelligent guidance mode had a more long-lasting effect.

Indexed as

Breathing ExercisesHeart RateVagus NerveAdultElectrocardiographyFemaleHumansMachine LearningMaleRespirationRespiratory RateRespiratory Sinus ArrhythmiaSignal Processing, Computer-AssistedYoung Adultdetrended fluctuation analysis (DFA)heart rate variability (HRV)inspiration-expiration ratiomultimodal coupling analysis (MMCA)Slow deep breathing

Identifiers

PMID39050620
PMCPMC11268930

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.