The Buteyko breathing technique in children with asthma: a randomized controlled pilot study

Area of Science:

• Pediatric Respiratory Medicine
• Breathing Techniques
• Asthma Management

Background:

• Limited evidence exists on the Buteyko breathing technique (BBT) for pediatric asthma.
• Previous studies in adults suggest BBT improves asthma control and quality of life, with minimal impact on spirometry.

Purpose of the Study:

• To evaluate the effectiveness of BBT in managing various aspects of asthma in children.
• To assess BBT's impact on medication use, lung function, and quality of life in pediatric asthma patients.

Main Methods:

• A randomized controlled trial involving 32 children (aged 6-15) with partly controlled asthma.
• Children received either Treatment as Usual (TAU) or TAU plus an intensive 5-day BBT program followed by 3 months of home practice.
• Primary outcome was bronchodilator reduction; secondary outcomes included spirometry, FeNO, SpO2, breath-hold tests, and validated asthma questionnaires.

Main Results:

• No significant difference in bronchodilator reduction between groups.
• The Buteyko group showed significant improvements in FEV1 at rest (FEV1_AR) and after ergometry (FEV1_ER).
• The Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLQ) emotional function subscale significantly improved in the Buteyko group.

Conclusions:

• Adding BBT to standard asthma treatment may enhance spirometry outcomes and parental emotional function in children.
• BBT did not lead to short-term reductions in asthma medication for children.
• Further research is needed to confirm long-term effects and optimal integration of BBT in pediatric asthma care.