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Updated: Nov 23, 2025

Investigation into Deep Breathing through Measurement of Ventilatory Parameters and Observation of Breathing Patterns
Published on: September 16, 2019
Acute Effects on Heart Rate Variability during Slow Deep Breathing.
V Malhotra1, R Bharshankar, N Ravi
1Dr Varun Malhotra, Associate Professor, Department of Physiology, AIIMS, Saket Nagar, Bhopal, India; E-mail: varun. physiology@ aiimsbhopal.edu.in.
Slow deep breathing (SDB) significantly enhances heart rate variability (HRV), indicating increased parasympathetic activity and a calmer heart. This yogic breathing technique may benefit cardiovascular autonomic regulation.
Area of Science:
- Cardiovascular Physiology
- Autonomic Nervous System Regulation
- Integrative Medicine
Background:
- Slow deep breathing (SDB) modulates cardiovascular control, with practices like pranayama widely used.
- The specific effects of SDB with equal inhalation, breath-hold, and exhalation phases on Heart Rate Variability (HRV) are not well-documented.
Purpose of the Study:
- To analyze the changes in HRV during a specific pattern of SDB (equal counts for inhalation, holding, exhalation) with fewer than 4 breaths per minute.
- To investigate the impact of this pranayama technique on cardiovascular autonomic regulation.
Main Methods:
- Observational study on 30 Kriya yogi volunteers with 10-20 years of practice.
- SDB protocol: 5 minutes of slow, deep nasal breathing with a 15-second count for inhalation, breath-hold, and exhalation.
- ECG recordings for HRV analysis using a specialized system; paired t-test for comparing resting and during-maneuver parameters.
Main Results:
- Significant increases in time-domain HRV parameters (SDNN, RMSSD) during SDB.
- Significant increases in frequency-domain HRV parameters (LF, HF, LF/HF ratio) during SDB.
- Statistically significant decrease in heart rate after 5 minutes of SDB, indicating increased parasympathetic activity.
Conclusions:
- SDB with equal breath phases significantly enhances HRV, suggesting increased parasympathetic activity and improved cardiovascular autonomic regulation.
- This slow yogic breathing technique may be a physiological method to enhance cardio-vagal reserve.
- Regular practice of SDB (pranayama) may offer cardiovascular benefits in both healthy individuals and those with cardiovascular diseases.
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