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Updated: Nov 12, 2025

Quantitative Autonomic Testing
Published on: July 19, 2011
Cardiac Autonomic Nervous System Activity during Slow Breathing in Supine Position
Satoru Kai1, Koji Nagino1, Takuma Aoki1
1Division of Physical Therapy, Department of Rehabilitation Sciences, Faculty of Allied Health Sciences, Kansai University of Welfare Sciences, 3-11-1 Asahigaoka, Kashiwara City, Osaka 582-0026, Japan.
Slow breathing exercises in a supine position increase the LF/HF ratio, indicating altered cardiac autonomic nervous system activity. This change may be linked to increased airway resistance during the breathing maneuver.
Area of Science:
- Physiology
- Autonomic Nervous System
- Respiratory Physiology
Background:
- Slow breathing exercises are known to influence the autonomic nervous system.
- Understanding the specific impact on cardiac autonomic function during supine slow breathing is crucial for optimizing training protocols.
- Previous research has not fully elucidated the cardiac autonomic responses to slow breathing in a controlled supine posture.
Purpose of the Study:
- To investigate the effects of slow breathing exercises in a supine position on cardiac autonomic nervous system activity.
- To quantify changes in heart rate variability parameters during and after slow breathing.
- To explore potential physiological mechanisms, such as airway resistance, contributing to observed changes.
Main Methods:
- Eighteen healthy young males participated in the study.
- Heart rate variability (HRV) was measured for three 5-minute periods: baseline rest, during slow breathing, and post-breathing rest.
- The low-frequency to high-frequency (LF/HF) ratio and high-frequency (HF) power were analyzed.
Main Results:
- The LF/HF ratio significantly increased during slow breathing compared to rest.
- No significant change was observed in HF power during the slow breathing period.
- The increase in the LF/HF ratio suggests a shift towards sympathetic dominance or altered sympathovagal balance.
Conclusions:
- Slow breathing exercises in a supine position appear to modulate cardiac autonomic nervous system activity, primarily by increasing the LF/HF ratio.
- The observed increase in the LF/HF ratio may be associated with increased airway resistance, a factor that warrants further investigation.
- These findings provide insights into the physiological adaptations occurring during supine slow breathing exercises.
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