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A pilot study investigating the relationship between heart rate variability and blood pressure in young adults at
Linda P Bolin1, Amelia D Saul2, Lauren L Bethune Scroggs2
1College of Nursing, East Carolina University, Greenville, United States. bolinl@ecu.edu.
Insights
Heart rate variability biofeedback training improved heart rate variability and may reduce diastolic blood pressure in individuals with a family history of cardiovascular disease.
Area of Science:
- Cardiology
- Autonomic Nervous System Function
- Biofeedback Interventions
Background:
- Cardiovascular disease (CVD) and hypertension are leading global causes of premature death.
- Family history of CVD and hypertension increases individual risk.
- Autonomic cardiac control significantly impacts cardiac function.
Purpose of the Study:
- To evaluate the effectiveness of heart rate variability (HRV) biofeedback training.
- To assess HRV and blood pressure changes in individuals with a family history of CVD.
Main Methods:
- 34 participants (76.5% female, mean age 22.7 years) underwent baseline assessment.
- Participants engaged in a short-term HRV protocol and two weeks of at-home paced breathing via smartphone app.
- Post-intervention reassessment occurred in a biofeedback clinic.
Main Results:
- Significant increases in Standard Deviation of NN intervals (SDNN) and Total Power (TP) were observed post-intervention (p < .05).
- A medium effect size (r = .41) was found between diastolic blood pressure and high-frequency HRV.
- No significant impact on diastolic or systolic blood pressure was detected via multiple regression analysis.
Conclusions:
- A two-week paced breathing intervention shows potential for reducing heart rate and diastolic blood pressure.
- The intervention demonstrated improvements in heart rate variability.
- Findings suggest HRV biofeedback may be a beneficial tool for managing cardiovascular risk factors.
Background:
Cardiovascular disease is one of the leading causes of death globally with hypertension being a primary cause of premature death from this disease process. Individuals with a family history of cardiovascular disease and hypertension are at a greater risk for developing the same sequela. Autonomic cardiac control is important in the level of cardiac function. One intervention that is effective in improving cardiovascular function is heart rate variability biofeedback training. The purpose of our study was to determine the effectiveness of heart rate biofeedback training on HRV and blood pressure in individuals with a family history of cardiovascular disease.
Methods:
Thirty-four participants (76.5% female, 22.7 ± 4.3 years) completed a baseline assessment and training using an established short-term HRV protocol followed by two weeks of at-home paced breathing employing a smartphone application. The participants were then reassessed in a biofeedback clinic.
Results:
The participants physiological measures showed a significant increase in means between pre and post intervention of SDNN (t (32) = 2.177, p =.037) and TP, (t (32) = 2.327 p = .026). Correlation noted a medium effect on diastolic blood pressure and high frequency heart rate variability, F, r = .41, n =33, p < .05. A multiple regression with all predictor variables in the model found no significance with diastolic and systolic blood pressure.
Conclusions:
The findings from this pilot study demonstrated that a two-week paced breathing intervention may assist in reducing heart rate and diastolic blood pressure while improving heart rate variability.
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