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Deep Breathing

Deep breathing is a commonly used technique to reduce stress levels. Stress increases cortisol and norepinephrine levels, increases blood pressure and suppresses immune system.

Also, chronic stress has been found to delay wound healing, to promote atherosclerosis, and possibly has detrimental effect on parts of the brain involved in learning, memory, and mood.

Deep breathing works by aiding in lowering the concentration of the stress hormones cortisol and norepinephrine and reducing the other signs of stress in the body.

Other relaxation methods include meditation, yoga, and Tai Chi.

To use the method some use the following Prevention magazine technique: Exhale strongly through the mouth, making a whoosh sound. Breathe in quietly through the nose for a count of 4. Hold your breath for a count of 7; then exhale with the whoosh sound for a count of 8. Repeat the cycle three more times.

Since 2002 (when the Food and Drug Administration cleared it), there has also been a nonprescription medical device called RESPeRATE available for aiding in deep breathing exercises.

The device counts breaths by sensing chest or abdominal movement, and sounds gradually slowing chimes that signal when to inhale and exhale. The users then follow the tone until their breathing slows from the usual 16 to 19 breaths a minute to 10 or fewer.

Deep Breathing - Studies

Brasher, PA, McClelland, KH, Denehy, L, et al Does removal of deep breathing exercises from a physiotherapy program including pre-operative education and early mobilisation after cardiac surgery alter patient outcomes? Aust J Physiother 2003;49,165-173.

Westerdahl, E, Lindmark, B, Eriksson, T, et al The immediate effects of deep breathing exercises on atelectasis and oxygenation after cardiac surgery. Scand Cardiovasc J 2003;37,363-367.

Treating hypertension with a device that slows and regularizes breathing: A randomised, double-blind controlled study. Schein M, Gavish B, Herz M, Rosner-Kahana D, Naveh P, Knishkowy B, Zlotnikov E, Ben-Zvi N, Melmed RN. Journal of Human Hypertension; 2001, 15:271-278.

Breathing-control lowers blood pressure. Grossman E, Grossman A, Schein MH, Zimlichman R, Gavish B. Journal of Human Hypertension; 2001, 15:263-269.

Device-guided breathing exercises reduce blood pressure - Ambulatory and home measurements. Rosenthal T, Alter A, Peleg E, Gavish B.American Journal of Hypertension; 2001, 14:74-76.

Nonpharmacologic Treatment of Hypertension by Respiratory Exercise in the Home Setting. E Meles, C Giannattasio, M Failla, G Gentile, A Capra, G Mancia. American Journal of Hypertension; 2004, 17:370-374.

Graded Blood Pressure Reduction in Hypertensive Outpatients Associated with Use of a Device to Assist with Slow Breathing. W Elliott, J Izzo, Jr., WB White, D Rosing, CS Snyder, A Alter, B Gavish, HR Black. J Clin Hypertens; 2004 6(10): 553-559. Non-Pharmacological Treatment of Resistant Hypertensives by Device-Guided Slow Breathing Exercises. Viskoper , R, Shapira, I, Priluck, R, Mindlin, R, Chornia, L, Laszt, A, Dicker, D, Gavish, B, Alter, A. American Journal of Hypertension; 2003; 16:484-487.

Blood pressure reduction with device-guided breathing: pooled data from 7 controlled studies. W.J. Elliott, H.R. Black, A. Alter, B. Gavish. Journal of Hypertension; 2004, 22(2):S116.


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