Sistema de Salut de Catalunya
[Lalanza JF] Department of Basic Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain. Department of Psychology, UiT The Arctic University of Norway, Tromsø, Norway. [Lorente S] Department of Psychobiology and Methodology of Health Science, Universitat Autònoma de Barcelona, Bellaterra, Spain. Servei de Pediatria, Hospital de Terrassa, Consorci Sanitari de Terrassa, Terrassa, Spain. [Bullich R, García C] Department of Basic Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Losilla JM] Department of Psychobiology and Methodology of Health Science, Universitat Autònoma de Barcelona, Bellaterra, Spain. Sport Research Institute UAB, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Capdevila Ll] Department of Basic Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain. Sport Research Institute UAB, Universitat Autònoma de Barcelona, Bellaterra, Spain. Departament of Basic Psychology, Universitat Autònoma de Barcelona, Bellaterra, Spain
Consorci Sanitari de Terrassa
2023-08-31T11:51:20Z
2023-08-31T11:51:20Z
2023-03-14
Lista de control; Frecuencia cardíaca; Biorretroalimentación psicológica
Llista de control; Freqüència cardíaca; Bioretroalimentació psicològica
Check list; Heart rate; Psychological biofeedback
Heart Rate Variability Biofeedback (HRVB) has been widely used to improve cardiovascular health and well-being. HRVB is based on breathing at an individual's resonance frequency, which stimulates respiratory sinus arrhythmia (RSA) and the baroreflex. There is, however, no methodological consensus on how to apply HRVB, while details about the protocol used are often not well reported. Thus, the objectives of this systematic review are to describe the different HRVB protocols and detect methodological concerns. PsycINFO, CINALH, Medline and Web of Science were searched between 2000 and April 2021. Data extraction and quality assessment were based on PRISMA guidelines. A total of 143 studies were finally included from any scientific field and any type of sample. Three protocols for HRVB were found: (i) "Optimal RF" (n = 37), each participant breathes at their previously detected RF; (ii) "Individual RF" (n = 48), each participant follows a biofeedback device that shows the optimal breathing rate based on cardiovascular data in real time, and (iii) "Preset-pace RF" (n = 51), all participants breathe at the same rate rate, usually 6 breaths/minute. In addition, we found several methodological differences for applying HRVB in terms of number of weeks, duration of breathing or combination of laboratory and home sessions. Remarkably, almost 2/3 of the studies did not report enough information to replicate the HRVB protocol in terms of breathing duration, inhalation/exhalation ratio, breathing control or body position. Methodological guidelines and a checklist are proposed to enhance the methodological quality of future HRVB studies and increase the information reported.
Open Access Funding provided by Universitat Autònoma de Barcelona.
Article
Published version
English
Cor - Batecs; Control per retroacció (Biologia); Protocols clínics; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Physical Examination::Vital Signs::Heart Rate; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Complementary Therapies::Mind-Body Therapies::Biofeedback, Psychology; HEALTH CARE::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Study Characteristics::Clinical Protocols; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::exploración física::signos vitales::frecuencia cardíaca; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::tratamientos complementarios::terapias mente-cuerpo::biorretroalimentación psicológica; ATENCIÓN DE SALUD::calidad, acceso y evaluación de la atención sanitaria::calidad de la atención sanitaria::mecanismos de evaluación de la atención sanitaria::características de los estudios epidemiológicos::protocolos clínicos
Springer
Applied Psychophysiology and Biofeedback;48(3)
https://doi.org/10.1007/s10484-023-09582-6
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
