Deep Breathing Increases Heart Rate Variability in Patients With Rheumatoid Arthritis and Systemic Lupus Erythematosus

Cecilie Rovsing, Helene Rovsing, Caroline Hundborg Liboriussen, Mette Kjeldsgaard Jensen, Sally Søgaard Andersen, Stine Søgaard Andersen, Salome Kristensen, Mads Jochumsen*

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

3 Citations (Scopus)

Abstract

BACKGROUND/OBJECTIVE: Autoimmune diseases such as rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE) have been associated with an impaired function of the autonomic nervous system and reduced vagus nerve (VN) tone measured through lower heart rate variability (HRV). Targeting the VN through electrical stimulation has been proposed as a treatment strategy with promising results in patients with RA. Moreover, it has been suggested that the VN can be stimulated physiologically through deep breathing. In this study, the aim was to investigate if the VN can be stimulated through deep breathing in patients with RA and SLE, as measured by HRV.

METHODS: Fifty-seven patients with RA and SLE performed deep breathing exercises for 30 minutes in this explorative study. Before the breathing exercise, 2 electrocardiogram recordings were obtained to determine the patient's baseline HRV during rest. After the 30-minute breathing exercise, 5 minutes of electrocardiogram recordings were obtained to determine postintervention HRV and used as a measure of vagal activity.

RESULTS: No change was observed in the HRV between the 2 recordings prior the exercise, but the heart rate and HRV significantly decreased and increased, respectively, after the deep breathing exercise.

CONCLUSIONS: HRV can be modulated in patients with RA and SLE; this may have implications for future treatment with medications in conjunction with deep breathing. However, the biological and clinical effect of deep breathing must be investigated in future studies.

Original languageEnglish
JournalClinical Rheumatology
Volume27
Issue number7
Pages (from-to)261-266
Number of pages6
ISSN0770-3198
DOIs
Publication statusPublished - Oct 2021

Bibliographical note

Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Keywords

  • Arthritis, Rheumatoid/diagnosis
  • Autonomic Nervous System
  • Exercise
  • Heart Rate
  • Humans
  • Lupus Erythematosus, Systemic/diagnosis

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