Acute effects of the 4-4-8 breathing technique on arterial stiffness in healthy young men

Cardiol J. 2024;31(3):418-426. doi: 10.5603/cj.96299. Epub 2024 Feb 13.

Abstract

Background: Increased arterial stiffness is a risk factor for cardiovascular disease. Slow, deep breathing decreases blood pressure related to arterial stiffness. The objective of the present study was to determine the acute effects of a single session of slow breathing on arterial stiffness, blood pressure, and cardiac autonomic function.

Methods: Fifteen healthy men (20 ± 0 years) were administered (a) a slow breathing condition (12 consecutive breaths of 4 s of inhalation, 4 s of pause, and 8 s of exhalation through the nose, approximately 5 min per breath) and (b) a control, two-condition crossover design. Carotid-femoral artery pulse wave velocity (cfPWV), brachial-ankle PWV (baPWV), brachial blood pressure, high frequency (HF) and low frequency (LF) were measured at baseline, 30 min, 60 min and 24 h after respiratory control.

Results: Brachial-ankle PWV and brachial systolic pressure on the 4-4-8 breathing trial decreased after 30 min of respiratory control compared to baseline (p < 0.05), but did not change on the CON trial. Carotid-femoral PWV on both trials was unchanged; HF on the 4-4-8 breathing trial increased (p < 0.05) and LF decreased (p < 0.05) after 30 min of respiratory control compared to baseline, but was unchanged on the CON trial.

Conclusions: These results suggest that slow breathing techniques may be effective in modulating autonomic function and improving arterial stiffness in healthy young adults.

Keywords: 4-4-8 breathing technique; arterial stiffness; blood pressure; healthy young men; heart rate variability.

MeSH terms

  • Ankle Brachial Index
  • Autonomic Nervous System / physiopathology
  • Blood Pressure / physiology
  • Breathing Exercises / methods
  • Carotid-Femoral Pulse Wave Velocity
  • Cross-Over Studies*
  • Healthy Volunteers*
  • Heart Rate* / physiology
  • Humans
  • Male
  • Pulse Wave Analysis
  • Respiration
  • Time Factors
  • Vascular Stiffness* / physiology
  • Young Adult