Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
August 13, 2025Diabetology & Metabolic SyndromeOpen Access

Effect of slow deep breathing on cardiovascular autonomic neuropathy in type 2 diabetes mellitus patients

View Full Paper
Ask AI
Bookmark
Share

Key result

Slow deep breathing training with soothing music significantly improved heart rate variability (RMSSD) compared to simple chest expansion in patients with type 2 diabetes and cardiac autonomic neuropathy.

Why the study?

This study aimed to investigate the effects of slow deep breathing on heart rate variability in patients with type 2 diabetes mellitus and cardiovascular autonomic neuropathy.

Does slow deep breathing training improve heart rate variability in patients with type 2 diabetes mellitus and cardiovascular autonomic neuropathy?

Population

Sixty patients with CAN secondary to T2DM

Comparison

Slow deep breathing training with soothing music vs control

Design

Randomized controlled trial

Follow-up

3 months

Authors

MXMiao XuanTongji UniversityYSYuqin ShenTongji UniversityWTWenjun TangTongji University

Discussion

Loading...

Member takes

Implication

May offer low-cost adjunct for diabetic autonomic neuropathy; hypothesis-generating pending larger trials.

Study Design

Type

RCT (n=60)

Randomization

Random number table

Multicenter

No

Structured PICO

Does slow deep breathing training improve heart rate variability in patients with type 2 diabetes mellitus and cardiovascular autonomic neuropathy?

P
Population
60 patients aged 40-70 years with type 2 diabetes mellitus and cardiovascular autonomic neuropathy, followed for 3 months.
I
Intervention
Slow deep breathing (SDB) training (6 breaths/min, 1:2 inhalation:exhalation ratio) with soothing music for 20 minutes once daily for 3 months. Added to baseline treatments and mecobalamin 0.5 mg thrice daily.
C
Comparator
Simple chest expansion exercises for 20 minutes once daily for 3 months. Added to baseline treatments and mecobalamin 0.5 mg thrice daily.
O
Outcome
Heart rate variability (HRV) assessed by the square root of the mean squared differences of successive RR (RMSSD) after 3 months of training.surrogate

Main Result

p-value: p=0.013

Sustained slow deep breathing training significantly improves heart rate variability in patients with type 2 diabetes mellitus and cardiac autonomic neuropathy, offering a non-invasive adjunctive therapy.

Limitations

  • Multiple factors influenced outcome measures
  • No specific regulations on hypoglycemic, antihypertensive, or lipid-lowering medications
  • Failed to record the specific medication conditions of each subject in detail
  • Small sample size without stratification by hypertension status
  • Lack of urinary protein assessment for diabetic nephropathy
  • Female-dominated sample prone to bias
  • Small sample size

Cite This Study

Xuan et al. (2025) conducted an RCT in Type 2 diabetes mellitus with cardiovascular autonomic neuropathy (n=60). Slow deep breathing (SDB) training with soothing music vs. Simple chest expansion training for 20 min once daily was evaluated on RMSSD (square root of the mean squared differences of successive RR) (p=0.013). Slow deep breathing training with soothing music significantly improved heart rate variability (RMSSD) compared to simple chest expansion in patients with type 2 diabetes and cardiac autonomic neuropathy.

synapsesocial.com/papers/6a97f786824c98cfb78bf54bhttps://doi.org/10.1186/s13098-025-01862-x
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Behavioral Neurocardiac Training in Hypertension2010 · 60 citations
  2. 2Effects of Exercise Load and Breathing Frequency on Heart Rate and Blood Pressure Variability During Dynamic Exercise1999 · 74 citations
  3. 3Heart Rate Variability from Short Electrocardiographic Recordings Predicts Mortality from All Causes in Middle-aged and Elderly Men: The Zutphen Study1997 · 512 citations
  4. 4Heart rate variability as predictive factor for sudden cardiac death2018 · 320 citations
  5. 5The Diagnostic Value of Heart Rate During Exercise Electrocardiography2005 · 5 citations