Slow Deep Breathing Exercise Improves Pulmonary Function in Hypertensive Patients
Susiana Candrawati, Alya Pristika, Indah Rahmawati
Asian Journal of Sports Medicine·2025
<jats:p>Background: Hypertension is a non-communicable disease with a high prevalence and increasing incidence annually. Slow deep breathing exercises (SDBE) is a complementary therapy that can be used as an alternative to address the ineffectiveness of antihypertensive treatment in controlling blood pressure and its complications, including decreased lung function. Objectives: The present study aimed to determine the profile of lung function and analyze the effect of SDBE on pulmonary function test values (FEV1, FVC, and FEV1/FVC) in the hypertensive population. Methods: This was a quasi-experimental study with a one-group pretest-posttest approach. The study subjects were patients with hypertension aged ≥ 45 years in Banyumas Regency, Central Java Province, Indonesia. A total of 26 subjects were obtained with eligibility criteria including not having hearing impairment, not smoking, not having respiratory system disorders, and willingness to participate in the study by signing informed consent. Subjects were given a slow deep breathing Pranayama intervention with a duration of 5 cycles (25 minutes) with a frequency of 3 times per week for 6 weeks. A pulmonary function test with spirometry was used to determine the values of FEV1, FVC, and FEV1/FVC measured before and after the intervention. Bivariate analysis was performed using a paired t-test on FEV1 and FVC variables and the Wilcoxon test for FEV1/FVC variables. Results: The pulmonary function of hypertensive patients in this study was primarily normal (61.54%), followed by restrictive lung disorder (23.08%), obstructive lung disorder (7.69%), and mixed restriction-obstruction (7.69%). There was a significant mean difference in FEV1 (P = 0.016) and FVC (P = 0.009) before and after the SDBE intervention, with a positive difference. However, there was no significant mean difference in the FEV1/FVC variables (P = 0.989). Conclusions: The SDBE improves forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) values in the hypertensive population.</jats:p>