Hamasaki Hidetaka
Hamasaki Clinic, 2-21-4 Nishida, Kagoshima, Kagoshima 890-0046, Japan.
Medicines (Basel). 2020 Oct 15;7(10):65. doi: 10.3390/medicines7100065.
Breathing is an essential part of life. Diaphragmatic breathing (DB) is slow and deep breathing that affects the brain and the cardiovascular, respiratory, and gastrointestinal systems through the modulation of autonomic nervous functions. However, the effects of DB on human health need to be further investigated. The author conducted a PubMed search regarding the current evidence of the effect of DB on health. This review consists of a total of 10 systematic reviews and 15 randomized controlled trials (RCTs). DB appears to be effective for improving the exercise capacity and respiratory function in patients with chronic obstructive pulmonary disease (COPD). Although the effect of DB on the quality of life (QoL) of patients with asthma needs to be investigated, it may also help in reducing stress; treating eating disorders, chronic functional constipation, hypertension, migraine, and anxiety; and improving the QoL of patients with cancer and gastroesophageal reflux disease (GERD) and the cardiorespiratory fitness of patients with heart failure. Based on this narrative review, the exact usefulness of DB in clinical practice is unclear due to the poor quality of studies. However, it may be a feasible and practical treatment method for various disorders.
呼吸是生命的重要组成部分。膈式呼吸（DB）是一种缓慢而深沉的呼吸方式，它通过调节自主神经功能来影响大脑以及心血管、呼吸和胃肠道系统。然而，DB对人类健康的影响仍需进一步研究。作者对PubMed上关于DB对健康影响的现有证据进行了检索。本综述共纳入10篇系统评价和15项随机对照试验（RCT）。DB似乎对改善慢性阻塞性肺疾病（COPD）患者的运动能力和呼吸功能有效。虽然DB对哮喘患者生活质量（QoL）的影响尚需研究，但它可能还有助于减轻压力；治疗饮食失调、慢性功能性便秘、高血压、偏头痛和焦虑；改善癌症和胃食管反流病（GERD）患者的QoL以及心力衰竭患者的心肺适能。基于这篇叙述性综述，由于研究质量较差，DB在临床实践中的确切效用尚不清楚。然而，它可能是一种针对各种疾病可行且实用的治疗方法。
