Sorbonne Université, Institut National de la Santé et de la Recherche Médicale (INSERM), UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, Paris, France.
Department of Performance Psychology, Institute of Psychology, German Sport University Cologne, Cologne 50933, Germany; UFR STAPS, EA 4260 CESAMS, Normandie Université, 14000 Caen, France.
Neurosci Biobehav Rev. 2022 Apr;135:104576. doi: 10.1016/j.neubiorev.2022.104576. Epub 2022 Feb 12.
Clinical research on the beneficial effects induced by slow-paced breathing has been increasingly extended in the past twenty years. Improvements in cardiovascular functioning, executive functions, or stress management appear to be among the most prominent observations in these studies. However, the mechanisms underlying these effects are multiple and complex. This review will focus on the importance of reducing breathing rate at the resonant frequency (~ 0.1 Hz), which increases cardiac oscillations, thus reflecting improved vagally-mediated heart rate variability and baroreflex sensitivity. These effects are achieved through temporal coherence of respiratory, blood pressure, and cardiac phases, which are the origin of multiple peripheral benefits. In return, vagal afferents, which send inputs to interoceptive areas, are stimulated for longer and more intensely than when breathing spontaneously. In limbic areas, which may also be stimulated through larger cerebral blood flow oscillations and increases in oxygen delivery, interoceptive activation produces a cascade of neural activations that may be at the origin of the central benefits of deep and slow-paced breathing.
在过去的二十年中,对慢呼吸诱导的有益效果的临床研究不断扩展。这些研究中最显著的观察结果之一似乎是心血管功能、执行功能或压力管理的改善。然而,这些效果的机制是多样且复杂的。这篇综述将重点介绍降低共振频率(~0.1 Hz)呼吸率的重要性,这会增加心脏的震荡,从而反映出迷走神经介导的心率变异性和压力反射敏感性的改善。这些效果是通过呼吸、血压和心脏相位的时间相干性实现的,这是多种外周益处的起源。反过来,迷走神经传入纤维,它们将输入发送到内脏感觉区域,比自发呼吸时受到更长时间和更强烈的刺激。在内脏感觉区域,也可能通过更大的大脑血流震荡和增加氧气输送来刺激,内脏感觉的激活产生一连串的神经激活,这可能是深度和慢呼吸的中枢益处的起源。
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