se1072021 S-minute breathing workout lowers blood pressure as much as exercise, drugs: ‘Sirength training for breathing muscles" holds prom,
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5-minute breathing workout lowers blood pressure as much as
exercise, drugs
‘Strength training for breathing muscles’ holds promise for host of health benefits
Date: June 30, 2021
Source: University of Colorado at Boulder
Summary: A new study shows that a breathing exercise known as Inspiratory Muscle Strength Training can
reduce blood pressure in weeks, with benefits on par with daily exercise or medication
Shae: f WPDin |
FULL STORY
Working out just five minutes daily via a practice described as "strength training for
your breathing muscles" lowers blood pressure and improves some measures of
vascular health as well as, or even more than, aerobic exercise or medication, new
CU Boulder research shows.
The study, published June 29 in the Journal of the American Heart Association, provides the strongest
evidence yet that the ultra-time-efficient maneuver known as High-Resistance Inspiratory Muscle Strength
Training (IMST) could play a key role in helping aging adults fend off cardiovascular disease ~ the nation’s
leading killer.
In the United States alone, 65% of adults over age 50 have above-normal blood pressure - putting them at
greater risk of heart attack or stroke. Yet fewer than 40% meet recommended aerobic exercise guidelines.
“There are a lot of lifestyle strategies that we know can help people maintain cardiovascular health as they
age. But the reality is, they take a lot of time and effort and can be expensive and hard for some people to
access,” said lead author Daniel Craighead, an assistant research professor in the Department of Integrative
Physiology. "IMST can be done in five minutes in your own home while you watch TV."
Developed in the 1980s as a way to help critically ill respiratory disease patients strengthen their diaphragm
and other inspiratory (breathing) muscles, IMST involves inhaling vigorously through a hand-held device which
provides resistance. Imagine sucking hard through a tube that sucks back
Initially, when prescribing it for breathing disorders, doctors recommended a 30-minute-per-day regimen at low
resistance. But in recent years, Craighead and colleagues have been testing whether a more time-efficient
protocol -- 30 inhalations per day at high resistance, six days per week — could also reap cardiovascular,
cognitive and sports performance improvements.
hitpsslwwu.sciencedally.comireleases/2021/08/210830135033,him 481610712021 S-minute breathing workout lowers blood pressure as much as exercise, crugs: ‘Strength traning fr breathing muscles’ holds prom,
For the new study, they recruited 36 otherwise healthy adults ages 50 to 79 with above normal systolic blood
pressure (120 millimeters of mercury or higher). Half did High-Resistance IMST for six weeks and half did a
placebo protocol in which the resistance was much lower.
After six weeks, the IMST group saw their systolic blood pressure (the top number) dip nine points on average,
a reduction which generally exceeds that achieved by walking 30 minutes a day five days a week, That decline
is also equal to the effects of some blood pressure-lowering drug regimens.
Even six weeks after they quit doing IMST, the IMST group maintained most of that improvement
“We found that not only is it more time-efficient than traditional exercise programs, the benefits may be longer
lasting," Craighead said.
The treatment group also saw a 45% improvement in vascular endothelial function, or the abilty for arteries to
expand upon stimulation, and a significant increase in levels of nitric oxide, a molecule key for dilating arteries
and preventing plaque buildup. Nitric oxide levels naturally decline with age.
Markers of inflammation and oxidative stress, which can also boost heart attack risk, were significantly lower
after people did IMST.
‘And, remarkably, those in the IMST group completed 95% of the sessions,
"We have identified a novel form of therapy that lowers blood pressure without giving people pharmacological
‘compounds and with much higher adherence than aerobic exercise,” said senior author Doug Seals, a
Distinguished Professor of Integrative Physiology. “That's noteworthy.”
‘The practice may be particularly helpful for postmenopausal women.
In previous research, Seals’ lab showed that postmenopausal women who are not taking supplemental
estrogen don't reap as much benefit from aerobic exercise programs as men do when it comes to vascular
endothelial function, IMST, the new study showed, improved it just as much in these women as in men,
“If aerobic exercise won't improve this key measure of cardiovascular health for postmenopausal women, they
need another lifestyle intervention that wil," said Craighead. "This could be it"
Preliminary results suggest MST also improved some measures of brain function and physical fitness. And
previous studies from other researchers have shown it can be useful for improving sports performance
“If you're running a marathon, your respiratory muscles get tired and begin to steal blood from your skeletal
muscles," said Craighead, who uses IMST in his own marathon training, “The idea is that if you build up
endurance of those respiratory muscles, that won't happen and your legs won't get as fatigued.”
Seals said they're uncertain exactly how a maneuver to strengthen breathing muscles ends up lowering blood
pressure, but they suspect it prompts the cells lining blood vessels to produce more nitric oxide, enabling them
to relax,
The National Institutes of Health recently awarded Seals $4 million to launch a larger follow-up study of about
100 people, comparing a 12-week IMST protocol head-to-head with an aerobic exercise program.
Meanwhile, the research group is developing a smartphone app to enable people to do the protocol at home
using already commercially available devices.
Those considering IMST should consult with their doctor first. But thus far, IMST has proven remarkably safe,
they said
“It’s easy to do, it doesn't take long, and we think it has a lot of potential to help a lot of people,” said
Craighead,
Story Source:
hitpsslwwu.sciencedally.comireleases/2021/08/210830135033,him 215se1072021 S-minute breathing workout lowers blood pressure as much as exercise, drugs: ‘Sirength training for breathing muscles" holds prom,
Materials provided by University of Colorado at Boulder. Original written by Lisa Marshall. Note: Content
may be edited for style and length.
Journal Reference:
1. Daniel H. Craighead, Thomas C. Heinbockel, Kaitlin A. Freeberg, Matthew J. Rossman, Rachel A.
Jackman, Lindsey R. Jankowski, Makinzie N. Hamilton, Brian P. Ziemba, Julie A. Reisz, Angelo
D'Alessandro, L, Madden Brewster, Christopher A, DeSouza, Zhiying You, Michel Chonchol, E. Fiona
Bailey, Douglas R. Seals. Time-Efficient Inspiratory Muscle Strength Training Lowers Blood Pressure
and Improves Endothelial Function, NO Bioavailability, and Oxidative Stress in Midlife/Older Adults
With Above-Normal Blood Pressure. Journal of the American Heart Association, 2021; DOI:
10.1161/JAHA.121.020980
Cite This Page:
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University of Colorado at Boulder. "5-minute breathing workout lowers blood pressure as much as exercise,
drugs: ‘Strength training for breathing muscles’ holds promise for host of health benefits." ScienceDaily.
ScienceDaily, 30 June 2021.
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