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Does Heart Rate Variability Biofeedback Enhance Executive Functions Across the Lifespan? A Systematic Review

机译:心率变异性生物反馈会增强整个寿命的执行功能吗? 系统评价

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The scope of this systematic review was to summarize the existing literature on the effects of heart rate variability biofeedback (HRV-BF) on executive functions (EFs) across the lifespan. Specifically, it aimed to investigate the factors that may affect the efficacy of HRV-BF interventions, such as the study population, duration and intensity of the intervention, or the technical equipment. This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies that measured and presented at least one EF were included. We included controlled and uncontrolled trials involving clinical and general populations. From the initial list of 137 papers, 16 final studies were reviewed, with 777 participants. Fifty-six percent of the studies included in this review reported significant positive effects of HRV-BF intervention on at least one EF. Attention was the domain that most often benefited from the intervention. The majority of EF improvements (78%) occurred in studies that addressed patient populations or individuals that may present particular profiles: individuals exposed to stress, professional athletes, war veterans, children and adults with ADHD, and clinical older patients. The remaining studies (22%) that reported significant improvements focused on the general population. Efficacy was neither related to the duration or intensity of the intervention nor related to the technical equipment. Overall, our review shows that HRV-BF may be beneficial (a) to increase attentional skills, inhibition, and working memory and (b) when targeting more vulnerable individuals or individuals with particular profiles. However, further development of standardized, controlled protocols and consistent reporting of effect sizes may contribute to establishing the relevance of HRV-BF biofeedback interventions within the field of cognitive enhancement.
机译:这项系统评价的范围是总结有关心率变异性生物反馈(HRV-BF)对整个寿命中执行功能(EFS)的影响的现有文献。具体而言,它旨在调查可能影响HRV-BF干预措施的功效的因素,例如研究人群,干预措施或技术设备的强度。这项审查是根据系统审查和荟萃分析(PRISMA)指南的首选报告项目进行的。包括测量和介绍至少一个EF的研究。我们包括涉及临床和一般人群的对照和不受控制的试验。从最初的137篇论文清单中,回顾了16项最终研究,其中777名参与者。该评论中包括的研究中有56%报告了HRV-BF干预对至少一个EF的显着积极影响。注意是最常受益于干预措施的领域。大多数EF改进(78%)发生在针对患者人群或可能呈现特殊特征的个人的研究中:受压力,职业运动员,战争退伍军人,患有多动症的儿童和成人的个人和临床老年患者。其余的研究(22%)报告了重大改善,集中在普通人群上。疗效与干预的持续时间或强度无关,也没有与技术设备相关。总体而言,我们的综述表明,HRV-BF可能是有益的(a),以提高注意力技能,抑制和工作记忆以及(b)目标时更脆弱的个体或具有特定概况的个人。但是,进一步开发标准化,受控协议和效果大小的一致报告可能有助于在认知增强领域建立HRV-BF生物反馈干预措施的相关性。

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