各种水疗法对心率变异性和血压的影响：一项系统综述

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2025-05-16 DOI:10.1016/j.aimed.2025.100500

S. Abinaya , A. Vijay , L. Nivethitha , A. Mooventhan , N. Manavalan

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引用次数: 0

摘要

自主神经系统（ANS）调节包括血压在内的不自主生理过程。水疗法利用水来治疗各种疾病，在过去的几年里，关于不同温度下不同水疗法对心率变异性（HRV）影响的研究越来越多。然而，目前还没有对其进行系统的评价。因此，本系统综述旨在提供基于证据的水疗法对HRV的影响。材料与方法我们检索PubMed/Medline和谷歌学者电子数据库，使用以下关键词检索相关文章：水疗法，浴疗，冷冻疗法，桑拿浴，浸泡浴，足浴，脊柱浴，髋关节浴，手臂和足浴，冰按摩和心率变异性。在121篇文章中，本综述报告了24篇潜在符合条件的文章。结果本系统综述共纳入24篇文献（包括6篇随机对照试验），961名不同病情、不同温度、不同水疗方式的受试者。研究结果表明，大多数水疗方式可改善副交感神经活动和自主神经系统的调节。然而，只有一项研究显示，在会话期间交感神经活动增加，并在会话15-120 分钟后过渡到副交感神经活动。结论文献表明，在健康志愿者、运动员、高血压、心力衰竭、偏头痛、变应性鼻炎和慢性疲劳综合征患者中，水疗法作为辅助疗法可有效降低血压和改善HRV。然而，本综述纳入的研究质量较低。因此，我们推荐高质量的长期随机对照试验来确定水疗法的疗效和安全性。

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Effects of various hydrotherapeutic procedures on heart rate variability and blood pressure: A systematic review

Background

The autonomic nervous system (ANS) regulates involuntary physiological processes including blood pressure. Hydrotherapy uses water to treat various conditions and research on effect of different hydrotherapy modalities at varying temperatures on the heart rate variability (HRV) is increasing for the past few years. However, there is no systematic review of on it. Hence, this systematic review was performed to provide evidence-based effects of hydrotherapy on HRV.

Materials and methods

We have searched PubMed/Medline and google scholar electronic databases to find relevant articles using following keywords: hydrotherapy, balneotherapy, cryotherapy, sauna bath, immersion bath, foot bath, spinal bath, hip bath, arm and foot bath, ice massage and heart rate variability. Out of 121 articles found, 24 potentially eligible articles were reported in this review.

Results

In this systematic review 24 articles (including 6 RCTs) with 961 participants with various condition, underwent various hydrotherapy modalities with different temperatures were reported. The finding showed that majority of the hydrotherapy modalities produces improvements in parasympathetic activity and regulation of autonomic nervous system. However, only one study showed increased sympathetic activity during the session and transitioned into parasympathetic activity after 15–120 min of session.

Conclusion

Literature suggests that hydrotherapy is effective in reducing blood pressure and improving HRV as an adjuvant in healthy volunteers, sportspeople, and in patients with hypertension, heart failure, migraines, allergic rhinitis, and chronic fatigue syndrome. However, the quality of the studies included in this review low. Hence, we recommend high quality long-term RCTs to determine the efficacy and safety of hydrotherapy.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.