Aktaş · Obesity surgery 2023 · randomized controlled trial · n=90

The Effect of Deep Breathing Exercise and 4-7-8 Breathing Techniques Applied to Patients After Bariatric Surgery on Anxiety and Quality of Life.

Cited 27 times in the scientific literature.

Level 2 - randomized trial

Individual randomized controlled trial

PubMed 36480101 · doi:10.1007/s11695-022-06405-1 · record verified 2026-08-28

What was done

A pre-test post-test randomized controlled trial evaluated the effects of deep breathing and 4-7-8 breathing techniques on anxiety and quality of life in patients following bariatric surgery. A total of 90 patients were allocated into three groups of 30: deep breathing training, 4-7-8 breathing training, and routine care control. Outcomes were measured using the Personal Information Form, the Obesity-Specific Quality of Life Questionnaire, and the State-Trait Anxiety Inventory.

What was found

Baseline characteristics did not differ significantly between groups (p > 0.05). Post-test state anxiety levels in the 4-7-8 breathing group were significantly lower than those in the deep breathing group and the control group (p < 0.05). Quality of life scores in the deep breathing group increased significantly from pre-test to post-test. The abstract does not report exact numerical means, standard deviations, or effect sizes.

Why it matters

Structured breathing exercises may serve as low-cost, non-pharmacological bedside interventions to alleviate anxiety and support recovery in post-bariatric surgical care.

Limits

The trial had a modest sample size of 30 participants per arm. The abstract omits exact point estimates, standard deviations, confidence intervals, intervention duration, follow-up length, and blinding status.

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