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Study identifier: NCT06739993 Synced from ClinicalTrials.gov · July 29, 2026
● Recruiting

Effects of Autonomic Nervous System Modulation by Heart Rate Variability Biofeedback Training With Resonant Frequency Breathing on Glucose Metabolism in Individuals With Prediabetes

Condition: Prediabetes  ·  Sponsor: Johannes Gutenberg University Mainz

PhaseNA
Planned participants60
Who can joinAll sexes, 18 Years to 65 Years
Healthy volunteersNo

About this study

Approximately 20% of adults have prediabetes in Germany. Prediabetes is defined as a condition with glucose levels outside the normal range but not yet meeting the criteria for type 2 diabetes. The pathogenesis of prediabetes, as well as of type 2 diabetes, involves whole-body insulin resistance associated with inadequate insulin secretion. These two central processes of glucose regulation are modulated by the brain. The brain communicates via the autonomic nervous system (ANS) with metabolically important organs in the periphery to modulate insulin sensitivity and insulin secretion. These processes are impaired in individuals with prediabetes and diabetes. An ANS sympathovagal imbalance has also been observed in individuals with prediabetes. There are no specific therapeutic approaches to improve ANS sympathovagal imbalance. It is assumed that resonant frequency breathing (RFB) maximizes heart rate variability (HRV) through rhythmization of breathing, heartbeat, and blood pressure. Through this state of coherence, the activity of the parasympathetic nervous system is upregulated, and the activity of the sympathetic nervous system is suppressed, leading to an increase in modulation of ANS activity. Several studies have demonstrated that heart rate variability-biofeedback (HRV-BF) interventions improve HRV, reduce stress and anxiety, and alleviate symptoms in patients with various medical conditions. To the best of current knowledge, no study has investigated the effect of HRV…

This description comes directly from the study's public registry record.

Talk to the study team

Benedict Herhaus, Ph.D.  ·  004961313929140  ·  bherhaus@uni-mainz.de

Martin Heni, Prof. Dr. med.

Always discuss trial participation with your own doctor first.

Locations (2)

University Medical Center Mainz - Medical Psychology and Medical SociologyMainz, Mainz, GermanyRecruiting
University Medical Center of the Johannes-Gutenberg University, Department of Medical Psychology and Medical SociologyMainz, Rhineland-Palatinate, GermanyNot Yet Recruiting

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Source record: clinicaltrials.gov/study/NCT06739993