Manoj Kumar Katual,
- Associate Professor & Dean, Department of Pharmacy, Guru Kashi University, Sardulgarh Road, Talwandi Sabo, Bathinda, Punjab, India
Abstract
This article explores the emerging field of biofeedback and its application in optimizing metabolic health. Biofeedback involves the use of technology to monitor physiological processes and provide real-time feedback to individuals, empowering them to regulate their bodily functions. We delve into various biofeedback modalities and their potential benefits in managing metabolic disorders such as diabetes, obesity, and metabolic syndrome. Additionally, we discuss the underlying mechanisms of biofeedback, its effectiveness in promoting behavioral changes, and practical strategies for integrating biofeedback techniques into holistic approaches to metabolic health.
Keywords: Biofeedback control, clinical trial, hyperglycemia mitigation, physiology, metabolic health
[This article belongs to Research and Reviews: A Journal of Pharmacology ]
Manoj Kumar Katual. A Novel Frontier On Biofeedback Enhanced Psychological Wellbeing For Metabolic Health In Human. Research and Reviews: A Journal of Pharmacology. 2025; 15(01):56-69.
Manoj Kumar Katual. A Novel Frontier On Biofeedback Enhanced Psychological Wellbeing For Metabolic Health In Human. Research and Reviews: A Journal of Pharmacology. 2025; 15(01):56-69. Available from: https://journals.stmjournals.com/rrjop/article=2025/view=201998
References
[1]Budzynski TH, Stoyva J M. Biofeedback: Applications and Efficacy. Springer. 1984.
[2] Schwartz MS, Andrasik F, editors. Biofeedback: A practitioner’s guide. Guilford Publications; 2017 Mar 29.
[3] Sella GE, AAPB HF. SEMG biofeedback reeducation and rehabilitation: The Sella protocol. Biofeedback. 2020 Jun 1;48 (2):41-4.
[4] Miller NE. Learning of visceral and glandular responses. Readings in Abnormal Psychology. 1973;163:123.
[5] Schwartz NM, Schwartz MS. Definitions of biofeedback and applied psychophysiology. Biofeedback: A practitioner’s guide. 2003:27-39.
[6] Peper E, Tylova H, Gibney KH, Harvey R, Combatalade D. Biofeedback mastery: An experiential teaching and self-training manual. Wheat Ridge, CO: Association for Applied Psychophysiology and Biofeedback; 2008. (pp. 391-404).
[7] Nestoriuc Y, Martin A. Efficacy of biofeedback for migraine: a meta-analysis. Pain. 2007 Mar 1;128(1-2):111-27.
[8] Frank DL, Khorshid L, Kiffer JF, Moravec CS, McKee MG. Biofeedback in medicine: who, when, why and how?. Mental health in family medicine. 2010 Jun;7(2):85-91.
[9] Chen MH, Lin HM, Sue YR, Yu YC, Yeh PY. Meta‐analysis reveals a reduced surface area of the amygdala in individuals with attention deficit/hyperactivity disorder. Psychophysiology. 2023 Sep;60(9):e14308 https://doi.org/10.1111/psyp.14308 .
[10] McKee MG. Biofeedback: An Overview in the Context of Heart–Brain Medicine. Cleveland Clinic Journal of Medicine. 2008;75(2):S31-S34.
[11] Berg JM, Tymoczko JL, Stryer L. Biochemistry (5th ed.). W.H. Freeman. 2002.
[12]Röder PV, Wu B, Liu Y, Han W. Pancreatic regulation of glucose homeostasis. Experimental & molecular medicine. 2016 Mar;48(3):e219-.
[13]Kalsbeek A, La Fleur S, Fliers E. Circadian control of glucose metabolism. Molecular metabolism. 2014 Jul 1;3(4):372-83.
[14] Lehrer P. How does heart rate variability biofeedback work? Resonance, the baroreflex, and other mechanisms.Biofeedback. 2013 Mar 1;41(1):26-31.
[15] Gevirtz R. The promise of heart rate variability biofeedback: evidence-based applications. Biofeedback. 2013 Sep 1;41(3).
[16] Critchley HD. Electrodermal responses: what happens in the brain.The Neuroscientist. 2002 Apr;8(2):132-42.
[17] Hammond DC. Neurofeedback for the Enhancement of Athletic Performance and Physical Balance. The Journal of the American Board of Sport Psychology, 2007;1.
[18] Thompson M, Thompson L. The Neurofeedback Book: An Introduction to Basic Concepts in Applied Psychophysiology. AAPB. 2003.
[19] Lehrer PM, Vaschillo E, Vaschillo B. Resonant frequency biofeedback training to increase cardiac variability: Rationale and manual for training. Applied psychophysiology and biofeedback. 2000 Sep;25:177-91.
[20] Luthe W, Schultz JH. Autogenic therapy. 2. Medical applications. Grune& Stratton; 1969.
[21]Stawicki SP, Engelbrecht A. Artificial Intelligence in Medicine and Surgery: An Exploration of Current Trends, Potential Opportunities, and Evolving Threats-Volume 1. BoD–Books on Demand; 2023 Dec 13.
[22]McCraty R, Shaffer F. Heart rate variability: new perspectives on physiological mechanisms, assessment of self-regulatory capacity, and health risk. Global advances in health and medicine. 2015 Jan;4(1):46-61.
[23]Sharma, P. Modification of human behavior due to coronavirus outbreak: A brief study on current scenario. AJP. 2021,15(3).
[24] Reiner R. Integrating a portable biofeedback device into clinical practice for patients with anxiety disorders: Results of a pilot study. Applied Psychophysiology and Biofeedback. 2008 Mar;33(1):55-61.
[25] Kyrou I, Tsigos C. Stress mechanisms and metabolic complications. Hormone and Metabolic Research. 2007 Jun;39(06):430-8.
[26] Davidson MB. Counterpoint: self-monitoring of blood glucose in type 2 diabetic patients not receiving insulin: a waste of money. Diabetes Care. 2005 Jun 1;28(6):1531-3.
[27] Sharma P, Tailang M. Opportunities and challenges to develop transdermal patch with nanocarrier. WJPR. 2017 Sep 26;6(15):392-400.
[28] Sharma P, Tailang M. PH dependent release potential of natural polymers in sustained release of ornidazole from colon targeted delivery system. IJJT. 2019 Jan 21;9:1-0.
[29] Steffen PR, Bartlett D. Increasing stress resilience in difficult times: Integrating proven practices from biofeedback and psychotherapy. Policy Insights from the Behavioral and Brain Sciences. 2022 Oct;9(2):164-70.
[30] Tosti B, Corrado S, Mancone S, Di Libero T, Rodio A, Andrade A, Diotaiuti P. Integrated use of biofeedback and neurofeedback techniques in treating pathological conditions and improving performance: a narrative review. Frontiers in Neuroscience. 2024 Mar 19;18:1358481.
[31] Wilson V, Somers K, Peper E. Male-Female Differences in Psychophysiological Stress Profiles Before and After a Group Relaxation/Biofeedback Stress Management Program. Biofeedback. 2024 May 1;52(1):1-0.
[32] Mazgelytė E, Zagorskaja J, Dereškevičiūtė E, Petrėnas T, Kaminskas A, Songailienė J, Utkus A, Chomentauskas G, Karčiauskaitė D. Dynamics of physiological, biochemical and psychological markers during single session of virtual reality-based respiratory biofeedback relaxation. Behavioral Sciences. 2022 Nov 28;12(12):482.
[33] Srinivasan R, McVoy M, Neudecker M, Divan MK, Wu A, Cascio ME, Dusek JA, Miller DW. Mind–Body Interventions for Youth with Chronic Medical Conditions: A Scoping Review of the Literature. Journal of Integrative and Complementary Medicine. 2024 Mar 18.
[34] Henriques T, Severo M, Silva M, Costa E, Vaz A, Almeida A, Magalhães D. Heart Rate Variability Biofeedback in Type 2 Diabetes Mellitus: A Case Study. Applied Psychophysiology and Biofeedback. 2014;39(3-4):275-278.
[35] Zimlichman R. Non-pharmacologic Approaches for the Management of Prehypertension. Prehypertension and Cardiometabolic Syndrome. 2019:629-42.
[36] Ahuja N, Bhardwaj P, Pathania M, Sethi D, Kumar A, Parchani A, Chandel A, Phadke A. Yoga Nidra for hypertension: A systematic review and meta-analysis. Journal of Ayurveda and Integrative Medicine. 2024 Mar 1;15(2):100882.
[37] Bulaj G, Clark J, Ebrahimi M, Bald E. From precision metapharmacology to patient empowerment: delivery of self-care practices for epilepsy, pain, depression and cancer using digital health technologies. Frontiers in Pharmacology. 2021 Apr 23;12:612602.
[38] Chung AH, Gevirtz RN, Gharbo RS, Thiam MA, Ginsberg JP. Pilot study on reducing symptoms of anxiety with a heart rate variability biofeedback wearable and remote stress management coach.Applied psychophysiology and biofeedback. 2021 Dec;46:347-58.
[39] Castro Ribeiro T, SobregrauSangrà P, GarcíaPagès E, Badiella L, López-Barbeito B, Aguiló S, Aguiló J. Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms: a pilot study. Frontiers in physiology. 2023 May 10;14:1147260.
[40] Kajisa T, Kuroi T, Hara H, Sakai T. Correlation analysis of heart rate variations and glucose fluctuations during sleep. Sleep Medicine. 2024 Jan 1;113:180-7.
[41] Wilson V, Somers K, Peper E. Male-Female Differences in Psychophysiological Stress Profiles Before and After a Group Relaxation/Biofeedback Stress Management Program. Biofeedback. 2024 May 1;52(1):1-0.
[42] Baydala L, Wikman E. The efficacy of neurofeedback in the management of children with attention deficit/hyperactivity disorder.Paediatrics & child health. 2001 Sep 1;6(7):451-5.
[43] Chung W, Yeh PY, Cheng YS, Liu C, Fan HY, Tzang RF, Sun CK, Chiu HJ. Factors influencing therapeutic effectiveness of electroencephalogram-based neurofeedback against core symptoms of ADHD: a systematic review and meta-analysis. Journal of Psychiatry and Neuroscience. 2022 Dec 13;47(6):E435-46.
[44] Ros T, Enriquez-Geppert S, Zotev V, Young KD, Wood G, Whitfield-Gabrieli, S.Thibault RT. Consensus on the reporting and experimental design of clinical and cognitive-behavioural neurofeedback studies (CRED-nf checklist). Brain. 2020;143(6):1674-1685.
[45] Yucha CB, Montgomery D.Evidence-Based Practice in Biofeedback and Neurofeedback. AAPB Biofeedback Magazine. 2008;36(4):11-13.
[46] Castro Ribeiro T, SobregrauSangrà P, GarcíaPagès E, Badiella L, López-Barbeito B, Aguiló S, Aguiló J. Assessing effectiveness of heart rate variability biofeedback to mitigate mental health symptoms: a pilot study. Frontiers in physiology. 2023 May 10;14:1147260.
[47] Frey L, Hoffman HG. Virtual Reality Therapy for Anxiety and Related Disorders: A Meta-Analysis of Randomized Controlled Trials. Journal of Anxiety Disorders. 2018;61:27-36.
[48] Gevirtz R, Lehrer P. Heart Rate Variability Biofeedback: How and Why Does it Work? Frontiers in Psychology. 2020;11:1796.
[49] Mohiuddin AK. Complimentary Care: Opportunity to Explore Non-Drug Pain Management. Journal of Pharmacological Research and Developments. 2019;1(1).
[50] Nugent NR, Bielčik L. Digital Health Interventions in Anxiety Disorders, OCD, and PTSD: A Review of Current Literature. Current Psychiatry Reports. 2017;19(12):91.
[51] Gevirtz R, Lehrer, PM. Resonant Frequency Heart Rate Biofeedback. Biofeedback, 2018;46(3);89-92.
[52]Hughes PA, Shaffer F. Certification and Ethics in Applied Psychophysiology (90876). Case Studies in Applied Psychophysiology: Neurofeedback and Biofeedback Treatments for Advances in Human Performance. 2011 Nov 25:247-56.
[54] Liu S, Li YY, Li D, Wang FY, Fan LJ, Zhou LX. Advances in objective assessment of ergonomics in endoscopic surgery: a review. Frontiers in Public Health. 2023 Jan 5;11 https://doi.org/10.3389/fpubh.2023.1281194.
[55] Argent, R., Slevin, P., Bevilacqua, A., Neligan, M., Daly, A., & Caulfield, B. (2019). Wearable Sensor-Based Exercise Biofeedback for Orthopaedic Rehabilitation: A Mixed Methods User Evaluation of a Prototype System. Sensors, 19(2), 432. https://doi.org/10.3390/s19020432

Research and Reviews: A Journal of Pharmacology
| Volume | 15 |
| Issue | 01 |
| Received | 18/01/2025 |
| Accepted | 05/02/2025 |
| Published | 25/02/2025 |
| Publication Time | 38 Days |
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