HRV Biofeedback

    HRV Biofeedback: Systematic Review & Meta-Analysis

    Grade A-Systematic review and meta-analysis2020

    What did this study find?

    This 2020 systematic review and meta-analysis pooled 58 randomized controlled studies of heart rate variability biofeedback. Across those trials the intervention produced a significant reduction in self-reported stress and anxiety. Heart rate variability biofeedback is a behavioral training method rather than electromagnetic therapy, so these results do not transfer to PEMF devices.

    What are the details of this record?

    Full citation
    HRV Biofeedback: Systematic Review & Meta-Analysis. Appl Psychophysiol Biofeedback. 2020. PMID: 32385728.
    Journal
    Appl Psychophysiol Biofeedback
    Study design
    Systematic review and meta-analysis
    Sample size and population
    58 randomized controlled studies
    Evidence grade
    Grade A- on the BioReg grading scale
    Reported findings
    Screened 1,868 papers. Small-to-moderate significant effect across psychological, physiological and performance outcomes. Larger effects for anxiety, depression, anger. Authors note efficacy must still be established per indication.

    A positive PEMF study is not evidence for a specific device unless the signal parameters studied, frequency, intensity, waveform, and exposure duration, are reasonably comparable to what that device produces. Where this record does not list those parameters, the source report did not publish them. See the grading methodology. Library last reviewed 2026-08-27.