Dyspnea Is Attenuated by Auditory Distraction via Music with Headphones during Exercise in Healthy Individuals

Med Sci Sports Exerc. 2022 Nov 1;54(11):1973-1981. doi: 10.1249/MSS.0000000000002982. Epub 2022 Jun 23.

Abstract

Purpose: This study aimed to determine whether listening to music through headphones (a) affects the sensory (breathing intensity [BI]) and/or affective (breathing unpleasantness [BU]) components of dyspnea during exercise at different intensities and (b) affects exercise performance.

Methods: Twenty-two recreationally active individuals (24 ± 3 yr, 10 women) performed two 5-min constant loads (10% below/above gas exchange threshold [GET]) and an 8-km cycling time trial with ambient laboratory noise or self-selected music in a randomized crossover design. BI, BU, and ventilation ( V̇E ) were measured at each minute of the constant loads and every 2 km of the time trial. Ratios of BU/ V̇E and BI/ V̇E were used to examine the gain in dyspnea during the time trial.

Results: In the 10% below GET trial, BU was reduced in the first ( P = 0.03) and final ( P = 0.04) minutes. In the 10% above GET trial, BU and BI were reduced with music ( P < 0.05). During the time trial with music, BU/ V̇E was significantly attenuated by 9%-13% ( P < 0.05) despite a greater heart rate and self-selected power output ( P < 0.05).

Conclusions: Music through headphones mitigated the sensation of dyspnea and changed the accretion of dyspnea per unit increase in V̇E leading to a higher self-selected workload during self-paced exercise. The dyspnea-reducing intervention of self-selected music may improve exercise tolerance and performance and promote adherence to regular aerobic exercise.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Dyspnea
  • Exercise
  • Exercise Test
  • Exercise Tolerance
  • Female
  • Humans
  • Male
  • Music*
  • Respiration
  • Young Adult