Effectiveness of the Mindfulness‐Based Stress Reduction Program on Blood Pressure: A Systematic Review of Literature

López, Ana Laura Solano

doi:10.1111/wvn.12319

Cited by 42 publications

(31 citation statements)

References 40 publications

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“…Lifestyle modifications should include the following (Table 8). [47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62][63][64] Seasonal BP Variation 65 BP exhibits seasonal variation with lower levels at higher temperatures and higher at lower temperatures. Similar changes occur in people traveling from places with cold to hot temperature, or the reverse.…”

Section: Section 8: Treatment Of Hypertension 81 Lifestyle Modificatmentioning

confidence: 99%

“…59 Although more research is needed to determine the effects of chronic stress on blood pressure, randomized clinical trials examining the effects of transcendental meditation/mindfulness on blood pressure suggest that this practice lowers blood pressure. 60 Stress should be reduced and mindfulness or meditation introduced into the daily routine.…”

Section: Reduce Stress and Induce Mindfulnessmentioning

confidence: 99%

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2020 International Society of Hypertension Global Hypertension Practice Guidelines

et al. 2020

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Section: Section 8: Treatment Of Hypertension 81 Lifestyle Modificatmentioning

confidence: 99%

Section: Reduce Stress and Induce Mindfulnessmentioning

confidence: 99%

2020 International Society of Hypertension Global Hypertension Practice Guidelines

et al. 2020

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“…[11] A 2018 systematic review suggested similar findings. [12] Customization of mindfulness interventions for specific patient populations has evidence to be effective, as a recent systematic review and meta-analyses demonstrated for Mindfulness-Based Cognitive Therapy effects on preventing depression relapse. [13] Consequently, we hypothesized that a mindfulness-based program adapted to those with elevated blood pressure, that trains participants in mindfulness skills of attention control, self-awareness and emotion regulation as well as the application of those skills in relation to modifiable determinants of blood pressure (e.g.…”

Section: Introductionmentioning

confidence: 99%

Mindfulness-Based Blood Pressure Reduction (MB-BP): Stage 1 single-arm clinical trial

et al. 2019

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Background and objectivesImpacts of mindfulness-based programs on blood pressure remain equivocal, possibly because the programs are not adapted to engage with determinants of hypertension, or due to floor effects. Primary objectives were to create a customized Mindfulness-Based Blood Pressure Reduction (MB-BP) program, and to evaluate acceptability, feasibility, and effects on hypothesized proximal self-regulation mechanisms. Secondary outcomes included modifiable determinants of blood pressure (BP), and clinic-assessed systolic blood pressure (SBP).MethodsThis was a Stage 1 single-arm trial with one year follow-up. Focus groups and in-depth interviews were performed to evaluate acceptability and feasibility. Self-regulation outcomes, and determinants of BP, were assessed using validated questionnaires or objective assessments. The MB-BP curriculum was adapted from Mindfulness-Based Stress Reduction to direct participants’ mindfulness skills towards modifiable determinants of blood pressure.ResultsAcceptability and feasibility findings showed that of 53 eligible participants, 48 enrolled (91%). Of these, 43 (90%) attended at least 7 of the 10 MB-BP classes; 43 were followed to one year (90%). Focus groups (n = 19) and semi-structured interviews (n = 10) showed all participants viewed the delivery modality favorably, and identified logistic considerations concerning program access as barriers. A priori selected primary self-regulation outcomes showed improvements at one-year follow-up vs. baseline, including attention control (Sustained Attention to Response Task correct no-go score, p<0.001), emotion regulation (Difficulties in Emotion Regulation Score, p = 0.02), and self-awareness (Multidimensional Assessment of Interoceptive Awareness, p<0.001). Several determinants of hypertension were improved in participants not adhering to American Heart Association guidelines at baseline, including physical activity (p = 0.02), Dietary Approaches to Stop Hypertension-consistent diet (p<0.001), and alcohol consumption (p<0.001). Findings demonstrated mean 6.1 mmHg reduction in SBP (p = 0.008) at one year follow-up; effects were most pronounced in Stage 2 uncontrolled hypertensives (SBP≥140 mmHg), showing 15.1 mmHg reduction (p<0.001).ConclusionMB-BP has good acceptability and feasibility, and may engage with self-regulation and behavioral determinants of hypertension.

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“…Thus stress and anxiety may be better controlled. Secondly, mindfulness has been shown to promote body awareness, relaxation and cognitive coping processes that are associated with parasympathetic activation, that have been shown to reduce BP [34]. From this review it appears that effective interventions can be delivered individually or in groups and can help enhance wellbeing [34].…”

Section: Discussionmentioning

confidence: 97%

Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: A systematic review and meta-analysis

Intarakamhang

Macaskill

Prasittichok

2020

Heliyon

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Mindfulness based interventions (MBIs) are an emerging area of empirical study, not only in positive psychology, but also in clinical health care. This research aims to synthesize the evidence about whether MBIs reduce blood pressure (BP) in patients with non-communicable diseases (NCDs). Methods: Relevant studies were identified via PubMed, the Cochrane Library, Embase and the CINAHL database between 2009 and 2019. The papers selected focused on mindfulness and the effect of these on the BP of patients with NCDs. The change in SBP and DBP were meta-analyzed, stratified by type of intervention (Breathing awareness meditation (BAM), Mindfulness Meditation (MM), and Mindfulness-based Stress Reduction (MBSR). Results: Fourteen articles met eligibility criteria and were included in the final review. Among the studies using the type and duration of intervention, systolic BP was reduced after the mindfulness-based stress reduction for 8 weeks (-6.90 mmHg [95% CI: -10.82, -2.97], p < .050), followed by the breathing awareness meditation for 12 weeks (-4.10 mmHg [95% CI: -7.54, -0.66], p < .050) and the mindfulness-based intervention for 8 weeks (-2.69 mmHg [95% CI: -3.90, -1.49], p < .050) whereas diastolic BP was reduced after the mindfulness-based stress reduction for 8 weeks (-2.45 mmHg [95% CI: -3.74, -1.17], p < .050) and the mindfulness-based intervention for 8 weeks (-2.24 mmHg [95% CI: -3.22, -1.26], p < .050). Conclusion: MBIs can provide effective alternative therapies to assist in blood pressure reduction for patients with NCDs.

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Effectiveness of the Mindfulness‐Based Stress Reduction Program on Blood Pressure: A Systematic Review of Literature

Cited by 42 publications

References 40 publications

2020 International Society of Hypertension Global Hypertension Practice Guidelines

2020 International Society of Hypertension Global Hypertension Practice Guidelines

Mindfulness-Based Blood Pressure Reduction (MB-BP): Stage 1 single-arm clinical trial

Mindfulness interventions reduce blood pressure in patients with non-communicable diseases: A systematic review and meta-analysis

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