Effects of stress management training and dietary changes in treating ischemic heart disease

Ornish, Dean; Scherwitz, Larry; Doody, Rachelle S.; Kesten, Deborah; McLanahan, Sandra; Brown, Stephen C.; DePuey, E. Gordon; Sonnemaker, Robert E.; Haynes, C.; Lester, Jerry W.; Dutton, Laverne; McAllister, G. K.; Baer, Paul E.; Hall, Robert J.; Burdine, John A.; Gotto, Antonio M.

doi:10.1016/0002-9149(82)92441-9

Cited by 39 publications

(47 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The MCLIP is an on-going comprehensive lifestyle change program for the prevention of CHD administered by insurance companies and proven to be effective in prior clinical trials (Ornish et al, 1983;Ornish et al, 1990). The MLCIP included two groups: one arm included patients with CHD (Daubenmier et al, 2007;Frattaroli, Weidner, Merritt-Worden, Frenda, & Ornish, 2008;Govil, Weidner, Merritt-Worden, & Ornish, 2008), the second arm included persons at high risk for CHD, which is the focus of this study.…”

Section: Participantsmentioning

confidence: 99%

Lifestyle changes are related to reductions in depression in persons with elevated coronary risk factors

Pischke

Frenda

Ornish

et al. 2010

Psychology & Health

Self Cite

View full text Add to dashboard Cite

This observational study investigates whether persons with elevated coronary risk factors (CRFs > 3 and/or diabetes) and depression [i.e., ≥ 16 on the Center for Epidemiological Scale - Depression (CES-D)] can make changes in health behaviours over 3 months and improve depressive symptoms and other CRFs. Analyses were based on data from 310 men and 687 women enrolled in the high-risk arm of the Multisite Cardiac Lifestyle Intervention Program, targeting diet (10% fat), exercise (3 h per week) and stress management (7 h per week). As expected, at study entry, depressed persons had a more adverse medical status, consumed more dietary fat and practiced less stress management than non-depressed persons. To examine 3-month changes, participants were grouped into (1) depressed persons who became non-depressed (CES-D ≤ 16, n = 248; 73%), (2) persons who remained or became depressed (CES-D > 16, n = 76) and (3) non-depressed persons who remained non-depressed (n = 597). All persons, regardless of group, met program goals. The greatest improvements (i.e., diet, exercise, perceived stress, hostility and mental health) were observed in Group 1 relative to Groups 2 and 3, which did not differ from each other. Comprehensive lifestyle changes appear to be feasible and beneficial for initially depressed persons with elevated CRFs.

show abstract

Section: Participantsmentioning

confidence: 99%

Lifestyle changes are related to reductions in depression in persons with elevated coronary risk factors

Pischke

Frenda

Ornish

et al. 2010

Psychology & Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…50,62 Our mind-body approach also differed somewhat from the Benson-Henry cardiac rehabilitation program, which focuses more on the Relaxation Response for patients with coronary artery disease than on mindfulness for patients with CHF. 63 However, like traditional programs, participants attended an average of 5 sessions (slightly more than half of the available).…”

Section: Discussionmentioning

confidence: 99%

Integrative Medical Care Plus Mindfulness Training for Patients With Congestive Heart Failure

Kemper

Carmin

Mehta

et al. 2016

J Evid Based Complementary Altern Med

View full text Add to dashboard Cite

Congestive heart failure (CHF) has a high rate of morbidity and mortality. It is often accompanied by other medical and psychosocial comorbidities that complicate treatment and adherence. We conducted a proof of concept pilot project to determine the feasibility of providing integrative group medical visits plus mindfulness training for patients recently discharged with CHF. Patients were eligible if they had been discharged from an inpatient stay for CHF within the 12 months prior to the new program. The Compassionate Approach to Lifestyle and Mind-Body (CALM) Skills for Patients with CHF consisted of 8 weekly visits focusing on patient education about medications, diet, exercise, sleep, and stress management; group support; and training in mind-body skills such as mindfulness, self-compassion, and loving-kindness. Over two 8-week sessions, 8/11 (73%) patients completed at least 4 visits. The patients had an average age of 57 years. The most common comorbidities were weight gain, sleep problems, and fatigue. After the sessions, 100% of patients planned to make changes to their diet, exercise, and stress management practices. Over half of the patients who met with a pharmacist had a medication-related problem. Improvements were observed in depression, fatigue, and satisfaction with life. Integrative group visits focusing on healthy lifestyle, support, and skill-building are feasible even among CHF patients and should be evaluated in controlled trials as a patient-centered approach to improving outcomes related to improving medication management, depression, fatigue, and quality of life.

show abstract

“…Some of the clinical trials examining the effects of comprehensive lifestyle change on CAD have shown less dramatic results 44 than those demonstrated by Ornish and colleagues, whose work demonstrates the possibilities, though not necessarily the practicality, for CAD reversal using comprehensive lifestyle changes. [45][46][47] When Ornish and colleagues studied 23 intervention and 23 control patients with ischemic heart disease in a randomized, controlled trial using stress management and a vegan diet for 24 days, they found a 21% mean plasma cholesterol decrease, a 44% mean exercise capacity increase and a 91% mean decrease in the frequency of anginal episodes. 45 Their subsequent Lifestyle Heart Trial was the first randomized, controlled trial to successfully demonstrate the possibility of atherosclerotic stenosis regression in selected free-living, highly motivated CAD patients over 1 year using comprehensive lifestyle modifications, including low-fat vegetarian diet, smoking cessation, stress management, and moderate physical activity.…”

Section: Research Discussionmentioning

confidence: 99%

“…[45][46][47] When Ornish and colleagues studied 23 intervention and 23 control patients with ischemic heart disease in a randomized, controlled trial using stress management and a vegan diet for 24 days, they found a 21% mean plasma cholesterol decrease, a 44% mean exercise capacity increase and a 91% mean decrease in the frequency of anginal episodes. 45 Their subsequent Lifestyle Heart Trial was the first randomized, controlled trial to successfully demonstrate the possibility of atherosclerotic stenosis regression in selected free-living, highly motivated CAD patients over 1 year using comprehensive lifestyle modifications, including low-fat vegetarian diet, smoking cessation, stress management, and moderate physical activity. 46 The intervention group mean percentage diameter stenosis decreased from 40.0 to 37.8 while the control group lesions enlarged from 42.7 to 46.1.…”

Section: Research Discussionmentioning

confidence: 99%

Health-Promotion Behaviors That Promote Self-Healing

O’Donnell¹

2004

The Journal of Alternative and Complementary Medicine

View full text Add to dashboard Cite

A large body of evidence has shown that health-promotion programs in smoking cessation, stress management, fitness, nutrition, weight control, and medical self care have been successful in helping people improve their health practices and related health conditions. However, the impact of these programs on promoting selfhealing among people with acute and chronic diseases is mixed. The purpose of this paper is to identify research opportunities important to fostering a better understanding of health promotion behaviors that promote self healing. To provide context, the health-promotion concept is discussed, as is the literature on workplace health-promotion programs provided to overtly healthy people. Next, examples of the literature on healthpromotion programs for people with chronic illness are provided. Finally, a research agenda and opportunities for research are presented. S-49

show abstract

Effects of stress management training and dietary changes in treating ischemic heart disease

Cited by 39 publications

References 0 publications

Lifestyle changes are related to reductions in depression in persons with elevated coronary risk factors

Lifestyle changes are related to reductions in depression in persons with elevated coronary risk factors

Integrative Medical Care Plus Mindfulness Training for Patients With Congestive Heart Failure

Health-Promotion Behaviors That Promote Self-Healing

Contact Info

Product

Resources

About