Mind–body practices for patients with cardiac disease: a systematic review and meta-analysis

Younge, John O.; Gotink, Rinske A.; Baena, Cristina P; Roos‐Hesselink, Jolien W.; Hunink, MG Myriam

doi:10.1177/2047487314549927

Cited by 132 publications

(51 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most, although not all, studies randomized patients to either meditation or some type of “usual care.” These studies are generally limited by modest sample size and limited duration follow‐up, and a few assessed multifactorial interventions that combined meditation with other interventions (ie, yoga, diet). A systematic review and meta‐analysis of randomized, controlled trials of mind‐body practices, including meditation but other interventions as well, found that such interventions were associated with improvements in physical and mental quality of life, depression and anxiety, and systolic and diastolic blood pressure, but rated the overall quality of the studies as low …”

Section: Meditation and Secondary Prevention Of Cvdmentioning

confidence: 99%

Meditation and Cardiovascular Risk Reduction

Levine¹,

Lange²,

Bairey‐Merz³

et al. 2017

JAHA

268

View full text Add to dashboard Cite

Despite numerous advances in the prevention and treatment of atherosclerosis, cardiovascular disease remains a leading cause of morbidity and mortality. Novel and inexpensive interventions that can contribute to the primary and secondary prevention of cardiovascular disease are of interest. Numerous studies have reported on the benefits of meditation. Meditation instruction and practice is widely accessible and inexpensive and may thus be a potential attractive cost‐effective adjunct to more traditional medical therapies. Accordingly, this American Heart Association scientific statement systematically reviewed the data on the potential benefits of meditation on cardiovascular risk. Neurophysiological and neuroanatomical studies demonstrate that meditation can have long‐standing effects on the brain, which provide some biological plausibility for beneficial consequences on the physiological basal state and on cardiovascular risk. Studies of the effects of meditation on cardiovascular risk have included those investigating physiological response to stress, smoking cessation, blood pressure reduction, insulin resistance and metabolic syndrome, endothelial function, inducible myocardial ischemia, and primary and secondary prevention of cardiovascular disease. Overall, studies of meditation suggest a possible benefit on cardiovascular risk, although the overall quality and, in some cases, quantity of study data are modest. Given the low costs and low risks of this intervention, meditation may be considered as an adjunct to guideline‐directed cardiovascular risk reduction by those interested in this lifestyle modification, with the understanding that the benefits of such intervention remain to be better established. Further research on meditation and cardiovascular risk is warranted. Such studies, to the degree possible, should utilize randomized study design, be adequately powered to meet the primary study outcome, strive to achieve low drop‐out rates, include long‐term follow‐up, and be performed by those without inherent bias in outcome.

show abstract

Section: Meditation and Secondary Prevention Of Cvdmentioning

confidence: 99%

Meditation and Cardiovascular Risk Reduction

Levine¹,

Lange²,

Bairey‐Merz³

et al. 2017

JAHA

268

View full text Add to dashboard Cite

show abstract

“…The associations reported here between lower levels of negative affect at hospitalisation and during the following month and increases in SAH highlight the importance of monitoring affect and intervening as early as possible to keep cardiac patients’ levels of negative affect low. Techniques to reduce negative affect, such as relaxation and mindfuless‐based stress management (Younge, Gotink, Baena, Roos‐Hesselink, & Hunink, ), would need to be tested with cardiac patients to increase their SAH.…”

Section: Discussionmentioning

confidence: 99%

The Dynamic Nature of Self‐Assessed Health (SAH) as a Function of Negative and Positive Affects among Cardiac Patients

Peleg

Drori

Banai

et al. 2017

Applied Psych Health & Well

View full text Add to dashboard Cite

show abstract

“…A systematic review among individuals with CVD or other risk factors ( e.g ., hypertension and diabetes patients) found significant improvements in stress, depression, anxiety, and quality of life following mindfulness interventions; however, similar to studies of CBT, effects on physical health outcomes were less consistent[49]. Among CVD patients specifically, a systematic review of 11 RCTs of mind-body practices found significant improvements in depression, anxiety, and QoL, though these studies were found to be of overall low quality[81]. Mindfulness-based interventions have also been integrated into cardiac rehabilitation programs[82], and several studies suggest that meditation, tai chi, and yoga may be useful for improving health outcomes in heart failure patients[83-85].…”

Section: Novel Interventions To Target Health Behaviors and Cardiac Omentioning

confidence: 99%

Sleep, health behaviors, and behavioral interventions: Reducing the risk of cardiovascular disease in adults

Kaar¹,

Luberto²,

Campbell³

et al. 2017

WJC

View full text Add to dashboard Cite

Numerous health behaviors, including physical activity, diet, smoking, and sleep, play a major role in preventing the development and progression of cardiovascular disease (CVD). Among these behaviors, sleep may play a pivotal role, yet it has been studied somewhat less than other behaviors and there have been few well-designed sleep intervention studies targeting CVD. Furthermore, despite the fact that these behaviors are often interrelated, interventions tend to focus on changing one health behavior rather than concurrently intervening on multiple behaviors. Psychological constructs from depression to positive affect may also have a major effect on these health behaviors and ultimately on CVD. In this review, we summarize the existing literature on the impact of sleep and other cardiac health behaviors on CVD onset and prognosis. We also describe interventions that may promote these behaviors, from established interventions such as motivational interviewing and cognitive behavioral therapy, to more novel approaches focused on mindfulness and other positive psychological constructs. Finally, we outline population-health-level care management approaches for patients with psychiatric conditions (e.g., depression) that may impact cardiac health, and discuss their potential utility in improving mental health, promoting health behaviors, and reducing CVD-related risk. Much work is still needed to better understand how sleep and other health behaviors may uniquely contribute to CVD risk, and additional high-quality studies of interventions designed to modify cardiac health behaviors are required to improve cardiovascular health in individuals and the population at large.

show abstract

Mind–body practices for patients with cardiac disease: a systematic review and meta-analysis

Abstract: Mind-body practices have encouraging results for patients with cardiac disease. Our review demonstrates the need for high-quality studies in this field.

Cited by 132 publications

References 60 publications

Meditation and Cardiovascular Risk Reduction

Meditation and Cardiovascular Risk Reduction

The Dynamic Nature of Self‐Assessed Health (SAH) as a Function of Negative and Positive Affects among Cardiac Patients

Sleep, health behaviors, and behavioral interventions: Reducing the risk of cardiovascular disease in adults

Contact Info

Product

Resources

About