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Erschienen in: Journal of Religion and Health 4/2019

22.10.2018 | Original Paper

Religion, Spirituality and Risk of Coronary Heart Disease: A Matched Case–Control Study and Meta-Analysis

verfasst von: Rohoullah Hemmati, Zeinab Bidel, Milad Nazarzadeh, Maryam Valadi, Somayeh Berenji, Elahe Erami, Fatten Al Zaben, Harold G. Koenig, Ali Sanjari Moghaddam, Farshad Teymoori, Siamak Sabour, Saeed Reza Ghanbarizadeh, Tahereh Seghatoleslam

Erschienen in: Journal of Religion and Health | Ausgabe 4/2019

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Abstract

Although the association between religion/spirituality (R/S) and psychological outcomes is well established, current understanding of the association with cardiovascular disease remains limited. We sought to investigate the association between Islamic R/S and coronary heart disease (CHD), and place these findings in light of a meta-analysis. In this case–control study, 190 cases with non-fatal CHD were identified and individually matched with 383 hospital-based controls. R/S was measured by self-administered 102 items questionnaire. A tabular meta-analysis was performed of observational studies on R/S (high level versus low level) and CHD. In addition, a dose–response meta-analysis was conducted using generalized least-squares regression. Participants in the top quartile had decreased odds of CHD comparing to participants in the lowest quartile of religious belief (OR 0.20, 95% confidence interval (CI) 0.06–0.59), religious commitment (OR 0.36, CI 95% 0.13–0.99), religious emotions (OR 0.39, CI 95% 0.18–0.87), and total R/S score (OR 0.30, CI 95% 0.13–0.67). The meta-analysis study showed a significant relative risk of 0.88 (CI 95% 0.77–1.00) comparing individuals in high level versus low level of R/S. In dose–response meta-analysis, comparing people with no religious services attendance, the relative risks of CHD were 0.77 (CI 95% 0.65–0.91) for one times attendance and 0.27 (CI 95% 0.11–0.65) for five times attendance per month. R/S was associated with a significantly decreased risk of CHD. The possible causal nature of the observed associations warrants randomized clinical trial with large sample size.
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Metadaten
Titel
Religion, Spirituality and Risk of Coronary Heart Disease: A Matched Case–Control Study and Meta-Analysis
verfasst von
Rohoullah Hemmati
Zeinab Bidel
Milad Nazarzadeh
Maryam Valadi
Somayeh Berenji
Elahe Erami
Fatten Al Zaben
Harold G. Koenig
Ali Sanjari Moghaddam
Farshad Teymoori
Siamak Sabour
Saeed Reza Ghanbarizadeh
Tahereh Seghatoleslam
Publikationsdatum
22.10.2018
Verlag
Springer US
Erschienen in
Journal of Religion and Health / Ausgabe 4/2019
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-018-0722-z

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