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02.04.2024 | ORIGINAL PAPER

Spiritually Based Interventions for High Blood Pressure: A Systematic Review and Meta-analysis

verfasst von: Roghayeh Khabiri, Leila Jahangiry, Mehdi Abbasian, Fatollah Majidi, Mahdieh Abbasalizad Farhangi, Homayoun Sadeghi-bazargani, Koen Ponnet

Erschienen in: Journal of Religion and Health | Ausgabe 5/2024

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Abstract

This systematic review and meta-analysis aimed to evaluate the effectiveness of spiritually based interventions on blood pressure (BP) among adults. A systematic search was performed using the PubMed, Scopus, and Cochrane databases to identify studies evaluating spiritual interventions, including meditation, transcendental meditation, mindfulness meditation, and yoga, for high BP among adults up to January 1, 2022. The inclusion criteria were (a) randomized controlled trials (RCTs), (b) studies in English or Persian, (c) studies conducted among adults (≥ 18 years), and (d) studies reporting systolic or diastolic BP. Given the high heterogeneity of these studies, a random effect model was used to calculate the effect sizes for the RCTs. In total, the systematic review included 24 studies and the meta-analysis included 23 studies. As some of studies reported two or more outcome measurements, separate estimates of each outcome were extracted for that study (24 datasets). Fifteen trials reported the mean (SD) systolic blood pressure (SBP), and 13 trials reported the mean (SD) diastolic blood pressure (DBP). In addition, 13 studies reported means (SDs) and six trials reported mean changes in DBP. A significant decrease was found in systolic BP following intervention ((WMD (weighted mean difference) =  − 7.63 [− 9.61 to − 5.65; P < 0.001]). We observed significant heterogeneity among the studies (I2 = 96.9; P < 0.001). A significant decrease was observed in DBP following the interventions (WMD =  − 4.75 [− 6.45 to − 3.05; P < 0.001]). Spiritually based interventions including meditation and yoga had beneficial effects in reducing both SBP and DBP. Reducing BP can be expected to reduce the risk of cardiovascular diseases.
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Literatur
Zurück zum Zitat Blom, K., Baker, B., How, M., Dai, M., Irvine, J., Abbey, S., Abramson, B. L., Myers, M. G., Kiss, A., Perkins, N. J., & Tobe, S. W. (2014). Hypertension analysis of stress reduction using mindfulness meditation and yoga: Results from the HARMONY randomized controlled trial. American Journal of Hypertension, 27(1), 122–129. https://doi.org/10.1093/ajh/hpt134CrossRefPubMed Blom, K., Baker, B., How, M., Dai, M., Irvine, J., Abbey, S., Abramson, B. L., Myers, M. G., Kiss, A., Perkins, N. J., & Tobe, S. W. (2014). Hypertension analysis of stress reduction using mindfulness meditation and yoga: Results from the HARMONY randomized controlled trial. American Journal of Hypertension, 27(1), 122–129. https://​doi.​org/​10.​1093/​ajh/​hpt134CrossRefPubMed
Zurück zum Zitat Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jr., Jones, D. W., Materson, B. J., Oparil, S., Wright, J. T., Jr., Roccella, E. J., Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute, & National High Blood Pressure Education Program Coordinating Committee. (2003). Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension, 42(6), 1206–1252. https://doi.org/10.1161/01.HYP.0000107251.49515.c2CrossRefPubMed Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L., Jr., Jones, D. W., Materson, B. J., Oparil, S., Wright, J. T., Jr., Roccella, E. J., Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute, & National High Blood Pressure Education Program Coordinating Committee. (2003). Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension, 42(6), 1206–1252. https://​doi.​org/​10.​1161/​01.​HYP.​0000107251.​49515.​c2CrossRefPubMed
Zurück zum Zitat Cohen, D. L., Bloedon, L. T., Rothman, R. L., Farrar, J. T., Galantino, M. L., Volger, S., Mayor, C., Szapary, P. O., & Townsend, R. R. (2011). Iyengar yoga versus enhanced usual care on blood pressure in patients with prehypertension to stage i hypertension: A randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2011, 546428. https://doi.org/10.1093/ecam/nep130CrossRefPubMedPubMedCentral Cohen, D. L., Bloedon, L. T., Rothman, R. L., Farrar, J. T., Galantino, M. L., Volger, S., Mayor, C., Szapary, P. O., & Townsend, R. R. (2011). Iyengar yoga versus enhanced usual care on blood pressure in patients with prehypertension to stage i hypertension: A randomized controlled trial. Evidence-Based Complementary and Alternative Medicine, 2011, 546428. https://​doi.​org/​10.​1093/​ecam/​nep130CrossRefPubMedPubMedCentral
Zurück zum Zitat Czernichow, S., Zanchetti, A., Turnbull, F., Barzi, F., Ninomiya, T., Kengne, A. P., LambersHeerspink, H. J., Perkovic, V., Huxley, R., Arima, H., Patel, A., Chalmers, J., Woodward, M., MacMahon, S., Neal, B., & Collaboration, B. P. L. T. T. (2011). The effects of blood pressure reduction and of different blood pressure-lowering regimens on major cardiovascular events according to baseline blood pressure: Meta-analysis of randomized trials. Journal of Hypertension, 29(1), 4–16. https://doi.org/10.1097/HJH.0b013e32834000beCrossRefPubMed Czernichow, S., Zanchetti, A., Turnbull, F., Barzi, F., Ninomiya, T., Kengne, A. P., LambersHeerspink, H. J., Perkovic, V., Huxley, R., Arima, H., Patel, A., Chalmers, J., Woodward, M., MacMahon, S., Neal, B., & Collaboration, B. P. L. T. T. (2011). The effects of blood pressure reduction and of different blood pressure-lowering regimens on major cardiovascular events according to baseline blood pressure: Meta-analysis of randomized trials. Journal of Hypertension, 29(1), 4–16. https://​doi.​org/​10.​1097/​HJH.​0b013e32834000be​CrossRefPubMed
Zurück zum Zitat Daskalopoulou, S. S., Khan, N. A., Quinn, R. R., Ruzicka, M., McKay, D. W., Hackam, D. G., Rabkin, S. W., Rabi, D. M., Gilbert, R. E., Padwal, R. S., Dawes, M., Touyz, R. M., Campbell, T. S., Cloutier, L., Grover, S., Honos, G., Herman, R. J., Schiffrin, E. L., Bolli, P., … Program, C. H. E. (2012). The 2012 Canadian hypertension education program recommendations for the management of hypertension: Blood pressure measurement, diagnosis, assessment of risk, and therapy. The Canadian Journal of Cardiology, 28(3), 270–287. https://doi.org/10.1016/j.cjca.2012.02.018CrossRefPubMed Daskalopoulou, S. S., Khan, N. A., Quinn, R. R., Ruzicka, M., McKay, D. W., Hackam, D. G., Rabkin, S. W., Rabi, D. M., Gilbert, R. E., Padwal, R. S., Dawes, M., Touyz, R. M., Campbell, T. S., Cloutier, L., Grover, S., Honos, G., Herman, R. J., Schiffrin, E. L., Bolli, P., … Program, C. H. E. (2012). The 2012 Canadian hypertension education program recommendations for the management of hypertension: Blood pressure measurement, diagnosis, assessment of risk, and therapy. The Canadian Journal of Cardiology, 28(3), 270–287. https://​doi.​org/​10.​1016/​j.​cjca.​2012.​02.​018CrossRefPubMed
Zurück zum Zitat Fouladvandi, M. (2015). Relationship of spiritual health with attitude to spirituality and spiritual care in hemodialysis patients the city of Bam. Complementary Medicine Journal of Faculty of Nursing & Midwifery, 5(2), 1133–1145. Fouladvandi, M. (2015). Relationship of spiritual health with attitude to spirituality and spiritual care in hemodialysis patients the city of Bam. Complementary Medicine Journal of Faculty of Nursing & Midwifery, 5(2), 1133–1145.
Zurück zum Zitat Ghaderi, A., Tabatabaei, S. M., Nedjat, S., Javadi, M., & Larijani, B. (2018). Explanatory definition of the concept of spiritual health: A qualitative study in Iran. Journal of Medical Ethics and History of Medicine, 11, 3.PubMedPubMedCentral Ghaderi, A., Tabatabaei, S. M., Nedjat, S., Javadi, M., & Larijani, B. (2018). Explanatory definition of the concept of spiritual health: A qualitative study in Iran. Journal of Medical Ethics and History of Medicine, 11, 3.PubMedPubMedCentral
Zurück zum Zitat Holt-Lunstad, J., Steffen, P. R., Sandberg, J., & Jensen, B. (2011). Understanding the connection between spiritual well-being and physical health: An examination of ambulatory blood pressure, inflammation, blood lipids and fasting glucose. Journal of Behavioral Medicine, 34(6), 477–488. https://doi.org/10.1007/s10865-011-9343-7CrossRefPubMed Holt-Lunstad, J., Steffen, P. R., Sandberg, J., & Jensen, B. (2011). Understanding the connection between spiritual well-being and physical health: An examination of ambulatory blood pressure, inflammation, blood lipids and fasting glucose. Journal of Behavioral Medicine, 34(6), 477–488. https://​doi.​org/​10.​1007/​s10865-011-9343-7CrossRefPubMed
Zurück zum Zitat Jahangiry, L., Shojaeizadeh, D., Montazeri, A., Najafi, M., Mohammad, K., & AbbasalizadFarhangi, M. (2014). Modifiable lifestyle risk factors and metabolic syndrome: Opportunities for a web-based preventive program. Journal of Research in Health Sciences, 14(4), 303–307.PubMed Jahangiry, L., Shojaeizadeh, D., Montazeri, A., Najafi, M., Mohammad, K., & AbbasalizadFarhangi, M. (2014). Modifiable lifestyle risk factors and metabolic syndrome: Opportunities for a web-based preventive program. Journal of Research in Health Sciences, 14(4), 303–307.PubMed
Zurück zum Zitat Paul-Labrador, M., Polk, D., Dwyer, J. H., Velasquez, I., Nidich, S., Rainforth, M., Schneider, R., & Merz, C. N. (2006). Effects of a randomized controlled trial of transcendental meditation on components of the metabolic syndrome in subjects with coronary heart disease. Archives of Internal Medicine, 166(11), 1218–1224. https://doi.org/10.1001/archinte.166.11.1218CrossRefPubMed Paul-Labrador, M., Polk, D., Dwyer, J. H., Velasquez, I., Nidich, S., Rainforth, M., Schneider, R., & Merz, C. N. (2006). Effects of a randomized controlled trial of transcendental meditation on components of the metabolic syndrome in subjects with coronary heart disease. Archives of Internal Medicine, 166(11), 1218–1224. https://​doi.​org/​10.​1001/​archinte.​166.​11.​1218CrossRefPubMed
Zurück zum Zitat Larson, J. S. (1996). The World Health Organization’s definition of health: Social versus spiritual health. Social Indicators Research, 38, 181–192.CrossRef Larson, J. S. (1996). The World Health Organization’s definition of health: Social versus spiritual health. Social Indicators Research, 38, 181–192.CrossRef
Zurück zum Zitat Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Journal of Clinical Epidemiology, 62(10), e1–e34.CrossRefPubMed Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: Explanation and elaboration. Journal of Clinical Epidemiology, 62(10), e1–e34.CrossRefPubMed
Zurück zum Zitat Ponte Márquez, P. H., Feliu-Soler, A., Solé-Villa, M. J., Matas-Pericas, L., Filella-Agullo, D., Ruiz-Herrerias, M., Soler-Ribaudi, J., Roca-CusachsColl, A., & Arroyo-Díaz, J. A. (2019). Benefits of mindfulness meditation in reducing blood pressure and stress in patients with arterial hypertension. Journal of Human Hypertension, 33(3), 237–247. https://doi.org/10.1038/s41371-018-0130-6CrossRefPubMed Ponte Márquez, P. H., Feliu-Soler, A., Solé-Villa, M. J., Matas-Pericas, L., Filella-Agullo, D., Ruiz-Herrerias, M., Soler-Ribaudi, J., Roca-CusachsColl, A., & Arroyo-Díaz, J. A. (2019). Benefits of mindfulness meditation in reducing blood pressure and stress in patients with arterial hypertension. Journal of Human Hypertension, 33(3), 237–247. https://​doi.​org/​10.​1038/​s41371-018-0130-6CrossRefPubMed
Zurück zum Zitat Marselle, M. R., Stadler, J., Korn, H., Irvine, K. N., Bonn, A. (Eds.). (2019). Biodiversity and health in the face of climate change: Challenges, opportunities and evidence gaps. In Biodiversity and health in the face of climate change. Springer. Marselle, M. R., Stadler, J., Korn, H., Irvine, K. N., Bonn, A. (Eds.). (2019). Biodiversity and health in the face of climate change: Challenges, opportunities and evidence gaps. In Biodiversity and health in the face of climate change. Springer.
Zurück zum Zitat Miller, W. R., & Thoresen, C. E. (1999). Spirituality and health. In W. R. Miller (Ed.), Integrating spirituality into treatment: Resources for practitioners (pp. 3–18). Washington: American Psychological Association.CrossRef Miller, W. R., & Thoresen, C. E. (1999). Spirituality and health. In W. R. Miller (Ed.), Integrating spirituality into treatment: Resources for practitioners (pp. 3–18). Washington: American Psychological Association.CrossRef
Zurück zum Zitat Moberg, D. O. (2001). Aging and spirituality: Spiritual Dimensions of aging theory, research, practice, and policy. The Haworth Pastoral Press. Moberg, D. O. (2001). Aging and spirituality: Spiritual Dimensions of aging theory, research, practice, and policy. The Haworth Pastoral Press.
Zurück zum Zitat Momeni Ghale-Ghasemi, T., Musarezaie, A., Moeini, M., & NajiEsfahani, H. (2013). The effect of spiritual care program on ischemic heart disease patients’ anxiety, hospitalized in CCU: A clinical trial. Journal of Research in Behavioural Sciences, 10(6), 554–564. Momeni Ghale-Ghasemi, T., Musarezaie, A., Moeini, M., & NajiEsfahani, H. (2013). The effect of spiritual care program on ischemic heart disease patients’ anxiety, hospitalized in CCU: A clinical trial. Journal of Research in Behavioural Sciences, 10(6), 554–564.
Zurück zum Zitat Moeini, M., Ghasemi, T. M., Yousefi, H., & Abedi, H. (2012). The effect of spiritual care on spiritual health of patients with cardiac ischemia. Iranian Journal of Nursing and Midwifery Research, 17(3), 195–199.PubMedPubMedCentral Moeini, M., Ghasemi, T. M., Yousefi, H., & Abedi, H. (2012). The effect of spiritual care on spiritual health of patients with cardiac ischemia. Iranian Journal of Nursing and Midwifery Research, 17(3), 195–199.PubMedPubMedCentral
Zurück zum Zitat Narayanasamy, A., Clissett, P., Parumal, L., Thompson, D., Annasamy, S., & Edge, R. (2004). Responses to the spiritual needs of older people. Journal of Advanced Nursing, 48(1), 6–16.CrossRefPubMed Narayanasamy, A., Clissett, P., Parumal, L., Thompson, D., Annasamy, S., & Edge, R. (2004). Responses to the spiritual needs of older people. Journal of Advanced Nursing, 48(1), 6–16.CrossRefPubMed
Zurück zum Zitat Nidich, S. I., Rainforth, M. V., Haaga, D. A., Hagelin, J., Salerno, J. W., Travis, F., Tanner, M., Gaylord-King, C., Grosswald, S., & Schneider, R. H. (2009). A randomized controlled trial on effects of the transcendental meditation program on blood pressure, psychological distress, and coping in young adults. American Journal of Hypertension, 22(12), 1326–1331. https://doi.org/10.1038/ajh.2009.184CrossRefPubMed Nidich, S. I., Rainforth, M. V., Haaga, D. A., Hagelin, J., Salerno, J. W., Travis, F., Tanner, M., Gaylord-King, C., Grosswald, S., & Schneider, R. H. (2009). A randomized controlled trial on effects of the transcendental meditation program on blood pressure, psychological distress, and coping in young adults. American Journal of Hypertension, 22(12), 1326–1331. https://​doi.​org/​10.​1038/​ajh.​2009.​184CrossRefPubMed
Zurück zum Zitat Schneider, R. H., Alexander, C. N., Staggers, F., Orme-Johnson, D. W., Rainforth, M., Salerno, J. W., Sheppard, W., Castillo-Richmond, A., Barnes, V. A., & Nidich, S. I. (2005). A randomized controlled trial of stress reduction in African Americans treated for hypertension for over one year. American Journal of Hypertension, 18(1), 88–98. https://doi.org/10.1016/j.amjhyper.2004.08.027CrossRefPubMed Schneider, R. H., Alexander, C. N., Staggers, F., Orme-Johnson, D. W., Rainforth, M., Salerno, J. W., Sheppard, W., Castillo-Richmond, A., Barnes, V. A., & Nidich, S. I. (2005). A randomized controlled trial of stress reduction in African Americans treated for hypertension for over one year. American Journal of Hypertension, 18(1), 88–98. https://​doi.​org/​10.​1016/​j.​amjhyper.​2004.​08.​027CrossRefPubMed
Zurück zum Zitat Shetty, P., Reddy, B. K. K., Lakshmeesha, D. R., Shetty, S. P., Selva Kumar, G., & Bradley, R. (2017). Effects of sheetali and sheetkari pranayamas on blood pressure and autonomic function in hypertensive patients. Integrative Medicine, 16(5), 32–37.PubMedPubMedCentral Shetty, P., Reddy, B. K. K., Lakshmeesha, D. R., Shetty, S. P., Selva Kumar, G., & Bradley, R. (2017). Effects of sheetali and sheetkari pranayamas on blood pressure and autonomic function in hypertensive patients. Integrative Medicine, 16(5), 32–37.PubMedPubMedCentral
Zurück zum Zitat Soheili, M., & MollaiIveli, M. (2019). A review of the role of spiritual cares in the nursing profession. Journal of Religion and Health, 7(1), 75–84. Soheili, M., & MollaiIveli, M. (2019). A review of the role of spiritual cares in the nursing profession. Journal of Religion and Health, 7(1), 75–84.
Zurück zum Zitat Wenneberg, S. R., Schneider, R. H., Walton, K. G., Maclean, C. R., Levitsky, D. K., Salerno, J. W., Wallace, R. K., Mandarino, J. V., Rainforth, M. V., & Waziri, R. (1997). A controlled study of the effects of the Transcendental Meditation program on cardiovascular reactivity and ambulatory blood pressure. The International Journal of Neuroscience, 89(1–2), 15–28. https://doi.org/10.3109/00207459708988461CrossRefPubMed Wenneberg, S. R., Schneider, R. H., Walton, K. G., Maclean, C. R., Levitsky, D. K., Salerno, J. W., Wallace, R. K., Mandarino, J. V., Rainforth, M. V., & Waziri, R. (1997). A controlled study of the effects of the Transcendental Meditation program on cardiovascular reactivity and ambulatory blood pressure. The International Journal of Neuroscience, 89(1–2), 15–28. https://​doi.​org/​10.​3109/​0020745970898846​1CrossRefPubMed
Metadaten
Titel
Spiritually Based Interventions for High Blood Pressure: A Systematic Review and Meta-analysis
verfasst von
Roghayeh Khabiri
Leila Jahangiry
Mehdi Abbasian
Fatollah Majidi
Mahdieh Abbasalizad Farhangi
Homayoun Sadeghi-bazargani
Koen Ponnet
Publikationsdatum
02.04.2024
Verlag
Springer US
Erschienen in
Journal of Religion and Health / Ausgabe 5/2024
Print ISSN: 0022-4197
Elektronische ISSN: 1573-6571
DOI
https://doi.org/10.1007/s10943-024-02034-3