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December 30, 2016Journal of Hypertension64 citations

Meditation and blood pressure

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LSLu ShiDZDonglan ZhangLWLiang Wang

Key Result

Non-transcendental meditation reduced ABPM-measured SBP by 3.77 mmHg (95% CI: -5.33, -2.21) and DBP by 2.18 mmHg (95% CI: -4.28, -0.09), serving as a promising alternative approach for lowering BP.

Study Design

Type

Meta-Analysis

Structured PICO

Does meditation reduce blood pressure?

P
Population
19 RCTs examining blood pressure responses to meditation interventions
I
Intervention
Meditation interventions (transcendental meditation and non-transcendental meditation)
C
Comparator
Control groups in the included RCTs
O
Outcome
Change in systolic blood pressure (SBP) and diastolic blood pressure (DBP)surrogate

Meditation, both transcendental and non-transcendental, significantly lowers systolic and diastolic blood pressure, suggesting it is a promising alternative approach for BP management.

Main Result

Effect estimate: Pooled effect estimate -3.77 mmHg (non-TM ABPM SBP) (95% CI -5.33, -2.21)

Limitations

  • More ABPM-measured transcendental meditation interventions might be needed to examine the benefit of transcendental meditation intervention on SBP reduction

Abstract

OBJECTIVES: We meta-analyzed the effect of meditation on blood pressure (BP), including both transcendental meditation and non-transcendental meditation interventions. METHODS: We identified randomized controlled trials (RCTs) that examined the BP responses to meditation interventions through a systematic literature search of the PubMed, ABI/INFORM, MEDLINE, EMBASE, PsycINFO, and CINAHL databases (from January 1980 to October 2015). We meta-analyzed the change in SBP and DBP, stratified by type of meditation (transcendental meditation vs. non-transcendental meditation intervention) and by type of BP measurement ambulatory BP monitoring (ABPM) vs. non-ABPM measurement. RESULTS: Nineteen studies met the eligibility criteria. Among the studies using the ABPM measurement, the pooled SBP effect estimate was -2.49 mmHg 95% confidence interval (CI): -7.51, 2.53 for transcendental meditation intervention (statistically insignificant) and -3.77 mmHg (95% CI: -5.33, -2.21) for non-transcendental meditation interventions, whereas the pooled DBP effect estimate was -4.26 mmHg (95% CI: -6.21, -2.31) for transcendental meditation interventions and -2.18 mmHg (95% CI: -4.28, -0.09) for non-transcendental meditation interventions. Among the studies using the non-ABPM measurement, the pooled SBP effect estimate from transcendental meditation interventions was -5.57 mmHg (95% CI: -7.41, -3.73) and was -5.09 mmHg with non-transcendental meditation intervention (95% CI: -6.34, -3.85), whereas the pooled effect size in DBP change for transcendental meditation interventions was -2.86 mmHg (95% CI: -4.27, -1.44) and was -2.57 mmHg (95% CI: -3.36, -1.79) for non-transcendental meditation interventions. CONCLUSION: Non-transcendental meditation may serve as a promising alternative approach for lowering both SBP and DBP. More ABPM-measured transcendental meditation interventions might be needed to examine the benefit of transcendental meditation intervention on SBP reduction.

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Cite This Study

Shi et al. (2016) conducted a meta-analysis in Blood pressure. Meditation (transcendental and non-transcendental) was evaluated on Change in SBP and DBP (Pooled effect estimate -3.77 mmHg (non-TM ABPM SBP), 95% CI -5.33, -2.21). Non-transcendental meditation reduced ABPM-measured SBP by 3.77 mmHg (95% CI: -5.33, -2.21) and DBP by 2.18 mmHg (95% CI: -4.28, -0.09), serving as a promising alternative approach for lowering BP.

synapsesocial.com/papers/6a1261c945487b7639a66164https://doi.org/10.1097/hjh.0000000000001217
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