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April 19, 2026The Journal of Cardiovascular Nursing0 citations

Effects of Mindfulness-Based Interventions (MBI) on Blood Pressure Among Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

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CRChuntana ReangsingSPSasinun PunsuwunSOSarah Oerther

Key Result

Mindfulness-based interventions significantly reduced systolic blood pressure by 6.320 mm Hg and diastolic blood pressure by 4.091 mm Hg in adults.

Key Points

  • This research aims to evaluate the impact of mindfulness-based interventions on blood pressure in adults and identify factors influencing their effectiveness.
  • Performed a systematic search of 10 electronic databases for eligible studies until February 2025.
  • Reviewed randomized controlled trials focused on blood pressure outcomes in adults undergoing mindfulness interventions.
  • Applied a random-effects model to compute effect sizes and assessed study heterogeneity using Funnel plots, Q statistics, and I 2.
  • Examined 21 studies with 23 comparisons involving 2002 participants, with 1045 in the mindfulness group.
  • Mindfulness-based interventions resulted in a significant reduction in systolic blood pressure by −6.320 mm Hg and diastolic blood pressure by −4.091 mm Hg.
  • Several moderators such as funding, intervention fidelity, health condition, and settings influenced the effect sizes.

Study Design

Type

Meta-Analysis (n=2,002)

Structured PICO

Do mindfulness-based interventions reduce blood pressure in adults?

P
Population
21 RCTs pooling 2,002 adults, 38% female, mean age 50.86 years.
I
Intervention
Mindfulness-based interventions based on Buddhist teaching
C
Comparator
Control groups
O
Outcome
Reduction in systolic and diastolic blood pressuresurrogate

Mindfulness-based interventions significantly reduce both systolic and diastolic blood pressure in adults, suggesting utility as a complementary treatment.

Main Result

Effect estimate: SBP -6.320 mm Hg, DBP -4.091 mm Hg

Limitations

  • No primary studies reported adverse effects

Abstract

Objective: In this study, our aim was to examine the effects of mindfulness-based interventions on blood pressure in adults, with additional exploration of study characteristics, methodological factors, intervention types, and participant demographics as potential moderators of the effect sizes. Methods: We systematically searched 10 electronic databases for eligible studies from inception to February 2025. We reviewed studies on blood pressure outcomes for adults receiving mindfulness-based intervention based on Buddhist teaching. We only reviewed randomized controlled trials written in English. A random-effects model was used to compute the effect size. We used Funnel plot, Q statistics, and I 2 to test the heterogeneity across studies. Also, we examined moderators to explore sources of heterogeneity. Results: Across 21 studies providing 23 between group comparisons (N = 2002), 1045 in mindfulness-based intervention group, and 957 in control groups. Thirty-eight percent of participants were females. Mean age ranged from 20.26 to 72.86 years, with a total mean ( SD ) age across studies of 50.86 (13.40) years. Overall, mindfulness-based interventions had a large effect on the reduction in systolic blood pressure by −6.320 mm Hg and diastolic blood pressure by −4.091 mm Hg. Funding, intention-to-treat, fidelity of intervention, health condition, and settings were moderators affecting effect sizes. No primary studies reported the adverse effects. Conclusion: Mindfulness-based interventions significantly reduced blood pressure in adults. Clinicians and health professionals might consider using mindfulness-based interventions as an alternative complementary treatment for controlling blood pressure.

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Cite This Study

Reangsing et al. (2026) conducted a meta-analysis in Blood pressure (n=2,002). Mindfulness-based interventions vs. Control was evaluated on Systolic and diastolic blood pressure (SBP -6.320 mm Hg, DBP -4.091 mm Hg). Mindfulness-based interventions significantly reduced systolic blood pressure by 6.320 mm Hg and diastolic blood pressure by 4.091 mm Hg in adults.

synapsesocial.com/papers/69e4745f010ef96374d9016ahttps://doi.org/10.1097/jcn.0000000000001284
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