Yoga as Antihypertensive Lifestyle Therapy: A Systematic Review and Meta-analysis
To investigate the efficacy of yoga as antihypertensive lifestyle therapy and identify moderators that account for variability in the blood pressure (BP) response to yoga. We systematically searched 6 electronic databases from inception through June 4, 2018, for articles published in English languag...
Gespeichert in:
| Veröffentlicht in: | Mayo Clinic proceedings 2019-03, Vol.94 (3), p.432-446 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 446 |
|---|---|
| container_issue | 3 |
| container_start_page | 432 |
| container_title | Mayo Clinic proceedings |
| container_volume | 94 |
| creator | Wu, Yin Johnson, Blair T. Acabchuk, Rebecca L. Chen, Shiqi Lewis, Holly K. Livingston, Jill Park, Crystal L. Pescatello, Linda S. |
| description | To investigate the efficacy of yoga as antihypertensive lifestyle therapy and identify moderators that account for variability in the blood pressure (BP) response to yoga.
We systematically searched 6 electronic databases from inception through June 4, 2018, for articles published in English language journals on trials of yoga interventions that involved adult participants, reported preintervention and postintervention BP, and had a nonexercise/nondiet control group. Our search yielded 49 qualifying controlled trials (56 interventions). We (1) evaluated the risk of bias and methodological study quality, (2) performed meta-regression analysis following random-effects assumptions, and (3) generated additive models that represented the largest possible clinically relevant BP reductions.
On average, the 3517 trial participants were middle-aged (49.2±19.5 years), overweight (27.9±3.6 kg/m2) adults with high BP (systolic BP, 129.3±13.3 mm Hg; diastolic BP, 80.7±8.4 mm Hg). Yoga was practiced 4.8±3.4 sessions per week for 59.2±25.0 minutes per session for 13.2±7.5 weeks. On average, yoga elicited moderate reductions in systolic BP (weighted mean effect size, −0.47; 95% CI, −0.62-0.32, −5.0 mm Hg) and diastolic BP (weighted mean effect size, −0.47; 95% CI, −0.61 to −0.32; −3.9 mm Hg) compared with controls (P |
| doi_str_mv | 10.1016/j.mayocp.2018.09.023 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2185572718</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A580774132</galeid><els_id>S002561961830939X</els_id><sourcerecordid>A580774132</sourcerecordid><originalsourceid>FETCH-LOGICAL-c421t-f471cc308865ad190102f0f6c351e8ba322df43fffc8671936baac1e6206af893</originalsourceid><addsrcrecordid>eNp90U2L1TAUBuAgDs519B-IFARx03qStmniQrgMfsEdRB0XrkJuejI3l36ZpDP035tLRxcuZpUsnpO8nJeQFxQKCpS_PRa9XkYzFQyoKEAWwMpHZENlxfK6rvhjsgFgdc6p5OfkaQhHAGikrJ6Q8zJdGPBmQ779Gm90pkO2HaI7LBP6iENwt5jtnMUQlw6z6wN6PS3vsm32YwkRex2dyb7jrcO7TA9tdoVR53rQ3RJceEbOrO4CPr8_L8jPjx-uLz_nu6-fvlxud7mpGI25rRpqTAlC8Fq3VAIFZsFyU9YUxV6XjLW2Kq21RvCGypLvtTYUecqtrZDlBXmzvjv58fecoqreBYNdpwcc56AYFXXdsIaKRF_9R4_j7FPek5I1iCrRpF6v6kZ3qA6ou3gIYzdHNw5BbWsBTVPRkiVYrdD4MQSPVk3e9dovioI6daOOau1GnbpRIFXqJo29vE8x73ts_w39LSOB9yvAtLa0XK-CcTgYbJ1HE1U7uod_-AMWyKAS</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2195084855</pqid></control><display><type>article</type><title>Yoga as Antihypertensive Lifestyle Therapy: A Systematic Review and Meta-analysis</title><source>ProQuest Central UK/Ireland</source><source>Alma/SFX Local Collection</source><creator>Wu, Yin ; Johnson, Blair T. ; Acabchuk, Rebecca L. ; Chen, Shiqi ; Lewis, Holly K. ; Livingston, Jill ; Park, Crystal L. ; Pescatello, Linda S.</creator><creatorcontrib>Wu, Yin ; Johnson, Blair T. ; Acabchuk, Rebecca L. ; Chen, Shiqi ; Lewis, Holly K. ; Livingston, Jill ; Park, Crystal L. ; Pescatello, Linda S.</creatorcontrib><description>To investigate the efficacy of yoga as antihypertensive lifestyle therapy and identify moderators that account for variability in the blood pressure (BP) response to yoga.
We systematically searched 6 electronic databases from inception through June 4, 2018, for articles published in English language journals on trials of yoga interventions that involved adult participants, reported preintervention and postintervention BP, and had a nonexercise/nondiet control group. Our search yielded 49 qualifying controlled trials (56 interventions). We (1) evaluated the risk of bias and methodological study quality, (2) performed meta-regression analysis following random-effects assumptions, and (3) generated additive models that represented the largest possible clinically relevant BP reductions.
On average, the 3517 trial participants were middle-aged (49.2±19.5 years), overweight (27.9±3.6 kg/m2) adults with high BP (systolic BP, 129.3±13.3 mm Hg; diastolic BP, 80.7±8.4 mm Hg). Yoga was practiced 4.8±3.4 sessions per week for 59.2±25.0 minutes per session for 13.2±7.5 weeks. On average, yoga elicited moderate reductions in systolic BP (weighted mean effect size, −0.47; 95% CI, −0.62-0.32, −5.0 mm Hg) and diastolic BP (weighted mean effect size, −0.47; 95% CI, −0.61 to −0.32; −3.9 mm Hg) compared with controls (P<.001 for both systolic BP and diastolic BP). Controlling for publication bias and methodological study quality, when yoga was practiced 3 sessions per week among samples with hypertension, yoga interventions that included breathing techniques and meditation/mental relaxation elicited BP reductions of 11/6 mm Hg compared with those that did not (ie, 6/3 mm Hg).
Our results indicate that yoga is a viable antihypertensive lifestyle therapy that produces the greatest BP benefits when breathing techniques and meditation/mental relaxation are included.</description><identifier>ISSN: 0025-6196</identifier><identifier>EISSN: 1942-5546</identifier><identifier>DOI: 10.1016/j.mayocp.2018.09.023</identifier><identifier>PMID: 30792067</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adults ; Analysis ; Antihypertensives ; Blood pressure ; Cardiology ; Cardiovascular disease ; Clinical trials ; Control ; Disease prevention ; Exercise ; Health aspects ; Hypertension ; Intervention ; Lifestyles ; Meditation ; Meta-analysis ; Older people ; Pain ; Physical activity ; Physical fitness ; Physical training ; Regression analysis ; Systematic review ; Yoga</subject><ispartof>Mayo Clinic proceedings, 2019-03, Vol.94 (3), p.432-446</ispartof><rights>2018 Mayo Foundation for Medical Education and Research</rights><rights>Copyright © 2018 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.</rights><rights>COPYRIGHT 2019 Frontline Medical Communications Inc.</rights><rights>Copyright Mayo Foundation for Medical Education and Research Mar 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c421t-f471cc308865ad190102f0f6c351e8ba322df43fffc8671936baac1e6206af893</citedby><cites>FETCH-LOGICAL-c421t-f471cc308865ad190102f0f6c351e8ba322df43fffc8671936baac1e6206af893</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2195084855?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,64384,64386,64388,72340</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30792067$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Yin</creatorcontrib><creatorcontrib>Johnson, Blair T.</creatorcontrib><creatorcontrib>Acabchuk, Rebecca L.</creatorcontrib><creatorcontrib>Chen, Shiqi</creatorcontrib><creatorcontrib>Lewis, Holly K.</creatorcontrib><creatorcontrib>Livingston, Jill</creatorcontrib><creatorcontrib>Park, Crystal L.</creatorcontrib><creatorcontrib>Pescatello, Linda S.</creatorcontrib><title>Yoga as Antihypertensive Lifestyle Therapy: A Systematic Review and Meta-analysis</title><title>Mayo Clinic proceedings</title><addtitle>Mayo Clin Proc</addtitle><description>To investigate the efficacy of yoga as antihypertensive lifestyle therapy and identify moderators that account for variability in the blood pressure (BP) response to yoga.
We systematically searched 6 electronic databases from inception through June 4, 2018, for articles published in English language journals on trials of yoga interventions that involved adult participants, reported preintervention and postintervention BP, and had a nonexercise/nondiet control group. Our search yielded 49 qualifying controlled trials (56 interventions). We (1) evaluated the risk of bias and methodological study quality, (2) performed meta-regression analysis following random-effects assumptions, and (3) generated additive models that represented the largest possible clinically relevant BP reductions.
On average, the 3517 trial participants were middle-aged (49.2±19.5 years), overweight (27.9±3.6 kg/m2) adults with high BP (systolic BP, 129.3±13.3 mm Hg; diastolic BP, 80.7±8.4 mm Hg). Yoga was practiced 4.8±3.4 sessions per week for 59.2±25.0 minutes per session for 13.2±7.5 weeks. On average, yoga elicited moderate reductions in systolic BP (weighted mean effect size, −0.47; 95% CI, −0.62-0.32, −5.0 mm Hg) and diastolic BP (weighted mean effect size, −0.47; 95% CI, −0.61 to −0.32; −3.9 mm Hg) compared with controls (P<.001 for both systolic BP and diastolic BP). Controlling for publication bias and methodological study quality, when yoga was practiced 3 sessions per week among samples with hypertension, yoga interventions that included breathing techniques and meditation/mental relaxation elicited BP reductions of 11/6 mm Hg compared with those that did not (ie, 6/3 mm Hg).
Our results indicate that yoga is a viable antihypertensive lifestyle therapy that produces the greatest BP benefits when breathing techniques and meditation/mental relaxation are included.</description><subject>Adults</subject><subject>Analysis</subject><subject>Antihypertensives</subject><subject>Blood pressure</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Clinical trials</subject><subject>Control</subject><subject>Disease prevention</subject><subject>Exercise</subject><subject>Health aspects</subject><subject>Hypertension</subject><subject>Intervention</subject><subject>Lifestyles</subject><subject>Meditation</subject><subject>Meta-analysis</subject><subject>Older people</subject><subject>Pain</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Physical training</subject><subject>Regression analysis</subject><subject>Systematic review</subject><subject>Yoga</subject><issn>0025-6196</issn><issn>1942-5546</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp90U2L1TAUBuAgDs519B-IFARx03qStmniQrgMfsEdRB0XrkJuejI3l36ZpDP035tLRxcuZpUsnpO8nJeQFxQKCpS_PRa9XkYzFQyoKEAWwMpHZENlxfK6rvhjsgFgdc6p5OfkaQhHAGikrJ6Q8zJdGPBmQ779Gm90pkO2HaI7LBP6iENwt5jtnMUQlw6z6wN6PS3vsm32YwkRex2dyb7jrcO7TA9tdoVR53rQ3RJceEbOrO4CPr8_L8jPjx-uLz_nu6-fvlxud7mpGI25rRpqTAlC8Fq3VAIFZsFyU9YUxV6XjLW2Kq21RvCGypLvtTYUecqtrZDlBXmzvjv58fecoqreBYNdpwcc56AYFXXdsIaKRF_9R4_j7FPek5I1iCrRpF6v6kZ3qA6ou3gIYzdHNw5BbWsBTVPRkiVYrdD4MQSPVk3e9dovioI6daOOau1GnbpRIFXqJo29vE8x73ts_w39LSOB9yvAtLa0XK-CcTgYbJ1HE1U7uod_-AMWyKAS</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Wu, Yin</creator><creator>Johnson, Blair T.</creator><creator>Acabchuk, Rebecca L.</creator><creator>Chen, Shiqi</creator><creator>Lewis, Holly K.</creator><creator>Livingston, Jill</creator><creator>Park, Crystal L.</creator><creator>Pescatello, Linda S.</creator><general>Elsevier Inc</general><general>Frontline Medical Communications Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4U-</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20190301</creationdate><title>Yoga as Antihypertensive Lifestyle Therapy: A Systematic Review and Meta-analysis</title><author>Wu, Yin ; Johnson, Blair T. ; Acabchuk, Rebecca L. ; Chen, Shiqi ; Lewis, Holly K. ; Livingston, Jill ; Park, Crystal L. ; Pescatello, Linda S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c421t-f471cc308865ad190102f0f6c351e8ba322df43fffc8671936baac1e6206af893</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adults</topic><topic>Analysis</topic><topic>Antihypertensives</topic><topic>Blood pressure</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Clinical trials</topic><topic>Control</topic><topic>Disease prevention</topic><topic>Exercise</topic><topic>Health aspects</topic><topic>Hypertension</topic><topic>Intervention</topic><topic>Lifestyles</topic><topic>Meditation</topic><topic>Meta-analysis</topic><topic>Older people</topic><topic>Pain</topic><topic>Physical activity</topic><topic>Physical fitness</topic><topic>Physical training</topic><topic>Regression analysis</topic><topic>Systematic review</topic><topic>Yoga</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Yin</creatorcontrib><creatorcontrib>Johnson, Blair T.</creatorcontrib><creatorcontrib>Acabchuk, Rebecca L.</creatorcontrib><creatorcontrib>Chen, Shiqi</creatorcontrib><creatorcontrib>Lewis, Holly K.</creatorcontrib><creatorcontrib>Livingston, Jill</creatorcontrib><creatorcontrib>Park, Crystal L.</creatorcontrib><creatorcontrib>Pescatello, Linda S.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>University Readers</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Mayo Clinic proceedings</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Yin</au><au>Johnson, Blair T.</au><au>Acabchuk, Rebecca L.</au><au>Chen, Shiqi</au><au>Lewis, Holly K.</au><au>Livingston, Jill</au><au>Park, Crystal L.</au><au>Pescatello, Linda S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Yoga as Antihypertensive Lifestyle Therapy: A Systematic Review and Meta-analysis</atitle><jtitle>Mayo Clinic proceedings</jtitle><addtitle>Mayo Clin Proc</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>94</volume><issue>3</issue><spage>432</spage><epage>446</epage><pages>432-446</pages><issn>0025-6196</issn><eissn>1942-5546</eissn><abstract>To investigate the efficacy of yoga as antihypertensive lifestyle therapy and identify moderators that account for variability in the blood pressure (BP) response to yoga.
We systematically searched 6 electronic databases from inception through June 4, 2018, for articles published in English language journals on trials of yoga interventions that involved adult participants, reported preintervention and postintervention BP, and had a nonexercise/nondiet control group. Our search yielded 49 qualifying controlled trials (56 interventions). We (1) evaluated the risk of bias and methodological study quality, (2) performed meta-regression analysis following random-effects assumptions, and (3) generated additive models that represented the largest possible clinically relevant BP reductions.
On average, the 3517 trial participants were middle-aged (49.2±19.5 years), overweight (27.9±3.6 kg/m2) adults with high BP (systolic BP, 129.3±13.3 mm Hg; diastolic BP, 80.7±8.4 mm Hg). Yoga was practiced 4.8±3.4 sessions per week for 59.2±25.0 minutes per session for 13.2±7.5 weeks. On average, yoga elicited moderate reductions in systolic BP (weighted mean effect size, −0.47; 95% CI, −0.62-0.32, −5.0 mm Hg) and diastolic BP (weighted mean effect size, −0.47; 95% CI, −0.61 to −0.32; −3.9 mm Hg) compared with controls (P<.001 for both systolic BP and diastolic BP). Controlling for publication bias and methodological study quality, when yoga was practiced 3 sessions per week among samples with hypertension, yoga interventions that included breathing techniques and meditation/mental relaxation elicited BP reductions of 11/6 mm Hg compared with those that did not (ie, 6/3 mm Hg).
Our results indicate that yoga is a viable antihypertensive lifestyle therapy that produces the greatest BP benefits when breathing techniques and meditation/mental relaxation are included.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>30792067</pmid><doi>10.1016/j.mayocp.2018.09.023</doi><tpages>15</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-6196 |
| ispartof | Mayo Clinic proceedings, 2019-03, Vol.94 (3), p.432-446 |
| issn | 0025-6196 1942-5546 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2185572718 |
| source | ProQuest Central UK/Ireland; Alma/SFX Local Collection |
| subjects | Adults Analysis Antihypertensives Blood pressure Cardiology Cardiovascular disease Clinical trials Control Disease prevention Exercise Health aspects Hypertension Intervention Lifestyles Meditation Meta-analysis Older people Pain Physical activity Physical fitness Physical training Regression analysis Systematic review Yoga |
| title | Yoga as Antihypertensive Lifestyle Therapy: A Systematic Review and Meta-analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T18%3A39%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Yoga%20as%20Antihypertensive%20Lifestyle%20Therapy:%20A%20Systematic%20Review%20and%20Meta-analysis&rft.jtitle=Mayo%20Clinic%20proceedings&rft.au=Wu,%20Yin&rft.date=2019-03-01&rft.volume=94&rft.issue=3&rft.spage=432&rft.epage=446&rft.pages=432-446&rft.issn=0025-6196&rft.eissn=1942-5546&rft_id=info:doi/10.1016/j.mayocp.2018.09.023&rft_dat=%3Cgale_proqu%3EA580774132%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2195084855&rft_id=info:pmid/30792067&rft_galeid=A580774132&rft_els_id=S002561961830939X&rfr_iscdi=true |