Stress Reduction in the Prevention of Left Ventricular Hypertrophy: A Randomized Controlled Trial of Transcendental Meditation and Health Education in Hypertensive African Americans
| Autor: | Charles N. Alexander, Sanford Nidich, Hector F. Myers, Komal Marwaha, Maxwell A. Rainforth, Carolyn Gaylord-King, Keith C. Norris, Robert H. Schneider, John W. Salerno |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Epidemiology media_common.quotation_subject Blood Pressure Disease Transcendental meditation Anger Left ventricular hypertrophy Original Report: Cardiovascular Disease and Risk Factors law.invention Randomized controlled trial Patient Education as Topic law Risk Factors Internal medicine medicine Humans Single-Blind Method cardiovascular diseases Risk factor Life Style media_common business.industry General Medicine Middle Aged medicine.disease Black or African American Blood pressure Meditation Echocardiography Hypertension Cardiology Health education Female Hypertrophy Left Ventricular business Stress Psychological |
| Zdroj: | Ethnicitydisease. 29(4) |
| ISSN: | 1945-0826 |
| Popis: | Background: African Americans have disproportionately high rates of cardiovascular disease (CVD). Left ventricular hypertrophy (LVH) is an independent risk factor for CVD and may contribute to this disparity. Psychological stress contributes to LVH in African Americans and other populations. Objective: This study evaluated the effects of stress reduction with the Transcendental Meditation (TM) technique on preventing LVH in African American adults with hypertension. Setting: Martin Luther King Hospital - Charles R. Drew University of Medicine and Science, Los Angeles, CA. Method: In this trial, 85 African American adults (average 52.8 years) were randomly assigned to either TM program or health education (HE) control group and completed posttesting. Participants were tested at baseline and after six months for left ventricular mass index (LVMI) by M-mode echocardiography, blood pressure, psychosocial stress and behavioral factors. Change in outcomes was analyzed between groups by ANCOVA and within groups by paired t-test. Results: The TM group had significantly lower LVMI compared with the HE group (-7.55gm/m2, 95% CI -14.78 to -.34 gm/m2, P=.040). Both interventions showed significant within group reductions in BP, (SBP/ DBP changes for TM: -5/ -3 mm Hg, and for HE: -7/-6 mm Hg, P=.028 to |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|