Mind–body practices for patients with cardiac disease: a systematic review and meta-analysis
Abstract
Background Due to new treatment modalities in the last decades, a decline in cardiovascular deaths has been observed. There is an emerging field of secondary prevention and behavioural programmes with increased interest in the use of mind-body practices. Until now, these have not been established in cardiovascular disease treatment programmes. Design We performed a systematic review and meta-analysis of the available evidence on the effectiveness of mind-body practices for patients with diagnosed cardiac disease. Methods We included randomized controlled trials (RCTs), published in English, reporting mind-body practices for patients with diagnosed cardiac disease. EMBASE, MEDLINE, Pubmed, Web of Science, The Cochrane Central Register of Controlled Trials and PsycINFO were searched up to July 2013. Two reviewers independently identified studies for inclusion and extracted data on study characteristics, outcomes (Quality of Life, anxiety, depression, physical parameters and exercise tolerance) and quality assessment. Standardized effect sizes (Cohen's d) were calculated comparing the outcomes between the intervention and control group and random effects meta-analysis was conducted. Results We identified 11 unique RCTs with an overall low quality. The studies evaluated mindfulness-based stress reduction, transcendental meditation, progressive muscle relaxation and stress management. Pooled analyses revealed effect sizes of 0.45 (95%CI 0.20-0.72) for physical quality of life, 0.6…
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Some, but not all, studies and meta-analyses have found that meditation can decrease various forms of psychological and psychosocial distress such as perceived stress, anxiety, and negative affect; increase smoking cessation rates; and modestly lower systolic and diastolic blood pressures.
“Some, but not all, studies and meta-analyses have found that meditation can decrease various forms of psychological and psychosocial distress such as perceived stress, anxiety, and negative affect; increase smoking cessation rates; and modestly lower systolic and diastolic blood pressures. 81,213-218”
From Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association (2021) · cites this paper as [217]
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References 62 · Cited by 147
- Authors
- Younge, J. O., Gotink, R. A., Baena, C. P., Roos-Hesselink, J. W., & Hunink, M. M.
- Affiliations
- Erasmus MC (NL)
- Pontifícia Universidade Católica do Paraná (BR)
- Department of Cardiology, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands
- Department of Epidemiology, Erasmus MC, University Medical Centre, Rotterdam, the Netherlands
- Venue
- European Journal of Preventive Cardiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-09-16
- Volume
- 22
- Issue
- 11
- Pages
- 1385-1398
- ISSN
- 2047-4873 (ISSN-L)
- 2047-4881
- OpenAlex
- W1977071314
- Cited by
- 147
- References
- 62
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 9 · 2023: 10 · 2022: 8 · 2021: 7 · 2020: 59 · 2019: 9 · 2018: 11 · 2017: 15 · 2016: 6 · 2015: 6 · 2014: 1
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Preventive Cardiology (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- mind-body practices, heart disease, mindfulness-based stress reduction, transcendental meditation, progressive muscle relaxation, stress management, quality of life, depression, anxiety, blood pressure, exercise tolerance, secondary prevention
- MeSH terms
- Aged, Anxiety, Depression, Female, Heart Diseases, Humans, Male, Mental Health, Middle Aged, Quality of Life, Risk Factors, Stress, Psychological, Treatment Outcome, Exercise Tolerance, Recovery of Function, Mind-Body Therapies, Secondary Prevention
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