Current perspectives on the use of meditation to reduce blood pressure

Carly M Goldstein, Richard Josephson, Susan Xie, Joel W Hughes, Carly M Goldstein, Richard Josephson, Susan Xie, Joel W Hughes

Abstract

Meditation techniques are increasingly popular practices that may be useful in preventing or reducing elevated blood pressure. We reviewed landmark studies and recent literature concerning the use of meditation for reducing blood pressure in pre-hypertensive and hypertensive individuals. We sought to highlight underlying assumptions, identify strengths and weaknesses of the research, and suggest avenues for further research, reporting of results, and dissemination of findings. Meditation techniques appear to produce small yet meaningful reductions in blood pressure either as monotherapy or in conjunction with traditional pharmacotherapy. Transcendental meditation and mindfulness-based stress reduction may produce clinically significant reductions in systolic and diastolic blood pressure. More randomized clinical trials are necessary before strong recommendations regarding the use of meditation for high BP can be made.

References

    1. World Health Organization. The World Health Report 2002. Vol. 58. Geneva, Switzerland: World Health Organization; 2002.
    1. American Heart Association. Heart Disease and Stroke Statistics—2005 Update. Dallas, Tex, USA: American Heart Association; 2005.
    1. Chobanian AV, Bakris GL, Black HR, et al. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. Journal of the American Medical Association. 2003;289(19):2560–2572.
    1. Ram CVS. Antihypertensive drugs: an overview. American Journal of Cardiovascular Drugs. 2002;2(2):77–89.
    1. Dunbar-Jacob J, Dwyer K, Dunning EJ. Compliance with antihypertensive regimen: a review of the research in the 1980s. Annals of Behavioral Medicine. 1991;13(1):31–39.
    1. Burke LE, Dunbar-Jacob JM, Hill MN. Compliance with cardiovascular disease prevention strategies: a review of the research. Annals of Behavioral Medicine. 1997;19(3):239–263.
    1. Campbell TS, Labelle LE, Bacon SL, Faris P, Carlson LE. Impact of mindfulness-based stress reduction (MBSR) on attention, rumination and resting blood pressure in women with cancer: a waitlist-controlled study. Journal of Behavioral Medicine. In press.
    1. Wright LB, Gregoski MJ, Tingen MS, Barnes VA, Treiber FA. Impact of stress reduction interventions on hostility and ambulatory systolic blood pressure in African American adolescents. Journal of Black Psychology. 2011;37(2):210–233.
    1. Gregoski MJ, Barnes VA, Tingen MS, Harshfield GA, Treiber FA. Breathing awareness meditation and lifeskills training programs influence upon ambulatory blood pressure and sodium excretion among African American adolescents. Journal of Adolescent Health. 2011;48(1):59–64.
    1. Hughes JW, Fresco DM, van Dulmen M, Carlson LE, Josephson R, Myerscough R. Mindfulness-based stress reduction for prehypertension. Psychosomatic Medicine. 2010;71(3):p. 23.
    1. Barnes VA, Treiber FA, Davis H. Impact of transcendental meditation on cardiovascular function at rest and during acute stress in adolescents with high normal blood pressure. Journal of Psychosomatic Research. 2001;51(4):597–605.
    1. Castillo-Richmond A, Schneider RH, Alexander CN, et al. Effects of stress reduction on carotid atherosclerosis in hypertensive African Americans. Stroke. 2000;31(3):568–573.
    1. Wenneberg SR, Schneider RH, Walton KG, et al. A controlled study of the effects of the transcendental meditation program on cardiovascular reactivity and ambulatory blood pressure. International Journal of Neuroscience. 1997;89(1-2):15–28.
    1. Nidich SI, Fields JZ, Rainforth MV, et al. A randomized controlled trial of the effects of transcendental meditation on quality of life in older breast cancer patients. Integrative Cancer Therapies. 2009;8(3):228–234.
    1. Barnes VA, Treiber FA, Johnson MH. Impact of transcendental meditation on ambulatory blood pressure in African-American adolescents. American Journal of Hypertension. 2004;17(4):366–369.
    1. Seer P, Raeburn JM. Meditation training and essential hypertension: a methodological study. Journal of Behavioral Medicine. 1980;3(1):59–71.
    1. Alexander CN, Schneider RH, Staggers F, et al. Trial of stress reduction for hypertension in older African Americans: II. Sex and risk subgroup analysis. Hypertension. 1996;28(2):228–237.
    1. Schneider RH, Staggers F, Alexander CN, et al. A randomized controlled trial of stress reduction for hypertension in older African Americans. Hypertension. 1995;26(5):820–827.
    1. Schneider RH, Alexander CN, Staggers F, et al. A randomized controlled trial of stress reduction in African Americans treated for hypertension for over one year. American Journal of Hypertension. 2005;18(1):88–98.
    1. Schneider RH, Alexander CN, Staggers F, et al. Long-term effects of stress reduction on mortality in persons ≥55 years of age with systemic hypertension. American Journal of Cardiology. 2005;95(9):1060–1064.
    1. Alexander CN, Langer EJ, Newman RI, Chandler HM, Davies JL. Transcendental meditation, mindfulness, and longevity: an experimental study with the elderly. Journal of Personality and Social Psychology. 1989;57(6):950–964.
    1. Kaufmann PG, Jacob RG, Ewart CK, et al. Hypertension intervention pooling project. Health Psychology. 1988;7:209–224.
    1. Irvine MJ, Logan AG. Relaxation behavior therapy as sole treatment for mild hypertension. Psychosomatic Medicine. 1991;53(6):587–597.
    1. Jacob RG, Chesney MA, Williams DM, Ding Y, Shapiro AP. Relaxation therapy for hypertension: design effects and treatment effects. Annals of Behavioral Medicine. 1991;13(1):5–17.
    1. Yen LL, Patrick WK, Chie WC. Comparison of relaxation techniques, routine blood pressure measurements, and self-learning packages in hypertension control. Preventive Medicine. 1996;25(3):339–345.
    1. Cottier C, Shapiro K, Julius S. Treatment of mild hypertension with progressive muscle relaxation. Predictive value of indexes of sympathetic tone. Archives of Internal Medicine. 1984;144(10):1954–1958.
    1. Linden W, Lenz JW, Con AH. Individualized stress management for primary hypertension: a randomized trial. Archives of Internal Medicine. 2001;161(8):1071–1080.
    1. Patel C, Marmot MG, Terry DJ, Carruthers M, Hunt B, Patel M. Trial of relaxation in reducing coronary risk: four year follow up. British Medical Journal. 1985;290(6475):1103–1106.
    1. Patel C, Marmot MG, Terry DJ. Controlled trial of biofeedback-aided behavioural methods in reducing mild hypertension. British Medical Journal. 1981;282(6281):2005–2008.
    1. Spence JD, Barnett PA, Linden W, Ramsden V, Taenzer P. Lifestyle modifications to prevent and control hypertension. 7. Recommendations on stress management. Canadian Hypertension Society, Canadian Coalition for High Blood Pressure Prevention and Control, Laboratory Centre for Disease Control at Health Canada, Heart and Stroke Foundation of Canada. Canadian Medical Association Journal. 1999;160(9):S46–S50.
    1. Eisenberg DM, Delbanco TL, Berkey CS, et al. Cognitive behavioral techniques for hypertension: are they effective? Annals of Internal Medicine. 1993;118(12):964–972.
    1. Linden W, Chambers L. Clinical effectiveness of non-drug treatment for hypertension: a meta- analysis. Annals of Behavioral Medicine. 1994;16(1):35–45.
    1. Ospina MB, Bond K, Karkhaneh M, et al. Meditation practices for health: state of the research. Evidence Report/Technology Assessment. 2007;(155):1–263.
    1. Bernardi L, Sleight P, Bandinelli G, et al. Effect of rosary prayer and yoga mantras on autonomic cardiovascular rhythms: comparative study. British Medical Journal. 2001;323(7327):1446–1449.
    1. Travis F. Comparison of coherence, amplitude, and eLORETA patterns during transcendental meditation and TM-Sidhi practice. International Journal of Psychophysiology. 2011;81(3):198–202.
    1. Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology. 2003;84(4):822–848.
    1. Kabat-Zinn J. Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness. 1st edition. New York, NY, USA: Delta; 1990.
    1. Beddoe AE, Yang CPP, Kennedy HP, Weiss SJ, Lee KA. The effects of mindfulness-based yoga during pregnancy on maternal psychological and physical distress. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2009;38(3):310–319.
    1. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy. 2006;44(1):1–25.
    1. Linehan MM. Cognitive-Behavioral Treatment of Borderline Personality Disorder. 1st edition. New York, NY, USA: Guilford Press; 1993.
    1. Yeh GY, Wood MJ, Lorell BH, et al. Effects of Tai Chi mind-body movement therapy on functional status and exercise capacity in patients with chronic heart failure: a randomized controlled trial. American Journal of Medicine. 2004;117(8):541–548.
    1. Schure MB, Christopher J, Christopher S. Mind-body medicine and the art of self-care: teaching mindfulness to counseling students through yoga, meditation, and qigong. Journal of Counseling and Development. 2008;86(1):47–56.
    1. Anderson JW, Liu C, Kryscio RJ. Blood pressure response to transcendental meditation: a meta-analysis. American Journal of Hypertension. 2008;21(3):310–316.
    1. Kabat-Zinn J. An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry. 1982;4(1):33–47.
    1. Rainforth MV, Schneider RH, Nidich SI, Gaylord-King C, Salerno JW, Anderson JW. Stress reduction programs in patients with elevated blood pressure: a systematic review and meta-analysis. Current Hypertension Reports. 2007;9(6):520–528.
    1. Appel LJ, Champagne CM, Harsha DW, et al. Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. Journal of the American Medical Association. 2003;289(16):2083–2093.
    1. Olivo SA, Macedo LG, Gadotti IC, Fuentes J, Stanton T, Magee DJ. Scales to assess the quality of randomized controlled trials: a systematic review. Physical Therapy. 2008;88(2):156–175.
    1. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled Clinical Trials. 1996;17(1):1–12.
    1. Moher D, Schulz KF, Altman DG, Lepage L. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. Annals of Internal Medicine. 2001;134(8):657–662.

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