Department of Cardiology, West China Hospital, Sichuan University, Chengdu, 610041, China.
Intern Emerg Med. 2019 Mar;14(2):209-237. doi: 10.1007/s11739-018-1791-4. Epub 2018 Jan 25.
The objectives of the study were to investigate the relationship between religion and hypertension, as well as the theoretical mechanism through which religion exerts effect on hypertension. A MEDLINE literature search was performed on articles describing religion and hypertension (N = 543) excluding unqualified ones such as those without expected information, those neither correcting confounding factors nor matching the comparison groups and those reporting repeated trials. Eight extra articles from references of reviews were added to the included studies. Finally, 79 articles were formerly evaluated. Briefly, there are limited trials on correlation between religion and hypertension and their results are inconsistent. First of all, longitudinal investigations, especially the high-quality ones, are deficient. Secondly, studies evaluating religion as an integral are scarce, although they can assess religions most comprehensively. Third, few studies use several religious measurements that represent distinct dimensions of religion. Moreover, divergence exists among diverse populations, even if they are assessed by the same indicator. In addition, 59% studies are concerned with an unspecified species of religion, and Christianity is studied the most among those with a specific category of religion. Finally, the possible mechanism underlying religion and hypertension is complex, which can partially explain the different results among various populations. Comprehensive evaluation of a specific religion should be encouraged. In addition, for a specific population, the correlation between religion and hypertension should be examined particularly, even if similar investigations in other populations have been conducted. Finally, more evidence focused on the effects of distinct religions/sects is also required.
本研究旨在探讨宗教与高血压的关系，并分析宗教影响高血压的理论机制。我们对描述宗教与高血压关系的文献（N=543）进行了 MEDLINE 检索，排除了不符合条件的文献，如缺乏预期信息的文献、未校正混杂因素或未匹配对照组的文献以及重复试验的文献。还从综述的参考文献中添加了 8 篇额外的文章。最终，共评估了 79 篇文章。简要地说，目前关于宗教与高血压之间相关性的研究有限，且结果不一致。首先，纵向研究，特别是高质量的研究，仍然不足。其次，评估宗教作为一个整体的研究很少，尽管它们可以最全面地评估宗教。第三，很少有研究使用几种能够代表不同宗教维度的宗教测量方法。此外，即使使用相同的指标评估不同人群，也存在差异。此外，59%的研究关注的是一种未明确的宗教类型，而在具有特定宗教类别的研究中，研究最多的是基督教。最后，宗教与高血压之间的潜在机制复杂，这部分解释了不同人群之间结果的差异。应该鼓励对特定宗教进行综合评估。此外，对于特定人群，即使在其他人群中已经进行了类似的研究，也应该特别研究宗教与高血压之间的相关性。最后，还需要更多针对不同宗教/教派影响的证据。
