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放松音乐可降低年轻高血压前期患者的血压和心率:一项随机对照试验。

Relaxing music reduces blood pressure and heart rate among pre-hypertensive young adults: A randomized control trial.

机构信息

Department of Physiotherapy, Faculty of Medicine & Health Sciences, Universiti Tunku Abdul Rahman, Petaling Jaya, Malaysia.

Faculty of Health Sciences, Lincoln University College, Kota Bharu, Malaysia.

出版信息

J Clin Hypertens (Greenwich). 2021 Feb;23(2):317-322. doi: 10.1111/jch.14126. Epub 2020 Dec 21.

Abstract

Prevalence of pre-hypertension is higher among young adults and may increase the risk for hypertension and cardiovascular morbidity. Music therapy has been investigated to reduce the blood pressure in the hypertensive population; however, its efficacy on blood pressure in pre-hypertensive young adults is not known. Thirty pre-hypertensive (systolic blood pressure [SBP] = 120-139 mmHg and diastolic blood pressure [DBP] = 80-89 mmHg) young adults were recruited and randomly assigned into two groups. Music group (N = 15) received music therapy by passive listening to music for 30 minutes/day, 5 days/week for 4 weeks, along with Dietary Approaches to Stop Hypertension (DASH) eating plan (a diet rich in fruits and vegetables, low-fat dairy or unsaturated fat) and limit the daily sodium intake less than 100 mmol/day. The control group (N = 15) practiced only DASH eating plan and sodium restriction. The SBP, DBP, and heart rate (HR) were measured before and after 4 weeks of intervention. There was a significant reduction in SBP (8.73 mmHg, p < .001) and HR (6.42 beats/minute, p = .002); however, the reduction in DBP (1.44 mmHg, p = .101) was not statistically significant in the music group. Control group did not exhibit any significant reduction in SBP (0.21 mmHg, p < .836), DBP (0.81 mmHg, p < .395) and HR (0.09 beats/minute, p < .935). In conclusion, music therapy reduced significantly SBP and HR suggesting that it could be a promising tool to prevent the progression of pre-hypertension toward hypertension among young adults.

摘要

高血压前期的患病率在年轻人中较高,可能会增加高血压和心血管疾病发病率的风险。音乐疗法已被研究用于降低高血压人群的血压;然而,其在年轻高血压前期患者中的降压效果尚不清楚。招募了 30 名高血压前期患者(收缩压 [SBP] = 120-139mmHg,舒张压 [DBP] = 80-89mmHg)并随机分为两组。音乐组(N = 15)接受音乐疗法,即每天被动听音乐 30 分钟,每周 5 天,持续 4 周,同时采用高血压防治饮食法(DASH)饮食计划(富含水果和蔬菜、低脂乳制品或不饱和脂肪的饮食)并限制每天钠摄入量低于 100mmol/天。对照组(N = 15)仅实施 DASH 饮食计划和钠限制。在干预 4 周前后测量 SBP、DBP 和心率(HR)。音乐组 SBP(8.73mmHg,p<0.001)和 HR(6.42 次/分钟,p=0.002)显著降低,但 DBP(1.44mmHg,p=0.101)降低无统计学意义。对照组 SBP(0.21mmHg,p<0.836)、DBP(0.81mmHg,p<0.395)和 HR(0.09 次/分钟,p<0.935)均无显著降低。结论:音乐疗法显著降低 SBP 和 HR,提示其可能是预防年轻人高血压前期向高血压进展的一种有前途的工具。

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