正念干预对心血管风险因素的影响：系统评价和荟萃分析的伞状评价。

Effects of mindfulness-based interventions on cardiovascular risk factors: An umbrella review of systematic reviews and meta-analyses.

机构信息

Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, 100 Kexue Avenue, Zhengzhou, Henan, China.

出版信息

J Psychosom Res. 2024 Feb;177:111586. doi: 10.1016/j.jpsychores.2023.111586. Epub 2023 Dec 31.

DOI:10.1016/j.jpsychores.2023.111586

PMID:38185037

Abstract

OBJECTIVE

Reviews have shown that mindfulness-based interventions (MBIs) were effective in improving cardiovascular risk factors (CVRFs), but the results were contradictory. This umbrella review aimed to summarize and grade the existing reviews on CVRFs associated with MBIs.

METHODS

The protocol of this umbrella review had been registered in PROSPERO (CRD42022356812). PubMed, Web of science, Embase, The Cochrane Library, Scopus, Medline, PsycINFO and CINAHL were searched from database inception to 20 July 2022. The quality of evidence was assessed through GRADE.

RESULTS

Twenty-seven reviews with 14,923 participants were included. Overall, 45% of reviews had low heterogeneity (I < 25%). For the quality of evidence, 31% were rated very low, 42% were rated low, 17% were rated moderate and 10% were rated high. MBIs significantly improved systolic blood pressure [SMD -5.53 mmHg (95% CI -7.81, -3.25)], diastolic blood pressure [SMD -2.13 mmHg (95% CI -2.97, -1.30)], smoking [Cohen's d 0.42 (95% CI 0.20, 0.64)], glycosylated hemoglobin [MD 0.01 (95% CI -0.43, -0.07)], binge eating behavior [SMD -6.49 (95% CI -10.80, -2.18)], depression [SMD -0.72 (95% CI -1.23, -0.21)] and stress [SMD -0.67 (95% CI -1.00, -0.34)].

CONCLUSIONS

In conclusion, this umbrella review provided evidence for the role of MBIs in the improvement of CVRFs.

摘要

目的

综述表明，基于正念的干预（MBIs）在改善心血管风险因素（CVRFs）方面是有效的，但结果存在矛盾。本伞式综述旨在总结和评估与 MBIs 相关的 CVRFs 的现有综述，并对其进行分级。

方法

本伞式综述的方案已在 PROSPERO（CRD42022356812）中注册。从数据库建立到 2022 年 7 月 20 日，检索了 PubMed、Web of science、Embase、The Cochrane Library、Scopus、Medline、PsycINFO 和 CINAHL。通过 GRADE 评估证据质量。

结果

共纳入 27 篇综述，包含 14923 名参与者。总体而言，45%的综述具有低异质性（I<25%）。对于证据质量，31%被评为极低，42%被评为低，17%被评为中，10%被评为高。MBIs 显著改善了收缩压[SMD-5.53mmHg（95%CI-7.81，-3.25）]、舒张压[SMD-2.13mmHg（95%CI-2.97，-1.30）]、吸烟[Cohen's d 0.42（95%CI 0.20，0.64）]、糖化血红蛋白[MD 0.01（95%CI-0.43，-0.07）]、暴饮暴食行为[SMD-6.49（95%CI-10.80，-2.18）]、抑郁[SMD-0.72（95%CI-1.23，-0.21）]和压力[SMD-0.67（95%CI-1.00，-0.34）]。