Silva Marcus Tolentino, Amado Daniel Miele, Rocha Paulo Roberto Sousa, Barreto Jorge Otávio Maia
Universidade de Brasília, Departamento de Saúde Coletiva, Brasília, DF, Brazil.
Ministério da Saúde, Núcleo Técnico de Gestão da Política Nacional de Práticas Integrativas e Complementares em Saúde no SUS, Brasília, DF, Brazil.
Epidemiol Serv Saude. 2025 Aug 4;34:e20240844. doi: 10.1590/S2237-96222025v34e20240844.en. eCollection 2025.
Identifying the main uses of integrative and complementary healthcare practices (ICPHPs) in managing systemic arterial hypertension in adults.
Evidence summary. With eligibility criteria for the clinical guidelines from the Grading of Recommendations, Assessment, Development and Evaluation system and others that addressed ICPHPs hypertension, with no language or date restrictions. Medline, Embase and Scopus were the databases consulted. The Appraisal of Guidelines for Research and Evaluation II tool was used for risk of bias assessment, focusing on methodological rigor. The results were then summarized narratively, grouping the recommendations by outcome and analyzing commonalities and differences between the included guidelines.
Eight clinical guidelines were included in this evidence summary, selected from 560 records initially identified. The most common interventions were meditation, yoga, breathing techniques, tai chi and mindfulness, with a positive impact on blood pressure, stress control and patients' quality of life. Most guidelines recommended these practices for hypertension control, based on moderate quality evidence with a strong recommendation.
The results of this summary indicate that HCPs are effective and safe strategies in the complementary management for hypertension, suggesting a more holistic and less medicalized approach to managing the condition.
确定综合和补充性医疗保健实践（ICPHPs）在管理成人系统性动脉高血压中的主要用途。
证据总结。采用推荐分级、评估、制定与评价系统（GRADE）及其他涉及ICPHPs治疗高血压的临床指南的纳入标准，无语言或日期限制。检索了Medline、Embase和Scopus数据库。使用《研究与评价指南评估II》工具进行偏倚风险评估，重点关注方法的严谨性。然后对结果进行叙述性总结，按结果对推荐意见进行分组，并分析纳入指南之间的共性和差异。
本证据总结纳入了8项临床指南，从最初识别的560条记录中选出。最常见的干预措施是冥想、瑜伽、呼吸技巧、太极拳和正念，对血压、压力控制和患者生活质量有积极影响。大多数指南基于中等质量证据并给出强烈推荐，建议将这些实践用于高血压控制。
本总结结果表明，ICPHPs在高血压补充管理中是有效且安全的策略，提示采用更全面、更少医学化的方法来管理该疾病。
