A Systematic Review and Meta-Analysis of the Impact of Mindfulness Based Interventions on Heart Rate Variability and Inflammatory Markers.

C-reactive protein Interleukins Mindfulness Based Interventions heart rate variability meta-analysis

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
07 Oct 2019
Historique:
received: 13 09 2019
revised: 02 10 2019
accepted: 03 10 2019
entrez: 9 10 2019
pubmed: 9 10 2019
medline: 9 10 2019
Statut: epublish

Résumé

Mindfulness Based Interventions (MBIs) have recently been increasingly used in clinical settings, and research regarding their effects on health has grown rapidly. However, with regard to the physiological effects of mindfulness practices, studies have reported associations that vary in strength and direction. Therefore, in this systematic review and meta-analysis, we aimed to systematically identify, appraise, and summarize the existing data from randomized and non-randomized controlled trials that examine physiological effects of the standardized MBIs by focusing on pro-inflammatory cytokines and C-reactive protein, and commonly used heart rate variability parameters. The following electronic databases were searched: MEDLINE (via Ovid), PsychINFO (via Ovid), PubMed, Web of Science, EMBASE, CINAHL, ProQuest (Dissertations and Theses), and ClinicalTrails.gov. The systematic review identified 10 studies to be included in the meta-analysis, comprising in total 607 participants. The meta-analysis ended up with mixed and inconclusive results. This was assumedly due to the small number of the original studies and, in particular, to the lack of large, rigorously conducted RCTs. Therefore, the current meta-analysis highlights the necessity of larger, more rigorously conducted RCTs on physiological outcomes with standardized MBIs being compared to various forms of active controls, and with more long-term follow-ups.

Identifiants

pubmed: 31591316
pii: jcm8101638
doi: 10.3390/jcm8101638
pmc: PMC6833066
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Déclaration de conflit d'intérêts

M.N. is a provider of Mindfulness Based Interventions. All other authors declare no conflict of interest.

Références

Psychiatry Res. 2018 Apr;262:328-332
pubmed: 28131433
Ann Rheum Dis. 2015 Feb;74(2):472-4
pubmed: 25406303
Biometrics. 1994 Dec;50(4):1088-101
pubmed: 7786990
Front Physiol. 2011 Nov 29;2:86
pubmed: 22144961
Perspect Psychol Sci. 2011 Nov;6(6):537-59
pubmed: 26168376
Brain Behav Immun. 2012 Oct;26(7):1095-101
pubmed: 22820409
Neurosci Biobehav Rev. 2014 May;42:93-115
pubmed: 24513303
Trends Immunol. 2006 Jan;27(1):24-31
pubmed: 16316783
Front Public Health. 2017 Sep 28;5:258
pubmed: 29034226
J Neurol Neurosurg Psychiatry. 2012 May;83(5):495-502
pubmed: 22423117
Nat Rev Neurosci. 2008 Jan;9(1):46-56
pubmed: 18073775
J Child Fam Stud. 2010 Apr;19(2):190-202
pubmed: 20339571
J Psychosom Res. 2018 Nov;114:62-71
pubmed: 30314581
Int J Cardiol. 2016 Nov 15;223:25-27
pubmed: 27529583
Psychooncology. 2009 Dec;18(12):1261-72
pubmed: 19235193
Am Heart J. 2000 Oct;140(4 Suppl):77-83
pubmed: 11011352
J Clin Psychol. 2006 Mar;62(3):373-86
pubmed: 16385481
Perspect Psychol Sci. 2018 Jan;13(1):36-61
pubmed: 29016274
Mol Neurobiol. 2018 May;55(5):4195-4206
pubmed: 28612257
Clin Psychol Rev. 2018 Feb;59:52-60
pubmed: 29126747
Nat Rev Immunol. 2011 Aug 05;11(9):625-32
pubmed: 21818124
J Clin Med. 2018 Oct 31;7(11):
pubmed: 30384420
Holist Nurs Pract. 2017 Jul/Aug;31(4):260-269
pubmed: 28609411
Eur Heart J. 1996 Mar;17(3):354-81
pubmed: 8737210
J Affect Disord. 2013 Sep 25;150(3):736-44
pubmed: 23870425
PLoS One. 2014 Jul 02;9(7):e100903
pubmed: 24988414
Acta Neuropsychiatr. 2018 Feb;30(1):1-16
pubmed: 28112061
Cancer. 2015 Apr 15;121(8):1231-40
pubmed: 25537522
Nat Rev Immunol. 2016 Jan;16(1):22-34
pubmed: 26711676
BMJ. 1997 Sep 13;315(7109):629-34
pubmed: 9310563
Int J Cardiol. 2014 Dec 15;177(2):557-9
pubmed: 25179555
BMJ. 2011 Oct 18;343:d5928
pubmed: 22008217
Ann N Y Acad Sci. 2016 Jun;1373(1):13-24
pubmed: 26799456
Holist Nurs Pract. 2014 Mar-Apr;28(2):124-48
pubmed: 24503749
Psychiatry Res. 2017 Aug;254:311-316
pubmed: 28501736
Health Psychol. 2013 Oct;32(10):1110-3
pubmed: 23527521
Emotion. 2010 Dec;10(6):803-14
pubmed: 21058842
J Clin Psychol. 2009 Jun;65(6):613-26
pubmed: 19267330
Psychol Bull. 1992 Jul;112(1):155-9
pubmed: 19565683
Stat Med. 2008 Dec 20;27(29):6072-92
pubmed: 18800342
BMJ. 2003 Sep 6;327(7414):557-60
pubmed: 12958120
Int J Surg. 2010;8(5):336-41
pubmed: 20171303

Auteurs

Lina Rådmark (L)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm 171 77, Sweden. lina.radmark@ki.se.
Center for Social Sustainability, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm 171 77, Sweden. lina.radmark@ki.se.

Anna Sidorchuk (A)

Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm 171 77, Sweden. anna.sidorchuk@ki.se.
Stockholm Health Care Services, Region Stockholm, CAP Research Centre, Stockholm 113 30, Sweden. anna.sidorchuk@ki.se.

Walter Osika (W)

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm 171 77, Sweden. walter.osika@ki.se.
Center for Social Sustainability, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm 171 77, Sweden. walter.osika@ki.se.
Northern Stockholm Psychiatry, Stockholm Health Care Services, Region Stockholm, Stockholm 112 81, Sweden. walter.osika@ki.se.

Maria Niemi (M)

Center for Social Sustainability, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm 171 77, Sweden. maria.niemi@ki.se.
Department of Public Health Science, Karolinska Institutet, Stockholm 171 77, Sweden. maria.niemi@ki.se.

Classifications MeSH