Effect of an 18-month meditation training on cardiovascular risk in older adults: a secondary analysis of the Age-Well randomized controlled trial.

IF 3.4 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Antoine Garnier-Crussard, Julie Gonneaud, Francesca Felisatti, Cassandre Palix, Eglantine Ferrand Devouge, Anne Chocat, Géraldine Rauchs, Vincent de la Sayette, Denis Vivien, Harriet Demnitz-King, Antoine Lutz, Gaël Chételat, Géraldine Poisnel
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引用次数: 0

Abstract

Background: Cardiovascular risk factors represent an important health issue in older adults. Previous findings suggest that meditation training could have a positive impact on these risk factors. The objective of this study was to investigate the effects of an 18-month meditation-based intervention on cardiovascular health.

Methods: Age-Well was a randomized, controlled superiority trial with blinded end point assessment, including community-dwelling cognitively unimpaired adults 65 years and older enrolled between November 24, 2016, and March 5, 2018, in France. One hundred and thirty-four participants were included in this secondary analysis. Participants were randomly affected to an intervention group that received an 18-month meditation-based program or to comparison groups (active control group i.e. non-native language training or passive control group i.e. no intervention). The main outcome was change in the Framingham Risk Score (FRS); other outcomes were changes in cardiovascular and metabolic risk factors.

Results: There was no difference in FRS change after 18 months between trial arms (p = .38). When assessing individual cardiovascular or metabolic risk factors, meditation training was associated with a greater reduction in diastolic blood pressure than the comparison group in participants with intermediate to high cardiovascular risk (FRS > 10%) at baseline (p = .03).

Conclusion: An 18-month meditation training was not effective to increase overall cardiovascular health in older adults, but improved diastolic blood pressure in a subgroup analysis including at-risk participants. These results suggest a potential benefit of a long-term meditation intervention in older adults at-risk of cardiovascular diseases, and highlights the need for future research in more targeted populations.

Trial registration: ClinicalTrials.gov Identifier: NCT02977819.

为期 18 个月的冥想训练对老年人心血管风险的影响:Age-Well 随机对照试验的二次分析。
背景:心血管风险因素是老年人的一个重要健康问题。以前的研究结果表明,冥想训练可对这些风险因素产生积极影响。本研究旨在调查为期 18 个月的冥想干预对心血管健康的影响:Age-Well是一项随机对照优越性试验,采用盲法终点评估,包括2016年11月24日至2018年3月5日期间在法国注册的居住在社区、认知能力未受损的65岁及以上成年人。本次二次分析共纳入 134 名参与者。参与者被随机分到干预组(接受为期 18 个月的冥想课程)或对比组(主动对照组,即非母语培训或被动对照组,即不接受干预)。主要结果是弗雷明汉风险评分(FRS)的变化;其他结果是心血管和代谢风险因素的变化:结果:18 个月后,不同试验组的 FRS 变化无差异(p = .38)。在评估个人心血管或代谢风险因素时,与对比组相比,在基线时具有中高心血管风险(FRS > 10%)的参与者中,冥想训练与舒张压的降低幅度更大相关(p = .03):为期 18 个月的冥想训练并不能有效提高老年人的整体心血管健康水平,但在包括高危参与者在内的亚组分析中,舒张压有所改善。这些结果表明,长期冥想干预对心血管疾病高危老年人有潜在益处,并强调了未来在更多目标人群中开展研究的必要性:试验注册:ClinicalTrials.gov Identifier:NCT02977819.
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来源期刊
BMC Geriatrics
BMC Geriatrics GERIATRICS & GERONTOLOGY-
CiteScore
5.70
自引率
7.30%
发文量
873
审稿时长
20 weeks
期刊介绍: BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.
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