桑拿浴降低健康成人志愿者血压：随机对照试验和准实验研究的荟萃分析

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2024-10-02 DOI:10.1016/j.aimed.2024.09.009

Kanimozhi K.K , Poornima Ravi , Venugopal Vijayakumar , Maheshkumar Kuppusamy

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引用次数: 0

摘要

背景：全球超过70% %的心血管疾病是由可改变的危险因素引起的。桑拿浴是高血压患者的有效治疗方法，高血压是已知的心血管疾病和过早死亡的危险因素。本综述的目的是评价目前关于桑拿浴和血压对正常个体影响的证据。methodele的电子数据库（如PubMed、Scopus和Cochrane Library）从成立到2021年1月进行检索。在健康志愿者中调查桑拿浴对血压影响的研究也包括在内。主要观察指标为桑拿浴后收缩压和舒张压的变化。采用随机效应模型计算标准化平均差（SMD）和95% % ci。结果我们纳入了76名血压正常的参与者（平均年龄29 - 33岁）的6项研究，持续时间为10 分钟至1 小时，随访时间为7天至3个月。在纳入的研究中，收缩压变化的综合效应不利于桑拿浴（SMD: 0.23, 95 % CI: - 0.96至1.43,I2:83 %,p<0.01），而舒张压变化在健康志愿者中显示出积极的影响，但存在相当大的异质性（SMD: - 1.01, 95 % CI: -2.75至0.73,I2:83 %,p<0.01）。对洗澡时间和频率的亚组分析也显示了同样的结果。结论桑拿浴可作为高血压及相关心血管疾病一级预防的一种有前景的工具，从而实现非传染性疾病的全球目标。

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Sauna bath reduces blood pressure in healthy adult volunteers: A meta-analysis of RCTs and quasi-experimental studies

Background

Modifiable risk factors cause over 70 % of cardiovascular diseases worldwide. Sauna bath is an effective treatment for patients with hypertension which is a known risk factor for cardiovascular disease and premature death. Objective of the current review is to evaluate the current evidences available on the effect of sauna bath and blood pressure on normotensive individuals.

Method

Electronic databases (such as PubMed, Scopus, and Cochrane Library) were searched since inception until January 2021. Studies investigating the effect of sauna bath on blood pressure in healthy volunteers were included. Primary outcome measures were changes in systolic (SBP) and diastolic blood (DBP) pressure after sauna bath. Standardized mean difference (SMD) and 95 % CIs were calculated using a random-effects model.

Result

We included six studies conducted among 76 normotensive participants (average age of 29 – 33 years) with the duration of 10 mins to 1 hour and a follow up of 7 days to 3 months. Among the included studies, the pooled effect of SBP changes does not favour sauna bathing (SMD: 0.23, 95 % CI: −0.96 to 1.43, I²:83 %, p<0.01) whereas DBP changes showed a positive effect of sauna bath among the healthy volunteers with considerable heterogeneity (SMD: −1.01, 95 % CI: --2.75 to 0.73, I²:83 %, p<0.01). Subgroup analysis on duration and frequency of bathing also revealed the same findings.

Conclusion

Sauna bath, could be considered as a promising tool for primary prevention of hypertension and related cardiovascular ailments and thus achieving the global target of non-communicable disease.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.