Stress Reduction to Decrease Hypertension for Black Women: A Scoping Review of Trials and Interventions.
Stress Reduction to Decrease Hypertension for Black Women: A Scoping Review of Trials and Interventions.
复制标题
减轻黑人女性的压力以降低高血压：试验和干预措施的范围审查。
DOI：
10.1007/s40615-021-01160-y
复制
发表时间：
2022
影响因子：
3.9
通讯作者：
Hines,AnikaL
中科院分区：
文献类型：
--
作者：
Collins,SarahV;Hines,AnikaL
慢性压力是心血管疾病种族/民族差异的潜在根本原因。本综述评估了文献周围的有效减压干预措施，以减少高血压（HTN）-心血管疾病（CVD）的危险因素-在研究不足的人口，非西班牙裔黑人（NHB）women.MethodsWe进行了电子搜索PubMed和PsycINFO文献发表于2000年1月1日和2020年2月1日，采用关键字：“血压”、“高血压”和“女性”、“黑人”、“非裔美国人”、“压力”、“冥想”、“压力应对”、“压力管理”和“基于信仰”。我们手动搜索了参考书目中的其他文章。如果研究：在2000年之前发表;不是基于干预;没有研究美国的黑人妇女;没有针对减轻压力;或者没有测量血压作为结果。独立评审员筛选了基于共识选择的文章。效应大小和approxicalpvalues的报告中提供的纳入article.ResultsWe确定了109篇文章。其中，6篇文章符合纳入标准。一项随机对照试验提供了更有力的证据，支持超越冥想的疗效，收缩压和舒张压降低至7 mmHg。放松练习，支持团体，和治疗按摩出现在非随机试点试验中的潜在好处，收缩压下降到9毫米汞柱和舒张压5毫米汞柱不同的类型和持续时间的intervention.ConclusionsThis范围审查发现，信仰为基础的策略和冥想可以有效的减压技术，以降低血压NHB妇女。然而，关于如何利用这些策略来降低这一高度脆弱人群的血压，仍有很多事情有待了解。
IntroductionChronic stress is a potential root cause of racial/ethnic disparities in cardiovascular disease. This review assesses literature surrounding effective stressreduction interventions to reduce hypertension (HTN)—a cardiovascular disease (CVD) risk factor—among an understudied population, non-Hispanic black (NHB) women.MethodsWe conducted an electronic search of PubMed and PsycINFO literature published between January 1, 2000 and February 1, 2020, employing the keywords: “blood pressure”, “hypertension”, and “women”, “black”, “African-American”, “stress”, “meditation”, “stress-coping”, “stress-management”, and “faith-based”. We manually searched the bibliographies for additional articles. Studies were excluded if they: were published before 2000; were not intervention-based; did not study Black women in the US; did not target stress reduction; or did not measure blood pressure as an outcome. Independent reviewers screened the articles, which were selected based on consensus. Effect sizes and statisticalpvalues were reported as provided in the included articles.ResultsWe identified 109 articles in total. Of those, six articles met inclusion criteria. Stronger evidence presented by a randomized control trial supported the efficacy of transcendental meditation with reductions in systolic and diastolic blood pressure up to 7 mmHg. Relaxation exercises, support groups, and therapeutic massage emerged as potentially beneficial in non-randomized pilot trials with reductions in systolic BP up to 9 mmHg and diastolic BP up to 5 mmHg varying by type and duration of the intervention.ConclusionsThis scoping review found that faith-based strategies and meditation can be effective stress reduction techniques to reduce BP among NHB women. However, much remains to be known about how these strategies may be leveraged to reduce blood pressure within this highly vulnerable population.