The Effect of Three Different Meditation Exercises on Hypertension: A Network Meta-Analysis.

Author: Yang H1,2,3, Wu X2,4, Wang M5,6
1Physical Education Department, Hohai University, Nanjing 210098, China.
2Shanghai Key Lab of Human Performance, Shanghai University of Sport, Shanghai 200438, China.
3School of Physical Education and Coaching, Shanghai University of Sport, Shanghai 200438, China.
4Scientific Research Department Academy of Science, Shanghai University of Sport, Shanghai 200438, China.
5Physical Education Department, Shanghai University of Finance and Economics, Shanghai 200433, China.
6School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China.
Conference/Journal: Evid Based Complement Alternat Med.
Date published: 2017
Other: Volume ID: 2017 , Pages: 9784271 , Special Notes: doi: 10.1155/2017/9784271. Epub 2017 Apr 26. , Word Count: 198

We aimed to use the pairwise and network meta-analysis to estimate the effects of different meditation exercises on the control of systolic blood pressure (SBP) and diastolic blood pressure (DBP). Randomized controlled trials (RCTs) were retrieved from PubMed and Embase up to June 2016, which are published in English and reported on meditation exercise for hypertensive patients. Risks of bias assessment of the included studies were assessed by Cochrane Collaboration Recommendations and network meta-analysis was performed by ADDIS. Mean difference (MD) and its 95% confidence interval (CI) were used as the effect size. A number of 19 RCTs were included in this study. Results of pairwise comparisons indicated that meditation exercise could significantly decrease the SBP and DBP, compared with other interventions (MD = -7.10, 95% CI: -10.82 to -3.39; MD = -4.02, 95% CI: -6.12 to -1.92). With good consistence and convergence, network meta-analysis showed that there were no significant differences between meditation and other interventions on SBP. For DBP, Qigong was significantly lower than "no intervention" (MD = -11.73, 95% CI: -19.85 to -3.69). Qigong may be the optimal exercise way in lowering SBP and DBP of hypertensive patients, but a detailed long-term clinical research should be needed in the future.

PMID: 28529532 PMCID: PMC5424182 DOI: 10.1155/2017/9784271