Ryan A. Mace, Matthew J. Stauder, Sarah W. Hopkins, Joshua E. Cohen, Malvina O. Pietrzykowski, Lisa L. Philpotts, Christina M. Luberto, Ana-Maria Vranceanu
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MBIs were associated with reduced sleep disturbance (40/54 RCTs; 3537 participants; SMD = −.53; 95% CI = −.74 to −.32; I<jats:sup> 2</jats:sup> = 78%), increased physical activity (9/17 RCTs analyzed; 685 participants; SMD = .72; 95% CI = .04 to 1.40; I<jats:sup> 2</jats:sup> = 89%), improved tobacco cessation (8/12 RCTs; 1234 participants; OR = 2.11; 95% CI = 1.12 to 3.97; I<jats:sup> 2</jats:sup> = 55%), and lowered alcohol use (4/6 RCTs; 261 participants; SMD = −.39; 95% CI = −.45 to −.32; I<jats:sup> 2</jats:sup> = 0%). This review found moderate to high-quality evidence for MBIs targeting sleep, physical activity, alcohol use, and tobacco cessation. Heterogeneity for these outcomes and insufficient data to analyze diet, mental activities, and cognitive functioning limit our ability to draw definitive conclusions about the effects of MBIs on brain health.","PeriodicalId":47480,"journal":{"name":"American Journal of Lifestyle Medicine","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Mindfulness-Based Interventions Targeting Modifiable Lifestyle Behaviors Associated With Brain Health: A Systematic Review and Meta-Analysis\",\"authors\":\"Ryan A. Mace, Matthew J. Stauder, Sarah W. Hopkins, Joshua E. Cohen, Malvina O. Pietrzykowski, Lisa L. Philpotts, Christina M. 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引用次数: 0
摘要
一项系统综述和荟萃分析调查了针对与成人大脑健康普遍相关的生活方式行为的正念干预(MBI)的随机临床试验(RCT)。数据来源包括 Ovid Medline、Ovid PsycINFO、CINAHL [EBSCO]、Embase、Cochrane Library [Ovid]、Web of Science 和 https://ClinicalTrials.gov。使用 Covidence 2.0 对研究进行筛选。共有 79 项已发表的针对成人(18 岁以上,患者和非患者人群)的 MBI 研究符合资格标准,这些研究针对一种或多种生活方式行为(体育锻炼、睡眠、饮食、饮酒、戒烟以及社交和心理活动)。MBIs 与减少睡眠障碍(40/54 项 RCTs;3537 名参与者;SMD = -.53;95% CI = -.74 至 -.32;I 2 = 78%)、增加体力活动(9/17 项 RCTs 分析;685 名参与者;SMD = .72;95% CI = .04 至 1.40;I 2 = 89%),提高戒烟率(8/12 项 RCTs;1234 名参与者;OR = 2.11;95% CI = 1.12 至 3.97;I 2 = 55%),降低饮酒率(4/6 项 RCTs;261 名参与者;SMD = -.39; 95% CI = -.45 至 -.32; I 2 = 0%)。本综述发现了针对睡眠、体育锻炼、饮酒和戒烟的 MBI 的中高质量证据。这些结果的异质性以及饮食、心理活动和认知功能分析数据的不足,限制了我们就MBI对大脑健康的影响得出明确结论的能力。
Mindfulness-Based Interventions Targeting Modifiable Lifestyle Behaviors Associated With Brain Health: A Systematic Review and Meta-Analysis
A systematic review and meta-analysis investigated randomized clinical trials (RCTs) of mindfulness-based interventions (MBIs) targeting lifestyle behaviors commonly associated with brain health in adults. Data sources included Ovid Medline, Ovid PsycINFO, CINAHL [EBSCO], Embase, Cochrane Library [Ovid], Web of Science, and https://ClinicalTrials.gov . Studies were screened using Covidence 2.0. A total of 79 published RCTs of MBIs for adults (18+, patient and non-patient populations) targeting one or more lifestyle behavior (physical activity, sleep, diet, alcohol use, tobacco cessation, and social and mental activities) met eligibility criteria. MBIs were associated with reduced sleep disturbance (40/54 RCTs; 3537 participants; SMD = −.53; 95% CI = −.74 to −.32; I 2 = 78%), increased physical activity (9/17 RCTs analyzed; 685 participants; SMD = .72; 95% CI = .04 to 1.40; I 2 = 89%), improved tobacco cessation (8/12 RCTs; 1234 participants; OR = 2.11; 95% CI = 1.12 to 3.97; I 2 = 55%), and lowered alcohol use (4/6 RCTs; 261 participants; SMD = −.39; 95% CI = −.45 to −.32; I 2 = 0%). This review found moderate to high-quality evidence for MBIs targeting sleep, physical activity, alcohol use, and tobacco cessation. Heterogeneity for these outcomes and insufficient data to analyze diet, mental activities, and cognitive functioning limit our ability to draw definitive conclusions about the effects of MBIs on brain health.