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Systematic review and meta-analysis of music interventions in hypertension treatment: a quest for answers

Kühlmann AY, Etnel JR, Roos-Hesselink JW, Jeekel J, Bogers AJ, Takkenberg JJ

BMC cardiovascular disorders · 27 citas

Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Organización sin fines de lucro
Stichting W.M. de Hoop
Organización sin fines de lucro
Johannes Stichting

Según 2 financiadores declarados y la declaración de financiación del texto completo.

Publicación

Publicado
2016-04-19 · BMC Cardiovasc Disord · vol. 16 · número 1 · pág. 69
Editorial
BioMed Central
Citado
51 citas · más que el 67% de estudios similares · 0.8× el promedio de su campo
Referencias
47 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Music Therapy and Health · Complementary and Alternative Medicine Studies · Pain Management and Placebo Effect
Palabras clave
Angiology, Medicine, Psychological intervention, Meta-analysis, Cardiac surgery, Intensive care medicine, Internal medicine, Nursing
MeSH
humans, hypertension, treatment outcome, music therapy, blood pressure, quality of life, adult, aged, aged, 80 and over, middle aged, female, male

6 autores

  • A. Y. Rosalie Kühlmann🇳🇱Erasmus MC
  • Jonathan R.G. Etnel🇳🇱Erasmus MC
  • Jolien W. Roos‐Hesselink🇳🇱Erasmus MC
  • J Jeekel🇳🇱Erasmus MC
  • Ad J.J.C. Bogers🇳🇱Erasmus MC
  • Johanna J.M. Takkenberg🇳🇱 · autor de correspondenciaErasmus MC; Erasmus University Rotterdam

Resumen

El texto original del estudio, en el idioma en que se publicó.

Background

Adverse effects, treatment resistance and high costs associated with pharmacological treatment of hypertension have led to growing interest in non-pharmacological complementary therapies such as music interventions. This meta-analysis aims to provide an overview of reported evidence on the efficacy of music interventions in the treatment of hypertension.

Methods

A systematic literature search was conducted for publications on the effect of music interventions on blood pressure in adult hypertensive subjects published between January 1990-June 2014. Randomized controlled trials with a follow-up duration ≥28 days were included. Blood pressure measures were pooled using inverse variance weighting.

Results

Of the 1689 abstracts reviewed, 10 randomized controlled trials were included. Random-effects pooling of the music intervention groups showed a trend toward a decrease in mean systolic blood pressure (SBP) from 144 mmHg(95 % CI:137-152) to 134 mmHg(95 % CI:124-144), and in mean diastolic blood pressure (DBP) from 84 mmHg(95 % CI:78-89) to 78 mmHg(95 % CI:73-84). Fixed-effect analysis of a subgroup of 3 trials with valid control groups showed a significant decrease in pooled mean SBP and DBP in both intervention and control groups. A comparison between music intervention groups and control groups was not possible due to unavailable measures of dispersion.

Conclusions

This systematic review and meta-analysis revealed a trend towards a decrease in blood pressure in hypertensive patients who received music interventions, but failed to establish a cause-effect relationship between music interventions and blood pressure reduction. Considering the potential value of this safe, low-cost intervention, well-designed, high quality and sufficiently powered randomized studies assessing the efficacy of music interventions in the treatment of hypertension are warranted.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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