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基于运动的正念与基于运动的正念. 修改慢性中风生理风险的注意力控制:来自可行性试验的证据.

Tharshanah Thayabaranathan1,2,3, Marina Paul4,5,6, Frederick R Walker4,5,6

  • 1School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC 3168, Australia.

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概括

基于正念的干预措施 (MBI) 在管理中风后心血管风险因素方面表现有前途. 这项研究发现,在接受MBI的中风幸存者中,血压和脂质配置文件的临床上有意义的改善.

关键词:
生物标志物 生物标志物血压 血压 血压 血压可行性试验的可行性试验.保持正念,就是正念.有关风险因素的风险因素.一次性中风中风中风中风中风

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科学领域:

  • 神经学 神经学
  • 心血管健康 心血管健康
  • 心理学 心理学 心理学

背景情况:

  • 在中风后管理生理风险因素至关重要,但很困难.
  • 卒中幸存者经常面临血压,脂质,压力和血糖方面的挑战.
  • 基于正念的干预 (MBI) 为管理这些因素提供了一个潜在的途径.

研究的目的:

  • 与注意力控制相比,研究针对中风的基于正念干预 (MBI) 后生理风险因素的变化.
  • 评估MBI在中风后心血管风险管理中的可行性和初步有效性.
  • 评估对血压的影响,压力标志物,HbA1c和脂质资料.

主要方法:

  • 一项随机对照试验的子研究,涉及38名参与者 (中风后3-18个月).
  • 参与者被随机分配到12周的MBI (和冥想) 或注意力控制组.
  • 结果包括血压,感知压力,头发皮质醇,HbA1c和脂质配置文件.

主要成果:

  • 在MBI组显示临床上有意义的组内减轻缩 (5 mmHg) 和腹缩 (4 mmHg) 血压.
  • 探索性分析表明,在MBI组内,HDL和LDL脂质概况的趋势有利.
  • 在MBI组内,观察到压力标志物,包括头发皮质醇 (d = 0.52) 的积极趋势.

结论:

  • 这项可行性试验表明,MBI可能有助于管理中风后患者的心血管风险因素.
  • 初步发现表明,血压和脂质配置文件的临床上有意义的改善.
  • 需要进行更大规模的试验,以证实MBIs在中风后心血管风险管理中的有效性.