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Mindfulness and Lifestyle Education for Blood Pressure Reduction in Hypertension.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Mindfulness and Lifestyle Education for Blood Pressure Reduction in Hypertension./
作者:	An, Eunjoo.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2019,
面頁冊數:	131 p.
附註:	Source: Dissertations Abstracts International, Volume: 80-12, Section: B.
Contained By:	Dissertations Abstracts International80-12B.
標題:	Behavioral psychology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=13898283
ISBN:	9781392279793

Mindfulness and Lifestyle Education for Blood Pressure Reduction in Hypertension.
An, Eunjoo.

Mindfulness and Lifestyle Education for Blood Pressure Reduction in Hypertension. - Ann Arbor : ProQuest Dissertations & Theses, 2019 - 131 p.

Source: Dissertations Abstracts International, Volume: 80-12, Section: B.

Thesis (Ph.D.)--University of California, Los Angeles, 2019.

This item is not available from ProQuest Dissertations & Theses.

This dissertation contains two related studies as shown in the two abstracts below. Chapter 1 thru Chapter 4 are the original dissertation chapters. Chapter 5 thru 7 describes the main study where we evaluated mindfulness as an intervention to improve lifestyle behaviors in people with HTN, and these chapters are in manuscript form. Chapter 8, also in manuscript form, provides study results on obstructive sleep apnea (OSA) and hypertension (HTN) as OSA is a risk factor for HTN. The purpose of the OSA/HTN was to evaluate the time of diagnosis between OSA and HTN.Abstract 1 Mindfulness on Lifestyle BehaviorsIntroduction: HTN is the leading modifiable cardiovascular risk factor affecting 103 million adults in the US. A healthy diet and engaging in regular physical activity are key components in lifestyle medicine for maintaining normal BP. Yet, most Americans struggle making these changes. We evaluated the effects of mindfulness practice on lifestyle behaviors and BP. Hypothesis: We hypothesize that the mindfulness practice will improve lifestyle behaviors and BP in patients with HTN, relative to health education only. Methods: We recruited 36 adults (75% female) with elevated BP (> 120/80), aged 60.8 ± 11.5 years and block randomized them to Mindful Awareness Program (MAP) or Health Promotion Program (HPP). Both groups MAP (n = 20) and HPP (n=16) received training for 6 weeks in their respective programs. Weekly BP, diet, exercise and medication adherence data were collected for a total of 12 weeks. Relationships with outcome measurements were compared between the two groups by linear mixed model with repeated measures. Results: Interaction between time and groups was significant. Mediational analysis of MAP group data showed that the total effect of mindfulness practice minutes on SBP with indirect effect (ab) of (-.057) was significant, resulting in a 40% lower SBP for total effect (c) compared to direct effect (c') alone. Trial Registration Number: NCT03924531.Abstract 1 OSA and HTNIntroduction: Obstructive sleep apnea (OSA), a breathing disorder that effects around 30 million people nationally, is considered a primary risk factor for hypertension (HTN). A common model is that OSA pathophysiology leads to HTN, implying that treating OSA would help prevent or resolve HTN. However, randomized trials of treating OSA with continuous positive airway pressure (CPAP) show inconclusive effects on HTN, raising questions about the links between the two conditions. Since the CPAP findings are inconsistent with the OSA-causes-HTN model, we sought to assess clinical evidence that OSA precedes HTN. Objective: To determine if diagnosis of OSA precedes diagnosis of HTN. Design, Setting, and Participants: A retrospective evaluation of electronic health record with OSA and HTN diagnosis within UCLA health system. Data analysis was performed from January 1, 2006, to December 31, 2016. Main Outcomes and Measures: Days of diagnosis between OSA and HTN by age and sex differences - the first OSA diagnosis was set as 0 (relative starting point), and the time difference represented as days to first HTN diagnosis. Results: Of the 1.6 million patient records evaluated (n = 1,654,067) with at least one diagnosis, approximately 2% (29,764) contained OSA diagnoses and 14% (192,771) contained HTN diagnoses. There were 16,974 (1%) patient records with both diagnoses ofOSA and HTN, of which 36% (6124) had a sleep study within the UCLA Health System (A sleep study is required to diagnose OSA). We defined long-term care as patients with encounters at least a year before and after OSA diagnosis, who comprise 29% (4848) of records the OSA/HTN patients.

ISBN: 9781392279793Subjects--Topical Terms:

2122788
Behavioral psychology.
Subjects--Index Terms:

Behavior

Mindfulness and Lifestyle Education for Blood Pressure Reduction in Hypertension.
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