Mindfulness, Yoga, and Cardiovascular Disease

NCT ID: NCT00696852

Last Updated: 2012-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-06-30

Study Completion Date

2009-05-31

Brief Summary

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In this study, we will conduct a preliminary, yet comprehensive evaluation of Mindfulness and Yoga, as compared to an exercise and education-based stress-reduction program. and simultaneous evaluation of the effect of an 8 week program of Mindfulness, 12 weeks of Yoga practice, and 12 weeks of an exercise and education-based program.

105 otherwise healthy individuals, who have cardiovascular risk factors and mild to moderate stress or anxiety will be randomly assigned to one of the three intervention groups: an 8 week program of Mindfulness, 12 week program of Yoga practice, and 12 week exercise and education-based group program. All subjects will perform daily practice that will continue after the weekly sessions end, allowing a follow up assessment at 24 weeks. Self-reported mood and psychological distress and physiological indicators of function of the ANS and stress hormones will be assessed at baseline, 8 weeks, 12 weeks and 24 weeks. Blood and urine samples will be collected at baseline and 8 weeks to determine levels inflammatory and atherosclerosis markers.

We anticipate that the study will provide information on the efficacy of the Mindfulness and Yoga interventions as stress-reduction practices, variability in potential markers for activation of the brain/cardiovascular system connections, and preliminary estimates of effect size for each of these markers. Thus, the study will provide the data needed for designing a future study that will rigorously address these questions in a larger, randomized trial of Mindfulness and Yoga in patients with cardiovascular risk.

Detailed Description

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Conditions

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Cardiovascular Disease Stress Anxiety Depression

Keywords

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Mindfulness Meditation Yoga Inflammatory Markers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Mindfulness Meditation

Group Type ACTIVE_COMPARATOR

Mindfulness Meditation

Intervention Type BEHAVIORAL

The yoga and mindfulness classes will combine specific techniques of meditation, simple yoga postures, and breathing exercises.

Yoga

Group Type ACTIVE_COMPARATOR

Yoga

Intervention Type BEHAVIORAL

The yoga and mindfulness classes will combine specific techniques of meditation, simple yoga postures, and breathing exercises.

Conventional Stress Reduction

Group Type ACTIVE_COMPARATOR

Exercise, Relaxation, and Health Education

Intervention Type BEHAVIORAL

The Exercise, Relaxation and Health Education program will consist of a 90 min group session that will include simple relaxation (such as progressive muscle relaxation) and light stretching exercises, group support, and discussions of various health topics and on stress reduction.

Interventions

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Mindfulness Meditation

The yoga and mindfulness classes will combine specific techniques of meditation, simple yoga postures, and breathing exercises.

Intervention Type BEHAVIORAL

Yoga

The yoga and mindfulness classes will combine specific techniques of meditation, simple yoga postures, and breathing exercises.

Intervention Type BEHAVIORAL

Exercise, Relaxation, and Health Education

The Exercise, Relaxation and Health Education program will consist of a 90 min group session that will include simple relaxation (such as progressive muscle relaxation) and light stretching exercises, group support, and discussions of various health topics and on stress reduction.

Intervention Type BEHAVIORAL

Other Intervention Names

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MBSR Progressive muscle relaxation

Eligibility Criteria

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Inclusion Criteria

* between the age of 40 and 75
* A Framingham score \>10
* A DASS-21 anxiety score \>5
* A DASS-21 stress score \>10
* A DASS-21 depression score \> than 6
* A systolic blood pressure \> 140
* A diastolic blood pressure \> 90
* Diagnosed with diabetes
* Willing to accept randomization into and participation in one of the three intervention programs: Mindfulness, Yoga, or Conventional Stress Reduction

Exclusion Criteria

* Already practicing Mindfulness, Yoga, or similar meditative mind-body practices on a weekly basis
* Already enrolled in a lifestyle modification program including exercise or diet program
* Yoga or meditation be incompatible with religious or philosophical beliefs
* Experienced a major stressful life event in the last three months prior to the beginning of the intervention that is likely to affect the outcomes of the study
* Currently being treated or on medications for psychiatric conditions, including depression, anxiety, anger, or hostility
* A depression score \>20 on the DASS-21 questionnaire
* A history of myocardial disease, peripheral vascular disease, cerebrovascular disease, atrial fibrillation, pacemaker placement, heart failure, valvular heart disease, congenital heart disease, Wolf-Parkinson White Syndrome, cardiomyopathy, or severe left ventricular systolic dysfunction
* Take melatonin supplements or any herbal supplement that contains melatonin or 5-LO inhibitors (turmeric, curcumin, ginger and frankincense herbal extracts)
* Currently using any drugs that contain beta-adrenergic blocking agents, beta-agonists, glucocorticoids, psychotropic medications, drugs that block 5-LO pathway (zileuton, monetlukast), TNF-a blocking agents (infliximab, etanercept, adalimumab)
* A planned change in blood pressure, anticoagulant medication and lipids lower agents (such as aspirin, statin and plavix) 1 month prior and during the intervention
* Asthma, obstructive pulmonary disease, or any other respiratory disease
* Pregnant or breastfeeding
* An active/chronic infection, cancer, connective tissue, or other inflammatory disease
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Cleveland Clinic

OTHER

Sponsor Role lead

Responsible Party

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Joan Fox

Staff

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joan EB Fox, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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The Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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BHBI-1201

Identifier Type: -

Identifier Source: org_study_id