While millions suffer
from high blood pressure, the condition is most prevalent
among blacks, four in 10 of whom suffer from hypertension.
Obesity and an aging population are cited as factors,
but stress, especially among minorities, is also noted
by experts.
The study of 150 black
men and women in the San Francisco area compared the
effects of twice daily meditation, muscle relaxation
and health education classes. Women who meditated showed
the greatest benefit.
The transcendental meditation
study is the latest in a number conducted by researchers
affiliated with the Maharishi University of Management,
founded by the Maharishi Mahesh Yogi, the Indian cleric
best known for teaching the Beatles about eastern religion
in the 1960s. Numerous studies of other meditation techniques
by researchers at other schools have also found benefits
for those suffering from conditions ranging from arthritis
to cancer.
Dr. Frank Staggers, a
study co-author, said the idea for the study stemmed
from successful results achieved after he asked patients
with high blood pressure to use relaxation techniques.
Staggers, who is black, said many of the patients at
the Oakland clinic are black and suffer from high blood
pressure.
"It just makes sense.
It doesn't take a rocket scientist to figure out that
if you just relax, your whole body would say `OK, thanks'
and settle down. It's a simple concept but something
that we had to prove," Staggers said.
Women who meditated had
both blood pressure readings drop about seven points
while the other two groups registered drops of about
one point one and three points. The findings were less
supportive for meditating men.
Blood pressure readings
are composed of two numbers, one indicating pressure
during beats, known as systolic, and one indicating
pressure between beats, known as diastolic. The systolic
reading is usually written above the diastolic reading.
Readings below 120 over
80 are considered normal. Readings between 120/80 and
140/90 are classified as "prehypertension," and higher
readings are classified as hypertension, or high blood
pressure, according to the Bethesda-based National Institutes
of Health, which funded the meditation study.
Men who meditated had
a .2 point increase in their systolic reading and a
4.7 point drop in their diastolic reading while those
who practiced muscle relaxation registered drops of
2 points and 3.1 points. Men in the health education
group recorded drops of about .9 and 2 points.
The use of blood pressure
medication, meanwhile, went down slightly in the transcendental
meditation group while increasing for the other two
groups, the authors reported.
Trish Magyari, director
of the mindfulness-based stress reduction program at
the University of Maryland's Center for Integrative
Medicine, who was not involved in the study, said the
results were most significant for women and consistent
with previous studies that have shown benefits of meditation
for stress-related conditions. Magyari said she has
seen similar reductions in blood pressure among patients
who practice meditation at her center, which studies
complementary and alternative medicine.
Dr. Amparo Castillon-Richmond,
a co-author of the study, said meditation may help balance
opposing nervous system functions responsible for slowing
and speeding the heart and other involuntary functions.
Meditation may activate the half responsible for lowering
blood pressure, she said.
Castillon-Richmond, of
the Midwest Latino Health Research Training and Policy
Center at the University of Illinois at Chicago, said
participants were given a mantra, a simple word or sound,
by a teacher, closed their eyes and repeated the word
in their mind, settling what she called the "thought
process" and allowing them to reach a "level of restful
alertness."
"The technique in meditation
is very simple, you take 20 minutes in the morning and
20 minutes in the afternoon to close your eyes and repeat
the mantra, that's all it takes," she said.
Boston University interim
president Aram Chobanian, former dean of the university's
medical school and chairman of the Joint National Committee
on Prevention, Detection, Evaluation, and Treatment
of High Blood Pressure, said the longer term value of
stress reduction has been the subject of debate.
While he described the
reductions as modest, such a reduction could be of value
for those with mild hypertension or prehypertension,
Chobanian said.
"I think the real issue
with these forms of blood pressure control depends on
adherence to treatment," Chobanian said. "One has to
continue the stress reduction in order to get the continued
blood pressure effect. That means having a target population
who would want to do this on a long-term basis."
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On the Net:
NIH hypertension information
page:
http://www.nhlbi.nih.gov/health/dci/Diseases/Hbp/HBP_WhatIs.html