Limits...
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 Cardiovasc Disord (2016)

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus

Flowchart of literature search and study selection
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4837643&req=5

Fig1: Flowchart of literature search and study selection

Mentions: The literature search resulted in 1689 publications. Ten of these studies, encompassing a total of 296 patients, met all of the described criteria and were included in the systematic review (Fig. 1) [2, 18–26]. All of these were randomized controlled trials published in English. Table 1 provides an overview of the included studies and baseline patient characteristics.Fig. 1


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 Cardiovasc Disord (2016)

Flowchart of literature search and study selection
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4837643&req=5

Fig1: Flowchart of literature search and study selection
Mentions: The literature search resulted in 1689 publications. Ten of these studies, encompassing a total of 296 patients, met all of the described criteria and were included in the systematic review (Fig. 1) [2, 18–26]. All of these were randomized controlled trials published in English. Table 1 provides an overview of the included studies and baseline patient characteristics.Fig. 1

Bottom Line: 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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.

ABSTRACT

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.

No MeSH data available.


Related in: MedlinePlus