Physical activity, mindfulness meditation, or heart rate variability biofeedback for stress reduction: a randomized controlled trial.
Study Goal
The researchers aimed to compare the efficacy of mindfulness meditation (MM) with physical activity (PA) and heart rate variability biofeedback (HRV-BF) in reducing stress and related symptoms.
Results Summary
The study found that mindfulness meditation, along with PA and HRV-BF, significantly reduced stress, anxiety, depressive symptoms, and improved psychological well-being and sleep quality, with no significant differences between the interventions.
Population
126 participants (76 completed) with stress complaints in a contemporary western society.
Effective Dosage
Daily mindfulness meditation exercises (specific duration/frequency not detailed).
Duration
5 weeks of intervention, with follow-up at 6 weeks post-intervention.
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
self-help physical activity (PA) | decrease | stress | participants | - | reduced | #1 |
self-help physical activity (PA) | decrease | anxiety symptoms | participants | - | reduced | #2 |
self-help physical activity (PA) | decrease | depressive symptoms | participants | - | reduced | #3 |
self-help physical activity (PA) | increase | psychological well-being | participants | - | improved | #4 |
self-help physical activity (PA) | increase | sleep quality | participants | - | improved | #5 |
mindfulness meditation (MM) | decrease | stress | participants | - | reduced | #6 |
mindfulness meditation (MM) | decrease | anxiety symptoms | participants | - | reduced | #7 |
mindfulness meditation (MM) | decrease | depressive symptoms | participants | - | reduced | #8 |
mindfulness meditation (MM) | increase | psychological well-being | participants | - | improved | #9 |
mindfulness meditation (MM) | increase | sleep quality | participants | - | improved | #10 |
heart rate variability biofeedback (HRV-BF) | decrease | stress | participants | - | reduced | #11 |
heart rate variability biofeedback (HRV-BF) | decrease | anxiety symptoms | participants | - | reduced | #12 |
heart rate variability biofeedback (HRV-BF) | decrease | depressive symptoms | participants | - | reduced | #13 |
heart rate variability biofeedback (HRV-BF) | increase | psychological well-being | participants | - | improved | #14 |
heart rate variability biofeedback (HRV-BF) | increase | sleep quality | participants | - | improved | #15 |
self-help physical activity (PA) | no change | stress reduction | participants | - | no significant between-intervention effect | #16 |
mindfulness meditation (MM) | no change | stress reduction | participants | - | no significant between-intervention effect | #17 |
heart rate variability biofeedback (HRV-BF) | no change | stress reduction | participants | - | no significant between-intervention effect | #18 |
In contemporary western societies stress is highly prevalent, therefore the need for stress-reducing methods is great. This randomized controlled trial compared the efficacy of self-help physical activity (PA), mindfulness meditation (MM), and heart rate variability biofeedback (HRV-BF) in reducing stress and its related symptoms. We randomly allocated 126 participants to PA, MM, or HRV-BF upon enrollment, of whom 76 agreed to participate. The interventions consisted of psycho-education and an introduction to the specific intervention techniques and 5 weeks of daily exercises at home. The PA exercises consisted of a vigorous-intensity activity of free choice. The MM exercises consisted of guided mindfulness meditation. The HRV-BF exercises consisted of slow breathing with a heart rate variability biofeedback device. Participants received daily reminders for their exercises and were contacted weekly to monitor their progress. They completed questionnaires prior to, directly after, and 6 weeks after the intervention. Results indicated an overall beneficial effect consisting of reduced stress, anxiety and depressive symptoms, and improved psychological well-being and sleep quality. No significant between-intervention effect was found, suggesting that PA, MM, and HRV-BF are equally effective in reducing stress and its related symptoms. These self-help interventions provide easily accessible help for people with stress complaints.