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Physical activity, mindfulness meditation, or heart rate variability biofeedback for stress reduction: a randomized controlled trial.

Applied psychophysiology and biofeedback
December 1, 2015
Judith Esi van der Zwan et al. (5 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

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

Extracted Claims (18)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdultAnxietyBiofeedback, PsychologyDepressionExercise TherapyFemaleHeart RateHumansMaleMeditationMindfulnessOutcome Assessment, Health CareStress, PsychologicalYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations118
Citations/Year11.8
Relative Citation Ratio6.52
NIH Percentile95.5%
Research Impact Scores
APT Score0.95
Weight Score1.97
Normalized Score0.70
Related Supplements
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