Mind–body therapy for cardiometabolic risk in U.S. middle-aged Black adults: a scoping review
BackgroundIn the U.S., Black adults do not achieve the same life expectancy as their White counterparts, and this is attributable in large part to the development of cardiovascular disease (CVD). Mind–body therapy (MBT) interventions demonstrate improvements in cardiometabolic risk (CMR) factors tha...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1480369/full |
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| author | Danielle A. Martin Jane Hook Sunny Wonsun Kim Sunny Wonsun Kim Linda Larkey Linda Larkey Rebecca E. Lee Rebecca E. Lee |
| author_facet | Danielle A. Martin Jane Hook Sunny Wonsun Kim Sunny Wonsun Kim Linda Larkey Linda Larkey Rebecca E. Lee Rebecca E. Lee |
| author_sort | Danielle A. Martin |
| collection | DOAJ |
| description | BackgroundIn the U.S., Black adults do not achieve the same life expectancy as their White counterparts, and this is attributable in large part to the development of cardiovascular disease (CVD). Mind–body therapy (MBT) interventions demonstrate improvements in cardiometabolic risk (CMR) factors that promote CVD, with increased feasibility and acceptability in the general population. Less known is the feasibility, acceptability, and evidence of reduction in CMR factors in the U.S. Black population with MBT.PurposeThis study aimed to synthesize the current state of research regarding MBT on CMR factors in middle-aged U.S. Black adults and identify gaps in the literature. Research Question 1: What types of studies have been conducted (study design, theoretical framework, and cultural relevance)? and Research Question 2: What is the feasibility and acceptability and effectiveness of MBT in Black adults for CMR reduction?MethodsFollowing PRISMA-ScR guidelines, a review of three databases was conducted. Our inclusion criteria were articles that (1) describe empirical research; (2) assessed a MBT intervention in middle-aged (35–64) adults with a minimum of 60% Black adult participants for CMR reduction; and (3) written in English. Independent reviewers selected articles for inclusion and data extraction, with a third reviewer providing consensus.ResultsFourteen articles met the eligibility criteria (n = 14). Characteristics included randomized controlled trials (8, 57.1%); single-arm (3, 21.0%); mixed methods (3, 21.0%); sample size (17–375); mean age range 43–64; female (6, 42.8%); theoretical framework (4, 28.6%); culturally adapted (7, 50.0%); and studies demonstrating feasibility and/or acceptability (7, 50.0%). Of the seven articles assessing CMR physiologic factors, five studies observed significant improvement. For the 11 studies assessing CMR psychological factors, 6 studies had statistically significant results and 3 studies identified trends toward positive statistical outcomes.ImplicationA growing body of literature across research stages demonstrating acceptability, and feasibility, and evidence of effectiveness for selected outcomes of MBT in middle-aged Black adults with CMR factors shows promise. Future research recommendations include greater recruitment of Black men for MBT studies, larger sample sizes, and utilizing culturally adapted interventions for engaging Black adults in MBT for reduced CMR factors. |
| format | Article |
| id | doaj-art-39e73ea7ed284d1ba34c7e14b1d2b7db |
| institution | DOAJ |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-39e73ea7ed284d1ba34c7e14b1d2b7db2025-08-20T03:00:55ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-02-011310.3389/fpubh.2025.14803691480369Mind–body therapy for cardiometabolic risk in U.S. middle-aged Black adults: a scoping reviewDanielle A. Martin0Jane Hook1Sunny Wonsun Kim2Sunny Wonsun Kim3Linda Larkey4Linda Larkey5Rebecca E. Lee6Rebecca E. Lee7Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United StatesEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United StatesEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United StatesCenter for Health Promotion and Disease Prevention, Arizona State University, Phoenix, AZ, United StatesEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United StatesCenter for Health Promotion and Disease Prevention, Arizona State University, Phoenix, AZ, United StatesEdson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, United StatesCenter for Health Promotion and Disease Prevention, Arizona State University, Phoenix, AZ, United StatesBackgroundIn the U.S., Black adults do not achieve the same life expectancy as their White counterparts, and this is attributable in large part to the development of cardiovascular disease (CVD). Mind–body therapy (MBT) interventions demonstrate improvements in cardiometabolic risk (CMR) factors that promote CVD, with increased feasibility and acceptability in the general population. Less known is the feasibility, acceptability, and evidence of reduction in CMR factors in the U.S. Black population with MBT.PurposeThis study aimed to synthesize the current state of research regarding MBT on CMR factors in middle-aged U.S. Black adults and identify gaps in the literature. Research Question 1: What types of studies have been conducted (study design, theoretical framework, and cultural relevance)? and Research Question 2: What is the feasibility and acceptability and effectiveness of MBT in Black adults for CMR reduction?MethodsFollowing PRISMA-ScR guidelines, a review of three databases was conducted. Our inclusion criteria were articles that (1) describe empirical research; (2) assessed a MBT intervention in middle-aged (35–64) adults with a minimum of 60% Black adult participants for CMR reduction; and (3) written in English. Independent reviewers selected articles for inclusion and data extraction, with a third reviewer providing consensus.ResultsFourteen articles met the eligibility criteria (n = 14). Characteristics included randomized controlled trials (8, 57.1%); single-arm (3, 21.0%); mixed methods (3, 21.0%); sample size (17–375); mean age range 43–64; female (6, 42.8%); theoretical framework (4, 28.6%); culturally adapted (7, 50.0%); and studies demonstrating feasibility and/or acceptability (7, 50.0%). Of the seven articles assessing CMR physiologic factors, five studies observed significant improvement. For the 11 studies assessing CMR psychological factors, 6 studies had statistically significant results and 3 studies identified trends toward positive statistical outcomes.ImplicationA growing body of literature across research stages demonstrating acceptability, and feasibility, and evidence of effectiveness for selected outcomes of MBT in middle-aged Black adults with CMR factors shows promise. Future research recommendations include greater recruitment of Black men for MBT studies, larger sample sizes, and utilizing culturally adapted interventions for engaging Black adults in MBT for reduced CMR factors.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1480369/fullscoping reviewmind–body therapycardiometabolic risk factorsmiddle-aged black adultspsychosocial stress |
| spellingShingle | Danielle A. Martin Jane Hook Sunny Wonsun Kim Sunny Wonsun Kim Linda Larkey Linda Larkey Rebecca E. Lee Rebecca E. Lee Mind–body therapy for cardiometabolic risk in U.S. middle-aged Black adults: a scoping review Frontiers in Public Health scoping review mind–body therapy cardiometabolic risk factors middle-aged black adults psychosocial stress |
| title | Mind–body therapy for cardiometabolic risk in U.S. middle-aged Black adults: a scoping review |
| title_full | Mind–body therapy for cardiometabolic risk in U.S. middle-aged Black adults: a scoping review |
| title_fullStr | Mind–body therapy for cardiometabolic risk in U.S. middle-aged Black adults: a scoping review |
| title_full_unstemmed | Mind–body therapy for cardiometabolic risk in U.S. middle-aged Black adults: a scoping review |
| title_short | Mind–body therapy for cardiometabolic risk in U.S. middle-aged Black adults: a scoping review |
| title_sort | mind body therapy for cardiometabolic risk in u s middle aged black adults a scoping review |
| topic | scoping review mind–body therapy cardiometabolic risk factors middle-aged black adults psychosocial stress |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1480369/full |
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