Mindfulness in Motion and Dietary Approaches to Stop Hypertension (DASH) in Hypertensive African Americans.
Study Goal
The researchers aimed to examine the feasibility and acceptability of a combined Mindfulness in Motion (MIM) and DASH diet intervention to improve diet, mindfulness, stress, and systolic blood pressure in older African Americans with mild cognitive impairment and hypertension.
Results Summary
The MIM DASH intervention showed no changes in diet, mindfulness, or stress but resulted in a clinically significant reduction in systolic blood pressure compared to the attention-only group. The intervention was deemed feasible and culturally acceptable.
Population
Older African Americans with mild cognitive impairment and hypertension.
Effective Dosage
8 weekly 2-hour group sessions.
Duration
8 weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Mindfulness in Motion (MIM) and Dietary Approaches to Stop Hypertension DASH (MIM DASH) | no change | diet | African Americans with mild cognitive impairment (MCI) and hypertension | no significant change | no changes | #1 |
Mindfulness in Motion (MIM) and Dietary Approaches to Stop Hypertension DASH (MIM DASH) | no change | mindfulness | African Americans with mild cognitive impairment (MCI) and hypertension | no significant change | no changes | #2 |
Mindfulness in Motion (MIM) and Dietary Approaches to Stop Hypertension DASH (MIM DASH) | no change | stress | African Americans with mild cognitive impairment (MCI) and hypertension | no significant change | no changes | #3 |
Mindfulness in Motion (MIM) and Dietary Approaches to Stop Hypertension DASH (MIM DASH) | decrease | systolic blood pressure (BP) | African Americans with mild cognitive impairment (MCI) and hypertension | -7.2 mmHg | clinically significant reduction | #4 |
attention only (non-hypertensive education) | decrease | systolic blood pressure (BP) | African Americans with mild cognitive impairment (MCI) and hypertension | -.7 mmHg | reduction | #5 |
Mindfulness in Motion (MIM) and Dietary Approaches to Stop Hypertension DASH (MIM DASH) | no change | systolic blood pressure (BP) | African Americans with mild cognitive impairment (MCI) and hypertension | no significant change | no change | #6 |
OBJECTIVES: Hypertension increases the risk of developing Alzheimer's disease or related dementias. This pilot study's purpose was to examine the feasibility and acceptability of a novel intervention, Mindfulness in Motion (MIM) and Dietary Approaches to Stop Hypertension DASH (MIM DASH), to improve diet, mindfulness, stress, and systolic blood pressure (BP) in older African Americans with mild cognitive impairment (MCI) and hypertension. DESIGN: Cluster randomized controlled trial. SETTING: Intergenerational community center in a large metropolitan area. PARTICIPANTS: African Americans with MCI and hypertension. Participants were divided into six groups randomized 1:1:1 to the MIM DASH group, attention only (non-hypertensive education) group, or true control group. The MIM DASH and attention only interventions were delivered in 8-weekly 2 hour group sessions. MIM included mindful movements from chair/standing, breathing exercises, and guided meditation. The DASH component used a critical thinking approach of problem solving, goal setting, reflection, and self-efficacy. The true control group received a DASH pamphlet at the end. MEASUREMENTS: Feasibility was tracked through enrollment and attendance records; acceptability was assessed through interviews. Blood pressure was measured using the Omron HEM-907XL Monitor. Dietary intake was measured by DASH-Q. Mindfulness was measured by the Cognitive and Affective Mindfulness Scale. Stress was measured by the Perceived Stress Scale. MCI was determined using the Self-Administered Gerocognitive Examination. Data were collected at baseline and 3-months. RESULTS: Median session attendance was six for the MIM DASH group and six for the attention only group. There were no changes in diet, mindfulness, or stress. There was a clinically significant reduction in systolic BP in the MIM DASH group (-7.2 mmHg) relative to the attention only group (-.7), and no change between the MIM DASH and true control groups. CONCLUSION: Results indicate that the MIM DASH intervention was feasible and culturally acceptable in African Americans with hypertension and MCI.