PMID- 32778032
OWN - NLM
STAT- MEDLINE
DCOM- 20210916
LR  - 20221207
IS  - 1875-6417 (Electronic)
IS  - 1573-3998 (Linking)
VI  - 17
IP  - 7
DP  - 2021
TI  - Mindfulness Practice for Glycemic Control: Could it be a New Strategy for an Old 
      Problem? A Systematic Review and Meta-Analysis.
PG  - e081020184730
LID - 10.2174/1573399816666200810131055 [doi]
AB  - BACKGROUND: The management of type 2 diabetes mellitus (T2DM) requires a complex 
      and organized care that includes patient's lifestyle change. Additionally, 
      emotional well-being is an important part of self-management, and it may impair 
      the individual's adherence. Therefore, equipping the patients with the necessary 
      coping and self-care techniques may be an important step in managing diabetes. 
      OBJECTIVE: To evaluate the effect of interventions using established 
      mindfulness-based protocols on glycemic control of individuals with T2DM. 
      METHODS: Data sources: Two electronic databases (PubMed and EMBASE) were searched 
      from inception to December 2019. We limited our search to published studies in 
      English, Spanish and Portuguese languages. STUDY SELECTION: Randomized clinical 
      trials that assessed the effects of mindfulness in individuals with T2DM were 
      selected. DATA EXTRACTION: Two authors independently assessed the risk of bias 
      and extracted data from the included trials. Data were pooled using 
      inverse-variance random-effects meta-analyses. The quality of evidence was 
      assessed using the Grading of Recommendations Assessment, Development and 
      Evaluation (GRADE) system. RESULTS: Four randomized trials were included. There 
      were no differences in blood glucose change (mean difference between groups (MD) 
      -0.73mg/dl; 95% CI, -10.49; 9.02; I2 =0%; very low quality of evidence) or 
      glycated hemoglobin (MD 0.05%; 95%CI -0.22 to 0.32; I2 =29%; very low quality of 
      evidence). CONCLUSION: Although the quality of current evidence is very low, our 
      findings suggest that established protocols involving mindfulness have no effect 
      on blood glucose or glycated hemoglobin in individuals with T2DM. Indeed, 
      large-scale trials are needed to evaluate the contribution of mindfulness to 
      glycemic control in clinical practice. PROSPERO Registration ID: RD42020161940.
CI  - Copyright(c) Bentham Science Publishers; For any queries, please email at 
      epub@benthamscience.net.
FAU - Bersch-Ferreira, Angela Cristine
AU  - Bersch-Ferreira AC
AD  - HCor Research Institute (IP-HCor), Hospital do Coracao (HCor), Sao Paulo, Brazil.
FAU - Weber, Bernardete
AU  - Weber B
AD  - HCor Research Institute (IP-HCor), Hospital do Coracao (HCor), Sao Paulo, Brazil.
FAU - da Silva, Joao Gabriel Sanchez Tavares
AU  - da Silva JGST
AD  - Health Knowledge Implementation Laboratory (LICS), Hospital do Coracao (HCor), 
      Sao Paulo, Brazil.
FAU - Pagano, Raira
AU  - Pagano R
AD  - Health Knowledge Implementation Laboratory (LICS), Hospital do Coracao (HCor), 
      Sao Paulo, Brazil.
FAU - Figueiro, Mabel Fernandes
AU  - Figueiro MF
AD  - Health Knowledge Implementation Laboratory (LICS), Hospital do Coracao (HCor), 
      Sao Paulo, Brazil.
FAU - da Silva, Lucas Ribeiro
AU  - da Silva LR
AD  - HCor Research Institute (IP-HCor), Hospital do Coracao (HCor), Sao Paulo, Brazil.
FAU - de Souza Mota, Luis Gustavo
AU  - de Souza Mota LG
AD  - Health Knowledge Implementation Laboratory (LICS), Hospital do Coracao (HCor), 
      Sao Paulo, Brazil.
FAU - Suzumura, Erica Aranha
AU  - Suzumura EA
AD  - Preventive Medicine Department, Faculdade de Medicina da Universidade de Sao 
      Paulo (FMUSP), Sao Paulo, Brazil.
FAU - Torreglosa, Camila Ragne
AU  - Torreglosa CR
AD  - HCor Research Institute (IP-HCor), Hospital do Coracao (HCor), Sao Paulo, Brazil.
FAU - de Sousa Lara, Enilda
AU  - de Sousa Lara E
AD  - Health Knowledge Implementation Laboratory (LICS), Hospital do Coracao (HCor), 
      Sao Paulo, Brazil.
FAU - Quinhoneiro, Driele
AU  - Quinhoneiro D
AD  - Department of Psychiatric Nursing and Human Science, Ribeirao Preto College of 
      Nursing, Universidade de Sao Paulo, Ribeirao Preto, Brazil.
FAU - da Silva Gherardi-Donato, Edilaine Cristina
AU  - da Silva Gherardi-Donato EC
AD  - Department of Psychiatric Nursing and Human Science, Ribeirao Preto College of 
      Nursing, Universidade de Sao Paulo, Ribeirao Preto, Brazil.
FAU - Bueno, Priscila Regina Torres
AU  - Bueno PRT
AD  - HCor Research Institute (IP-HCor), Hospital do Coracao (HCor), Sao Paulo, Brazil.
FAU - Marcadenti, Aline
AU  - Marcadenti A
AD  - HCor Research Institute (IP-HCor), Hospital do Coracao (HCor), Sao Paulo, Brazil.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Systematic Review
PL  - United Arab Emirates
TA  - Curr Diabetes Rev
JT  - Current diabetes reviews
JID - 101253260
RN  - 0 (Blood Glucose)
RN  - 0 (Glycated Hemoglobin A)
SB  - IM
MH  - Blood Glucose
MH  - *Diabetes Mellitus, Type 2/therapy
MH  - Glycated Hemoglobin
MH  - Humans
MH  - *Mindfulness
MH  - *Randomized Controlled Trials as Topic
MH  - *Self-Management
OTO - NOTNLM
OT  - Mindfulness
OT  - blood glucose
OT  - diabetes mellitus
OT  - glycated hemoglobin
OT  - meta-analysis.
OT  - systematic review
OT  - type 2
EDAT- 2020/08/12 06:00
MHDA- 2021/09/18 06:00
CRDT- 2020/08/12 06:00
PHST- 2020/05/10 00:00 [received]
PHST- 2020/07/03 00:00 [revised]
PHST- 2020/07/09 00:00 [accepted]
PHST- 2020/08/12 06:00 [pubmed]
PHST- 2021/09/18 06:00 [medline]
PHST- 2020/08/12 06:00 [entrez]
AID - CDR-EPUB-108999 [pii]
AID - 10.2174/1573399816666200810131055 [doi]
PST - ppublish
SO  - Curr Diabetes Rev. 2021;17(7):e081020184730. doi: 
      10.2174/1573399816666200810131055.