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Randomized controlled trial of stress reduction with meditation and health education in black men and women with high normal and normal blood pressure.

Schneider RH, Grim C, Kotchen T, Marwaha K, Kotchen J, Salerno JW, King CG, Nidich S, Alexander CN. · American journal of preventive cardiology · 2021 · Randomized controlled trial

Original publication · Original publication · Original publication

Recorded summary

Among 304 Black adults stratified by baseline blood pressure, meditation reduced systolic pressure by approximately 3.3 mmHg relative to health education in the high-normal-pressure group.

Recorded limitations

The benefit did not extend to the normal-pressure group or diastolic pressure. Hypertension-event differences were not significant, so the result is subgroup- and endpoint-specific.

Evidence and provenance

Chapter Trust Factor uses a minimum of three distinct qualifying studies. Publication records retain their own evidence and assessment.

Study design and assessment
design
Randomized controlled trial
assessment
category
peer-reviewed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

assessed At
2026-10-26
registered Masking Basis
false
trust Factor
score
2
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
not-confirmed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-10-27
jadad
status
unassessed
score
Not recorded
evidence
intervention
Mantram repetition programme
comparator
Health education
evidence Type
Clinical or experimental outcomes
source URLs

https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

checked At
2026-10-26
review Scope
Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
discovery Sources

https://daytab.com/study/vpmdnxwn · https://europepmc.org/article/MED/34729544

selection Policy
Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
Topics and recorded topic scores
  1. key
    language:i
    title
    Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
    collection
    language
    trust Score
    2
Citation snapshot and identifiers
id
pmid-34729544
doi
10.1016/j.ajpc.2021.100279
pmid
34729544
citation Snapshot
count
11
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/34729544
citations By Collection
language
11
Complete approved library record
id
pmid-34729544
publication Key
doi:10.1016/j.ajpc.2021.100279
aliases
None recorded
title
Randomized controlled trial of stress reduction with meditation and health education in black men and women with high normal and normal blood pressure.
journal
American journal of preventive cardiology
neurotransmitters
None recorded
year
2021
authors
Schneider RH, Grim C, Kotchen T, Marwaha K, Kotchen J, Salerno JW, King CG, Nidich S, Alexander CN.
design
Randomized controlled trial
identity Conflict
Not recorded
doi
10.1016/j.ajpc.2021.100279
pmid
34729544
urls

https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

collections

language

categories

Clinical & self-report

targets
None recorded
priority
1
quotes
None recorded
summary
Among 304 Black adults stratified by baseline blood pressure, meditation reduced systolic pressure by approximately 3.3 mmHg relative to health education in the high-normal-pressure group.
limitation
The benefit did not extend to the normal-pressure group or diastolic pressure. Hypertension-event differences were not significant, so the result is subgroup- and endpoint-specific.
citation Count
11
citation Snapshot
count
11
source
Europe PMC
retrieved At
2026-10-26
url
https://europepmc.org/article/MED/34729544
study Design Assessment
category
peer-reviewed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

assessed At
2026-10-26
registered Masking Basis
false
paper Trust Assessment
score
2
scope
Paper
status
assessed
randomized Controlled Trial
true
blinding
not-confirmed
peer Reviewed
true
basis
Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
sources

https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

review Scope
Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
assessed At
2026-10-27
citations By Collection
language
11
topics
  1. key
    language:i
    title
    Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
    collection
    language
    trust Score
    2
journal Key
americanjournalofpreventivecardiology
journal Label
American journal of preventive cardiology
chapter Entries
  1. title
    Randomized controlled trial of stress reduction with meditation and health education in black men and women with high normal and normal blood pressure.
    journal
    American journal of preventive cardiology
    year
    2021
    authors
    Schneider RH, Grim C, Kotchen T, Marwaha K, Kotchen J, Salerno JW, King CG, Nidich S, Alexander CN.
    design
    Randomized controlled trial
    urls

    https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

    doi
    10.1016/j.ajpc.2021.100279
    pmid
    34729544
    targets
    None recorded
    categories

    Clinical & self-report

    citation Count
    11
    citation Snapshot
    count
    11
    source
    Europe PMC
    retrieved At
    2026-10-26
    url
    https://europepmc.org/article/MED/34729544
    study Design Assessment
    category
    peer-reviewed
    peer Reviewed
    true
    basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    sources

    https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

    assessed At
    2026-10-26
    registered Masking Basis
    false
    evidence
    intervention
    Mantram repetition programme
    comparator
    Health education
    evidence Type
    Clinical or experimental outcomes
    source URLs

    https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

    checked At
    2026-10-26
    review Scope
    Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
    discovery Sources

    https://daytab.com/study/vpmdnxwn · https://europepmc.org/article/MED/34729544

    selection Policy
    Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
    id
    language-i-pmid-34729544
    record Id
    pmid-34729544
    quotes
    None recorded
    source Pages
    None recorded
    summary
    Among 304 Black adults stratified by baseline blood pressure, meditation reduced systolic pressure by approximately 3.3 mmHg relative to health education in the high-normal-pressure group.
    limitation
    The benefit did not extend to the normal-pressure group or diastolic pressure. Hypertension-event differences were not significant, so the result is subgroup- and endpoint-specific.
    paper Trust Assessment
    score
    2
    scope
    Paper
    status
    assessed
    randomized Controlled Trial
    true
    blinding
    not-confirmed
    peer Reviewed
    true
    basis
    Reported design checked against the primary publication abstract. Blinding terminology reflects the source report, not an independent risk-of-bias rating.
    sources

    https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

    review Scope
    Existing publication-specific assessments and bibliographic indexing; no blanket full-text appraisal.
    assessed At
    2026-10-27
    publication Key
    doi:10.1016/j.ajpc.2021.100279
    collection
    language
    chapter Number
    1
    topic Id
    i
    topic Title
    Mantra meditation: cognition, creativity, mental health and cardiovascular outcomes
    trust Score
    2
evidence
intervention
Mantram repetition programme
comparator
Health education
evidence Type
Clinical or experimental outcomes
source URLs

https://pubmed.ncbi.nlm.nih.gov/34729544/ · https://doi.org/10.1016/j.ajpc.2021.100279 · https://pmc.ncbi.nlm.nih.gov/articles/PMC8546372/

checked At
2026-10-26
review Scope
Primary publication abstract and bibliographic identity checked; comprehensive full-text risk-of-bias and Jadad assessment pending.
discovery Sources

https://daytab.com/study/vpmdnxwn · https://europepmc.org/article/MED/34729544

selection Policy
Success-focused discovery selection, with material limitations retained; not an exhaustive systematic review.
jadad
status
unassessed
score
Not recorded
condition Evidence
None recorded
conditions
None recorded
topic Trust Scores

2

full Text
status
not-indexed
retrieval Available
false

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