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Effects of Buddhist walking meditation on exercise capacity and quality of life of patients with chronic heart failure: A randomized controlled trial.

Sumana Srisoongnern, Kingkaew Pajareya, Rungladda Sriboon, Thanitta Thanakiatpinyo, Srisakul Chirakarnjanakorn, Wilawan Thirapatarapong

Heart & Lung 2021 DOI: 10.1016/j.hrtlng.2021.02.005 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 48
Population Patients with chronic heart failure, mean age 65 years, New York Heart Association functional class II and III
Interventions Buddhist walking meditation (BWM) aerobic exercise
Duration Six-week training period, at least three times a week
Measures six-minute walk test, Minnesota Living with Heart Failure Questionnaire, blood pressure, heart rate
Topics Buddhism Meditation
Keywords Exercise capacity Heart failure Quality of life Walking meditation
Key findings A six-week Buddhist walking meditation program did not significantly improve exercise capacity in patients with chronic heart failure, whereas the aerobic exercise group did show significant improvement. Neither group showed significant improvement in quality of life or most hemodynamic responses.

Abstract

Buddhist walking meditation (BWM) is widely practiced in many countries. However, there is a lack of evidence relating to its effectiveness for patients with heart failure (HF). To determine the effects of a six-week BWM program on exercise capacity, quality of life, and hemodynamic response in patients with chronic HF. Patients with HF were randomly assigned to a BWM program or an aerobic exercise program. Each group trained at least three times a week during the six-week study period. The outcome measures included exercise capacity (six-minute walk test), disease-specific quality of life (Minnesota Living with Heart Failure Questionnaire), and hemodynamic response (blood pressure and heart rate) immediately after the six weeks of training. The study enrolled 48 patients with a mean age of 65 years and a New York Heart Association functional class of II and III. At baseline, there were no significant differences in their clinical and demographic characteristics or the outcome measures. Although six patients withdrew, all participants were included in the intention-to-treat analysis. There was no statistically significant increase in the functional capacity of the BWM group; however, there was a significant improvement for the aerobic group. With both groups, there was no significant improvement in quality of life or most hemodynamic responses. The six-week BWM program did not improve the functional capacity, quality of life, or hemodynamic characteristics of the HF patients, compared with the values of the patients in the aerobic exercise program.

Comparable studies

Other randomized controlled trials on buddhism, most cited first.

Study Year Design Participants
Silent illumination: a study on Chan (Zen) meditation, anxiety, and musical performance quality Music conservatory students 2007 Randomized controlled trial n = 19
Physiological and subjective effects of Zen meditation and demand characteristics. Male undergraduate volunteers 1977 Randomized controlled trial n = 40
Protocol for a cluster-randomized clinical trial to evaluate the effectiveness of mindfulness-based cognitive therapy for depression, implemented in Vietnamese Buddhist pagoda. Adults with depression recruited from Buddhist pagodas around Hanoi, Vietnam 2025 Cluster-randomized clinical trial n = 160
Randomized Controlled Trial of the Tibetan Buddhist Feeding Your Demons Contemplative Process in Meditation Practitioners Meditation practitioners with moderate depression, anxiety, and stress symptoms (70%... 2023 Randomized controlled trial n = 61
Mixed-methods analysis on psychedelic-augmented meditation experiences from a randomized controlled mindfulness retreat Experienced meditators 2026 Randomized controlled trial

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