Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Religion, Spirituality and Risk of Coronary Heart Disease: A Matched Case-Control Study and Meta-Analysis

Sat Oct 1 19:06:05 2022

(2019) Religion, Spirituality and Risk of Coronary Heart Disease: A Matched Case-Control Study and Meta-Analysis. Journal of Religion & Health. pp. 1203-1216. ISSN 0022-4197

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Abstract

Although the association between religion/spirituality (R/S) and psychological outcomes is well established, current understanding of the association with cardiovascular disease remains limited. We sought to investigate the association between Islamic R/S and coronary heart disease (CHD), and place these findings in light of a meta-analysis. In this case-control study, 190 cases with non-fatal CHD were identified and individually matched with 383 hospital-based controls. R/S was measured by self-administered 102 items questionnaire. A tabular meta-analysis was performed of observational studies on R/S (high level versus low level) and CHD. In addition, a dose-response meta-analysis was conducted using generalized least-squares regression. Participants in the top quartile had decreased odds of CHD comparing to participants in the lowest quartile of religious belief (OR 0.20, 95 confidence interval (CI) 0.06-0.59), religious commitment (OR 0.36, CI 95 0.13-0.99), religious emotions (OR 0.39, CI 95 0.18-0.87), and total R/S score (OR 0.30, CI 95 0.13-0.67). The meta-analysis study showed a significant relative risk of 0.88 (CI 95 0.77-1.00) comparing individuals in high level versus low level of R/S. In dose-response meta-analysis, comparing people with no religious services attendance, the relative risks of CHD were 0.77 (CI 95 0.65-0.91) for one times attendance and 0.27 (CI 95 0.11-0.65) for five times attendance per month. R/S was associated with a significantly decreased risk of CHD. The possible causal nature of the observed associations warrants randomized clinical trial with large sample size.

Item Type: Article
Creators:
CreatorsEmail
Hemmati, R.UNSPECIFIED
Bidel, Z.UNSPECIFIED
Nazarzadeh, M.UNSPECIFIED
Valadi, M.UNSPECIFIED
Berenji, S.UNSPECIFIED
Erami, E.UNSPECIFIED
Al Zaben, F.UNSPECIFIED
Koenig, H. G.UNSPECIFIED
Moghaddam, A. S.UNSPECIFIED
Teymoori, F.UNSPECIFIED
Sabour, S.UNSPECIFIED
Ghanbarizadeh, S. R.UNSPECIFIED
Seghatoleslam, T.UNSPECIFIED
Keywords: Religion Spirituality Coronary artery disease Systematic review Meta-analysis cardiovascular-disease service attendance trend estimation atherosclerosis frequency mortality women Public, Environmental & Occupational Health Religion
Divisions:
Page Range: pp. 1203-1216
Journal or Publication Title: Journal of Religion & Health
Journal Index: ISI
Volume: 58
Number: 4
Identification Number: https://doi.org/10.1007/s10943-018-0722-z
ISSN: 0022-4197
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3708

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