Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil Religião, espiritualidade e doença cardiovascular: pesquisa, implicações clínicas e oportunidades no Brasil
In this paper we comprehensively review published quantitative research on the relationship between religion, spirituality (R/S), and cardiovascular (CV) disease, discuss mechanisms that help explain the associations reported, examine the clinical implications of those findings, and explore future r...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade Brasileira de Cirurgia Cardiovascular
2013-03-01
|
| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000100015 |
| _version_ | 1818530216312569856 |
|---|---|
| author | Fernando A. Lucchese Harold G. Koenig |
| author_facet | Fernando A. Lucchese Harold G. Koenig |
| author_sort | Fernando A. Lucchese |
| collection | DOAJ |
| description | In this paper we comprehensively review published quantitative research on the relationship between religion, spirituality (R/S), and cardiovascular (CV) disease, discuss mechanisms that help explain the associations reported, examine the clinical implications of those findings, and explore future research needed in Brazil on this topic. First, we define the terms religion, spirituality, and secular humanism. Next, we review research examining the relationships between R/S and CV risk factors (smoking, alcohol/drug use, physical inactivity, poor diet, cholesterol, obesity, diabetes, blood pressure, and psychosocial stress). We then review research on R/S, cardiovascular functions (CV reactivity, heart rate variability, etc.), and inflammatory markers (IL-6, IFN-γ, CRP, fibrinogen, IL-4, IL-10). Next we examine research on R/S and coronary artery disease, hypertension, stroke, dementia, cardiac surgery outcomes, and mortality (CV mortality in particular). We then discuss mechanisms that help explain these relationships (focusing on psychological, social, and behavioral pathways) and present a theoretical causal model based on a Western religious perspective. Next we discuss the clinical applications of the research, and make practical suggestions on how cardiologists and cardiac surgeons can sensitively and sensibly address spiritual issues in clinical practice. Finally, we explore opportunities for future research. No research on R/S and cardiovascular disease has yet been published from Brazil, despite the tremendous interest and involvement of the population in R/S, making this an area of almost unlimited possibilities for researchers in Brazil. |
| first_indexed | 2024-12-11T17:16:55Z |
| format | Article |
| id | doaj.art-070c612939e3406c883a8da0868bd456 |
| institution | Directory Open Access Journal |
| issn | 0102-7638 1678-9741 |
| language | English |
| last_indexed | 2024-12-11T17:16:55Z |
| publishDate | 2013-03-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-070c612939e3406c883a8da0868bd4562022-12-22T00:57:18ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery0102-76381678-97412013-03-01281103128Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil Religião, espiritualidade e doença cardiovascular: pesquisa, implicações clínicas e oportunidades no BrasilFernando A. LuccheseHarold G. KoenigIn this paper we comprehensively review published quantitative research on the relationship between religion, spirituality (R/S), and cardiovascular (CV) disease, discuss mechanisms that help explain the associations reported, examine the clinical implications of those findings, and explore future research needed in Brazil on this topic. First, we define the terms religion, spirituality, and secular humanism. Next, we review research examining the relationships between R/S and CV risk factors (smoking, alcohol/drug use, physical inactivity, poor diet, cholesterol, obesity, diabetes, blood pressure, and psychosocial stress). We then review research on R/S, cardiovascular functions (CV reactivity, heart rate variability, etc.), and inflammatory markers (IL-6, IFN-γ, CRP, fibrinogen, IL-4, IL-10). Next we examine research on R/S and coronary artery disease, hypertension, stroke, dementia, cardiac surgery outcomes, and mortality (CV mortality in particular). We then discuss mechanisms that help explain these relationships (focusing on psychological, social, and behavioral pathways) and present a theoretical causal model based on a Western religious perspective. Next we discuss the clinical applications of the research, and make practical suggestions on how cardiologists and cardiac surgeons can sensitively and sensibly address spiritual issues in clinical practice. Finally, we explore opportunities for future research. No research on R/S and cardiovascular disease has yet been published from Brazil, despite the tremendous interest and involvement of the population in R/S, making this an area of almost unlimited possibilities for researchers in Brazil.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000100015ReligiãoEspiritualidadeDoenças cardiovascularesProcedimentos cirúrgicos cardíacosPesquisaMortalidadeReligionSpiritualityCardiovascular diseasesCardiac surgical proceduresResearchMortality |
| spellingShingle | Fernando A. Lucchese Harold G. Koenig Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil Religião, espiritualidade e doença cardiovascular: pesquisa, implicações clínicas e oportunidades no Brasil Brazilian Journal of Cardiovascular Surgery Religião Espiritualidade Doenças cardiovasculares Procedimentos cirúrgicos cardíacos Pesquisa Mortalidade Religion Spirituality Cardiovascular diseases Cardiac surgical procedures Research Mortality |
| title | Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil Religião, espiritualidade e doença cardiovascular: pesquisa, implicações clínicas e oportunidades no Brasil |
| title_full | Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil Religião, espiritualidade e doença cardiovascular: pesquisa, implicações clínicas e oportunidades no Brasil |
| title_fullStr | Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil Religião, espiritualidade e doença cardiovascular: pesquisa, implicações clínicas e oportunidades no Brasil |
| title_full_unstemmed | Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil Religião, espiritualidade e doença cardiovascular: pesquisa, implicações clínicas e oportunidades no Brasil |
| title_short | Religion, spirituality and cardiovascular disease: research, clinical implications, and opportunities in Brazil Religião, espiritualidade e doença cardiovascular: pesquisa, implicações clínicas e oportunidades no Brasil |
| title_sort | religion spirituality and cardiovascular disease research clinical implications and opportunities in brazil religiao espiritualidade e doenca cardiovascular pesquisa implicacoes clinicas e oportunidades no brasil |
| topic | Religião Espiritualidade Doenças cardiovasculares Procedimentos cirúrgicos cardíacos Pesquisa Mortalidade Religion Spirituality Cardiovascular diseases Cardiac surgical procedures Research Mortality |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382013000100015 |
| work_keys_str_mv | AT fernandoalucchese religionspiritualityandcardiovasculardiseaseresearchclinicalimplicationsandopportunitiesinbrazilreligiaoespiritualidadeedoencacardiovascularpesquisaimplicacoesclinicaseoportunidadesnobrasil AT haroldgkoenig religionspiritualityandcardiovasculardiseaseresearchclinicalimplicationsandopportunitiesinbrazilreligiaoespiritualidadeedoencacardiovascularpesquisaimplicacoesclinicaseoportunidadesnobrasil |