{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:52:08Z","timestamp":1792788728832,"version":"4.5.0"},"reference-count":91,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","funder":[{"name":"National Institute of Health","award":["UL1TR001881"],"award-info":[{"award-number":["UL1TR001881"]}]},{"name":"National Institute of Aging","award":["P30AG021684"],"award-info":[{"award-number":["P30AG021684"]}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"crossref","award":["U2CDK129496"],"award-info":[{"award-number":["U2CDK129496"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100006545","name":"NIMHD","doi-asserted-by":"crossref","award":["P50MD017366"],"award-info":[{"award-number":["P50MD017366"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["R03AG089289, K02AG059140-02S1, P30AG059298, and UM1TR004539"],"award-info":[{"award-number":["R03AG089289, K02AG059140-02S1, P30AG059298, and UM1TR004539"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["P50AT000082"],"award-info":[{"award-number":["P50AT000082"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["U54MD000214, P30AG059298, 5R25HL126145"],"award-info":[{"award-number":["U54MD000214, P30AG059298, 5R25HL126145"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["CJASN"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    Increased rates of adverse health conditions across the spectrum of cardiovascular, kidney, and metabolic disease have been linked to social, psychologic, and environmental stressors. Stress from daily living can elicit protective responses from multiple physiologic systems that include psychologic\/neurocognitive and biologic\/cellular pathways. Excessive exposures to noxious stress overwhelms normally protective responses and lead to maladaptive psychologic and biologic consequences that trigger and\/or exacerbate multiple disease processes including CKD and CKD risk factors. Stress management is a part of a healthy lifestyle that can counteract some of the adverse health effects of stress. Contemplative practices linked to meditation (\n                    <jats:italic toggle=\"yes\">e.g<\/jats:italic>\n                    ., yoga, transcendental meditation, mindfulness meditation), religion, or other forms of spirituality have been associated with stress management. These practices seek harmony within and across individuals and environments, calm the mind, and help restore one's awareness of their interconnectedness to life. Data from an emerging literature suggest that contemplative practices can reduce the clinical complications of stress by attenuating the downstream psychologic and biologic effect of stress. This article reviews and illustrates how contemplative practices, which are accessible, low-cost, or no-cost lifestyle interventions, can help prevent the development, progression, and complications of CKD and CKD risk factors.\n                  <\/jats:p>","DOI":"10.2215\/cjn.0000000829","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T16:00:29Z","timestamp":1752854429000},"page":"1786-1795","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Contemplative Practices as a Form of Stress Management for Patients with Kidney Disease"],"prefix":"10.2215","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0643-1640","authenticated-orcid":false,"given":"Marino A.","family":"Bruce","sequence":"first","affiliation":[{"name":"Food, Family, and Fellowship Collaboratory, UH Population Health, University of Houston, Houston, Texas"},{"name":"Department of Behavioral and Social Sciences, Tilman J. Fertitta Family College of Medicine, University of Houston, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland J.","family":"Thorpe","sequence":"additional","affiliation":[{"name":"Hopkins Center for Health Disparities Solutions, Johns Hopkins School of Public Health, Baltimore, Maryland"},{"name":"Program for Research on Men's Health, Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6834-7532","authenticated-orcid":false,"given":"Robert H.","family":"Schneider","sequence":"additional","affiliation":[{"name":"Institute for Prevention Research, Fairfield, Iowa"},{"name":"Center for Natural Medicine and Prevention, College of Integrative Medicine, Maharishi International University, Fairfield, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam Engel","family":"Hercz","sequence":"additional","affiliation":[{"name":"School of Medicine, Trinity College Dublin, The University of Dublin, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra F.","family":"Williams","sequence":"additional","affiliation":[{"name":"Broward Community and Family Health Centers, Lauderhill, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3071-0700","authenticated-orcid":false,"given":"Keith C.","family":"Norris","sequence":"additional","affiliation":[{"name":"Food, Family, and Fellowship Collaboratory, UH Population Health, University of Houston, Houston, Texas"},{"name":"Division of General Internal Medicine and Health Services Research, Department of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,18]]},"reference":[{"issue":"20","key":"B1-20251219","doi-asserted-by":"crossref","first-page":"1606","DOI":"10.1161\/CIR.0000000000001184","article-title":"Cardiovascular-kidney-metabolic health: a presidential advisory from the American Heart Association","volume":"148","author":"Ndumele","year":"2023","journal-title":"Circulation."},{"issue":"3","key":"B2-20251219","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1056\/NEJM199801153380307","article-title":"Protective and damaging effects of stress mediators","volume":"338","author":"McEwen","year":"1998","journal-title":"N Engl J Med."},{"issue":"1","key":"B3-20251219","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1053\/j.ackd.2014.06.008","article-title":"Stress and the kidney","volume":"22","author":"Bruce","year":"2015","journal-title":"Adv Chronic Kidney Dis."},{"issue":"4","key":"B4-20251219","first-page":"e57546","article-title":"Clinical effects of yoga and meditational practices on the holistic health of chronic kidney disease patients: a systematic review","volume":"16","author":"Gautam","year":"2024","journal-title":"Cureus."},{"issue":"10","key":"B5-20251219","doi-asserted-by":"crossref","first-page":"e13800","DOI":"10.1111\/obr.13800","article-title":"The promising role of transcendental meditation in the prevention and treatment of cardiometabolic diseases: a systematic review","volume":"25","author":"Khanal","year":"2024","journal-title":"Obes Rev."},{"issue":"10","key":"B6-20251219","doi-asserted-by":"crossref","first-page":"e002218","DOI":"10.1161\/JAHA.117.002218","article-title":"Meditation and cardiovascular risk reduction: a scientific statement from the American Heart Association","volume":"6","author":"Levine","year":"2017","journal-title":"J Am Heart 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