Trial reportAnnals of family medicine
Meditation or exercise for preventing acute respiratory infection: a randomized controlled trial.
Trial report in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01057771 (Meditation and Exercise for Prevention of Acute Respiratory Infection), which is not on this map. Cited by 74 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Meditation and Exercise for Prevention of Acute Respiratory Infection
Who cites it
74 citing papers in PubMed, 8 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- Effects of Regular Physical Activity on the Immune System, Vaccination and Risk of Community-Acquired Infectious Disease in the General Population: Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2021Pooled it
- Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials.PLoS medicine · 2021Pooled it
- Exercise versus no exercise for the occurrence, severity, and duration of acute respiratory infections.The Cochrane database of systematic reviews · 2020Pooled it
- Differential sensitivity of mindfulness questionnaires to change with treatment: A systematic review and meta-analysis.Psychological assessment · 2019Pooled it
- Effects of mindfulness-based interventions on biomarkers in healthy and cancer populations: a systematic review.BMC complementary and alternative medicine · 2017Pooled it
- Mindfulness meditation and the immune system: a systematic review of randomized controlled trials.Annals of the New York Academy of Sciences · 2016Pooled it
- Meditation programs for psychological stress and well-being: a systematic review and meta-analysis.JAMA internal medicine · 2014Pooled it
- Pooled it
- Nasal sprays and a behavioural intervention for respiratory tract infections in primary care: 12-month follow-up of a randomised open-label trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Trial
- Standardized astragalus extract for attenuation of the immunosuppression induced by strenuous physical exercise: randomized controlled trial.Journal of the International Society of Sports Nutrition · 2021Trial
- Mindfulness meditation and exercise both improve sleep quality: Secondary analysis of a randomized controlled trial of community dwelling adults.Sleep health · 2020Trial
- Mediational pathways of meditation and exercise on mental health and perceived stress: A randomized controlled trial.Journal of health psychology · 2020Trial
- Mindfulness versus Physical Exercise: Effects of Two Recovery Strategies on Mental Health, Stress and Immunoglobulin A during Lunch Breaks. A Randomized Controlled Trial.International journal of environmental research and public health · 2020Trial
- Meditation or exercise for preventing acute respiratory infection (MEPARI-2): A randomized controlled trial.PloS one · 2018Trial
- Short-term repeated HRV-16 exposure results in an attenuated immune response in vivo in humans.PloS one · 2018Trial
- Association of interleukin-8 and neutrophils with nasal symptom severity during acute respiratory infection.Journal of medical virology · 2015Trial
- Age and psychological influences on immune responses to trivalent inactivated influenza vaccine in the meditation or exercise for preventing acute respiratory infection (MEPARI) trial.Human vaccines & immunotherapeutics · 2014Trial
- Advantage of meditation over exercise in reducing cold and flu illness is related to improved function and quality of life.Influenza and other respiratory viruses · 2013Trial
- Value associated with mindfulness meditation and moderate exercise intervention in acute respiratory infection: the MEPARI Study.Family practice · 2013Trial
- Improving cancer patients' prognosis by incorporating mindfulness intervention into the treatment strategy.World journal of psychiatry · 2025Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors at 1 institution in 1 country.
Funding
Abstract
purposeThis study was designed to evaluate potential preventive effects of meditation or exercise on incidence, duration, and severity of acute respiratory infection (ARI) illness.
methodsCommunity-recruited adults aged 50 years and older were randomized to 1 of 3 study groups: 8-week training in mindfulness meditation, matched 8-week training in moderate-intensity sustained exercise, or observational control. The primary outcome was area-under-the-curve global illness severity during a single cold and influenza season, using the Wisconsin Upper Respiratory Symptom Survey (WURSS-24) to assess severity. Health care visits and days of missed work were counted. Nasal wash collected during ARI illness was assayed for neutrophils, interleukin-8, and viral nucleic acid.
resultsOf 154 adults randomized into the study, 149 completed the trial (82% female, 94% white, mean age 59.3 ± 6.6 years). There were 27 ARI episodes and 257 days of ARI illness in the meditation group (n = 51), 26 episodes and 241 illness days in the exercise group (n = 47), and 40 episodes and 453 days in the control group (n = 51). Mean global severity was 144 for meditation, 248 for exercise, and 358 for control. Compared with control, global severity was significantly lower for meditation (P = .004). Both global severity and total days of illness (duration) trended toward being lower for the exercise group (P=.16 and P=.032, respectively), as did illness duration for the meditation group (P=.034). Adjusting for covariates using zero-inflated multivariate regression models gave similar results. There were 67 ARI-related days of-work missed in the control group, 32 in the exercise group (P = .041), and 16 in the meditation group (P <.001). Health care visits did not differ significantly. Viruses were identified in 54% of samples from meditation, 42% from exercise, and 54% from control groups. Neutrophil count and interleukin-8 levels were similar among intervention groups.
conclusionsTraining in meditation or exercise may be effective in reducing ARI illness burden.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.