Research Article

Randomized Controlled Trial of Mindfulness Meditation and Exercise for the Prevention of Acute Respiratory Infection: Possible Mechanisms of Action

Table 2

Stage 2 mediational analysis models for Acute Respiratory Infection (ARI) illness global severity and duration: main findings ( ).

Health indicatorGraphic symbolVariablesEstimated coefficientS.E. valueSobel test
single mediation
coefficient (95% CI)
Sobel test
compound mediation
coefficient (95% CI)

Stage 2 models for ARI illness severity (AUC): potential mediators

Exercise (IPAQ) METS 12(A) MAAS-D1*−580.0201.6 0.004*
13 MAAS-D2−132.2162.50.416
14 IPAQ-D1*10.30.1 0.021*
15 IPAQ-D2−0.0050.070.942
11 Group1−174.4237.60.463
12 Group2*−344.6164.0 0.036*
Age29.223.00.204
Sex−6.110.0010.001
(B) MAAS-D1 ON:
24 IPAQ-D1<0.001<0.0010.259N/AN/A
21 Group1−0.0090.1010.928N/AN/A
22 Group20.1410.1060.181N/AN/A
IPAQ-D11 ON:
41 Group1*997.2286.5 0.001* ( ) ( )
42 Group2−186.4266.00.483N/AN/A

Optimism (LOT) score 12(A) MAAS-D1−305.9207.90.141
13 MAAS-D2*1−333.1157.7 0.035*
14 LOT-D151.449.20.296
15 LOT-D2−32.735.10.352
11 Group1291.0267.20.276
12 Group2−304.7165.70.066
Age12.514.30.381
Sex39.4209.20.851
(B) MAAS-D21 ON:
35 LOT-D2*0.10.020.013* ( )N/A
31 Group1*0.20.10.045* ( )N/A
32 Group2*0.30.10.008* ( )N/A

Positive emotion (PANAS-P) score 12(A) MAAS-D1−183.0195.20.349
13 MAAS-D2*1−484.5163.0 0.003*
14 PANAS-P-D1−18.133.70.590
15 PANAS-P-D2246.639.50.238
11 Group1482.8278.60.083
12 Group2−236.0165.50.154
Age3.422.20.878
Sex127.0202.70.531
(B) MAAS-D21 ON:
35 PANAS-P-D2*0.030.0090.001*    N/A
42 Group1*0.240.120.038* ( )N/A
52 Group2*0.270.120.022* ( ) N/A

Social support (PR) score 12(A) MAAS-D1−320.8207.80.122
13 MAAS-D2*1−437.4169.80.010*
14 PR-D1−0.898.80.920
15 PR-D228.817.50.1
11 Group1387.0278.00.164
12 Group2−246.3165.40.137
Age11.313.60.405
Sex34.1203.50.867
(B) MAAS-D21 ON:
35 Ryff-D2*0.040.01<0.001*    N/A
31 Group1*0.20.10.028* ( )N/A
32 Group2*0.30.10.017* ( )N/A

Mental health (SF12M) score 12(A) MAAS-D1−259.5230.60.260
13 MAAS-D2*1−355.2153.5 0.021*
14 SF12M-D10.98.80.919
15 SF12M-D2−2.082.70.446
11 Group1396.6316.40.210
12 Group2−253.3174.60.147
Age9.4230.60.658
Sex27.3153.40.896
(B) MAAS-D21 ON:
35 SF12M-D2*0.0050.0020.012* ( )N/A
31 Group1*0.30.10.016* ( )N/A
32 Group2*0.30.10.015* ( )N/A

Stage 2 models for ARI Illness Duration (no. days): potential mediators

Exercise (IPAQ) METS 12(A) MAAS-D10.070.30.788
13 MAAS-D2*1−0.40.2 0.046*
14 IPAQ-D1<0.001<0.0010.591
15 IPAQ-D2<0.001<0.0010.127
11 Group10.20.20.311
12 Group2−0.30.20.164
Age0.020.010.207
Sex0.20.20.451
(B) MAAS-D21 ON:
35 IPAQ-D2<0.001<0.0010.17N/AN/A
31 Group1*0.20.2 0.044* ( )N/A
32 Group20.30.10.01* ( )N/A

Optimism (LOT) score 12(A) MAAS-D10.010.20.964
13 MAAS-D2*1−0.40.2 0.047*
14 LOT-D1−0.010.040.893
15 LOT-D2−0.010.050.807
11 Group10.10.20.522
12 Group2−0.30.30.186
Age*−0.40.01 0.047*
Sex0.20.20.376
(B) MAAS-D21 ON:
35 LOT-D2*0.050.020.013* ( )N/A
31 Group1*0.20.10.045* ( )N/A
32 Group2*0.30.10.008* ( )N/A

Social support (PR) score 12(A) MAAS-D1−0.0050.20.894
13 MAAS-D2*1−0.40.2 0.041*
14 PR-D1−0.0020.020.908
15 PR-D20.010.020.495
11 Group10.10.20.523
12 Group2−0.40.20.15
Age*0.030.010.044*
Sex0.020.20.371
(B) MAAS-D21 ON:
35 PR-D2*0.040.01<0.001* ( )N/A
31 Group1*0.20.10.028* ( )N/A
32 Group2*0.30.10.017* ( )N/A

Mental health (SF12M) score 12(A) MAAS-D10.10.30.677
13 MAAS-D22−0.30.20.0562
14 SF12M-D1−0.0090.0070.183
15 SF12M-D2*−0.0060.0020.007*
11 Group10.20.20.391
12 Group2−0.30.30.228
Age0.020.010.088
Sex0.10.20.489
(B) MAAS-D22 ON:
35 SF12M-D2*0.0050.0020.012* ( )N/A
31 Group1*0.30.10.016* ( )N/A
32 Group2*0.30.10.015* ( )N/A
SF12M-D2 ON:
42 Group1−1.36.40.843N/AN/A
52 Group24.35.40.426N/AN/A

Variables included: the MAAS score change at D1 (9 weeks) and D2 (3 months), health indicator score change at D1 or D2, group status, age, and gender. Results presented only for the models that suggested presence of potential mediation.
.
1Potential mediator ( for both and pathways).
2Trend toward being a potential mediator ( for 13, and for pathways).