Skip to main content

Advertisement

Log in

Review of the Cardiovascular Implications of the Social and Religious Practices Associated with Donning Phylacteries

  • Original Paper
  • Published:
Journal of Religion and Health Aims and scope Submit manuscript

Abstract

We previously published a manuscript suggesting that use of phylacteries, ritual straps worn during Jewish prayer services, affects cardiovascular and inflammatory function (Owens et al., Am J Physiol-Heart Circ Physiol, 315(6):H1748–H1758, 2018). Observed physiologic changes were associated with improved cardiac outcomes, though a direct link between phylactery use and improved cardiovascular outcomes is difficult to prove as there are a number of associated religious and spiritual practices that may confound the observed effects. In this review, we assess the scientific literature regarding religious and spiritual practices associated with phylactery in order to better understand the cardiovascular implications of the practice of donning phylacteries. We focus on key aspects traditionally associated with donning phylacteries including gathering in groups, meditation and prayer.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Anderson, J. W., & Nunnelley, P. A. (2016). Private prayer associations with depression, anxiety and other health conditions: An analytical review of clinical studies. Postgraduate Medicine, 128(7), 635–641. https://doi.org/10.1080/00325481.2016.1209962

    Article  Google Scholar 

  • Backon, J. (1988). Inverse relationship of religious orthodoxy and myocardial infarct in Jerusalem: Related to water immersion? International Journal of Cardiology, 20(1), 153–154. https://doi.org/10.1016/0167-5273(88)90329-4

    Article  CAS  Google Scholar 

  • Beck, A., Bryant, L., Conner, D. A., Gade, G., Kramer, A. M., McKenzie, M., Scott, J. C., & Venohr, I. (2004). Effectiveness of a group outpatient visit model for chronically ill older health maintenance organization members: A 2-year randomized trial of the cooperative health care clinic. Journal of the American Geriatrics Society, 52(9), 1463–1470. https://doi.org/10.1111/j.1532-5415.2004.52408.x

    Article  Google Scholar 

  • Benjamin, E. J., Virani, S. S., Callaway, C. W., Chamberlain, A. M., Chang, A. R., Cheng, S., Chiuve, S. E., Cushman, M., Delling, F. N., Deo, R., De Ferranti, S. D., Ferguson, J. F., Fornage, M., Gillespie, C., Isasi, C. R., Jiménez, M. C., Jordan, L. C., Judd, S. E., Lackland, D., Muntner, P. (2018). Heart disease and stroke statistics—2018 update: A report from the American Heart Association. In Circulation (Vol. 137, Issue 12). https://doi.org/10.1161/CIR.0000000000000558

  • Berk, M., Wadee, A. A., & Kuschket, R. H. (1997). Acute phase proteins in major depression. Journal of Psychosomatic Research, 43(5), 529–534. https://doi.org/10.1016/s0022-3999(97)00139-6

    Article  CAS  Google Scholar 

  • Birnbaum, Y., Hale, S., & Kloner, R. (1997). Ischemic preconditioning at a distance: Reduction of myocardial infarct size by partial reduction of blood supply combined with rapid stimulation of the gastrocnemius muscle in the rabbit. Circulation, 96(5), 1641–1646. https://doi.org/10.1161/01.cir.96.5.1641

    Article  CAS  Google Scholar 

  • Black, D. S., Olmstead, R., Breen, E. C., Irwin, M. R., & O’Reilly, G. A. (2015). Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances. JAMA Internal Medicine, 175(4), 494. https://doi.org/10.1001/jamainternmed.2014.8081

    Article  Google Scholar 

  • Bower, J. E., Crosswell, A. D., Stanton, A. L., Crespi, C. M., Winston, D., Arevalo, J., Ma, J., Cole, S. W., & Ganz, P. A. (2015). Mindfulness meditation for younger breast cancer survivors: A randomized controlled trial. Cancer, 20(2), 163–178. https://doi.org/10.1007/s10741-014-9462-7.Natural

    Article  Google Scholar 

  • Cahn, B. R., Goodman, M. S., Peterson, C. T., Maturi, R., & Mills, P. J. (2017). Yoga, meditation and mind-body health: increased BDNF, cortisol awakening response, and altered inflammatory marker expression after a 3-month yoga and meditation retreat. Frontiers in Human Neuroscience, 11, 315. https://doi.org/10.3389/fnhum.2017.00315

    Article  CAS  Google Scholar 

  • Choi, Y., Shim, J., Kim, J., Kang, K., Seo, Y., Ahn, K., & Kwak, Y. (2011). Effect of remote ischemic preconditioning on renal dysfunction after complex valvular heart surgery: A randomized controlled trial. Journal of Thoracic Cardiovascular Surgery, 142(1), 148–154. https://doi.org/10.1016/j.jtcvs.2010.11.018

    Article  Google Scholar 

  • Creswell, J. D., Irwin, M. R., Burklund, L. J., Lieberman, M. D., Arevalo, J. M. G., Ma, J., Breen, E., & Cole, S. W. (2012). Mindfulness-based stress reduction training reduces loneliness and pro-inflammatory gene expression in older adults: A small randomized controlled trial. Brain, Behavior, and Immunity, 46(2), 220–231. https://doi.org/10.1016/j.freeradbiomed.2008.10.025.The

    Article  Google Scholar 

  • Ding, J., Young, E., & Taylor, E. (1998). Meditation as a voluntary hypometabolic state of biological estivation. Physiology, 13(3), 149–153. https://doi.org/10.1152/physiologyonline.1998.13.3.149

    Article  Google Scholar 

  • Eisenber, R. (2004). The JPS guide [to] Jewish Traditions. The Jewish Publication Society.

  • Friedlander, Y., Kark, J. D., & Stein, Y. (1986). Religious orthodoxy and myocardial infarction in Jerusalem—A case control study. International Journal of Cardiology, 10(1), 33–41. https://doi.org/10.1016/0167-5273(86)90163-4

    Article  CAS  Google Scholar 

  • Goldbourt, U., Yaari, S., & Medalie, J. H. (1993). Factors predictive of long-term coronary heart disease mortality among 10,059 Male Israeli Civil Servants and Municipal Employees. Cardiology, 82, 100–121. https://doi.org/10.1159/000175862

    Article  CAS  Google Scholar 

  • Goldstein, C. M., Josephson, R., Xie, S., & Hughes, J. W. (2012). Current perspectives on the use of meditation to reduce blood pressure. International Journal of Hypertension, 2012, 1–11. https://doi.org/10.1155/2012/578397

    Article  Google Scholar 

  • Greenwood, D., Muir, K., Packham, C., & Madeley, R. (1996). Coronary heart disease: A review of the role of psychosocial stress and social support. Journal of Public Health Medicine, 18(2), 221–231. https://doi.org/10.1093/oxfordjournals.pubmed.a024483

    Article  CAS  Google Scholar 

  • Gritsopoulos, G., Iliodromitis, E., Zoga, A., Farmakis, D., Demerouti, E., Papalois, A., Paraskevaidis, I., & Kremastinos, D. (2009). Remote postconditioning is more potent than classic postconditioning in reducing the infarct size in anesthetized rabbits. Cardiovascular Drugs and Therapy, 23(3), 193–198. https://doi.org/10.1007/s10557-009-6168-5

    Article  CAS  Google Scholar 

  • Hare, D. L., Toukhsati, S. R., Johansson, P., & Jaarsma, T. (2014). Depression and cardiovascular disease: A clinical review. European Heart Journal, 35(21), 1365–1372. https://doi.org/10.1093/eurheartj/eht462

    Article  Google Scholar 

  • Hausenloy, D., Candilio, L., Evans, R., Ariti, C., Jenkins, D., Kolvekar, S., Knight, R., Kunst, G., Laing, C., Nicholas, J., Pepper, J., & Robertson, S. (2015). Remote ischemic preconditioning and outcomes of cardiac surgery. The New England Journal of Medcine, 373, 1408–1417. https://doi.org/10.1056/NEJMoa1413534

    Article  CAS  Google Scholar 

  • Hollywell, C., & Walker, J. (2009). Private prayer as a suitable intervention for hospitalised patients: A critical review of the literature. Journal of Clinical Nursing, 18(5), 637–651. https://doi.org/10.1111/j.1365-2702.2008.02510.x

    Article  Google Scholar 

  • Jaber, R., Braksmajer, A., & Trilling, J. S. (2009). Group visits: A qualitative review of current research. The Journal of the American Board of Family Medicine, 19(3), 276–290. https://doi.org/10.3122/jabfm.19.3.276

    Article  Google Scholar 

  • Jacobs, L. (1999). Oxford concise companion to the Jewish religion. Oxford University Press.

    Google Scholar 

  • Jahnke, R., Larkey, L., Rogers, C., Etnier, J., & Lin, F. (2010). A comprehensive review of health benefits of Qigong and Tai Chi. American Journal of Health Promotion, 24(6), 1–25. https://doi.org/10.4278/ajhp.081013-LIT-248.A

    Article  Google Scholar 

  • Jedel, S., Hoffman, A., Merriman, P., Swanson, B., Voigt, R., Rajan, K. B., Shaikh, M., Li, H., & Keshavarzian, A. (2014). A randomized controlled trial of mindfulness-based stress reduction to prevent flare-up in patients with inactive ulcerative colitis. Digestion, 89(2), 142–155. https://doi.org/10.1159/000356316

    Article  CAS  Google Scholar 

  • Jevning, R., Wallace, R. K., & Beidebach, M. (1992). The physiology of meditation: A review. Neuroscience and Biobehavioral Review, 16(3), 415–424.

    Article  CAS  Google Scholar 

  • Kark, J.D., Shemi, G., Friedlander, Y., Martin, O., Manor, O. and Blondheim, S.H. (1996). Does religious observance promote health? Mortality in secular vs religious Kibbutzim in Israel.pdf. American Journal of Public Health, 86(3), 341–346. https://doi.org/10.2105/ajph.86.3.341

  • Kark, J. D., Goldberger, N., Fink, R., Adler, B., Kuulasmaa, K., & Goldman, S. (2005). Myocardial infarction occurrence in Jerusalem: A Mediterranean anomaly. Atherosclerosis, 178(1), 129–138. https://doi.org/10.1016/j.atherosclerosis.2004.08.022

    Article  CAS  Google Scholar 

  • Karo, J. (1565). Orach chaim. In Shulchan aruch.

  • King, D. E., Mainous, A. G., Steyer, T. E., & Pearson, W. (2005). The relationship between attendance at religious services and cardiovascular inflammatory markers. The International Journal of Psychiatry in Medicine, 31(4), 415–425. https://doi.org/10.2190/f4mp-klye-ved4-3ldd

    Article  Google Scholar 

  • Koenig, H. G., Cohen, H. J., George, L. K., Hays, J. C., Larson, D. B., & Blazer, D. G. (2005). Attendance at religious services, interleukin-6, and other biological parameters of immune function in older adults. The International Journal of Psychiatry in Medicine, 27(3), 233–250. https://doi.org/10.2190/40nf-q9y2-0gg7-4wh6

    Article  Google Scholar 

  • Koenig, H. G., George, L. K., Hays, J. C., Larson, D. B., Cohen, H. J., & Blazer, D. G. (2005). The relationship between religious activities and blood pressure in older adults. The International Journal of Psychiatry in Medicine, 28(2), 189–213. https://doi.org/10.2190/75jm-j234-5jkn-4dqd

    Article  Google Scholar 

  • Konstantinov, I., Arab, S., Kharbanda, R., Li, J., Cheung, M., Cherepanov, V., Downey, G., Liu, P., Cukerman, E., Coles, J., & Redington, A. (2004). The remote ischemic preconditioning stimulus modifies inflammatory gene expression in humans. Physiological Genomics, 19, 143–150. https://doi.org/10.1152/physiolgenomics.00046.2004

    Article  CAS  Google Scholar 

  • Leung, C. H., Wang, L., & Caldarone, C. (2014). Remote cardioprotection by transfer of coronary effluent from ischemic preconditioned rabbit heart preserves mitochondrial integrity and function via adenosine receptor activation. Cardiovascular Drugs and Therapy, 28, 7–17. https://doi.org/10.1007/s10557-013-6489-2

    Article  CAS  Google Scholar 

  • Li, S., Stampfer, M. J., Williams, D. R., & Vanderweele, T. J. (2016). Association of religious service attendance with mortality among women. JAMA Internal Medicine, 176(6), 777–785. https://doi.org/10.1001/jamainternmed.2016.1615

    Article  Google Scholar 

  • Malarkey, W. B., Jarjoura, D., & Klatt, M. (2013). Workplace based mindfulness practice and inflammation: A randomized trial. Brain, Behavior, and Immunity, 27(1), 145–154. https://doi.org/10.1016/j.bbi.2012.10.009

    Article  Google Scholar 

  • Medalie, J. H., Kahn, H. A., Neufeld, H. N., Riss, E., & Goldbourt, U. R. I. (1973). Myocardial infarction over a five-year period—I. Prevalence, incidence and mortality experience. Journal of Chronic Diseases, 26(375106), 63–84. https://doi.org/10.1016/0021-9681(73)90006-4

    Article  CAS  Google Scholar 

  • Miller, A. H., Maletic, V., & Raison, C. L. (2009). Inflammation and its discontents: The role of cytokines in the pathophysiology of major depression Andrew. Biological Psychiatry, 65(9), 732–741. https://doi.org/10.1016/j.biopsych.2008.11.029.Inflammation

    Article  CAS  Google Scholar 

  • Nijjar, P. S., Puppala, V. K., Dickinson, O., Duval, S., Duprez, D., Kreitzer, M. J., & Benditt, D. G. (2014). Modulation of the autonomic nervous system assessed through heart rate variability by a mindfulness based stress reduction program. International Journal of Cardiology, 177(2), 557–559. https://doi.org/10.1016/j.ijcard.2014.08.116

    Article  Google Scholar 

  • Nishma Research. (2017). The Nishma Research Profile of American Modern Orthodox Jews.

  • Orech Chaim 27. (n.d.). In Aruch Hashulchan.

  • Ospina, M., Bond, K., Karkhaneh, M., Tjosvold, L., Vandermeer, B., Liang, Y., Bialy, L., Hooton, N., Buscemi, N., Dryden, D., & Klassen, T. (2007). Meditation practices for health: State of the research. Evidence Report/technology Assessment, 155, 1–263.

    Google Scholar 

  • Owens, A. P., Robbins, N., Saum, K., Jones, S. M., Kirschner, A., Woo, J. G., McCoy, C., Slone, S., Rothenberg, M. E., Urbina, E. M., Tranter, M., & Rubinstein, J. (2018). Tefillin use induces remote ischemic preconditioning pathways in healthy men. American Journal of Physiology-Heart and Circulatory Physiology, 315(6), H1748–H1758. https://doi.org/10.1152/ajpheart.00347.2018

    Article  CAS  Google Scholar 

  • Oxman, T., Freeman, D., & Manheimer, E. (1995). Lack of social participation or religious strength and comfort as risk factors for death after cardiac surgery in the elderly. Psychosomatic Medicine, 57(1), 5–15. https://doi.org/10.1097/00006842-199501000-00002

    Article  CAS  Google Scholar 

  • Patel, H., Moore, J., Hsu, A., & Gross, G. (2002). Cardioprotection at a distance: Mesenteric artery occlusion protects the myocardium via an opioid sensitive mechanism. Journal of Molecular and Cellular Cardiology, 34(10), 1317–1323. https://doi.org/10.1006/jmcc.2002.2072

    Article  CAS  Google Scholar 

  • Paul-Labrador, M., Polk, D., Velasquez, I., Merz, C. N. B., Dwyer, J. H., Nidich, S., Rainforth, M., & Schneider, R. (2006). Effects of a randomized controlled trial of transcendental meditation on components of the metabolic syndrome in subjects with coronary heart disease. Archives of Internal Medicine, 166(11), 1218–1224. https://doi.org/10.1001/archinte.166.11.1218

    Article  Google Scholar 

  • Pell, T., Baxter, G., Yellon, D., & Drew, G. (1998). Renal ischemia preconditions myocardium: Role of adenosine receptors and ATP-sensitive potassium channels. American Journal of Physiology, 275(5), 1542–1547. https://doi.org/10.1152/ajpheart.1998.275.5.H1542

    Article  Google Scholar 

  • Pentateuch. (n.d.). In Exodus. 13.1–10, 13.11–16; Deuteronomy. 6.4–9, 11.13–21.

  • Pew Research Center. (2013a). A Portrait of Jewish Americans, Chapter 1: Population Estimates.

  • Pew Research Center. (2013b). A Portrait of Jewish Americans, Chapter 4: Religious Beliefs and Practices.

  • Plakht, Y., Gilutz, H., Shiyovich, A., Zahger, D., & Weitzman, S. (2010). Gender and ethnic disparities in outcome following acute myocardial infarction among Bedouins and Jews in Southern Israel. European Journal of Public Health, 21(1), 74–80. https://doi.org/10.1093/eurpub/ckq012

    Article  Google Scholar 

  • Raison, C. L., Capuron, L., & Miller, A. H. (2006). Cytokines sing the blues: Inflammation and the pathogenesis of depression. Trends in Immunology, 27(1), 24–31. https://doi.org/10.1016/j.it.2005.11.006.Cytokines

    Article  CAS  Google Scholar 

  • Salmoirago-Blotcher, E., Fitchett, G., Hovey, K. M., Schnall, E., Thomson, C., Andrews, C. A., Crawford, S., O’Sullivan, M. J., Post, S., Chlebowski, R. T., & Ockene, J. (2013). Frequency of private spiritual activity and cardiovascular risk in postmenopausal women: The Women’s Health Initiative. Annals of Epidemiology, 23(5), 239–245. https://doi.org/10.1016/j.annepidem.2013.03.002

    Article  Google Scholar 

  • Schneider, R. H., Grim, C. E., Rainforth, M. V, Kotchen, T., Nidich, S. I., Gaylord-King, C., Salerno, J. W., Kotchen, J. M., & Alexander, C. N. (2012). Stress reduction in the secondary prevention of cardiovascular disease. Circulation: Cardiovascular Quality and Outcomes, 5(6), 750–758. https://doi.org/10.1161/CIRCOUTCOMES.112.967406

  • Schram, S. (2002). Tefillin: An ancient acupuncture point prescription for mental clarity. Journal of Chinese Medicine, 70, 5–8.

    Google Scholar 

  • Shapiro, S., Weinblatt, E., Frank, C. W., & Sager, R. V. (2008). Incidence of coronary heart disease in a population insured for medical care (HIP): Myocardial infarction, angina pectoris, and possible myocardial infarction. American Journal of Public Health and the Nations Health, 59(Suppl_6), 1–101. https://doi.org/10.2105/ajph.59.suppl_6.1

  • Shattuck, E. C., & Muehlenbein, M. P. (2018). Religiosity/spirituality and physiological markers of health. Journal of Religion and Health, 0123456789, 1–20. https://doi.org/10.1007/s10943-018-0663-6

    Article  Google Scholar 

  • Singer, I. (1965). The Jewish encyclopedia. KTAV Publishing House.

  • Snyder, M., Goldbourt, U., Medalie, J., Neufeld, H., & Oron, D. (1978). The low incidence of heart disease among religious Jews compared with nonreligious. Thora and Mada, 8, 35–40.

    Google Scholar 

  • Steinhubl, S. R., Wineinger, N. E., Patel, S., Boeldt, D. L., Mackellar, G., Porter, V., Redmond, J. T., Muse, E. D., Nicholson, L., Chopra, D., & Topol, E. J. (2015). Cardiovascular and nervous system changes during meditation. Frontiers in Human Neuroscience, 9, 1–10. https://doi.org/10.3389/fnhum.2015.00145

    Article  Google Scholar 

  • Suh, H., Hill, T. D., & Koenig, H. G. (2019). Religious attendance and biological risk: A national longitudinal study of older adults. Journal of Religion and Health, 58, 1188–1202. https://doi.org/10.1007/s10943-018-0721-0

    Article  Google Scholar 

  • Tartaro, J., Luecken, L. J., & Gunn, H. E. (2005). Exploring heart and soul: Effects of religiosity/spirituality and gender on blood pressure and cortisol stress responses. Journal of Health Psychology, 10(6), 753–766. https://doi.org/10.1177/1359105305057311

    Article  Google Scholar 

  • Trotter, K. J. (2013). The promise of group medical visits. Nurse Practitioner, 38(5), 48–53. https://doi.org/10.1097/01.NPR.0000428816.72503.49

    Article  Google Scholar 

  • Wallace, R., Benson, H., & Wilson, A. F. (1971). A wakeful hypometabolic physiologic state. Respiration. https://doi.org/10.1152/ajplegacy.1971.221.3.795

    Article  Google Scholar 

  • Walsh, S., Nouraei, S., Tang, T., Sadat, U., Carpenter, R., & Gaunt, M. (2010). Remote ischemic preconditioning for cerebral and cardiac protection during carotid endarterectomy: Results from a pilot randomized clinical trial. Vascular and Endovascular Surgery, 44(6), 434–439. https://doi.org/10.1177/1538574410369709

    Article  Google Scholar 

Download references

Acknowledgements

We are grateful for the critical review and suggestions from Arnold Schwartz and Jeff Levin. There is no data, text, or theories in this work that are not appropriately cited.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jack Rubinstein.

Ethics declarations

Ethical approval

There are no relevant sources of funding or conflicts of interest to report. This report did not involve human participants or animals

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

The corresponding author is a physician-scientist affiliated with both the University of Cincinnati where he is an Associate Professor of Medicine and the Cincinnati VA Medical Center where he is an attending physician. He is a Fellow of the American College of Cardiology and has an active cardiovascular translational science laboratory that has recently focused on understanding the clinical implications of donning phylacteries.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Schacht, S., O’Connor, B., Kirschner, A. et al. Review of the Cardiovascular Implications of the Social and Religious Practices Associated with Donning Phylacteries. J Relig Health 62, 287–299 (2023). https://doi.org/10.1007/s10943-021-01478-1

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10943-021-01478-1

Keywords

Navigation