TITLE

One-year follow-up of a therapeutic lifestyle intervention targeting cardiovascular disease risk

AUTHOR(S)
Wister, Andrew; Loewen, Nadine; Kennedy-Symonds, Holly; McGowan, Brian; McCoy, Bonnie; Singer, Joel
PUB. DATE
October 2007
SOURCE
CMAJ: Canadian Medical Association Journal;10/9/2007, Vol. 177 Issue 8, p859
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: In this study, we tested the efficacy of a low-intensity lifestyle intervention aimed at reducing the risk of cardiovascular disease among mid-life individuals. Methods: We conducted a randomized controlled trial in which participants were randomly assigned either to receive a health report card with counselling (from a Telehealth nurse) on smoking, exercise, nutrition and stress or to receive usual care. The patients were divided into 2 groups on the basis of risk: the primary prevention group, with a Framingham risk score of 10% or higher (intervention, n = 157; control, n = 158), and the secondary prevention group, who had a diagnosis of coronary artery disease (intervention, n = 153; control, n = 143). The primary outcome was a change in the Framingham global risk score between baseline and 1-year follow-up. Data were analyzed separately for the 2 prevention groups using an intention-to-treat analysis controlling for covariates. Results: Within the primary prevention group, there were statistically significant changes for the treatment group relative to the controls, from baseline to year 1, in Framingham score (intervention, -3.10 [95% confidence interval (CI) -3.98 to -2.22]; control, -1.30 [95% CI -2.18 to -0.42]; p < 0.01) and scores for total cholesterol (intervention, -0.41 [95% CI -0.59 to -0.23]; control, -0.14 [95% CI -0.32 to 0.04]; p < 0.05), systolic blood pressure (intervention, -7.49 [95% CI -9.97 to -5.01]; control, -3.58 [95% CI -6.08 to -1.08]; p < 0.05), nutrition level (intervention, 0.30 [95% CI 0.13 to 0.47]; control, -0.05 [95% CI -0.22 to 0.12]; p < 0.01), and health confidence (intervention, 0.20 [95% CI 0.09 to 0.31]; control, 0.04 [95% CI -0.07 to 0.15]; p < 0.05), with adjustment for covariates. No significant changes in outcome variables were found for the secondary prevention group. Interpretation: We found evidence for the efficacy of an intervention addressing multiple risk factors for primary prevention at 1 year using Framingham risk score report cards and telephone counselling. (Requirement for clinical trial registration waived [enrolment completed before requirement became applicable].)
ACCESSION #
26756566

 

Related Articles

  • Aspirin use in cardiovascular disease should be abandoned.  // Practice Nurse;11/20/2009, Vol. 38 Issue 9, p7 

    The article reports that analysis of the evidence taken from a Drug and Therapeutics Bulletin (DTB) study shows that the risks of gastrointestinal bleeding outweigh the benefits of taking aspirin to prevent heart and circulatory disease. Low-dose aspirin is prescribed as prophylaxis for people...

  • Diets and the Heart. So Many to Choose from, but Which Work? Opie, Lionel // Cardiovascular Drugs & Therapy;Dec2014, Vol. 28 Issue 6, p589 

    A letter to the editor is presented about the importance of diet for cardiovascular protection as related to life style.

  • What level of physical activity protects against premature cardiovascular death? The Caerphilly study. Yu, S.; Yarnell, J.W.G.; Sweetnam, P.M.; Murray, L. // Heart;May2003, Vol. 89 Issue 5, p502 

    Objective: To examine the optimal intensity of leisure time physical activity (LTPA) to decrease the risk of all cause, cardiovascular disease (CVD), and coronary heart disease (CHD) mortality in a population sample of middle aged British men. Design: Prospective study of middle aged men with an...

  • Physical Activity in the Prevention of Cardiovascular Disease: An Epidemiological Perspective. Wannamethee, S.G.; Shaper, A.G. // Sports Medicine;Jan2001, Vol. 31 Issue 2, p101 

    This review of the epidemiological evidence regarding physical activity and cardiovascular disease (CVD) provides substantial evidence from many different populations that leisure time physical activity is associated with reduced risk of coronary heart disease (CHD) and cardiovascular mortality...

  • Program Targets Cardiovascular Health.  // Chain Drug Review;8/11/2014, Vol. 36 Issue 12, p92 

    The article offers information on the Heart Health Specialized Care Center program launched by Dublin, Ohio-based health care services company Cardinal Health Inc. which helps patients better manage their cardiovascular health and prevent heart disease through access with the firm's pharmacies.

  • Changes of Heart. Middleton, Tracy // Women's Health;Jan/Feb2016, Vol. 13 Issue 1, p80 

    A personal narrative is presented which explores the author's experience of undergoing the Preventive Medicine Research Institute's Reversal Program, an intense cardio rehab program developed by internist Dean Ornish, M.D.

  • Indy Goes Red.  // Indianapolis Monthly;Feb2016, Vol. 39 Issue 6, p5 

    A calendar of events concerning heart health in Indianapolis, Indiana for February 2016 is presented, including American Heart Association Day at the Statehouse, Red Dress Dash and National Wear Red Day.

  • Eating More Fruits, Veggies in Youth Linked to Healthy Heart Decades Later.  // Chicago Citizen - Chicago Weekend Edition;11/4/2015, Vol. 45 Issue 44, p2 

    The article discusses research which found that people who consumed more fruits and vegetables during their younger years were found to have less calcified coronary artery plaque. It references a study published in the American Heart Association journal "Circulation" that used computed...

  • WHY PROTECTING YOUR HEART TODAY MATTERS BIG-TIME. RUBIN, COURTNEY // Cosmopolitan;Dec2014, Vol. 257 Issue 6, p205 

    The article offers suggestions to prevent the risk of developing heart disease. Important measures to take include not smoking, keeping a healthy weight, eating a healthy meal consisting of fruits and vegetables, and doing physical activities like dancing, kickboxing and jogging to lower blood...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics