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Long-term effects on cardiovascular risk of a structured multidisciplinary lifestyle program in clinical practice.
Karolinska institutet.
Karolinska institutet.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences. Karolinska institutet.
Gymnastik- och idrottshögskolan.
2018 (English)In: BMC Cardiovascular Disorders, ISSN 1471-2261, E-ISSN 1471-2261, Vol. 18, no 1, article id 59Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Cardiovascular disease is still the leading cause of premature death world-wide with factors like abdominal obesity, hypertension and dyslipidemia being central risk factors in the etiology. The aim of the present study was to investigate the effects on cardiovascular risk factors and cardiovascular risk after 6 months and 1 year, in individuals with increased cardiovascular risk enrolled in a lifestyle multidisciplinary program in a clinical setting.

METHOD: Individuals with increased cardiovascular risk were referred from primary health care and hospitals to a program at an outpatient clinic at a department of cardiology. The program consisted of three individual visits including a health check-up with a physical examination and blood sampling, and a person-centered dialogue for support in behavioural change of unhealthy lifestyle habits (at baseline, 6 months and 1 year). Furthermore, five educational group sessions were given at baseline. Cardiovascular risk was assessed according to Framingham cardiovascular risk predicting model.

RESULTS: One hundred individuals (mean age 59 years, 64% women) enrolled between 2008 and 2014 were included in the study. Waist circumference, systolic and diastolic blood pressure and total cholesterol decreased significantly over 1 year. In parallel, cardiovascular risk according to the cardiovascular risk profile based on Framingham 10-year risk prediction model, decreased with 15%. The risk reduction was seen in both men and women, and in participants with or without previous cardiovascular disease.

CONCLUSION: Participating in a structured lifestyle program over a year was associated with significant improvement in multiple cardiovascular risk factors and decreased overall cardiovascular risk.

TRIAL REGISTRATION: The study is registered at www.clinicaltrials.gov (ClinicalTrial.gov ID: NCT02744157 ).

Place, publisher, year, edition, pages
2018. Vol. 18, no 1, article id 59
Keyword [en]
Cardiovascular, Lifestyle, Multidisciplinary, Program, Risk factor
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-6743DOI: 10.1186/s12872-018-0792-6PubMedID: 29609555OAI: oai:DiVA.org:esh-6743DiVA, id: diva2:1201692
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2018-04-26Bibliographically approved

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