학술논문
Efficacy of tailored recommendations to promote healthy lifestyles: a post hoc analysis of a randomized controlled trial
ORIGINAL RESEARCH
ORIGINAL RESEARCH
Document Type
Report
Author
Source
Translational Behavioral Medicine. August 2021, Vol. 11 Issue 8, p1548, 10 p.
Subject
Language
English
ISSN
1869-6716
Abstract
BACKGROUND Prevention is the key to decrease the incidence of cardiovascular diseases (CVD), the main cause of death worldwide [1] and characterized as diseases of long duration and generally slow [...]
Prevention is the key to stopping the ravages of cardiovascular diseases, the main cause of death worldwide. The objective was to analyze the efficacy of tailored recommendations to promote healthy lifestyles. Parallel-arm randomized controlled trial with 1 year follow-up. Individuals aged 35-74 years from Girona (Spain) randomly selected from a population with no cardiovascular diseases at baseline were included. Participants in the intervention group received a brochure with tailored healthy choices according to the individual risk profile and a trained nurse explained all recommendations in detail in a 30 min consultation. One year changes in smoking, Mediterranean diet adherence, physical activity, and weight were analyzed with McNemar, Student's t, Wilcoxon, and Fisher exact tests according to an intention-to-treat strategy. Of 955 individuals (52.3% women; mean age 50 [[+ or -]10] years) randomly allocated to the intervention or control group, one participant in each group presented a cardiovascular event and 768 (81%) were reexamined at 1 year follow-up. The prevalence of nonsmokers increased in both the intervention and control groups (78.1%-82.5%, p = Keywords Cardiovascular Diseases, Empowerment, Lifestyles, Mediterranean Diet, Physical activity, Prevention
Prevention is the key to stopping the ravages of cardiovascular diseases, the main cause of death worldwide. The objective was to analyze the efficacy of tailored recommendations to promote healthy lifestyles. Parallel-arm randomized controlled trial with 1 year follow-up. Individuals aged 35-74 years from Girona (Spain) randomly selected from a population with no cardiovascular diseases at baseline were included. Participants in the intervention group received a brochure with tailored healthy choices according to the individual risk profile and a trained nurse explained all recommendations in detail in a 30 min consultation. One year changes in smoking, Mediterranean diet adherence, physical activity, and weight were analyzed with McNemar, Student's t, Wilcoxon, and Fisher exact tests according to an intention-to-treat strategy. Of 955 individuals (52.3% women; mean age 50 [[+ or -]10] years) randomly allocated to the intervention or control group, one participant in each group presented a cardiovascular event and 768 (81%) were reexamined at 1 year follow-up. The prevalence of nonsmokers increased in both the intervention and control groups (78.1%-82.5%, p = Keywords Cardiovascular Diseases, Empowerment, Lifestyles, Mediterranean Diet, Physical activity, Prevention