Behavioral effects of a comprehensive, multifactorial program for lifestyle change after percutaneous transluminal coronary angioplasty

Lisspers, Jan; Sundin, Örjan; Hofman-Bang, Claes; Nordlander, Rolf; Nygren, Åke; Rydén, Lars; Öhman, Annelie Bränström

doi:10.1016/s0022-3999(98)00074-9

Cited by 88 publications

(71 citation statements)

References 38 publications

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“…There was only a trend toward better outcomes in programs exceeding 8 weeks of cardiac rehabilitation in the domain of physical functioning. Furthermore, in a randomised design 87 post percutaneous coronary intervention patients were allocated to a 4 week cardiac rehabilitation program in which lectures, discussion seminars and physical exercise training were offered (comparable to our Fit-Plus program) or they received usual care [16]. Results after 1 year showed that the intervention patients as compared to the controls, showed few effects on quality of life.…”

Section: Discussionmentioning

confidence: 99%

A randomised controlled trial of cardiac rehabilitation after revascularisation

Brügemann

Poels

Oosterwijk

et al. 2007

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

A randomised controlled trial of cardiac rehabilitation after revascularisation

Brügemann

Poels

Oosterwijk

et al. 2007

International Journal of Cardiology

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“…Lear et al 14 , Vale et al 15 and Carlsson 16 ), but the use of lipid lowering drugs was often higher in the intervention group, explaining part of the lipid lowering effect of the intervention. In a number of trials favorable effects were found on body weight, especially on the short term 8,[15][16][17] . In the trial of Hofman-Bang and Lisspers, after 2 years (1 year after the intervention) there was no significant difference between the intervention group and the control group, whereas at the end of the intervention weight loss was significantly higher in the intervention group 8,9 .…”

Section: Effects On Lifestyle and Biological Risk Factorsmentioning

confidence: 99%

“…In a number of trials favorable effects were found on body weight, especially on the short term 8,[15][16][17] . In the trial of Hofman-Bang and Lisspers, after 2 years (1 year after the intervention) there was no significant difference between the intervention group and the control group, whereas at the end of the intervention weight loss was significantly higher in the intervention group 8,9 . However, even 4 years after the end of the intervention, a favorable effect on dietary habits and physical activity level remained (statistically significant) 4 .…”

Section: Effects On Lifestyle and Biological Risk Factorsmentioning

confidence: 99%

Efficacy of multifactorial lifestyle interventions in patients with established cardiovascular diseases and high risk groups

Blokstra

Dis

2010

European Journal of Cardiovascular Nursing

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Background: Lifestyle modification is recommended for patients with established cardiovascular diseases (CVD) or at high risk of CVD. In recent years, risk factor interventions in which multiple risk factors are addressed simultaneously are increasingly conducted. Aim: To determine, and if possible quantify, the efficacy of multifactorial lifestyle interventions (without drug therapy) in patients with established CVD or in high risk groups. Methods: A literature search was conducted using 'Pubmed', to identify articles of randomized controlled trials (RCTs) or reviews of RCTs, published between 1990 and 2007. Results: In patients with established CVD, multifactorial lifestyle interventions can reduce the occurrence of cardiovascular diseases and/or mortality, even many years after the end of the intervention. Further, in both patients and high risk groups, multifactorial lifestyle interventions have favorable effects on biological risk factors and lifestyle and are able to reduce the incidence of diabetes. In the long-term, in particular lifestyle changes seem to persist, such as improved dietary habits and increased physical activity, while the favorable effects on biological risk factors, such as body weight and blood pressure, are no longer different from the control group. Regular contact with the participants seems to be part of the "success factor". Conclusion: It can be recommended to offer patients with established CVD as well as individuals at high risk of CVD a comprehensive lifestyle advice, as part of their medical treatment, combined with intensive counseling.

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“…Intentional weight loss, viz., switching into Mediterranean diet, use of omega-3 fatty acids, low cholesterol and low fatty acids diets, regular physical exercise, optimum control of blood sugar, and blood pressure may be protective in patients with CAD [6,7] Unintentional weight loss also noted in post-operative surgeries including coronary artery bypass graft (CABG) surgeries and it is considered that restriction in the caloric intake in the post-operative period is vital cause for weight loss [8]. Apart from the surgeries there is an evidence of decreased weight in non-invasive procedure like percutaneous transluminal coronary angioplasty (PTCA) for CAD along with improved diet and exercise [9]. However, some effects were found on the different psychological variables, as well as on morbidity or return to work.…”

Section: Introductionmentioning

confidence: 99%

Association Between the Weight Loss and Anxiety, Depression After Percutaneous Transluminal Coronary Angioplasty: A Need for Pre-Discharged Counseling

Shetty

Devasia

Rao

et al. 2017

Asian J Pharm Clin Res

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Objectives: To see the association between weight loss and anxiety, depression after percutaneous transluminal coronary angioplasty (PTCA) for coronary artery disease patients. (1) To see the severity of anxiety and depression 1 month after PTCA, (2) to evaluate the relationship between the weight changes and major adverse cardiac events (MACE) in 1 month follow-up. Methods:A total 1001 patients who underwent PTCA for acute coronary syndrome and coronary heart disease were included. Data were collected at baseline and 1 month after PTCA. A validated Euro 5Q-5D-5L questionnaire was used to assess the level of anxiety and depression. Chi-square test was applied to find out the association between weight loss status and anxiety, depression.Results: There was a significant decrease in mean weight 1 month after coronary angioplasty (64.18±11.022 vs. 61.96±11.17, p<0.001). No association was observed between weight loss status and anxiety, depression in PTCA patients (p=0.5) and there is no significant association between weight changes and MACE 1 month after PTCA (p=0.92). Conclusion:Data show that anxiety and depression were observed in 64.9% of the study population after coronary angioplasty but anxiety and depression are not associated with weight loss after PTCA. Loss of weight may be due to the modified post angioplasty lifestyles such as adherent to Mediterranean diet, physical exercise, cessation of smoking, optimum control of blood pressure, blood sugar, and blood cholesterol along with prescribed medications. Anxiety and depression may turn into chronic stage if not treated wisely could lead to significant MACE. Proper pre-hospital discharge counseling is necessary for all post PTCA patients to sustain their quality of life.

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Behavioral effects of a comprehensive, multifactorial program for lifestyle change after percutaneous transluminal coronary angioplasty

Cited by 88 publications

References 38 publications

A randomised controlled trial of cardiac rehabilitation after revascularisation

A randomised controlled trial of cardiac rehabilitation after revascularisation

Efficacy of multifactorial lifestyle interventions in patients with established cardiovascular diseases and high risk groups

Association Between the Weight Loss and Anxiety, Depression After Percutaneous Transluminal Coronary Angioplasty: A Need for Pre-Discharged Counseling

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