Effectiveness of the Heart Age tool for improving modifiable cardiovascular risk factors in a Southern European population: a randomized trial

López-González, Ángel Arturo; Aguiló, Antoni; Frontera, Margalida; Bennasar‐Veny, Miquel; Campos, Irene; Vicente-Herrero, Teófila; Tomas-Salva, Matias; Pedro‐Gómez, Joan De; Tauler, Pedro

doi:10.1177/2047487313518479

Cited by 121 publications

(113 citation statements)

References 21 publications

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“…For the four-level format variable (used in the main analysis), this was dummy coded (i.e., split into three dummy-coded variables). Lopez-Gonzalez et al, 2014). This research implies that the effective age format would be rated highest for understanding and behaviour change belief-not lowest, as we found.…”

Section: Studysupporting

confidence: 55%

“…There are, however, two forms of effective age: change (i.e., years older/younger) and personal age (i.e., your body as X years old). Those previous studies (e.g., heart age, Lopez-Gonzalez et al, 2014;lung age, Parkes et al, 2008), which have found a benefit to using effective age, have focussed on the personal age format (personalised heart or lung ages). Study 1, however, focussed on the "generic" change format, and its findings were opposite to those previous studies.…”

Section: Studymentioning

confidence: 99%

“…Similar to the over-life format, this change format also presents the information in terms of years gained or lost: making your effective age younger or older than your chronological age (by "X" years). In education, such change formats are used to describe reading ability, such as "children had word reading which was three years and six months ahead of their chronological age" (Gibbs, 2015, p. 15 Although there is research on specific organ-age metrics (Lopez-Gonzalez et al, 2014), there is limited empirical evidence establishing how people view, understand, and react to information presented in these (now widely used) speed-of ageing formats compared to more traditional formats. As interest in using these more recently developed metaphors in "formal" and "official" risk or health communications (e.g., patient information leaflets) develops, it is important that empirical research compares how people perceive and understand information in these formats and therefore begins to assess their effectiveness for communicating risks or benefits.…”

Section: Introductionmentioning

confidence: 99%

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Comparing comprehension and perception for alternative speed‐of‐ageing and standard hazard ratio formats

Heard

Rakow

Spiegelhalter

2018

Applied Cognitive Psychology

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A hazard ratio presents one benefit of exercise as reducing annual mortality risk by 19%. Alternatively, speed-of-ageing metaphors present this as adding 2.5 years to one's life expectancyequating to 1 extra hour each day-or taking 2.5 years off one's "effective age." Few studies compare these (increasingly popular) metaphors. Study 1 compared perception and comprehension between speed-of-ageing metaphors and hazard ratios. Study 2 compared the hazard ratio with 3 versions of effective age (change-in-age, personal, and age-matched age). Results revealed a disadvantage to the change-in-age format (behaviour X makes someone Y years older), with unhealthy behaviours perceived as less risky and healthy behaviours as less beneficial, information judged less likely to affect behaviour and harder to understand. The personal format (behaviour makes your effective age X) shows no such disadvantage and is objectively better understood than are hazard ratios. These results support the use of personalised effective ages in health and risk communication.

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Section: Studysupporting

confidence: 55%

Section: Studymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparing comprehension and perception for alternative speed‐of‐ageing and standard hazard ratio formats

Heard

Rakow

Spiegelhalter

2018

Applied Cognitive Psychology

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“…64,65 New variants of the relative CVR are a) vascular age or risk age 9,83,84 , b) the age and gender total CVR percentile 83 and c) long-term (eg lifetime) risk approach 28 . There is no consensus about relative CVR thresholds of low, moderate, and high risk.…”

Section: Relative Total Cvrmentioning

confidence: 99%

Clinical Perspective on Antihypertensive Drug Treatment in Adults With Grade 1 Hypertension and Low-to-Moderate Cardiovascular Risk: An International Expert Consultation

Salinas¹,

Coca

Olsen

et al. 2017

Current Problems in Cardiology

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“…In our study the data provided are considered to be altered when the heart age exceeds the chronological age by 1 year or more. This tool is very useful to motivate efforts to change unhealthy habits in the general population (13).…”

Section: Measurements and Calculationsmentioning

confidence: 99%

Relationship between blood glucose levels and cardiovascular risk in the Spanish Mediterranean population

Manzanero¹,

López-González²,

García-Agudo³

et al. 2017

Turk J Med Sci

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Background/aim: Diabetes is associated with an increased prevalence of cardiovascular disease. Impaired fasting glucose (IFG) is an intermediate clinical situation between normal glucose levels and type 2 diabetes. The aim of this study is to determine how fasting glucose concentrations affect different cardiovascular risk scales. Materials and methods:A descriptive study was conducted with 59,041 Mediterranean Spanish workers. IFG was determined using the American Diabetes Association (ADA) and the World Health Organization (WHO) criteria. Different indicators of cardiovascular risk were analyzed: body mass index, waist circumference, waist-to-height ratio, blood pressure, lipid parameters, atherogenic indices, metabolic syndrome, and various scales of cardiovascular risk such as REGICOR, DORICA, SCORE, Heart Age, and Vascular Age.Results: All cardiovascular scales showed statistically significant differences between the IFG group and the normal glucose group. In all cases, values were worse in the IFG group; furthermore, men exhibited more unfavorable levels of cardiovascular risk factors than women. Higher odds ratio values were present in employees with metabolic syndrome according to ATP III criteria (9.42, 95% CI: 8.56-10.37 using WHO criteria and 9.25, 95% CI: 8.67-9.87 using ADA criteria).Conclusions: IFG increases cardiovascular risk whether using classical scales (REGICOR, SCORE, and metabolic syndrome) or other less studied scales (atherogenic indices, Heart Age, and Vascular Age).

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Effectiveness of the Heart Age tool for improving modifiable cardiovascular risk factors in a Southern European population: a randomized trial

Abstract: Informing patients about their CVD risk expressed as the new Heart Age tool results in a reduction in their CVD risk higher than the one observed when the Framingham REGICOR risk score was used.

Cited by 121 publications

References 21 publications

Comparing comprehension and perception for alternative speed‐of‐ageing and standard hazard ratio formats

Comparing comprehension and perception for alternative speed‐of‐ageing and standard hazard ratio formats

Clinical Perspective on Antihypertensive Drug Treatment in Adults With Grade 1 Hypertension and Low-to-Moderate Cardiovascular Risk: An International Expert Consultation

Relationship between blood glucose levels and cardiovascular risk in the Spanish Mediterranean population

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