Effects of Lifestyle Modification Programs on Cardiac Risk Factors

Razavi, Moaven; Fournier, Stephen; Shepard, Donald S.; Ritter, Grant; Strickler, Gail K.; Stason, William B.

doi:10.1371/journal.pone.0114772

Cited by 27 publications

(20 citation statements)

References 20 publications

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“…The results of the current study showed a significant difference in physical aspect, including physical functioning, role constraints due to physical problems, physical pain, life expectancy, vitality, and social performance, between the intervention and control groups following the lifestyle education to the intervention group based on ITM (Hefzalsehe), which was consistent with the findings of the study by Razavi et al, showing that lifestyle education was effective in reducing the risk factors of coronary artery diseases (12) and the results of the study by Loveman et al, on the clinical efficacy of type 2 diabetes education, which reported a significant improvement in metabolic control or quality of life as well as other mental parameters in the patients receiving such educations (13).…”

Section: Discussionsupporting

confidence: 92%

Quality of Life Outcomes of Iranian Traditional Medicine Health Measures Instruction (Hefzalsehe): A Clinical Trial

Hadavand¹,

Montazeri²,

Saber³

et al. 2019

Health Scope

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Background: The sedentary lifestyle violates health status and has negative impacts on the quality of life with subsequently numerous diseases. Objectives: The current study aimed at evaluating the quality of life outcomes of Iranian traditional medicine (ITM) health protection measures instruction (traditionally named Hefzalsehe meaning that the essential lifestyle recommendations to maintain health and well-being based on ITM). Methods: The current randomized, controlled trial aimed at examining the quality of life outcomes of ITM health protection measures instruction (Hefzalsehe) in individuals in Tehran, Iran in 2017. At the same interval, the experimental group was trained virtually and traditionally for the ITM health protection measures; whereas the control group was not. Subsequently, the Persian version of the short-form 12 quality of life questionnaire (SF-12) standardized in former studies was applied to measure the effect of Hefzalsehe instruction on the quality of life of 101 subjects randomly assigned to two demographically-matched groups. Results: Significant improvement was observed in physical functioning (19.12 vs.-20.5; P < 0.001), role constraints due to physical problems (42.16 vs.-34; P < 0.001), bodily pain (16.67 vs.-11; P < 0.001), general health (14.71 vs.-12.5; P < 0.001), vitality (12.55 vs.-2; P < 0.001), social functioning (18.14 vs.-12; P < 0.001), role constraints due to emotional problems (35.29 vs.-16; P < 0.001), and mental health (14.51 vs.-4.2; P < 0.001) in the experimental group compared with the control group. Conclusions: The current study indicated positive effects of education and Hefzalsehe instruction on the quality of life parameters.

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Section: Discussionsupporting

confidence: 92%

Quality of Life Outcomes of Iranian Traditional Medicine Health Measures Instruction (Hefzalsehe): A Clinical Trial

Hadavand¹,

Montazeri²,

Saber³

et al. 2019

Health Scope

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“…LSM is especially important in patients with diagnosed CAD who have undergone surgery/intervention 9, 10. Many studies have revealed that sustained LSMs have a significant impact on reducing major adverse cardiac events (MACEs) after acute coronary syndrome (ACS) and coronary intervention 11, 12, 13. Also, after major events such as ACS and/or percutaneous transluminal coronary angioplasty (PTCA), developing a habit of regular blood pressure (BP) and blood glucose (BG) checkup is also an important modification which is necessary for patient's life 14, 15…”

Section: Introductionmentioning

confidence: 99%

Manipal lifestyle modification score to predict major adverse cardiac events in postcoronary angioplasty patients

Devasia

Shetty

Harish

et al. 2018

Indian Heart Journal

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BackgroundLifestyle modification (LSM) such as prudent diet, physical activity, avoidance of smoking, and maintaining a healthy weight may considerably decrease the risk for coronary artery disease.ObjectiveThe primary objective of this study was to develop a new LSM scoring system and investigate the correlation between adherence to LSM and incidence of major adverse cardiac events (MACEs) at 12-month follow-up.MethodA total of 1000 consecutive patients who underwent percutaneous transluminal coronary angioplasty (PTCA) were included in this prospective single-center study. Manipal lifestyle modification score (MLSMS) was developed by using five lifestyle-related factors. Adherence to LSM at the baseline and subsequent follow-ups was determined by using MLSMS. The MACE at 1-, 6-, and 12-month follow-up were analyzed.ResultsThere was a significant reduction in overall adherence to LSM (p < 0.001) at 12-month follow-up. Nonadherence to LSM [hazard ratio (HR) 0.575; 95% confidence interval (CI) 0.334–0.990; p < 0.046] and noncompliance to medication (HR 2.09; 95% CI 1.425–3.072; p < 0.001) were independent predictors of MACEs after PTCA. The cumulative MACE was 15.4%, which includes 4.9% of all-cause death, 5.2% of nonfatal myocardial infarction, 2.0% of target lesion revascularization, 1.8% of target vessel revascularization, and 1.3% of stroke at 12 months. The incidence of MACEs at 12 months was significantly (p = 0.03) higher in LSM nonadherent compared with LSM adherent patients.ConclusionThere is an overall reduction in adherence to LSM on successive follow-ups and a significant association between the incidence of MACEs and the lack of adherence to LSM. MLSMS is a simple and effective evaluation tool in predicting MACEs in this group of patients.

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“…[26] Also Ravazi et al (2014) on a three, twelve and twenty four-month follow up study with 580 participants, observed significant improvements in the decrease of BMI (p < .001 in all the evaluation moments), when evaluating the results of two lifestyle change programs (based on changes in eating habits, physical exercise and stress, amongst other things). [27] In the same way, the study previously referenced, conducted by Luisi et al (2015) demonstrated the important role of individualised educational intervention in the reduction of BMI. [19] Reveles (2015) also presented results showing a significant decrease of BMI (p < .012) and WC (p < .027), in the Portuguese study of 24 individuals with acute coronary syndrome who were followed-up on for six months in an educational nursing intervention program, when compared to the group not submitted to the program.…”

Section: Discussionmentioning

confidence: 68%

The influence of educational nursing intervention on the eating habits and anthropometric values of people who have undergone coronary surgery

Ledo

Ferreira

Silva

2018

JNEP

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Objective: Educational nursing intervention is a strategy that can be useful for changing behaviours in a person’s health. Hospitalisation for coronary surgery is a valuable opportunity for the nurse to implement the knowledge which aims to promote healthy behaviours and secondarily, prevent coronary and cardiovascular disease, as these continue to be the main causes of death worldwide. The purpose of this study is to evaluate the influence of educational nursing intervention in the promotion of a healthy diet and in the anthropometric values (body mass index and waist perimeter) of people who have undergone coronary surgery.Methods: A quantitative and quasi-experimental study was conducted on a control group (20 participants in each group). The experimental group was submitted to a personalised structured educational intervention during hospitalisation, in the nursing follow-up visit (two to three weeks after surgery) and over the phone (two months after surgery). Each group went through two evaluations: the first before the surgery, and the second three months after the surgery. The instruments used to collect data included: the sociodemographic and clinical characterisation questionnaire and the Eating Habits Scale. Non-parametric tests were used.Results: The findings showed that 77.5% of the participants were male and 22.5% female. The participants’ average age was 67.35 ± 8.151. Results showed a significant improvement in the eating habits of both groups, with higher relevance in the experimental group and a reduction of the body mass index and waist perimeter exclusively in the experimental group.Conclusions: Regarding people who have undergone coronary surgery, personalised structured educational nursing intervention is a useful tool in obtaining health benefits and in secondary prevention of cardiovascular disease. More extensive and comprehensive studies are recommended to verify the results and enhance their success.

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Effects of Lifestyle Modification Programs on Cardiac Risk Factors

Cited by 27 publications

References 20 publications

Quality of Life Outcomes of Iranian Traditional Medicine Health Measures Instruction (Hefzalsehe): A Clinical Trial

Quality of Life Outcomes of Iranian Traditional Medicine Health Measures Instruction (Hefzalsehe): A Clinical Trial

Manipal lifestyle modification score to predict major adverse cardiac events in postcoronary angioplasty patients

The influence of educational nursing intervention on the eating habits and anthropometric values of people who have undergone coronary surgery

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