Effects of nutrition education on recurrent coronary events after percutaneous coronary intervention: A randomized clinical trial

Abstract

Background: Changes in lifestyle include a healthy diet. However, due to different educational approaches, the effects of nutritional counselling are still not very encouraging and require further study. The objective of this study was to analyse the effectiveness of a nutrition education intervention program on mortality and recurrence of cardiovascular events evaluated after one and four years of follow-up. Methods: A randomized clinical trial was performed at a public hospital in Brazil with 200 patients who had recently undergone elective percutaneous coronary intervention (PCI). In addition to the traditional care, the patients allocated to the intervention group attended nutrition education workshops that adopted a constructivist approach towards behavioural change for six months. Primary outcome was death, and secondary outcomes were acute myocardial infarction (AMI), revascularization with re-PCI, or coronary artery bypass graft (CABG) surgery. The magnitude of the first year effect was calculated by the absolute risk reduction, and the risk ratio was calculated as a measure of the cumulative incidence of events after four years. The critical p-value was assumed as 5%.

Effectiveness of a health educational program on quality life and nutrition of coronary artery bypass graft patients

“…If there is a change in the lifestyle of the patients, this change should also happen in the diet of the people. In Vieira et al ( 2016) study, the results of one year and four years after the follow-up showed that although the difference in the primary and secondary outcomes under the educational program in the two studied groups was not significant, the program was associated with a reduction in complications and outcomes (21).…”

Part B of Anatomy Tour at the Mall: A Multimodal Activity to Enhance Anatomical Education and Health Awareness in the General Public

“…One feasible alternative to target this health deterioration is educating the community and encouraging healthy lifestyle modifications through educational activities [1][2][3][4]. According to various studies, educational outreach activities are more valuable when associated with real-world settings while employing a community-based participatory approach [5][6][7].…”

Part A of Anatomy at the Mall: A Multimodal Activity to Enhance Health Awareness and Identify Early Signs of Health-Related Issues in the General Public

“…One proposal to the above query is educational movements such as outreach-oriented activities. Health-related educational activities can diminish risk elements associated with heart disease and improve overall health [14], can promote healthy body weight [1], and lessen the occurrence of obesity, nutritional deficiency, and diabetes [15][16][17]. Further, health-related educational outreach activities can improve physical activity levels and have promising results when performed in real-world settings using a community-based participatory approach [18][19][20].…”