Long-term effects of a Swedish lifestyle intervention programme on lifestyle habits and quality of life in people with increased cardiovascular risk

Lidin, Matthias; Ekblom-Bak, Elin; Karlsson, Matts; Hellénius, Mai-Lis

doi:10.1177/1403494817746536

Cited by 14 publications

(16 citation statements)

References 29 publications

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“…To our knowledge, this is the largest Swedish study to evaluate a structured lifestyle programme performed in an ordinary clinical setting using only the limited resources available at a primary care centre. In people at high cardiovascular risk, changing lifestyle habits after participating in lifestyle counselling has been reported by Eriksson et al., whose study included 151 participants (16), and by Lidin et al., whose study included 100 participants (13).…”

Section: Discussionmentioning

confidence: 92%

Improved unhealthy lifestyle habits in patients with high cardiovascular risk: results from a structured lifestyle programme in primary care

Lönnberg

Ekblom-Bak

Damberg

2019

Upsala Journal of Medical Sciences

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Background. Physical activity, healthful dietary habits, and not smoking are associated with reduced cardiovascular morbidity and mortality. However, few studies have examined how counselling to improve poor lifestyle habits might be carried out in clinical practice. In Swedish primary care, structured lifestyle counselling is still not integrated into everyday clinical practice. The aim of the present study was two-fold: (1) to describe a novel lifestyle intervention programme in primary care; and (2) to evaluate change in unhealthy lifestyle habits over 1 year in men and women with high cardiovascular risk who participated in the lifestyle intervention programme. Method. A single-group study with a 1-year follow-up was carried out. A total of 417 people was enrolled, median age 62 years (54% women), with either hypertension (69%), type 2 diabetes mellitus, or impaired glucose tolerance. The 1-year intervention included five counselling sessions that focused on lifestyle habits, delivered by a district nurse with postgraduate credits in diabetes care and the metabolic syndrome. All patients were offered in-depth counselling for one or more lifestyle habits when needed. Lifestyle habits were assessed by a questionnaire at baseline and 1-year follow-up. Total change was assessed using a nine-factor unhealthy lifestyle habit index. Results. Favourable, significant changes were observed for physical activity, dietary habits, smoking, and stress over 1 year. Similar improvements were seen for both sexes and type of diagnosis. Conclusions. The results support the utility of a multifactorial, structured approach to change unhealthy lifestyle habits for cardiovascular risk prevention in a primary care setting.

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Section: Discussionmentioning

confidence: 92%

Improved unhealthy lifestyle habits in patients with high cardiovascular risk: results from a structured lifestyle programme in primary care

Lönnberg

Ekblom-Bak

Damberg

2019

Upsala Journal of Medical Sciences

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“…Patients’ motivation and knowledge about the latest research results are essential when making lifestyle changes and informed decisions, and healthcare providers thus have to remain continuously updated about new research findings in order to provide accurate advice. Finally, in order to succeed in changing lifestyle habits such as reducing alcohol consumption, lifestyle intervention programmes have to be designed with a person-centred approach including knowing the person behind the patient with her/his own will,49 emotions,50 needs and resources, and recognising the person as an expert on her/his illness and life situation 49…”

Section: Discussionmentioning

confidence: 99%

Reasons to stop drinking alcohol among patients with rheumatoid arthritis in Sweden: a mixed-methods study

Larsson¹,

Andersson

2018

BMJ Open

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ObjectivesThe aims were to identify patients with rheumatoid arthritis (RA) who had stopped drinking alcohol and compare them with patients drinking alcohol, and to explore reasons for stopping drinking alcohol.DesignA sequential explanatory mixed methods design was used.SettingSix rheumatology clinics in Southern Sweden Better Anti-Rheumatic FarmacOTherapy cohort.ParticipantsA total of 1509 patients completed the questions about alcohol and were included in the study. 86 of these had stopped drinking alcohol and 72 responded to the open question and their answers were analysed with qualitative content analysis.Outcome measuresThe quantitative data were from a cross-sectional survey assessing disease severity, physical function (Health Assessment Questionnaire, HAQ) and health-related quality of life (EuroQol five dimensions, EQ5D), pain, fatigue, patient global assessment (PatGA) and lifestyle factors, for example, alcohol. The questions assessing alcohol included an open question ‘Why have you stopped drinking alcohol?’ResultsThe patients who stopped drinking alcohol were older (median (min-max) 69 (36–90) vs 66 (23–95), p=0.011), had worse HAQ (1.00 (0–2.75) vs 0.50 (0–3.00), p<0.001), worse EQ5D (0.69 (−0.02–1.00) vs 0.76 (−0.58–1.00), p<0.001) worse PatGA (5 (0–10) vs 3 (0–10), p<0.001), more pain (5 (0–10) vs 3 (0–10), p<0.001) and more fatigue (6 (0–10) vs 4 (0–10), p<0.001 compared with patients drinking alcohol. The qualitative content analysis revealed five categories describing reasons for patients with RA to stop drinking alcohol: illness and treatment; health and well-being; work and family; faith and belief; and dependences and abuse.ConclusionsThe patients who had stopped drinking had worse physical functioning and higher levels in pain-related variables. Most stopped drinking due to their illness or a desire to improve health.

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“…Другим примером может служить работа M. Lidin и соавт. [8], в которой оценивалось влияние профилактического вмешательства на изменение образа жизни у пациентов с повышенным риском развития ССЗ, которые наблюдались в учреждениях первичной медицинской помощи. Профилактическое вмешательство проводилось участникам исследования, а также их родственникам и друзьям, и представляло собой 5 групповых занятий и посещения медицинской сестры.…”

Section: Discussionunclassified

Preventive Counselling With the Use of Remote Technologies Provides Effective Control of Metabolic Risk Factors in Patients With High and Very High Cardiovascular Risk

Pogosova

Yufereva

Yusubova

et al. 2018

CARDIO

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1 ФГБУ «Национальный медицинский исследовательский центр профилактической медицины» Минздрава России, Москва, Россия 2 ГБУЗ «Городская поликлиника № 210 Департамента здравоохранения г. Москвы», Москва, Россия 3 ФГБУН «ФИЦ питания и биотехнологии», Москва, Россия Профилактическое консультирование с использованием дистанционных технологий -метод эффективного контроля метаболических факторов риска у пациентов с высоким и очень высоким риском развития сердечно-сосудистых заболеваний Ключевые слова: факторы риска, профилактическое консультирование, высокий и очень высокий сердечно-сосудистый риск, центр здоровья.Ссылка для цитирования: Погосова Н. В., Юферева Ю. М., Юсубова А. И., Алленов А. М., Карпова А. В., Аушева А. К., Погожева А. В., Еганян Р. А., Выгодин В. А. Профилактическое консультирование с использованием дистанционных технологий -метод эффективного контроля метаболических факторов риска у пациентов с высоким и очень высоким риском развития сердечно-сосудистых заболеваний. Кардиология. 2018;58(10):34-44. РезюмеЦель исследования. Оценка эффективности профилактического консультирования с диетологическим компонентом и дистанционной поддержкой по телефону в течение 3 мес в отношении коррекции поведенческих и метаболических факторов риска у пациентов с высоким и очень высоким сердечно-сосудистым риском (ССР). Материалы и методы. В проспективное контролируемое рандомизированное клиническое исследование с двумя параллельными группами были включены 100 пациентов в возрасте от 43 до 65 лет (средний возраст 59,74±4,66 года,18 % мужчины) с высоким и очень высоким ССР (5-9 % и ≥10 % по шкале SCORE), установленным при диспансеризации или комплексном обследовании в центре здоровья, имеющих не менее 2 критериев метаболического синдрома. Пациенты были рандомизированы в соотношении 1:1 на 2 группы -основную (группа вмешательства) (n=50) и контрольную (n=50). Пациентам контрольной группы проводилось стандартное профилактическое консультирование врачом центра здоровья. Пациенты основной группы получали профилактическое консультирование с диетологическим компонентом с дистанционной поддержкой по телефону 1 раз в 2 нед в течение 3 мес, всего 6 консультаций. Период наблюдения составил 12 мес. Результаты. Пациенты обеих групп не различались по основным социально-демографическим и клиническим характеристикам. У пациентов основной группы по сравнению с группой контроля снизились абсолютный показатель массы тела (Δ -2,43±2,74 кг), индекс массы тела (Δ -0,9±0,99 кг / м 2 ), окружность талии (Δ -1,96±3,2 см), жировая масса, нормированная по росту (Δ -1,63±2,38 кг). В группе вмешательства к концу года наблюдения зафиксирована достоверно более выраженная положительная динамика диастолического артериального давления (Δ -5,62±7,7 мм рт. ст.) по сравнению с группой контроля. К концу 12 мес наблюдения в группе вмешательства достоверно снизились уровни общего холестерина (Δ -0,5±0,83 ммоль / л) и холестерина липопротеидов низкой плотности (Δ -0,46±0,62 ммоль / л), чего не произошло в контрольной группе, что обусловило достоверность межгрупп...

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Long-term effects of a Swedish lifestyle intervention programme on lifestyle habits and quality of life in people with increased cardiovascular risk

Cited by 14 publications

References 29 publications

Improved unhealthy lifestyle habits in patients with high cardiovascular risk: results from a structured lifestyle programme in primary care

Improved unhealthy lifestyle habits in patients with high cardiovascular risk: results from a structured lifestyle programme in primary care

Reasons to stop drinking alcohol among patients with rheumatoid arthritis in Sweden: a mixed-methods study

Preventive Counselling With the Use of Remote Technologies Provides Effective Control of Metabolic Risk Factors in Patients With High and Very High Cardiovascular Risk

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