The Belgian Heart Disease Prevention Project: 10-Year mortality follow-up

Backer, Guy De; Kornitzer, Marcel; Dramaix, M.; Kittel, F.; Tiolly, C.; Graffar, M; Vuylsteek, K

doi:10.1093/oxfordjournals.eurheartj.a062491

Cited by 25 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1). Of the 26 full-text articles [7,8,11,12, evaluated for eligibility, 20 were eliminated for the following reasons; in one article [24] the analysis was based on a sub-sample of a larger trial [32] included in the systematic review, two articles [12,35] did not measure leisure time physical activity (only fitness or work activity were evaluated), and the remaining 17 studies [7,8,11,[21][22][23][25][26][27][28][29]33,34,36,38,40,41] reported collecting data relating to blood pressure, physical activity, or mortality, but they did not evaluate the relationship between the three variables. Usually, physical activity and blood pressure were considered covariates in these reports.…”

Section: Resultsmentioning

confidence: 99%

The impact of physical activity on mortality in patients with high blood pressure

Rossi

Dikareva

Bacon

et al. 2012

Journal of Hypertension

194

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

The impact of physical activity on mortality in patients with high blood pressure

Rossi

Dikareva

Bacon

et al. 2012

Journal of Hypertension

194

View full text Add to dashboard Cite

show abstract

“…In addition, research suggests that feelings of exhaustion (Appels & Mulder, 1988) and depression (Booth-Kewley & Friedman, 1987) may be associated with the development of CHD. Although this is a controversial and speculative point, it raises the possibility that intervention programmes aiming at the prevention of CHD in middleaged subjects (De Backer et al 1988) may benefit from the appropriate assessment of emotional distress. On the whole, the current findings suggest (I) that the GMS is a reliable, valid, and practical measure of emotional distress in CHD populations, (2) that fatigue is largely unrelated to physical fitness but rather is a good marker of negative affect in patients recovering from CHD, and (3) that the GMS is sufficiently sensitive to assess changes in emotional distress.…”

Section: Discussionmentioning

confidence: 99%

Emotional distress and fatigue in coronary heart disease: the Global Mood Scale (GMS)

1993

View full text Add to dashboard Cite

SynopsisEvidence indicates that emotional distress has a long-term impact on morbidity and mortality in patients with coronary heart disease (CHD), and that symptoms of depression, fatigue, and reduced energy may identify high-risk patients. This study was designed to: (1) devise a sound and practical measure of emotional distress in CHD patients; (2) examine the relationship between emotional distress and fatigue following CHD; and (3) examine changes in emotional distress as a function of cardiac rehabilitation. A sample of 478 men with CHD (mean age = 57·8±8·7 y) filled out questionnaires 3–6 weeks following a myocardial infarction (N = 110), bypass surgery (N = 302), or coronary angioplasty (N = 66). Statistical analyses of 56 Dutch mood terms were used to produce the 20-item Global Mood Scale (GMS) which measures negative affect (characterized by fatigue and malaise), as well as positive affect (characterized by energy and sociability), in patients with CHD. The GMS was found to be a reliable scale (α > 0·90; r > 0·55 over a 3-month period), and correlations with existing measures of emotional functioning and self-deception indicated its convergent and discriminant validity. Most importantly, fatigue was not related to cardiorespiratory fitness in a subset of 140 patients, but clearly was associated with negative affect. Consistent with the self-efficacy model, scores on the GMS mood scales improved significantly as a function of rehabilitation (P < 0·0001). Although symptoms of emotional distress are easily explained away by situational factors, previous research suggests that failure to recognize the clinical significance of these symptoms in CHD patients may result in the delay of much needed intervention. The current findings suggest that the GMS is a theoretically and psychometrically sound measure of emotional distress in CHD patients, and that this scale is sufficiently sensitive to assess change.

show abstract

“…Smoking habits and alcohol consumption were assessed by the standardised questionnaire from the MONICA study 27 and the Belgian Heart Disease Prevention Project, 28 respectively.…”

Section: Methodsmentioning

confidence: 99%

Obesity, body fat distribution and incidence of sick leave in the Belgian workforce: the Belstress study

et al. 2004

View full text Add to dashboard Cite

OBJECTIVES:In many studies, obesity has been associated with morbidity or mortality, but only a few have studied the relation between obesity and sick leave. Our aim is to analyse the independent effects of both adiposity and body fat distribution in relation to the 1-y incidence of sick leave in a large cohort of male and female workers covering a variety of occupations, taking into account a wide range of socio-demographic, behavioural and bioclinical variables. DESIGN AND SETTING: The baseline survey of the Belstress study was conducted in 25 companies across Belgium between 1994 and 1998. A cohort of 20 463 workers (15 557 males and 4906 females) aged 35-59 y was followed for absenteeism during 1 y. The 75th percentile of the distribution of the total annual sickness days was used as a cutoff to classify the workers with a high 1-y incidence rate of sick leave. The relation between sick leave and both obesity and body fat distribution assessed by the body mass index (BMI) and the waist circumference, respectively, was analysed by multivariate logistic regression models. RESULTS: Using a backward procedure based on the likelihood ratio, we found central abdominal fatness to be an independent predictor of sick leave in both genders (high sick-leave incidence and long spells), but not BMI. In men, the odds ratios was 1.31 (99% CI 1.12-1.52, Po0.0001) and in women it ranged from 1.32 (99% CI 1.03-1.70, P ¼ 0.005) to 1.47 (99% CI 1.14-1.90, Po0.0001). Two baseline covariables, respiratory problems and perceived health, are confounders or mediators. CONCLUSIONS: In this study, body fat distribution was associated with a high annual sick-leave incidence and long spells of sickness absence. If this link is reversible, employers may benefit from programs aiming at the prevention and treatment of central obesity.

show abstract

The Belgian Heart Disease Prevention Project: 10-Year mortality follow-up

Cited by 25 publications

References 0 publications

The impact of physical activity on mortality in patients with high blood pressure

The impact of physical activity on mortality in patients with high blood pressure

Emotional distress and fatigue in coronary heart disease: the Global Mood Scale (GMS)

Obesity, body fat distribution and incidence of sick leave in the Belgian workforce: the Belstress study

Contact Info

Product

Resources

About