The new European guideline on cardiovascular disease prevention; how to make progress in general practice?

Marchal, Suzanne; Hof, Arnoud W.J. van’t; Hollander, Monika

doi:10.1080/13814788.2017.1401063

Cited by 5 publications

(5 citation statements)

References 6 publications

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“…Preventative behavior is an important aspect in the healthy functioning of the population [24]. In the author's own study there was no statistically significant difference between gender, financial situation, and the level of prophylaxis among the respondents.…”

Section: Discussionmentioning

confidence: 79%

Self-evaluation of behaviours related to the health of Polish young adults

Martyn¹,

Marć²

2020

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Background. taking action that is conducive to health can shape healthy behavior. Objectives. the aim of this study is to analyze and evaluate selected behaviors related to the health of young adults in connection with selected economic and sociodemographic variables. Material and methods. a total of 500 people were selected for the study, including 184 university students and 316 high school students aged 18 years and over. the research method was a diagnostic survey, and a survey and indirect measurement were the techniques used. an original questionnaire created by the author and the standardized Inventory of Health Behavior was the research tool for the purposes of this work. Results. Women were more likely to declare normal eating habits than men (m = 3.3590 vs m = 3.2241). the university students demonstrated a higher level of preventative behaviors than the high-schoolers (m = 3.3078 vs m = 3.1382). the respondents living in the countryside presented a higher level of preventative behavior than those from small towns (p = 0.01). It was found that one's place of residence had a positive impact on one's psychological attitude (p = 0.011). Conclusions. Women declare proper eating habits to a greater degree than men. University students and rural residents are more likely to take preventative measures. University students and people with a very good financial situation more often follow good health practices. rural residents and people declaring a good financial situation have a higher level of positive mental attitude.

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Section: Discussionmentioning

confidence: 79%

Self-evaluation of behaviours related to the health of Polish young adults

Martyn¹,

Marć²

2020

fmpcr

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“…These findings hold significant relevance within the context of new international cardiovascular prevention recommendations and future public health interventions aimed at their dissemination and implementation. Consequently, further studies are necessary to comprehend the factors associated with low compliance to CVD prevention interventions in the general population 27 . Three primary concepts pertaining to this issue merit attention: 1) Variations in clinical practice, which result in non-standardized healthcare and non-evidence-based clinical decisions.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, our study has identified a low rate of compliance with non-pharmacological interventions across all CVD risk categories. It is known that adherence to lifestyle changes in chronic conditions is poorer compared to pharmacological treatments (25) . Many of the rates reported in our study were similar to those documented in EUROASPIRE V for patients in secondary prevention (17) or exhibited a similar trend as the rates reported in the 2018 Argentina population-based survey of CVD risk factors (26) .…”

Section: European Action On Secondary and Primarymentioning

confidence: 99%

Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina

Gulayin,

Gutierrez,

Lanas

et al. 2024

Rev Fac Cien Med Univ Nac Cordoba

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Introduction: Current recommendations for cardiovascular disease (CVD) prevention are guided CVD risk classification. This study aims to analyze the level of compliance with pharmacological and non-pharmacological recommendations outlined in the World Health Organization (WHO) CVD prevention clinical practice guideline within the general population of two cities in Argentina. Methods: We analyzed the compliance with preventive recommendations from the WHO 2007 Guidelines for Management of Cardiovascular Risk in two cities of Argentina participating in the CESCAS population-based study in the Southern Cone of Latin America. Results: 3990 participants were included. Considering the WHO recommendations, the use of antiplatelet medication was 5.6% (95% CI 3.5, 8.9) in primary prevention and 20.5% (95%= CI 16.0, 25.9) in secondary prevention. Regarding lipid-lowering medication, it was 6.7% (CI 95%= 4.4, 10.1) and 15.4% (CI 95%= 11.6, 20.1), respectively. As per non-pharmacological recommendations in the general population: low intake of fruit and vegetables was 78.4% (CI 95%= 76.8, 79.9); low physical activity was 26.9% (CI 95%= 25.3, 28.5), current cigarette smoking was 28.3% (CI 95%= 26.6, 30.0), overweight/obesity was 73.9% (CI 95%= 72.3, 75.6), and excessive alcohol intake was 2.6% (CI 95%= 2.1, 3.4). Conclusions: It was observed a significantly low compliance with pharmacological and non-pharmacological recommendations for CVD prevention in the general population of two cities in Argentina. Urgent efforts are needed to improve compliance to cardiovascular preventive recommendations promoted by CPG, especially in Low- and Middle- Income Countries.

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“…The need for improvement of cardiovascular disease (CVD) prevention is as important as ever [ 5 ], especially in primary care as most of these patients visit their family doctors (FD). Some of the major issues in primary care risk management are lack of time, limited number of educational tools, low patient motivation as well as adherence to the recommended treatment [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Reduction of cardiovascular risk factors among young men with hypertension using an interactive decision aid: cluster-randomized control trial

Kask-Flight

Durak

Suija

et al. 2021

BMC Cardiovasc Disord

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Background Coronary heart disease (CHD) mortality among young men is very high and the prevention methods usable in family practice (FP) settings are limited (1,2). The objectives of this study were to investigate the cardiovascular risk profile among young males (18–50) visiting their family doctor (FD) and to find out if using an interactive computer-based decision aid (DA) has advantages in reducing cardiovascular risk factors compared to usual counselling at the FD’s office. Methods The study was a cluster-randomized controlled trial including hypertensive male patients aged 18–50 recruited by their FD in 2015–2016. Patients with cardiovascular complications were not included. FDs were randomly divided into intervention groups (n = 9) and control groups (n = 11). Altogether, FDs recruited 130 patients, 77 into the intervention group (IG) and 53 into the control group (CG). IG patients were counselled about cardiovascular risk factors using a computer-based DA. CG patients received usual counselling by their FD. Data was collected with questionnaires, clinical examinations and laboratory analyses at the baseline and at the follow-up visit three months later. We compared the cardiovascular risk factors of the IG and CG patients. Results Baseline characteristics of the IG and CG patients were comparable. Of the whole study group, 51.5% (n = 67) of the patients had hypertension grade 1, 45.4% (n = 59) had grade 2 and 3.1% (n = 4) had grade 3. Twenty-seven per cent (n = 21) of the IG and 42% (n = 22) of the CG patients were smokers. We found that shared decision making with the DA was more effective in smoking reduction compared to usual FD counselling: 21 smoking patients in the IG reduced the number of cigarettes per day which is significantly more than the 22 smoking patients in the CG (− 3.82 ± 1.32 (SE Mean) versus + 2.32 ± 1.29; p = 0.001). Systolic blood pressure (SBP), diastolic blood pressure (DBP) and the number of cigarettes per day, all showed a statistically significant reduction among patients who were using the DA. Male patients with hypertension grade 2 had a significantly greater reduction in their SBP (− 6.003 ± 2.59 (SE Mean) versus + 1.86 ± 2.58; p = 0.038) grade 1. Reduction of DBP, cigarettes per day and CVD risk in general were nearly significant in the IG whereas the CG showed an increase in all of these parameters. Conclusion Using interactive DAs at FD’s offices for counselling of young hypertensive male patients is one possibility to help patients understand their risk factors and make changes in their treatment choices. DAs can be more effective in achieving behavioural changes like reducing smoking or blood pressure compared to normal counselling.

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The new European guideline on cardiovascular disease prevention; how to make progress in general practice?

Cited by 5 publications

References 6 publications

Self-evaluation of behaviours related to the health of Polish young adults

Self-evaluation of behaviours related to the health of Polish young adults

Compliance with a WHO guideline for cardiovascular disease prevention. A population based cross-sectional study in Argentina

Reduction of cardiovascular risk factors among young men with hypertension using an interactive decision aid: cluster-randomized control trial

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