Effect of 5-Year Community Intervention Hartslag Limburg on Cardiovascular Risk Factors
| Autor: | André J.H.A. Ament, G.C.W. Wendel-Vos, Patricia van Assema, Albertine J. Schuit, Jan W van Ree, Erik Ruland, Wilhelmina M.M. Verschuren, Emma T. Ronckers |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Waist Epidemiology Health Promotion Body Mass Index Cohort Studies chemistry.chemical_compound Risk Factors Internal medicine Intervention (counseling) Outcome Assessment Health Care Humans Medicine Community Health Services Life Style Reference group Aged Netherlands business.industry Cholesterol Public health Public Health Environmental and Occupational Health Middle Aged Primary Prevention Blood pressure Social Class chemistry Cardiovascular Diseases Physical therapy Regression Analysis Female business Body mass index Follow-Up Studies Program Evaluation Cohort study |
| Zdroj: | American Journal of Preventive Medicine. 30:237-242 |
| ISSN: | 0749-3797 |
| DOI: | 10.1016/j.amepre.2005.10.020 |
| Popis: | Background A widely advocated strategy in public health is community-based health promotion. The aim of this study was to investigate the net effect of a cardiovascular disease prevention program (Hartslag Limburg) on cardiovascular risk factors after 5 years of intervention. Design Cohort study comparing 5-year mean change in risk factors between the intervention and reference area. The statistical analyses for the study were performed in 2005. Setting/Participants In 1998, 3000 subjects (aged 25 to 70) from the intervention area and 895 subjects from a reference area participated in the baseline measurement. Of these, 2414 intervention subjects and 758 reference subjects completed the follow-up measurement in 2003. Intervention Hartslag Limburg is an integrative community-based cardiovascular disease prevention program promoting a healthy lifestyle. Main Outcome Measures Body mass index (BMI), waist circumference, blood pressure, serum glucose (nonfasting), and serum total and high-density lipoprotein (HDL) cholesterol. Results During the 5-year follow-up, risk factors changed unfavorably in the reference group, whereas changes were less pronounced or absent in the intervention group. The adjusted difference in mean change in risk factors between intervention and reference group was significant ( p 2 in men and −0.25 kg/m 2 in women; waist circumference −2.9 cm in men and −2.1 cm in women; systolic blood pressure: −7.8 mmHg in men and −5.5 mmHg in women; total cholesterol 0.11 mmol/L in women and finally serum glucose −0.23 mmol/L in women. Conclusions Hartslag Limburg succeeded in reducing—and in some cases, preventing—age- and time-related increase in BMI, waist circumference, blood pressure, and, in women, nonfasting glucose concentration. |
| Databáze: | OpenAIRE |
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