Effects of a short health education intervention on physical activity,arterial stiffness and cardiac autonomic function in individuals with moderate-to-high cardiovascular risk |
| |
| Affiliation: | 1. Research Centre in Physical Activity, Health and Leisure. Faculty of Sport, University of Porto, Rua Dr. Plácido Costa, 91, 4200.450, Porto, Portugal;2. Center for Research and Development in Mathematics and Applications (CIDMA), Department of Mathematics (DMAT), University of Aveiro, Aveiro, Portugal;3. Primary Care Centre Espaço Saúde, Aldoar, Porto, Portugal;4. School of Health Sciences and Institute of Biomedicine–iBiMED, University of Aveiro, Aveiro, Portugal;5. Faculty of Sport, University of Porto, Research Centre in Physical Activity, Health and Leisure, Porto, Portugal;1. Cancer Prevention and Control Program, Fox Chase Cancer Center, Philadelphia, PA, USA;2. Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, USA;3. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, USA;1. RTI International, Research Triangle Park, NC, USA;2. US Food and Drug Administration, Silver Spring, MD, USA;1. Johns Hopkins University School of Medicine, Baltimore, MD, USA;2. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA;3. Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, USA;4. Department of Medicine, Oregon Health and Science University, Portland, OR, USA;5. Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, OR, USA;1. Université Libre de Bruxelles, Faculté des Sciences Psychologiques et de l’Éducation, Brussels, Belgium;2. Institut Jules Bordet, Clinique de Psycho-Oncologie, Université Libre de Bruxelles, Brussels, Belgium;3. Hôpital Universitaire Erasme, Service de Psychologie, Brussels, Belgium;4. Centre de Psycho-Oncologie, Brussels, Belgium;5. Université Catholique de Louvain, Faculté de Médecine, Brussels, Belgium;1. Institute for Medical Education, University Hospital, LMU Munich, Germany;2. Faculty of Behavioural and Social Sciences, Department of Educational Sciences, University of Groningen, the Netherlands;3. Lehrstuhl für die Ausbildung personaler und interpersonaler Kompetenzen im Gesundheitswesen, Fakultät für Gesundheit, Universität Witten/Herdecke, Witten, Germany;1. Division of General Internal Medicine & Geriatrics, Feinberg School of Medicine, Northwestern University, 750 N. Lake Shore Drive, 10th Floor, Chicago, IL, USA;2. Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 645 N. Michigan Ave. #822, Chicago, IL, USA;3. Department of Psychology and Neuroscience Center, Brigham Young University, Provo, UT, USA;4. General Internal Medicine, Icahn School of Medicine, Mount Sinai Hospital, 17 E 102nd St, 7th Floor, New York, NY, USA |
| |
| Abstract: | ObjectiveThis study evaluated the effects of a short health education and counseling intervention program, in a primary healthcare setting, on daily physical activity (PA), arterial stiffness, and cardiac autonomic function in individuals with moderate-to-high risk of cardiovascular disease.MethodsThis was a parallel-group study with a 4-month-long intervention, plus 8 months of follow-up. 164 individuals with moderate-to-high cardiovascular risk were allocated to either an intervention (n = 87) or a control group (n = 77). The intervention consisted of 3 walking and face-to-face group sessions plus text messages. Primary outcome was daily PA (sedentary time, light and moderate-to-vigorous PA, all in min/day); secondary outcomes were arterial stiffness i.e., carotid-femoral pulse wave velocity (cfPWV, m/s)] and cardiac autonomic function [(i.e., standard deviation of all N-N intervals (SDNN, ms) and absolute high frequency (HF, ms2)].ResultsThere were not significant group*time interactions for sedentary time [−7.4 (7.6); p = 0.331)], light PA [4.4 (6.4); p = 0.491] or moderate-to-vigorous PA [0.1 (2.6); p = 0.938]. Considering secondary outcomes, there were not significant group*time interactions for cfPWV [0.09 (0.18); p = 0.592], Ln_SDNN [0.09 (0.06); p = 0.148], or Ln_HF [0.16 (0.14); p = 0.263].ConclusionThe program did not improve daily PA, arterial stiffness, or the autonomic cardiac function.Practice ImplicationsPrimary care staff should consider longer or other types of intervention to improve daily PA. |
| |
| Keywords: | Education Counseling Primary care Cardiovascular risk Daily physical activity Arterial stiffness Cardiac autonomic function |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
