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One-year cardiovascular risk and quality of life changes in participants of a health trainer service

GIDLOW, Christopher and COCHRANE, Thomas and DAVEY, Rachel and BELOE, Marion and CHAMBERS, Ruth and KUMAR, Jagdish and MAWBY, Yvonne and IQBAL, Zafar (2013) One-year cardiovascular risk and quality of life changes in participants of a health trainer service. Perspectives in Public Health, ONLINE. ISSN 1757-9139

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Abstract or description

Abstract
Aims: To explore 12-month changes in cardiovascular disease (CVD) risk and healthrelated quality of life (HRQoL) in participants of a health trainer (HT) programme.

Methods: Participants were 994 adults with at least one established CVD risk factor who were referred to a HT programme. The primary outcome was 12-month change in Framingham 10 year CVD risk score. Secondary outcomes included change in individual risk factors and HRQoL. Intention to treat analysis was used to explore 12-month changes for the overall population and those classified ‘high risk’ (≥20% CVD risk) at baseline.

Results: At baseline, 33.6% of participants were classified as ‘high CVD risk’ and 95.7% were overweight or obese. There were modest 12-month improvements in most modifiable CVD risk factors, but not overall CVD risk (-0.25±6.50%). In ‘high-risk’ participants significant reductions were evident for overall CVD risk (-2.34±8.13%) and individual risk factors. Small, significant 12-month HRQoL improvements were observed, but these were not associated with CVD risk change.

Conclusions: Significant CVD risk reductions in participants in this HT programme with high baseline CVD risk (≥20%) in HRQoL in the population as a whole indicated that the programme in its current form should target high-risk patients.

Item Type: Article
Subjects: K300 Landscape Design
Faculty: Previous Faculty of Health Sciences > Psychology, Sport and Exercise
Depositing User: Christopher GIDLOW
Date Deposited: 17 Sep 2013 16:01
Last Modified: 17 Sep 2013 16:01
URI: http://eprints.staffs.ac.uk/id/eprint/1537

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