The overall results for modifiable risk factors suggested improvements in dietary and exercise outcomes but no overall effect on smoking outcomes .
The effectiveness of lifestyle interventions within secondary prevention of coronary heart disease ( CHD ) remains unclear .
This systematic review aim ed to determine their effectiveness and included r and omized controlled trials of lifestyle interventions , in primary care or community setting s , with a minimum follow-up of three months , published since 1990 .
Effects of health advocacy, counseling, and activation among older coronary heart disease (CHD) patients
Background and aims : Coronary heart disease ( CHD ) is common and the maprity of CHD patients are 65 years or older . There exist only a few r and omized , controlled intervention studies on secondary prevention of CHD among elderly CHD patients . Our study assessed the effects of health advocacy , counseling , and activation programs with outcome variables of changes in the use of fats , lipid-lowering medications , frequency of exercise , cigarette smoking , serum cholesterol and triglyceride concentrations , blood pressure , and symptoms of late-life CHD among CHD patients of the Lieto Study . Methods : R and omized , controlled intervention study . Late-life ( > 65 yrs ) CHD patients were r and omized into intervention group ( IG ) ( n=118 ) and control group ( CG ) ( n=109 ) . Intervention consisted of 16 lectures by experts , eight group discussion s , six group exercise sessions , and three social activity events . Results : The use of lipid-lowering medications became more common in IG than in CG among men ( p=0.041 ) , with a similar tendency among women . Among women , decreases in the means of total serum cholesterol ( p=0.009 ) and LDL-cholesterol ( p=0.049 ) were greater in IG than in CG . Conclusions : The program produced no positive effects on health behavior . Positive effects were gained by the increase in lipid-lowering medications , which reduced mean total serum cholesterol and LDL-cholesterol concentrations . More intensive counseling on health behavior should be planned , implemented , and evaluated
The overall results for modifiable risk factors suggested improvements in dietary and exercise outcomes but no overall effect on smoking outcomes .
The effectiveness of lifestyle interventions within secondary prevention of coronary heart disease ( CHD ) remains unclear .
This systematic review aim ed to determine their effectiveness and included r and omized controlled trials of lifestyle interventions , in primary care or community setting s , with a minimum follow-up of three months , published since 1990 .