Nurses only and multidisciplinary teams were the most frequent professionals to provide education , and most educational interventions were delivered postdischarge .
Psychoeducational interventions were generally effective at reducing smoking and admissions for patients with ACS .
Culturally appropriate health education , self-management educational interventions , group medical visits and psychoeducational interventions were generally effective for patients with T2DM .
Results indicate that there is a body of current evidence about the efficacy of health education , its content and delivery methods for patients with ACS or T2DM .
OBJECTIVES This umbrella review aim ed to identify the current evidence on health education-related interventions for patients with acute coronary syndrome ( ACS ) or type two diabetes mellitus ( T2DM ) ; identify the educational content , delivery methods , intensity , duration and setting required .
The purpose was to provide recommendations for educational interventions for high-risk patients with both ACS and T2DM .
Physical Activity and Fibrinogen Concentration in Newly Diagnosed NIDDM
OBJECTIVE To evaluate whether plasma fibrinogen concentration is correlated with the level of physical activity and aerobic power in patients with newly diagnosed non-insulin-dependent diabetes mellitus ( NIDDM ) . RESEARCH DESIGN AND METHODS We studied 78 middle-aged ( 54 ± 6 years , mean ± SD ) , obese ( body mass index [ BMI ] 32 ± 5 kg/m2 ) patients ( 45 men and 33 women ) before and after a 12-month treatment period consisting of either conventional treatment given by community health centers or intensified dietary and exercise education given by a university outpatient clinic . Plasma fibrinogen concentration was measured by using a coagulometer . Physical activity  was assessed by a question naire , and the patients were classified into a sedentary group or moderately or intensively exercising groups . Aerobic power ( maximum oxygen uptake [ ] , anaerobic threshold [ ] ) was measured by direct breath-by-breath technique . RESULTS At baseline , the sedentary patients had higher fibrinogen concentration than those with moderate or high physical activities ( 3.8 ± 0.8 vs. 3.3 ± 0.7 g/I , P < 0.01 ) . Both and ( ml · min−1 · kg−1 ) showed an inverse linear correlation with fibrinogen ( r = -0.38 , P < 0.001 , and r = -0.29 , P < 0.01 , respectively ) . In the step wise multiple regression analysis , BMI , Vo2 max ( ml/min ) , and smoking were the only significant independent factors explaining 23 % of the variance in fibrinogen concentration . In sedentary patients , poor glycemie control was related with high fibrinogen concentration . During the follow-up period , patients maintained , on the average , good to moderate glycemie control . The originally sedentary group showed a decrease in fibrinogen concentration ( to 3.3 ± 0.7 g/I , P < 0.001 ) that reached the same level that the physically more active groups had at baseline . This change was associated with improved glycemie control , but not with any of the other assessed factors , including fatty acid composition of serum lipids reflecting dietary intake of fats . CONCLUSIONS In addition to BMI and smoking , low reported physical activity and low aerobic power are independently associated with high plasma fibrinogen concentration in newly diagnosed NIDDM
Nurses only and multidisciplinary teams were the most frequent professionals to provide education , and most educational interventions were delivered postdischarge .
Psychoeducational interventions were generally effective at reducing smoking and admissions for patients with ACS .
Culturally appropriate health education , self-management educational interventions , group medical visits and psychoeducational interventions were generally effective for patients with T2DM .
Results indicate that there is a body of current evidence about the efficacy of health education , its content and delivery methods for patients with ACS or T2DM .
OBJECTIVES This umbrella review aim ed to identify the current evidence on health education-related interventions for patients with acute coronary syndrome ( ACS ) or type two diabetes mellitus ( T2DM ) ; identify the educational content , delivery methods , intensity , duration and setting required .
The purpose was to provide recommendations for educational interventions for high-risk patients with both ACS and T2DM .