There was no significant difference in smoking continuance , or improved fruit and vegetable consumption .
CONCLUSIONS There are benefits to be derived from multimodal secondary prevention interventions .
BACKGROUND Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke .
We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions .
Effects of early exercise engagement on vascular risk in patients with transient ischemic attack and nondisabling stroke.
The objective of this study was to conduct a r and omized , parallel-group clinical trial assessed the efficacy of a health-enhancing physical activity program ( exercise and education ) on vascular risk factors and aerobic fitness in patients who have experienced a transient ischemic attack ( TIA ) or nondisabling stroke . Sixty patients ( 69±11 years ) completed a baseline ( BL ) vascular risk stratification and aerobic fitness examination ( cycle test ) within 2 weeks of symptom onset . Subjects were then r and omized to either an 8-week , twice weekly exercise program or to a usual-care control ( CON ) group . Postintervention ( PI ) assessment s were completed immediately after the intervention and at 3-month follow-up . A series of primary ( systolic blood pressure [ SBP ] ) and secondary ( vascular risk factors like total cholesterol [ TC ] , high-density lipoproteins , etc . ; Framingham risk score ; peak oxygen uptake ) outcome measures were assessed . Significantly greater reductions in SBP ( mean change±SD ; -10.4±9.2 mm Hg ) and TC ( -.53±.90 mmol/L ) were observed between BL and PI assessment s for the exercise group compared with the CON group ( -1.9±15.4 mm Hg and -.08±.59 mmol/L , respectively ) ( P<.05 ) . These improvements were maintained between the PI and the 3-month follow-up assessment ( P>.05 ) . Significant improvements in aerobic fitness were also observed and maintained at the 3-month follow-up assessment after regular exercise participation ( P<.05 ) . The early engagement in exercise result ed in significant improvements in vascular risk factors and fitness in those diagnosed with TIA . As these beneficial effects were maintained up to 3 months after completing the exercise program , exercise should be considered a useful additive treatment strategy for newly diagnosed TIA patients . Future research should examine the long-term efficacy of such programs
There was no significant difference in smoking continuance , or improved fruit and vegetable consumption .
CONCLUSIONS There are benefits to be derived from multimodal secondary prevention interventions .
BACKGROUND Guidelines recommend implementation of multimodal interventions to help prevent recurrent TIA/stroke .
We undertook a systematic review to assess the effectiveness of behavioral secondary prevention interventions .