Swipe om te navigeren naar een ander artikel
Jacques de Champlain: Deceased after completion of this study.
The objective of the study was to evaluate the efficacy of an interdisciplinary intervention known as Educoeur in reducing cardiovascular risk and improving health behaviors in people without evidence of cardiovascular disease and to compare the Educoeur program to interventions in a specialized clinic and in usual care family practice. In a parallel, randomized, controlled trial of 185 adults with at least two modifiable cardiovascular risk factors, patients were randomly assigned to either Educoeur, specialized clinic or usual care. Cardiovascular risk, biological and lifestyle measures were assessed at baseline and at 2 years. In Educoeur, measurements were also taken before and after the lifestyle group treatment program. In 12 weeks, patients in Educoeur significantly lowered their cardiovascular risk, weight, body mass index, waist circumference, systolic blood pressure, kilocalories intake and improved their VO2 Max and mental health. Changes remained significant at 2 years. Between group comparisons at 2 years demonstrated that Educoeur was significantly better in reducing cardiovascular risk than interventions in usual care. Together, these results highlight the importance of providing interdisciplinary programs that optimize cardiovascular risk reduction and promote active lifestyles in patients at risk of cardiovascular disease.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
American College of Medicine Position Stand. (1998). The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Medicine and Science in Sports and Exercise,30, 975–991. CrossRef
Antman, E. M., Anbe, D. T., Armstrong, P. W., Bates, E. R., Green, L. A., Hand, M., et al. (2004). ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction-executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1999 guidelines for the management of patients with acute myocardial infarction). Journal of the American College of Cardiology,44, 671–719. PubMedCrossRef
Balady, G. J., Ades, P. A., Comoss, P., Limacher, M., Pina, I. L., Southard, D., et al. (2000). Core components of cardiac rehabilitation/secondary prevention programs: A statement for healthcare professionals from the American Heart Association and the American Association of Cardiovascular and Pulmonary Rehabilitation Writing Group. Circulation,102, 1069–1073. PubMedCrossRef
Balady, G. J., Williams, M. A., Ades, P. A., Bittner, V., Comoss, P., Foody, J. M., et al. (2007). Core components of cardiac rehabilitation/secondary prevention programs: 2007 update: A scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation,115, 2675–2682. PubMedCrossRef
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio: Psychological Corporation.
Berkman, L. F., Blumenthal, J., Burg, M., Carney, R. M., Catellier, D., Cowan, M. J., et al. (2003). Effects of treating depression and low perceived social support on clinical events after myocardial infarction: The Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) randomized trial. JAMA : the Journal of the American Medical Association,289, 3106–3116. CrossRef
Blumenthal, J. A., Babyak, M. A., Hinderliter, A., Watkins, L. L., Craighead, L., Lin, P. H., et al. (2010). Effects of the DASH diet alone and in combination with exercise and weight loss on blood pressure and cardiovascular biomarkers in men and women with high blood pressure: The ENCORE study. Archives of Internal Medicine,170, 126–135. PubMedCrossRef
Blumenthal, J. A., Sherwood, A., Babyak, M. A., Watkins, L. L., Waugh, R., Georgiades, A., et al. (2005). Effects of exercise and stress management training on markers of cardiovascular risk in patients with ischemic heart disease: A randomized controlled trial. JAMA : the Journal of the American Medical Association,293, 1626–1634. CrossRef
Daubenmier, J. J., Weidner, G., Sumner, M. D., Mendell, N., Merritt-Worden, T., Studley, J., et al. (2007). The contribution of changes in diet, exercise, and stress management to changes in coronary risk in women and men in the multisite cardiac lifestyle intervention program. Annals of Behavioral Medicine,33, 57–68. PubMedCrossRef
De Backer, G., Ambrosioni, E., Borch-Johnsen, K., Brotons, C., Cifkova, R., Dallongeville, J., et al. (2003). European guidelines on cardiovascular disease prevention in clinical practice: Third joint task force of European and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of eight societies and by invited experts). European Journal of Cardiovascular Prevention and Rehabilitation,10, S1–S10. PubMed
Ebrahim, S., Taylor, F., Ward, K., Beswick, A., Burke, M., & Davey, S. G. (2011). Multiple risk factor interventions for primary prevention of coronary heart disease. Cochrane Database of Systematic Reviews, CD001561.
Fishbein, M., & Ajzen, I. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research. Don Mills, ON: Addison-Wesley.
Frasure-Smith, N., & Prince, R. (1985). The ischemic heart disease life stress monitoring program: impact on mortality. Psychosomatic Medicine,47, 431–445. PubMed
Friedman, M., Thoresen, C. E., Gill, J. J., Ulmer, D., Powell, L. H., Price, V. A., et al. (1986). Alteration of type A behavior and its effect on cardiac recurrences in post myocardial infarction patients: Summary results of the recurrent coronary prevention project. American Heart Journal,112, 653–665. PubMedCrossRef
Giannuzzi, P., Mezzani, A., Saner, H., Bjornstad, H., Fioretti, P., Mendes, M., et al. (2003). Physical activity for primary and secondary prevention. Position paper of the working group on cardiac rehabilitation and exercise physiology of the European Society of Cardiology. European Journal of Cardiovascular Prevention and Rehabilitation,10, 319–327. PubMedCrossRef
Goyer, L. (2004). Innovation en santé cardiovasculaire : Nouvel angle sur les facteurs psychosociaux et les maladies cardiovasculaires. Les Actualités du coeur,9, 7–10.
Haskell, W. L., Alderman, E. L., Fair, J. M., Maron, D. J., Mackey, S. F., Superko, H. R., et al. (1994). Effects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP). Circulation,89, 975–990. PubMedCrossRef
Health Canada. (2007). Canadian nutrient file (CNF), 2010: Download files. Retrieved from http://www.hc-sc.gc.ca/fn-an/nutrition/fiche-nutri-data/cnf_downloads-telechargement_fcen-eng.php.
Koertge, J., Weidner, G., Elliott-Eller, M., Scherwitz, L., Merritt-Worden, T. A., Marlin, R., et al. (2003). Improvement in medical risk factors and quality of life in women and men with coronary artery disease in the Multicenter Lifestyle Demonstration Project. American Journal of Cardiology,91, 1316–1322. PubMedCrossRef
Leon, A. S., Franklin, B. A., Costa, F., Balady, G. J., Berra, K. A., Stewart, K. J., et al. (2005). Cardiac rehabilitation and secondary prevention of coronary heart disease: An American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation. Circulation,111, 369–376. PubMedCrossRef
Ornish, D., Scherwitz, L. W., Billings, J. H., Brown, S. E., Gould, K. L., Merritt, T. A., et al. (1998). Intensive lifestyle changes for reversal of coronary heart disease. JAMA : the Journal of the American Medical Association,280, 2001–2007. CrossRef
Pickering, T. G. (2003). Lifestyle modification and blood pressure control: Is the glass half full or half empty? JAMA : the Journal of the American Medical Association,289, 2131–2132. CrossRef
Prochaska, J. O., Norcross, J. C., & DiClemente, C. C. (1994). Changing for good: The revolutionary program that explains the six stages of change and teaches you how to free yourself from bad habits. New York: W. Morrow.
Rollnick, S., Miller, W. R., & Butler, C. (2008). Motivational interviewing in health care: Helping patients change behavior. New York: Guilford.
Rozanski, A., Blumenthal, J. A., Davidson, K. W., Saab, P. G., & Kubzansky, L. (2005). The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: The emerging field of behavioral cardiology. Journal of the American College of Cardiology,45, 637–651. PubMedCrossRef
Sdringola, S., Nakagawa, K., Nakagawa, Y., Yusuf, S. W., Boccalandro, F., Mullani, N., et al. (2003). Combined intense lifestyle and pharmacologic lipid treatment further reduce coronary events and myocardial perfusion abnormalities compared with usual-care cholesterol-lowering drugs in coronary artery disease. Journal of the American College of Cardiology,41, 263–272. PubMedCrossRef
Stone, J. A., Cyr, C., Friesen, M., Kennedy-Symonds, H., Stene, R., & Smilovitch, M. (2001). Canadian guidelines for cardiac rehabilitation and atherosclerotic heart disease prevention: A summary. Canadian Journal of Cardiology,17, 3B–30B. PubMed
Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, B. (2002). Version 2 of the SF-12 health survey. Boston: Quality Metric Inc.
World Health Organization. (2003, October). The World Health Report 2003— Shaping the Future, Geneva.
- Randomized controlled trial on the long-term efficacy of a multifaceted, interdisciplinary lifestyle intervention in reducing cardiovascular risk and improving lifestyle in patients at risk of cardiovascular disease
Jacques de Champlain
- Springer US