scholarly journals Protocol for a systematic review of qualitative and quantitative effects of cardiovascular disease risk communication using ‘heart age’ concepts

2020 ◽  
Author(s):  
Carissa Bonner ◽  
Carys Batcup ◽  
Samuel Cornell ◽  
Michael Anthony Fajardo ◽  
Jenny Doust ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cardiovascular Disease ◽  
Risk Communication ◽  
Disease Risk ◽  
Adult Population ◽  
Cardiovascular Disease Risk ◽  
Cvd Risk ◽  
Quantitative Evidence ◽  
Qualitative And Quantitative ◽  
Heart Age

AbstractIntroductionThe concept of ‘heart age’ is increasingly used for health promotion and alongside clinical guidelines for cardiovascular disease (CVD) prevention. These tools have been used by millions of consumers around the world, and many health organisations promote them as a way of encouraging lifestyle change. However, heart age tools vary widely in terms of their underlying risk models and display formats, the effectiveness of these tools compared to other CVD risk communication formats remains unclear, and doctors have raised concerns over their use to expand testing of healthy low risk adults.Methods and analysisWe aim to systematically review both qualitative and quantitative evidence of the effects of heart age when presented to patients or consumers for the purpose of CVD risk communication. Four electronic databases will be search until April 2020 and reference lists from similar review articles will be searched. Studies will be considered eligible if they meet the following criteria: (1) published from the inception of the database to April 2020, in peer-reviewed journals, (2) used an adult population (over 18 years of age) or, if not explicit regarding age, are clear that participants were not children, (3) present the concept of ‘heart age’ to patients or consumers for the purpose of CVD risk communication, (4) report qualitative themes or quantitative outcomes relating to psychological and/or behavioural responses to heart age. Two reviewers will perform study selection, data extraction and quality assessment. Reporting of the review will be informed by Preferred Reporting Items for Systematic Review and Meta-Analysis guidance.Ethics and disseminationEthical approval is not required as it is a protocol for a systematic review. Findings will be disseminated through peer-reviewed publications and conference presentations.

Major dietary patterns and predicted cardiovascular disease risk in an Iranian adult population

2020 ◽  
pp. 026010602095259
Author(s):  
Mahshid Shahavandi ◽  
Mohammad Reza Amini ◽  
Hossein Shahinfar ◽  
Sakineh Shab-Bidar
Keyword(s):  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Dietary Patterns ◽  
Dietary Pattern ◽  
Disease Risk ◽  
Adult Population ◽  
Cardiovascular Disease Risk ◽  
Cvd Risk ◽  
Predicted Risk ◽  
Healthy Dietary Pattern

Background: Limited data are available on the association of major dietary patterns and predicted risk of cardiovascular disease (CVD) using the Framingham Risk Score (FRS). Aim: To investigate the association between major dietary patterns and the predicted 10-year CVD risk in an Iranian population Methods: This cross-sectional study was conducted on 522 apparently healthy adults referred to health centers in Tehran. Usual dietary intake was assessed using a validated semi-quantitative food frequency questionnaire. The association between dietary patterns and the predicted risk of development of CVD was evaluated using linear multiple regression. Principal component analysis was used to identify major dietary patterns. Results: In total, 41% of the men ( n = 95) and 46% of women ( n = 134) were in the low risk (<10%) and 6% of men ( n = 14) and 1% of women ( n = 3) were in the high risk (> 20%) category of the FRS. A significant decrease was found for body mass index ( p < 0.001), systolic blood pressure (SBP) ( p = 0.003), diastolic blood pressure ( p = 0.005), and triglyceride ( p = 0.02) in the higher tertile of healthy dietary pattern. Adherence to an unhealthy dietary pattern was associated with a significant increase in body weight ( p = 0.03) and a significant decrease in high-density lipoprotein cholesterol ( p < 0.001). The healthy dietary pattern score was negatively associated with SBP ( p = 0.04) and FRS ( p < 0.001). Conclusion: Although we observed improvements in CVD risk factors with greater adherence to healthy dietary patterns, there was no association between identified dietary patterns and the predicted risk of 10-year CVD.

Mindfulness-Based Interventions and Cardiovascular Risk Factors in US Racial/Ethnic Minority Populations: A Systematic Review of Implementation Data to Address Health Disparities

2021 ◽  
Author(s):  
Tonya Faye Sanchez ◽  
E. Karina Santamaria ◽  
Dana Rubenstein ◽  
Judson Brewer ◽  
Don Operario
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Cardiovascular Disease ◽  
Disease Risk ◽  
Contextual Factors ◽  
Cardiovascular Disease Risk ◽  
The United States ◽  
Future Research ◽  
Minority Populations ◽  
Cvd Risk

Abstract Cardiovascular disease (CVD) is a persistent public health challenge. Mindfulness-based Interventions (MBI) have been researched for CVD risk factors, though their effectiveness, generalizability, and potential for implementation to racial and ethnic minorities remain unclear. This review examines studies of MBI on CVD risk for characteristics of and variations in implementation (i.e., intervention design, delivery, uptake, and contextual factors) and analyzes potential barriers and challenges to implementation. A systematic review in February 2020 identified 30 studies from 5 databases and hand searches. Included studies were randomized controlled trials testing meditation or mindfulness-based interventions against any control to measure change or improvement in cardiovascular health measures or risk behaviors in adults living in the United States or territories. Analysis of the implementation characteristics and contextual factors of included studies was conducted using the Oxford Implementation Index. Thirty reports from 26 distinct trials were selected for inclusion, examining outcomes related to diet (k [number of studies] = 13), smoking (k = 11), obesity (k = 9), exercise (k = 4), diabetes (k = 3), and blood lipids (k = 2). All studies were published between 2011 and 2020 and correspond to early stages of research. As such, numerous limitations and implementation characteristics with potential consequence for CVD risk disparities were reported. This review outlines several potential targets for future research. Based on reported findings across all included studies, MBI could be of benefit for cardiovascular disease risk. Further research is needed to explore acceptability, feasibility, and effectiveness in minority populations.

scholarly journals Cardiovascular disease risk communication in NHS health checks: video-stimulated recall interviews with practitioners

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0049
Author(s):  
Christopher J. Gidlow ◽  
Naomi Jane Ellis ◽  
Victoria Riley ◽  
Lisa Cowap ◽  
Diane Crone ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Risk Communication ◽  
Disease Risk ◽  
Health Check ◽  
Risk Calculator ◽  
Cvd Risk ◽  
Stimulated Recall ◽  
Practitioner Training ◽  
Nhs Health Check ◽  
Heart Age

BackgroundNHS Health Check (NHSHC) is a national programme to identify and manage cardiovascular disease (CVD) risk. Practitioners delivering the programme should be competent in discussing CVD risk, but there is evidence of limited understanding of the recommended 10 year/centage CVD risk scores. Lifetime CVD risk calculators might improve understanding and communication of risk.AimTo explore practitioner understanding, perceptions and experiences of CVD risk communication in NHSHCs when using two different CVD risk calculators.Design & settingQualitative video-stimulated recall (VSR) study with NHSHC practitioners.MethodVSR interviews were conducted with practitioners who delivered NHSHCs using either the QRISK2 10-year risk calculator (n=7) or JBS3 lifetime CVD risk calculator (n=8). Data were analysed using reflexive thematic analysis.ResultsFindings from analysis of VSR interviews with 15 practitioners (9 Healthcare Assistants, 6 General Practice Nurses) are presented by risk calculator. There was limited understanding and confidence of 10-year risk, which was used to guide clinical decisions through determining low/medium/high risk thresholds, rather than as a risk communication tool. Potential benefits of some JBS functions were evident, particularly heart age, risk manipulation and visual presentation of risk.ConclusionsThere is a gap between the expectation and reality of practitioners’ understanding, competencies and training in CVD risk communication for NHS Health Check. Practitioners would welcome heart age and risk manipulation functions of JBS3 to promote patient understanding of CVD risk, but there is a more fundamental need for practitioner training in CVD risk communication.

scholarly journals Cardiovascular Disease Risk and Barriers to Physical Activity

2015 ◽  
Vol 7 (1) ◽  
pp. 43
Author(s):  
Lisa Aditama ◽  
Dewi Rahmawati ◽  
Nani Parfati ◽  
Astrid Pratidina
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Risk Perceptions ◽  
Disease Risk ◽  
Adult Population ◽  
Cardiovascular Disease Risk ◽  
Stage Of Change ◽  
Cvd Risk ◽  
Medium Risk ◽  
Prevalence Of Obesity

BACKGROUND: The prevalence of obesity is increasing and tends to be higher in adult population groups who are also more educated and employed as a civil/military/police/oficers. This study aims to analyze cardiovascular disease (CVD) risk, perceptions about physical activity and barriers experienced to perform physical activity, also stage of change to physical activity.METHODS: The study design was an observational study, use qualitative methods with in-depth interviews and quantitative analysis CVD risk also stage of change to physical activity questionnaire.RESULTS: Framingham 10-years CVD risk of obese men in University of Surabaya was 11.97% (1.70 to 29.90) based on lipid profile and 13.90% (2.30 to 30.00) based on body mass index. Perception of obese men in University of Surabaya regarding physical activity had findings several barriers that can be grouped into time constraint, facility constraint, low motivation, and knowledge about physical activities.CONCLUSION: In this study we found that 10-years CVD risk of obese men in University of Surabaya can be categorized as medium risk. There are several barriers regarding life style modification for physical activity and exercise, whereas the subjects included in this study are quite ready to start the program, but improvement for the readiness before starting the program will still be needed.KEYWORDS: CVD risk, obese men, physical activity

scholarly journals Level of physical activity, cardiorespiratory fitness and cardiovascular disease risk factors in a rural adult population in Sogn og Fjordane

2011 ◽  
Vol 20 (2) ◽  
Author(s):  
Ane Kristiansen Solbraa ◽  
Asgeir Mamen ◽  
Geir Kåre Resaland ◽  
Jostein Steene- Johannessen ◽  
Einar Ylvisåker ◽  
...  
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
Cardiovascular Disease ◽  
Health Status ◽  
Cardiorespiratory Fitness ◽  
Disease Risk ◽  
Adult Population ◽  
Cardiovascular Disease Risk ◽  
Cvd Risk ◽  
Cross Sectional

<strong><em>Background</em>:</strong> Physical activity (PA) and high cardiorespiratory fitness (CRF) are associated with reduced risk of cardiovascular disease (CVD). Sogn og Fjordane County has the reputation of being the most healthy county in Norway. The level of PA and/or CRF may partly explain this health status. However, only one study with regional objectively measured PA data and one study with regional data on CRF currently exist. Thus, the aim of this study was to describe levels of PA, CRF and CVD risk factors in an adult population in the county of Sogn og Fjordane.<em><strong> Methods:</strong> </em>In total, 314 (♀:178 ♂:136) 40-42-year-olds and 308 (♀:175 ♂:133) 53-55-yearolds participated in this cross-sectional study. PA was measured objectively by accelerometry, while CRF was measured directly. <em><strong>Results:</strong></em> There were no sex differences in total PA level. For the 40-42-year-olds, women spent 6.0min/day [95% CI: –11.7 to –0.3] less participating in moderate PA compared to men. For the 53-55- year-olds, women were inactive for 36.0 min/day [95% CI: –55.2 to –16.8] less and they participated in light activity for 26.4 min/day [95% CI: 7.7 to 45.2] more than men. In total, 30.0% [95% CI: 24.8 to 35.2] of the 40-42-year-olds and 30.2% [95% CI: 25.0 to 35.4] of the 53-55-year-olds met the Norwegian recommendations<br />for PA. CRF was 49.0 ml·kg–1·min–1 for men and 41.6 ml·kg–1·min–1 for women for the 40-42-year-olds. For 53-55-year-olds CRF was 41.2 ml·kg–1·min–1 for men and 33.9 ml·kg–1·min–1 for women.<em><strong> Conclusions:</strong></em> These results suggest that the level of PA and CRF are higher compared to other available data. This might explain the advantageous health status in Sogn og Fjordane.

scholarly journals Effect of oat supplementation interventions on cardiovascular disease risk markers: a systematic review and meta-analysis of randomized controlled trials

2022 ◽  
Author(s):  
Erand Llanaj ◽  
Gordana M. Dejanovic ◽  
Ezra Valido ◽  
Arjola Bano ◽  
Magda Gamba ◽  
...  
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Cardiovascular Disease ◽  
Randomized Clinical Trials ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Risk Markers ◽  
Metabolic Disturbances ◽  
Cvd Risk ◽  
Beta Glucan

Abstract Purpose Oat supplementation interventions (OSIs) may have a beneficial effect on cardiovascular disease (CVD) risk. However, dietary background can modulate such effect. This systematic review assesses the effects of OSIs on CVD risk markers among adults, accounting for different dietary backgrounds or control arms. Methods We included randomized clinical trials (RCTs) that assessed the effect of oat, oat beta-glucan-rich extracts or avenanthramides on CVD risk markers. Results Seventy-four RCTs, including 4937 predominantly hypercholesterolemic, obese subjects, with mild metabolic disturbances, were included in the systematic review. Of these, 59 RCTs contributed to the meta-analyses. Subjects receiving an OSI, compared to control arms without oats, had improved levels of total cholesterol (TC) [weighted mean difference and (95% CI) − 0.42 mmol/L, (− 0.61; − 0.22)], LDL cholesterol [− 0.29 mmol/L, (− 0.37; − 0.20)], glucose [− 0.25 nmol/L, (− 0.36; − 0.14)], body mass index [− 0.13 kg/m2, (− 0.26; − 0.01)], weight [− 0.94 kg, (− 1.84: − 0.05)], and waist circumference [− 1.06 cm, (− 1.85; − 0.27)]. RCTs on inflammation and/or oxidative stress markers were scarce and with inconsistent findings. RCTs comparing an OSI to heterogeneous interventions (e.g., wheat, eggs, rice, etc.), showed lowered levels of glycated haemoglobin, diastolic blood pressure, HDL cholesterol and apolipoprotein B. The majority of included RCTs (81.1%) had some concerns for risk of bias. Conclusion Dietary OSIs resulted in lowered levels of blood lipids and improvements in anthropometric parameters among participants with predominantly mild metabolic disturbances, regardless of dietary background or control. Further high-quality trials are warranted to establish the role of OSIs on blood pressure, glucose homeostasis and inflammation markers.

scholarly journals Does Your Heart Forecast help practitioner understanding and confidence with cardiovascular disease risk communication?

2011 ◽  
Vol 3 (1) ◽  
pp. 4 ◽  
Author(s):  
Sue Wells ◽  
Andrew Kerr ◽  
Elizabeth Broadbent ◽  
Craig MacKenzie ◽  
Karl Cole ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Risk Communication ◽  
Health Professionals ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Randomised Trial ◽  
Cvd Risk ◽  
Lifestyle Behaviour ◽  
Risk Factor Modification ◽  
Before And After

INTRODUCTION: Explaining what cardiovascular disease (CVD) risk means and engaging in shared decision-making regarding risk factor modification is challenging. An electronic CVD risk visualisation tool containing multiple risk communication strategies (Your Heart Forecast) was designed in 2009. AIM: To assess whether this tool facilitated explaining CVD risk to primary care patients. METHODS: Health professionals who accessed a Primary Health Organisation website or who attended educational peer groups over a three-month period were invited to complete questionnaires before and after viewing a four-minute video about the tool. Respondents were asked to make an informed guess of the CVD risk of a 35-year-old patient (actual CVD risk 5%) and rate the following sentence as being true or false: ‘If there were 100 people like Mr Andrews, five would go on to have a cardiac event in the next five years.’ They also were asked to rank their understanding of CVD risk and confidence in explaining the concept to patients. RESULTS: Fifty health professionals (37 GPs, 12 practice nurses, one other) completed before and after questionnaires. Respondents’ CVD risk estimates pre-video ranged from <5% to 25% and nine rated the sentence as being false. After the video, all respondents answered these questions correctly. Personal rankings from zero to 10 about understanding CVD risk and confidence in explaining risk reduced in range and shifted towards greater efficacy. Discussion: Whether this tool facilitates discussions of CVD risk with patients and improves patient understanding and lifestyle behaviour needs to be evaluated in a randomised trial. KEYWORDS: Cardiovascular disease; risk communication.

scholarly journals Neutrophil Lymphocyte Ratio and Cardiovascular Disease Risk: A Systematic Review and Meta-Analysis

2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Teeranan Angkananard ◽  
Thunyarat Anothaisintawee ◽  
Mark McEvoy ◽  
John Attia ◽  
Ammarin Thakkinstian
Keyword(s):  
Systematic Review ◽  
Cardiovascular Disease ◽  
Cardiovascular Events ◽  
Disease Risk ◽  
Meta Analysis ◽  
Cardiovascular Disease Risk ◽  
Cvd Risk ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio ◽  
Coronary Syndrome

Objective. This systematic review aimed to measure the association between neutrophil lymphocyte ratio (NLR) and cardiovascular disease (CVD) risk. Methods. Relevant studies were identified from Medline and Scopus databases. Observational studies with NLR as a study factor were eligible for review. The outcomes of interest were any type of CVD including acute coronary syndrome, coronary artery disease, stroke, or a composite of these cardiovascular events. Mean differences in NLR between CVD and non-CVD patients were pooled using unstandardized mean difference (USMD). Odds ratios of CVD between high and low NLR groups were pooled using a random effects model. Results. Thirty-eight studies (n=76,002) were included. High NLR was significantly associated with the risks of CAD, ACS, stroke, and composite cardiovascular events with pooled ORs of 1.62 (95% CI: 1.38-1.91), 1.64 (95% CI: 1.30, 2.05), 2.36 (95% CI: 1.44, 2.89), and 3.86 (95% CI: 1.73, 8.64), respectively. In addition, mean NLRs in CAD, ACS, and stroke patients were significantly higher than in control groups. Conclusion. High NLR was associated with CAD, ACS, stroke, and composite cardiovascular events. Therefore, NLR may be a useful CVD biomarker.

scholarly journals Hot Flashes and Cardiovascular Disease Risk Indices Among Women With HIV

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Mabel Toribio ◽  
Evelynne S Fulda ◽  
Sarah M Chu ◽  
Zsofia D Drobni ◽  
Magid Awadalla ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
General Population ◽  
Disease Risk ◽  
Cardiovascular Disease Risk ◽  
Hot Flashes ◽  
Cvd Risk ◽  
Hot Flash ◽  
Risk Indices ◽  
Women With Hiv

Abstract Women with HIV (WWH) transitioning through menopause have heightened cardiovascular disease (CVD) risk. In the general population, hot flash burden relates to CVD risk indices. We found higher hot flash burden among women with vs without HIV. Further, among WWH, hot flash burden related to select CVD risk indices. ClinicalTrials.gov Registration NCT02874703.

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