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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   JANUARY 2013 , Volume 16 , Number 1; Page(s) 4 To 11.
 
Paper: 

OUTCOMES OF A COMPREHENSIVE HEALTHY LIFESTYLE PROGRAM ON CARDIOMETABOLIC RISK FACTORS IN A DEVELOPING COUNTRY: THE ISFAHAN HEALTHY HEART PROGRAM

 
DOI: 

013161/AIM.004

 
Author(s):  SARRAFZADEGAN NIZAL*, KELISHADI ROYA, SADRI GHOLAMHOSSEIN, MALEKAFZALI HOSSEIN, POURMOGHADDAS MASOUD, HEIDARI KAMAL, SHIRANI SHAHIN, BAHONAR AHMAD, BOSHTAM MARYAM, ASGARY SEDDIGHE, MOHAMMADIFARD NOUSHIN, SADEGHI MASOUMEH, ESHRATI BABAK, HADIPOUR EBRAHIM, ESMAILLZADEH AHMAD, L. OLOUGHLIN JENNIFER
 
* CARDIOVASCULAR RESEARCH CENTER (WHO COLLABORATING CENTER IN THE EMR), ISFAHAN CARDIOVASCULAR RESEARCH INSTITUTE, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES, ISFAHAN, IRAN
 
Abstract: 

Background: This study evaluated the outcome of a comprehensive, community-based healthy lifestyle program on cardiometabolic risk factors. The Isfahan Healthy Heart Program (IHHP) was a comprehensive action-oriented, multi-component intervention with a quasiexperimental design and reference area.
Methods: IHHP targeted the population-at-large (n=2, 180, 000) in three districts in central Iran. Data from independent sample surveys before (2000-2001) and after (2007) this program were used to compare differences in the intervention area and reference area over time after controlling for age, education level and income. The samples in 2000-2001 and 2007 included 6175 and 4719 participants in intervention area, and 6339 and 4853 in reference area, respectively. Multiple interventional activities were performed based on the four main strategies of healthy nutrition, increased physical activity, tobacco control and coping with stress.
Results: The prevalence of abdominal obesity, hypertension, hypercholesterolemia, hypertriglyceridemia and high LDL-C decreased significantly in the intervention area versus the reference area in both sexes. However the reduction in overweight and obesity was significant only in females (P<0.05 for all). There were no significant changes in the prevalence of diabetes mellitus.
In the intervention area, the prevalence of hypercholesterolemia decreased from 23.5% to 12.5% among females without any changes in females in the reference area (p<0.0001). In males, hypercholesterolemia decreased significantly in both intervention area (18.5% to 9.6%) and reference area (14.4% to 9.8%; p=0.005). Mean triglyceride levels had a significant decrease in the intervention area and a non-significant decrease in the reference area (p<0.0001).
Conclusions: A comprehensive healthy lifestyle program comprising preventive and promotional activities that considers both population and high risk approaches can be effective in controlling cardiometabolic risk factors in a middle-income country.

 
Keyword(s): CARDIOVASCULAR RISK FACTORS, COMMUNITY-BASED INTERVENTION, DEVELOPING COUNTRY, NON-COMMUNICABLE DISEASE
 
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