Paper Information

Title: 

PREVENTION, TREATMENT AND CONTROL OF CARDIOVASCULAR DISEASE: ISFAHAN HEALTHY HEART PROGRAM

Type: SPEECH
Author(s): SARRAFZADEGAN NIZAL*,MOHAMMADIFARD NOUSHIN
 
 *ISFAHAN CARDIOVASCULAR RESEARCH CENTER, ISFAHAN CARDIOVASCULAR RESEARCH INSTITUTE, ISFAHAN UNIVERSITY OF MEDICAL SCIENCES, ISFAHAN, IRAN
 
Name of Seminar: 2ND NATIONAL AND 1ST INTERNATIONAL CONFERENCE FOR BEST PRACTICES OF PRIMARY HEALTH CARE
Type of Seminar:  CONFERENCE
Sponsor:  NORTH KHORASAN UNIVERSITY OF MEDICAL SCIENCES
Date:  2012Volume 2
 
 
Abstract: 

BACKGROUND: THIS STUDY AIMED TO EVALUATE THE OUTCOME OF A COMPREHENSIVE, COMMUNITY-BASED HEALTHY LIFESTYLE PROGRAM ON BEHAVIORAL AND CARDIO-METABOLIC RISK FACTORS. METHODS: THE ISFAHAN HEALTHY HEART PROGRAM (IHHP) WAS CONDUCTED IN TWO INTERVENTION COUNTIES (ISFAHAN AND NAJAF-ABAD) AND A CONTROL AREA (ARAK) IN IRAN. DATA FROM INDEPENDENT SAMPLE SURVEYS BEFORE (2000-1) AND AFTER (2007) THIS PROGRAM WERE USED TO COMPARE DIFFERENCES OF NUTRITION, SMOKING AND PHYSICAL ACTIVITY BEHAVIOURS AND ALSO THE PREVALENCE OF DYSLIPIDEMIA, HYPERTENSION AND OBESITY IN THE INTERVENTION AREA (IA) AND REFERENCE AREA (RA) OVER TIME. RESULTS: THE SAMPLE IN 2000-1 AND 2007 INCLUDED 6,175 AND 4,719 PARTICIPANTS IN IA, AND 6,339 AND 4,853 IN RA, RESPECTIVELY. THE CHANGE IN THE PERCENTAGE OF INDIVIDUALS FOLLOWING A HEALTHY DIET WAS +14.9% AND –2.0% IN IA VS. RA (P<0.001). DAILY SMOKING HAD DECREASED BY 0.9% IN IA AND BY 2.6% IN RA, BUT THE DIFFERENCE WAS NOT SIGNIFICANT. ENERGY EXPENDITURE FOR TOTAL DAILY PHYSICAL ACTIVITIES SHOWED A DECREASING TREND IN BOTH AREAS, BUT THE MEAN DROP FROM BASELINE WAS SIGNIFICANTLY SMALLER IN IA THAN IN THE RA (–68 METABOLIC EQUIVALENT TASK (MET) MINUTES PER WEEK VERSUS –114 MET MINUTES PER WEEK, RESPECTIVELY; P<0.05). THE PREVALENCE OF HYPERCHOLESTEROLEMIA DECREASED FROM 21.1% TO 11.1% IN IA, AND FROM 16.4% TO 14.2% IN RA (P<0.001). SIMILARLY, THE PREVALENCE OF HYPERTRIGLYCERIDEMIA SIGNIFICANTLY DECLINED BY 13.4% IN IA AND 2% IN RA (P<0.001). THE PREVALENCE OF HYPERTENSION AND ABDOMINAL OBESITY DECREASED SIGNIFICANTLY IN IA, AND INCREASED IN RA (P<0.001). CONCLUSIONS: A COMPREHENSIVE HEALTHY LIFESTYLE PROGRAM CAN BE EFFECTIVE IN LIFESTYLE MODIFICATION AND CONTROLLING CARDIO METABOLIC RISK FACTORS IN A MIDDLE-INCOME COUNTRY.

 
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