One-year cardiovascular risk and quality of life changes in participants of a health trainer service

Christopher Gidlow, Tom COCHRANE, Rachel DAVEY, Marian Beloe, Ruth Chambers, Jagdish Kumar, Yvonne Mawby, Zafar Iqbal

    Research output: Contribution to journalArticle

    3 Citations (Scopus)

    Abstract

    Aims: To explore 12-month changes in cardiovascular disease (CVD) risk and healthrelated quality of life (HRQoL) in participants of a health trainer (HT) programme. Methods: Participants were 994 adults with at least one established CVD risk factor who were referred to a HT programme. The primary outcome was 12-month change in Framingham 10 year CVD risk score. Secondary outcomes included change in individual risk factors and HRQoL. Intention to treat analysis was used to explore 12-month changes for the overall population and those classified 'high risk' (≥20% CVD risk) at baseline. Results: At baseline, 33.6% of participants were classified as 'high CVD risk' and 95.7% were overweight or obese. There were modest 12-month improvements in most modifiable CVD risk factors, but not overall CVD risk (-0.25±6.50%). In 'high-risk' participants significant reductions were evident for overall CVD risk (-2.3±8.13%) and individual risk factors. Small, significant 12-month HRQoL improvements were observed, but these were not associated with CVD risk change. Conclusions: Significant CVD risk reductions in participants in this HT programme with high baseline CVD risk (≥20%) in HRQoL in the population as a whole indicated that the programme in its current form should target high-risk patients.

    Original languageEnglish
    Pages (from-to)135-144
    Number of pages10
    JournalPerspectives in Public Health
    Volume134
    Issue number3
    DOIs
    Publication statusPublished - 2014

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    Health Services
    Cardiovascular Diseases
    Quality of Life
    Health
    Intention to Treat Analysis
    Risk Reduction Behavior
    Quality Improvement
    Population

    Cite this

    Gidlow, Christopher ; COCHRANE, Tom ; DAVEY, Rachel ; Beloe, Marian ; Chambers, Ruth ; Kumar, Jagdish ; Mawby, Yvonne ; Iqbal, Zafar. / One-year cardiovascular risk and quality of life changes in participants of a health trainer service. In: Perspectives in Public Health. 2014 ; Vol. 134, No. 3. pp. 135-144.
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    abstract = "Aims: To explore 12-month changes in cardiovascular disease (CVD) risk and healthrelated quality of life (HRQoL) in participants of a health trainer (HT) programme. Methods: Participants were 994 adults with at least one established CVD risk factor who were referred to a HT programme. The primary outcome was 12-month change in Framingham 10 year CVD risk score. Secondary outcomes included change in individual risk factors and HRQoL. Intention to treat analysis was used to explore 12-month changes for the overall population and those classified 'high risk' (≥20{\%} CVD risk) at baseline. Results: At baseline, 33.6{\%} of participants were classified as 'high CVD risk' and 95.7{\%} were overweight or obese. There were modest 12-month improvements in most modifiable CVD risk factors, but not overall CVD risk (-0.25±6.50{\%}). In 'high-risk' participants significant reductions were evident for overall CVD risk (-2.3±8.13{\%}) and individual risk factors. Small, significant 12-month HRQoL improvements were observed, but these were not associated with CVD risk change. Conclusions: Significant CVD risk reductions in participants in this HT programme with high baseline CVD risk (≥20{\%}) in HRQoL in the population as a whole indicated that the programme in its current form should target high-risk patients.",
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    One-year cardiovascular risk and quality of life changes in participants of a health trainer service. / Gidlow, Christopher; COCHRANE, Tom; DAVEY, Rachel; Beloe, Marian; Chambers, Ruth; Kumar, Jagdish; Mawby, Yvonne; Iqbal, Zafar.

    In: Perspectives in Public Health, Vol. 134, No. 3, 2014, p. 135-144.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - One-year cardiovascular risk and quality of life changes in participants of a health trainer service

    AU - Gidlow, Christopher

    AU - COCHRANE, Tom

    AU - DAVEY, Rachel

    AU - Beloe, Marian

    AU - Chambers, Ruth

    AU - Kumar, Jagdish

    AU - Mawby, Yvonne

    AU - Iqbal, Zafar

    PY - 2014

    Y1 - 2014

    N2 - Aims: To explore 12-month changes in cardiovascular disease (CVD) risk and healthrelated quality of life (HRQoL) in participants of a health trainer (HT) programme. Methods: Participants were 994 adults with at least one established CVD risk factor who were referred to a HT programme. The primary outcome was 12-month change in Framingham 10 year CVD risk score. Secondary outcomes included change in individual risk factors and HRQoL. Intention to treat analysis was used to explore 12-month changes for the overall population and those classified 'high risk' (≥20% CVD risk) at baseline. Results: At baseline, 33.6% of participants were classified as 'high CVD risk' and 95.7% were overweight or obese. There were modest 12-month improvements in most modifiable CVD risk factors, but not overall CVD risk (-0.25±6.50%). In 'high-risk' participants significant reductions were evident for overall CVD risk (-2.3±8.13%) and individual risk factors. Small, significant 12-month HRQoL improvements were observed, but these were not associated with CVD risk change. Conclusions: Significant CVD risk reductions in participants in this HT programme with high baseline CVD risk (≥20%) in HRQoL in the population as a whole indicated that the programme in its current form should target high-risk patients.

    AB - Aims: To explore 12-month changes in cardiovascular disease (CVD) risk and healthrelated quality of life (HRQoL) in participants of a health trainer (HT) programme. Methods: Participants were 994 adults with at least one established CVD risk factor who were referred to a HT programme. The primary outcome was 12-month change in Framingham 10 year CVD risk score. Secondary outcomes included change in individual risk factors and HRQoL. Intention to treat analysis was used to explore 12-month changes for the overall population and those classified 'high risk' (≥20% CVD risk) at baseline. Results: At baseline, 33.6% of participants were classified as 'high CVD risk' and 95.7% were overweight or obese. There were modest 12-month improvements in most modifiable CVD risk factors, but not overall CVD risk (-0.25±6.50%). In 'high-risk' participants significant reductions were evident for overall CVD risk (-2.3±8.13%) and individual risk factors. Small, significant 12-month HRQoL improvements were observed, but these were not associated with CVD risk change. Conclusions: Significant CVD risk reductions in participants in this HT programme with high baseline CVD risk (≥20%) in HRQoL in the population as a whole indicated that the programme in its current form should target high-risk patients.

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    KW - England

    KW - Male

    KW - Fitness Centers/statistics & numerical data

    KW - Quality of Life

    KW - Female

    KW - Surveys and Questionnaires

    KW - Aged

    KW - Cardiovascular Diseases/etiology

    KW - Databases, Factual

    KW - MSM

    KW - health promotion

    KW - HIV prevention

    KW - European

    KW - collaboration

    KW - public health

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    M3 - Article

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    JO - Journal of The Royal Society for the Promotion of Health

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