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Effect and efficacy of lifestyle interventions as secondary prevention

INTRODUCTION: Improvements in health behaviour are often recommended as part of secondary prevention in patients with stroke and transient ischaemic attack. However, there is a lack of knowledge as to how this is applied in clinical practice. AIM: In this systematic review and meta‐analysis, we exam...

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Autores principales: Liljehult, Jacob, Christensen, Thomas, Molsted, Stig, Overgaard, Dorthe, Mesot Liljehult, Monique, Møller, Tom
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540464/
https://www.ncbi.nlm.nih.gov/pubmed/32620044
http://dx.doi.org/10.1111/ane.13308
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author Liljehult, Jacob
Christensen, Thomas
Molsted, Stig
Overgaard, Dorthe
Mesot Liljehult, Monique
Møller, Tom
author_facet Liljehult, Jacob
Christensen, Thomas
Molsted, Stig
Overgaard, Dorthe
Mesot Liljehult, Monique
Møller, Tom
author_sort Liljehult, Jacob
collection PubMed
description INTRODUCTION: Improvements in health behaviour are often recommended as part of secondary prevention in patients with stroke and transient ischaemic attack. However, there is a lack of knowledge as to how this is applied in clinical practice. AIM: In this systematic review and meta‐analysis, we examined the effect of counselling or educational intervention directed at individual or multiple behavioural risk factors on blood pressure and other reported outcomes. METHODS: PubMed, Embase, PsycInfo, CINAHL, Scopus and Web of Science were systematically searched. Meta‐analyses were conducted on all outcome measures if appropriate. A qualitative analysis of the content of the interventions was conducted to review which elements the interventions consisted of. RESULTS: Twenty‐nine randomized controlled trials were identified. Fourteen reported effects on systolic blood pressure, and pooled results showed a significant beneficial effect (n = 2,222; −3.85 mmHg [95%CI −6.43; −1.28]). The effect was greatest in the four interventions which included supervised training (n = 174; −9.83 mmHg [95%CI −16.56; −3.09]). CONCLUSION: Modifying health behaviour in stroke survivors might have a moderate beneficial effect on blood pressure, especially if the intervention includes supervised physical training.
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spelling pubmed-75404642020-10-09 Effect and efficacy of lifestyle interventions as secondary prevention Liljehult, Jacob Christensen, Thomas Molsted, Stig Overgaard, Dorthe Mesot Liljehult, Monique Møller, Tom Acta Neurol Scand Review Articles INTRODUCTION: Improvements in health behaviour are often recommended as part of secondary prevention in patients with stroke and transient ischaemic attack. However, there is a lack of knowledge as to how this is applied in clinical practice. AIM: In this systematic review and meta‐analysis, we examined the effect of counselling or educational intervention directed at individual or multiple behavioural risk factors on blood pressure and other reported outcomes. METHODS: PubMed, Embase, PsycInfo, CINAHL, Scopus and Web of Science were systematically searched. Meta‐analyses were conducted on all outcome measures if appropriate. A qualitative analysis of the content of the interventions was conducted to review which elements the interventions consisted of. RESULTS: Twenty‐nine randomized controlled trials were identified. Fourteen reported effects on systolic blood pressure, and pooled results showed a significant beneficial effect (n = 2,222; −3.85 mmHg [95%CI −6.43; −1.28]). The effect was greatest in the four interventions which included supervised training (n = 174; −9.83 mmHg [95%CI −16.56; −3.09]). CONCLUSION: Modifying health behaviour in stroke survivors might have a moderate beneficial effect on blood pressure, especially if the intervention includes supervised physical training. John Wiley and Sons Inc. 2020-07-15 2020-10 /pmc/articles/PMC7540464/ /pubmed/32620044 http://dx.doi.org/10.1111/ane.13308 Text en © 2020 The Authors. Acta Neurologica Scandinavica published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Review Articles
Liljehult, Jacob
Christensen, Thomas
Molsted, Stig
Overgaard, Dorthe
Mesot Liljehult, Monique
Møller, Tom
Effect and efficacy of lifestyle interventions as secondary prevention
title Effect and efficacy of lifestyle interventions as secondary prevention
title_full Effect and efficacy of lifestyle interventions as secondary prevention
title_fullStr Effect and efficacy of lifestyle interventions as secondary prevention
title_full_unstemmed Effect and efficacy of lifestyle interventions as secondary prevention
title_short Effect and efficacy of lifestyle interventions as secondary prevention
title_sort effect and efficacy of lifestyle interventions as secondary prevention
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540464/
https://www.ncbi.nlm.nih.gov/pubmed/32620044
http://dx.doi.org/10.1111/ane.13308
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