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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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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. |
format | Online Article Text |
id | pubmed-7540464 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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