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Lifestyle Intervention for Cardiovascular Disease Risk Factors in Jeddah, Saudi Arabia

Background Cardiovascular disease (CVD) remains the major cause of global mortality. Applying a comprehensive interventional program may reduce the incidence of cardiovascular disease and its complications. Objective This study compared the effects of a three-month intervention involving lifestyle m...

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Autores principales: Khouja, Jumana H, Al Jasir, Badr, Bargawi, Amina A, Kutbi, Mohammed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716383/
https://www.ncbi.nlm.nih.gov/pubmed/33282602
http://dx.doi.org/10.7759/cureus.11791
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author Khouja, Jumana H
Al Jasir, Badr
Bargawi, Amina A
Kutbi, Mohammed
author_facet Khouja, Jumana H
Al Jasir, Badr
Bargawi, Amina A
Kutbi, Mohammed
author_sort Khouja, Jumana H
collection PubMed
description Background Cardiovascular disease (CVD) remains the major cause of global mortality. Applying a comprehensive interventional program may reduce the incidence of cardiovascular disease and its complications. Objective This study compared the effects of a three-month intervention involving lifestyle modification and physical activity with standard care in women ≥30 years having a moderate to high risk of CVD, with respect to improving physical activity and cardiovascular disease risk factors at the National Guard Residential City in Jeddah, Saudi Arabia, in 2015. Methods The effects of this community-based lifestyle program were assessed through a randomized controlled trial from January 1st to September 6th, 2015. Women in the intervention group (n = 31) received health education, exercise training, and diet counselling as individuals and in groups according to the participant’s risk. Women in the control group (n = 28) received one health education session at the screening site. The primary outcome was the proportion of women with moderate Framingham risk scores (FRS) reducing their risk by 10% and the proportion of women with high FRS reducing their risk by 25%. The secondary outcome was the proportion of women reducing their risk by ≥1 risk category. Results The mean participant age was 42 ± 8 years. At three-month’s follow-up, reductions were greater in the intervention group and the difference between groups was statistically significant (p < 0.05). Lifestyle intervention program significantly reduced systolic blood pressure (-9.2 mmHg), blood glucose (-45 mg/dL) and Framingham risk score (-13.6). Linear regression analysis revealed a significant improvement in the Framingham risk score (p < 0.01). Conclusion In a population of women with moderate-to-high risk of CVD, a personalized lifestyle modification program showed positive association in improving the 10-year cardiovascular Framingham risk score after three months.
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spelling pubmed-77163832020-12-05 Lifestyle Intervention for Cardiovascular Disease Risk Factors in Jeddah, Saudi Arabia Khouja, Jumana H Al Jasir, Badr Bargawi, Amina A Kutbi, Mohammed Cureus Preventive Medicine Background Cardiovascular disease (CVD) remains the major cause of global mortality. Applying a comprehensive interventional program may reduce the incidence of cardiovascular disease and its complications. Objective This study compared the effects of a three-month intervention involving lifestyle modification and physical activity with standard care in women ≥30 years having a moderate to high risk of CVD, with respect to improving physical activity and cardiovascular disease risk factors at the National Guard Residential City in Jeddah, Saudi Arabia, in 2015. Methods The effects of this community-based lifestyle program were assessed through a randomized controlled trial from January 1st to September 6th, 2015. Women in the intervention group (n = 31) received health education, exercise training, and diet counselling as individuals and in groups according to the participant’s risk. Women in the control group (n = 28) received one health education session at the screening site. The primary outcome was the proportion of women with moderate Framingham risk scores (FRS) reducing their risk by 10% and the proportion of women with high FRS reducing their risk by 25%. The secondary outcome was the proportion of women reducing their risk by ≥1 risk category. Results The mean participant age was 42 ± 8 years. At three-month’s follow-up, reductions were greater in the intervention group and the difference between groups was statistically significant (p < 0.05). Lifestyle intervention program significantly reduced systolic blood pressure (-9.2 mmHg), blood glucose (-45 mg/dL) and Framingham risk score (-13.6). Linear regression analysis revealed a significant improvement in the Framingham risk score (p < 0.01). Conclusion In a population of women with moderate-to-high risk of CVD, a personalized lifestyle modification program showed positive association in improving the 10-year cardiovascular Framingham risk score after three months. Cureus 2020-11-30 /pmc/articles/PMC7716383/ /pubmed/33282602 http://dx.doi.org/10.7759/cureus.11791 Text en Copyright © 2020, Khouja et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Preventive Medicine
Khouja, Jumana H
Al Jasir, Badr
Bargawi, Amina A
Kutbi, Mohammed
Lifestyle Intervention for Cardiovascular Disease Risk Factors in Jeddah, Saudi Arabia
title Lifestyle Intervention for Cardiovascular Disease Risk Factors in Jeddah, Saudi Arabia
title_full Lifestyle Intervention for Cardiovascular Disease Risk Factors in Jeddah, Saudi Arabia
title_fullStr Lifestyle Intervention for Cardiovascular Disease Risk Factors in Jeddah, Saudi Arabia
title_full_unstemmed Lifestyle Intervention for Cardiovascular Disease Risk Factors in Jeddah, Saudi Arabia
title_short Lifestyle Intervention for Cardiovascular Disease Risk Factors in Jeddah, Saudi Arabia
title_sort lifestyle intervention for cardiovascular disease risk factors in jeddah, saudi arabia
topic Preventive Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716383/
https://www.ncbi.nlm.nih.gov/pubmed/33282602
http://dx.doi.org/10.7759/cureus.11791
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