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首页> 外文期刊>BMC Family Practice >Statin prescription initiation and lifestyle behaviour: a primary care cohort study
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Statin prescription initiation and lifestyle behaviour: a primary care cohort study

机译：他汀类药物处方的发起和生活方式：一项初级保健队列研究

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Background Statin prescribing and healthy lifestyles contribute to declining cardiovascular disease mortality. Recent guidelines emphasise the importance of giving lifestyle advice in association with prescribing statins but adherence to healthy lifestyle recommendations is sub-optimal. However, little is known about any change in patients’ lifestyle behaviours when starting statins or of their recall of receiving advice. This study aimed to examine patients’ diet and physical activity (PA) behaviours and their recall of lifestyle advice following initiation of statin prescribing in primary care. Method In 12 general practices, patients with a recent initial prescription of statin therapy, were invited to participate. Those who agreed received a food diary by post, to record food consumed over 4 consecutive days and return to the researcher. We also telephoned participants to administer brief validated questionnaires to assess typical daily diet (DINE) and PA level (Godin). Using the same methods, food diaries and questionnaires were repeated 3?months later. At both times participants were asked if they had changed their behaviour or received advice about their diet or PA. Results Of 384 invited, 122 (32?%) participated; 109 (89.3?%) completed paired datasets; 50 (45.9?%) were male; their mean age was 64?years. 53.2?% (58/109) recalled receiving lifestyle advice. Of those who did, 69.0?% (40/58) reported having changed their diet or PA, compared to 31.4?% (16/51) of those who did not recall receiving advice. Initial mean daily saturated fat intake (12.9?% (SD3.5) of total energy) was higher than recommended; mean fibre intake (13.8?g/day (SD5.5)), fruit/vegetable consumption (2.7 portions/day (SD1.3)) and PA levels (Godin score 7.1 (SD13.9)) were low. Overall, although some individuals showed evidence of behaviour change, there were no significant changes in the proportions who reported high or medium fat intake (42.2?% v 49.5?%), low fibre (51.4?% v 55.0?%), or insufficient PA (80.7?% v 83.5?%) at 3-month follow-up. Conclusion Whilst approximately half of our cohort recalled receiving lifestyle advice associated with statin prescribing this did not translate into significant changes in diet or PA. Further research is needed to explore gaps between people’s knowledge and behaviours and determine how best to provide advice that supports behaviour change.
机译：背景替他汀开处方和健康的生活方式有助于降低心血管疾病的死亡率。最近的指南强调了与处方他汀类药物相关的生活方式建议的重要性，但坚持健康生活方式的建议并不理想。但是，对于开始服用他汀类药物或召回接受建议的患者生活方式的任何变化知之甚少。这项研究旨在检查患者的饮食和身体活动（PA）行为，以及他们在初级保健中开始使用他汀类药物后对生活方式建议的记忆。方法在12种常规做法中，邀请最近接受他汀类药物初始处方治疗的患者参加。同意的人通过邮寄食物日记，记录连续4天食用的食物并返回研究人员。我们还打电话给参与者，以进行简短有效的问卷调查，以评估典型的日常饮食（DINE）和PA水平（Godin）。使用相同的方法，在3个月后重复食物日记和问卷。两次都询问参与者是否改变了行为或接受了有关饮食或PA的建议。结果384人参加，其中122人（占32％）; 109个（89.3％）已完成的配对数据集; 50名（45.9％）是男性;他们的平均年龄是64岁。 53.2％（58/109）的人回忆起接受过生活方式方面的建议。做过这些的人中，有69.0％（40/58）的人改变了饮食或PA，相比之下，没有回想起咨询意见的人中有31.4％（16/51）的人。最初的每日平均饱和脂肪摄入量（占总能量的12.9％（SD3.5））高于建议值;平均纤维摄入量（13.8微克/天（SD5.5）），水果/蔬菜消费（2.7份/天（SD1.3））和PA水平（Godin评分7.1（SD13.9））较低。总体而言，尽管有些人表现出行为改变的证据，但报告高脂肪摄入量或中脂肪摄入量（42.2％v 49.5％），低纤维含量（51.4％v 55.0％）或不足的比例没有显着变化。在3个月的随访中，PA（80.7 %% vs 83.5％）。结论虽然大约一半的研究对象回忆起接受与他汀类药物相关的生活方式建议，但这并未转化为饮食或PA的显着变化。需要进行进一步的研究，以探索人们的知识与行为之间的差距，并确定如何最好地提供支持行为改变的建议。

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