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首页> 外文期刊>The American Journal of Cardiology >Effectiveness of a volunteer-delivered lifestyle modification program for reducing cardiovascular disease risk factors
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Effectiveness of a volunteer-delivered lifestyle modification program for reducing cardiovascular disease risk factors

机译：自愿者提供的生活方式改变计划对降低心血管疾病危险因素的有效性

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Lifestyle modification has been demonstrated to effectively reduce the risk factors associated with cardiovascular disease, but there is a perception that it is costly to administer and resource. The present study examined the results achieved by a 30-day lifestyle modification program (Coronary Health Improvement Project) delivered by volunteers in a community setting. Changes in selected biometric measures of 5,070 participants in the Coronary Health Improvement Project programs delivered throughout North America (January 2006 to October 2009), were assessed. Overall, significant reductions (p < 0.001) were recorded in body mass (-3.2%), systolic and diastolic blood pressure (-4.9% and -5.3%, respectively), total cholesterol (-11.0%), low-density lipoprotein cholesterol (-13.0%), triglycerides (-7.7%), and fasting plasma glucose (-6.1%). Stratification of the data revealed more dramatic responses in those presenting with the greatest risk factor levels. Those presenting with cholesterol levels >280 mg/dl recorded an average reduction of 19.8%. A mean decrease of 16.1% in low-density lipoprotein levels was observed among those who entered the program with a low-density lipoprotein level >190 mg/dl. Individuals who presented with triglycerides >500 mg/dl recorded a mean reduction of 44.1%. The Framingham assessment forecast that approximately 70 cardiac events would be averted during the subsequent decade in the cohort because of the program. In conclusion, significant reductions in cardiovascular disease risk factors can be achieved in a 30-day lifestyle intervention delivered by volunteers, providing a cost-effective mode of administering lifestyle medicine.
机译：事实证明，改变生活方式可以有效降低与心血管疾病相关的危险因素，但是人们认为，管理和资源管理成本很高。本研究研究了由志愿者在社区中实施的一项为期30天的生活方式改善计划（冠心健康改善项目）所取得的结果。评估了在整个北美（2006年1月至2009年10月）实施的5,070名参加“冠状动脉健康改善项目”计划的参与者的选定生物识别措施的变化。总体而言，体重（-3.2％），收缩压和舒张压（分别为-4.9％和-5.3％），总胆固醇（-11.0％），低密度脂蛋白胆固醇均显着降低（p <0.001）。 （-13.0％），甘油三酸酯（-7.7％）和空腹血糖（-6.1％）。数据分层显示，在那些具有最高危险因素水平的人群中，反应更为剧烈。那些胆固醇水平> 280 mg / dl的人平均减少了19.8％。低密度脂蛋白水平> 190 mg / dl的人中，低密度脂蛋白水平平均下降16.1％。甘油三酸酯> 500 mg / dl的个体平均下降44.1％。 Framingham评估预测，由于该计划，该人群在随后的十年中将避免约70例心脏事件。总之，通过志愿者提供的为期30天的生活方式干预可以显着降低心血管疾病危险因素，从而提供一种经济有效的生活方式药物管理模式。

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