Has brief counselling an impact on the risk factors for cardiovascular disease in 40-year-old men. A three-year follow-up study

• Authors: Anita Näslindh-Ylispangar , Marja Sihvonen , Seppo Sarna , Hannu Vanhanen , Pertti Kekki
• Languages of publication: EN

Abstracts

EN

The metabolic syndrome presents a serious challenge to health professionals. The aim of the present study is to analyze the impact of a brief counselling on cardiovascular risk factors among 40-year-old men. Forty-six males living in north-eastern Helsinki voluntarily completed the follow-up study between 2001 and 2004, and were assessed for clinical risk factors. The mean differences were determined by a paired t-test, and the interaction between groups and time by the F-test with repeated measures ANOVA. After baseline assessment and in 2002, males received a 45 minute nurse-delivered counselling session with self-administered protocol. Cardiovascular risk factors improved significantly (p<0.05) from baseline within months. However, the final measurements obtained after three years showed that almost all risk factors, except the low and high density lipoprotein, tended to revert back to baseline. The profiles were similar in all predictor groups. Brief counselling had an impact on risk factors measured in 2002, but only a partial effect on them in 2004. Conclusive results lead to the idea thatmore collaboration is needed between private health care agencies and official primary health care for ensuring the continuity of improved health habits among middle-aged males.

Keywords

EN

Risk factors; Middle-aged men; Brief counselling; Follow-up study; Collaboration

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2008
• Volume: 3
• Issue: 3
• Pages: 300-307

Dates

published

1 - 9 - 2008

online

10 - 7 - 2008

Contributors

author

Anita Näslindh-Ylispangar

• Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland

author

Marja Sihvonen

• Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland

author

Seppo Sarna

• Department of Public Health at University of Helsinki, Helsinki, Finland

author

Hannu Vanhanen

• Heart District of Helsinki, Helsinki, Finland

author

Pertti Kekki

• Department of General Practice and Primary Health Care, University of Helsinki, Helsinki, Finland

References

• [1] Zimmet P., Alberti M., Shaw J., Global and societal implications of the diabetes epidemic, Nature 2001, 414, 782–787 http://dx.doi.org/10.1038/414782a[Crossref]
• [2] Lakka H.M., Laaksonen D.E., Lakka, T.A., Niskanen L.K., Kumpusalo E., Tuomilehto J., Salonen J.T., The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men, JAMA 2002, 288, 2709–16 http://dx.doi.org/10.1001/jama.288.21.2709[Crossref]
• [3] Eckel R.H., Grundy S.M., Zimmet P.Z., The metabolic syndrome, Lancet 2005, 365, 1415–1428 http://dx.doi.org/10.1016/S0140-6736(05)66378-7[WoS][Crossref]
• [4] Sowers J.R., Recommendations for special populations: Diabetes mellitus and the metabolic syndrome, Am. J. Hypertens. 2003, 16, 41–45 http://dx.doi.org/10.1016/j.amjhyper.2003.07.009[Crossref]
• [5] Wannamethee S.G., Shaper A.G., Walker M., Overweight and obesity and weight change in middle aged men: impact on cardiovascular disease and diabetes, J. Epidemiol. Commun. H. 2005, 59, 134–9 http://dx.doi.org/10.1136/jech.2003.015651[Crossref]
• [6] Hu G., Quiao Q., Tuomilehto J., Balkau B., Borch-Johnsen K., Pyörälä K., Prevalence of the metabolic syndrome and its relation to all-cause and cardiovascular mortality in nondiabetic European men and woman. Arch. Intern. Med. 2002, 164, 1066–1076 http://dx.doi.org/10.1001/archinte.164.10.1066[Crossref]
• [7] Weinbrenner T., Schroder H., Escurriol V., Fito M., Elosua R., Vila J., Marrugat J., Covas M.I., Circulating oxidized LDL is associated with increased waist circumference independent of body mass index in men and women, Am. J. Clin. Nutr. 2006, 83, 30–5
• [8] Tones K., Tilford S., Robinson Y., Health Education: Effectiveness and efficiency, Chapman & Hall, London, 1990 [Crossref][WoS]
• [9] Bertholet N., Daeppen J.B., Wietlisbach V., Fleming M., Burnand M., Reduction of Alcohol Consumption by Brief Alcohol Intervention in Primary Care: Systematic Review and Meta-analysis, Arch. Intern. Med., 2005, 165, 986–995 http://dx.doi.org/10.1001/archinte.165.9.986[Crossref]
• [10] Aalto M., Seppä K., Mattila P. Mustonen H, Ruuth K, Hyvärinen H, et al., Brief intervention for heavy drinkers in routine general practice: a three-year randomized controlled study, Alcohol Alcohol. 2001, 36, 224–230 [Crossref]
• [11] Fleming M.F., Mundt M.P., French M.T., Manwell L.B., Stauffacher E.A., Barry K.L., Brief physician advice for problem drinkers: long-term efficacy and benefit-cost analysis. Alcohol. Clin. Exp. Res. 2002, 26, 36–43 [Crossref]
• [12] Berkel T.F., Boersma H., Roos-Hesselink J.W., Erdman R.A., Simoons M.L.. Impact of smoking cessation and smoking interventions in patients with coronary heart disease. Eur. Heart. J. 1999, 20, 1773–82 http://dx.doi.org/10.1053/euhj.1999.1658[Crossref]
• [13] Helakorpi S., Uutela A., Prättälä R., Puska P., Health behaviour and health among Finnish adult population, Publications of National Health Institute, Hakapaino Oy, Helsinki, 2000
• [14] Wood D., European and American recommendations for coronary heart disease prevention, Eur. Heart. J. 1998, 19, 12–9
• [15] World Health Organization, Obesity: Preventing and managing the global epidemic: Report of a WHO Consultation Group, Geneva, World Health Organisation, Tech. Rep. Ser, 894, 2000
• [16] Manderbacka K., Lahelma E., Martikainen P., Examining the continuity of self-rated health, Int. J. Epidemiol. 1998, 27, 208–213 http://dx.doi.org/10.1093/ije/27.2.208[Crossref]
• [17] Kivimäki M., Head J., Ferrie J.E., Hemingway H., Shipley M.J., Vahtera J., Marmot M.G., Working while as ill as a risk factor for serious coronary events: The Whitehall II Study, Am. J. Public Health 2005, 95, 98–102 http://dx.doi.org/10.2105/AJPH.2003.035873[Crossref]
• [18] Näslindh-Ylispangar A., Sihvonen M., Vanhanen H., Kekki P., Self-rated health and risk factors for metabolic syndrome among middle-aged men, Public Health Nurs. 2005, 22, 515–522 http://dx.doi.org/10.1111/j.0737-1209.2005.220607.x[Crossref]
• [19] Munro C., Statistical methods for health care research, Lippincott Williams & Wilkins, Philadelphia, 2001
• [20] Vickers A.J., Altman D.G., Analysing controlled trials with baseline and follow up measurements, BMJ 2001, 327, 1123–1124 http://dx.doi.org/10.1136/bmj.323.7321.1123[Crossref]
• [21] Vickers A.J., How many repeated measures in repeated measures. Statistical issues for comparative trials, 2003, http://www.biomedcentral.com/1471-2288/3/22
• [22] Cook N.R., Cohen J., Hebert P.R., Taylor J.O., Hennekens C.H., Implications of small reductions in diastolic blood pressure for primary prevention, Arch. Intern. Med. 1995, 155, 701–709 http://dx.doi.org/10.1001/archinte.155.7.701[Crossref]
• [23] Prochaska J.O., Velicer W.F., Rossi J.S., et. al., Stages of change and decisional balance for 12 problem behaviours, Health Psychol. 1994, 13, 39–46 http://dx.doi.org/10.1037/0278-6133.13.1.39[Crossref]
• [24] Prochaska J.O., Velicer W.F., The transtheoretical model of health behaviour change, Am. J. Health Prom. 1997, 12, 38–48 [Crossref]
• [25] Velicer W.F., Prochaska J.O., Fava J.L., Norman G.J., Redding C. A., Smoking cessation and stress management: Applications of the transtheoretical model of behavior change, Homeostasis 1998, 38, 216–233
• [26] Kukkonen-Harjula K.T., Borg P.T., Nenonen A.M., Fogelholm M.G., Effects of a weight maintenance program with or without exercise on the metabolic syndrome: a randomized trial in obese men, Prev. Med. 2005, 41, 784–90 http://dx.doi.org/10.1016/j.ypmed.2005.07.008[Crossref]
• [27] Jurca R., Lamonte M.J., Barlow C.E., Kampert J.B., Church T.S., Blair S.N., Association of muscular strength with incidence of metabolic syndrome in men, Med. Sci. Sport. Exer. 2005, 37, 1849–55 http://dx.doi.org/10.1249/01.mss.0000175865.17614.74[Crossref]
• [28] Näslindh-Ylispangar A, Dihvonen M., Kekki P., Health, utilization of health services, ‘core’ information, and reasons for non-participation. A triangulation study amongst non-respondents, Journal of Clinical Nursing 2008 (in press) [WoS][Crossref]
• [29] Hoeymans N., Feskens E.J., Van Den Bos G.A., Kromhout D., Non-response bias in a study of cardiovascular diseases, functional status and selfrated health among elderly men. Age Ageing 1998, 27, 35–40 http://dx.doi.org/10.1093/ageing/27.1.35[Crossref]
• [30] Weissman M.M., Klerman G.L., Sex differences and the epidemiology of depression, Arch. Gen. Psychiat. 1997, 34, 98–111
• [31] Courtenay W.H., Behavioral factors associated with disease, injury, and death among men: Evidence and implications for prevention, The Journal of Men’s Studies 2000, 9, 81–142 http://dx.doi.org/10.3149/jms.0901.81[Crossref]
• [32] Galdas P., Cheater F., Marshall P., Men and healthseeking behaviour: literature review, JAN 2005, 49, 616–623 http://dx.doi.org/10.1111/j.1365-2648.2004.03331.x[Crossref]
• [33] Griffiths S., Men’s health: unhealthy lifestyles and unwillingness to seek medical help, BMJ 1996, 312, 69–70
• [34] Barton A., Men’s health: a cause for concern, Nurs. Stand. 2000, 15, 47–52
• [35] Renders C.M., Valk G.D., Griffin S.J., Wagner E.H., Eijk Van J.T., Assendelft W.J., Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review, Diabetes Care 2001, 10, 1821–33 http://dx.doi.org/10.2337/diacare.24.10.1821[Crossref]

Identifiers

DOI

10.2478/s11536-008-0034-x