Risk factors for stroke and cardiovascular disease Circulatory System Complications and ill-defined descriptions of heart disease
Conditions
Interventions
The education and rehabilitation program at Vindeln Health Centra (VHE-centre) has recently been described. A problem-based learning perspective was established and the responsibility of planning and
Sponsors
Umeå University (Sweden)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. All ages and both men and women 2. Remittance from primary health care or hospital doctors to target the components of a healthy lifestyle. The patients admitted to the centre in groups of 30 for a comprehensive activity 3. Able to take part in a four week long and organised program 4. The randomisation was performed after the inclusion of participants which eliminated the risk of selection bias. The outcomes from the intervention were assessed at baseline, after four weeks, sixth month and 11/2 year or one year and five years by the health care staff. 5. Sixty-four percent of the patients were hypertensive, 20% had type 2 diabetes mellitus, and 55% had a body mass index (BMI) greater than 30. In addition to the main diagnosis, around 50% had a second subsidiary diagnosis and exhibited a high number of risk factors associated with the insulin resistance syndrome.
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Survival analysis and ECG recordings 2. Dietary assessments before and after the four week intervention 3. Baseline to follow up after 6 months, 1 or 11/2 years and 5 years for stroke and CVD risk factors 4. Weight loss and improved VO2-max | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Changes in risk factor levels including weight loss and all-cause and CVD mortality over short and long term 2. ECG-changes, with MI-signs calculations at baseline and after 5 years 3. Food selections at admittance and at one year follow up registered by a questionnaire developed for this study 4. Psycho-social status and stress related health behaviour evaluation from questionnaires 5. Death certificates to assure diagnosis related risk factor changes | — |
Countries
Sweden
Outcome results
None listed