Acute Myocardial Infarction (STEMI/ NSTEMI), Obesity /Overweight
Conditions
Brief summary
Results after interventions on lifestyle in the secondary prevention of ischemic heart disease are not always consistent, and the Guidelines multidisciplinary measures aren't easily achievable. Therefore, the purpose of this research project is the identification of an interventional approach to effective secondary prevention and realistic feasibility, in a field of multifactorial risk. The study is open to patients who totaled a double chronic disease, obesity/overweight and coronary heart disease, and who experienced a first event of ischemic cardiac infarction (AMI). The aim is to evaluate the effectiveness of a group educational intervention in a sample of overweight and obese patients (BMI \> 24.9) incurred in a first episode of acute myocardial infarction (non-STEMI and STEMI), comparing with the classic approach of prescriptive diet therapy.
Interventions
BEHAVIORALeducational group intervention
BEHAVIORALprescriptive diet
Sponsors
Fondazione IRCCS Policlinico San Matteo di Pavia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
Subjects of both sexes and age ≥ of 18 years consecutively admitted to the Coronary Unit of IRCCS Foundation Policlinico S. Matteo, at first episode of STEMI or non-STEMI AMI, with BMI greater than 24.9.
Exclusion criteria
Patients who can not provide informed consent (because illiterate or with significant language barrier or severe deficit/cognitive decays). Subjects with diseases and/or disabling organ damage. Subjects affected by active neoplasm. Individuals who have submitted arhythmic complications in acute and/or heart failure, or people referring to post-AMI residential rehabilitation. Subjects that are carriers of severe psychiatric disorders diagnosed by DSM-V -TR.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| reduction of body weight | 6 months | The proportion of subjects with a 10% reduction in body weight at 6 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of life | 6 months | quality of life (assessed by SF-36 questionnaire at baseline and 6 months after infarction). |
| Reduction of reinfarction and revascularization | 1 year | — |
| general and specific mortality | 1 year | relative risk of death from all causes and from ischemic heart disease (no. of overall deaths and cardiovascular causes). |
Countries
Italy
Outcome results
None listed