Featured Research

from universities, journals, and other organizations

Program helps at-risk family members of patients with heart disease improve their own heart health

Date:
November 18, 2013
Source:
Canadian Medical Association Journal
Summary:
Family members of patients with heart disease adopted healthier lifestyles and decreased their risk of a cardiovascular event after participating in a program to improve heart health, according to a clinical trial.

Family members of patients with heart disease adopted healthier lifestyles and decreased their risk of a cardiovascular event after participating in a program to improve heart health, according to a clinical trial published in CMAJ (Canadian Medical Association Journal).

Related Articles


Family members of patients with coronary heart disease have a higher risk of cardiovascular disease, with behavioural factors such as poor diet, lack of exercise and tobacco use playing a role in addition to genetic factors.

A year-long family heart-health study involving 426 siblings, children and spouses of patients hospitalized for an acute coronary event looked at the impact of a specialized intervention program on cholesterol levels, physical activity, fruit and vegetable consumption and other outcomes. The clinical trial randomized 211 family members to an intervention group, which received 17 counselling sessions with a trained health educator, goal setting and feedback. Detailed reports on health status and recommendations were also sent to the patients' primary doctor. By contrast, the 215 family members in the control group received only printed materials on smoking cessation, healthy eating, physical activity and weight management.

People in the intervention group became more physically active, engaging in an additional 66 minutes of weekly physical activity at the 3-month mark compared with controls. By the 12-month mark, they were performing 24 extra minutes of activity -- less than at 3 months but more than at the start of the trial. Family members in the intervention group added more fruit and vegetables to their diets; body mass index and waist circumference were also reduced. However, there appeared to be no effect on the ratio of total cholesterol to high-density lipoprotein cholesterol.

"The effects of the heart-health intervention in motivating and enabling behaviour changes are impressive and clinically important," writes Dr. Robert Reid, Ottawa Heart Institute, Ottawa, Ontario, Canada, with coauthors. "Self-reported changes in physical activity, dietary patterns and smoking cessation were corroborated by improvements in objective measures such as body mass index, waist circumference and expired carbon monoxide."

More people in the intervention group than in the control group stopped smoking after 1 year (6 v. 1 respectively).

The authors suggest that the components of the program -- goal-setting, self-monitoring, frequent contact with health educators, feedback and other elements -- were motivators for behavioural change compared with more passive approaches, such as generic handouts used by many physicians in practice.

Lessons learned:

  • Family members were interested to learn about their personal risk of heart disease and how to decrease risk.
  • Hearing their risk level prompted many participants to change behaviours.
  • Participants were motivated and willing to have frequent contact with health educators over the telephone.

"High participant engagement and a reasonable cost per participant ($240) suggest that the intervention is feasible in nontrial settings," write the authors.


Story Source:

The above story is based on materials provided by Canadian Medical Association Journal. Note: Materials may be edited for content and length.


Journal Reference:

  1. R. D. Reid, L. A. McDonnell, D. L. Riley, A. E. Mark, L. Mosca, L. Beaton, S. Papadakis, C. M. Blanchard, H. Mochari-Greenberger, P. O'Farrell, G. A. Wells, M. E. S. D'Angelo, A. L. Pipe. Effect of an intervention to improve the cardiovascular health of family members of patients with coronary artery disease: a randomized trial. Canadian Medical Association Journal, 2013; DOI: 10.1503/cmaj.130550

Cite This Page:

Canadian Medical Association Journal. "Program helps at-risk family members of patients with heart disease improve their own heart health." ScienceDaily. ScienceDaily, 18 November 2013. <www.sciencedaily.com/releases/2013/11/131118132908.htm>.
Canadian Medical Association Journal. (2013, November 18). Program helps at-risk family members of patients with heart disease improve their own heart health. ScienceDaily. Retrieved December 20, 2014 from www.sciencedaily.com/releases/2013/11/131118132908.htm
Canadian Medical Association Journal. "Program helps at-risk family members of patients with heart disease improve their own heart health." ScienceDaily. www.sciencedaily.com/releases/2013/11/131118132908.htm (accessed December 20, 2014).

Share This


More From ScienceDaily



More Health & Medicine News

Saturday, December 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

The Best Tips to Curb Holiday Carbs

The Best Tips to Curb Holiday Carbs

Buzz60 (Dec. 19, 2014) It's hard to resist those delicious but fattening carbs we all crave during the winter months, but there are some ways to stay satisfied without consuming the extra calories. Vanessa Freeman (@VanessaFreeTV) has the details. Video provided by Buzz60
Powered by NewsLook.com
Sierra Leone Bikers Spread the Message to Fight Ebola

Sierra Leone Bikers Spread the Message to Fight Ebola

AFP (Dec. 19, 2014) More than 100 motorcyclists hit the road to spread awareness messages about Ebola. Nearly 7,000 people have now died from the virus, almost all of them in west Africa, according to the World Health Organization. Video provided by AFP
Powered by NewsLook.com
Researchers Test Colombian Village With High Alzheimer's Rates

Researchers Test Colombian Village With High Alzheimer's Rates

AFP (Dec. 19, 2014) In Yarumal, a village in N. Colombia, Alzheimer's has ravaged a disproportionately large number of families. A genetic "curse" that may pave the way for research on how to treat the disease that claims a new victim every four seconds. Duration: 02:42 Video provided by AFP
Powered by NewsLook.com
The Best Protein-Filled Foods to Energize You for the New Year

The Best Protein-Filled Foods to Energize You for the New Year

Buzz60 (Dec. 19, 2014) The new year is coming and nothing will energize you more for 2015 than protein-filled foods. Fitness and nutrition expert John Basedow (@JohnBasedow) gives his favorite high protein foods that will help you build muscle, lose fat and have endless energy. Video provided by Buzz60
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins