Health checks and cardiovascular risk factor values over six years' follow-up: Matched cohort study using electronic health records in England

PLoS Medicine
Samah Alageel, Martin C Gulliford

Abstract

The National Health Service (NHS) in England introduced a population-wide programme for cardiovascular disease (CVD) prevention in 2009, known as NHS Health Checks. This research aimed to measure the cardiovascular risk management and cardiovascular risk factor outcomes of the health check programme during six years' follow-up. A controlled interrupted time series study was conducted. Participants were registered with general practices in the Clinical Practice Research Datalink (CPRD) in England and received health checks between 1 April 2010 and 31 December 2013. Control participants, who did not receive a health check, were matched for age, sex, and general practice. Outcomes were blood pressure, body mass index (BMI), smoking, and total cholesterol (TC) and high-density lipoprotein cholesterol (HDL). Analyses estimated the net effect of health check by year, allowing for the underlying trend in risk factor values and baseline differences between cases and controls, adjusting for age, sex, deprivation, and clustering by general practice. There were 127,891 health check participants and 322,910 matched controls. Compared with controls, health check participants had lower BMI (cases mean 27.0, SD 4.8; controls 27.3, SD 5.6, Kg/...Continue Reading

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Citations

May 26, 2020·The International Journal of Cardiovascular Imaging·Andrea SonaglioniSergio Harari
Jan 8, 2021·Internal and Emergency Medicine·Andrea SonaglioniSergio Harari
Mar 23, 2021·Cardiovascular Research·J Harry CaufieldPeipei Ping
Apr 16, 2021·BMJ Open·Claire DuddyVivienne Hibberd
Feb 16, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·John RobsonJulia Hippisley-Cox

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