Multifactorial lifestyle interventions in the primary and secondary prevention of cardiovascular disease and type 2 diabetes mellitus--a systematic review of randomized controlled trials

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine
Lucia AngermayrKlaus Linde

Abstract

This systematic review aims to summarize the available randomized trials of multifactorial lifestyle interventions in the primary and secondary prevention of coronary heart disease and type 2 diabetes mellitus. Randomized trials investigating the effects of lifestyle interventions including the elements of diet, physical activity, and stress management in people at increased risk for or with manifest coronary heart disease or type 2 diabetes mellitus were searched for in five electronic database and by citation tracking. Quality was assessed using the Cochrane Collaboration's risk of bias tool. Exploratory effect size calculations were performed for a variety of laboratory and clinical outcome measures. Twenty-five trials including a total of 7,703 participants met the inclusion criteria. Fifteen trials were in patients with coronary heart disease, seven in patients with type 2 diabetes mellitus, and three on primary prevention. The interventions varied greatly regarding concept, intensity, and providers. Compared to participants in "usual care" control groups, there were no consistent effects on lipid levels and blood pressure and small effects on body mass index and glycated hemoglobin (HbA1c). Composite cardiac event rates w...Continue Reading

References

Sep 20, 1995·JAMA : the Journal of the American Medical Association·K L GouldW T Armstrong
Jan 1, 1995·Journal of Cardiopulmonary Rehabilitation·B OldenburgR Allan
Dec 24, 1998·JAMA : the Journal of the American Medical Association·D OrnishR J Brand
Jul 13, 2000·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·D J ToobertJ L Radcliffe
Mar 27, 2001·Scandinavian Journal of Work, Environment & Health·P M NilssonP Nyberg
Oct 31, 2001·Public Health Nutrition·D Kromhout
Aug 14, 2002·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Vicki S ConnHarris M Cooper
May 6, 2003·Health Education Research·H C CooperG Gill
Aug 14, 2003·Patient Education and Counseling·Helen CooperGeoff Gill
Oct 4, 2003·International Journal of Behavioral Medicine·Orjan SundinArne Ohman
Dec 13, 2003·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·UNKNOWN Vestfold Heartcare Study Group
Jan 22, 2004·International Journal of Behavioral Medicine·Ellen H SebregtsAd Appels
Jan 6, 2005·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Jan LisspersAke Nygren
Jan 15, 2005·Annals of the New York Academy of Sciences·Mariam KloucheStefan Rose-John
Apr 13, 2005·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Deborah J ToobertKaryn Angell
Apr 20, 2005·Annals of Internal Medicine·Trevor J OrchardUNKNOWN Diabetes Prevention Program Research Group
Nov 3, 2005·Annals of Internal Medicine·Alexander M ClarkFinlay A McAlister
Dec 2, 2005·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Pantaleo GiannuzziUNKNOWN GOSPEL
Jan 10, 2006·Annals of the New York Academy of Sciences·L VitettaA Sali
Jul 1, 2006·Journal of General Internal Medicine·David EdelmanTracy W Gaudet
Oct 26, 2006·Medical Care·Kate R LorigKathryn Plant
Jan 19, 2007·The International Journal of Behavioral Nutrition and Physical Activity·Deborah J ToobertGerdi Weidner
Aug 7, 2007·American Journal of Health Promotion : AJHP·Steven G AldanaRick B Jorgensen
Oct 2, 2007·Journal of the American Dietetic Association·Marion J FranzNicolas P Pronk
Oct 10, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Andrew WisterJoel Singer
Feb 20, 2008·Annals of Internal Medicine·Isabelle BoutronUNKNOWN CONSORT Group

❮ Previous
Next ❯

Citations

Oct 25, 2011·Translational Behavioral Medicine·Deborah J ToobertRussell E Glasgow
Mar 28, 2013·Journal of Environmental and Public Health·Melissa BoppMatthew E Campbell
Jul 23, 2013·American Journal of Preventive Medicine·Chiara de WaureM G Myriam Hunink
Dec 15, 2015·European Journal of Internal Medicine·Xiao-Li HuangTao-Tao Hu
Dec 17, 2015·Implementation Science : IS·Zahra AzizBrian Oldenburg
Mar 10, 2016·Wiener klinische Wochenschrift·Marion PlatterStefan Höfer
Sep 21, 2011·Annals of General Psychiatry·Fernando ChacónInmaculada Gilaberte
Jan 9, 2015·Metabolic Syndrome and Related Disorders·Deirdre M HarringtonPeter T Katzmarzyk
Dec 4, 2014·Metabolism: Clinical and Experimental·Liang ChenHua-Zhang Yang
May 18, 2016·International Journal of Cardiology·Dimitrios AlexopoulosUNKNOWN CHALLENGE Investigators
Mar 24, 2016·European Journal of Preventive Cardiology·Chantal J LeemrijseCindy Veenhof
Oct 26, 2014·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Muaddi AlharbiGeoffrey Tofler
Jan 13, 2015·International Journal of Systematic and Evolutionary Microbiology·Yan ZhaoIng-Ming Lee
Apr 2, 2020·International Journal of Environmental Research and Public Health·Won Ju Hwang, Soo Jin Kang
Jun 3, 2015·Journal of Cardiopulmonary Rehabilitation and Prevention·Madelon MinnebooJeroen J J Bucx
Jan 4, 2020·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Eeeseung ByunHilaire J Thompson

❮ Previous
Next ❯

Related Concepts

Related Feeds

CV Disorders & Type 2 Diabetes

This feed focuses on the association of cardiovascular diseases in patients with type 2 diabetes.

Biomarkers for Type 2 Diabetes

Biomarkers can help understand chronic diseases and assist in risk prediction for prevention and early detection of diseases. Here is the latest research on biomarkers in type 2 diabetes, a disease in which the body is unable to produce or properly use insulin.