dc.date.accessioned | 2021-02-02T20:36:47Z | |
dc.date.available | 2021-12-04T23:45:47Z | |
dc.date.created | 2020-12-09T10:53:49Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Sverre, Elise Christine Bjørkholen Peersen, Kari Perk, Joep Husebye, Einar Gullestad, Lars Dammen, Toril Otterstad, Jan Erik Munkhaugen, John . Challenges in coronary heart disease prevention - experiences from a long-term follow-up study in Norway. Scandinavian Cardiovascular Journal. 2020 | |
dc.identifier.uri | http://hdl.handle.net/10852/82834 | |
dc.description.abstract | Objective. To determine longitudinal changes in lifestyle behaviour and lipid management in a chronic coronary heart disease (CHD) population. Design. A multi-centre cohort study consecutively included 1127 patients at baseline in 2014–2015, on average 16 months after a CHD event. Data were collected from hospital records, a questionnaire and clinical examination. Seven hundred and seven of 1021 eligible patients participated in a questionnaire-based follow-up in 2019. Data were analysed with univariate statistics. Results. After a mean follow-up of 4.7 years (SD 0.4) from baseline, the percentage of current smokers (15% versus 16%), obesity (23% versus 25%) and clinically significant symptoms of anxiety (21% versus 17%) and depression (13% versus 14%) remained unchanged, whereas the proportion with low physical activity increased from 53% to 58% (p < .001). The proportions with reduced physical activity level were similar in patients over and under 70 years of age. Most patients were still taking statins (94% versus 92%) and more patients used high-intensity statin (49% versus 54%, p < .001) and ezetimibe (5% versus 15%, p < .001) at follow-up. 73% reported ≥1 primary-care consultation(s) for CHD during the last year while 27% reported no such follow-up. There were more smokers among participants not attending primary-care consultations compared to those attending (19% versus 14%, p = .026). No differences were found for other risk factors. Conclusions. We found persistent suboptimal risk factor control in coronary outpatients during long-term follow-up. Closer follow-up and intensified risk management including lifestyle and psychological health are needed to improved secondary prevention and outcome of CHD. | |
dc.language | EN | |
dc.title | Challenges in coronary heart disease prevention - experiences from a long-term follow-up study in Norway | |
dc.type | Journal article | |
dc.creator.author | Sverre, Elise Christine Bjørkholen | |
dc.creator.author | Peersen, Kari | |
dc.creator.author | Perk, Joep | |
dc.creator.author | Husebye, Einar | |
dc.creator.author | Gullestad, Lars | |
dc.creator.author | Dammen, Toril | |
dc.creator.author | Otterstad, Jan Erik | |
dc.creator.author | Munkhaugen, John | |
cristin.unitcode | 185,51,14,0 | |
cristin.unitname | Avdeling for atferdsmedisin | |
cristin.ispublished | true | |
cristin.fulltext | postprint | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1857818 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Scandinavian Cardiovascular Journal&rft.volume=&rft.spage=&rft.date=2020 | |
dc.identifier.jtitle | Scandinavian Cardiovascular Journal | |
dc.identifier.startpage | 1 | |
dc.identifier.endpage | 9 | |
dc.identifier.doi | https://doi.org/10.1080/14017431.2020.1852308 | |
dc.identifier.urn | URN:NBN:no-85651 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1401-7431 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/82834/2/Postnr.%2B1857818%2BChallenges%2Bin%2Bcoronary%2Bheart%2Bdisease%2Bprevention%2B%2Bexperiences%2Bfrom%2Ba%2Blong-term%2Bfollow-up%2Bstudy%2Bin%2BNorway.pdf | |
dc.type.version | AcceptedVersion | |