Show simple item record

dc.contributor.authorHopstock, Laila Arnesdatter
dc.contributor.authorMorseth, Bente
dc.contributor.authorCook, Sarah
dc.contributor.authorEggen, Anne Elise
dc.contributor.authorGrimsgaard, Sameline
dc.contributor.authorLundblad, Marie Wasmuth
dc.contributor.authorLøchen, Maja-Lisa
dc.contributor.authorMathiesen, Ellisiv B.
dc.contributor.authorNilsen, Amalie
dc.contributor.authorNjølstad, Inger
dc.date.accessioned2021-11-16T14:59:25Z
dc.date.available2021-11-16T14:59:25Z
dc.date.issued2021-03-29
dc.description.abstractAims - To investigate European guideline treatment target achievement in cardiovascular risk factors, medication use, and lifestyle, after myocardial infarction (MI) or ischaemic stroke, in women and men living in Norway.<p> <p>Methods and results - In the population-based Tromsø Study 2015–16 (attendance 65%), 904 participants had previous validated MI and/or stroke. Cross-sectionally, we investigated target achievement for blood pressure (<140/90 mmHg, <130/80 mmHg if diabetes), LDL cholesterol (<1.8 mmol/L), HbA1c (<7.0% if diabetes), overweight (body mass index (BMI) <25 kg/m2, waist circumference women <80 cm, men <94 cm), smoking (non-smoking), physical activity (self-reported >sedentary, accelerometer-measured moderate-to-vigorous ≥150 min/week), diet (intake of fruits ≥200 g/day, vegetables ≥200 g/day, fish ≥200 g/week, saturated fat <10E%, fibre ≥30 g/day, alcohol women ≤10 g/day, men ≤20 g/day), and medication use (antihypertensives, lipid-lowering drugs, antithrombotics, and antidiabetics), using regression models. Proportion of target achievement was for blood pressure 55.2%, LDL cholesterol 9.0%, HbA1c 42.5%, BMI 21.1%, waist circumference 15.7%, non-smoking 86.7%, self-reported physical activity 79%, objectively measured physical activity 11.8%, intake of fruit 64.4%, vegetables 40.7%, fish 96.7%, saturated fat 24.3%, fibre 29.9%, and alcohol 78.5%, use of antidiabetics 83.6%, lipid-lowering drugs 81.0%, antihypertensives 75.9%, and antithrombotics 74.6%. Only 0.7% achieved all cardiovascular risk factor targets combined. Largely, there was little difference between the sexes, and in characteristics, medication use, and lifestyle among target achievers compared to non-achievers.<p> <p>Conclusion - Secondary prevention of cardiovascular disease was suboptimal. A negligible proportion achieved the treatment target for all risk factors. Improvement in follow-up care and treatment after MI and stroke is needed.en_US
dc.identifier.citationHopstock LA, Morseth B, Cook S, Eggen AE, Grimsgaard sg, Lundblad MW, Løchen M, Mathiesen EB, Nilsen A, Njølstad i. Treatment target achievement after myocardial infarction and ischemic stroke: cardiovascular risk factors, medication use and lifestyle – The Tromsø Study 2015-2016. Secondary prevention in myocardial infarction and stroke. European Journal of Preventive Cardiology (EJPC). 2021en_US
dc.identifier.cristinIDFRIDAID 1952450
dc.identifier.doi10.1093/eurjpc/zwab050
dc.identifier.issn2047-4873
dc.identifier.issn2047-4881
dc.identifier.urihttps://hdl.handle.net/10037/23027
dc.language.isoengen_US
dc.publisherCambrigde University Pressen_US
dc.relation.journalEuropean Journal of Preventive Cardiology (EJPC)
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleTreatment target achievement after myocardial infarction and ischemic stroke: cardiovascular risk factors, medication use and lifestyle – The Tromsø Study 2015-2016. Secondary prevention in myocardial infarction and strokeen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record