Association of Membership at a Medical Fitness Facility With Adverse Health Outcomes

Validation of a Case Definition to Identify Patients Diagnosed With Cardiovascular Disease in Canadian Primary Care Practices

“…In such settings, having a tool that facilitates improved disease surveillance can inform management algorithms and policies that are designed to manage the ever-rising volume of cases of CVD. 16 , 17 , 18 , 19 , 20 , 21 As demonstrated in our study, patients captured by CVD Case Definition 2 visited their primary care provider more frequently each year, compared to patients not captured by CVD Case Definition 2. Visit frequency can be attributed to both CVD and multiple comorbidities and risk factors, such as hypertension and diabetes.…”

“…Evidence has demonstrated that primary and secondary prevention using evidence-based interventions can reduce CVD mortality and morbidity. 16 , 17 , 18 , 19 , 20 , 21 This finding merits attention for primary care system design and resourcing aimed at both primary and secondary prevention of CVD. 3 , 4 , 5 , 6 , 10 , 11 , 12 Nevertheless, addressing these risk factors with evidence-based interventions in primary care is possible and is likely to have a greater impact on those with CVD.…”

“…1 Specifically, patient risk factors for CVD include obesity, comorbidities, health behaviours, and family history, as well as psychosocial factors. 3 , 4 , 5 , 6 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 These risk factors often interact and amplify the risk of vascular damage leading to CVD morbidity and mortality of patients at younger ages. 11 , 12 Canadian and international guidelines recommend broad implementation of measures in primary care settings to address CVD and related risk factors.…”

Impact of a Medical Fitness Model on Incident Major Adverse Cardiovascular Events: A Prospective Cohort Study of 11 000 Members

“…Individuals may benefit by engaging in aerobic and anaerobic exercise, resistance training, having access to nutrition and dietary counseling, education classes on chronic disease management, and being part of a social support network. 5 , 7 , 16 , 31 , 32 This is particularly important in the management of traditional CVD risk factors such as diabetes, hypertension, dyslipidemia, and smoking, but it is unclear to what degree each aspect of this multimodal intervention impacts overall cardiovascular risk.…”