Better Population Health Through Behavior Change in Adults

Spring, Bonnie; Ockene, Judith K.; Gidding, Samuel S.; Mozaffarian, Dariush; Moore, Shirley; Rosal, Milagros C.; Brown, Michael D.; Vafiadis, Dorothea K.; Cohen, Debbie L.; Burke, Lora E.; Lloyd‐Jones, Donald M.

doi:10.1161/01.cir.0000435173.25936.e1

Cited by 170 publications

(112 citation statements)

References 61 publications

(73 reference statements)

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“…Targeted screening is recommended between 2-8 and 12-16 y of age if risk factors are present. These new lipid screening guidelines are endorsed by the AAP, but the new expanded screening guidelines have not been without their detractors (85,(95)(96)(97). There are concerns that the new guidelines may result in overdiagnosis, falsepositives, and overuse of statins in children (95)(96)(97).…”

Section: Poor Dietary Choices Negatively Affect Chd Risk Factorsmentioning

confidence: 99%

“…These new lipid screening guidelines are endorsed by the AAP, but the new expanded screening guidelines have not been without their detractors (85,(95)(96)(97). There are concerns that the new guidelines may result in overdiagnosis, falsepositives, and overuse of statins in children (95)(96)(97). Although some experts disagree with the conservative nature of the guidelines, they are a pivotal step in the shift toward primordial, population-based prevention strategies that are needed to reduce future risk (16,23,65,98,99).…”

Section: Poor Dietary Choices Negatively Affect Chd Risk Factorsmentioning

confidence: 99%

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Coronary Heart Disease Risk Factors in College Students

Arts

Fernández

Lofgren

2014

Advances in Nutrition

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More than one-half of young adults aged 18-24 y have at least 1 coronary heart disease (CHD) risk factor and nearly one-quarter have advanced atherosclerotic lesions. The extent of atherosclerosis is directly correlated with the number of risk factors. Unhealthy dietary choices made by this age group contribute to weight gain and dyslipidemia. Risk factor profiles in young adulthood strongly predict long-term CHD risk. Early detection is critical to identify individuals at risk and to promote lifestyle changes before disease progression occurs. Despite the presence of risk factors and pathological changes, risk assessment and disease prevention efforts are lacking in this age group. Most young adults are not screened and are unaware of their risk. This review provides pathological evidence along with current risk factor prevalence data to demonstrate the need for early detection. Eighty percent of heart disease is preventable through diet and lifestyle, and young adults are ideal targets for prevention efforts because they are in the process of establishing lifestyle habits, which track forward into adulthood. This review aims to establish the need for increased screening, risk assessment, education, and management in young adults. These essential screening efforts should include the assessment of all CHD risk factors and lifestyle habits (diet, exercise, and smoking), blood pressure, glucose, and body mass index in addition to the traditional lipid panel for effective long-term risk reduction.

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Section: Poor Dietary Choices Negatively Affect Chd Risk Factorsmentioning

confidence: 99%

Section: Poor Dietary Choices Negatively Affect Chd Risk Factorsmentioning

confidence: 99%

Coronary Heart Disease Risk Factors in College Students

Arts

Fernández

Lofgren

2014

Advances in Nutrition

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“…31 The awareness of the need for change is a key element in behavior change models and should be seen by the health care providers as a window opportunity to induce and support patient behavior change. 32 Although it is a wake-up call for some patients, angioplasty otherwise was conceived as a complete cure by participants. This was particularly evident among patients whose symptoms were fully resolved after the procedure.…”

Section: Discussionmentioning

confidence: 99%

The lived experiences of patients post coronary angioplasty: A qualitative study

Hassankhani

Gholizadeh

Mohammadi

et al. 2014

Journal of Vascular Nursing

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Few qualitative studies have focused on the experiences of patients post angioplasty. A deep understanding of patient experiences of care and the way a treatment can affect their everyday life is particularly important in chronic disease management. The aim of this study was to explore experiences that patients undergo after angioplasty. Using a phenomenological study design, 15 patients participated in individual, face-to-face, semistructured interviews. Data were analyzed using qualitative content analysis. The following core themes emerged from the analysis, which reflect the experiences of patients post angioplasty: (a) Angioplasty is a milestone in the patient's life, (b) living with a mended heart, and (c) psychological distress as an integral part of the patient's life. Participants after angioplasty went through both positive and negative changes in their life. Understanding these experiences is essential to modifying high-risk behaviors while supporting patients through their rehabilitation.

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“…It was also associated with decreases complications, cost and possibly transmission of the virus (Rothman et al 2012). In this study, patients were encouraged to follow up with their cardiologist in their clinics early after discharge and to communicate their unwelcome symptoms early with their caregivers and their healthcare providers to avoid deterioration (Fortenberry et al 2012, Spring et al 2013.…”

Section: Model Developmentmentioning

confidence: 99%