The association between psychosocial factors and change in lifestyle behaviour following lifestyle advice and information about cardiovascular disease risk

Dennison, Rebecca A; Feldman, Adina L.; Usher‐Smith, Juliet A.; Griffin, Simon J.

doi:10.1186/s12889-018-5655-7

Cited by 13 publications

(12 citation statements)

References 38 publications

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“…Moreover, depression may mediate the adverse effects of other psychosocial risk factors such as stressful life events and low social support [5]. Along with a number of plausible biological mechanisms underlying these associations [6,7], depression and anxiety may act as possible barriers for both lifestyle changes and medication adherence in CVD patients [8][9][10][11]. Current European Guidelines on Cardiovascular Prevention in Clinical Practice have a Class II, Level A recommendation for the assessment of psychosocial risk factors including anxiety and depression in individuals with high risk or established CVD [12].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Anxiety and Depressive Symptoms in 2775 Patients with Arterial Hypertension and Coronary Heart Disease: Results from the COMETA Multicenter Study

et al. 2021

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Aim: To identify associations of anxiety symptoms (AS) and depressive symptoms (DS) with other psychosocial and lifestyle risk factors in primary care patients with arterial hypertension (AH) and/or coronary heart disease (CHD). Methods: COMETA (Clinical-epidemiOlogical prograM of studying psychosocial risk factors in cardiological practice in patiEnts with arterial hyperTension and ischemic heArt disease) is a multicenter cross-sectional study performed in 30 big cities of Russia with two to five outpatient clinics per city randomly selected and two to five general practitioners (GPs) per an out-patient clinic. Each GP included 8-10 consecutive patients with AH and/or CHD. AS and DS were assessed by the Hospital Anxiety and Depression Scale. Results: 325 GPs enrolled 2775 patients (mean age 66.7 years, 72% women) with AH (60.8%), CHD (2.6%), and AH plus CHD (36.6%). Moderate/severe (≥11 HADS) AS were found in 25.5% and DS in 16.3% patients. The strongest associations of AS and DS were revealed for high stress level (OR 5.79;), moderate stress level (OR 2.34;), low social support (OR 1.87;) and female gender (OR 1.78;). Low physical activity, unhealthy eating, unemployment and low income were also positively associated with both AS and DS (p < 0.003 for all). Conclusion:In out-patients with AH and CHD, AS and DS were strongly associated with higher levels of stress, low social support, unemployment, low family income and unhealthy lifestyle such as low physical activity, low fruit and vegetables intake and excessive salt consumption. Our findings indicate that patients with AH and CHD, who have anxiety and depressive symptoms need extra attention and monitoring in regard to stress and lifestyle risk factor control.

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Section: Introductionmentioning

confidence: 99%

Factors Associated with Anxiety and Depressive Symptoms in 2775 Patients with Arterial Hypertension and Coronary Heart Disease: Results from the COMETA Multicenter Study

et al. 2021

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“…Many risk factors for CVD are modifiable, since they are frequently rooted in an unhealthy lifestyle [6]. Inadequate physical activity (PA), poor diet (e.g., consuming fast, fatty, and salty foods rather than fish, vegetables, and fruit), cigarette smoking, and exposure to multiple daily stressors are important lifestyle-related factors that contribute to the development of CVD [7,8]. Being overweight or obese and related diseases such as diabetes and high blood pressure are strong risk factors for CVD, particularly among those with a family history of CVD [9].…”

Section: Introductionmentioning

confidence: 99%

Educational Intervention Based on the Health Belief Model to Modify Risk Factors of Cardiovascular Disease in Police Officers in Iran: A Quasi-experimental Study

Saffari

Sanaeinasab

Jafarzadeh

et al. 2020

J Prev Med Public Health

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Police officers may be at a greater risk for cardiovascular disease (CVD) than the general population due to their highstress occupation. This study evaluated how an educational program based on the health belief model (HBM) may protect police officers from developing CVD. Methods: In this single-group experimental study, 58 police officers in Iran participated in a 5-week intervention based on HBM principles. Outcomes included changes in scores on an HBM scale, time spent on moderate to vigorous physical activity (International Physical Activity Questionnaire), body mass index (BMI), blood lipid profile, blood glucose, and blood pressure. The intervention consisted of 5 HBM-based educational sessions. Follow-up was conducted at 3 months post-intervention. The paired t-test was used to examine differences between baseline and follow-up scores. Results: All aspects of the HBM scale improved between baseline and follow-up (p<0.05), except the cues to action subscale. Self-efficacy and preventive behaviors improved the most. BMI decreased from 26.7±2.9 kg/m 2 at baseline to 25.8±2.4 kg/m 2 at follow-up. All components of the lipid profile, including triglycerides, cholesterol, high-density lipoprotein, and low-density lipoprotein, showed significant improvements post-intervention. Blood glucose and blood pressure also decreased, but not significantly. Nearly 25% of participants who were not physically active at baseline increased their physical activity above or beyond the healthy threshold. Conclusions: A relatively brief educational intervention based on HBM principles led to a significant improvement in CVD risk factors among police officers. Further research is needed to corroborate the effectiveness of this intervention.

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“…Stress was categorized as low (1-5), PLOS GLOBAL PUBLIC HEALTH moderate (6-10), high (11)(12)(13)(14)(15)(16) to make equal-interval groups. Support was categorized as low (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21), low-moderate (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35), moderate (36-49), moderate-high (50-64), high (65-77)) to make equal-interval groups. BP was summarized as a continuous variable.…”

Section: Discussionmentioning

confidence: 99%

The relationship between perceived stress and support with blood pressure in urban Haiti: A cross-sectional analysis

Yan

Dévieux

Pierre

et al. 2022

PLOS Glob Public Health

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Haiti is a low-income country whose population lives under repeated and chronic stress from multiple natural disasters, civil unrest, and extreme poverty. Stress has been associated with cardiovascular (CVD) risk factors including hypertension, and the impact of stress on blood pressure may be moderated by support. The distribution of stress, support, and their association with blood pressure has not been well described in low-income countries. We measured stress and support using validated instruments on cross-sectional enrollment data of a population-based cohort of 2,817 adults living in Port-au-Prince, Haiti between March 2019 and April 2021. Stress was measured using the Perceived Stress Scale, while support was measured using the Multidimensional Scale of Perceived Social Support. Continuous scores were categorized into three groups for stress (low (1–5), moderate (6–10), high (11–16), and five groups for support (low (7–21), low-moderate (22–35), moderate (36–49), moderate-high (50–64), high (65–77)). Linear regression models were used to quantify the associations between: 1) support and stress adjusting for age and sex, and 2) stress and blood pressure adjusting for age and sex. A moderation analysis was conducted to assess if support moderated the relationship between stress and blood pressure. The cohort included 59.7% females and the median age was 40 years (IQR 28–55). The majority had an income <1 US dollar per day. The median stress score was moderate (8 out of 16 points, IQR 6–10), and median support score was moderate to high (61 out of 77 points, IQR 49–71). Stress was higher with older ages (60+ years versus 18–29 years: +0.79 points, 95% CI 0.51 to 1.08) and in females (+0.85 points, 95% CI +0.65 to +1.06). Support was higher in males (+3.29 points, 95% CI 2.19 to 4.39). Support was inversely associated with stress, adjusting for age and sex (-0.04 points per one unit increase in support, 95% CI -0.04 to -0.03). Stress was not associated with systolic or diastolic blood pressure after adjustment for age and sex. Support did not moderate the association between stress and blood pressure. In this urban cohort of Haitian adults living with chronic civil instability and extreme poverty, perceived levels of stress and social support were moderate and high, respectively. Contrary to prior literature, we did not find an association between stress and blood pressure. While support was associated with lower stress, it did not moderate the relationship between stress and blood pressure. Participants reported high levels of support, which may be an underutilized resource in reducing stress, potentially impacting health behaviors and outcomes.

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The association between psychosocial factors and change in lifestyle behaviour following lifestyle advice and information about cardiovascular disease risk

Cited by 13 publications

References 38 publications

Factors Associated with Anxiety and Depressive Symptoms in 2775 Patients with Arterial Hypertension and Coronary Heart Disease: Results from the COMETA Multicenter Study

Factors Associated with Anxiety and Depressive Symptoms in 2775 Patients with Arterial Hypertension and Coronary Heart Disease: Results from the COMETA Multicenter Study

Educational Intervention Based on the Health Belief Model to Modify Risk Factors of Cardiovascular Disease in Police Officers in Iran: A Quasi-experimental Study

The relationship between perceived stress and support with blood pressure in urban Haiti: A cross-sectional analysis

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