Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16
Abstract Aims 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. Methods and results In the population-based Tromsø Study 2015–16 (atten...
Published in: | European Journal of Preventive Cardiology |
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Oxford University Press (OUP)
2021
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Online Access: | http://dx.doi.org/10.1093/eurjpc/zwab050 https://academic.oup.com/eurjpc/article-pdf/29/2/362/42855045/zwab050.pdf |
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croxfordunivpr:10.1093/eurjpc/zwab050 2024-03-24T09:05:35+00:00 Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 Hopstock, Laila A Morseth, Bente Cook, Sarah Eggen, Anne Elise Grimsgaard, Sameline Lundblad, Marie W Løchen, Maja-Lisa Mathiesen, Ellisiv Nilsen, Amalie Njølstad, Inger 2021 http://dx.doi.org/10.1093/eurjpc/zwab050 https://academic.oup.com/eurjpc/article-pdf/29/2/362/42855045/zwab050.pdf en eng Oxford University Press (OUP) https://creativecommons.org/licenses/by-nc/4.0/ European Journal of Preventive Cardiology volume 29, issue 2, page 362-370 ISSN 2047-4873 2047-4881 Cardiology and Cardiovascular Medicine Epidemiology journal-article 2021 croxfordunivpr https://doi.org/10.1093/eurjpc/zwab050 2024-02-26T16:28:31Z Abstract Aims 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. 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. 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. Article in Journal/Newspaper Tromsø Oxford University Press Norway Tromsø European Journal of Preventive Cardiology |
institution |
Open Polar |
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Oxford University Press |
op_collection_id |
croxfordunivpr |
language |
English |
topic |
Cardiology and Cardiovascular Medicine Epidemiology |
spellingShingle |
Cardiology and Cardiovascular Medicine Epidemiology Hopstock, Laila A Morseth, Bente Cook, Sarah Eggen, Anne Elise Grimsgaard, Sameline Lundblad, Marie W Løchen, Maja-Lisa Mathiesen, Ellisiv Nilsen, Amalie Njølstad, Inger Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 |
topic_facet |
Cardiology and Cardiovascular Medicine Epidemiology |
description |
Abstract Aims 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. 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. 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. |
format |
Article in Journal/Newspaper |
author |
Hopstock, Laila A Morseth, Bente Cook, Sarah Eggen, Anne Elise Grimsgaard, Sameline Lundblad, Marie W Løchen, Maja-Lisa Mathiesen, Ellisiv Nilsen, Amalie Njølstad, Inger |
author_facet |
Hopstock, Laila A Morseth, Bente Cook, Sarah Eggen, Anne Elise Grimsgaard, Sameline Lundblad, Marie W Løchen, Maja-Lisa Mathiesen, Ellisiv Nilsen, Amalie Njølstad, Inger |
author_sort |
Hopstock, Laila A |
title |
Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 |
title_short |
Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 |
title_full |
Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 |
title_fullStr |
Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 |
title_full_unstemmed |
Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 |
title_sort |
treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the tromsø study 2015–16 |
publisher |
Oxford University Press (OUP) |
publishDate |
2021 |
url |
http://dx.doi.org/10.1093/eurjpc/zwab050 https://academic.oup.com/eurjpc/article-pdf/29/2/362/42855045/zwab050.pdf |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_source |
European Journal of Preventive Cardiology volume 29, issue 2, page 362-370 ISSN 2047-4873 2047-4881 |
op_rights |
https://creativecommons.org/licenses/by-nc/4.0/ |
op_doi |
https://doi.org/10.1093/eurjpc/zwab050 |
container_title |
European Journal of Preventive Cardiology |
_version_ |
1794407341463961600 |