Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16
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%...
Published in: | European Journal of Preventive Cardiology |
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Language: | English |
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Oxford University Press (OUP)
2021
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Online Access: | http://hdl.handle.net/10044/1/88556 https://doi.org/10.1093/eurjpc/zwab050 |
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ftimperialcol:oai:spiral.imperial.ac.uk:10044/1/88556 2023-05-15T18:34:31+02:00 Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 Hopstock, LA Morseth, B Cook, S Eggen, AE Grimsgaard, S Lundblad, MW Løchen, M-L Mathiesen, E Nilsen, A Njølstad, I 2021-03-12 http://hdl.handle.net/10044/1/88556 https://doi.org/10.1093/eurjpc/zwab050 en eng Oxford University Press (OUP) European Journal of Preventive Cardiology 2047-4873 http://hdl.handle.net/10044/1/88556 doi:10.1093/eurjpc/zwab050 © The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com http://creativecommons.org/licenses/by-nc/4.0/ CC-BY-NC 370 362 Science & Technology Life Sciences & Biomedicine Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Epidemiology Cardiovascular disease Myocardial infarction Stroke Secondary prevention CORONARY-HEART-DISEASE COHORT PROFILE MANAGEMENT TRENDS Journal Article 2021 ftimperialcol https://doi.org/10.1093/eurjpc/zwab050 2022-03-31T22:40:56Z 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 Imperial College London: Spiral Norway Tromsø European Journal of Preventive Cardiology 29 2 362 370 |
institution |
Open Polar |
collection |
Imperial College London: Spiral |
op_collection_id |
ftimperialcol |
language |
English |
topic |
Science & Technology Life Sciences & Biomedicine Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Epidemiology Cardiovascular disease Myocardial infarction Stroke Secondary prevention CORONARY-HEART-DISEASE COHORT PROFILE MANAGEMENT TRENDS |
spellingShingle |
Science & Technology Life Sciences & Biomedicine Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Epidemiology Cardiovascular disease Myocardial infarction Stroke Secondary prevention CORONARY-HEART-DISEASE COHORT PROFILE MANAGEMENT TRENDS Hopstock, LA Morseth, B Cook, S Eggen, AE Grimsgaard, S Lundblad, MW Løchen, M-L Mathiesen, E Nilsen, A Njølstad, I Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16 |
topic_facet |
Science & Technology Life Sciences & Biomedicine Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Epidemiology Cardiovascular disease Myocardial infarction Stroke Secondary prevention CORONARY-HEART-DISEASE COHORT PROFILE MANAGEMENT TRENDS |
description |
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, LA Morseth, B Cook, S Eggen, AE Grimsgaard, S Lundblad, MW Løchen, M-L Mathiesen, E Nilsen, A Njølstad, I |
author_facet |
Hopstock, LA Morseth, B Cook, S Eggen, AE Grimsgaard, S Lundblad, MW Løchen, M-L Mathiesen, E Nilsen, A Njølstad, I |
author_sort |
Hopstock, LA |
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://hdl.handle.net/10044/1/88556 https://doi.org/10.1093/eurjpc/zwab050 |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_source |
370 362 |
op_relation |
European Journal of Preventive Cardiology 2047-4873 http://hdl.handle.net/10044/1/88556 doi:10.1093/eurjpc/zwab050 |
op_rights |
© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com http://creativecommons.org/licenses/by-nc/4.0/ |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1093/eurjpc/zwab050 |
container_title |
European Journal of Preventive Cardiology |
container_volume |
29 |
container_issue |
2 |
container_start_page |
362 |
op_container_end_page |
370 |
_version_ |
1766219295176523776 |