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 6...
Published in: | European Journal of Preventive Cardiology |
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Oxford University Press
2021
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Online Access: | https://researchonline.lshtm.ac.uk/id/eprint/4660799/ https://researchonline.lshtm.ac.uk/id/eprint/4660799/7/Hopstock_etal_2021_Treatment-target-achievement-after-myocardial.pdf |
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ftlshtm:oai:researchonline.lshtm.ac.uk:4660799 2023-05-15T18:34:28+02:00 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 2021-03-29 text https://researchonline.lshtm.ac.uk/id/eprint/4660799/ https://researchonline.lshtm.ac.uk/id/eprint/4660799/7/Hopstock_etal_2021_Treatment-target-achievement-after-myocardial.pdf en eng Oxford University Press https://researchonline.lshtm.ac.uk/id/eprint/4660799/7/Hopstock_etal_2021_Treatment-target-achievement-after-myocardial.pdf Hopstock, Laila A; Morseth, Bente; Cook, Sarah <https://researchonline.lshtm.ac.uk/view/creators/ppehscoo.html>; Eggen, Anne Elise; Grimsgaard, Sameline; Lundblad, Marie W; Løchen, Maja-Lisa; Mathiesen, Ellisiv; Nilsen, Amalie; Njølstad, Inger; (2021) Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015-16. European Journal of Preventive Cardiology. zwab050-. ISSN 2047-4873 DOI: https://doi.org/10.1093/eurjpc/zwab050 <https://doi.org/10.1093/eurjpc/zwab050> cc_by CC-BY Article PeerReviewed 2021 ftlshtm https://doi.org/10.1093/eurjpc/zwab050 2022-03-03T07:34:25Z 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 London School of Hygiene & Tropical Medicine: LSHTM Research Online Norway Tromsø European Journal of Preventive Cardiology 29 2 362 370 |
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Open Polar |
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London School of Hygiene & Tropical Medicine: LSHTM Research Online |
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ftlshtm |
language |
English |
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, Laila A Morseth, Bente Cook, Sarah Eggen, Anne Elise Grimsgaard, Sameline Lundblad, Marie W Løchen, Maja-Lisa Mathiesen, Ellisiv Nilsen, Amalie Njølstad, Inger |
spellingShingle |
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. |
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 |
publishDate |
2021 |
url |
https://researchonline.lshtm.ac.uk/id/eprint/4660799/ https://researchonline.lshtm.ac.uk/id/eprint/4660799/7/Hopstock_etal_2021_Treatment-target-achievement-after-myocardial.pdf |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
https://researchonline.lshtm.ac.uk/id/eprint/4660799/7/Hopstock_etal_2021_Treatment-target-achievement-after-myocardial.pdf Hopstock, Laila A; Morseth, Bente; Cook, Sarah <https://researchonline.lshtm.ac.uk/view/creators/ppehscoo.html>; Eggen, Anne Elise; Grimsgaard, Sameline; Lundblad, Marie W; Løchen, Maja-Lisa; Mathiesen, Ellisiv; Nilsen, Amalie; Njølstad, Inger; (2021) Treatment target achievement after myocardial infarction and ischaemic stroke: cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015-16. European Journal of Preventive Cardiology. zwab050-. ISSN 2047-4873 DOI: https://doi.org/10.1093/eurjpc/zwab050 <https://doi.org/10.1093/eurjpc/zwab050> |
op_rights |
cc_by |
op_rightsnorm |
CC-BY |
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 |
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1766219226921566208 |