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Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: a randomized clinical

Marco Aurélio Lumertz Saffi1, Carisi Anne Polanczyk1, Eneida Rejane Rabelo-Silva2

  • 1Graduate Program in Cardiology and Cardiovascular Sciences, Federal University of Rio Grande do Sul, Brazil Cardiovascular Division, Hospital de Clínicas de Porto Alegre, Brazil.

European Journal of Cardiovascular Nursing
|September 12, 2013
PubMed

Insights

Nurse-led lifestyle counseling significantly reduced 10-year cardiovascular risk scores in coronary artery disease patients. This intervention improved weight and blood pressure, demonstrating its effectiveness in managing cardiovascular risk.

Area of Science:

  • Cardiology
  • Nursing
  • Preventive Medicine

Background:

  • Nurse-led interventions are recognized for their efficacy in mitigating cardiovascular risk.
  • Systematic lifestyle counseling by nurses shows promise in patient care.

Purpose of the Study:

  • To assess the impact of structured, nurse-led individual lifestyle counseling on 10-year cardiovascular risk scores.
  • To evaluate the effectiveness of this intervention in patients diagnosed with coronary artery disease (CAD).

Main Methods:

  • A randomized clinical trial involving CAD patients from a tertiary referral hospital.
  • The intervention group received one year of nurse-led counseling (five face-to-face sessions and phone contact) focusing on exercise and diet.
  • The control group received standard medical advice, with patients stratified by Framingham risk score.

Main Results:

  • The intervention group experienced a 1.7-point (13.6%) reduction in cardiovascular risk score, while the control group saw a 1.2-point (11%) increase (p=0.011).
  • Significant improvements were observed in the intervention group for weight, systolic blood pressure, and diastolic blood pressure compared to the control group.
  • The study included 74 patients (38 intervention, 36 control), with a mean age of 58 years and 74% males.

Conclusions:

  • Systematic, nurse-led lifestyle counseling is an effective strategy for reducing cardiovascular risk scores.
  • This approach demonstrates significant benefits in managing modifiable risk factors for cardiovascular disease in CAD patients.
Abstract

Keywords:
Risk factorscoronary artery diseaseintervention studiesnursingpatient educationsecondary prevention

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