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The maximum exercise stress test: is it a behavior-modification tool?

D A Driggers, J Swedberg, R Johnson

    The Journal of Family Practice
    |May 1, 1984
    PubMed
    Summary
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    The maximum exercise stress test (MEST) did not significantly alter coronary artery disease risk factors like attitudes or objective health measurements in a low-risk group. Only exercise levels improved, with no proven benefit for reducing disease morbidity or mortality.

    Area of Science:

    • Cardiology
    • Preventive Medicine
    • Behavioral Science

    Background:

    • Coronary artery disease (CAD) risk factors require effective behavior-modification tools.
    • The maximum exercise stress test (MEST) has been proposed as a potential intervention.

    Purpose of the Study:

    • To evaluate the efficacy of the MEST as a behavior-modification tool for CAD risk factors.
    • To assess changes in attitudes, behaviors, and objective health measurements.

    Main Methods:

    • A controlled study involving a low-risk population.
    • Assessment of various health parameters before and after MEST intervention.

    Main Results:

    • Only exercise level showed a statistically significant improvement (P < .03).

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  • Attitudes, other behaviors, and objective health measurements remained largely unchanged.
  • The MEST intervention was found to be expensive.

    • Conclusions:

    • The MEST is not an effective behavior-modification tool for reducing overall CAD risk factors in low-risk populations.
    • No demonstrated benefit of MEST in decreasing CAD morbidity and mortality.
    • Further research may be needed to explore cost-effective CAD prevention strategies.