The effects of a multimodal intervention trial to promote lifestyle factors associated with the prevention of cardiovascular disease in menopausal and postmenopausal Australian women.

The effects of a multimodal intervention trial to promote lifestyle factors associated with the prevention of cardiovascular disease in menopausal and postmenopausal Australian women.
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DOI:
10.1080/07399330500506543
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发表时间:
2006-03-01
影响因子:
1.4
通讯作者:
Webster, Joan
Webster, Joan
中科院分区:
医学4区
文献类型:
--
作者:
Anderson, Debra;Mizzari, Khadegh;Webster, Joan

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本研究的目的是测试多模式干预(妇女健康计划),以改善妇女的心血管危险因素的有效性。这项为期12周的随机对照实验针对的是生活在普通人群中的50-65岁的女性。在干预组的妇女提供了一个咨询与注册护士在生物物理心血管风险的措施,并提供口头和书面形式的健康教育。研究人员鼓励女性重新审视自己的吸烟、营养和水的摄入量,并开始一项包括有氧健身运动在内的锻炼计划。对照组妇女继续正常活动。样本包括90名年龄在50-65岁之间的妇女。干预前后的评估采用了七种心血管风险因素的测量方法:腰臀比(WHR)、体重指数(BMI)、血压、心率、体重、运动水平和吸烟。协方差分析表明,干预对提高妇女有氧运动活动和减少吸烟是有效的。来自所有五个生物物理结果测量的数据支持干预的有效性,在女性的WHR,BMI,血压和测量的体重中观察到显著降低。研究结果表明,这种类型的干预可能会提供一个有效的,临床上可管理的治疗妇女谁喜欢一个自我导向的方法来预防和减少心血管危险因素。
The purpose of this study was to test the efficacy of a multimodal intervention (Women's Wellness Program) to improve women's cardiovascular risk factors. This 12-week randomized experiment with a control group targeted women 50-65 years living in the general population. Women in the intervention group were provided with a consultation with a registered nurse at which time biophysical cardiovascular risk measures were taken and health education was provided in both verbal and written form. Women were encouraged to review their smoking, nutrition, and water intakes and to commence an exercise program that included aerobic fitness exercises. Women in the control group continued their normal activities. The sample consisted of 90 women aged 50-65 years. Pre- and post-intervention assessment utilized seven measures of cardiovascular risk factors: waist-to-hip ratio (WHR), body mass index (BMI), blood pressure, heart rate, weight, exercise levels, and smoking. Analysis of covariance indicated that the intervention was effective in improving women's aerobic exercise activity and decreasing smoking. The data from all five biophysical outcome measures supported the efficacy of the intervention, with significant decreases seen in the women's WHR, BMI, blood pressure, and measured weight. Study implications suggest that this type of intervention may provide an effective, clinically manageable therapy for women who prefer a self-directed approach to preventing and decreasing cardiovascular risk factors.