Predictors of successful, self-reported lifestyle changes in a defined middle-aged population: The Soderakra cardiovascular risk factor study, Sweden
(2008) In Scandinavian Journal of Public Health 36(4). p.389-396- Abstract
- Aims: It is well established that the main cause of the development of cardiovascular disease can be found in unhealthy lifestyle habits. In our study, we wanted to explore the long-term predictors of self-reported lifestyle changes in a middle-aged population after screening for cardiovascular risk factors 10 years earlier. Methods: We conducted a 10-year follow-up telephone interview on self-reported lifestyle changes in a rural population in south-eastern Sweden, after a cardiovascular screening programme. The population comprised 90% of all inhabitants (n=705) aged 40-59 years at baseline, and 90% of these (n=629) were reached for the telephone interview. Results: When multivariate logistic regression was used, a higher success rate... (More)
- Aims: It is well established that the main cause of the development of cardiovascular disease can be found in unhealthy lifestyle habits. In our study, we wanted to explore the long-term predictors of self-reported lifestyle changes in a middle-aged population after screening for cardiovascular risk factors 10 years earlier. Methods: We conducted a 10-year follow-up telephone interview on self-reported lifestyle changes in a rural population in south-eastern Sweden, after a cardiovascular screening programme. The population comprised 90% of all inhabitants (n=705) aged 40-59 years at baseline, and 90% of these (n=629) were reached for the telephone interview. Results: When multivariate logistic regression was used, a higher success rate for lifestyle changes was independently associated with female gender (odds ratio (OR)=1.56, 95% confidence interval (CI) 1.11-2.18). When stratified for gender, significant predictors for success in men were prevalent cardiovascular risk conditions (OR=4.77, 95% CI 2.18-10.5; p<0.001) and previous myocardial infarction (OR=22.8, 95% CI 4.73-110; p<0.001) at baseline. For women, elevated blood pressure (>= 160 and/or >= 90 mmHg) measured at baseline (OR=1.84, 95% CI 1.12-3.02; p=0.016) was significantly associated with successful lifestyle changes. Smoking at baseline was also associated with significant success: OR=3.36 (95% CI: 2.05-5.51; p<0.001) and OR=1.81 (95% CI 1.11-2.95; p=0.017) for men and women, respectively. Conclusions: Female gender was associated with significant improvements in self-reported lifestyle changes. Furthermore, smoking, a medical history of diabetes, hypertension, angina pectoris or myocardial infarction at baseline predicted success in lifestyle change in this 10-year follow-up study. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/1254000
- author
- Petersson, Ulla ; Ostgren, Carl Johan ; Brudin, Lars ; Ovhed, Ingvar and Nilsson, Peter LU
- organization
- publishing date
- 2008
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- population-based, cardiovascular, lifestyle change, risk factors
- in
- Scandinavian Journal of Public Health
- volume
- 36
- issue
- 4
- pages
- 389 - 396
- publisher
- SAGE Publications
- external identifiers
-
- wos:000257536300008
- scopus:44849117535
- pmid:18539693
- ISSN
- 1651-1905
- DOI
- 10.1177/1403494808089561
- language
- English
- LU publication?
- yes
- id
- 53d8f7fb-4767-4f59-98d9-28d9f1dfc27a (old id 1254000)
- date added to LUP
- 2016-04-01 14:06:44
- date last changed
- 2022-01-27 22:50:14
@article{53d8f7fb-4767-4f59-98d9-28d9f1dfc27a,
abstract = {{Aims: It is well established that the main cause of the development of cardiovascular disease can be found in unhealthy lifestyle habits. In our study, we wanted to explore the long-term predictors of self-reported lifestyle changes in a middle-aged population after screening for cardiovascular risk factors 10 years earlier. Methods: We conducted a 10-year follow-up telephone interview on self-reported lifestyle changes in a rural population in south-eastern Sweden, after a cardiovascular screening programme. The population comprised 90% of all inhabitants (n=705) aged 40-59 years at baseline, and 90% of these (n=629) were reached for the telephone interview. Results: When multivariate logistic regression was used, a higher success rate for lifestyle changes was independently associated with female gender (odds ratio (OR)=1.56, 95% confidence interval (CI) 1.11-2.18). When stratified for gender, significant predictors for success in men were prevalent cardiovascular risk conditions (OR=4.77, 95% CI 2.18-10.5; p<0.001) and previous myocardial infarction (OR=22.8, 95% CI 4.73-110; p<0.001) at baseline. For women, elevated blood pressure (>= 160 and/or >= 90 mmHg) measured at baseline (OR=1.84, 95% CI 1.12-3.02; p=0.016) was significantly associated with successful lifestyle changes. Smoking at baseline was also associated with significant success: OR=3.36 (95% CI: 2.05-5.51; p<0.001) and OR=1.81 (95% CI 1.11-2.95; p=0.017) for men and women, respectively. Conclusions: Female gender was associated with significant improvements in self-reported lifestyle changes. Furthermore, smoking, a medical history of diabetes, hypertension, angina pectoris or myocardial infarction at baseline predicted success in lifestyle change in this 10-year follow-up study.}},
author = {{Petersson, Ulla and Ostgren, Carl Johan and Brudin, Lars and Ovhed, Ingvar and Nilsson, Peter}},
issn = {{1651-1905}},
keywords = {{population-based; cardiovascular; lifestyle change; risk factors}},
language = {{eng}},
number = {{4}},
pages = {{389--396}},
publisher = {{SAGE Publications}},
series = {{Scandinavian Journal of Public Health}},
title = {{Predictors of successful, self-reported lifestyle changes in a defined middle-aged population: The Soderakra cardiovascular risk factor study, Sweden}},
url = {{http://dx.doi.org/10.1177/1403494808089561}},
doi = {{10.1177/1403494808089561}},
volume = {{36}},
year = {{2008}},
}