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Does an intensive alcohol cessation intervention at the time of fracture surgery induce smoking cessation? - The Scand-Ankle study.

Wernheden, Erika ; Aalykke, Marianne ; Pedersen, Bolette LU ; Egholm, Julie ; Lauritzen, Jes Bruun ; Madsen, Bjørn and Tønnesen, Hanne LU (2014) In Clinical Health Promotion 4(2). p.48-53
Abstract
Background
Hazardous alcohol consumption is a risk factor for developing postoperative complications. Other risk factors are smoking, overweight, malnutrition and physical inactivity. Preoperative alcohol and smoking cessation programs have been found effective in reducing postoperative morbidity, but it remains unknown whether these induce a general change of lifestyle. The aim of this study was to investigate whether the gold standard alcohol intervention programme (GSP-A, which is based on the gold standard programme for smoking GSP-S) used in the Scand-Ankle study, affected the non-targeted risk factors; smoking, overweight, malnutrition and physical inactivity.
Method
64 patients with hazardous alcohol consumption who... (More)
Background
Hazardous alcohol consumption is a risk factor for developing postoperative complications. Other risk factors are smoking, overweight, malnutrition and physical inactivity. Preoperative alcohol and smoking cessation programs have been found effective in reducing postoperative morbidity, but it remains unknown whether these induce a general change of lifestyle. The aim of this study was to investigate whether the gold standard alcohol intervention programme (GSP-A, which is based on the gold standard programme for smoking GSP-S) used in the Scand-Ankle study, affected the non-targeted risk factors; smoking, overweight, malnutrition and physical inactivity.
Method
64 patients with hazardous alcohol consumption who underwent ankle fracture surgery, were randomized to the GSP-A or usual care (control). The groups were compared at baseline and 6 weeks follow-up regarding lifestyle factors. An intention to treat (ITT) and per protocol analysis were performed using non-parametric statistics.
Results
The ITT-analysis showed no significant differences between the GSP-A and control group regarding non-targeted risk factors. The per protocol analysis showed that alcohol cessation regardless of study group did not influence non-targeted risk factors.
Conclusion
The GSP-A did not affect smoking, overweight, malnutrition and physical inactivity. Thus, a potential effect of the GSP-A on postoperative complications will likely be due to the effect on alcohol intake and not a general change in lifestyle. The findings suggest that multiple lifestyle interventions are required, e.g. combined alcohol and smoking cessation. (Less)
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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Health Promotion
volume
4
issue
2
pages
6 pages
ISSN
2226-5864
project
Scand-Ankle: Utveckling av ett evidensbaserat utbildningsprogram för patienter med hög alkoholkonsumtion och fotledsfrakturer i Skandinavien.
language
English
LU publication?
yes
id
d0e1bee6-e863-46e2-955a-f1df8e6d055a
alternative location
https://docs.wixstatic.com/ugd/7b6489_d5b964b2c2c040a3a24c8e6275db9ae8.pdf
date added to LUP
2018-12-06 15:30:31
date last changed
2018-12-10 14:24:46
@article{d0e1bee6-e863-46e2-955a-f1df8e6d055a,
  abstract     = {Background<br/>Hazardous alcohol consumption is a risk factor for developing postoperative complications. Other risk factors are smoking, overweight, malnutrition and physical inactivity. Preoperative alcohol and smoking cessation programs have been found effective in reducing postoperative morbidity, but it remains unknown whether these induce a general change of lifestyle. The aim of this study was to investigate whether the gold standard alcohol intervention programme (GSP-A, which is based on the gold standard programme for smoking GSP-S) used in the Scand-Ankle study, affected the non-targeted risk factors; smoking, overweight, malnutrition and physical inactivity.<br/>Method<br/>64 patients with hazardous alcohol consumption who underwent ankle fracture surgery, were randomized to the GSP-A or usual care (control). The groups were compared at baseline and 6 weeks follow-up regarding lifestyle factors. An intention to treat (ITT) and per protocol analysis were performed using non-parametric statistics. <br/>Results<br/>The ITT-analysis showed no significant differences between the GSP-A and control group regarding non-targeted risk factors. The per protocol analysis showed that alcohol cessation regardless of study group did not influence non-targeted risk factors.<br/>Conclusion<br/>The GSP-A did not affect smoking, overweight, malnutrition and physical inactivity. Thus, a potential effect of the GSP-A on postoperative complications will likely be due to the effect on alcohol intake and not a general change in lifestyle. The findings suggest that multiple lifestyle interventions are required, e.g. combined alcohol and smoking cessation.},
  author       = {Wernheden, Erika and Aalykke, Marianne and Pedersen, Bolette and Egholm, Julie and Lauritzen, Jes Bruun and Madsen, Bjørn and Tønnesen, Hanne},
  issn         = {2226-5864},
  language     = {eng},
  number       = {2},
  pages        = {48--53},
  series       = {Clinical Health Promotion},
  title        = {Does an intensive alcohol cessation intervention at the time of fracture surgery induce smoking cessation? - The Scand-Ankle study.},
  url          = {https://docs.wixstatic.com/ugd/7b6489_d5b964b2c2c040a3a24c8e6275db9ae8.pdf},
  volume       = {4},
  year         = {2014},
}