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Lifestyle interventions for hypertension and dyslipidemia among women of reproductive age

Robbins, Cheryl L; Dietz, Patricia M; Bombard, Jennifer; Tregear, Michelle; Schmidt, Steven M LU and Tregear, Stephen J (2011) In Preventing chronic disease 8(6). p.1-21
Abstract

INTRODUCTION: Hypertension and dyslipidemia often precede cardiovascular disease. Lifestyle modifications help prevent these conditions, and referrals for women may be possible during reproductive health care visits. However, screening recommendations vary, which may affect screening rates. The objectives of this systematic review were to 1) assess the available literature on the effectiveness of lifestyle interventions, 2) review hypertension and dyslipidemia screening recommendations for consistency, and 3) report prevalence data for hypertension and dyslipidemia screening among women of reproductive age.

METHODS: We conducted a systematic literature search (January 1990-November 2010) for 1) randomized controlled trials on the... (More)

INTRODUCTION: Hypertension and dyslipidemia often precede cardiovascular disease. Lifestyle modifications help prevent these conditions, and referrals for women may be possible during reproductive health care visits. However, screening recommendations vary, which may affect screening rates. The objectives of this systematic review were to 1) assess the available literature on the effectiveness of lifestyle interventions, 2) review hypertension and dyslipidemia screening recommendations for consistency, and 3) report prevalence data for hypertension and dyslipidemia screening among women of reproductive age.

METHODS: We conducted a systematic literature search (January 1990-November 2010) for 1) randomized controlled trials on the impact of lifestyle interventions on cardiovascular disease risk factors in women of reproductive age, 2) evidence-based guidelines on hypertension and dyslipidemia screening, and 3) population-based prevalence studies on hypertension or dyslipidemia screening or both.

RESULTS: Twenty-one of 555 retrieved studies (4%) met our inclusion criteria. Lifestyle interventions improved lipid levels in 10 of 18 studies and blood pressure in 4 of 9 studies. Most guidelines recommended hypertension screening at least every 2 years and dyslipidemia screening every 5 years, but recommendations for who should receive dyslipidemia screening varied. One study indicated that 82% of women of reproductive age received hypertension screening during the preceding year. In another study, only 49% of women aged 20 to 45 years received recommended dyslipidemia screening.

CONCLUSION: Lifestyle interventions may offer modest benefits for reducing blood pressure and lipids in this population. Inconsistency among recommendations for dyslipidemia screening may contribute to low screening rates. Future studies should clarify predictors of and barriers to cholesterol screening in this population.

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author
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Dyslipidemias, Evidence-Based Medicine, Female, Humans, Hypertension, Life Style, Prevalence, Reproductive Health, United States, Women's Health, Journal Article
in
Preventing chronic disease
volume
8
issue
6
pages
1 - 21
publisher
U.S. Department of Health and Human Services
external identifiers
  • scopus:81355148817
ISSN
1545-1151
language
English
LU publication?
no
id
f0e0977a-43e9-4ec2-bbf0-773963a93bba
alternative location
https://www.cdc.gov/pcd/issues/2011/nov/pdf/11_0029.pdf
date added to LUP
2017-03-08 11:39:47
date last changed
2017-11-05 05:14:56
@article{f0e0977a-43e9-4ec2-bbf0-773963a93bba,
  abstract     = {<p>INTRODUCTION: Hypertension and dyslipidemia often precede cardiovascular disease. Lifestyle modifications help prevent these conditions, and referrals for women may be possible during reproductive health care visits. However, screening recommendations vary, which may affect screening rates. The objectives of this systematic review were to 1) assess the available literature on the effectiveness of lifestyle interventions, 2) review hypertension and dyslipidemia screening recommendations for consistency, and 3) report prevalence data for hypertension and dyslipidemia screening among women of reproductive age.</p><p>METHODS: We conducted a systematic literature search (January 1990-November 2010) for 1) randomized controlled trials on the impact of lifestyle interventions on cardiovascular disease risk factors in women of reproductive age, 2) evidence-based guidelines on hypertension and dyslipidemia screening, and 3) population-based prevalence studies on hypertension or dyslipidemia screening or both.</p><p>RESULTS: Twenty-one of 555 retrieved studies (4%) met our inclusion criteria. Lifestyle interventions improved lipid levels in 10 of 18 studies and blood pressure in 4 of 9 studies. Most guidelines recommended hypertension screening at least every 2 years and dyslipidemia screening every 5 years, but recommendations for who should receive dyslipidemia screening varied. One study indicated that 82% of women of reproductive age received hypertension screening during the preceding year. In another study, only 49% of women aged 20 to 45 years received recommended dyslipidemia screening.</p><p>CONCLUSION: Lifestyle interventions may offer modest benefits for reducing blood pressure and lipids in this population. Inconsistency among recommendations for dyslipidemia screening may contribute to low screening rates. Future studies should clarify predictors of and barriers to cholesterol screening in this population.</p>},
  articleno    = {A123},
  author       = {Robbins, Cheryl L and Dietz, Patricia M and Bombard, Jennifer and Tregear, Michelle and Schmidt, Steven M and Tregear, Stephen J},
  issn         = {1545-1151},
  keyword      = {Dyslipidemias,Evidence-Based Medicine,Female,Humans,Hypertension,Life Style,Prevalence,Reproductive Health,United States,Women's Health,Journal Article},
  language     = {eng},
  number       = {6},
  pages        = {1--21},
  publisher    = {U.S. Department of Health and Human Services},
  series       = {Preventing chronic disease},
  title        = {Lifestyle interventions for hypertension and dyslipidemia among women of reproductive age},
  volume       = {8},
  year         = {2011},
}