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Effects of a short health education intervention on physical activity, arterial stiffness and cardiac autonomic function in individuals with moderate-to-high cardiovascular risk

Title
Effects of a short health education intervention on physical activity, arterial stiffness and cardiac autonomic function in individuals with moderate-to-high cardiovascular risk
Type
Article in International Scientific Journal
Year
2020
Authors
Lucimére Bohn
(Author)
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Pedro Sá-Couto
(Author)
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Ana Ramoa Castro
(Author)
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Fernando Ribeiro
(Author)
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Journal
Vol. 103 No. 9
Pages: 1856-1863
ISSN: 0738-3991
Publisher: Elsevier
Scientific classification
FOS: Social sciences ; Medical and Health sciences
Other information
Authenticus ID: P-00R-V2G
Abstract (EN): Objective: This study evaluated the effects of a short health education and counseling intervention program, in a primary healthcare setting, on daily physical activity (PA), arterial stiffness, and cardiac autonomic function in individuals with moderate-to-high risk of cardiovascular disease. Methods: This was a parallel-group study with a 4-month-long intervention, plus 8 months of follow-up. 164 individuals with moderate-to-high cardiovascular risk were allocated to either an intervention (n = 87) or a control group (n = 77). The intervention consisted of 3 walking and face-to-face group sessions plus text messages. Primary outcome was daily PA (sedentary time, light and moderateto-vigorous PA, all in min/day); secondary outcomes were arterial stiffness i.e., carotid-femoral pulse wave velocity (cfPWV, m/s)] and cardiac autonomic function [(i.e., standard deviation of all N-N intervals (SDNN, ms) and absolute high frequency (HF, ms(2))]. Results: There were not significant group*time interactions for sedentary time [-7.4 (7.6); p = 0.331)], light PA [4.4 (6.4); p = 0.491] or moderate-to-vigorous PA [0.1 (2.6); p = 0.938]. Considering secondary outcomes, there were not significant group*time interactions for cfPWV [0.09 (0.18); p = 0.592], Ln_SDNN [0.09 (0.06); p = 0.148], or Ln_HF [0.16 (0.14); p = 0.263]. Conclusion: The program did not improve daily PA, arterial stiffness, or the autonomic cardiac function. Practice Implications: Primary care staff should consider longer or other types of intervention to improve daily PA.
Language: English
Type (Professor's evaluation): Scientific
No. of pages: 8
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