Evidence map›Paper›PMID 25789881›Full record

ArticleArquivos brasileiros de cardiologia2015

Education to a Healthy Lifestyle Improves Symptoms and Cardiovascular Risk Factors - AsuRiesgo Study.

Graciela Chaves, Nidia Britez, Judith Munzinger, Lorenz Uhlmann, Graciela Gonzalez, Guillermo Oviedo, Victoria Chaparro, Oscar Achon, Thomas Bruckner, Meinhard Kieser and 2 more

Open access · diamondAbstract readClinical Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Graciela ChavesHospital Central, Instituto de Prevision Social, Asuncion, Paraguay.
Nidia BritezHospital Central, Instituto de Prevision Social, Asuncion, Paraguay.
Judith MunzingerInstitute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany.
Lorenz UhlmannInstitute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany.
Graciela GonzalezHospital Central, Instituto de Prevision Social, Asuncion, Paraguay.
Guillermo OviedoHospital Central, Instituto de Prevision Social, Asuncion, Paraguay.
Victoria ChaparroHospital Central, Instituto de Prevision Social, Asuncion, Paraguay.
Oscar AchonHospital Central, Instituto de Prevision Social, Asuncion, Paraguay.
Thomas BrucknerInstitute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany.
Meinhard KieserInstitute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany.
Hugo A KatusDepartment of Internal Medicine III, Cardiology, Angiology and Pneumology, University of Heidelberg, Heidelberg, Germany.
Derliz MerelesDepartment of Internal Medicine III, Cardiology, Angiology and Pneumology, University of Heidelberg, Heidelberg, Germany.
Heidelberg University · DEZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular diseases are the current leading causes of death and disability globally.

objectiveTo assess the effects of a basic educational program for cardiovascular prevention in an unselected outpatient population.

methodsAll participants received an educational program to change to a healthy lifestyle. Assessments were conducted at study enrollment and during follow-up. Symptoms, habits, ATP III parameters for metabolic syndrome, and American Heart Association's 2020 parameters of cardiovascular health were assessed.

resultsA total of 15,073 participants aged ≥ 18 years entered the study. Data analysis was conducted in 3,009 patients who completed a second assessment. An improvement in weight (from 76.6 ± 15.3 to 76.4 ± 15.3 kg, p = 0.002), dyspnea on exertion NYHA grade II (from 23.4% to 21.0%) and grade III (from 15.8% to 14.0%) and a decrease in the proportion of current active smokers (from 3.6% to 2.9%, p = 0.002) could be documented. The proportion of patients with levels of triglycerides > 150 mg/dL (from 46.3% to 42.4%, p < 0.001) and LDL cholesterol > 100 mg/dL (from 69.3% to 65.5%, p < 0.001) improved. A ≥ 20% improvement of AHA 2020 metrics at the level graded as poor was found for smoking (-21.1%), diet (-29.8%), and cholesterol level (-23.6%). A large dropout as a surrogate indicator for low patient adherence was documented throughout the first 5 visits, 80% between the first and second assessments, 55.6% between the second and third assessments, 43.6% between the third and fourth assessments, and 38% between the fourth and fifth assessments.

conclusionA simple, basic educational program may improve symptoms and modifiable cardiovascular risk factors, but shows low patient adherence.

Indexed as

Life StyleRisk Reduction BehaviorAdultAgedCardiovascular DiseasesCholesterolFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient CompliancePatient Education as TopicProgram EvaluationRisk FactorsRisk-TakingCholesterolTriglycerides

Identifiers

PMID25789881
PMCPMC4495449
OpenAlexW2119443204

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.