Evidence map›Paper›PMID 28850579›Full record

ArticlePloS one2017

Stability and change of lifestyle profiles in cardiovascular patients after their first acute coronary event.

Patrizia Steca, Dario Monzani, Andrea Greco, Cristina Franzelli, Maria Elena Magrin, Massimo Miglioretti, Marcello Sarini, Marta Scrignaro, Luca Vecchio, Francesco Fattirolli and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 54 citations in OpenAlex.

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  5. Depression Following Acute Coronary Syndrome: A Review.Reviews in cardiovascular medicine · 2023
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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

11 authors at 3 institutions in 1 country.

Patrizia StecaDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.
Dario MonzaniDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.ORCID http://orcid.org/0000-0001-9544-2933
Andrea GrecoDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.
Cristina FranzelliCardiac Rehabilitation Centre, Istituti Clinici di Perfezionamento Hospital, Milan, Italy.
Maria Elena MagrinDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.
Massimo MigliorettiDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.
Marcello SariniDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.
Marta ScrignaroDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.
Luca VecchioDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.
Francesco FattirolliDepartment of Medical and Surgical Critical Care, Cardiac Rehabilitation Unit, University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
Marco D'AddarioDepartment of Psychology, University of Milan -Bicocca, Milan, Italy.
University of Milano-Bicocca · ITAzienda Ospedaliero-Universitaria Careggi · ITIstituti Clinici di Perfezionamento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute coronary syndrome (ACS) is a major cause of morbidity and mortality. Lifestyle and health behavior changes play an important role in the primary and secondary prevention of ACS recurrence. Changes in unhealthy lifestyles after an acute coronary event have been analyzed by considering separate behaviors individually, even though research on the healthy population has demonstrated that unhealthy behaviors tend to co-occur. PURPOSE: The aim of this study was to identify lifestyle profiles of ACS patients and to explore their pathways of change for one year after their first coronary event by adopting a typological approach.

methodsTwo hundred and twenty-three patients (84% male; mean age = 57.14) completed self-report measures of health-related behaviors at the beginning of cardiac rehabilitation, and six months and twelve months after. At each wave depression, anxiety and heart rate were also evaluated. Cluster analysis was performed to identify lifestyle profiles and to analyze their change over time. Differences in psychological factors and heart rate among clusters were assessed.

resultsPatients' diet, physical activity, and smoking behavior greatly improved six months after their first coronary event. No further improvements were detected after one year. At each wave specific lifestyle profiles were identified, ranging from more maladaptive to healthier clusters. Patients with multiple unhealthy behaviors experience greater difficulties in maintaining a healthier lifestyle over time. Moreover, the results demonstrated the association between lifestyle profiles at twelve months after the acute coronary event and depression measured six months earlier. Finally, the most maladaptive lifestyle profile had many members with elevated heart rate at twelve months after the cardiac rehabilitation.

conclusionsCurrent findings may have a strong practical impact in the development and implementation of personalized secondary prevention programs targeting lifestyles of ACS patients.

Indexed as

Health BehaviorHealthy LifestyleAcute Coronary SyndromeAdultAgedAged, 80 and overCardiac RehabilitationExerciseFemaleHumansMaleMiddle AgedSecondary PreventionSelf ReportSmoking

Identifiers

PMID28850579
PMCPMC5574544
OpenAlexW2752791929

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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.