Evidence map›Paper›PMID 31771525›Full record

Observational studyBMC family practice2019

Lifestyle behaviours in patients with established cardiovascular diseases: a European observational study.

Diana Fernández, Carlos Brotons, Irene Moral, Mateja Bulc, Mélanie Afonso, Hülya Akan, Susana Pinto, Jasna Vucak, Carlos Manuel da Silva Martins

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC family practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Dietary and Lifestyle Changes Before and After Diagnosis of Cardiovascular Disease.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
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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

9 authors at 6 institutions in 7 countries.

Diana FernándezResearch Unit. Biomedical Research Institute Sant Pau (IIB Sant Pau), c/ Sardenya 466, 08025, Barcelona, Spain.
Carlos BrotonsResearch Unit. Biomedical Research Institute Sant Pau (IIB Sant Pau), c/ Sardenya 466, 08025, Barcelona, Spain. cbrotons@eapsardenya.cat.ORCID 0000-0001-9388-6581
Irene MoralResearch Unit. Biomedical Research Institute Sant Pau (IIB Sant Pau), c/ Sardenya 466, 08025, Barcelona, Spain.
Mateja BulcCommunity Health Centre Ljubljana, Medical Faculty of Ljubljana University, Ljubljana, Slovenia.
Mélanie AfonsoDépartement de Médecine Générale (Case 148), Clinique des Universités de Médecine Générale, Bordeaux Cedex, France.
Hülya AkanDepartment of Family Medicine, Yeditepe University Faculty of Medicine, İnönü Mahallesi, Kadıköy -, İstanbul, Turkey.
Susana PintoFamily Medicine, Department of Community Medicine, Information and Decision in Health (MEDCIDS) of the Faculty of Medicine of Porto, Porto, Portugal.
Jasna VucakSpec.ord.obiteljske med, Sukosan, Croatia.
Carlos Manuel da Silva MartinsFamily Medicine, Department of Community Medicine, Information and Decision in Health (MEDCIDS) of the Faculty of Medicine of Porto, Porto, Portugal.
Hospital de Sant Pau · ESDecision Sciences (United States) · USAgency for Medicinal Products and Medical Devices of Croatia · HRCommunity Health Centre Ljubljana · SIGénérale de Santé · FRYeditepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients who have experienced a cardiovascular clinical event such as a myocardial infarction or stroke qualify for intensive risk factor evaluation and management. The aim of this study is to explore lifestyle changes as well as the achievement of targets for risk factors in patients with established cardiovascular disease.

methodsCross-sectional study conducted in primary care practices. The study was carried out in six European countries (Croatia, France, Portugal, Slovenia, Spain and Turkey). Patients with established cardiovascular disease (coronary heart disease and stroke) attended in primary care were selected and assessed from January to June 2016. Patients were recruited and assessed at the practice by research assistants between 6 months and 3 years after the event. Statistical comparisons were done with the unpaired two-sided Student's t-test for continuous variables and Chi-square test for categorical variables.

resultsNine hundred and seventy-three patients (32.4% females) were assessed. About 14% of them were smokers, 32% were physically inactive, and 30% had nutritionally poor eating behaviours. LDL cholesterol target value below 70 mg/dl was achieved in about 23% of patients, and in general, women were less cardio-protected by drugs than men.

conclusionsMany patients with established cardiovascular disease who attended in general practice still fail to achieve the lifestyle, risk factor, and therapeutic targets set by European guidelines. These results are relevant to general practitioners because these patients have a high risk of subsequent cardiovascular events, including MI, stroke, and death.

Indexed as

Risk Reduction BehaviorAgedCardiovascular DiseasesCroatiaCross-Sectional StudiesDiet, HealthyExerciseFemaleFranceHumansMaleMiddle AgedPortugalSloveniaSmoking CessationSpainCardiovascular diseasesGeneral practitioners/family physiciansPrevention

Identifiers

PMID31771525
PMCPMC6878626
OpenAlexW2991273914

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.