Evidence map›Paper›PMID 32620044›Full record

SynthesisActa neurologica Scandinavica2020

Effect and efficacy of lifestyle interventions as secondary prevention.

Jacob Liljehult, Thomas Christensen, Stig Molsted, Dorthe Overgaard, Monique Mesot Liljehult, Tom Møller

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Acta neurologica Scandinavica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
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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

6 authors at 4 institutions in 1 country.

Jacob LiljehultDepartment of Neurology, Nordsjaellands Hospital, Hillerød, Denmark.ORCID https://orcid.org/0000-0002-9928-1097
Thomas ChristensenDepartment of Neurology, Nordsjaellands Hospital, Hillerød, Denmark.
Stig MolstedDepartment of Clinical Research, Nordsjaellands Hospital, Hillerød, Denmark.
Dorthe OvergaardFaculty of Health and Technology, Institute of Nursing and Nutrition, Copenhagen University College, Copenhagen N, Denmark.
Monique Mesot LiljehultDepartment of Neurology, Nordsjaellands Hospital, Hillerød, Denmark.
Tom MøllerThe University Hospitals Centre for Health Research UCSF, Department 9701 Copenhagen University Hospital (Rigshospitalet), Copenhagen, Denmark.
Nordsjællands Hospital · DKUniversity of Copenhagen · DKCopenhagen University Hospital · DKUniversity College Copenhagen · DK

Funding

Anita og Tage Therkelsens FondNordsjaellands HospitalTrygFondenUniversity College Copenhagen
6 · The paper itself

Abstract

introductionImprovements in health behaviour are often recommended as part of secondary prevention in patients with stroke and transient ischaemic attack. However, there is a lack of knowledge as to how this is applied in clinical practice.

aimIn this systematic review and meta-analysis, we examined the effect of counselling or educational intervention directed at individual or multiple behavioural risk factors on blood pressure and other reported outcomes.

methodsPubMed, Embase, PsycInfo, CINAHL, Scopus and Web of Science were systematically searched. Meta-analyses were conducted on all outcome measures if appropriate. A qualitative analysis of the content of the interventions was conducted to review which elements the interventions consisted of.

resultsTwenty-nine randomized controlled trials were identified. Fourteen reported effects on systolic blood pressure, and pooled results showed a significant beneficial effect (n = 2,222; -3.85 mmHg [95%CI -6.43; -1.28]). The effect was greatest in the four interventions which included supervised training (n = 174; -9.83 mmHg [95%CI -16.56; -3.09]).

conclusionModifying health behaviour in stroke survivors might have a moderate beneficial effect on blood pressure, especially if the intervention includes supervised physical training.

Indexed as

Life StyleBlood PressureHumansIschemic Attack, TransientRisk FactorsSecondary PreventionStrokeSurvivorsadherenceexercisehealth behaviourhealth counsellingphysical activitysmokingstroketransient ischaemic attack

Identifiers

PMID32620044
PMCPMC7540464
OpenAlexW3038894502

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.