Evidence map›Paper›PMID 41611770›Full record

Trial reportScientific reports2026

Cardiovascular disease prevention by personalized health promotion considering educational attainment.

M Dolores Zomeño, Dolores Álamo-Junquera, Carles Pericas, Carles Vilaplana-Carnerero, Àngela Domínguez, Diana Toledo, Núria Soldevila, Constança Pagès-Fernández, Ana Redondo, Alba Tor-Roca and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

M Dolores ZomeñoSchool of Health Sciences, Blanquerna-Ramon Llull University, Barcelona, Spain.
Dolores Álamo-JunqueraCatalan Institute of Health, Sabadell, Spain.
Carles PericasDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain.
Carles Vilaplana-CarnereroDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain.
Àngela DomínguezDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain.
Diana ToledoDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain.
Núria SoldevilaDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain.
Constança Pagès-FernándezDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain.
Ana RedondoDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain.
Alba Tor-RocaDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain.
María GrauDepartment of Medicine, School of Medicine and Health Sciences, University of Barcelona, #143 Casanova St. E, 08036, Barcelona, Spain. mariagrau@ub.edu.

Funding

Instituto de Salud Carlos III CM12/03287, PI17/00250, CPII17/00012, and FIS14/00449
6 · The paper itself

Abstract

To examine whether educational attainment modifies the effectiveness of personalized lifestyle recommendations for improving cardiovascular risk factors. This post-hoc analysis used data from a population-based randomized controlled trial in Girona, Spain, including adults aged 35-74 years without cardiovascular disease at baseline. Participants (n = 759; 48.7% men) were randomized to an intervention group (n = 380), which received personalized recommendations on diet and physical activity, or a control group (n = 379), which received a standard report of baseline results. Changes in systolic and diastolic blood pressure, LDL cholesterol, and physical activity energy expenditure from baseline to 12 months were analyzed. Multivariable linear regression models adjusted for age included an interaction term defined as group × educational attainment × time (1 year) to assess effect modification. Analyses were stratified by sex. Among women in the intervention group, significant interactions by educational attainment were observed. Compared with women with lower educational attainment, those with higher attainment showed more favorable changes in diastolic blood pressure [beta-coefficient (95% confidence interval): - 1.98 (- 4.23; 0.27) vs. 1.63 (- 0.21; 3.48)], LDL cholesterol [- 4.61 (- 11.40; 2.18) vs. 5.71 (0.25; 11.17)], and physical activity energy expenditure [0.52 (0.04; 1.23) vs. - 0.01 (- 0.36; 0.26)]. No significant interactions were found among men in the intervention group or among participants in the control group. Overall, within-group changes in these outcomes did not reach statistical significance. Personalized lifestyle interventions may provide greater benefits for women with higher educational attainment, although overall improvements were modest.

Indexed as

Cardiovascular DiseasesEducational StatusHealth PromotionAdultAgedBlood PressureCholesterol, LDLExerciseFemaleHeart Disease Risk FactorsHumansLife StyleMaleMiddle AgedSpainCholesterol, LDLCardiovascular diseasesEducational statusEpidemiologyHealth literacyPrevention & control

Identifiers

PMID41611770
PMCPMC12913767

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.