Document Detail

[Deficits in adherence on all levels. Current need of interventions in primary, secondary, and tertiary prevention of cardiovascular diseases].
MedLine Citation:
PMID:  20960382     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVE: Previous studies often lack any differentiation between target groups for primary, secondary and tertiary prevention of cardiovascular disease (CVD). The aim of this study was to investigate the target group-specific adherence with lifestyle recommendations in different risk groups. This information may be useful in identifying better starting points for future CVD interventions. METHODS: 2,002 men and women aged 50 to 70 years were selected by random and interviewed about their health status, health behavior and health locus of control. Adherence was defined as regular physical activity, healthy diet, non-smoking, and moderate alcohol consumption. Differences between risk groups were determined using Chi-square tests and stratified logistic regression. RESULTS: Health behavior only varied to a limited extent between the risk groups: physical activity (77.8%), healthy diet (62.2%), moderate alcohol consumption (74.4%), non-smoking (total: 75.7%; healthy respondents 70.9%; risk group 79.1%; CVD patients 74.7%). 29.6% were adherent to lifestyle recommendations. Women were more likely to be adherent than men (35.4% vs. 23.5%). In CVD patients, those living together with a partner were also more likely to have a healthy lifestyle (32.2% vs. 20.0%). Furthermore, health locus of control seems to be an important factor. CONCLUSION: In the age group 50-70 adherence with lifestyle recommendations of almost 30% is rather low and not optimal. Health locus of control as motivational barrier should be taken into account particularly in secondary prevention. There is a need of health behavior interventions not only for persons at increased risk and CVD patients, but also for the (still) healthy. Men, singles and persons with external health locus of control should be particularly addressed by these interventions.
C Huy; A Thiel; C Diehm; S Schneider
Publication Detail:
Type:  English Abstract; Journal Article     Date:  2010-10-19
Journal Detail:
Title:  Deutsche medizinische Wochenschrift (1946)     Volume:  135     ISSN:  1439-4413     ISO Abbreviation:  Dtsch. Med. Wochenschr.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-20     Completed Date:  2010-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0006723     Medline TA:  Dtsch Med Wochenschr     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  2119-24     Citation Subset:  IM    
Copyright Information:
© Georg Thieme Verlag KG Stuttgart · New York.
Mannheimer Institut für Public Health, Sozial- und Präventivmedizin, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Mannheim.
Vernacular Title:
Adhärenz-Defizite auf allen Ebenen. Aktueller Interventionsbedarf in der Primär-, Sekundär- und Tertiärprävention kardiovaskulärer Erkrankungen.
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MeSH Terms
Alcohol Drinking / adverse effects,  prevention & control
Cardiovascular Diseases / etiology,  prevention & control*,  rehabilitation*
Diet, Fat-Restricted
Health Behavior*
Health Status Indicators*
Internal-External Control*
Life Style
Middle Aged
Motor Activity
Patient Compliance / statistics & numerical data*
Risk Factors
Sex Factors
Smoking Cessation / statistics & numerical data
Social Facilitation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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