Document Detail


Rural and urban characteristics impact cardiovascular risk reduction.
MedLine Citation:
PMID:  20436354     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: Our aim was to provide a descriptive analysis of specific differences between rural and urban residents and the interaction between these differences and those who reduced cardiovascular disease (CVD) risk in response to intervention versus those who did not.
METHODS: This study is a descriptive analysis comparing rural groups with urban groups and those who decreased CVD risk with those who did not. Two hundred five rural (median age = 64.0 years [interquartile = 57.0, 71.0], 56% men) and 183 urban (median age = 58.0 years [interquartile = 50.0, 65.0], 53% men) residents were included.
RESULTS: Rural and urban groups differed (P < .05) for demographic, anthropometric, physiological, and health-related variables. Those who decreased CVD risk, regardless of rural or urban, had greater blood pressure, greater low-density lipoprotein cholesterol, lower walking distance, greater CVD risk score, greater metabolic syndrome score, and greater internal health locus of control (all P < .05). Interestingly, there were differences between those who decreased risk and those who did not within the rural and urban groups. Triglycerides, C-reactive protein, diabetes knowledge, risk perception, and outcome expectations were greater for the rural group who decreased their CVD risk versus those who did not (all P < .05). For the urban group, there was a greater powerful others locus of control for those who decreased CVD risk (P < .05).
CONCLUSIONS: To maximize the likelihood of success, risk reduction intervention and educational strategies for urban and rural groups must be tailored to address unique demographic, physiological, and health-related characteristics.
Authors:
Timothy R McConnell; William P Santamore; Sharon L Larson; Carol J Homko; Mohamed Kashem; Robert C Cross; Alfred A Bove
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation and prevention     Volume:  30     ISSN:  1932-751X     ISO Abbreviation:  J Cardiopulm Rehabil Prev     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-02     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291247     Medline TA:  J Cardiopulm Rehabil Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  299-308     Citation Subset:  IM    
Affiliation:
Department of Exercise Science, Bloomsburg University, USA. tmcconne@bloomu.edu
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00778804
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Comments/Corrections
Erratum In:
J Cardiopulm Rehabil Prev. 2010 Nov-Dec;30(6):373
Note: Kashem, Mohamed [added]; Cross, Robert C [added]; Bove, Alfred A [added]

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