Abstract
Aim – to study the influence of Healthy Schools "Healthy Lifestyle Basis" education on modifying of cardiovascular risk main factors. Materials and methods. 57 patients with cardiovascular diseases were examined. General clinical examination, anthropometric examinations (body weight, height, body mass index, and body composition), blood pressure measurement, and cholesterol determination, as well as its fractions in blood, were carried out before and after training course. The educational cycle included 9 lessons. Results. It was found that Healthy Schools education contributes to better both systolic and diastolic blood pressure monitoring. Thus, initially target blood pressure levels (<140/90 mmHg for patients without diabetes mellitus and <140/85 mmHg in case of diabetes) were observed in 49 % of patients, at the end of the training cycle – in 67 %. At the same time, the patients’ anthropometric parameters (BMI, fat and muscle tissue content, visceral fat) as well as cholesterol and its atherogenic serum fractions, did not change significantly. The patients’ education did not affect motivation level for their lifestyle improvement. So the number of patients consuming less than5 grams of table salt per day and over400 grams of vegetables and fruit did not change significantly. The level of physical activity between the examined patients did not change. Conclusion. The training course “Healthy Schools: Healthy Lifestyle Basis" contributes to improvement of blood pressure level monitoring, but does not significantly affect behavioral risk factors and does not lead to improvement of lipid metabolism monitoring in patients with cardiovascular disease. It is necessary to search for new more effective preventive care models for patients with high cardiovascular risk.
Highlights
Measures for active cardiovascular prevention are the most important condition for morbidity and mortality reducing [1]
Aim of research To estimate the influence of Healthy Schools “Healthy Lifestyle Basis” education on modifying of cardiovascular risk main factors in patients with high and very high cardiovascular risk
There were no significant changes in other behavioral risk factors
Summary
Measures for active cardiovascular prevention are the most important condition for morbidity and mortality reducing [1]. In most developed countries, specialized prevention programs for people with high cardiovascular risk and patients with cardiovascular diseases, based on learning of medical knowledge basics, practical development of measuring blood pressure techniques, development of individual diet plan, increase physical activity, etc. At the same time it was determined that the patients education aimed at explaining the role of a particular risk factor in cardiovascular diseases development or their complications improves the patients adherence to healthy lifestyles principles [3, 4]. It is shown that education in the Schools helps to effectively correct the main behavioral risk factors, improves emotional state and quality of life of patients, and increases their adherence to long-term drug therapy. The development of an effective training program for patients aimed at monitoring of cardiovascular risk main factors would reduce the financial burden on the existing health care system. Aim of research To estimate the influence of Healthy Schools “Healthy Lifestyle Basis” education on modifying of cardiovascular risk main factors in patients with high and very high cardiovascular risk
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