Effect of 5-year community intervention Hartslag Limburg on cardiovascular risk factors

A.J. Schuit, Gerrie C W Wendel-Vos, Wilhelmina M M Verschuren, Emma T Ronckers, Andre Ament, Patricia Van Assema, Jan Van Ree, Erik C Ruland

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background:

A widely advocated strategy in public health is community-based health promotion. The aim of this study was to investigate the net effect of a cardiovascular disease prevention program (Hartslag Limburg) on cardiovascular risk factors after 5 years of intervention.

Design:

Cohort study comparing 5-year mean change in risk factors between the intervention and reference area. The statistical analyses for the study were performed in 2005.

Setting/Participants:

In 1998, 3000 subjects (aged 25 to 70) from the intervention area and 895 subjects from a reference area participated in the baseline measurement. Of these, 2414 intervention subjects and 758 reference subjects completed the follow-up measurement in 2003.

Intervention:

Hartslag Limburg is an integrative community-based cardiovascular disease prevention program promoting a healthy lifestyle.

Main outcome measures:

Body mass index (BMI), waist circumference, blood pressure, serum glucose (nonfasting), and serum total and high-density lipoprotein (HDL) cholesterol.

Results:

During the 5-year follow-up, risk factors changed unfavorably in the reference group, whereas changes were less pronounced or absent in the intervention group. The adjusted difference in mean change in risk factors between intervention and reference group was significant (p<0.05) for BMI: -0.36 kg/m(2) in men and -0.25 kg/m(2) in women; waist circumference -2.9 cm in men and -2.1 cm in women; systolic blood pressure: -7.8 mmHg in men and -5.5 mmHg in women; total cholesterol 0.11 mmol/L in women and finally serum glucose -0.23 mmol/L in women.

Conclusions:

Hartslag Limburg succeeded in reducing-and in some cases, preventing-age- and time-related increase in BMI, waist circumference, blood pressure, and, in women, nonfasting glucose concentration.

Original languageEnglish
Pages (from-to)237-242
JournalAmerican Journal of Preventive Medicine
Volume30
Issue number3
DOIs
Publication statusPublished - 2006
Externally publishedYes

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Body Mass Index
Serum
HDL Cholesterol

Keywords

  • Adult
  • Aged
  • Body Mass Index
  • Cardiovascular Diseases
  • Cohort Studies
  • Community Health Services
  • Female
  • Follow-Up Studies
  • Health Promotion
  • Humans
  • Life Style
  • Male
  • Middle Aged
  • Netherlands
  • Outcome Assessment (Health Care)
  • Primary Prevention
  • Program Evaluation
  • Regression Analysis
  • Risk Factors
  • Social Class
  • Comparative Study
  • Evaluation Studies
  • Journal Article
  • Research Support, Non-U.S. Gov't

Cite this

Schuit, A. J., Wendel-Vos, G. C. W., Verschuren, W. M. M., Ronckers, E. T., Ament, A., Van Assema, P., ... Ruland, E. C. (2006). Effect of 5-year community intervention Hartslag Limburg on cardiovascular risk factors. American Journal of Preventive Medicine, 30(3), 237-242. https://doi.org/10.1016/j.amepre.2005.10.020
Schuit, A.J. ; Wendel-Vos, Gerrie C W ; Verschuren, Wilhelmina M M ; Ronckers, Emma T ; Ament, Andre ; Van Assema, Patricia ; Van Ree, Jan ; Ruland, Erik C. / Effect of 5-year community intervention Hartslag Limburg on cardiovascular risk factors. In: American Journal of Preventive Medicine. 2006 ; Vol. 30, No. 3. pp. 237-242.
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abstract = "Background: A widely advocated strategy in public health is community-based health promotion. The aim of this study was to investigate the net effect of a cardiovascular disease prevention program (Hartslag Limburg) on cardiovascular risk factors after 5 years of intervention.Design: Cohort study comparing 5-year mean change in risk factors between the intervention and reference area. The statistical analyses for the study were performed in 2005.Setting/Participants: In 1998, 3000 subjects (aged 25 to 70) from the intervention area and 895 subjects from a reference area participated in the baseline measurement. Of these, 2414 intervention subjects and 758 reference subjects completed the follow-up measurement in 2003.Intervention: Hartslag Limburg is an integrative community-based cardiovascular disease prevention program promoting a healthy lifestyle.Main outcome measures: Body mass index (BMI), waist circumference, blood pressure, serum glucose (nonfasting), and serum total and high-density lipoprotein (HDL) cholesterol.Results: During the 5-year follow-up, risk factors changed unfavorably in the reference group, whereas changes were less pronounced or absent in the intervention group. The adjusted difference in mean change in risk factors between intervention and reference group was significant (p<0.05) for BMI: -0.36 kg/m(2) in men and -0.25 kg/m(2) in women; waist circumference -2.9 cm in men and -2.1 cm in women; systolic blood pressure: -7.8 mmHg in men and -5.5 mmHg in women; total cholesterol 0.11 mmol/L in women and finally serum glucose -0.23 mmol/L in women.Conclusions: Hartslag Limburg succeeded in reducing-and in some cases, preventing-age- and time-related increase in BMI, waist circumference, blood pressure, and, in women, nonfasting glucose concentration.",
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Schuit, AJ, Wendel-Vos, GCW, Verschuren, WMM, Ronckers, ET, Ament, A, Van Assema, P, Van Ree, J & Ruland, EC 2006, 'Effect of 5-year community intervention Hartslag Limburg on cardiovascular risk factors', American Journal of Preventive Medicine, vol. 30, no. 3, pp. 237-242. https://doi.org/10.1016/j.amepre.2005.10.020

Effect of 5-year community intervention Hartslag Limburg on cardiovascular risk factors. / Schuit, A.J.; Wendel-Vos, Gerrie C W; Verschuren, Wilhelmina M M; Ronckers, Emma T; Ament, Andre; Van Assema, Patricia; Van Ree, Jan; Ruland, Erik C.

In: American Journal of Preventive Medicine, Vol. 30, No. 3, 2006, p. 237-242.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - Effect of 5-year community intervention Hartslag Limburg on cardiovascular risk factors

AU - Schuit, A.J.

AU - Wendel-Vos, Gerrie C W

AU - Verschuren, Wilhelmina M M

AU - Ronckers, Emma T

AU - Ament, Andre

AU - Van Assema, Patricia

AU - Van Ree, Jan

AU - Ruland, Erik C

PY - 2006

Y1 - 2006

N2 - Background: A widely advocated strategy in public health is community-based health promotion. The aim of this study was to investigate the net effect of a cardiovascular disease prevention program (Hartslag Limburg) on cardiovascular risk factors after 5 years of intervention.Design: Cohort study comparing 5-year mean change in risk factors between the intervention and reference area. The statistical analyses for the study were performed in 2005.Setting/Participants: In 1998, 3000 subjects (aged 25 to 70) from the intervention area and 895 subjects from a reference area participated in the baseline measurement. Of these, 2414 intervention subjects and 758 reference subjects completed the follow-up measurement in 2003.Intervention: Hartslag Limburg is an integrative community-based cardiovascular disease prevention program promoting a healthy lifestyle.Main outcome measures: Body mass index (BMI), waist circumference, blood pressure, serum glucose (nonfasting), and serum total and high-density lipoprotein (HDL) cholesterol.Results: During the 5-year follow-up, risk factors changed unfavorably in the reference group, whereas changes were less pronounced or absent in the intervention group. The adjusted difference in mean change in risk factors between intervention and reference group was significant (p<0.05) for BMI: -0.36 kg/m(2) in men and -0.25 kg/m(2) in women; waist circumference -2.9 cm in men and -2.1 cm in women; systolic blood pressure: -7.8 mmHg in men and -5.5 mmHg in women; total cholesterol 0.11 mmol/L in women and finally serum glucose -0.23 mmol/L in women.Conclusions: Hartslag Limburg succeeded in reducing-and in some cases, preventing-age- and time-related increase in BMI, waist circumference, blood pressure, and, in women, nonfasting glucose concentration.

AB - Background: A widely advocated strategy in public health is community-based health promotion. The aim of this study was to investigate the net effect of a cardiovascular disease prevention program (Hartslag Limburg) on cardiovascular risk factors after 5 years of intervention.Design: Cohort study comparing 5-year mean change in risk factors between the intervention and reference area. The statistical analyses for the study were performed in 2005.Setting/Participants: In 1998, 3000 subjects (aged 25 to 70) from the intervention area and 895 subjects from a reference area participated in the baseline measurement. Of these, 2414 intervention subjects and 758 reference subjects completed the follow-up measurement in 2003.Intervention: Hartslag Limburg is an integrative community-based cardiovascular disease prevention program promoting a healthy lifestyle.Main outcome measures: Body mass index (BMI), waist circumference, blood pressure, serum glucose (nonfasting), and serum total and high-density lipoprotein (HDL) cholesterol.Results: During the 5-year follow-up, risk factors changed unfavorably in the reference group, whereas changes were less pronounced or absent in the intervention group. The adjusted difference in mean change in risk factors between intervention and reference group was significant (p<0.05) for BMI: -0.36 kg/m(2) in men and -0.25 kg/m(2) in women; waist circumference -2.9 cm in men and -2.1 cm in women; systolic blood pressure: -7.8 mmHg in men and -5.5 mmHg in women; total cholesterol 0.11 mmol/L in women and finally serum glucose -0.23 mmol/L in women.Conclusions: Hartslag Limburg succeeded in reducing-and in some cases, preventing-age- and time-related increase in BMI, waist circumference, blood pressure, and, in women, nonfasting glucose concentration.

KW - Adult

KW - Aged

KW - Body Mass Index

KW - Cardiovascular Diseases

KW - Cohort Studies

KW - Community Health Services

KW - Female

KW - Follow-Up Studies

KW - Health Promotion

KW - Humans

KW - Life Style

KW - Male

KW - Middle Aged

KW - Netherlands

KW - Outcome Assessment (Health Care)

KW - Primary Prevention

KW - Program Evaluation

KW - Regression Analysis

KW - Risk Factors

KW - Social Class

KW - Comparative Study

KW - Evaluation Studies

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1016/j.amepre.2005.10.020

DO - 10.1016/j.amepre.2005.10.020

M3 - Article

VL - 30

SP - 237

EP - 242

JO - American Journal of Preventive Medicine

JF - American Journal of Preventive Medicine

SN - 0749-3797

IS - 3

ER -