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Efficacy of tailored recommendations to promote healthy lifestyles: a post hoc analysis of a randomized controlled trial

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dc.contributor.author Barroso, María
dc.contributor.author Zomeño Fajardo, Maria Dolores
dc.contributor.author Díaz, Jorge L.
dc.contributor.author Pérez, Silvia
dc.contributor.author Martí-Lluch, Ruth
dc.contributor.author Cordón, Ferran
dc.contributor.author Ramos, Rafel
dc.contributor.author Cabezas, Carmen
dc.contributor.author Salvador, Gemma
dc.contributor.author Castell, Conxa
dc.contributor.author Schröder, Helmut, 1958-
dc.contributor.author Grau Magaña, Maria
dc.date.accessioned 2021-11-08T07:34:21Z
dc.date.issued 2021
dc.identifier.citation Barroso M, Zomeño MD, Díaz JL, Pérez S, Martí-Lluch R, Cordón F, Ramos R, Cabezas C, Salvador G, Castell C, Schröder H, Grau M. Efficacy of tailored recommendations to promote healthy lifestyles: a post hoc analysis of a randomized controlled trial. Transl Behav Med. 2021;11(8):1548-57. DOI: 10.1093/tbm/ibab035
dc.identifier.issn 1869-6716
dc.identifier.uri http://hdl.handle.net/10230/48921
dc.description.abstract Prevention is the key to stopping the ravages of cardiovascular diseases, the main cause of death worldwide. The objective was to analyze the efficacy of tailored recommendations to promote healthy lifestyles. Parallel-arm randomized controlled trial with 1 year follow-up. Individuals aged 35-74 years from Girona (Spain) randomly selected from a population with no cardiovascular diseases at baseline were included. Participants in the intervention group received a brochure with tailored healthy choices according to the individual risk profile and a trained nurse explained all recommendations in detail in a 30 min consultation. One year changes in smoking, Mediterranean diet adherence, physical activity, and weight were analyzed with McNemar, Student's t, Wilcoxon, and Fisher exact tests according to an intention-to-treat strategy. Of 955 individuals (52.3% women; mean age 50 [±10] years) randomly allocated to the intervention or control group, one participant in each group presented a cardiovascular event and 768 (81%) were reexamined at 1 year follow-up. The prevalence of nonsmokers increased in both the intervention and control groups (78.1%-82.5%, p = <.001, and 76.7% to 78.8%, p = .015, respectively); however, significance persisted only in the intervention group when stratified by sex, age group, and educational level. Adherence to a Mediterranean diet increased in the intervention group (22.3%-26.5%, p = .048). In conclusion, a brief personalized intervention with science-based recommendations according to individual risk profiles appears to improve healthy lifestyles, particularly nonsmoking and adherence to a Mediterranean diet. This promising intervention system offers evidence-based recommendations to develop healthy lifestyles.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Oxford University Press
dc.relation.ispartof Transl Behav Med. 2021;11(8):1548-57
dc.rights © Oxford University Press. This is a pre-copyedited, author-produced version of an article accepted for publication in Translational behavioral medicine following peer review. The version of record Barroso M, Zomeño MD, Díaz JL, Pérez S, Martí-Lluch R, Cordón F, Ramos R, Cabezas C, Salvador G, Castell C, Schröder H, Grau M. Efficacy of tailored recommendations to promote healthy lifestyles: a post hoc analysis of a randomized controlled trial. Transl Behav Med. 2021;11(8):1548-57. DOI: 10.1093/tbm/ibab035 is available online at: http://dx.doi.org/10.1093/tbm/ibab035
dc.title Efficacy of tailored recommendations to promote healthy lifestyles: a post hoc analysis of a randomized controlled trial
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1093/tbm/ibab035
dc.subject.keyword Cardiovascular diseases
dc.subject.keyword Empowerment
dc.subject.keyword Lifestyles
dc.subject.keyword Mediterranean diet
dc.subject.keyword Physical activity
dc.subject.keyword Prevention
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/acceptedVersion

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