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Gender differences in lifestyle management among coronary patients and the association with education and age : results from the ESC EORP EUROASPIRE V registry

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Abstract
Background Lifestyle management is essential in the secondary care of coronary heart disease (CHD) patients. Little evidence is available about gender differences in lifestyle counselling and lifestyle compliance. This study aimed to provide an overview on potential gender differences in lifestyle advice provided by a healthcare professional and patients’ lifestyle compliance. Methods and results Analyses were based on the cross-sectional ESC EORP EUROASPIRE V survey including data on CHD patients across 27 European countries. Consecutive patients <80 years, hospitalized for a first or recurrent coronary event, were included in the study. Information on lifestyle management was collected from medical records, medical examination, and structured questionnaires during patient interviews (≥6 months to <2 years after hospitalization). Data were available for 8261 patients of whom 25.8% women. Overall, no gender differences were observed in lifestyle advice provided by a healthcare professional for smoking cessation advice, dietary advice, advice on losing weight, and physical activity advice (P > 0.05). However, a closer look at the particular actions to adopt a healthy diet revealed that women reported more frequently a reduction of their salt (68.6% vs. 73.7%; P = 0.002), fat (70.8% vs. 74.7%; P = 0.003), and calorie intake (56.8% vs. 60.5%; P = 0.004) compared to men. In contrast, women were less likely to increase their physical activity levels (55.5% vs. 48.0%; P < 0.001). Conclusion Despite little gender differences in lifestyle advice provided by a healthcare professional, lifestyle compliance for physical activity is worse in CHD women. Further actions are needed to increase physical activity levels in female CHD patients.
Keywords
Advanced and Specialized Nursing, Medical–Surgical Nursing, Cardiology and Cardiovascular Medicine, Gender differences, Lifestyle, EUROASPIRE, Secondary prevention, Cardiovascular diseases, RISK-FACTOR CONTROL, CARDIOVASCULAR-DISEASE, MYOCARDIAL-INFARCTION, SECONDARY PREVENTION, EUROPEAN-SOCIETY, INTERVENTION, ADHERENCE, COUNTRIES, OUTCOMES, WOMEN

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MLA
Vynckier, Pieter, et al. “Gender Differences in Lifestyle Management among Coronary Patients and the Association with Education and Age : Results from the ESC EORP EUROASPIRE V Registry.” EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2022, doi:10.1093/eurjcn/zvab129.
APA
Vynckier, P., Ferrannini, G., Kotseva, K., Gevaert, S., De Bacquer, D., & De Smedt, D. (2022). Gender differences in lifestyle management among coronary patients and the association with education and age : results from the ESC EORP EUROASPIRE V registry. EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING. https://doi.org/10.1093/eurjcn/zvab129
Chicago author-date
Vynckier, Pieter, Giulia Ferrannini, Kornelia Kotseva, Sofie Gevaert, Dirk De Bacquer, and Delphine De Smedt. 2022. “Gender Differences in Lifestyle Management among Coronary Patients and the Association with Education and Age : Results from the ESC EORP EUROASPIRE V Registry.” EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING. https://doi.org/10.1093/eurjcn/zvab129.
Chicago author-date (all authors)
Vynckier, Pieter, Giulia Ferrannini, Kornelia Kotseva, Sofie Gevaert, Dirk De Bacquer, and Delphine De Smedt. 2022. “Gender Differences in Lifestyle Management among Coronary Patients and the Association with Education and Age : Results from the ESC EORP EUROASPIRE V Registry.” EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING. doi:10.1093/eurjcn/zvab129.
Vancouver
1.
Vynckier P, Ferrannini G, Kotseva K, Gevaert S, De Bacquer D, De Smedt D. Gender differences in lifestyle management among coronary patients and the association with education and age : results from the ESC EORP EUROASPIRE V registry. EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING. 2022;
IEEE
[1]
P. Vynckier, G. Ferrannini, K. Kotseva, S. Gevaert, D. De Bacquer, and D. De Smedt, “Gender differences in lifestyle management among coronary patients and the association with education and age : results from the ESC EORP EUROASPIRE V registry,” EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2022.
@article{8744891,
  abstract     = {{Background

Lifestyle management is essential in the secondary care of coronary heart disease (CHD) patients. Little evidence is available about gender differences in lifestyle counselling and lifestyle compliance. This study aimed to provide an overview on potential gender differences in lifestyle advice provided by a healthcare professional and patients’ lifestyle compliance.
Methods and results

Analyses were based on the cross-sectional ESC EORP EUROASPIRE V survey including data on CHD patients across 27 European countries. Consecutive patients <80 years, hospitalized for a first or recurrent coronary event, were included in the study. Information on lifestyle management was collected from medical records, medical examination, and structured questionnaires during patient interviews (≥6 months to <2 years after hospitalization). Data were available for 8261 patients of whom 25.8% women. Overall, no gender differences were observed in lifestyle advice provided by a healthcare professional for smoking cessation advice, dietary advice, advice on losing weight, and physical activity advice (P > 0.05). However, a closer look at the particular actions to adopt a healthy diet revealed that women reported more frequently a reduction of their salt (68.6% vs. 73.7%; P = 0.002), fat (70.8% vs. 74.7%; P = 0.003), and calorie intake (56.8% vs. 60.5%; P = 0.004) compared to men. In contrast, women were less likely to increase their physical activity levels (55.5% vs. 48.0%; P < 0.001).
Conclusion

Despite little gender differences in lifestyle advice provided by a healthcare professional, lifestyle compliance for physical activity is worse in CHD women. Further actions are needed to increase physical activity levels in female CHD patients.}},
  author       = {{Vynckier, Pieter and Ferrannini, Giulia and Kotseva, Kornelia and Gevaert, Sofie and De Bacquer, Dirk and De Smedt, Delphine}},
  issn         = {{1474-5151}},
  journal      = {{EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING}},
  keywords     = {{Advanced and Specialized Nursing,Medical–Surgical Nursing,Cardiology and Cardiovascular Medicine,Gender differences,Lifestyle,EUROASPIRE,Secondary prevention,Cardiovascular diseases,RISK-FACTOR CONTROL,CARDIOVASCULAR-DISEASE,MYOCARDIAL-INFARCTION,SECONDARY PREVENTION,EUROPEAN-SOCIETY,INTERVENTION,ADHERENCE,COUNTRIES,OUTCOMES,WOMEN}},
  language     = {{eng}},
  title        = {{Gender differences in lifestyle management among coronary patients and the association with education and age : results from the ESC EORP EUROASPIRE V registry}},
  url          = {{http://dx.doi.org/10.1093/eurjcn/zvab129}},
  year         = {{2022}},
}

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