UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Changes in cardiovascular disease risk and behavioural risk factors before the introduction of a health check programme in England

Alageel, S; Wright, AJ; Gulliford, MC; (2016) Changes in cardiovascular disease risk and behavioural risk factors before the introduction of a health check programme in England. Preventive Medicine , 91 pp. 158-163. 10.1016/j.ypmed.2016.08.025. Green open access

[img]
Preview
Text
1-s2.0-S0091743516302316-main.pdf - Published version

Download (304kB) | Preview

Abstract

A population-based programme of health checks was introduced for adults in England in 2011 for the primary prevention of cardiovascular diseases (CVD) and risk factors management. The aim was to evaluate changes in cardiovascular risk and behavioural risk factors in a health check eligible population in England from 1994 to 2013, by using repeated cross-sectional design using seven surveys of the Health Survey for England. Measures included traditional CVD risk factors and behavioural risk factors. Linear trends were estimated allowing for sampling design. The surveys comprised 49,805 adults aged 45 to 74years; 30,639 were free from cardiovascular comorbidity; 16,041 (52%) had complete data for quantitative risk factors. Between 1994 and 2013, systolic blood pressure decreased by 3.1 (95% confidence interval 2.5 to 3.6) mmHg per decade in men and 5.0 (4.5 to 5.5) in women. Total cholesterol decreased by 0.20 (0.16 to 0.24) mmol/l per decade in men; 0.23 (0.19 to 0.26) in women. Smoking declined by 6% (5% to 8%) per decade in men; 7% (6% - 8%) in women. The proportion with CVD-risk ≥20% declined by 6.8% per decade in men; 2.4% in women. Multiple behavioural risk factors were strongly associated with estimated CVD-risk, but improving trends in traditional CVD risk factors were inconsistent with increasing indicators of adiposity. Long-term declines in traditional risk factors contributed to reductions in estimated CVD-risk prior to the introduction of a health check programme. Behaviour change interventions for multiple risk factor exposures remain a key area for future research.

Type: Article
Title: Changes in cardiovascular disease risk and behavioural risk factors before the introduction of a health check programme in England
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.ypmed.2016.08.025
Publisher version: https://doi.org/10.1016/j.ypmed.2016.08.025
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Cardiovascular diseases, Health check, Primary health care, Primary prevention, Aged, Blood Pressure, Cardiovascular Diseases, Cholesterol, Cross-Sectional Studies, England, Female, Health Behavior, Humans, Male, Middle Aged, Primary Prevention, Risk Factors, Smoking
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10049257
Downloads since deposit
34Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item