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  1. Modelling the effects of increased physical activity on coronary heart disease in England and Wales.

    Article - En anglais

    Objective

    To investigate the use of computer models as tools for policy makers in evaluating physical activity interventions aimed at reducing deaths from coronary heart disease (CHD).

    Design

    The cell-based computer model Prevent, adapted to simulate risk factor interventions for an English and Welsh population, was used to simulate the effect of two strategies for increasing physical activity levels in respect of CHD mortality over 25 years.

    The first strategy involved a 25% increase in the proportion of 15-64 year olds who were moderately active, while the second strategy involved a similar increase in the proportion who were vigorously active.

    The effects of focusing on narrower age ranges and on people at different initial activity levels were also explored.

    Main results

    The simulations showed a small reduction in the CHD death rates - less than 0.15% and 0.06% for men and women respectively.

    The strategies would postpone up to 12 100 deaths over 25 years, comparable to the effect of a 2% reduction in smoking prevalence.

    The strategies seemed as if they would be more effective if they concentrated on men rather than women, on those over 45 years of age as opposed to all or younger age groups, and on the least active members of the population rather than those already taking some exercise. (...)

    Mots-clés Pascal : Cardiopathie coronaire, Epidémiologie, Homme, Exercice physique, Modèle, Simulation ordinateur, Promotion santé, Programme sanitaire, Prévention, Evaluation, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Coronary heart disease, Epidemiology, Human, Physical exercise, Models, Computer simulation, Health promotion, Sanitary program, Prevention, Evaluation, England, Great Britain, United Kingdom, Europe, Wales, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0312905

    Code Inist : 002B12A03. Création : 12/09/1997.