Four years of practice-based and exercise-supported behavioural medicine in one community of the German CINDI area.
The main goal of the preventive intervention study in one community of the German CINDI (Countrywide Integrated Non-Communicable Diseases Intervention programme of the WHO) area was to improve cardiovascular health by reducing the risk factors smoking, hypertension, obesity, hypercholesterolaemia, and by changing sedentary lifestyle.
The intervention was performed by using the special « Three-Level-Strategy », which is characterised by activities of primary care physicians in the usual consulting hour (1st level), with patient groups in their practices (2nd level), and at community level (3rd level) where a special work group and a co-ordinating general practice are co-operating.
To evaluate the occurrence of the risk factors in practice and the local population, four cross-sectional random samples (Ntotal=4881) were carried out in seven practices from 1992 to 1995.
On the community level, 23 special exercise-based health groups (Ntotal=600) were established and were investigated by means of a questionnaire, related to behaviour and health beliefs.
A « Local Health Information System » facilitated the evaluation, the management of the data, and the organisation of the health programme.
The results of the practice samples showed a significant reduction of smoking (-17.8%) and hypertension (-31.5%) (p<0.01).
The exercise-based groups were combined with nutritional counselling or relaxation and were accepted very well by the participants (83.8%). (...)
Mots-clés Pascal : Exercice physique, Allemagne, Europe, Epidémiologie, Facteur risque, Cardiopathie coronaire, Mode de vie, Programme recherche, Appareil circulatoire pathologie, Homme
Mots-clés Pascal anglais : Physical exercise, Germany, Europe, Epidemiology, Risk factor, Coronary heart disease, Life habit, Research program, Cardiovascular disease, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0363237
Code Inist : 002B30A01A2. Création : 12/09/1997.