Coronary Health Care最新文献_第6页

Waist circumference in the assessment of obesity and associated risk factors in coronary artery disease patients 腰围在评估冠心病患者肥胖及相关危险因素中的作用

Coronary Health Care Pub Date : 2000-11-01 DOI: 10.1054/chec.2000.0096

S. Carroll , C.B. Cooke , R.J. Butterly , J.W.D. Moxon , J.W.A. Moxon , M. Dudfield

{"title":"Waist circumference in the assessment of obesity and associated risk factors in coronary artery disease patients","authors":"S. Carroll , C.B. Cooke , R.J. Butterly , J.W.D. Moxon , J.W.A. Moxon , M. Dudfield","doi":"10.1054/chec.2000.0096","DOIUrl":"10.1054/chec.2000.0096","url":null,"abstract":"<div><p>Waist circumference ‘action levels’ have been recommended as a screening tool for overweight/obesity and associated metabolic risk factors. The use of waist circumference action levels in identifying need for weight management and higher metabolic risk was evaluated in 541 consecutive coronary artery disease patient referrals (85 female) to a long-term maintenance, community-based cardiac rehabilitation programme. Recommended waist circumference action levels identified overweight and obese patients (body mass index (BMI ≥ 25.0kg·m<sup>–2</sup>and ≥ 30.0kg·m<sup>–2</sup>, respectively) and those with lower BMI but abdominal adiposity (waist:hip ratio ≥ 0.95 males, ≥ 0.80 females) with high sensitivity and specificity values. The prevalence of several metabolic risk factors was different between male and female patients in this cohort. Male patients exceeding the lower waist circumference action level (≥ 94cm) showed significantly increased odds ratios for hypertriglyceridemia; those at the higher action level (≥ 102cm) additionally exhibiting low high density lipoprotein cholesterol, a raised TC:HDL-C ratio and diastolic hypertension. Male subjects with increased waist circumferences were also 2–3 times as likely to have multiple (≥ 3) metabolic risk factors. Higher odds ratios were evident only for hypertriglyceridemia in female patients above the higher action level (≥ 88cm). Waist circumference action levels (94cm and 102cm in males; 80 and 88cm in females) may be utilized in secondary prevention settings to identify subjects requiring weight management. Furthermore, waist circumferences higher than the recommended action levels may also indicate increased metabolic risk despite standard cardioprotective drug therapy.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 4","pages":"Pages 179-186"},"PeriodicalIF":0.0,"publicationDate":"2000-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0096","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89816494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

The imperative of health: public health and the regulated body 1 (1996) 健康的必要性:公共卫生和管制机构1(1996年)

Coronary Health Care Pub Date : 2000-11-01 DOI: 10.1054/chec.2000.0093

Dr A.R.U.N. MIDHA

引用次数: 0

Abstracts of the scientific programme of the British Association of Cardiac Rehabilitation annual conference 29th–30th September 2000 2000年9月29日至30日英国心脏康复协会年会科学计划摘要

Coronary Health Care Pub Date : 2000-11-01 DOI: 10.1054/chec.2000.0101

引用次数: 0

British Association of Cardiac Rehabilitation annual conference, 29th–30th September 2000 英国心脏康复协会年会，2000年9月29 - 30日

Coronary Health Care Pub Date : 2000-11-01 DOI: 10.1054/chec.2000.0102

S. Hollingworth

引用次数: 0

Perceived discomfort and related coping phenomena in patients undergoing percutaneous transluminal coronary angioplasty 经皮腔内冠状动脉成形术患者的感觉不适及相关应对现象

Coronary Health Care Pub Date : 2000-08-01 DOI: 10.1054/chec.2000.0078

A. Cronqvist , R. Wredling , R. Nordlander , A. Langius , H. Björvell

引用次数: 4

Conference report: British Cardiac Society, Glasgow, May 2000 会议报告:英国心脏学会，格拉斯哥，2000年5月

Coronary Health Care Pub Date : 2000-08-01 DOI: 10.1054/chec.2000.0090

R. West

引用次数: 0

Prospective study of clinical and functional status in patients awaiting coronary artery bypass surgery: The need for regular reassessment. 等待冠状动脉搭桥术患者临床和功能状态的前瞻性研究:需要定期重新评估。

Coronary Health Care Pub Date : 2000-08-01 DOI: 10.1054/CHEC.2000.0082

D. Fitzsimons, S. Richardson, M. Scott

{"title":"Prospective study of clinical and functional status in patients awaiting coronary artery bypass surgery: The need for regular reassessment.","authors":"D. Fitzsimons, S. Richardson, M. Scott","doi":"10.1054/CHEC.2000.0082","DOIUrl":"https://doi.org/10.1054/CHEC.2000.0082","url":null,"abstract":"Abstract The objectives of this study were two-fold. Stage 1 was to describe the clinical and sociodemographic characteristics of patients on the waiting list for coronary artery bypass surgery. Stage 2 was to assess changes in functional status using the SF36 at three intervals over patients’ first year on the waiting list. A cross-sectional study using a postal questionnaire was designed for Stage 1, while Stage 2 was a prospective study using SF36. The setting for the study was two large teaching hospitals in Northern Ireland which receive referrals for coronary angiography. All patients referred for coronary artery bypass over a consecutive six month period formed the study sample. The study consisted of Stage 1: 175 patients at referral for surgery, and Stage 2: 70 randomly selected patients. Results of this study found at Stage 1 that 65% of patients had grade 3–4 angina, 63% of those eligible to work were unemployed due to heart disease and 50% reported a recent decrease in income. Stage 2 found that at referral for surgery patients’ mean functional status was considerably less than 60% of optimum capacity on every dimension of the SF36. Functional status improved between referral and six months, but deteriorated between six months and one year – physical role limitations (10.4–1.8) and social function (52.7–38.1) (p = Waiting for coronary artery bypass surgery was associated with angina, unemployment and reduction in income in this sample. Levels of functional status were low and deteriorated further after waiting longer than six months for surgery.","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"5 1","pages":"117-122"},"PeriodicalIF":0.0,"publicationDate":"2000-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90163202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Factors which influence attendance at a rural Australian cardiac rehabilitation program 影响参加澳大利亚农村心脏康复计划的因素

Coronary Health Care Pub Date : 2000-08-01 DOI: 10.1054/chec.2000.0086

D.L. Schulz , H. McBurney

引用次数: 25

Prospective study of clinical and functional status in patients awaiting coronary artery bypass surgery 等待冠状动脉搭桥手术患者的临床和功能状况的前瞻性研究

Coronary Health Care Pub Date : 2000-08-01 DOI: 10.1054/chec.2000.0082

D. Fitzsimons , S.G. Richardson , M.E. Scott

{"title":"Prospective study of clinical and functional status in patients awaiting coronary artery bypass surgery","authors":"D. Fitzsimons , S.G. Richardson , M.E. Scott","doi":"10.1054/chec.2000.0082","DOIUrl":"https://doi.org/10.1054/chec.2000.0082","url":null,"abstract":"<div><p>The objectives of this study were two-fold. Stage 1 was to describe the clinical and sociodemographic characteristics of patients on the waiting list for coronary artery bypass surgery. Stage 2 was to assess changes in functional status using the SF36 at three intervals over patients’ first year on the waiting list. A cross-sectional study using a postal questionnaire was designed for Stage 1, while Stage 2 was a prospective study using SF36.</p><p>The setting for the study was two large teaching hospitals in Northern Ireland which receive referrals for coronary angiography. All patients referred for coronary artery bypass over a consecutive six month period formed the study sample. The study consisted of Stage 1: 175 patients at referral for surgery, and Stage 2: 70 randomly selected patients.</p><p>Results of this study found at Stage 1 that 65% of patients had grade 3–4 angina, 63% of those eligible to work were unemployed due to heart disease and 50% reported a recent decrease in income. Stage 2 found that at referral for surgery patients’ mean functional status was considerably less than 60% of optimum capacity on every dimension of the SF36. Functional status improved between referral and six months, but deteriorated between six months and one year – physical role limitations (10.4–1.8) and social function (52.7–38.1) (p = < 0.05). There was a significant association between functional status and angina grade (p = < 0.05).</p><p>Waiting for coronary artery bypass surgery was associated with angina, unemployment and reduction in income in this sample. Levels of functional status were low and deteriorated further after waiting longer than six months for surgery.</p></div>","PeriodicalId":100334,"journal":{"name":"Coronary Health Care","volume":"4 3","pages":"Pages 117-122"},"PeriodicalIF":0.0,"publicationDate":"2000-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1054/chec.2000.0082","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92102368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Causal attributions for angina: results of an interview study 心绞痛的因果归因:一项访谈研究的结果

Coronary Health Care Pub Date : 2000-08-01 DOI: 10.1054/chec.2000.0083

G. Furze, B. Lewin

引用次数: 14