Analyse du mode de vie des patients en termes d’activité physique et d’alimentation dans les suites d’un événement cardiovasculaire : étude observationnelle descriptive transversale et multicentrique réalisée entre décembre 2016 et janvier 2018 en soins premiers en France, dans le cadre de l‘étude européenne Europrev III

Abstract : Background and aim: the management of cardiovascular risk factors is essential following a cardiovascular disease, in order to reduce the risk of recurrence and morbi-mortality. The main objective was to analyze the adoption of adequate physical activity and nutrition in patients following a cardiovascular event. Settings and method: it was an observational cross-sectional study realized in primary care in France between December 2016 and January 2018. Were included patients aged from 18 to 85 years old, with a history of cardiovascular event occurred in 6 to 36 months. The primary endpoint was the achievement of the targets, according to the European recommendations, in terms of physical activity and diet. Results: eighty-two patients were included. 58.5% practiced physical activity in accordance with the recommendations, according of the IPAQ. For the MedDietScore, 65.8% of the population had an insufficient or average score. Regular physical activity and healthy diet were goals for respectively 25.6% and 37.8% of patients. They reported having been advised by their doctor in 67.1% to 70.7% of cases. 65.5% of the advised patients modified their physical activity and 75.9% their diet (p <0.0001). Conclusion: the adoption of a healthy lifestyle did not always seem obvious in our study and a part of the population claimed not to have been advised, while the impact of the general practitioner on the improvement of lifestyle has once again been proven. Some avenues, such as the expansion of ambulatory therapeutic patient education, could further promote tertiary prevention among patients.
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Master Thesis
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Inès Portmann. Analyse du mode de vie des patients en termes d’activité physique et d’alimentation dans les suites d’un événement cardiovasculaire : étude observationnelle descriptive transversale et multicentrique réalisée entre décembre 2016 et janvier 2018 en soins premiers en France, dans le cadre de l‘étude européenne Europrev III. Médecine humaine et pathologie. 2018. ⟨dumas-02059679⟩

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