Showing papers by "José Juan Jiménez-Moleón published in 1998"

Changes in coronary risk profiles in employees after three years of multifactorial intervention

Abstract: This study was performed with the objective of assessing the effectiveness of the intervention at the work-site on lifestyle-related cardiovascular risk factors in four work-sites in Granada, Spain Individualized face-to-face counseling was given to 1555 employees (1193 men and 362 women) After 3 years, a blinded assessment of the adequacy of the interventions was carried out When changes in all employees were analysed together, ('per protocol' analysis) a non-significant reduction (−002%; 95% CI: −006 to +003%) in mean coronary risk was observed We also distinguished between adequate and inadequate implementation of the intervention protocol Observed changes in mean coronary risk were compared between both groups (adequate/inadequate implementation) Changes in mean coronary risk were beneficial only in the group that achieved an adequate level of intervention, with an observed significant mean reduction of risk of −012% (95% CI: −007 to −017) whereas changes were in the opposite direction in the other group with a mean change of +008% (95% CI: +001 to +016%) Work-site programs of health behaviour modification when appropriately implemented can attain although small, significant changes in cardiovascular risk profiles and thus be especially effective in achieving the population strategy of preventive cardiology