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Health behavior modification after electron beam computed tomography and physician consultation

By Jennifer Schwartz, Mathew Allison and C. Michael Wright

Abstract

This study aimed to determine whether participants reported altering health behaviors (physical activity, diet, and alcohol consumption) after seeing results from an electron-beam computed tomography (EBCT) scan for coronary artery calcium and reviewing these results with a physician. Clinicians attempt to motivate patients to control cardiovascular risk factors by adopting healthy behaviors and reducing harmful actions. Asymptomatic patients (N = 510) were evaluated by EBCT for the extent of coronary artery calcium. Information pertaining to demographics, health history, and lifestyle/health behaviors was obtained from each participant at the time of the EBCT scan. Patients were given their numerical calcium score, shown images of their coronary arteries, and counseled by a physician for lifestyle and medical risk modification based on their coronary artery calcium score. Approximately 6 years after the scan, participants completed a follow-up questionnaire related to lifestyle modifications. In multivariable analysis, the presence and extent of coronary artery calcium was significantly associated with beneficial health behavior modifications. Specifically, the greater a patient’s coronary artery calcium score, the more likely they were to report increasing exercise (odds ratio = 1.34, P = 0.02), changing diet (odds ratio = 1.40, P < 0.01), and changing alcohol intake (odds ratio = 1.46, P = 0.05). This study suggests that seeing and being counseled on the presence and extent of coronary artery calcium is significantly associated with behavior change

Topics: Article
Publisher: Springer US
OAI identifier: oai:pubmedcentral.nih.gov:3048462
Provided by: PubMed Central

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Citations

  1. (2001). A comparison study of multiple measures of adherence to HIV protease inhibitors.
  2. (2005). Age and gender are the strongest clinical correlates of prevalent coronary calcification (R1).
  3. (2003). Cholesterol measures to identify and treat individuals at risk for coronary heart disease.
  4. (2009). classification of diabetes mellitus.
  5. (2008). Community-based provision of statin and aspirin after the detection of coronary artery calcium within a community-based screening cohort.
  6. (2008). Coronary calcium as a predictor of coronary events in four racial or ethnic groups. The New England
  7. (1996). Does coronary artery screening by electron beam computed tomography motivate potentially beneficial lifestyle behaviors?
  8. (2002). Does the diagnosis of coronary calcification with electron beam computed tomography motivate behavioral change in smokers?
  9. (2008). Effect of patient visualization of coronary calcium by electron beam computed tomography on changes in beneficial lifestyle behaviors.
  10. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEARTstudy):Case-controlstudy.Lancet,364,937–952.
  11. (2002). Healthy People
  12. (2009). Impact of coronary computed tomographic angiography findings on the medical treatment and control of coronary artery disease and its risk factors.
  13. (2003). Impact of electron beam tomography, with or without case management, on motivation, behavioral change, and cardiovascular risk profile: A randomized controlled trial.
  14. (1998). Intensive lifestyle changes for reversal of coronary heart disease.
  15. (2011). Med
  16. (2006). Mitral and aortic annular calcification are highly associated with systemic calcified atherosclerosis.
  17. (1997). Patient self-reporting of compliance does not correspond with electronic monitoring: An evaluation using isosorbide dinitrate as a model drug.
  18. (2004). Patterns and risk factors for systemic calcified atherosclerosis.
  19. (1990). Quantification of coronary artery calcium using ultrafast computed tomography.
  20. (2007). Renal artery calcium is independently associated with hypertension.
  21. (1999). Updating a 12-year experience with arrest and reversal therapy for coronary heart disease (an overdue requiem for palliative cardiology).
  22. (2009). Vegetarian and vegan diets in type 2 diabetes management.
  23. (2006). Visualizing coronary calcium is associated with improvements in adherence to statin therapy.