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  1. The impact of attending the CroíMyAction CVD prevention programme with a partner on Diet and Anthropometrics Katie Cunningham

  2. Background • CVD is the leading cause of death in Ireland and globally (Central Statistics Office, 2009; WHO, 2012) • CroíMyAction is an holistic community-based CVD prevention referral programme for high risk individuals • Proven effective model for reducing the future CVD risk of high-risk individuals (Gibson et al., 2013) • Patients are encouraged to invite a partner to attend the 12 week programme

  3. Aim • This study aimed to establish if participating with a partner (spouse, relative or friend) in CroíMyAction enabled patients to improve their Mediterranean diet score, reduce their BMI and waist circumference more than if a patient attends the programme alone

  4. Methods • Patients and partners had an individualised assessment with the nurse, physiotherapist and dietitian at 3 time points: • Baseline - initial assessment • 12 weeks - end of programme assessment • 1 year - one year assessment • The data that took the focus of this research included: • Demographics • Mediterranean diet score • BMI and waist circumference

  5. Mediterranean Diet Score (Schröderet al., 2011)

  6. Data preparation & Analysis • Data preparation • Variables not relevant to the research were deleted • Data was imported from Microsoft Excel into SPSS • Coded data • Cleaned data • Created new variables • Data analysis • Descriptive frequencies • Pearson Chi-square test • Independent t-test • ANOVA

  7. Key Results - Attenders • Between June 2009 – July 2013 1117 people joined the programme • Initial assessment • 260 patients attended alone, 340 attended with a partner • End of programme assessment • 136 patients attended alone, 259 attended with a partner • 1 year assessment • 91 patients attended alone, 194 attended with a partner

  8. Key Results - Demographics • Older people were significantly more likely to attend the programme with a partner • The majority of patients attended Croí MyAction with their spouse/partner or alone • Females were more likely to attend with a family member or friend compared to males • Females were significantly more likely to accompany the patient on the programme when compared to males

  9. Key Results – Mediterranean Diet Score • Mediterranean diet score improved significantly from baseline to end of programme and improved again at 1 YR for both males and females • At the end of programme females improved their Mediterranean diet score more if they attended with a spouse/partner Vs a family member • At the end of programme males improved their Mediterranean diet score to a similar degree when they attended alone, with a spouse/partner, family member or friend • At 1year all patients had improved their Mediterranean diet score to a similar degree despite attending alone, with a spouse/partner, family member or friend

  10. Key Results - Anthropometrics • At the end of programme both male and female patients significantly reduced their mean BMI and waist circumference • At 1 year this reduction in BMI and waist circumference was maintained • There was no significant change in BMI or waist circumference from at end of programme or at 1 year in female or male patients who attended alone, with spouse/partner, family member or friend

  11. Conclusion • Improvements were made to both diet and anthropmetrics • Not enough evidence to suggest that having a partner attend the programme was a primary cause for this change • Some people may benefit from having support • Having support may benefit other parameters that were not investigated in this study • More high risk CVD prevention strategies are needed in Ireland

  12. Acknowledgments • Dr Colette Kelly • Department of Health Promotion, NUI Galway • Croí Heart & Stroke Charity

  13. References • Central Statistics Office. (2009). Annual report on vital statistics. Dublin: CSO. • Gibson, I., Flaherty, G., Cormican, S., Jones, J., Kerins, C. Walsh, A. M., et al. (2013) Translating guidelines to practice: findings from a multidisciplinary preventive cardiology programme in the west of Ireland. European Journal of Preventive Cardiology. • Perk, J., De Backer, G. Gohlke, H., Graham, I., Reiner, Z., Verschuren, M. M. W., et al (2012). European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). The Fifth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. European Heart Journal, 33, 1635-1701. • Schröder, H., Fitó, M., Estruch, R., Martínez-Gonzáles, M. A., Corella, D., Salas-Salvadó, J., et al. (2011). A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. Journal of Nutrition, 141 (6), 1140-1145. • World Health Organization (WHO). (2012). World health statistics 2012. France: WHO.