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Cardiovascular Risk Factors in an Ambulatory Urban Patient Population

NCT00486993 — Completed, 18287 participants, Heidelberg University

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Estimation of Prevalence and Assessment of the Effects of Modification of Cardiovascular Risk Factors in an Ambulatory Urban Patient Population

RegistryNCT00486993, acronym AsuRiesgo
StatusCompleted
Study typeObservational
Enrollment18287 (Actual)
SponsorHeidelberg University (Other)
ConditionsCardiovascular Risk Factors, Metabolic Syndrome, Lifestyle Modification, Coronary Artery Disease, Stroke
InterventionsDietary and nutritional modification, Stop smoking, Regular physical activities, Weight reduction to normal ranges, Regular intake of polyphenols, esp. from Ilex paraguayensis (Behavioral)
Datesstart 2006-05-01, primary completion 2014-07-01, completion 2014-07-01, first posted 2007-06-15, last updated 2016-11-08
Locations1 site in Paraguay

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-Summary

According to WHO estimations, cardiovascular diseases (CVDs) are the number one cause of death globally. More people die annually from CVDs than from any other cause. An estimated 17.5 million people died from CVDs in 2005, representing 30% of all global deaths. Of these deaths, an estimated 7.6 million were due to coronary heart disease and 5.7 million were due to stroke.

Over 80% of CVD deaths take place in low- and middle-income countries and occur almost equally in men and women. In Paraguay, prevalence of classic risk factors, as well as new ones, like the metabolic syndrome are not completely known.

Government health policies in industrialized countries are focusing on programs to modify cardiovascular risk factors. In developing countries, prevention of coronary heart disease and stroke through modification of cardiovascular risk factors are not playing a large role at the moment.

The aim of this study is to define the effects of changes in lifestyle on cardiovascular risk factors, when added to optimized standard pharmacological therapy for arterial hypertension, diabetes mellitus and hyperlipidemia, in an ambulatory urban patient population.

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+Arms and interventions

ArmTypeInterventionsDescription
asuriesgoBehavioral: Dietary and nutritional modification; Behavioral: Stop smoking; Behavioral: Regular physical activities; Behavioral: Weight reduction to normal ranges; Behavioral: Regular intake of polyphenols, esp. from Ilex paraguayensisunselected outpatient population
  • Dietary and nutritional modification (Behavioral)
  • Stop smoking (Behavioral)
  • Regular physical activities (Behavioral)
  • Weight reduction to normal ranges (Behavioral)
  • Regular intake of polyphenols, esp. from Ilex paraguayensis (Behavioral)

+Outcome measures

Primary outcomes

  • cardiovascular mortality [one year]

Secondary outcomes

  • mortality, other causes [one year]
  • acute myocardial infarction [one year]
  • stroke [one year]
  • acute coronary syndrome [one year]

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* all ambulatory patients, with age 18 years or older

Exclusion Criteria:

* no exclusion criteria provided, particularly for the first, epidemiological part of the study

+Locations (1)

FacilityCityCountryStatus
Hospital Central Instituto de Prevision SocialAsunción, Dep. CentralParaguay

+Publications

  • Jimenez JT, Palacios M, Canete F, Barriocanal LA, Medina U, Figueredo R, Martinez S, de Melgarejo MV, Weik S, Kiefer R, Alberti KG, Moreno-Azorero R. Prevalence of diabetes mellitus and associated cardiovascular risk factors in an adult urban population in Paraguay. Diabet Med. 1998 Apr;15(4):334-8. doi: 10.1002/(SICI)1096-9136(199804)15:43.0.CO;2-Z. PMID 9585400
  • Ramirez MO, Pino CT, Furiasse LV, Lee AJ, Fowkes FG. Paraguayan National Blood Pressure Study: prevalence of hypertension in the general population. J Hum Hypertens. 1995 Nov;9(11):891-7. PMID 8583468

+Investigators

My Notes