{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T01:13:00Z","timestamp":1771981980702,"version":"3.50.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T00:00:00Z","timestamp":1574726400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T00:00:00Z","timestamp":1574726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Fam Pract"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Patients who have experienced a cardiovascular clinical event such as a myocardial infarction or stroke qualify for intensive risk factor evaluation and management.<\/jats:p>\n<jats:p>The aim of this study is to explore lifestyle changes as well as the achievement of targets for risk factors in patients with established cardiovascular disease.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>Cross-sectional study conducted in primary care practices. The study was carried out in six European countries (Croatia, France, Portugal, Slovenia, Spain and Turkey). Patients with established cardiovascular disease (coronary heart disease and stroke) attended in primary care were selected and assessed from January to June 2016. Patients were recruited and assessed at the practice by research assistants between 6 months and 3 years after the event. Statistical comparisons were done with the unpaired two-sided Student\u2019s t-test for continuous variables and Chi-square test for categorical variables.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Nine hundred and seventy-three patients (32.4% females) were assessed. About 14% of them were smokers, 32% were physically inactive, and 30% had nutritionally poor eating behaviours. LDL cholesterol target value below 70\u2009mg\/dl was achieved in about 23% of patients, and in general, women were less cardio-protected by drugs than men.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Many patients with established cardiovascular disease who attended in general practice still fail to achieve the lifestyle, risk factor, and therapeutic targets set by European guidelines. These results are relevant to general practitioners because these patients have a high risk of subsequent cardiovascular events, including MI, stroke, and death.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12875-019-1051-3","type":"journal-article","created":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T07:02:39Z","timestamp":1574751759000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Lifestyle behaviours in patients with established cardiovascular diseases: a European observational study"],"prefix":"10.1186","volume":"20","author":[{"given":"Diana","family":"Fern\u00e1ndez","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9388-6581","authenticated-orcid":false,"given":"Carlos","family":"Brotons","sequence":"additional","affiliation":[]},{"given":"Irene","family":"Moral","sequence":"additional","affiliation":[]},{"given":"Mateja","family":"Bulc","sequence":"additional","affiliation":[]},{"given":"M\u00e9lanie","family":"Afonso","sequence":"additional","affiliation":[]},{"given":"H\u00fclya","family":"Akan","sequence":"additional","affiliation":[]},{"given":"Susana","family":"Pinto","sequence":"additional","affiliation":[]},{"given":"Jasna","family":"Vucak","sequence":"additional","affiliation":[]},{"given":"Carlos Manuel","family":"da Silva Martins","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2019,11,26]]},"reference":[{"key":"1051_CR1","volume-title":"Library cataloging-in-publication data: innovative care for chronic conditions: building blocks for action","author":"WHO","year":"2002","unstructured":"WHO. 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Do practitioners and friends support patients with coronary heart disease in lifestyle change? A qualitative study. BMC Fam Pract. 2013;14:126. https:\/\/doi.org\/10.1186\/1471-2296-14-126.","journal-title":"BMC Fam Pract"},{"issue":"8","key":"1051_CR4","doi-asserted-by":"publisher","first-page":"824","DOI":"10.1177\/2047487318825350","volume":"26","author":"Kornelia Kotseva","year":"2019","unstructured":"Kotseva K, De Bacquer D, De Backer G, Ryd\u00e9n L, Hoes A, Grobbee D, et al. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: results from the European Society of Cardiology ES-EORP EUROASPIRE V registry. Eur J Prev Cardiol. 2019. https:\/\/doi.org\/10.1177\/2047487318825350 [Epub ahead of print].","journal-title":"European Journal of Preventive Cardiology"},{"key":"1051_CR5","doi-asserted-by":"publisher","first-page":"b4220","DOI":"10.1136\/bmj.b4220","volume":"339","author":"AW Murphy","year":"2009","unstructured":"Murphy AW, Cupples ME, Smith SM, Byrne M, Byrne MC, Newell J, et al. Effect of tailored practice and patient care plans on secondary prevention of heart disease in general practice: cluster randomised controlled trial. BMJ. 2009;339:b4220. https:\/\/doi.org\/10.1136\/bmj.b4220.","journal-title":"BMJ"},{"key":"1051_CR6","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.recesp.2010.07.005","volume":"64","author":"C Brotons","year":"2011","unstructured":"Brotons C, Soriano N, Moral I, Rodrigo MP, Kloppe P, Rodriguez AI, et al. Randomized clinical trial to assess the efficacy of a comprehensive programme of secondary prevention of cardiovascular disease in general practice: the PREseAP study. Rev Esp Cardiol. 2011;64:13\u201320. https:\/\/doi.org\/10.1016\/j.recesp.2010.07.005.","journal-title":"Rev Esp Cardiol"},{"key":"1051_CR7","doi-asserted-by":"publisher","first-page":"2315","DOI":"10.1093\/eurheartj\/ehw106","volume":"37","author":"MF Piepoli","year":"2016","unstructured":"Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. 2016 European guidelines on cardiovascular disease prevention in clinical practice: the sixth joint task force of the European Society of Cardiology and Other Societies on cardiovascular disease prevention in clinical practice (constituted by representatives of 10 societies and by invited experts). 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The approval of the ethics committee of the coordinating centre was done on June 10th 2015, with the reference number 4R15\/117 (IDIAP Jordi Gol). The approval of the ethics committee of other centres were done by the Commitee for Medical Ethics of Heath Ministry of Slovenia (Slovenia), the Ethics Committee of the Yeditepe University, Faculty of Medicine (Turkey), Comit\u00e9 de Protection des Personnes (CPP) Sud-Ouest et Outre Mer III\u00a0and Comit\u00e9 Consultatif sur le Traitement de l'Information en mati\u00e8re de Recherche dans le domaine de la Sant\u00e9 (CCTIRS), (France), the Ethics Commitee of Medical faculty University of Zagreb (Croatia) and the Health Ethics Committee of the Regional Health Administration of Northern Portugal (Portugal).Participation in the survey was voluntary. Written informed consent was obtained from every participant before the questionnaire was answered. Confidentiality was maintained by data coding to eliminate the identification of data with personal information.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"162"}}