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A 30-month worksite-based lifestyle program to promote cardiovascular health in middle-aged bank employees: Design of the TANSNIP-PESA randomized controlled trial - 18/04/17

Doi : 10.1016/j.ahj.2016.11.002 
Jennifer K Coffeng, PhD a , Hidde P van der Ploeg, PhD a, José M Castellano, MD, PhD b, c, Juan M Fernández-Alvira, PhD b, Borja Ibáñez, MD, PhD b, d, Inés García-Lunar, MD b, e, Allard J van der Beek, PhD a, Antonio Fernández-Ortiz, MD, PhD b, f, Agustín Mocoroa, MD g, Laura García-Leal b, Evelyn Cárdenas b, Carolina Rojas b, María I Martínez-Castro, PhD b, Silvia Santiago-Sacristán b, Miriam Fernández-Gallardo b, José M Mendiguren, MD g, Sameer Bansilal, MD h, Willem van Mechelen, MD, PhD a, Valentín Fuster, MD, PhD b, h,
a Department of Public and Occupational Health, and EMGO+ Institute for Health and Care Research, VU University Medical Center (VUmc), Amsterdam, the Netherlands 
b Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain 
c HM Hospitales–Hospital Universitario HM Montepríncipe 
d Instituto de Investigación Sanitaria-Fundación Jiménez Díaz, Madrid, Spain 
e Hospital Universitario Quirónsalud–Universidad Europea de Madrid, Spain 
f Hospital Clínico San Carlos, Universidad Complutense, Madrid, Spain 
g Banco de Santander, Madrid, Spain 
h Icahn School of Medicine at Mount Sinai, New York, NY 

Reprint requests: Valentin Fuster, MD PhD. Physician-in-Chief, Mount Sinai Medical Center. Director, Mount Sinai Heart. Icahn School of Medicine at Mount Sinai. One Gustave L. Levy Place, Box 1030 New York City, NY 10029 + General Director, Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC).Department of Public and Occupational Health, and EMGO+ Institute for Health and Care Research, VU University Medical Center (VUmc)Amsterdam1081 BTThe Netherlands

Abstract

Background

Cardiovascular disease (CVD) is the leading cause of death worldwide. With atherosclerosis as the underlying cause for many CVD events, prevention or reduction of subclinical atherosclerotic plaque burden (SAPB) through a healthier lifestyle may have substantial public health benefits.

Objective

The objective was to describe the protocol of a randomized controlled trial investigating the effectiveness of a 30-month worksite-based lifestyle program aimed to promote cardiovascular health in participants having a high or a low degree of SAPB compared with standard care.

Methods

We will conduct a randomized controlled trial including middle-aged bank employees from the Progression of Early Subclinical Atherosclerosis cohort, stratified by SAPB (high SAPB n=260, low SAPB n=590). Within each stratum, participants will be randomized 1:1 to receive a lifestyle program or standard care. The program consists of 3 elements: (a) 12 personalized lifestyle counseling sessions using Motivational Interviewing over a 30-month period, (b) a wrist-worn physical activity tracker, and (c) a sit-stand workstation. Primary outcome measure is a composite score of blood pressure, physical activity, sedentary time, body weight, diet, and smoking (ie, adapted Fuster-BEWAT score) measured at baseline and at 1-, 2-, and 3-year follow-up.

Conclusions

The study will provide insights into the effectiveness of a 30-month worksite-based lifestyle program to promote cardiovascular health compared with standard care in participants with a high or low degree of SAPB.

Il testo completo di questo articolo è disponibile in PDF.

Mappa


 Trial registration: NCT02561065.


© 2016  The Authors. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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