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See detailWeight loss associated with socioeconomic status in patients with angina pectoris, 5 years after an angiography
Tchicaya, Anastase; Baumann, Michèle UL

in Cardiology (2015), (132 (suppl 1)), 60

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method:In 2013-2014, 1,873 ... [more ▼]

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method:In 2013-2014, 1,873 patients out of 4,391 that had undergone an angiography in 2008 -2009 participated in a follow-up study. Among these patients, 457 suffered from angina pectoris and were obese or overweight at baseline. A self-administered questionnaire was completed. Moderate weight loss was defined as the loss of 5%-10%, severe weigh loss as more than 10 % of baseline weight. Household-income was used as proxy for SES. Logistic regression was applied to assess the association between weight loss and SES. Results:During the reference period, 28% of the participants lost weight. A moderate weight loss was higher in patients with a household income between 3000€ and 4500€ per month (OR: 2.3; CI 95%: 1.0-5.2) and higher than 4500€ per month (OR: 3.0; CI 95%: 1.3-7.2) compared to the lowest income group (less than 3000€ per month). A severe weight loss was not associated with income. However, a severe weight loss was higher for retired patients (OR: 4.3; CI 95%: 1.1-17.0) compared to non-retired.Conclusion: The potential reduction of health inequality by an elimination of social inequalities in weight loss among patients with angina pectoris might be substantial. Moderate weight loss in overweight patients with angina pectoris at baseline could be associated with household income. Intervention strategies in secondary prevention should address these social inequalities in order to support equity in health. [less ▲]

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See detailWeight Loss Aassociated With Socioeconomic Status in Patients With Angina Pectoris, 5 Yeras After and Angiography
Tchicaya, Anastase; Baumann, Michèle UL

in Cardiology (2015), (132 (104)), 60

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method: In 2013-2014, 1,873 ... [more ▼]

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method: In 2013-2014, 1,873 patients out of 4,391 that had undergone an angiography in 2008- 2009 participated in a follow-up study. Among these patients, 457 suffered from angina pectoris and were obese or overweight at baseline. A self-administered questionnaire was completed. Moderate weight loss was defined as the loss of 5%-10%, severe weigh loss as more than 10% of baseline weight. Household-income was used as proxy for SES. Logistic regression was applied to assess the association between weight loss and SES. Results: During the reference period, 28% of the participants lost weight. A moderate weight loss was higher in patients with a household income between 3000€ and 4500€ per month (OR: 2.3; CI 95%: 1.0-5.2) and higher than 4500€ per month (OR: 3.0; CI 95%: 1.3-7.2) compared to the lowest income group (less than 3000€ per month). A severe weight loss was not associated with income. However, a severe weight loss was higher for retired patients (OR: 4.3; CI 95%: 1.1- 17.0) compared to non-retired. Conclusion: The potential reduction of health inequality by an elimination of social inequalities in weight loss among patients with angina pectoris might be substantial. Moderate weight loss in overweight patients with angina pectoris at baseline could be associated with household income. Intervention strategies in secondary prevention should address these social inequalities in order to support equity in health. [less ▲]

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See detailDoctor-patient communication on nutrition and the related secondary preventive behaviours
Baumann, Michèle UL; Le Bihan, Etienne UL; Lorentz, Nathalie et al

in Cardiology (2015), 132

Doctor-patient relationship impacts on the compliance. For hypercholesterolemia, diabetes, overweight and obesity, our study’s aim was to analyse the associations between the quality of communication ... [more ▼]

Doctor-patient relationship impacts on the compliance. For hypercholesterolemia, diabetes, overweight and obesity, our study’s aim was to analyse the associations between the quality of communication, evaluated in 2013, and patients’ adherence to their general practitioner (GP)’s nutritional advice, between 2008 and 2013. Methods. Five years after a coronary angiography performed by the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg, 4391 patients were contacted. 1289 completed a self-rating questionnaire assessing the GP’Com-5 items scale (Cronbach 0.87). The variables were analysed with a multiple logistic regression model. Results. Patients declared that they reduced or stopped their consumption 71.9% of fat, 62.8% of sugar and 65% increased their consumption of fruits and vegetables. Around 37% of the patients reported having made changes to their risk behaviours following the advice of their doctor. An increased consumption of fruits and vegetables was linked with the quality of doctor-patient communication when patients were overweight (odd ratio = 1.081, IC 95%, [1.013-1.155]), obesity (OR = 1.130 [1.056-1.209]), hypercholesterolemia (OR = 1.102 [1.033–1.175]) and diabetes (OR = 1.103 [1.029-1.181]). The reduction or cessation of sugar consumption was associated with the quality of physician-patient communication when the patient was overweight (OR = 1.093 [1.020-1.170]), and more so obese (OR = 1.106 [1.031-1.187]). The same held true for patients with hypercholesterolemia (OR = 1.103 [1.031-1.180]) or diabetes (OR = 1.173 [1.088-1.265]). Conclusion. In prevention of secondary CVDs, doctor-patient communication is a relevant determinant in obtaining a favourable behavioural outcome, especially with the consumption of fresh fruit and vegetables. [less ▲]

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