Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old Danes

Abstract Background Elimination of modifiable risk factors including unhealthy lifestyle has the potential for prevention of 80% of cardiovascular disease cases. The present study focuses on disclosing barriers for maintaining specific lifestyle changes by exploring associations between perceiving t...

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Main Authors: Jesper Bo Nielsen, Anja Leppin, Dort e Gyrd-Hansen, Dorte Ejg Jarbøl, Jens Søndergaard, Pia Veldt Larsen
Format: Article
Language:English
Published: BMC 2017-09-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12872-017-0677-0
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spelling doaj-afdf4a6146e34cf28fc677f4405bceb12020-11-25T03:57:03ZengBMCBMC Cardiovascular Disorders1471-22612017-09-011711810.1186/s12872-017-0677-0Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old DanesJesper Bo Nielsen0Anja Leppin1Dort e Gyrd-Hansen2Dorte Ejg Jarbøl3Jens Søndergaard4Pia Veldt Larsen5Research Unit for General Practice, Department of Public Health, University of Southern DenmarkUnit for Health Promotion Research, Department of Public Health, University of Southern DenmarkCOHERE, Department of Public Health, University of Southern DenmarkResearch Unit for General Practice, Department of Public Health, University of Southern DenmarkResearch Unit for General Practice, Department of Public Health, University of Southern DenmarkEpidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern DenmarkAbstract Background Elimination of modifiable risk factors including unhealthy lifestyle has the potential for prevention of 80% of cardiovascular disease cases. The present study focuses on disclosing barriers for maintaining specific lifestyle changes by exploring associations between perceiving these barriers and various sociodemographic and health-related characteristics. Methods Data were collected through a web-based questionnaire survey and included 962 respondents who initially accepted treatment for a hypothetical cardiovascular risk, and who subsequently stated that they preferred lifestyle changes to medication. Logistic regression was used to analyse associations between barriers to lifestyle changes and relevant covariates. Results A total of 45% of respondents were identified with at least one barrier to introducing 30 min extra exercise daily, 30% of respondents reported at least one barrier to dietary change, and among smokers at least one barrier to smoking cessation was reported by 62% of the respondents. The perception of specific barriers to lifestyle change depended on sociodemographic and health-related characteristics. Conclusion We observed a considerable heterogeneity between different social groups in the population regarding a number of barriers to lifestyle change. Our study demonstrates that social inequality exists in the ability to take appropriate preventive measures through lifestyle changes to stay healthy. This finding underlines the challenge of social inequality even in populations with equal and cost-free access to health care. Our study suggests supplementing traditional public campaigns to counter cardiovascular disease by using individualized and targeted initiatives.http://link.springer.com/article/10.1186/s12872-017-0677-0Cardiovascular diseasePreventionSurveyLifestyleBarriers
collection DOAJ
language English
format Article
sources DOAJ
author Jesper Bo Nielsen
Anja Leppin
Dort e Gyrd-Hansen
Dorte Ejg Jarbøl
Jens Søndergaard
Pia Veldt Larsen
spellingShingle Jesper Bo Nielsen
Anja Leppin
Dort e Gyrd-Hansen
Dorte Ejg Jarbøl
Jens Søndergaard
Pia Veldt Larsen
Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old Danes
BMC Cardiovascular Disorders
Cardiovascular disease
Prevention
Survey
Lifestyle
Barriers
author_facet Jesper Bo Nielsen
Anja Leppin
Dort e Gyrd-Hansen
Dorte Ejg Jarbøl
Jens Søndergaard
Pia Veldt Larsen
author_sort Jesper Bo Nielsen
title Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old Danes
title_short Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old Danes
title_full Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old Danes
title_fullStr Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old Danes
title_full_unstemmed Barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old Danes
title_sort barriers to lifestyle changes for prevention of cardiovascular disease – a survey among 40–60-year old danes
publisher BMC
series BMC Cardiovascular Disorders
issn 1471-2261
publishDate 2017-09-01
description Abstract Background Elimination of modifiable risk factors including unhealthy lifestyle has the potential for prevention of 80% of cardiovascular disease cases. The present study focuses on disclosing barriers for maintaining specific lifestyle changes by exploring associations between perceiving these barriers and various sociodemographic and health-related characteristics. Methods Data were collected through a web-based questionnaire survey and included 962 respondents who initially accepted treatment for a hypothetical cardiovascular risk, and who subsequently stated that they preferred lifestyle changes to medication. Logistic regression was used to analyse associations between barriers to lifestyle changes and relevant covariates. Results A total of 45% of respondents were identified with at least one barrier to introducing 30 min extra exercise daily, 30% of respondents reported at least one barrier to dietary change, and among smokers at least one barrier to smoking cessation was reported by 62% of the respondents. The perception of specific barriers to lifestyle change depended on sociodemographic and health-related characteristics. Conclusion We observed a considerable heterogeneity between different social groups in the population regarding a number of barriers to lifestyle change. Our study demonstrates that social inequality exists in the ability to take appropriate preventive measures through lifestyle changes to stay healthy. This finding underlines the challenge of social inequality even in populations with equal and cost-free access to health care. Our study suggests supplementing traditional public campaigns to counter cardiovascular disease by using individualized and targeted initiatives.
topic Cardiovascular disease
Prevention
Survey
Lifestyle
Barriers
url http://link.springer.com/article/10.1186/s12872-017-0677-0
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