Abstract 15258: Reaching AHA 2020 Impact Goal for Cholesterol - Effect of Lifestyle Modification Counselling
The 2020 Strategic Impact Goal laid down by American Heart Association (AHA) aims to achieve a 20% reduction in cardiovascular and stroke deaths and a 20% improvement in cardiovascular health (CVH) of all Americans by 2020. Total cholesterol is one of the metrics of CVH. We evaluated whether physician provided counseling on lifestyle modifications was associated with percentage of patients achieving an ideal, intermediate or poor CVH.
This study evaluated the effect of lifestyle modification counseling by utilizing 12 year data from National Health And Nutrition Examination Survey (NHANES) from year 1999 to 2010. All subjects >20years of age who reported being diagnosed with hyperlipidemia were included in the analysis and were asked 3 questions whether they were told to: 1) reduce fat intake 2) reduce weight 3) exercise more. Individuals were divided into 4 groups based on the whether they were counseled for none, one, two, or all three factors (scores 0-3). In each group, the mean total cholesterol levels were then divided into ideal CVH (<200 mg/dl), intermediate CVH (200-239 mg/dl) or poor CVH (240 mg/dl or greater). Baseline characteristics were assessed. The results were adjusted for various demographic factors and current use of hypolipidemic drugs.
More than 8000 patients were analyzed across 12 years. As the counseling score increased from 0-3, there were significant increases in percentage of patients achieving ideal CVH (score 0: 37.6% ; score 1: 37.9%; score 2: 40.7%; score 3: 45.3%; p<0.01) and significant decreases in patients achieving intermediate CVH (score 0: 56.9%; score 1: 33.7%; score 2: 32.7%; score 3: 31.1% p<0.01). No significant differences with counseling were found in percentage of patients with poor CVH (score 0: 26.5%; score 1: ideal 28.4%; score 2: ideal 26.6%; score 3: 23.6% p=0.15.)
Brief physician-provided lifestyle modification counseling for hyperlipidemic patients was associated with increased percentage of patients with total cholesterol levels in ideal CVH range.
- © 2013 by American Heart Association, Inc.