Cited by 131Health Promotion and Cardiovascular PreventionCardiovascular Health and Risk FactorsCardiac Health and Mental Health

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Community Programs for the Prevention of Cardiovascular Disease: A Systematic Review

Pennant, M., Davenport, C., Bayliss, S., Greenheld, W., Marshall, T., Hyde, C.·2010·American Journal of Epidemiology

DOI 10.1093/aje/kwq171

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Abstract

In this systematic review, the authors aimed to assess the effectiveness of community programs for prevention of cardiovascular disease (CVD). They searched numerous electronic databases (CDSR, DARE, HTA, EED, and CENTRAL via the Cochrane Library, MEDLINE, MEDLINE In Process, EMBASE, CINAHL, PsycINFO, HMIC, and ASSIA) and relevant Web sites from January 1970 to mid-July 2008. Controlled studies of community programs for the primary prevention of CVD were included. Net changes in CVD risk factors were used to generate an overall index for net change in 10-year CVD risk. The authors identified 36 relevant community programs that took place between 1970 and 2008. These programs were multifaceted interventions employing combinations of media, screening, and counseling activities and environmental changes and were primarily evaluated using controlled before-after studies. In 7 studies, investigators reported changes in CVD/total mortality rates, and in 5 they reported net changes. In all cases, these net changes were positive but were largely nonsignificant. In 22 studies, investigators reported changes in physiologic CVD risk factors, and there was a positive trend in the calculated CVD risk score. The average net reduction in 10-year CVD risk was 0.65%. Community programs for CVD prevention appear to have generally achieved favorable changes in overall CVD risk and, with adaptation to current circumstances, deserve continued consideration as possible approaches to preventing CVD.

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Authors: Pennant, M., Davenport, C., Bayliss, S., Greenheld, W., Marshall, T., & Hyde, C.
Affiliations: University of Birmingham (GB)
Corresponding author: Pennant, M.
ORCID: Davenport, C.
Bayliss, S.
Marshall, T.
Hyde, C.
Venue: American Journal of Epidemiology
Publisher: Oxford University Press (OUP)
Published: 2010-07-28
Volume: 172
Issue: 5
Pages: 501-516
ISSN: 0002-9262 (ISSN-L)
1476-6256
DOI: 10.1093/aje/kwq171
OpenAlex: W2148624435
Cited by: 131
References: 57
Citations by year: 2026: 4 · 2025: 1 · 2024: 4 · 2023: 9 · 2022: 9 · 2021: 9 · 2020: 7 · 2019: 10 · 2018: 8 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 13 · 2013: 8 · 2012: 23
FWCI: 1.99
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Epidemiology (publishedVersion)
PubMed (publishedVersion)
University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Keywords: cardiovascular disease prevention, community-based intervention, primary prevention, cardiovascular risk factors, 10-year cardiovascular risk, multicomponent intervention, health screening, health counseling, environmental change, cardiovascular mortality, intervention effectiveness
MeSH terms: Blood Pressure, Cardiovascular Diseases, Community Health Services, Health Education, Health Promotion, Humans, Lipids, Primary Prevention, Risk Factors, Smoking

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Community Programs for the Prevention of Cardiovascular Disease: A Systematic Review

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