TY - JOUR
T1 - The influence of partners on successful lifestyle modification in patients with coronary artery disease
AU - Verweij, Lotte
AU - Jørstad, Harald T.
AU - Minneboo, Madelon
AU - ter Riet, Gerben
AU - Peters, Ron J. G.
AU - on behalf of the RESPONSE-2 Study Group
AU - Scholte op Reimer, Wilma J. M.
AU - Snaterse, Marjolein
N1 - Funding Information: The RESPONSE-2 trial was sponsored by WW International Inc. (formally Weight Watchers International, Inc.) (New York, New York, USA), Philips Consumer Lifestyle (Amsterdam and Eindhoven, The Netherlands). LV is supported by a research grant from the Netherlands Organization for Scientific Research (NWO) , grant number 023.008.024 . Publisher Copyright: © 2021 The Authors Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/6/1
Y1 - 2021/6/1
N2 - Background: Marital status is associated with prognosis in patients with cardiovascular disease (CVD). However, the influence of partners on successful modification of lifestyle-related risk factors (LRFs) in secondary CVD prevention is unclear. Therefore, we studied the association between the presence of a partner, partner participation in lifestyle interventions and LRF modification in patients with coronary artery disease (CAD). Methods: In a secondary analysis of the RESPONSE-2 trial (n = 711), which compared nurse-coordinated referral to community-based lifestyle programs (smoking cessation, weight reduction and/or physical activity) to usual care in patients with CAD, we investigated the association between the presence of a partner and the level of partner participation on improvement in >1 LRF (urinary cotinine <200 ng/l, ≥5% weight reduction, ≥10% increased 6-min walking distance) without deterioration in other LRFs at 12 months follow-up. Results: The proportion of patients with a partner was 80% (571/711); 19% women (108/571). In the intervention group, 48% (141/293) had a participating partner in ≥1 lifestyle program. Overall, the presence of a partner was associated with patients' successful LRF modification (adjusted risk ratio (aRR) 1.93, 95% confidence interval (CI) 1.40–2.51). A participating partner was associated with successful weight reduction (aRR 1.73, 95% CI 1.15–2.35). Conclusion: The presence of a partner is associated with LRF improvement in patients with CAD. Moreover, patients with partners participating in lifestyle programs are more successful in reducing weight. Involving partners of CAD patients in weight reduction interventions should be considered in routine practice.
AB - Background: Marital status is associated with prognosis in patients with cardiovascular disease (CVD). However, the influence of partners on successful modification of lifestyle-related risk factors (LRFs) in secondary CVD prevention is unclear. Therefore, we studied the association between the presence of a partner, partner participation in lifestyle interventions and LRF modification in patients with coronary artery disease (CAD). Methods: In a secondary analysis of the RESPONSE-2 trial (n = 711), which compared nurse-coordinated referral to community-based lifestyle programs (smoking cessation, weight reduction and/or physical activity) to usual care in patients with CAD, we investigated the association between the presence of a partner and the level of partner participation on improvement in >1 LRF (urinary cotinine <200 ng/l, ≥5% weight reduction, ≥10% increased 6-min walking distance) without deterioration in other LRFs at 12 months follow-up. Results: The proportion of patients with a partner was 80% (571/711); 19% women (108/571). In the intervention group, 48% (141/293) had a participating partner in ≥1 lifestyle program. Overall, the presence of a partner was associated with patients' successful LRF modification (adjusted risk ratio (aRR) 1.93, 95% confidence interval (CI) 1.40–2.51). A participating partner was associated with successful weight reduction (aRR 1.73, 95% CI 1.15–2.35). Conclusion: The presence of a partner is associated with LRF improvement in patients with CAD. Moreover, patients with partners participating in lifestyle programs are more successful in reducing weight. Involving partners of CAD patients in weight reduction interventions should be considered in routine practice.
KW - (Mesh): Secondary prevention
KW - Coronary artery disease
KW - Risk reduction behaviour
KW - Social support
KW - Spouses
UR - http://www.scopus.com/inward/record.url?scp=85103935996&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.ijcard.2021.04.007
DO - https://doi.org/10.1016/j.ijcard.2021.04.007
M3 - Article
C2 - 33823215
SN - 0167-5273
VL - 332
SP - 195
EP - 201
JO - International journal of cardiology
JF - International journal of cardiology
ER -