NSC 4312 Lecture Notes - Lecture 20: Stress Management, Perfusion, Smoking Cessation
Document Summary
Overall data is poor: motivation for behavior change among healthy people is low. For example, no sugary soft drinks in high schools in certain areas: community level. People working in food desserts in certain part of the community: secondary/tertiary, more likely to be identified more quickly. Lifestyle intervention- the ornish program-for pop with chd: must be smoke free, low-fat whole foods diet, moderate exercise, stress management, attend support groups. Phase iii and iv clinical trials: phase 1. If the medicine/intervention is tolerable: phase 2. This intervention has been proven to be effective. Seeing its long time effect and in a more naturalistic environment: larger scale, more naturalistic but can be funded. Outcomes: myocardial perfusion pet, coronary risk factors. Size and severity of perfusion abnormalities improved in experimental group, worsened control. Significant difference coronary risk factors favoring experimental group: 1998. Outcomes: coronary artery stenosis, cardiac events, coronary risk factors. Percent diameter stenosis decreased at 1 yr continued through.
