The effect of physician office visits on CHD risk factor modification as part of a worksite cholesterol screening program

Jean S. Wang, Elise C. Carson, Kate L. Lapane, Charles B. Eaton, Kim M. Gans, Thomas M. Lasater

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Elevated serum cholesterol is a major risk factor for CHD. Primary prevention through behavioral modification has been designated first- line treatment for patients with elevated cholesterol. In this study, we assessed the impact of a physician office visit after a worksite cholesterol screening on self-reported changes in diet, weight loss, exercise, and smoking. We hypothesized that those individuals who had a physician office visit regarding cholesterol would make more changes in CHD risk factors than those who did not have such a visit. Methods. A cohort of 4,928 participants from 33 worksites in Massachusetts and Rhode Island had baseline CHD risk factors evaluated at a cholesterol screening and 4,473 were available at follow-up 6 months later by telephone interview. A total of 1,957 had elevated cholesterol levels (≥200 mg/dl) and were instructed to visit their physician, in addition to receiving educational materials related to CHD risk factor modification. Results. Most individuals with elevated cholesterol levels had other prevalent self-reported CHD risk factors at baseline: 58% consumed high-fat diets (>30% fat), 43% were overweight, 60% had a sedentary lifestyle (sweat-related physical activity

Original languageEnglish (US)
Pages (from-to)221-228
Number of pages8
JournalPreventive Medicine
Volume28
Issue number3
DOIs
StatePublished - Mar 1999
Externally publishedYes

Keywords

  • Adult
  • Atherosclerosis
  • Blood
  • Cholesterol
  • Diet
  • Female
  • Follow-up studies
  • Health status
  • Human
  • Hypercholesterolemia/blood/epidemiology/prevention and control
  • Lifestyle
  • Male
  • Mass screening
  • Physician's practice patterns
  • Prevention and control
  • Questionnaires
  • Referral and consultation
  • Risk factors

ASJC Scopus subject areas

  • Medicine(all)

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