• Aucun résultat trouvé

Primary care prevention of cardiovascular risk behaviors in adolescents: a systematic review


Academic year: 2022

Partager "Primary care prevention of cardiovascular risk behaviors in adolescents: a systematic review"

En savoir plus ( Page)

Texte intégral




Primary care prevention of cardiovascular risk behaviors in adolescents: a systematic review



Adolescence is associated with behavioral changes offering opportunities for prevention of cardiovascular risk behaviors. Primary care physicians are ideally placed to deliver preventive interventions to adolescents. The objective was to systematically review the evidence about effectiveness of primary care-led interventions addressing the main cardiovascular risk behaviors in adolescents: physical activity, sedentary behaviors, diet and smoking. PubMed, Embase, PsycINFO, CINAHL, Cochrane, ClinicalTrials.gov, and ISRCTN registry were searched from January 1990 to April 2020. Randomized controlled trials of interventions in primary care contexts on at least one of the cardiovascular behaviors were included, targeting 10–19-year old adolescents, according to the World Health Organization's definition. Two authors independently assessed risk of bias. Twenty-two papers were included in the narrative synthesis, reporting on 18 different studies. Interventions targeting smoking uptake seemed more effective than interventions targeting established smoking or the three other risk behaviors. Intervention components or intensity [...]

TISSOT, Hervé, PFARRWALLER, Eva, HALLER, Dagmar M. Primary care prevention of

cardiovascular risk behaviors in adolescents: a systematic review. Preventive Medicine, 2020, vol. 142, p. 106346

PMID : 33275966

DOI : 10.1016/j.ypmed.2020.106346

Available at:


Disclaimer: layout of this document may differ from the published version.

1 / 1


Appendix A. Search strategy applied in the Pubmed database.

(1) Adolescent [mesh]

(2) Young Adult [mesh]

(3) 1 OR 2

(4) adolescen* [tiab] OR teen* [tiab] OR juvenile* [tiab] OR student* [tiab] OR underage*

[tiab] OR youth* [tiab]

(5) young adult* OR young people* OR young person* [tiab]

(6) 4 OR 5 (7) 3 OR 6

(8) Health Promotion [mesh]

(9) Health Education [mesh]

(10) Health Behavior [mesh]

(11) Counseling [mesh]

(12) Preventive Health Services [mesh:noexp]

(13) Early Intervention (Education) [mesh]

(14) Early Medical Intervention [mesh]

(15) Behavior Therapy [mesh]

(16) 8 OR 9 OR 10 OR 11 OR 12 OR 13 OR 14 OR 15

(17) intervention* OR education* OR advice* OR program* OR campaign* OR promotion*

OR information* [tiab]

(18) motivational interview* OR “SBIRT” [tiab]

(19) counsel* [tiab]

(20) health behavior* OR health behaviour* [tiab]

(21) preventive service* [tiab]

(22) primary prevent* [tiab]

(23) behavior therap* OR behaviour therap* [tiab]

(24) lifestyle change* OR life-style change* OR life style change* [tiab]

(25) behaviour change* OR behavior change* [tiab]

(26) lifestyle modif* OR life-style modif* OR life style modif* [tiab]

(27) behaviour modif* OR behavior modif* [tiab]

(28) lifestyle alter* OR life-style alter* OR life style alter* [tiab]

(29) behaviour alter* OR behavior alter* [tiab]

(30) risk factor modification* OR risk factor change* OR risk factor alter* OR risk factor reduction* OR risk factor manag* [tiab]

(31) 17 OR 18 OR 19 OR 20 OR 21 OR 22 OR 23 OR 24 OR 25 OR 26 OR 27 OR 28 OR 29 OR 30

(32) 16 OR 31

(33) Tobacco Use [mesh]

(34) Tobacco Use Cessation [mesh]

(35) 33 OR 34

(36) Smoking [tiab] OR smoke* [tiab] OR cigarette* [tiab] OR tobacco* [tiab]

(37) 35 OR 36 (38) Exercise [mesh]


(39) physical activit* OR exercise* OR physical condition* OR sedentary behavior* OR sedentary behaviour* [tiab]

(40) 38 OR 39

(41) Food Habits [mesh]

(42) Diet [mesh]

(43) 41 OR 42

(44) “diet” OR “diets” OR “dietary” [tiab]

(45) nutrition* [tiab] OR eating habit* OR food habit* [tiab]

(46) 44 OR 45 (47) 43 OR 46 (48) 37 OR 40 OR 47 (49) General Practice [mesh]

(50) Primary Health Care [mesh:noexp]

(51) Physicians, Primary Care [mesh]

(52) Physicians, Family [mesh]

(53) General Practitioners [mesh]

(54) Community Medicine [mesh]

(55) Community Health Services [mesh:noexp]

(56) School Health Services [mesh]

(57) Adolescent Medicine [mesh]

(58) Adolescent Health Services [mesh]

(59) Pediatrics [mesh:noexp]

(60) Child Health Services [mesh:noexp]

(61) 49 OR 50 OR 51 OR 52 OR 53 OR 54 OR 55 OR 56 OR 57 OR 58 OR 59 OR 60 (62) family medicine* OR family practi* OR family physician* OR family doctor* OR family health* [tiab]

(63) primary care* [tiab]

(64) general medicine* OR general practi* OR general physician* OR general doctor* [tiab]

(65) generalist* [tiab]

(66) community medicine* OR community health* [tiab]

(67) school health service* OR student health service* [tiab]

(68) adolescent medicine* OR adolescent health* [tiab]

(69) 62 OR 63 OR 64 OR 65 OR 66 OR 67 OR 68 (70) 61 OR 69

(71) Randomized controlled trial [pt]

(72) Controlled clinical trial [pt]

(73) Clinical trial [pt]

(74) 71 OR 72 OR 73

(75) Clinical trials as topic [mesh]

(76) Random Allocation [mesh]

(77) Control groups [mesh]

(78) 75 OR 76 OR 77 (79) random*


(80) 74 OR 78 OR 79

(81) 7 AND 32 AND 48 AND 70 AND 80 (82) Limit 81 to yr = 1990-2020


Documents relatifs

The aim of this study is to determine the effectiveness of primary care interventions in reducing the 3 main cardiovascular risk behaviours (smoking, low physical activity and

Individual meta-graphs for responder outcomes for the longest reported outcomes, as well as subgroup analyses of size, funding, and duration are available from CFPlus (Figures A1

Postpartum recommendations for women with pregnancy-related cardiovascular risk indicators include lifestyle modifications such as improving diet, increasing physical activity,

} This systematic review of several large-scale studies from 12 countries found that the most common clinician-reported reasons for visits (RFVs) (eg, upper respiratory tract

Objective To develop clinical practice guidelines for a simplified approach to primary prevention of cardiovascular disease (CVD), concentrating on CVD risk estimation and

Study selection All studies conducted in the primary care setting that provided information on clinical features predictive of prostate cancer were included.. Also, studies

Supporting evidence: Based on a publication that found up to a quarter of lung cancer patients had negative chest x-ray scan results in primary care in the year before diagnosis

Synthesis Clinical features of patients presenting in primary care that are associated with increased risk of CRC, listed in descending order of association, included palpable

HbA 1c —glycosylated hemoglobin A 1c , QALY—quality-adjusted life-year, RCT—randomized controlled trial, UKPDS—United Kingdom Prospective Diabetes Study... Common elements in

Objective of program As part of the Champlain CVD Prevention Strategy, practitioners in the Champlain District of Ontario launched a large quality-improvement

• This retrospective chart audit examines whether col- lection of 9 quality indicators of cardiovascular dis- ease (CVD) prevention (obesity, alcohol consumption, smoking status,

These interventions include bibliotherapy, CBT-based websites, and CBT- based computer programs, and they might be most effective when health care personnel have

More  sustained  intensive  programs  of  lifestyle  counsel- ing, delivered by health educators with backgrounds in  nutrition  and  exercise,  might 

A systematic search was undertaken for prospective studies dealing with psychosocial risk factors for poor outcome of LBP in primary care, screening PuBmed, PsychInfo and

Ceci s’explique peut-être par la recherche d’une meilleure information au niveau du résultat, témoignée par la présence de postes un peu curieux (charges pour le

The results of current reviews concerning the effectiveness of workplace health promotion and primary prevention interventions are summarized and compiled into the following areas

Sur les spectres généraux (figure IV.5), on peut observer les pics du fer, du carbone et de l’oxygène ainsi que les pics correspondants aux éléments présents dans

The objective of the present study was to systematically review randomized trials for the effectiveness of interventions conducted in primary care settings,

exercising regularly” Self-administered postal questionnaire 3 months and 12 months No differences between groups in self-reported exercise behavior, and no significant change

This publication describes the protocol concerning a comprehensive systematic review that primarily aims to collect and synthesise available guidelines for prevention in primary

For each breakpoint region on the human genome, we tried to assign its evolutionary origin, that is to deter- mine if the rearrangement occurred in the mouse or in the human lineage.

3 1 - : ثحبلا ةمكشم ا لاا زكرم فأ هذى انمايأ يف ظحلامل و ةيوبرتلا جماربلا دادعإ يف طقف سيل ـامتى ؼمتخم و ةيجوغاديبلا روملأا ةقيرطلا وأ ةيفيكلا ؿوح بصني

Summarising the results, there were no discernable differences between the students in the PBL versus LBL environment in terms of their acquisition of content knowledge when grades