eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
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1/2010
vol. 6
 
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abstract:

Research paper
How effective are strategies for non-communicable disease prevention and control in a high risk population in a developing country? Isfahan Healthy Heart Programme

Abdolmehdi Baghaei
,
Nizal Sarrafzadegan
,
Katayoun Rabiei
,
Mojgan Gharipour
,
Ali Akbar Tavasoli
,
Shahin Shirani
,
Ahamad Bahonar
,
Amir Hossein Davarpanah
,
Mohammad Arash Ramezani
,
Roya Kelishadi

Arch Med Sci 2010; 6, 1: 24-31
Online publish date: 2010/03/09
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Introduction: The Isfahan Healthy Heart Programme (IHHP) is a community-based programme for non-communicable diseases prevention and control using both a population and high risk approach in Iran. This study demonstrated the efficacy of IHHP interventional strategies to improve lifestyle behaviours in a population at risk for developing cardiovascular diseases.
Material and methods: Healthy Lifestyle for NCDs High Risk Population is one of ten projects of IHHP. High risk individuals were defined as those who have at least one risk factor for developing coronary artery disease (CAD). Changes of behavioural indicators have been compared between two areas with a survey after 5 years of intervention.
Results: Among high risk individuals in the intervention and reference areas, 77.8% and 82.5% had at least one major risk factor for CAD. The prevalence of major risk factors for CAD (except cigarette smoking) was decreased in both intervention and reference areas during 5 years of intervention and the pattern of diet and physical activity was improved.
Conclusions: Interventional activities in IHHP targeting the high risk population seem to be effective in improving lifestyle behaviour, increasing awareness and control of risk factors of the high risk population.
keywords:

coronary artery disease, risk factor, healthy lifestyle, community interventions, developing country, Iran

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